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Who is the healthiest of them all? Kerala, says Niti Aayog

10 February 2018

The country's primary planning body said their job was to first challenge states, do workshops and subsequently rank states on the Health Index.

In the categorisation of larger states on incremental performance and overall performance, Orissa has been placed in the category of least improved, along with Madhya Pradesh and Assam, in terms of incremental performance, and among aspirants in terms of overall performance.

Uttar Pradesh on the other hand - a state which is at the bottom in the group of larger states - has shown an improvement in its annual performance as compared to the previous year. Among the smaller states, Mizoram ranked first followed by Manipur and Goa.

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According to the report, among the larger states, Jharkhand, Jammu & Kashmir, and Uttar Pradesh are the top three ranking States in terms of annual incremental performance, while Kerala, Punjab, and Tamil Nadu ranked on top in terms of overall performance: In terms of annual incremental performance in Index scores from the base to the reference year, the top three ranked states in the group of Larger States are Jharkhand (up 6.87 points), Jammu & Kashmir (up 6.83 points) and Uttar Pradesh (up 5.55 points).

In the NITI Ayog's Health Index report, Jharkhand has got the number one rank in health reforms, an official release said here today. Ranking was done in three categories - larger states, smaller states and Union Territories - to ensure comparison among similar entities.

The report said that the J&K saw maximum annual incremental performance in indicators such as Neonatal Mortality Rate (NMR), Under-five Mortality Rate (U5MR), full immunization coverage, institutional deliveries, and People Living with HIV (PLHIV) on Anti-Retroviral Therapy (ART). With respect to the public health institutions also, the state came on top. Nearly all the states need to improve the sex at birth ratio too.

State health and family welfare minister Pratap Jena, however, said he was unaware of the report and also that he did not know what parameters were taken into account while ranking the states. It would also serve as an instrument for "nudging" States & Union Territories (UTs) and the Central Ministries to a much greater focus on output and outcome based measurement of annual performance than is now the practice. The Index is expected to nudge states towards further achieving a rapid transformation of their health systems and population health outcomes, it added.

The silver lining for the state in the report is that the state has done well in terms of key inputs or processes.

Who is the healthiest of them all? Kerala, says Niti Aayog