Lok Sabha Question No. 4526 (UNSTARRED), answered on 2019-07-19
Subject: Health Index 2019
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Aparajita Sarangi, Asaduddin Owaisi, Imtiaz Jaleel Syed, Venkatesh Netha Borlakunta

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 4526 TO BE ANSWERED ON 19 TH JULY, 2019

## HEALTH INDEX 2019

## 4526. SHRIMATI APARAJITA SARANGI:

SHRI ASADUDDIN OWAISI:

SHRI SYED IMTIAZ JALEEL:

SHRI VENKATESH NETHA BORLAKUNTA:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether a report prepared by NITI Aayog in collaboration with his Ministry has com with Health Index taking into acco unt 23 health indicators and keeping 2015 - 16 as base year and 2017- 18 as reference year, if so, the details thereof;
- (b)  the  details  of  States  which  have  performed  well,  lagging  behind  and  have  sh improvement in health conditions from 2014 to 2018;
- (c) the reasons for some States lagging behind in said Health Index report;
- (d)  whether  a  road  map  has  been  suggested  to  improve  health  conditions  in  these  Stat providing them more funds; and
- (e) if so, the steps taken or being taken by his Minist r in consul ation with States in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- ( a)& (b): Yes. A report titled  as 'Healthy States, Progressive India - Report on the ranks of States and UTs' have been released by NITI Aayog along with Ministry of Health and Family Welfare, containing the overall performance and incremental improvement in the Sta tes and UTs for the period 2015 - 16 (Base year) to 2017 - 18 (Reference year) i.e .a two year period.
- (c): The  common  reasons  of  underperformance  of  states  inter  alia  include  imprope reporting, limited infrastructure, administrative issues, delay in funding etc.

The details are available at: -

https://niti.gov.in/writereaddata/files/document\_publication/NITI WB%20Health%20Index%20Report%20%28Web%20Ver%29\_11 - 06- 19.pdf

The  deterioration  between  Base  Year  and  Reference  Year  was  primarily  due  to  th performancerelated to total fertility rate, low birth weight, Sex Ratio at Birth, TB success  rate,  quality  accreditation  of  public  health  facilities,  and  time -taken  for  NHM  fund transfer, average tenure of key positions at state and district level and level of birth registration accounted  for  the  deterioration,  deterioration  in  NMR,  U5MR,  Stability  of  tenure  of administrative  positions  at  district  level,  functionality  of  FRUs  and  NHM  fund  tra worsening  of  the  full  immunization  rate,  reduction  in  le vel  of  birth  registration,1st  trimester ANCs,  IDSP  reporting  of  L -form,  e - pay  slip  for  all  staff,  functional  24x7  PHCs  and  qualit accreditation of public health facilities.

(d): Health  Index  serves  as  an  annual  systematic  tool  to  facilitate  in  evaluati n  of performance  of  different  states  in  formulation  of  the  schemes  and  programmes.  The  He Index report inter alia highlights the measures for better health performance, strength data collection system, identifying barriers and motivate actions using data, promote positive competition and learning among the States & UTs. This report facilitates improvement in o health outcomes.

(e): The steps taken or being taken by his Ministry in consultation with States in this are as follows:

1. Health  being  a  state  subject,  addressed  by  the  respective  states  depending  on performance.
2. National Health Mission is undertaking many initiatives to address the state specif through the following components:

Planning,

- Reproductive  Maternal  Newborn Child  and  Adolescent  Health(RMNCH+A)  Strategy  is built on 'Continuum of care' concept and includes Adolescent Health as Rashtriya Kishor Swasthya Karyakrama (RKSK), Maternal Health, Child Health, Family Immunization under its broad Umbrella.
- Health System Strengthening through adoption of Indian Public Health Standards (IPHS standardizing  quality  by  involvement  of  Rogi  Kalyan  Samiti  (RSK)  and  untied  fund bridging gaps in skills by various training packages and standard treatment protocol s is  achieved  by  Mobile  Medical  Units  (MMUs),  Patient  Transport  Service,  Free  Drug Service Initiative, Free Diagnostics Service Initiative, Biomedical Equipment Mainte and Management Programme, Blood services, etc.
- Infrastructure maintenance by coord ination with States Health and Family Welfare Society.
- Quality Improvement programs through National Quality Assurance Programme, Kayakalp, MeraAspataal, etc.
- Ayushman Bharat Scheme through Comprehensive Primary Health Care, in which all Sub -centres, Prim ary Health Centres (PHCs) and Urban PHCs (UPHCs) are being strengthen to Health and Wellness centres for the delivery of twelve primary care packages as we through Pradhan Mantri Jan Arogya Yojana (PMJAY), which offers benefit cover of Rs 500,000 per family per year to cover medical and hospitalization expenses for almost secondary and most of the tertiary care procedures.
- Funding support under National Health Mission to the states for Aspirational Districts on their proposal.
- Non - Communicable Disease Control Programme.
- Communicable Disease Control Programme.
- Tribal Health.