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Achievements in the year 2017-18

I. NITI Aayog 3 year Action Agenda- Chapter on Health

The Three- year Action Agenda was developed as the first part of the larger 15 year Vision for India. Inputs were received from academia, development partners, donor agencies, civil-society organizations and the States through consultations and written content. Accordingly, priority actions to be undertaken over the next three years were outlined under the following themes:

  1. Public and Preventive Health

  2. Assurance of Health Care

  3.  Fiscal Transfers for better Health Outcomes

  4. Human Resources for Health

  5. Access to Medicines

  6. Health Research 


II. Reforms in the Medical Council of India.

During the review of health Sector in March 2016, Hon’ble PM constituted a Committee under the Chairmanship of Vice Chairman, NITI Aayog and comprising Additional Principal Secretary to Prime Minister, CEO, NITI Aayog and Secretary, Health to examine all options for reforms in the Medical Council of India and suggest a way forward.

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The Committee sought views and suggestions of various experts including eminent physicians and surgeons; former Secretaries to the Government of India, Department of Health and Family Welfare; public health experts; President/Vice-President and other Members of the MCI; representatives of the State Governments; and lawyers. The draft “National Medical Commission Bill” was prepared by the Committee after deliberations. After extensive deliberations, the Committee finalized the draft National Medical Commission Bill for replacing the Medical Council of India with the proposed National Medical Commission. The bill has been approved by the Union Cabinet.


III. Assessing the Performance of States on Health Outcomes -Performance on Health Outcome Index

 In order to bring about transformational change in population Health through a spirit of co-operative and competitive federalism, NITI Aayog has spear headed the Health index initiative, to measure the annual performance of States and UTs, and rank States on the basis of change, while also providing an overall status of States’ performance.

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The index comprises a limited set of indicators in three domains- outcomes, governance & information and key inputs/processes. The index was developed through an iterative process in consultation with the MoHFW, States & UTs, domestic and international sector experts, and development partners, in addition to a pre-test in two States for data availability. States were sensitized on the indicator definitions, data sources and process for data submission through a series of regional workshops. Mentors were provided to States, particularly the EAG States, North Eastern States and those that requested mentors. Data was submitted by States on the online portal hosted by NITI, and data from sources in the public domain was pre-filled. This data was then validated by an independent third party agency and validated data was used as the input into automated generation of index values and ranks on the portal. The exercise sets the foundation for a systematic output and outcome based performance measurement. It is envisaged that this tool will propel States towards undertaking multi-pronged interventions that will bring about the much desired optimal population health outcomes. The results of the Index will be accessible on


IV. Sustainable Action for Transforming Human Capital (SATH) programme:


V. NITI Aayog has launched the Development of Support Services for States (DSSS) rechristened as SATH Programme for transforming the health sector, to foster cooperative federalism through structured support initiatives with States on a continuous basis.

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The objectives are to identify future role model States through a well-defined process, create best practice models in the chosen states and collate and disseminate implementation models. It is a unique, one of its kind program designed to   initiate transformation of the health systems of three States over a 3 year period.

A consortium of technical partners comprising McKinsey & Company and IPE Global, who have been selected through a competitive process have been providing services under the programme. The   three states which have been selected under the programme are Uttar Pradesh, Karnataka and Assam.


VI. Developing model concession agreements for the provision of prevention and treatment services for Non-Communicable diseases at the district level on PPP mode

 NITI Aayog has been mandated to develop model concession agreements for the provision of prevention and treatment services for Non-Communicable diseases namely Cardiac Sciences, Oncology, and Pulmonary Sciences at the district level on PPP mode, with a focus on Tier II and Tier III cities.

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As part of the exercise, consultation with stakeholders such as Industry, MoHFW and States have been carried out and Working Groups comprising representation from Industry, MoHFW and States have been constituted to provide inputs on developing model concession agreements for the provision of prevention and treatment services for Non-Communicable diseases at the district level on PPP mode. . The draft MCA has been developed and has been shared with States and hosted on NITI’s website to seek public opinion.


VII. Tracking the performance of District hospitals

During the review of health Sector in March, 2016 by the Hon’ble Prime Minister, it was decided that an online portal for tracking the performance of government hospitals based on outcome metrics be created and NITI was mandated to create the framework.

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It has been felt that despite large funding allocation for District Hospitals, as well as their critical role in healthcare provision, there is no comprehensive system to assess their performance based upon their outcomes. In order to undertake this exercise, consultations with stakeholders such as Ministry of Health & Family Welfare, State Govts., WHO have taken place. The framework has been designed to determine the holistic assessment of hospitals. It includes selected indicators based on which performance of district hospitals would be measured. Indian Statistical Institute has been selected to develop portal and use analytics for assessing the performance of district hospitals. This will be simultaneously followed by validation of the data in the field through a third party validation agency.


VIII. Reforms in Pharma sector:

As mandated during the meeting on ‘Review of Pharma Issues’ held in PMO in March 2017, CEO, NITI had chaired a committee to suggest changes in the proposal relating to the National Pharmaceutical Policy.

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NITI reviewed the draft policy and recommended the policy to be more inclusive and have linkages with National Health Policy 2017, Universal Health Care, AYUSH drugs, vaccines, rational use of Drugs, improving centralised government procurement, repurposing of pharma PSU with public private partnership for creating centres of excellence, emphasis on technology and e-governance, R&D and innovation. It also recommended encouraging growth of private pharmaceutical industry, facilitating ‘Make in India’, developmental approach for becoming a hub of Active Pharmaceutical Ingredients (APIs), Job creation, Skill development and Export promotion. It suggested having a forward looking policy creating opportunities for growth, a clear roadmap for establishing a robust public procurement system and strengthening of the quality assurance regulatory mechanism is required. NITI is also under the process of review of opportunities for growth of medical device sector.


IX. Evaluation of NIPERs:

 The Ministry of Finance had requested NITI Aayog to carry out an evaluation of the existing NIPERs and recommend a suitable roadmap, after undertaking the following exercise:

  • Evaluate the performance and utility of the existing NIPERs;

  • Appraise the financial requirement and recommend ways to make them completely self-financing;

  • Assess whether India currently needs more NIPERs or existing ones can be consolidated.


NIPERs are institutes set up under the aegis of the Department of Pharmaceuticals, Ministry of Chemicals and Fertilizers, Government of India. NITI had given a detailed evaluation report and interalia, recommended that the NIPERs need to re-engineer their business model and do an objective assessment of the outcomes to ensure highest standards of pharmaceutical education and research in the country.


X. Electronic Health Records

NITI Aayog is currently working on a creating a roadmap for implementing Electronic Health Records (EHR) across India. The envisioned EHR system will help create a longitudinal medical record for every individual and enable sharing of the same across health facilities. This will not only improve the quality and efficiency of healthcare delivery but also assist in public policy formulation and medical research by providing rich insights through health informatics. As part of the project, NITI Aayog is looking at the IT requirements, defining data privacy and security guidelines, ensuring inter-operability, establishing the institutional framework and measures to drive adoption of EHR systems.