New Delhi: Kerala has secured the first position in terms of overall health performance in NITI Aayog's second health index. Uttar Pradesh is marked as the worst, according to a NITI Aayog report.

In the report prepared by the government’s think tank, Andhra Pradesh and Maharashtra have emerged as the second and third best performers, respectively, on health parameters.

The health index is a composite measure of States and Union Territories based on 23 health indicators with major weightage to the outcomes.

Among larger states, Haryana, Rajasthan and Jharkhand were the top three states in terms of incremental performances, according to the report.

In February 2018, 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).

The report has been prepared in collaboration with the Ministry of Health and Family Welfare with technical assistance from the World Bank.