State Health Index- Relevance for UPSC Exam
- GS Paper 2: Governance, Administration and Challenges– Issues relating to development and management of Social Sector/Services relating to Health.
State Health Index- Context
- Recently, NITI Aayog released the fourth edition of the State Health Index for 2019–20.
- focuses on measuring and highlighting the overall performance and incremental improvement of states and UTs over the period 2018–19 to 2019–20.
State Health Index- Key Points
- Background: The State Health Index is an annual tool to assess the performance of states and UTs. The State Health Index has been compiled and published since 2017.
- About: State Health Index ranks states and Union Territories on their year-on-year incremental performance in health outcomes as well as their overall status.
- Agencies Involved: State Health Index report has been developed by NITI Aayog, with technical assistance from the World Bank, and in close consultation with the Ministry of Health and Family Welfare (MoHFW).
- Key Objective: The State Health report aims to nudge states/UTs towards building robust health systems and improving service delivery.
- Assessment Indicators: State Health Index is a weighted composite index based on 24 indicators grouped under the domains of-
- ‘Health Outcomes’,
- ‘Governance and Information, and
- ‘Key Inputs/Processes’.
- Categorization: To ensure comparison among similar entities, the State Health Index ranking is categorized as ‘Larger States’, ‘Smaller States’ and ‘Union Territories’.
Fourth edition of State Health Index: Key Points
- Fourth edition of State Health Index: State Health Index for 2019-20 focuses on measuring and highlighting the overall performance and incremental improvement of states and UTs over the period 2018–19 to 2019–20.
- State Health Index theme: State Health Index for 2019–20 report has been titled “Healthy States, Progressive India”.
State Health Index 2019-20: Key Findings
- Among Larger States:
- On overall ranking based on the composite state health index score in 2019–20, The top-ranking states were Kerala followed by Tamil Nadu.
- In terms of annual incremental performance, Uttar Pradesh, Assam and Telangana are the top three ranking states.
- Among Smaller States:
- On overall ranking based on the composite state health index score in 2019–20, Top Ranking states were Mizoram followed by Tripura
- Mizoram and Meghalaya registered the maximum annual incremental progress.
- Among Union Territories:
- On overall ranking based on the composite state health index score in 2019–20, Top ranking UTs were DH&DD followed by Chandigarh.
- Delhi, followed by Jammu and Kashmir, showed the best incremental performance.
State Health Index- Significance
- The State Health Index can be used by states in their policymaking and resource allocation.
- State Health Index report is an example of both competitive and cooperative federalism.
- The State Health index encourages healthy competition and cross-learning among States and UTs.
- Ministry of Health and Family Welfare has also decided to link the State Health index to incentives under National Health Mission.
- This has been instrumental in shifting the focus from budget spending and inputs to outputs and outcomes.