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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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As stealth reshapes air combat, India weighs induction of Sukhoi Su-57 jets

India is assessing the possible induction of up to 40 Sukhoi Su-57 fifth-generation fighter jets as stealth becomes central to future air combat strategy.

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Sukhoi Su-57 jets

Aerial warfare is increasingly being defined by the ability to remain undetected rather than by traditional dogfighting skills, and India is now assessing options to strengthen its capabilities in this new paradigm. Defence circles are abuzz with indications that the Indian Air Force may consider procuring up to 40 Russian fifth-generation Su-57 fighter jets, according to sources.

The possible move comes less than a year after Operation Sindoor, which was launched in May last year following the Pahalgam terror attack. The air engagements with the Pakistan Air Force during the operation are understood to have provided fresh operational insights, prompting discussions on future preparedness.

Why stealth is central to fifth-generation fighters

Fifth-generation fighter aircraft are designed with a strong emphasis on low observability. Platforms such as the Su-57 incorporate airframes shaped to reduce radar signatures and use radar-absorbent materials to make detection more difficult across radar, infrared and visible spectrums.

These aircraft typically integrate advanced avionics, sensor fusion and supercruise capabilities. They are also configured to carry specialised weapons internally, enhancing stealth during combat missions.

According to information available on Sukhoi’s official platform, the Su-57 is equipped with a deeply integrated avionics suite that offers a high level of automation and intelligent crew support. Its onboard systems enable it to operate autonomously and exchange data in real time with ground control systems or as part of a coordinated task force.

The aircraft can deploy a broad range of air-to-air and air-to-surface munitions, allowing it to undertake both fighter and strike roles. Sukhoi states that the jet is capable of conducting covert missions owing to reduced visibility across multiple wavelength ranges.

The Su-57 is also fitted with an auxiliary power unit designed to improve deployment autonomy and lower fuel consumption during ground operations. An onboard oxygen extraction unit enhances operational endurance. Additionally, the aircraft features an explosion-proof fuel tank system described as a generator-type neutral gas system, aimed at improving combat survivability.

Regional security context

The reported deliberations come amid evolving regional dynamics. China, regarded as Pakistan’s close strategic partner, has developed the J-20 fifth-generation stealth fighter, and there are indications that such capabilities could eventually be shared with Pakistan.

India is also pursuing its own fifth-generation programme, the Advanced Medium Combat Aircraft (AMCA). The first flight of the AMCA is expected around 2028 or 2029, with induction into the Air Force projected around 2035.

In this backdrop, any decision on the Su-57 would form part of a broader effort to ensure that the Indian Air Force remains prepared for future aerial warfare scenarios where stealth and advanced sensing capabilities play a decisive role.

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India News

RSS chief backs nationwide rollout of Uniform Civil Code, cites Uttarakhand model

RSS chief Mohan Bhagwat has supported nationwide implementation of the Uniform Civil Code, urging adoption of the Uttarakhand model.

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Mohan Bhagwat

Rashtriya Swayamsevak Sangh chief Mohan Bhagwat has expressed support for implementing the Uniform Civil Code (UCC) across the country, stating that it would be a “very good thing” if adopted nationwide. He suggested that the framework introduced in Uttarakhand could serve as a model for other states.

Speaking at a former servicemen’s dialogue seminar organised to mark the RSS’s 100th anniversary, Bhagwat said the UCC should be implemented in a manner similar to the approach followed by Uttarakhand. The hill state became the first in the country to enforce the Uniform Civil Code on January 27 last year.

Highlighting the process adopted in Uttarakhand, Bhagwat noted that after a draft proposal was prepared, it was opened for public discussion. According to him, suggestions from nearly three lakh people were received, and these inputs were examined and incorporated.

Describing the UCC as essential for societal unity, the RSS chief said such a legal framework would strengthen social cohesion.

When asked about the ongoing issue concerning the University Grants Commission, Bhagwat declined to comment, stating that the matter is currently under consideration by the Supreme Court of India.

Addressing retired personnel from the armed forces and paramilitary services at the event, Bhagwat underlined the continuing importance of defence forces, even in an independent nation, to safeguard sovereignty.

He also reflected on the journey of the RSS, saying the organisation was established without external resources and continued to grow despite facing severe sanctions on two occasions. He attributed its progress to the confidence and support of society.

Encouraging participation, Bhagwat invited former servicemen to attend Sangh camps and programmes to observe the work of volunteers and contribute to service activities based on their interests and abilities.

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India News

DMK leader’s son arrested after car rams family in Krishnagiri, one dead

A 20-year-old son of a DMK leader has been arrested for allegedly driving a car into four members of a family in Krishnagiri, killing assistant labour inspector Sivamoorthy.

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DMK leader

A 20-year-old son of a leader from the Dravida Munnetra Kazhagam (DMK) has been arrested for allegedly mowing down four members of a family following a heated argument in Tamil Nadu’s Krishnagiri district. One person died in the incident, police said.

The deceased has been identified as Sivamoorthy, an assistant labour inspector and a resident of Krishnagiri. According to the police, the incident occurred outside his residence after the accused, identified as Adithya, objected to a two-wheeler parked on the road.

Police said Adithya was driving the car and began honking as the two-wheeler was blocking the road. Sivamoorthy and his family members reportedly stepped out to move the vehicle. During the exchange that followed, an altercation broke out.

Investigators allege that Adithya then rammed his car into Sivamoorthy, his son Kirubakaran, daughter-in-law Amsavalli and granddaughter Nilani. Sivamoorthy sustained severe injuries and later succumbed. The others were injured in the incident.

Besides Adithya, two of his friends — Rithik Kumar and Harish — who were present in the car at the time, have also been arrested. A case of murder has been registered against the trio and further investigation is underway.

Kirubakaran, recounting the incident, said the family had attempted to move the parked two-wheeler when the accused damaged it. He alleged that the men appeared intoxicated and tried to assault them with a stick before the vehicle was driven into the family.

Amsavalli said they had tried to defuse the situation peacefully but the confrontation turned violent, resulting in her father-in-law’s death and injuries to her child.

A police officer stated that Adithya’s father is a local functionary of the DMK in Krishnagiri district. The victim’s family has demanded strict action in the case.

Reacting to the incident, state BJP chief Nainar Nagendran criticised the ruling Dravida Munnetra Kazhagam, questioning the state government over the episode and alleging that party functionaries were misusing their influence.

Police said the probe is ongoing.

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