The annual well being index, which measures the efficiency of states and UTs on a “weighted composite score incorporating 24 health performance indicators”, was launched by the NITI Aayog in 2017. The Aayog brings out the index in collaboration with the Union Health Ministry and World Bank.

While the 2020-21 (fifth) well being index report was speculated to be launched by December 2022, it has not been made public but. The NITI Aayog is learnt to have shared the report – Healthy States Progressive India Report on the Ranks of States and Union Territories – with the Health Ministry.

When contacted, a NITI Aayog official stated the report can be “released in due course”.

The well being index assesses states and UTs on two parameters – incremental efficiency (year-on-year progress) and general efficiency. The states and UTs — categorised individually as ‘larger states’, ‘smaller states’ and UTs — are then ranked based mostly on their scores.

Among the 19 ‘larger states’, Kerala, Tamil Nadu and Telangana have emerged as the highest three performers, occupying first, second and third place respectively, when it comes to general efficiency. Bihar (nineteenth), Uttar Pradesh (18th) and Madhya Pradesh (seventeenth) are on the backside of the record.

In phrases of incremental efficiency, Rajasthan, Uttarakhand and Odisha emerged as the highest three performers in 2020-21, as in comparison with their efficiency in 2019-20.

Among the eight smaller states, Tripura has recorded the most effective general efficiency, adopted by Sikkim and Goa; Arunachal Pradesh (sixth), Nagaland (seventh) and Manipur (eighth) are on the backside.

And among the many eight UTs, Lakshadweep has been ranked as the highest performer when it comes to general efficiency, whereas Delhi ranked on the backside.

In the final (fourth) well being index report for 2019-20, launched on December 27, 2021, Kerala and Tamil Nadu have been ranked as prime general performers among the many bigger states. Telangana, Uttar Pradesh and Assam have been the highest three states when it comes to annual incremental efficiency.

Among smaller states, Mizoram, Tripura and Sikkim took the highest three slots when it comes to general efficiency, whereas Manipur (sixth), Arunachal Pradesh (seventh) and Nagaland (eighth) have been on the backside in 2019-20. Among the UTs, Dadra and Nagar Haveli and Daman and Diu have been on the prime, whereas Andaman & Nicobar Islands was final.

According to a press release issued by the NITI Aayog on December 27, 2021, the well being index is an “annual tool to assess the performance” of states and UTs. “It is a weighted composite index based on 24 indicators grouped under the domains of ‘health outcomes’, ‘governance and information’, and ‘key inputs/ processes’. Each domain has been assigned weight based on its importance with higher score for outcome indicators,” it stated.

The ‘health outcomes’ embody indicators like neonatal mortality charge, whole fertility charge, intercourse ratio at start, immunisation protection, proportion of institutional deliveries, whole case notification charge of tuberculosis, and proportion of individuals residing with HIV on antiretroviral remedy.

The ‘key inputs/ processes’ is a measure of well being infrastructure obtainable, together with proportion of practical 24X7 main healthcare centres, districts with practical cardiac care models, and vacancies in healthcare supplier positions.

The ‘governance and information’ area contains indicators like proportion of institutional deliveries, common occupancy (in months) of three key posts at state stage, common occupancy (in months) of the chief medical officer, and days taken for fund switch.