Kerala tops the list for best performing State in health

By Moderator June 26, 2019 10:34

Kerala continued to top the list for the best performing State in the health sector among the 21 large States, while Uttar Pradesh retained the worst performer tag, according to the second edition of NITI Mayor’s Health Index

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  • The report ‘Healthy States, Progressive India: Report on Rank of States and UTs’ has ranked in three categories — larger States, smaller States, and Union Territories “to ensure comparison among similar entities.”
  • The first round of the Health Index was released in February 2018, which measured the annual and incremental performances of states and UTs for period 2014-15 (base year) to 2015-16 (reference year).
  • The report has been prepared in collaboration with the Ministry of Health and Family Welfare with technical assistance from the World Bank.
  • The Index ranks the States and Union Territories based on three indicators which were factored in while ranking the states were health outcomes (70%), governance and information (12%) and key inputs and processes (18%), with each domain assigned a weight based on its importance.
  • The Index further subdivided the three indicators into 23 health-related indicators, such as
    • Neonatal mortality rate,
    • Under-five mortality rate,
    • The proportion of low birth weight among new-borns,
    • The proportion of districts with functional Cardiac Care Units, full immunization coverage and
    • The proportion of specialist positions vacant at district hospitals.

Important Findings

  • Kerala, which got an overall score of 74.01, was followed by Andhra Pradesh (65.13), Maharashtra (63.99), Gujarat (63.52) and Punjab (63.01), Himachal Pradesh (62.41), Jammu and Kashmir 62.37, Karnataka (61.14) and Tamil Nadu (60.41).
  • Uttar Pradesh continued to be at the bottom of the list with its score falling to 28.61. The other States at the bottom of the list were Bihar (32.11), Odisha (35.97) and Madhya Pradesh (38.39).
  • Among the smaller states, Mizoram ranked first in overall performance, while Tripura and Manipur were the top two states in terms of incremental performance.
    • Sikkim and Arunachal Pradesh had the biggest decrease in overall Health Index scores.
  • Among the UTs, Chandigarh jumped one spot to top the list with a score of (63.62), followed by Dadra and Nagar Haveli (56.31), Lakshadweep (53.54), Puducherry (49.69), Delhi (49.42), Andaman and Nicobar (45.36) and Daman and Diu (41.66).
  • The report stated that only about half the States and UTs showed an improvement in the overall score between 2015-16 (base year) and 2017-18 (reference year).
  • The report added that among the eight Empowered Action Group States, only three States — Rajasthan, Jharkhand, and Chhattisgarh — showed improvement in the overall performance.
    • According to the report, the decline in the overall Health Index score of five empowered action group states (Bihar, Uttar Pradesh, Uttarakhand, Madhya Pradesh, Odisha) is attributed to the deterioration of performances of several indicators.
  • The report also pointed out that there was a general positive correlation between the Health Index scores and the economic development levels of states and UTs as measured by per-capita net state domestic product (NSDP).
  • The report said several states have made good progress towards achieving sustainable development goals included in the index.
    • Kerala and Tamil Nadu have already reached the 2030 SDG target for neonatal mortality rate (NMR), which is 12 neonatal deaths per 1,000 live births

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By Moderator June 26, 2019 10:34