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Healthy States, Progressive India Report

About the Report

It is an annual report which will rank States and UTs on incremental changes in health outcomes and overall performance with respect to others. It has been developed by NITI Aayog in consultation with Technical Assistance Agency of World Bank, Ministry of Health and Family Welfare (MoHFW), States and Union Territories, domestic and international sector experts and other development partners. It aims to promote a cooperative and competitive spirit among States and UTs to rapidly bring about transformative action in achieving the desired health outcomes. The Health Index is based on three main domains which focus on outcomes, governance and information, and critical inputs–

Health Outcomes – 10 indicators weighing 70% of the total index score has been given the highest importance. Key indicators under this domain are Neonatal Mortality, Under Five Mortality Rate, Total Fertility Rate, and Sex Ratio at Birth etc.

Governance and Information - 3 indicators which weigh12% are Data integrity measure, average occupancy of an officer (signifying stability in organization) and average occupancy of a full-time officer for all districts.

Key Inputs and Processes – 10 indicators weighing 18%are proportion of vacant healthcare, proportion of total staff for which an e-pay slip can be generated etc.

The states have been categorised based on the availability of data and the fact that similar states should be compared amongst themselves. Therefore the states have been categorised as Larger states, Smaller States and UTs.

Based on the above categories the states are grouped into three categories – Aspirants (bottom one third states with score below 48), Achievers (middle one third state with score between 48 and 63) and Front runners with scores above 63.

The composite score of the index is calculated for a base year i.e. 2014-15 and a reference year i.e. 2016-16.The incremental ranks are measure of the difference in performance between these two periods

The data sources for the index are Sample Registration System, Health Management Information System,Central MoHFW data, State Report, National Family Health Survey, Civil Registration System etc.

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1.2.1 The objective of the index is –

To develop a composite health index based on key health outcomes, healthsystem and service delivery indicators.

To ensure State and UTs partnership and ownership through Health Index data submission on web based portals

Build transparency through independent validation by independent agencies.