Kerala tops Health Index, Uttar Pradesh worst performer

Agencies
February 9, 2018

New Delhi, Feb 9: Kerala has topped among large states on overall health performance in NITI Aayog's Health Index, while Uttar Pradesh appears at the bottom though it has shown big improvement in the recent past. Kerala was followed by Punjab, Tamil Nadu and Gujarat, according to the report -- 'Healthy States, Progressive India: Report on Rank of States and UTs'.

Rajasthan, Bihar and Odisha are among those which have performed poorly on the index. In terms of annual incremental performance, Jharkhand, Jammu & Kashmir and Uttar Pradesh are the top three states. These three states showed the maximum gains in indicators such as Neonatal Mortality Rate (NMR), Under-five Mortality Rate (U5MR), full immunisation coverage, institutional deliveries.

Among the smaller states, Mizoram ranked first followed by Manipur and Goa. Among Union Territories or UTs, Lakshadweep showed both the best overall performance as well as the highest annual incremental performance. Releasing the report, NITI Aayog CEO Amitabh Kant said the government think tank believes that the Health Index will act as a tool to leverage co-operative and competitive federalism, accelerating the pace of achieving health outcomes. Kant further said: "By June this year, we would take out the ranking of 730 district hospitals based on their performance. We want to encourage the good performers and name and shame those who don't." NITI Aayog member Vinod Kumar Paul said that absolute and incremental changes in health outcomes, as measured by the Health Index, promote cross-learning between states, capturing the very spirit of cooperative & competitive federalism.

Health and Family Welfare Secretary Preeti Sudan said her ministry will soon announce the linked incentives for states which have performed better on Health Index. World Bank India Country Director Junaid Ahmad said that India is the only large country which has done this kind of exercise and the index developed by NITI Aayog and World Bank has global implication. 

According to a NITI Aayog statement, the ranking was done under three categories -- larger states, smaller States and UTs to ensure comparison among similar entities. The three indicators which were factored while ranking the states are Health Outcomes (70 per cent), Governance and Information (12 per cent) and Key Inputs and Processes (18 per cent), with each domain assigned a weight based on its importance. The statement said that there was a large gap in overall performance between the best and the least performing states and UTs.

"In the reference year (2015-16) among the larger states, the index scope for overall performances ranged widely between 33.69 in Uttar Pradesh to 76.55 in Kerala," it said. The Index is expected to nudge states towards further achieving a rapid transformation of their health systems and population health outcomes, it added.

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Bhageeratha Bhaira
 - 
Friday, 9 Feb 2018

Ohhh!!! Modiji’s Somalia tops and Ram Rajya flops...

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News Network
February 13,2020

Mangaluru, Feb 13: The Customs Officers of Airport Team-II at Mangalore International Airport (MIA) on Thursday intercepted a passenger who attempted to smuggle gold worth Rs 9.39 lakhs.

The team led by Rajesh Poojary nabbed the passenger who attempted to smuggle 233.18 grams of gold strips concealed inside a rechargeable emergency light and solar sensor wall light.

The officials said a passenger named Mohammed Mahir Patla (24) from Kasaragod, who arrived from Dubai yesterday evening by Air India flight number IX384 attempted to smuggle the gold.

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News Network
June 20,2020

Bengaluru, Jun 20: The Karnataka Health Department has issued guidelines on the admission of COVID-19 patients in private hospitals after clinical assessment, mandating that the district surveillance officer (DSO) should be first informed to initiate further procedures, an official said on Friday.

"A health team sent by the DSO should visit the home or hospital where the patient is staying. The team should conduct a rapid assessment of his or her health condition," said Karnataka's Additional Chief Secretary Jawaid Akhtar.

In the rapid health condition assessment, the team should first check the patient's body temperature, followed by SpO2 (oxygen saturation) level and confirm if there are any comorbidities such as hypertension, diabetes, tuberculosis, HIV, cancer, stroke etc.

Depending on the health condition of patients, Akhtar said, two categories have been made.

"Those who have body temperature greater than 37.5 degrees Celsius, SpO2 level below 94 percent, elderly (above 60 years) and suffering from known comorbid conditions should be taken to a dedicated Covid hospital (DCH)," he said.

"All other patients, even if older but not suffering from co-morbidities, those below 60 and suffering from co-morbidities and asymptomatic cases should be taken to a dedicated Covid health centre (DCHC) or a private hospital as opted by the patient," he added.

Private hospitals have been asked to pitch in due to the rising number of cases in Karnataka. Currently, there are 2943 active cases in the state after 337 cases were reported on Friday.

"The patients are assessed clinically and evaluated at DCHCs or private hospitals with appropriate diagnostic tests. After evaluation, if the patients are asymptomatic, they are shifted to a COVID Care Centre (CCC) for further management," said Akhtar.

CCCs are expected to be equipped with ventilated rooms, pulse oximeters, handheld thermal scanners and blood pressure apparatus.

A nurse has to be present round the clock for every 50 patients and should visit each patient twice a day for assessment whereas the medical officer has to visit the CCC once a day. He should also be available on call in case of an emergency.

Staff serving food and others should wear personal protective equipment and an N-95 mask. Explaining the procedures at DCHCs, Akhtar said general examinations for medical conditions like body temperature, BP, pulse, oxygen saturation and urine output should be in place.

Investigations such as complete blood count, fasting blood sugar, random blood sugar, liver function tests, renal function tests, ECG and chest X-ray facilities should be available.

"DCHCs should ensure that above examinations are over in an orderly timeline of 24 hours and depending on the examination, the patient is continued to be lodged at the DCHC or sent to DCH or CCC," said the senior officer.

Likewise, the discharge policy should be done as per the protocols issued by the Health Department from time to time.

The Karnataka government is yet to fix an upper limit on the cost of treating COVID-19 patients in private hospitals. While reports indicated that this could be capped at Rs 5200 per day, health officials are yet to specify this is the case. Private hospitals in the state have asked the government to take a collaborative approach in deciding the fixed cap on treatment cost.

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News Network
April 23,2020

Bengaluru, Apr 23: Nine new COVID-19 positive cases have been reported in Karnataka in the last 24 hours.

Out of these nine coronavirus positive cases, five have been reported from Kalaburagi and two each from Mysuru and Bengaluru.

According to the government of Karnataka, the total number of positive cases in the State now stands at 427 including 131 cured or discharged cases and 17 deaths.

The total number of positive coronavirus cases across the country are 19,984, including 15,474 active cases of the virus. So far, 3,869 patients have either been cured or discharged while 640 deaths have been recorded in the country, as per data provided by the Union Ministry of Health and Family Welfare.

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