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India’s geographical landscape is vast, cultural differences can be sharp, and income disparities are stark in certain regions. Access to healthcare, therefore, is varied and the on-ground gaps and challenges are complex. The NITI Aayog Health Index is an attempt by the current government to formulate a mechanism to monitor at the sub-national level the country’s performance in improving healthcare. This paper uses the findings of the Health

In December 2020, the government released the results of the National Family Health Survey (NFHS) 5 for 2019-20, covering 22 states and Union Territories (UTs). Contrary to expectations, NFHS5 found an increase in the percentage of stunted children in 13 states and UTs, compared to the results of NFHS4. This paper analyses such reversal of the three-decadal progress that India had previously made in reducing stunting in children. It analy

This paper creates an index to track the achievement of UN Sustainable Development Goal 6 (SDG 6: Clean Water and Sanitation) across India’s states. The SDG 6 index incorporates both supply-side indicators and demand management variables, as well as institutional interventions. In this paper, state-wise indices are constructed to identify their respective performances in the domains of access to clean water and provision of sanitation facilitie

The situation in Afghanistan is grim. There is a tendency to confuse random acts of violence with the instability caused by the the Taliban or the neo-Taliban. An analysis of the violent incidents in Afghanistan in the past few years has revealed that more than two-thirds of the violence has been related to land, resources or power-politics, pointing towards unequal sharing of power at the sub-national level. A round-table discussion on Afghanis

West Bengal is conducting a massive, potentially historic eight-phase state legislative assembly election between March and April 2021. This paper gives a historical account of the different factors that are influencing the conduct of the elections, including the economic challenges facing the state, unabated political violence, and the plight of religious minorities. It also examines so-called ‘Hindu nationalist’ and ‘Bengali sub-n

India has achieved better Covid-19 vaccine coverage than most other countries in its income class, aided mainly by domestic production capacity and the government’s decision to offer the vaccines to the adult population for free. There are stark sub-national differences, however, in the pace and coverage of the vaccine rollout. This special report tells the story of the district of Raigarh in Chhattisgarh—one of the low-income, Empowered Acti

India has made progress in digital health, including in telemedicine and creating platforms such as Co-WIN for the COVID-19 vaccination rollout. These initiatives demonstrate the benefits of technology in enhancing the availability and affordability of, and access to healthcare services. This report examines the challenges that continue to stall the reduction of maternal deaths in India. It uses the case of Madhya Pradesh, the sta

Climate adaptation has been at the forefront of UN climate negotiations over the past decade, given the increasing frequency of extreme weather events at the global, national, and sub-national levels. Climate vulnerability and risk assessments (VRA) are essential for adaptation planning, as they help identify areas, populations, and systems that are most at-risk from the impacts of climate change. They can also be used as a tool to develop adapta

Public education is a tool for human capital formation. In India, even as private institutions provide an option, a majority of students attend public schooling; yet, private-school students continue to outperform their public-school counterparts. Using parameters associated with Goal 4 of the Sustainable Development Goals (SDG 4 – Quality Education), this paper estimates the sub-national level state of public education in India by constructing

This paper projects the nationwide and state-wise size of India’s Unified Payments Interface (UPI) market under various GDP growth scenarios. The market sizes under these scenarios are expressed in monetary values at the scale of both sub-national units and the Indian economy as a whole. With the help of transactions and market share data from Phonepe, a UPI company, the paper estimates the national and state-wise base case scenario market volu

As the frequency and impacts of climate events increase, demand for adaptation at the local level becomes urgent. The adaptation finance received from developing and least- developed countries is estimated to be less than USD 25 billion per year, which is exponentially less than the required amount of USD 215 billion per year. Further, the evidence indicates that less than 10% of global climate finance reaches the local level. Local communities l

As India, China, US and the European Union grapple with the need for equitable and meaningful climate action, strategies are also needed to address the differing needs and capabilities of the sub-national entities that make up these big players.

दुनिया भर में मौसम की घटनाओं और जलवायु परिवर्तन से होने वाली आपदाएं बार-बार और ख़तरनाक रूप से हो रही हैं. इसका विशेष रूप से उप-राष्ट्रीय (सब-नेशनल) संस्थाओं जैसे शहरों और स्थ�

जलवायु परिवर्तन पर अंतर-सरकारी पैनल (IPCC) की ताज़ा रिपोर्ट में ग्लोबल वॉर्मिंग के चलते जलवायु से जुड़े जोख़िमों की चेतावनी दी गई है. रिपोर्ट के मुताबिक ये ख़तरे ग़ैर-जलवायु ज�