Dadra and Nagar Haveli, Haryana, Assam, Kerala and Punjab have emerged as the top five states or Union Territories in the first ever exercise to rate their performance on several parameters of the National Health Mission. Twenty per cent of NHM funds are based on the states’ performance, which means better performing states received a financial incentive — Rs 3,000 crore is set aside for incentive-based payments.
West Bengal, Jammu and Kashmir, Andaman and Nicobar Islands and Bihar were penalised as they didn’t achieve the set benchmarks for mental health services. Twenty-three states earned an incentive for screening of 30-plus population for non-communicable diseases, including 11 states that earned full points for screening more than 15 per cent of the 30-plus population. Tamil Nadu reported 100 per cent screening, followed by Goa (68 per cent) and Daman and Diu (57 per cent).
Only six states — Assam, Chhattisgarh, Haryana, Kerala, Punjab and Tripura — earned full incentive for implementation of the Human Resource Information System (HRIS). Andhra Pradesh, Odisha and UP were able to partially achieve the target in terms of HRIS implementation.
Among the parameters, the highest weightage was given to incremental improvement as per the NITI Aayog ranking of states on ‘Performance on Health Outcomes’. Other parameters include operationalisation of Health and Wellness Centres (HWCs), provisioning of mental health services in districts covered under the National Mental Health Programme, screening of 30-plus population for non-communicable diseases, implementation of HRIS and grading of Primary Health Centres (both urban and rural).
Arunachal Pradesh, Meghalaya, Nagaland and Sikkim did not make the cut for assessment.