In recent past, India?s healthcare delivery services evaluation had transformed radically and new initiatives are being launched. Healthy States Progressive India ranking based on Health index particularly reflects any region?s health indices at various levels. In Healthy States Progressive India (HSPI) report of 2017 HP was ranked 5th in achievers section with overall composite scores of 61.20 on various health outcome indicators. HP achieved overall 5th position among larger states section in first such report. Now according to HSPI-II Himachal Pradesh slips marginally to 6th overall rank with composite index score of 62.41, although well placed under front runner section among larger states. To elaborate, input indicator such as proportion of ANMs positions vacant at sub-centre level had deteriorated markedly in currently released report from NITI Aayog. Vacancy of health worker at primary care level had increased double fold with indicator score of 22.58 only which itself is a big concern. HP had reflected poor performance with incremental indicator value of (-15.85) as per report based on HMIS for full immunization coverage. Immediate attention with adequate human resource allocation of ANMs and staff nurses, medical officers at sub centre, PHCs , CHCs is need of hour.