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Healthy States, Progressive India: Report on the Ranks of States and Union Territories

NITI Aayog has been mandated with transforming India by exercising thought leadership and by invoking the instruments of co-operative and competitive federalism, focussing the attention of the State Governments and Union Ministries on achieving outcomes. As the nodal agency responsible for charting India’s quest for attaining the commitments under the Sustainable Development Goals (SDGs), it was necessary to devise a mechanism for measuring outcomes particularly in the critical social sectors – such as Health and Education, where India’s record has been less than stellar. This was intended to provide feedback to all stakeholders as to whether we are on course to what we have set out to achieve, and deviations, if any, to be pointed out in time to ensure necessary mid-course correction.

The “Performance in Health Outcomes” Index seeks to capture the annual progress of States and Union Territories (UTs) on a variety of indicators – Outcomes, Governance and Processes. While we have also reported the overall levels of performance of States, the focus of the NITI Index is to propel change, highlighting those States that have shown most improvement. The exercise has been spearheaded by NITI Aayog in collaboration with the Ministry of Health and Family Welfare, with technical assistance from the World Bank, the authors of this report on the ranks and their interpretation.

As an attempt to better understand and systematically analyse health and related outcomes, the Health Index aims to facilitate transformational change in the public health across India. 

The Health Index is a comparison Among the Likes – Larger States (21), Smaller States (8) and Union Territories (7)

  • The Health Index ( Large States) consists of a limited set of indicators from 3 domains:
  • Health Outcomes – 10 indicators ( Weight :70%)
  • Governance and Information – 3 indicators ( Weight :12%)

 Key Inputs and Processes – 10 indicators ( Weight :18%) • Indicators selected based on importance and availability of reliable data from existing data sources (at least annually)