Achieves 100% full immunization coverage, sharp improvement in TB treatment

ANI betters ratings in NITI Aayog’s health index
Report by: 
Port Blair
19 Feb 2018

In some relief for the administration’s health department, NITI Aayog’s latest document on health outcomes covering all States and Union Territories has recorded some positives in healthcare system in the Andaman and Nicobar Islands. Based on various health indicators, the report, NITI Aayog’s Healthy States, Progressive India, placed Andaman and Nicobar Islands (ANI) in the Achievers group and placed  in the fourth spot – one notch up from the base year 2014-15 to the reference year 2015-16.  The report concluded that only two UTs — Lakshadweep and Andaman and Nicobar Islands — improved their positions as Lakshadweep went up from second to first and Andaman and Nicobar Islands scaled from fifth to fourth position. Delhi has retained its third position during the period. Similarly, Daman and Diu and Dadra and Nagar Haveli did not change ranks and were placed sixth and seventh, respectively.
In the annual incremental performance, Lakshadweep ranked at the top (up 9.56 points) followed by Andaman & Nicobar Islands (up 3.82 points). In terms of overall performance, Lakshadweep (65.79) ranked at the top, followed by Chandigarh (52.27). Lakshadweep showed the highest improvement in indicators such as institutional deliveries, tuberculosis (TB) treatment success rate and transfer of Central National Health Mission (NHM) funds from State Treasury to implementation agency.
Five Union Territories, Lakshadweep, Andaman & Nicobar, Dadra & Nagar Haveli, Delhi and Puducherry) registered positive incremental progress and the remaining two UTs (Chandigarh and Daman & Diu) registered negative incremental change. From base year to reference year, Lakshadweep (ranked at the top) observed the highest incremental performance of 9.56 points. Andaman & Nicobar, Dadra & Nagar Haveli and Delhi saw an increase in the Health Index score of between 2 to 4 points from base year to reference year. Puducherry achieved approximately a one point incremental increase, while Daman & Diu and Chandigarh reported negative changes in the Health Index score, with the Health Index score declining by 8.67 and 5.22 points, respectively, over the time period, said the report.
In the field of Key Inputs/Processes domain, the performance of Andaman and Nicobar Islands, Puducherry, Chandigarh and Daman & Diu have registered a fall, while Delhi, Dadra & Nagar Haveli and Lakshadweep) improved their performance. In the domain, Puducherry scored highest with 52.99 points, while Andaman & Nicobar scored the lowest with 26.75 points.
Andaman and Nicobar registered 100 percent Full Immunization coverage compared to 84.6 in the year 2014-15 and placed on top along with Lakshadweep in the list of Smaller States and UTs. The indicator reflects upon the success of the immunization programme and captures the proportion of infants between the ages of 9-11 months who have received one dose of BCG, 3 doses of DPT, 3 doses of OPV, and one dose of measles vaccine. The report said that 19 States and UTs have full immunization coverage of at least 90 percent, the 2025 target specified in the National Health Policy 2017. The report observed that several States need to implement specific strategies to attain the goals set out in National Health Policy 2017, which targets more than 90 percent full immunization coverage by 2025 as Telangana, Jharkhand, Assam, Odisha, Uttar Pradesh, Haryana, Tamil Nadu, Rajasthan, Madhya Pradesh, Tripura, Sikkim, Arunachal Pradesh, Nagaland, Daman & Diu, Puducherry and Dadra & Nagar Haveli fall short of the target of 90 percent coverage.
In the field of treatment success rate of new microbiologically confirmed TB cases, the Andaman and Nicobar Islands is placed in the numero uno position among Union Territories with 91.5 % in 2015 compared to 85.5 % in 2014 before Lakshadweep. Treatment success rate of TB cases is the proportion of new cases cured and their treatment completed against the total number of new microbiologically confirmed TB cases registered during a specific year - an important indicator that reflects the performance of the Revised National Tuberculosis Control Programme. Most States and UTs except Karnataka, Maharashtra, Manipur, Sikkim, Nagaland (dropped from base year) and Daman & Diu achieved the target set under the National Health Policy 2017, the report said..
The Andaman and Nicobar Islands registered modest improvement in the proportion of institutional deliveries. Compared to 76.2 % 2014-15, the Niti Aayog report placed Andaman and Nicobar Islands in the six spot with 80.2 % after Delhi and before Daman & Diu. In the reference year (2015-16), only six States and UTs achieved more than 90 percent coverage - Gujarat and Kerala among Larger States; Mizoram and Goa among smaller States; and Chandigarh and Puducherry among UTs. Other States need to make substantial efforts to improve the coverage of institutional deliveries, the report observed.
Sixteen states and Union Territories across India do not have functional cardiac care units (CCUs) in government-funded hospitals in any of their districts except in medical colleges, if any, a nationwide exercise to assess health-care measures has revealed. The Niti Aayog report has listed Assam, Bihar, Jharkhand, Telangana, Uttar Pradesh, Uttarakhand, Arunachal Pradesh, Goa, Manipur, Meghalaya, Sikkim, Tripura, Andaman and Nicobar, Chandigarh, Dadra and Nagar Haveli, and Daman and Diu as territories that do not have a single district with functional CCUs in public hospitals.
The results and analysis in the Niti Aayog’s report provide an important insight into the areas in which States have improved, stagnated or declined and this will help in better targeting of interventions. The learnings that have emerged during the process of development of the Health Index, will guide in refining the Index for the coming year and also address some of the limitations. The exercise also calls for urgently improving the data systems in health, in terms of representativeness of the priority areas, periodic availability for all States and UTs, and completeness for private sector service delivery, the report said.