New Delhi: Kerala has once again emerged as the highest performer among bigger states in terms of overall health performance, while Uttar Pradesh is the worst, as per the fourth Health Index announced by Niti Aayog.


The fourth iteration of the Health Index considered the years 2019-20.


According to the government think tank's research, Tamil Nadu and Telangana have emerged as the second and third top performers on health criteria, respectively.


Bihar and Madhya Pradesh were the second and third-worst performers, respectively, on health parameters.


The report, however, added that Uttar Pradesh topped in terms of incremental performance by registering the highest incremental change from the base year (2018-19) to reference year (2019-20).


Among the smaller states, Mizoram emerged as the best performer in overall performance as well as incremental performance, while among UTs, Delhi and Jammu & Kashmir ranked among the bottom UTs in terms of overall performance but emerged as the leading performer in terms of incremental performance.


The report pointed out that for the fourth consecutive round Kerala emerged as the best performer in terms of overall performance.


According to the report, Kerala and Tamil Nadu were the top two performers in terms of overall performance with the highest reference year (2019-20) index scores but ranked twelfth and eighth respectively in terms of incremental performance.


Telangana performed well both in terms of overall performance as well as incremental performance and secured the third position in both instances.


It pointed out that Rajasthan was the weakest performer both in terms of overall performance and incremental performance.


In the case of smaller states, Mizoram and Tripura registered strong overall performance, and at the same time showed improvements in incremental performance, the report added.


As per the report, the health index is a weighted composite score incorporating 24 indicators covering key aspects of health performance. It said the health index comprises select indicators in three domains –health outcomes, governance and information, and key inputs and processes.


The report has been prepared in collaboration with the Ministry of Health and Family Welfare with technical assistance from the World Bank.


(With Inputs from PTI)