Nagaland Health Report Card: Ailing and deteriorating

Nagaland Health Report Card: Ailing and deteriorating

Morung Express News
Dimapur | February 9


On an average, the time taken to transfer Central National Health Mission Funds from the State Treasury to the implementation agency in Nagaland has increased from over 3 months to over 7 months (101 to 213 days).


No wonder, among the smaller states, Nagaland languish at the bottom of the latest National Institution for Transforming India (NITI) Aayog’s Health Index Report released on February 9.


As per the report titled, “Healthy States, Progressive India,” Nagaland’s overall performance has worsened substantially – the State’s Health Index fell from 45.26 in the base year to 37.38 in the reference year. The base year was 2013-14 and the reverence year was 2015-16.


The State also has the dubious distinction of showing the highest negative incremental change of -7.88 points between base and reference years.


Incidentally, the data also highlighted that the transfer of the funds from Treasury to implementation agency in Nagaland has significantly deteriorated during the assessed period – from 101 days to 213 days.


Nagaland was among the states which have not shown any improvement from base year to reference year, the report noted.


The state performed poorly on indicators such as TB treatment success rate (91 to 72 percent), average occupancy of three key State-level officers (12 to 7 months), first trimester ANC registration (47 to 36 percent), it added. In position of specialists at the district hospitals, Nagaland had none.


Among the smaller states category, Mizoram was categorized as a front-runner – with the highest observed performance among the Smaller States. Manipur, Meghalaya, Sikkim, Goa and Arunachal Pradesh are categorised as Achievers.


Only two States, namely Manipur and Goa, improved their position from base year to reference year, each up by two positions.


Tripura and Nagaland are categorized as ‘Aspirants,’ a term the NITI Aayog has recently started using instead of the negative sounding ‘backward’ category.


The Index ranked States and UTs in three categories namely – Larger States, Smaller States, and Union Territories (UTs) – to ensure comparison among similar entities.


The report ranks states and Union territories innovatively on their year-on-year incremental change in health outcomes, as well as, their overall performance with respect to each other, a PIB release informed.


The Index is weighted composite Index, which for the larger States, is based on indicators in three domains: (a) Health Outcomes (70%); (b) Governance and Information (12%); and (c) Key Inputs and Processes (18%), with each domain assigned a weight based on its importance, Among the Larger States, Kerala, Punjab, and Tamil Nadu ranked on top in terms of overall performance.


Jharkhand, Jammu & Kashmir, and Uttar Pradesh are the top three ranking States in terms of annual incremental performance.


Among UTs, Lakshadweep showed both the best overall performance as well as the highest annual incremental performance


However, measurement reveals that about one-third of the States have registered a decline in their performance in 2016 as compared to 2015, stressing the need to pursue domain-specific, targeted interventions, it added.


Common challenges for most States and UTs include the need to focus on addressing vacancies in key staff, establishment of functional district Cardiac Care Units (CCUs), quality accreditation of public health facilities and institutionalization of Human Resources Management Information System (HRMIS). Additionally, almost all Larger States need to focus on improving the Sex Ratio at Birth (SRB).


The report has been developed by NITI Aayog, with technical assistance from the World Bank, and in consultation with the Ministry of Health and Family Welfare (MoHFW).