chandigarh punjab has been adjudged as best state in the region in terms of overall health performance in the fourth edition of the state health index for the year 201920 released by the government thinktank niti aayog on mondaypunjab has improved its overall ranking to eighth position with the composite index score of 5808 from the ninth position in the base year 2018195634 index score punjab has been placed among the states achieving positive incremental performance whereas the neighbouring states of haryana and himachal pradesh have shown negative incremental performance as per the health index haryana continues to retain the 11th position with 4926 index score whereas the hill state of himachal pradesh declined to the seventh position 6317 index score from its earlier sixth position 6323 index score in the base year 201819kerala continues to top the chart with the index score of 8220 and uttar pradesh is at the bottom with the index score of 3037 in the overall health performance among the 19 larger states of the countrypunjab haryana and himachal pradesh fall in the category of achievers belonging to the middle onethird score range in the health indexamong the union territories chandigarh has slided from the first position in 201819 to the second position in 201920 scoring composite index score of 6253 whereas dadra and nagar haveli and daman and diu ut has improved its rank from second to first with 1222 points chandigarh registered the largest decline in health outcome domain index score among the union territoriesthe state health index report is prepared after comparison of select indicators in three domains namely the health outcomes governance and key inputs and process