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NITI Aayog Health Index:

GS Paper 2:

Topics Covered: Issues related to health.



Niti Aayog has released the fourth edition of its state health index for 2019-20.

  • The “Health Index” is part of a report commissioned by the NITI Aayog, the World Bank and the Union Health and Family Welfare Ministry.

Current Affairs

Performance of states in the latest index:

  • For the fourth year in a row, Kerala has topped.
  • Uttar Pradesh has come in at the bottom.
  • Tamil Nadu and Telangana are at 2nd and 3rd places respectively.
  • Mizoram topped the health index among smaller states while Nagaland was ranked at the bottom.
  • Among union territories, Dadra and Nagar Haveli and Daman and Diu was ranked at the top and Andaman & Nicobar was ranked at the bottom.


Current Affairs

How are the states ranked?

The Health Index score is prepared based on the States’ performance across a large set of indicators that are divided into three broad domains — health outcomes, governance and information, and key inputs and processes.

  • Health outcomes, for instance, include parameters such as neonatal mortality rate, under-5 mortality rate and sex ratio at birth.
  • Governance includes institutional deliveries, average occupancy of senior officers in key posts earmarked for health.



  • Health Index has been developed as a tool to leverage co-operative and competitive federalism to accelerate the pace of achieving health outcomes.
  • 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 currently the practice.
  • With the annual publication of the Index and its availability on public domain on a dynamic basis, it is expected to keep every stakeholder alert to the achievement of Sustainable Development Goals (SDGs) Goal number 3.



Prelims Link:

  1. About the Index.
  2. Ranking criteria.
  3. Latest findings.

Mains Link:

Analyse the findings of the NITI Aayog’s Health Index report that was released recently.

Sources: the Hindu.