Kerala keep the top spot in NITI Aayog’s Health Index  (GS Paper-II, Polity,Constitution, Governance,Social Justice and International Relations) Source: The Hindu

Kerala keep the top spot in NITI Aayog’s Health Index  (GS Paper-II, Polity,Constitution, Governance,Social Justice and International Relations) Source: The Hindu

Kerala keep the top spot in NITI Aayog’s Health Inde- Today Current Affairs

Context 

  • Kerala remains at the top spot consecutively for 4 years in NITI Aayog Health Index and Uttar Pradesh hits the bottom of the report. 

  • NITI Ayog along with the World Bank Ministry of Health and Family Welfare together commissions the health index. 

 The Health Index and the States performance: The Hindu Analysis

  • Kerala remained at the top place and  was followed by Tamil Nadu and Telangana at second and third place respectively.  Uttar Pradesh gained the lowest rank 19. Bihar and Madhya Pradesh were the second and the third worst performers respectively. 

  • Among smaller States Mizoram topped the index and Nagaland was ranked at the bottom. 

  • Dadar and Nagar Haveli and Daman and Diu ranked top, and  Andaman and Nicobar were at the bottom among the Union Territories. 

What is NITI Aayog Health Index: The Hindu Analysis

  • It is a report that ranks all the states and the union territories based on their year -on -year incremental change and overall performance in health. 

  • The index is designed as a tool to systematically measure and understand the Nation’s health performance. 

  • It was the fourth edition of the health index published by the NITI Aayog. 

  • In order to ensure the fair comparison states and union territories are ranked in three categories. These are Larger states,  Smaller states and Union territories. 

Several parameters to rank States: The Hindu Analysis

  • The index is based on several indicators under three domains – health outcome, governance and information and key inputs and processes. 

For example health outcomes include parameters like sex ratio at birth ,under 5 mortality rate,  neonatal mortality rate. 

General observation: The Hindu Analysis

  • State with good level of investments in Primary Health , nutrition and education are able to achieve high scores in the health index. 

  • Union territories and the states with the lower level of development in general have the edge in incremental progress. 

  • Example Kerala as the top performer in the index shows comparatively lower level of incremental increase. 

  • The index reveals that many states did very well in one domain suggesting that there was scope of improvement in other domains , which needs a specific target intervention. 

  • For example 47% of the states showed the highest performance in health outcome and governance and information but only one state had the highest performance in the key Input and process domain. 

  • The health index points towards the interstate inequalities on several parameters example health and education. 

  • Both the centre and the state government needs to scale up their budget and investment on health in order to address the persistent inequalities.

Significance 

  • The health index has set the trend and conducive environment for the Cooperative and competitive federalism to flourish and accelerate the health outcomes. 

  • The index is also nudging the states, Union Territories and the central ministries  to focus more on output and outcome based measurement of the annual performance. 

  • The regular and annual publication of the index will not only bring accountability of the stakeholder into the public domain but will also ensure speedy development towards Sustainable Development Goals agenda 3.

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