India’s First SHRESTH Index Enhancing State Health Regulatory Excellence

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On 12 August 2025, the Union Health Ministry launched the SHRESTH Index, a groundbreaking initiative to enhance state drug regulatory systems transparently and efficiently, ensuring drug safety for all Indians.

Overview:

The SHRESTH Index, introduced by the Union Health Ministry, is a pioneering step towards strengthening state drug regulatory systems in India. It aims to ensure the safety and efficacy of medicines through a transparent and data-driven approach, benefiting citizens across the country.

Why SHRESTH Was Needed:

  • India’s pharmaceutical sector is globally renowned for supplying affordable drugs.
  • Non-uniform regulatory capacities at the state level necessitated a standardized evaluation system.
  • SHRESTH builds on past successes to enhance drug regulation.

Understanding SHRESTH:

SHRESTH, or the State Health Regulatory Excellence Index, serves as a tool to assess and enhance state drug regulatory systems. Its key functions include:

  • Benchmarking performance of state drug regulatory authorities.
  • Identifying gaps in human resources, infrastructure, licensing, surveillance, and responsiveness.
  • Guiding states towards global standards certification.

Framework & Implementation:

The Central Drugs Standard Control Organization (CDSCO) will manage SHRESTH, categorizing states into Manufacturing and Distribution States/UTs. Key details include:

  • Manufacturing States evaluated on 27 indices under five themes.
  • Primarily Distribution States/UTs assessed on 23 indices.
  • Data submission and ranking process outlined for transparency and accountability.

Significance for Public Health:

Union Health Secretary Smt. Punya Salila Srivastava highlighted the importance of SHRESTH in safeguarding public health through enhanced medicine quality. The index aims to:

  • Strengthen regulatory systems.
  • Enhance consumer trust in medicines.
  • Ensure uniform implementation of the Drugs and Cosmetics Act.
  • Encourage best practice sharing among states.

Additional Initiatives:

  • Expansion of the Not of Standard Quality (NSQ) Dashboard nationwide.
  • Conducting a National Symposium on Drugs Regulatory Systems.
  • Facilitating joint trainings and audits for regulatory staff.
  • Organizing capacity-building workshops to align state systems with global standards.

Key Takeaways for Competitive Exams:

  • SHRESTH Index introduced by Union Health Ministry to enhance state drug regulatory systems.
  • Designed to ensure drug safety through a transparent, data-driven framework.
  • SHRESTH aims to strengthen regulatory systems, improve consumer trust in medicines, and promote uniform implementation of regulations.
  • Additional initiatives include expanding the NSQ Dashboard, organizing training programs, and fostering best practice sharing.


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