What is NITI’S Health Index? Kerala Tops NITI Aayog’S Health Index (Important) (Download PDF)

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Kerala topped the list of larger states in Niti Aayog’s overall health performance in ‘performance in health outcome index’ based on health indicators. Punjab and Tamil Nadu ranked second and third among 21 large states.

Image of NITI’s Health Index

Image of NITI’s Health Index

Image of NITI’s Health Index

What Were Various Indicators Used by Niti Aayog Health Index (Important)?

  • Neonatal mortality rates

  • Under-five mortality rate

  • Full immunization coverage

  • Institutional deliveries

  • People living with HIV (PLHIV) on Anti-Retroviral Therapy (ART)

  • First trimester antenatal care (ANC) registration

  • Grading quality parameters of Community Health Centres (CHCs)

  • Average occupancy of key State-level officers

  • Good reporting on the Integrated Disease Surveillance Programme (IDSP)

States Ranking Top in Annual Incremental Performance

  • Jharkhand, Jammu & Kashmir, and Uttar Pradesh are top three ranking States in annual incremental performance.

Small States Performing Best in Health Index in Small State Category

  • Mizoram ranked first followed by Manipur on overall performance

  • Manipur followed by Goa were the ranked top in annual incremental performance.

  • Manipur registered maximum incremental progress on indicators.

Top UTs in Health IndexLakshadweep showed best overall performance and highest annual incremental performance in indicators such as

  • Institutional deliveries

  • Tuberculosis (TB) treatment success rate

  • Transfer of National Health Mission (NHM) funds from State Treasury to implementation agency

Basis for Indicators

  • Indicators were selected based on their periodic availability through existing data sources such as the Sample Registration System (SRS), Civil Registration System (CRS) and Health Management Information Systems (HMIS).

What is Health Index?

  • Developed by Niti Aayog, with technical assistance from the World Bank, and in consultation with the Health Ministry, it ranks the states and UTs on their year-on-year incremental change in health outcomes as well as their overall performance with respect to each other.

  • Health Index is weighted composite Index, which for the larger States, is based on indicators in three domains with each domain assigned a weight based on its importance:

    • Health Outcomes (70%)

    • Governance and Information (12%)

    • Key Inputs and Processes (18%)

  • Was developed as a tool to leverage co-operative and competitive federalism to accelerate the pace of achieving health outcomes.

  • Serve to encourage States & Union Territories (UTs) and Central Ministries to focus on output and outcome based measurement of annual performance.

  • Annual publication of the Index and its availability on public domain keeps every stakeholder alert to the achievement of Sustainable Development Goals (SDGs).

  • The Health Index report found that

  • States and UTs that start at lower levels of development are generally at an advantage in notching up incremental progress over States with high Health Index scores.

  • It is a challenge for States with high Index scores to maintain their performance.

  • The states that perform better according to Health Index receive better incentives from the government.

What is Competitive Federalism (Important)?

  • Concept where centre competes with states and vice-versa, and states compete with each other in their joint efforts to develop India.

  • The states would compete with each other over a broad range of issues to provide citizens services in a hassle-free manner.

  • Competitive federalism follows the concept of bottom-up approach to development bringing the change from the states.

  • Earlier Central Government replaced Planning Commission by establishing NITI Aayog, with one of the mandates to develop competitive federalism.

  • State governments do not look towards centre for policy guidance and fiscal resources completely. To encourage states centre increased the share of states in central tax revenue from 32 % to 42%.

  • Central government also declared that the states to plan their expenditure based on their own priorities and the states are free to change centrally sponsored schemes.

  • States are thus working within the context of shared national objectives.

- Published/Last Modified on: April 4, 2018

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