NITI Aayog Releases Fourth Edition of State Health Index

State Health Index Report 2021

On 27th December 2021, Niti Aayog released Fourth Edition of State Health Index for 2019–20. The report, titled “Healthy States, Progressive India”, ranks states and Union Territories on their year-on-year incremental performance in health outcomes as well as their overall status. Consequently, Round IV of the report focuses on measuring and highlighting the overall performance and incremental improvement of states and UTs over the period 2018–19 to 2019–20.

About The State Health Index Report

  • The report has been developed by NITI Aayog, with technical assistance from the World Bank, and in close consultation with the Ministry of Health and Family Welfare (MoHFW).
  • The State Health Index is 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 weights based on its importance with higher score for outcome indicators.
  • To ensure comparison among similar entities, the ranking is categorized as ‘Larger States’, ‘Smaller States’ and ‘Union Territories’.


On overall ranking based on the composite index score in 2019–20, the top-ranking states were:

  • Kerala and Tamil Nadu among the ‘Larger States’,
  • Mizoram and Tripura among the ‘Smaller States’, and
  • DH&DD and Chandigarh among the UTs.

Incremental Performance

  • Among the ‘Larger States’, in terms of annual incremental performance, Uttar Pradesh, Assam and Telangana are the top three ranking states.
  • Among ‘Smaller States’, Mizoram and Meghalaya registered the maximum annual incremental progress.
  • Among UTs, Delhi, followed by Jammu and Kashmir, showed the best incremental performance.

Rajasthan in State Health Index

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