In the first ever attempt of NITI Aayog to measure and understand the heterogeneity and complexity of the nation's performance in health, Kerala, Punjab and Tamil Nadu ranked on top in terms of overall performance, while Jharkhand, Jammu & Kashmir and Uttar Pradesh emerged as the top three ranking states in terms of annual incremental performance. Kerala was followed by Punjab, Tamil Nadu and, according to the report - "Healthy States, Progressive India: Report on Rank of States and UTs". Bigger states like Rajasthan, Odisha, Madhya Pradesh, Bihar, and UP are struggling at the bottom of the rankings, while the likes of Meghalaya, Mizoram, and Manipur were the best performing small states.
Released by NITI Aayog CEO Amitabh Kant, Ministry of Health Secretary Preeti Sudan and India country director of World Bank Junaid Ahmad, the report is the first step to establish an annual systematic tool to measure and understand the complexity of nation's performance in health.
The report is an indicator that despite tall claims by the government of Arunachal Pradesh of giving utmost importance to the health sector, the situation remains precarious.
Kant further said: "By June this year, we would take out the ranking of 730 district hospitals based on their performance. We want to encourage the good performers and name and shame those who don't", he said.
The think tank said such an index would "promote cross-learning between states" and boost cooperative and competitive federalism.
The report has been developed by NITI Aayog, with technical assistance from the World Bank, and in consultation with the Ministry of Health and Family Welfare (MoHFW). The reference years for most indicators is 2015 or 2016 and the base years to gauge improvement are between one and three years before the reference year. The report is a weighted composite index based on indicators in three domains: Health outcomes (70 per cent weightage), governance and information (12 per cent), and key inputs and processes (18 per cent).
The statement said that there was a large gap in overall performance between the best and the least performing states and UTs.
According to the index, out of the 29 states, only three states including J&K achieved the global target, set by National Health Policy to ensure that 90 percent of all people tested positive for HIV receive sustained ART.