The development scenario in Jammu and Kashmir has not been able to come out of lethargic development. Today we have partnership government of PDP-BJP which has come out from earlier hick-ups and today it is on stable keel. Niti Ayog recently has said Jammu and Kashmir has showed the maximum gains in improvement of health outcomes from base to reference year in indicators such as Neonatal Mortality Rate (NMR), Under-five Mortality Rate (U5MR), full immunisation coverage, institutional deliveries, and People Living with HIV (PLHIV) on Anti-Retroviral Therapy (ART). Besides Jammu and Kashmir others who figure in the top list include Jharkhand and Uttar Pradesh. Development cannot be taken in isolation. The development saga has to have states as partners and it depends upon the cordiality of the Centre-State relations they have. Health Index has been developed as a tool to leverage co-operative and competitive federalism to accelerate the pace of achieving health outcomes. It would also serve as an instrument for “nudging” States and Union Territories (UTs) and the Central Ministries to a much greater focus on output and outcome based measurement of annual performance than the current practice. With the annual publication of the Index and its availability on public domain on a dynamic basis, it is expected to keep every stakeholder alert to the achievement of Sustainable Development Goals (SDGs) Goal number 3. A visit to government medical institutions in Jammu and Kashmir tells another story where patients rue about doctors non-availability in some cases even emergency cases remain unattended. Most of clinical tests one has to get it done from outside as the facility in the Govt hospitals is non-functional. Even at times patients have to get some of life-saving drugs from the open market even if it is available but goes to doctors’ choice and not for general people. One fails to understand where are those parameters to decide the standards.
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