Benchmarking Healthcare System (Download PDF)

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  • Health Index is an annual systematic tool as per NITI Aayog.

  • To leverage cooperative and competitive federalism.

  • To accelerate the pace of achieving health outcomes.

  • Encouraging cross learning among the states.

  • Right to health is neither a fundamental right nor a statutory right.

  • Health subject has been assigned to the state govt.

  • Two thirds of the total govt. expenditure on health comes from the state governments.

  • Balance one-third is being provided by the govt. of India.

  • India is signatory to the 2030 Agenda for Sustainable Development.

National Health Mission

  • Launched by the govt. of India in 2013.

  • It subsumes the National Rural Health Mission and National Urban Health Mission.

  • It was further extended in March 2018, to continue until March 2020.

  • The main aim is to provide universal access to equitable, affordable and quality health care which is accountable.

Ayushman Bharat

  • Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana.

  • A part of the Indian government’s National Health Policy.

  • The main aim is to provide free health coverage at the secondary and tertiary level to its bottom 40 % poor and vulnerable population.

Neo-Natal Mortality Rate

  • Neonate, is a child under 28 days of age.

  • At present Neonatal Mortality Rate is 28 per 1000 live births.

  • 70 % of total infant deaths, and more than half of under-five deaths fall in the neonatal period.

Health Index Outcomes and Systems

  • First ever systematic exercise for tracking the progress on health outcomes.

  • Performance across all the States and Union Territories on an annual basis.

  • States can improve the delivery of health services along with an opportunity of sharing best practices.

  • Health Index is a weighted composite index:

    • Health Outcomes

    • Governance and Information

    • Key Inputs and Processes

  • Full immunization coverage.

  • Treatment success rate of confirmed tuberculosis cases.

  • Stability of tenure of key administrators.

  • Vacancy of doctors.

  • Specialists in health facilities

  • Functionality of primary health centres.

  • First referral units and cardiac care units.

Health Index, June 2019

Health Index June 2019Health Index June 2019

Health Index June 2019Health Index June 2019


Best Performing

Least Performing

Large States



Uttar Pradesh

Small States







Daman & Diu

States Categorized on the Basis of Reference Year (2017 - 18) Index Score Range

States Categorisation nased on Reference Year 2017 - 18States Categorisation nased on Reference Year 2017 - 18

States Categorisation nased on Reference Year 2017 - 18States Categorisation nased on Reference Year 2017 - 18

Aspirants (Lowest one-third-Index score < 43.74)

Achievers (Middle one-third Index score between 43.74 and 58.88)

Front-runners (Top one-third-Index score > 58.88)


West Bengal




Andhra Pradesh

Madhya Pradesh









Uttar Pradesh

Himachal Pradesh

Jammu and Kashmir


Tamil Nadu



  • Health index is an innovative tool.

  • Fosters competition among states by comparing similar states.

  • Nudges states to better or improve their own performance in the previous year.

  • Critical factors contributed to the success of the Health Index:

    • Timelines of the report so that it stimulates action not merely academic discussions.

    • Provision of financial incentives based on the annual incremental performance of states under NHM.

    • Verification of self-reported data by states by a third party, independent verification agency to enhance credibility.

- Published/Last Modified on: August 16, 2020


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