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CIPS

Performance of Health Outcomes – Mentor Agency for the States of Andhra Pradesh and Telangana.

NITI Aayog has been mandated with transforming India by exercising thought leadership and by invoking the instruments of co-operative and competitive federalism, focussing the attention of the State Governments and Union Ministries on achieving outcomes. As the nodal agency responsible for charting India’s quest for attaining the commitments under the Sustainable Development Goals (SDGs), it was necessary to devise a mechanism for measuring outcomes particularly in the critical social sectors – such as Health and Education, where India’s record has been less than stellar. This was intended to provide feedback to all stakeholders as to whether we are on course to what we have set out to achieve, and deviations, if any, to be pointed out in time to ensure necessary mid-course correction. It was identified that there are large variations in health system performance and outcomes achieved across States. The “Performance in Health Outcomes” Index seeks to capture the annual progress of States and Union Territories (UTs) on a variety of indicators – Outcomes, Governance and Processes. thus, NITI Aayog had spearheaded the exercise of reporting the overall levels of performance of States in collaboration with the Ministry of Health & Family Welfare, Govt. of India. The process of Index development and implementation highlighted the large gaps in data availability on health outcomes. The need for making outcome data available for smaller states, more frequent and updated outcomes for non-communicable diseases and financial protection, and the need for robust programmatic data that can be used for continuous monitoring, were important issues that despite our efforts, could not be addressed optimally in this first round. Despite these challenges and limitations, it was decided to launch the Index in the first year as a model to measuring performance and ranking States on change. In this process, CIPS was entrusted the task of being a mentor agency for the states of Andhra Pradesh and Telangana in disseminating the newly developed health index by NITI Aayog.