SHRESTH Index for Drug Regulation

On 12th August 2025, the Union Health Ministry launched the State Health Regulatory Excellence Index (SHRESTH) to benchmark and strengthen state drug regulatory systems through a transparent, data-driven framework.

  • The initiative focuses on improving human resources, infrastructure, and digitisation in drug regulatory systems while promoting cross-learning and the adoption of best practices among states.
  • Developed by the Central Drugs Standard Control Organisation (CDSCO) in consultation with states, the index will rank them in two categories — manufacturing states and primarily distribution states/UTs.
  • Manufacturing states will be evaluated on 27 parameters across five themes — human resources, infrastructure, licensing, surveillance, and ....
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