A systematic study by the Indian Institute of Management-Ahmedabad has found Maharashtra to be the best performer in health index, followed closely by Tamil Nadu and Kerala. Assam, Uttar Pradesh and Uttaranchal figured at the bottom. The study covered 21 states and spanned over five years of data from 2008 till 2012.
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The performance-based output was studied by professors Abhay Sahay and Piyush Kumar Sinha and Dr Surabhi Koul of IIM-A. “They (Maharashtra and Tamil Nadu) are performing well with respect to the inputs made available or created in the state. Kerala scores highest in outcome but falls to a lower performance due to resources,” the study said.
Organisation of Pharmaceutical Producers of India (OPPI) facilitated the research.
Analysed over parameters set by the WHO — deaths due to HIV, TB and malaria, along with maternal mortality ratio, neonatal mortality ratio, life expectancy at birth, infant mortality rate — the study focused on the impact of state budget, its policies and infrastructure on health which included incidence of various communicable diseases.
According to the study, Maharashtra’s per capita expenditure on health is Rs 1.29 crore while the maximum is in Kerala at Rs 2.75 crore. A need to increase per capita expenditure was found in states like Bihar whose per capita health expenditure is Rs 73 lakh, while Uttaranchal’s is at Rs 84 lakh. UP spends Rs 1.2 crore per capita on health but due to massive population the health facilities have not upgraded. Maharashtra topped with better policies, lower mortality rate and comparatively better implementation of schemes in the state.
India is also a part of United Nations’ Millenium Development Goals. Four of 18 millenium development goals adopted by general assembly of UN in 2000 relate to health.
The top performers — Maharashtra, Tamil Nadu and Kerala — also have MMR above the national average.
Delhi, Harayana, Himachal Pradesh, Andhra Pradesh, West Bengal, Jammu and Kashmir, Gujarat and Karnataka came in moderate range with “low inputs than required but higher outcome”. The report showed that while resources are important, implementation of initiatives is equally important. “It also brings out that states and their policies need to be developed as suitable for each state.such segmentation would help in developing more focused policies,” it said.