Niti Aayog, along with the health ministry, has started ranking district hospitals on the basis of their performance on health indicators in order to initiate competition and make government hospitals improve health services. This move will also provide an evidence base and help identify hospitals that need to be incentivized. Along with the 700 district hospitals that are providing secondary healthcare facilities to people, 300 other hospitals, such as women's hospitals at the district level, will also be rated. It is being speculated that this decision has been taken as the government believed that despite large amounts of money being allocated to these hospitals which have a critical role in providing healthcare, there was no comprehensive system to assess their performance based on measurable health outcomes. The indicators on which the performance will be measured include OPD per doctor, number of laboratory tests per technician, stockout rate of essential drugs, bed occupancy rate, C-section rate, blood bank replacement rate and post-surgical infection rate, number of functional hospital beds per 1,00,000 population, ratio of doctors, nurses and paramedical staff. A high weightage has been assigned for patient satisfaction score.