Healthy states progressive India: report on the ranks of States and Union Territories
Kerala, Tamil Nadu and Telangana emerged among the best best three performers in terms of overall performance according to the Niti Aayog’s health index while Uttar Pradesh topped the table on incremental performance despite being at the bottom. Health Index is a weighted composite score incorporating 24 indicators covering key aspects of health performance. Health Index comprises of select indicators in three domains: (a) Health Outcomes; (b) Governance and Information; and (c) Key Inputs and Processes. The indicators are selected on the basis of their importance and availability of reasonably reliable data at least annually from existing data sources such as the Sample Registration System (SRS), Civil Registration System (CRS) and Health Management Information Systems (HMIS). A Composite Index is calculated as a weighted average of various indicators, focused on measuring the state of health in each state and UT for a Base Year (2018-19) and a Reference Year (2019-20). Given the focus on performance, the Health Outcomes are assigned the highest weight.
Four rounds of Health Index have been undertaken and this report relates to the fourth round. For generation of ranks, to ensure comparability among entities, the states are classified into three categories (Larger States, Smaller States and UTs). In this round, all the states and UTs participated except West Bengal, and the UT of Ladakh was not included due to non-availability of data. The Health Index Round IV 2019-20 does not capture the impact of COVID-19 on health outcomes or any of the other indicators as the Index Performance relates to Base Year (2018-19) and Reference Year (2019-20), largely the pre-COVID-19 period. 
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