Index on Quality of Life for Elderly: State-Wise Analysis of the Well-Being of Our Elderly Population

Business Wire India

  • Rajasthan (54.61), Himachal Pradesh (61.04), Mizoram (59.79) and Chandigarh (61.81) have topped the ranking in Aged States, Relatively-Aged States, North Eastern States and Union Territories categories, respectively.
  • North-western and the north-eastern parts of the country have performed well, whereas Southern part of the county seems to be lagging behind
The Chairman at Economic Advisory Council to the Prime Minister, Dr. Bibek Debroy released the Index on Quality of Life for Elderly today, submitted by the Institute for Competitiveness. The report is a first of its kind in establishing a complete understanding of the elderly population around India’s States and Union territories.

Population ageing is a critical yet overlooked development issue. The scale and pace of demographic change compel increased attention to ageing populations. According to Longitudinal Ageing Study in India (LASI), the number of Indians aged above 60 will triple from the current 104 million to around 319 million by 2050. The index emphasizes that if we want our elderly to experience a quality life, India will have to act now.

The Index assesses the well-being of the elderly on the basis of 45 different indicators spread across four pillars and eight sub-pillars. Financial Well-being, Social Well-being, Health system and Income security are the four pillars, and Economic Empowerment, Educational Attainment & Employment, Social Status, Physical Security, Basic Health, Psychological Wellbeing, Social Security, and Enabling Environment are the sub-pillars.

To ensure fair ranking, states and union territories are divided into four categories: Aged States (having above 5 million elderly population), Relatively Aged States (having below 5 million elderly population), Northeastern States and Union Territories. Rajasthan (54.61), Himachal Pradesh (61.04), Mizoram (59.79) and Chandigarh (61.81) have topped the ranking in each of these categories, respectively.

What scores have to say about the state performances

As per the index scores, North-western and North-eastern parts of the country have performed well, whereas the Southern part of the county seems to be lagging behind.  Mizoram (59.79), Uttarakhand (59.47) and Chandigarh (61.81) are some of the better performing states and UT. States like Andhra Pradesh (44.37), Karnataka (46.92), and some eastern/north-eastern states have scored low.

Barring Arunachal Pradesh, all poorest performing states are the Aged States, thus making it the lowest scoring category. Rajasthan (54.61), Maharashtra (53.31) and Bihar (51.82) are the top three scorers among the Aged states.

Most of the Northeastern States have performed well, with the exception of Tripura (49.18) and Arunachal Pradesh (39.28), that have scored below 50. States in this category have performed well in the Health System and Social Well-being but lag behind in the Income Security pillar. Union Territories have also shown commendable performance in almost all pillars.

Except for Jammu and Kashmir (46.16), all other UTs have scores above 53, with Chandigarh (61.81) being at the top followed by Dadra and Nagar Haveli (58.58). However, the Financial Well-being score (38.22) of Dadar and Nagar Haveli is the lowest in this category.

Pillar-wise national-level analysis

Health System has shown the best performance among all the pillars, with 63.8% of the states and union territories scoring more than the national average (66.97) in the pillar. Social Well-being pillar follows second, with a national average score of 62.23.

The remaining pillars, Financial Well-Being and Income Security have scored the lowest, securing a national average of 44.98 and 33.03, respectively. The lowest national average for the Income Security pillar indicates the lack of income among the older population, which can lead to other forms of deprivation and experience of discrimination, humiliation, and rejection among our elderly.

The findings of the report warrant that the governments as well as other stakeholders take adequate measures to ensure income security among the elderly. Initiatives for skill-building or reskilling of our elderly population are also imperative for enabling them to participate in economic activities.

Key Policy Recommendations

This index attempts to broaden the way we understand the needs and opportunities of the elderly population in India. Income support remains an essential concern, but there are other areas too that India needs to work upon to improve our older generations’ life.

Based on the aforementioned findings, the report suggests the following key interventions: –

  • Increasing retirement age backed by social action
  • Improving digital literacy and food security programmes
  • Increase income security coverage of existing pension schemes
  • Universal Pension Income for elderly in Aspiration District Programme (ADP) districts
  • Subsidized health care and services
  • Government-owned old-age homes with more than bare-minimum facilities
  • CSR for enhancing the quality of life of the elderly
  • Reskilling the elderly workforce

At the release of the index, Dr. Bibek Debroy, Chairman at EAC-PM, stressed on the need for timely action, “There is a stock of the aged and the flow of the aged. The youth of today, who will be the flow of the aged in the future will have to plan for their income security in their old age.” 

Chief India Economist at JP Morgan, Dr. Sajjid Chinoy commended the Index, “As someone famously said, what you cannot measure you cannot improve. It is a simple index, which is a great starting point in thinking about the macroeconomic implications of this demographic transition.”

“The definition of elderly is shifting, because recent research shows that the most productive years in one’s lifetime are within 60 to 70 years, followed by 70 to 80 years, and 50 to 60 years, respectively. So, we must understand what we consider elderly today might be your most valuable resource,” Dr. Didar Singh remarked on the policy suggestions regarding increase in retirement age and reskilling of the elderly.

The esteemed panelists also discussed the fiscal challenges of ageing and concurred that higher taxation is key to ensure income security of the elderly in the future as informal systems of financial support come under greater pressure. 

“More often, ageing population is perceived as a detriment to economic growth, which is not true. Older adults are more experienced, wiser and know how to solve problems. The challenge is not the advancing age of our younger generation today; instead, the real challenge is to find a positive narrative that undercuts the negativity and transform our ageing people into an asset,” stated Dr. Amit Kapoor, Honorary Chairman, Institute for Competitiveness.

Category-Wise Rankings of Quality of Life for Elderly scores:

Aged States
States Scores Overall Ranking
Rajasthan 54.61 1
Maharashtra 53.31 2
Bihar 51.82 3
Tamil Nadu 47.93 4
Madhya Pradesh 47.11 5
Karnataka 46.92 6
Uttar Pradesh 46.80 7
Andhra Pradesh 44.37 8
West Bengal 41.01 9
Telangana 38.19 10


Relatively Aged States
States Scores Overall Ranking
Himachal Pradesh 61.04 1
Uttarakhand 59.47 2
Haryana 58.16 3
Odisha 53.95 4
Jharkhand 53.40 5
Goa 52.56 6
Kerala 51.49 7
Punjab 50.87 8
Chhattisgarh 49.78 9
Gujarat 49.00 10


North-Eastern States
States Scores Overall Ranking
Mizoram 59.79 1
Meghalaya 56.00 2
Manipur 55.71 3
Assam 53.13 4
Sikkim 50.82 5
Nagaland 50.77 6
Tripura 49.18 7
Arunachal Pradesh 39.28 8


Union Territories
States Scores Overall Ranking
Chandigarh 61.81 1
Dadra and Nagar Haveli 58.58 2
Andaman & Nicobar Islands 55.54 3
Delhi 54.39 4
Lakshadweep 53.79 5
Daman and Diu 53.28 6
Puducherry 53.03 7
Jammu and Kashmir 46.16 8


Key Highlights :
  • Health System is the best performing pillar, followed by Social Well-being, whereas Financial Well-being and Income Security exhibit low scores.  
  • Rajasthan and Himachal Pradesh are top-scoring regions in Aged and Relatively Aged states, respectively. Chandigarh and Mizoram are the top-scoring regions in Union Territory and Northeast state category, respectively.
  • Key policy recommendations include increasing the retirement age, reskilling the elderly population, introducing Universal Pension Income for elderly in Aspiration District Programme (ADP) districts, among others.