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Nagaland worst in health index among smaller states: NITI Aayog report


Dimapur, June 25: Nagaland continues to remain at the bottom of the ranking among smaller states in the country as per the second health index launched by NITI Aayog today, while Mizoram was the best among the smaller states.
The smaller states include Mizoram, Tripura, Goa, Meghalaya, Sikkim, Nagaland, Arunachal Pradesh and Manipur.
The health index is a composite measure of States and Union Territories based on 23 health indicators with major weightage to the outcomes. The smaller states were based on 19 health indicators.
Nagaland with a score of 38.51 was the worst among the smaller states. Mizoram topped the smaller states category with an overall score of 74.97. The scores of the other states are Manipur (60.60), Meghalaya (55.95), Goa (51.90), Sikkim (50.51), Tripura (46.38) and Arunachal Pradesh (46.07).
The other North Eastern State, Assam, which was included in the larger states category had an overall score of 48.85 and was ranked 15 in the larger states category. Among the larger states, Kerala emerged as the top ranking state, while Uttar Pradesh is the worst.
Among the UTs, Chandigarh ranked first in overall performance, while Dadra and Nagar Haveli improved the most.
The second round of the health index accounts for the period 2015-16 (base year) to 2017-18 (reference year). The ranking was done under three categories – larger states, smaller states and Union territories (UTs) to ensure comparison among similar entities.
Among the eight smaller states, only two states improved their position from Base Year (2015-16) to Reference Year (2017-18). Nagaland was also at the bottom in the Base Year ranking. Goa improved its position from fifth to fourth and Tripura from seventh to sixth. Four states retained their Base Year ranking in the Reference Year including Mizoram, Manipur, Meghalaya and Nagaland. The ranking of Sikkim dropped from fourth place in the Base Year to fifth place in the Reference Year. Arunachal Pradesh ranking dropped from sixth place in the Base Year to the seventh place in the Reference Year.
Based on the health index score range for reference year (2017-18), Sikkim, Tripura, Arunachal Pradesh and Nagaland have been categorized as Aspirants, and have substantial scope for improvement. Manipur, Meghalaya and Goa are categorized as Achievers as they exhibited better performance, but still have significant room for improvement. The States of Mizoram have been categorized as Front-runner with the highest overall performance among the Smaller States.
In the domain of health outcomes, only three States (Manipur, Goa and Nagaland) improved their performance from base year to reference year, and the performance of the remaining smaller states suffered large decline in health outcomes index score. Tripura had the largest decline of 9 percentage points followed by Mizoram with 7.5 points. Mizoram has the highest index score of 85.48 while Tripura had the lowest score of 30.73.
In the key inputs/processes domain, five of the eight smaller states registered a decline in index scores: Goa, Sikkim, Nagaland, Arunachal Pradesh and Manipur. Arunachal Pradesh and Nagaland registered a decrease of 11 and 9 points respectively, whereas Mizoram and Tripura registered about 13 and 15 percentage point increase, respectively. The maximum score in this domain was 57.6 for Mizoram and the minimum score was 25.3 for Manipur. This suggests that all States need to put tremendous efforts to improve their performance, the report said.
Among the smaller states, Arunachal Pradesh and Tripura had improved on 12 indicators, whereas Nagaland improved on 5 indicators only. All other Smaller States (except Arunachal Pradesh and Tripura) made improvements in less than 46% of the indicators.
The report said several states have made good progress towards achieving sustainable development goals included in the index.
The report has been prepared in collaboration with the Ministry of Health and Family Welfare with technical assistance from the World Bank. (Page News Service)