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NITI Aayog health index report: Kerala tops again, Uttar Pradesh worst

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NITI Aayog health index report: Kerala tops again, Uttar Pradesh worst

[vc_row][vc_column][vc_column_text]Kerala has once again emerged as the top ranking state in the second health index report of NITI Aayog, while the worst is Uttar Pradesh at the bottom, preceded by Rajasthan, Bihar and Odisha.

The Health Index consists of 24 indicators grouped in the domains of  Health Outcomes, Governance and Information, and Key Inputs/Processes. The States and Union Territories (UTs) have been ranked in three categories to ensure comparison among similar entities – Larger States, Smaller States, and UTs. The second round of the health index accounts for the period 2015-16 (base year) to 2017-18 (reference year).

The report has been prepared in collaboration with the Ministry of Health and Family Welfare with technical assistance from the World Bank. The States were sensitized about the Health Index including indicator definitions, data sources and process for data submission through a series of regional workshops and mentor support was provided to most States.

Data was submitted by States on the online portal hosted by NITI Aayog and data from sources in the public domain was pre-entered. This data was then validated by an IVA and was used as an input into automated generation of Index values and ranks on the portal

Last year, in February the first round of the health index was released, which measured the annual and incremental performances of States and UTs for the period 2014-15(base year) to 2015-16 (reference year).

Here are some excerpts from the report:

In the base year (2014-15), the composite Health Index ranged from 28.14 in Uttar Pradesh to 80 in Kerala. On an average, modest improvement was observed between the base and reference year, with the difference between the worst and best performing States narrowing.

In the reference year 2015-16, Uttar Pradesh at 33.69 remained the poorest performing State,  and Kerala remained the best performing State despite a slight decline in the Health Index to 76.55.

The top five performing States in the reference year based on the composite Index score are  Kerala  (76.55), Punjab (65.21), Tamil Nadu (63.38), Gujarat (61.99), and Himachal Pradesh (61.20).

On the other end of the spectrum, Uttar Pradesh (33.69) scored the lowest and ranks at the bottom preceded by  Rajasthan  (36.79),  Bihar  (38.46),  Odisha  (39.43),  and  Madhya  Pradesh  (40.09).

Among the 21 Larger States, only five States improved their position from base to reference year. These States are Punjab,  Andhra  Pradesh,  Jammu  &  Kashmir, Chhattisgarh and Jharkhand.

The most significant progress was observed in Jharkhand and Jammu & Kashmir. Both States moved up by four positions in the ranking.

Punjab improved its performance in the ranking by three positions. Andhra Pradesh and Chhattisgarh have shown modest improvement – both up by one position.

Despite increases in the composite Health Index scores, the rankings of  Maharashtra, Madhya Pradesh, Bihar, Rajasthan, and Uttar Pradesh did not change between base and reference years.

Kerala continued to be at the top position and the remaining States fell in ranking by 1-2 positions.

There is a large gap in overall performance between the best and the least performing States and UTs; besides, all States and UTs have substantial scope for improvement:

In the reference year (2015-16) among Larger States, the Index score for overall performance ranged widely between 33.69 in Uttar Pradesh to 76.55  in  Kerala.  Similarly,  among  Smaller  States,  the  Index  score  for  overall  performance  varied  between  37.38  in  Nagaland  to  73.70  in  Mizoram,  and  among  UTs  this  varied  between 34.64 in Dadra & Nagar Haveli to 65.79 in Lakshadweep.

Among Larger States, the variation between the best and least performing States and UTs was the widest around 43 points as compared with 36 points in Smaller States and 31 points in UTs. However, based on the highest observed overall Index scores in each category of  States and UTs, clearly there is room for improvement in all States and UTs .

The States and UTs rank differently on overall performance and annual incremental   performance: States and UTs that start at lower levels of the Health Index (lower levels of  development of  their health systems) are generally at an advantage in notching up incremental progress over States with high Health Index score due to diminishing marginal returns in outcomes for similar effort levels. It is a challenge for States at high levels of the Index score even to maintain their performance levels. For  example, Kerala ranks on top in terms of overall  performance  and  at  the  bottom  in  terms  of   incremental progress mainly as it had already achieved a low level of  Neonatal Mortality Rate (NMR) and  Under-five  Mortality  Rate  (U5MR)  and  replacement  level  fertility,  leaving  limited  space  for  any  further improvements.

The incremental measurement shows that about one-third of the States have registered a decline in  their  Health  Indices  in  the  reference  year  as  compared  to  the  base  year:  This  is  a  matter  of   concern and should nudge the States into reviewing and revitalizing their programmatic efforts. Among the Larger States, six States, namely Uttarakhand, Himachal Pradesh, Karnataka, Gujarat, Haryana and Kerala have shown a decline in performance from base year to reference year, despite some of them being  among  the  top  ten  in  overall  performance.  Among the smaller states, Sikkim, Arunachal  Pradesh, Tripura and Nagaland have shown a decline; and among the UTs, Chandigarh and Daman & Diu have shown a decline.

The Health Index will  be  calculated  and  disseminated  annually,  with  a  focus  on  measuring  and  highlighting  annual  incremental improvement in the States and UTs, the NITI Aayog said in the report. The composite Health Index and ranking of  States and   UTs   will   assist   in   monitoring   the   States’   performance,   also   serving   as   an   input   for   performance-based incentives, leading ultimately to improvements in the state of  health in each State.

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Rahul Gandhi, Centre clash over Ladakh deepens as eight Congress MPs suspended

The Lok Sabha saw repeated disruptions after Rahul Gandhi was denied permission to speak on the Ladakh issue, leading to protests and the suspension of eight Congress MPs.

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Chaos engulfed the Lok Sabha on Tuesday as tensions between the opposition and the ruling Bharatiya Janata Party intensified over Congress leader Rahul Gandhi’s attempt to raise the issue of the India-China military standoff in Ladakh. The disruption eventually led to the suspension of eight Congress MPs for the remainder of the parliamentary session.

The confrontation unfolded after the Leader of the Opposition tried, for the second consecutive day, to read out excerpts from an unpublished book by former Army chief General M.M. Naravane that refer to the 2020 Ladakh crisis. The Speaker denied permission, citing procedural rules, triggering protests from opposition members.

Several MPs protested by refusing to speak when called upon, expressing solidarity with Gandhi. The uproar forced repeated adjournments of the House and, according to reports, involved members throwing pieces of paper towards the Chair.

Following the disorder, eight Congress MPs — including Hibi Eden, Amarinder Raja Warring and Manickam Tagor — were suspended. Warring later questioned the action, saying the protests were in response to Gandhi being denied the opportunity to speak despite having authenticated the document and submitted it to the House.

The BJP strongly criticised the Congress leadership. Party MP Anurag Thakur accused Rahul Gandhi of undermining Parliament and insulting the armed forces, alleging that the opposition was attempting to distract from recent government actions, including the presentation of the Union Budget. He also said the BJP would move a formal complaint seeking strict action against the suspended MPs.

Outside Parliament, Gandhi accused the ruling party of trying to silence him, saying he was prevented from speaking on the sensitive issue of the India-China border. He argued that he had followed procedure by authenticating the content he wished to quote but was still denied permission.

What happened a day earlier

On Monday, the Speaker had also disallowed Gandhi from reading the excerpts, with senior ministers countering his remarks during the debate. Government sources later maintained that the Congress leader violated House rules by attempting to introduce unpublished material into the official record without prior approval.

When proceedings resumed on Tuesday, Gandhi again raised the matter, insisting that the information had been authenticated. As the Speaker moved on to other members, two opposition MPs from the Samajwadi Party and Trinamool Congress declined to speak, signalling their support for him.

Rahul Gandhi targets India-US trade deal

Separately, Gandhi also criticised Prime Minister Narendra Modi over what he described as a lack of transparency surrounding the India-US trade deal. He questioned how negotiations that had reportedly remained unresolved for months were concluded overnight and alleged that the agreement compromised the interests of Indian farmers, particularly in agriculture and dairy.

Government sources, however, rejected these claims, stating that sensitive sectors would remain protected and that the deal does not undermine farmers’ interests. They said contentious issues, including market access, had been carefully handled.

The opposition has demanded full disclosure of the terms of the agreement, even as both sides continue to trade sharp political accusations inside and outside Parliament.

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Mamata Banerjee alleges mass voter deletions in Bengal, targets Election Commission

Mamata Banerjee has accused the Election Commission of deleting thousands of voter names without due process, raising questions over the timing of the exercise ahead of elections.

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Mamata Banerjee

West Bengal Chief Minister Mamata Banerjee on Monday intensified her attack on the Election Commission over voter roll revisions, alleging that a large number of names have been deleted without due process as the state heads towards elections.

Addressing party workers, Banerjee claimed that 40,000 voters’ names were removed from her constituency alone, alleging that the deletions were carried out unilaterally and without giving voters a chance to be heard.

“In my constituency they have deleted 40,000 voters’ names unilaterally… Even a murderer gets a chance to defend himself,” she said.

Allegations against election officials

The chief minister directly accused an election official, alleging political bias and irregular conduct in the revision process. She claimed that voter names were being removed while officials sat in Election Commission offices, calling the process illegal.

“They cannot do it, it is illegal. 58 lakh names have been unilaterally deleted,” she said, echoing claims earlier made by Trinamool Congress leader Abhishek Banerjee.

Banerjee also alleged that individuals described as “micro-observers” had been appointed illegally, claiming they had no role under the Representation of the People Act and were linked to the BJP.

‘Alive but marked dead’

In a dramatic moment during her address, the chief minister asked those present who had been marked as deceased in the voter lists to raise their hands.

“See, they are alive but as per the Election Commission they are dead,” she said.

She further alleged that names were being deleted under the category of “logical discrepancy,” adding that even noted economist and Nobel laureate Amartya Sen had earlier been questioned regarding the age of his mother.

Questions over timing of voter roll exercise

While stating that she did not oppose the Special Intensive Revision process in principle, Banerjee questioned the timing of the exercise.

“I have no problem with SIR, but why do it on the eve of elections? Why not after elections?” she asked.

Reiterating confidence in her party’s organisational strength, the chief minister said she was prepared to fight the issue politically and democratically.

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Supreme Court raps Meta over WhatsApp privacy policy

The Supreme Court warned Meta that it would not tolerate any compromise of citizens’ privacy while hearing a case related to WhatsApp’s 2021 privacy policy and a CCI penalty.

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WhatsApp

The Supreme Court on Tuesday delivered strong observations against Meta, the parent company of WhatsApp, over the messaging platform’s 2021 privacy policy, warning that it would not tolerate any compromise of citizens’ privacy.

A bench led by Chief Justice Surya said the court would not allow the sharing of user data in a manner that exploits Indians, remarking that privacy protections under the Constitution must be followed. “You can’t play with privacy… we will not allow you to share a single digit of our data,” the Chief Justice said during the hearing.

The matter relates to a plea challenging the law tribunal’s decision that upheld a ₹213 crore penalty imposed by the Competition Commission of India (CCI) on WhatsApp, while also permitting certain data-sharing practices for advertising purposes.

Court questions accessibility of privacy policy

During the hearing, the court raised concerns about whether WhatsApp’s privacy policy could realistically be understood by large sections of the population, particularly those who are poor or not formally educated.

The bench questioned if users such as roadside vendors, rural residents, or people who do not speak English would be able to comprehend the policy’s terms. It also expressed scepticism about the effectiveness of opt-out clauses, stating that even legally trained individuals find such policies difficult to understand.

Describing the alleged data practices as potentially exploitative, the court said it would not allow private information to be taken without genuine and informed consent from users.

The Chief Justice also cited a personal example, suggesting that users often begin seeing advertisements shortly after exchanging sensitive messages on WhatsApp, such as medical conversations, raising questions about how user data is being utilised.

Arguments from government and Meta

Appearing for the government, Solicitor General Tushar Mehta criticised WhatsApp’s data-sharing practices, calling them exploitative and commercially driven. In response, the Chief Justice said that if companies cannot operate in line with constitutional values, they should not do business in India.

Senior advocates Mukul Rohatgi and Akhil Sibal, appearing for Meta and WhatsApp, countered the allegations by asserting that all WhatsApp messages are end-to-end encrypted and that the company cannot read message content.

Background of the case

In November 2024, the CCI ruled against WhatsApp over its 2021 privacy policy, holding that the company had abused its dominant market position by effectively forcing users to accept the updated terms.

The watchdog objected to WhatsApp making continued access to messaging services conditional on permitting data-sharing with other Meta platforms, leading to the imposition of a ₹213 crore fine. Meta has deposited the penalty.

In January 2025, Meta and WhatsApp challenged the CCI order. Later, in November 2025, the law tribunal lifted a five-year restriction on data-sharing while maintaining the financial penalty.

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