As per the index report for large states, Kerala was followed by Punjab, Tamil Nadu and Gujarat.
Besides Uttar Pradesh, Rajasthan, Bihar and Odisha are among the states that performed poorly in the health index.
According to the index, among large states, Jharkhand, Jammu & Kashmir and Uttar Pradesh are the top three ranking states in terms of annual incremental performance.
Among small states, Mizoram ranked first, followed by Manipur and Goa.
Speaking on occasion, NITI Aayog menber Vinod Paul said that absolute and incremental changes in health outcomes, as measured by the Health Index, promotes cross-learning between states, capturing the very spirit of cooperative & competitive federalism.