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How quickly can India’s poorest performing districts show improvement in human development indicators? To this end, NITI Aayog, with the assistance of USAID-funded HFG, hopes to rapidly improve the key health outcomes for RMNCH+A. This document outlines the process adopted to develop and implement the Health Performance Index. Indicators for outcomes on accessibility, quality, administration of health services, and methods for implementing a web-based portal for data entry and visualization have been compiled. The report also documents the mentorship support provided to the states for sharing relevant data. This document can be referred to by the state health departments to strengthen the delivery and monitoring of RMNCH+A programs.