Objective To construct a healthy village monitoring index system in Zhejiang province and provide scientific reference for the competent departments to monitor the progress in healthy village construction.

Methods From May to September 2024, one healthy village was randomly selected from each of the 11 prefecture-level cities in Zhejiang province for on-site research to assess the current status of healthy village construction, and a pool of indexes for monitoring healthy village in Zhejiang province was established by combining the analysis of the related policies and literature and the results of expert discussion. From October to December 2024, the Delphi method was employed to carry out two rounds of consultation with 20 experts in related fields to determine the monitoring index system. The analytic hierarchy process (AHP) was adopted to complete the weighting design of the index system.

Results The first and second rounds of Delphi expert consultation showed the positive coefficients of experts being 86.96% and 100%, the proportion of experts giving opinions being 70% and 20%, and the coefficients of expert authority being 0.848 and 0.878, the Kendall’s harmony coefficients of index importance being 0.386 and 0.419, and the Kendall’s harmony coefficients of index operability being 0.350 and 0.369 (all P < 0.05). The consistency ratio (CR) of the AHP judgment matrix was less than 0.1. Finally, a healthy village monitoring index system of Zhejiang province was formed, consisting of 6 first-level indicators, 17 second-level indicators, and 55 third-level indicators, which showed the weights of 0.073 8 to 0.253 5, 0.022 0 to 0.126 8, and 0.001 5 to 0.084 5, respectively.

Conclusions The healthy village monitoring index system in Zhejiang province that is constructed in this study is in line with the characteristics of healthy village construction in Zhejiang province and can provide reference for the competent authorities to carry out the monitoring of construction progress.