Highlights of Health Index of India- 2018

Recently NITI Aayog released Health index of different states of India.

Key facts:

  • Name of the report- ‘Healthy States, Progressive India: Report on Rank of States and Union Territories. 
  • Released by-NITI Aayog 
  • Number of indicators used-3 
  • First rank (among larger states)-Kerala 
  • Among the smaller states, Mizoram ranked first followed by Manipur and Goa. 
  • Among Union Territories or UTs, Lakshadweep recorded the best overall performance among Union Territories, followed by Chandigarh and Delhi. 
  • The index ranked Jharkhand at the top among states that have shown the best year-on-year improvement. 

Health Index-NITI Aayog:

NITI Aayog released Health index of India in a report called ‘Healthy States, Progressive India: Report on Rank of States and Union Territories.
For the purpose of rankings, three indicators are used by NITI Aayog. They are
  1. Health Outcomes (70 percent) 
  2. Governance and Information (12 percent) and 
  3. Key Inputs and Processes (18 percent)
With each domain assigned a weight based on its importance.
Performance on indicators such as Neonatal Mortality Rate (NMR), Under-five Mortality Rate (U5MR), full immunisation coverage, institutional deliveries, and People Living with HIV (PLHIV) on Anti-Retroviral Therapy (ART) was taken into account.

To ensure comparison among similar entities NITI Aayog classified territories of India into three categories —
  • larger states, 
  • Smaller States and 
  • UTs 


  • Rajasthan, Bihar and Odisha are among those which have performed poorly on the index. 
  • Jharkhand, Jammu and Kashmir and Uttar Pradesh ranked in top three states in terms of annual incremental performance. 

Challenges in the health sector as per index:

The Aayog identified some common challenges across states such as
  • Vacancies 
  • establishment of functional district Cardiac Care Units, 
  • quality accreditation of public health facilities and 
  • Institutionalization of Human Resources Management Information System. 
  • Almost all larger states need to focus on improving the Sex Ratio at Birth.

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