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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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Ajit Pawar dismisses speculation on Supriya Sule joining BJP

Ajit Pawar has dismissed speculation about Supriya Sule joining the BJP, calling such rumours exaggerated and stressing that his focus remains on elections and development.

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Ajit Pawar

Amid renewed political speculation around Nationalist Congress Party–Sharad Pawar (NCP-SP) leader Supriya Sule’s future, Maharashtra Deputy Chief Minister Ajit Pawar on Monday dismissed rumours of her joining the BJP, stating that he is “not an astrologer” and prefers to focus on governance and electoral outcomes rather than conjecture.

The remarks came after Sule publicly praised Prime Minister Narendra Modi for sending all-party delegations abroad following Operation Sindoor, triggering fresh political chatter in Maharashtra’s volatile landscape.

Ajit Pawar rejects political speculation

Responding to questions from the media, Ajit Pawar said speculative interpretations are often exaggerated and unnecessarily amplified.

“I am not an astrologer. Such speculative questions often become breaking news without reason. My focus is on development until January 15,” he said, seeking to put an end to the rumours.

On whether there is any possibility of the two factions of the Nationalist Congress Party coming together, Pawar said the immediate priority is electoral success.

“At present, our top priority is winning the elections. We are working with full effort to ensure a positive outcome,” he said.

On NCP reunification and family ties

Addressing broader questions on a possible reunification between the NCP and NCP-SP, Pawar used a familial analogy, suggesting that unity cannot be ruled out.

“We are one family. In every family, people come together during moments of happiness and sorrow. If family members decide to stand together, there is nothing wrong in that,” he said.

However, he did not indicate any concrete move or timeline for such a reunion.

Thackeray brothers’ reunion and voter behaviour

Commenting on the coming together of the Thackeray brothers, Pawar said the development could have electoral consequences.

“Shiv Sena (UBT) and MNS traditionally had different voter bases. With them coming together, vote division could reduce, which may benefit them electorally,” he said.

Pawar clarified that he played no role in facilitating the reunion but welcomed the move, calling it a positive development within a political family.

He also cautioned against assuming uniform voter consolidation, noting that voting behaviour varies across elections.

“Voters think differently in national, state and local elections. The results of the Lok Sabha and subsequent Assembly elections clearly show that,” he added.

On free facilities, local alliances and Mumbai remark

Responding to criticism over promises of free facilities, Pawar said such decisions rest with the Chief Minister at the state level and the Prime Minister at the national level. He added that at the local body level, his experience of over two decades guides his approach.

On alliances involving parties like the NCP, Shiv Sena and AIMIM in local bodies such as the Parli Municipal Corporation, Pawar said such arrangements are common and often finalised locally without involving senior leadership.

He also strongly rejected remarks by a BJP leader claiming Mumbai is not part of Maharashtra.

“Mumbai is in India, and within India, it is in Maharashtra. It will always remain a part of Maharashtra. Such statements are made around elections to draw attention,” Pawar said.

On Bharat Ratna for Sharad Pawar

When asked whether NCP founder Sharad Pawar should be awarded the Bharat Ratna, Ajit Pawar said the decision lies with the Central government.

“Sharad Pawar has served public life for over 60 years and taken many important decisions. Anyone is free to express an opinion, but the final call rests with the Centre,” he said.

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India News

PSLV comeback mission hit by third-stage anomaly during launch from Sriharikota

ISRO’s PSLV-C62 mission faced a third-stage anomaly around 30 minutes after launch, raising concerns over the rocket’s comeback flight after its 2025 failure.

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PSLV LAUNCH

At 10.18 am on Tuesday, the Polar Satellite Launch Vehicle (PSLV)-C62 lifted off from the Satish Dhawan Space Centre in Sriharikota, carrying 16 satellites into space. The launch marked the first PSLV mission of the year and was being closely watched as a comeback attempt following a failure in 2025.

Roughly 30 minutes after liftoff, the Indian Space Research Organisation (ISRO) stated that the mission had “encountered an anomaly” during its third stage. The space agency has initiated a detailed analysis but has not yet officially declared the mission a failure.

Third stage issue raises concerns again

The PSLV is a four-stage launch vehicle, with the first two stages reportedly performing as expected during Tuesday’s mission. The problem surfaced during the third stage, where deviation was observed.

ISRO chairman Dr V Narayanan said that a detailed assessment is underway. Historically, issues during the third stage of a rocket have often resulted in mission failure, although ISRO has so far avoided using that term for this launch.

The setback is significant as this was intended to be a recovery mission. The PSLV’s only launch in 2025 had also failed due to a third-stage issue. An analysis committee was formed after that failure, but its findings were not made public.

Mission payload and satellite loss

The mission aimed to place a surveillance satellite into orbit. The earth observation satellite, named Anvesha, was developed by the Defence Research and Development Organisation. Alongside it, the PSLV carried 15 additional satellites from multiple countries, including Brazil, Nepal and the UK.

With the anomaly occurring mid-mission, these satellites are now believed to be lost.

Track record remains strong despite setback

The PSLV has completed 64 missions so far, with four failures recorded prior to this launch. If the current mission is eventually declared unsuccessful, it would mark the fifth failure, keeping the overall success rate relatively high.

However, the timing of the anomaly is a concern, given the growing reliance on PSLV for commercial and strategic launches.

Impact on space industry and future launches

The development is particularly worrying for private players in India’s expanding space ecosystem. Several start-ups had payloads on this mission, including Hyderabad-based Dhruva Space, which had placed seven satellites onboard.

The outcome also casts uncertainty over the planned industry-led PSLV launch scheduled for the first half of 2026. That mission is being developed with participation from Hindustan Aeronautics Limited and Larsen and Toubro.

ISRO is expected to conduct a thorough investigation into the third-stage issue before finalising the status of the mission and outlining corrective measures.

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Mani Shankar Aiyar’s remarks on Hindutva spark political backlash from BJP

Congress leader Mani Shankar Aiyar’s comments on Hindutva at a Kolkata debate have triggered sharp reactions from the BJP, escalating the Hinduism versus Hindutva debate.

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manishankar aiyer

Veteran Congress leader Mani Shankar Aiyar has triggered a political controversy after describing Hindutva as “Hinduism in paranoia” during a public debate in Kolkata, prompting a strong rebuttal from leaders of the Bharatiya Janata Party (BJP).

Aiyar made the remarks at a discussion titled “Hinduism needs protection from Hindutva”, organised by the Calcutta Debating Circle at the Calcutta Club on Sunday. Several political leaders, legal experts, historians and journalists participated in the debate.

Aiyar draws distinction between Hinduism and Hindutva

Speaking at the event, Aiyar argued that Hinduism and Hindutva are fundamentally different, describing Hinduism as a spiritual and civilisational faith, while calling Hindutva a political ideology that emerged in the early 20th century.

“Hindutva is Hinduism in paranoia. It asks 80 per cent Hindus to feel threatened by 14 per cent Muslims,” Aiyar said, adding that Hinduism had survived and flourished for thousands of years without the need for what he described as political protection.

He referred to incidents involving attacks by vigilante groups and criticised actions against individuals over religious practices, beef consumption and participation in Christmas celebrations. Aiyar also cited writings of Vinayak Damodar Savarkar, contrasting them with the teachings of Mahatma Gandhi and Swami Vivekananda, whom he described as proponents of non-violence and inclusivity.

According to Aiyar, “There is no way Gandhi’s or Vivekananda’s Hinduism can be protected or promoted by Savarkar’s Hindutva.”

BJP leaders push back strongly

Aiyar’s comments drew an immediate response from BJP leaders present at the debate and later from party spokespersons.

BJP MP Sudhanshu Trivedi questioned the framing of the debate itself, arguing that the term “Hindutva” refers to “Hindu tattva” or the essence of Hindu philosophy. He said that associating Hinduism with the suffix “ism” was misleading and dismissive of India’s indigenous traditions.

“When you cherish Hinduism, it is called Hindutva,” Trivedi said, rejecting the distinction drawn by Aiyar.

BJP spokesperson Shehzad Poonawalla accused Aiyar of repeatedly making remarks that, according to him, insult Sanatan Dharma. He claimed that the comments echoed the Congress party’s broader stance on Hindutva.

Poonawalla also referred to past statements by Congress leaders and said that Hindutva has been defined by the Supreme Court as a “way of life.” He accused the party of attempting to portray Hindutva as violent and divisive.

Political debate intensifies

The exchange has added to the ongoing political debate over the relationship between Hinduism and Hindutva, a subject that has remained contentious in Indian politics. While Aiyar defended his views as ideological and historical critique, BJP leaders framed the remarks as an attack on religious identity.

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