Lok Sabha Question No. 672 (UNSTARRED), answered on 2022-02-04
Subject: Strengthening of Health Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kaushalendra Kumar

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

## LOK SABHA UNSTARRED QUESTION NO. 672 TO BE ANSWERED ON THE 4 th  FEBRUARY, 2022

## 'STRENGTHENING OF HEALTH INFRASTRUCTURE'

## 672. SHRI KAUSHALENDRA KUMAR:

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

- a. whether the recently published Health Index report of NITI Aayog has placed States like Uttar Pradesh and Bihar at lowest position;
- b. if so, the details thereof;
- c. whether the Government proposes to provide additional financial assistance to these States for strengthening their health infrastructure; and
- d. if so, the details thereof?

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

(DR. BHARATI PRAVIN PAWAR)

(a) & (b): T he latest report of Health Index (referred to as Health Index-2020) report focuses  on  measuring  and  highlighting  the  overall  performance  and  incremental improvement over the period 2019-20 in the States and UTs.

As per the inputs received from  NITI Ayog, NITI Aayog in collaboration with the Ministry  of  Health  and  Family  Welfare  (MoHFW)  and  the  World  Bank     have released     'Healthy  States,  Progressive  India  -  Report  on  the  Ranks  of  States  and Union  Territories'.  The  Health  Index  is  a  useful  tool  to  measure  and  compare  the Overall Performance and Incremental Performance across states/UTs over time, and is an important instrument in understanding the variations in performance across various parameters including health outcomes, governance and data integrity, and key inputs and processes. It measures  the annual performance  of states/UTs, and ranks states/UTs  on  the  basis  of  incremental  change,  or  the  delta  that  captures  annual progress, within the overarching context of the overall performance of the states/UTs. The state of Uttar Pradesh has shown a marked improvement in the performance in majority of the indicators. Among the Larger States, Uttar Pradesh is ranked at the top in terms of Incremental Performance by registering the highest incremental change of 5.5 points from the Base Year (2018-19) to Reference Year (2019-20).

From the Base Year (2018-19) to the Reference Year (2019-20), Uttar Pradesh led in improving the performance of 33 out of 43 indicators/sub-indicators. Improvement in performance  has  been  observed  with  respect  to  the  intermediate  health  outcome indicators  such  as  full  immunization  coverage,  first  trimester  ANC  registration, pregnant  women  receiving  4  or  more  ANCs,  total  case  notification  of  TB  and  TB treatment success rate. This was achieved through intensive monitoring and review of the program performance at state and district level, identification of the beneficiaries through line listing, sharing due lists of beneficiaries with the field workers and by ensuring regular follow up of services. Creating awareness about TB, involvement of private practitioners, the use of IT and incentives to TB patients helped in improving TB notification and treatment success rate.

Similarly,  the  State  of  Bihar  has  improved  its  standing  in  terms  of  incremental performance. From the base year to the reference year, the state of Bihar has shown a positive incremental performance of 1.89 points in 27 out of 43 indicators.

(c) & (d):   Funds under NHM are allocated to the states/UTs based on the proposals submitted by them in their Programme Implementation Plans (PIP) subject  to norms and availability of resources. Besides that, funds have been allocated to the states of UP & Bihar for strengthening their health infrastructures under Emergency Response and  Health  Systems  Preparedness  Package-(ECRP-II),  XV-  Finance  CommissionHealth  Grants  through  local  governments  and  Pradhan  Mantri-  Ayushman  Bharat Health Infrastructure Mission (PM-ABHIM).