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State Health Regulatory Excellence Index Launched (SHRESTH)

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Context:

The Union Ministry of Health & Family Welfare, through the Central Drugs Standard Control Organization (CDSCO), has launched SHRESTH – the State Health Regulatory Excellence Index, India’s first national framework to benchmark and strengthen state drug regulatory systems via transparent, data-driven evaluation.

Key Highlights:

  • What is SHRESTH?
    • A virtual gap assessment tool to evaluate, rank, and improve state/UT drug regulatory authorities.
    • Ensures medicine safety, quality, and efficacy in line with WHO standards.
  • Objectives
    • Benchmark state drug regulatory systems.
    • Target improvements in human resources, infrastructure, and digitisation.
    • Enhance public trust in medicines made and distributed in India.
  • Evaluation Criteria
    • Manufacturing States: 27 indicators under 5 themes – Human Resources, Infrastructure, Licensing, Surveillance, Responsiveness.
    • Distribution States/UTs: 23 indicators under the same themes.
    • Monthly: States submit data to CDSCO → scored → feedback loop.
  • Key Features
    • Two-tier categorisation: Manufacturing States & Distribution States/UTs.
    • Continuous improvement via monthly rankings and updates.
    • WHO-aligned to move towards ML3-equivalent global standards.
    • Cross-learning platform for sharing success stories.
    • Regulatory harmonisation for uniform Drugs & Cosmetics Act enforcement across India.

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