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Tamil Nadu and Kerala were ranked high on the health index. Photo: Mint
Tamil Nadu and Kerala were ranked high on the health index. Photo: Mint

Maharashtra tops Indian states in IIM-Ahmedabad health index

The IIM-Ahmedabad study combined each state's performance on outcome and input measures

Mumbai: Maharashtra has emerged as the top performer among Indian states in a health index developed by the Indian Institute of Management, Ahmedabad (IIM-A), based on evaluation of people’s health in each state in comparison with the resources and infrastructure available.

The study combined each state’s performance on outcome and input measures. Parameters such as infant mortality rate, under-5 mortality rate, neo-natal mortality rate, maternal mortality rate, deaths due to HIV, tuberculosis and malaria, incidence of 47 key communicable and non-communicable diseases, sanitation methods and vaccination were included in outcome measures, while input variables consisted of infrastructure, manpower, utilisation and economic factors.

Tamil Nadu and Kerala were the other states, which ranked high on the health index, said the study, titled “Development of a Health Index of Indian States" authored by Piyush Kumar Sinha, Arvind Sahay and Surabhi Koul at IIM-Ahmedabad.

Assam, Uttarakhand and Uttar Pradesh were among the weakest performers not only in terms of resources but also in outcomes.

According to the authors, the results showed that the states performed very differently on the input and outcome dimensions and that there was very low correlation between outcome and input variables.

“Besides building the resources and infrastructure for delivery of healthcare services, there is a need to develop innovative and participative approach to achieve the objectives by building dynamic capabilities using people, systems, infrastructure and technology," the study said.

Most of the parameters for outcome variables are the ones used by the World Health Organisation to assess the performance.

The study indicated that while resources are important, implementation of the initiatives to achieve the desired outcome is equally important and that each state needs to have policies to suit its needs.

It is likely to help develop more focussed policies as well as fine tune health policies for states, the authors said.

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