In 2023, the total fertility rate in children per woman in India was 1.98. Between 1960 and 2023, the figure dropped by 3.94, though the decline followed an uneven course rather than a steady trajectory.

India fertility rate for 2025 is 2.11, a 0.8% decline from 2024.

<ul style='margin-top:20px;'>

<li>India fertility rate for 2024 was <strong>2.12</strong>, a <strong>7.44% increase</strong> from 2023.</li>
<li>India fertility rate for 2023 was <strong>1.98</strong>, a <strong>0.95% decline</strong> from 2022.</li>
<li>India fertility rate for 2022 was <strong>1.99</strong>, a <strong>0.99% decline</strong> from 2021.</li>
</ul>Total fertility rate represents the number of children that would be born to a woman if she were to live to the end of her childbearing years and bear children in accordance with age-specific fertility rates of the specified year.

India IN: Total Fertility Rate: Children per Woman data was reported at 2.030 Person in 2021. This records a decrease from the previous number of 2.050 Person for 2020. India IN: Total Fertility Rate: Children per Woman data is updated yearly, averaging 2.910 Person from Dec 1990 (Median) to 2021, with 32 observations. The data reached an all-time high of 4.040 Person in 1990 and a record low of 2.030 Person in 2021. India IN: Total Fertility Rate: Children per Woman data remains active status in CEIC and is reported by Organisation for Economic Co-operation and Development. The data is categorized under Global Database’s India – Table IN.OECD.GGI: Social: Demography: Non OECD Member: Annual.

The fertility rate of a country is the average number of children that women from that country will have throughout their reproductive years. From 1880 until 1970, India's fertility rate was very consistent, and women of this time had an average of 5.7 to six children over the course of their lifetime. In the second half of the twentieth century, the fertility rate dropped considerably, and has continued to drop in the 2000s. This decrease in the rate of fertility follows a common correlation between quality of life and fertility, where the fertility rate decreases as the standard of living improves. In 1947, after almost a century, the Indian independence movement finally achieved its goal, and India was able to self rule. From this point onwards, Indian socio-economic improvements led to a decreased fertility rate, which is expected to fall to 2.2 in 2020.

This statistic presents the results of a survey among households across north and central Indian states about the average number of children ever born to a woman in *******. Uttar Pradesh had the highest average with about ***** children per woman, while Delhi had the lowest in the region, with about *** children per woman during the survey period.

Data in table tells us about the year-wise National Family Health Survey- Main Findings.

Indicators used are: Population and Household Profile, Characteristics of Adults (age 15-49), Marriage and fertility, Infant and Child Mortality Rates (per 1,000 live births), Current Use of Family Planning Methods (currently married women age 15-49 years), Unmet Need for Family Planning (currently married women age 15-49 years), Quality of Family Planning Services, Maternal and Child Health includes- Maternity Care (for last birth in the 5 years before the survey), Delivery Care (for births in the 5 years before the survey), Treatment of Childhood Diseases (children under age 5 years), Child Feeding Practices and Nutritional Status of Children, Nutritional Status of Adults (age 15-49 years) includes- Anaemia among Children and Adults 15, Blood Sugar Level among Adults (age 15-49 years)16, Women Age 15-49 Years Who Have Ever Undergone Examinations of: Cervix, breast and oral cavity, Knowledge of HIV/AIDS among Adults (age 15-49 years), Women's Empowerment and Gender Based Violence (age 15-49 years) and Tobacco Use and Alcohol Consumption among Adults (age 15-49 years). NFHS-3 was calculated for 2005-2006 and NFHS-4 for 2015-16 for urban areas, rural areas and total separately.

The second National Family Health Survey (NFHS-2), conducted in 1998-99, provides information on fertility, mortality, family planning, and important aspects of nutrition, health, and health care. The International Institute for Population Sciences (IIPS) coordinated the survey, which collected information from a nationally representative sample of more than 90,000 ever-married women age 15-49. The NFHS-2 sample covers 99 percent of India's population living in all 26 states. This report is based on the survey data for 25 of the 26 states, however, since data collection in Tripura was delayed due to local problems in the state. IIPS also coordinated the first National Family Health Survey (NFHS-1) in 1992-93. Most of the types of information collected in NFHS-2 were also collected in the earlier survey, making it possible to identify trends over the intervening period of six and one-half years. In addition, the NFHS-2 questionnaire covered a number of new or expanded topics with important policy implications, such as reproductive health, women's autonomy, domestic violence, women's nutrition, anaemia, and salt iodization. The NFHS-2 survey was carried out in two phases. Ten states were surveyed in the first phase which began in November 1998 and the remaining states (except Tripura) were surveyed in the second phase which began in March 1999. The field staff collected information from 91,196 households in these 25 states and interviewed 89,199 eligible women in these households. In addition, the survey collected information on 32,393 children born in the three years preceding the survey. One health investigator on each survey team measured the height and weight of eligible women and children and took blood samples to assess the prevalence of anaemia. SUMMARY OF FINDINGS POPULATION CHARACTERISTICS Three-quarters (73 percent) of the population lives in rural areas. The age distribution is typical of populations that have recently experienced a fertility decline, with relatively low proportions in the younger and older age groups. Thirty-six percent of the population is below age 15, and 5 percent is age 65 and above. The sex ratio is 957 females for every 1,000 males in rural areas but only 928 females for every 1,000 males in urban areas, suggesting that more men than women have migrated to urban areas. The survey provides a variety of demographic and socioeconomic background information. In the country as a whole, 82 percent of household heads are Hindu, 12 percent are Muslim, 3 percent are Christian, and 2 percent are Sikh. Muslims live disproportionately in urban areas, where they comprise 15 percent of household heads. Nineteen percent of household heads belong to scheduled castes, 9 percent belong to scheduled tribes, and 32 percent belong to other backward classes (OBCs). Two-fifths of household heads do not belong to any of these groups. Questions about housing conditions and the standard of living of households indicate some improvements since the time of NFHS-1. Sixty percent of households in India now have electricity and 39 percent have piped drinking water compared with 51 percent and 33 percent, respectively, at the time of NFHS-1. Sixty-four percent of households have no toilet facility compared with 70 percent at the time of NFHS-1. About three-fourths (75 percent) of males and half (51 percent) of females age six and above are literate, an increase of 6-8 percentage points from literacy rates at the time of NFHS-1. The percentage of illiterate males varies from 6-7 percent in Mizoram and Kerala to 37 percent in Bihar and the percentage of illiterate females varies from 11 percent in Mizoram and 15 percent in Kerala to 65 percent in Bihar. Seventy-nine percent of children age 6-14 are attending school, up from 68 percent in NFHS-1. The proportion of children attending school has increased for all ages, particularly for girls, but girls continue to lag behind boys in school attendance. Moreover, the disparity in school attendance by sex grows with increasing age of children. At age 6-10, 85 percent of boys attend school compared with 78 percent of girls. By age 15-17, 58 percent of boys attend school compared with 40 percent of girls. The percentage of girls 6-17 attending school varies from 51 percent in Bihar and 56 percent in Rajasthan to over 90 percent in Himachal Pradesh and Kerala. Women in India tend to marry at an early age. Thirty-four percent of women age 15-19 are already married including 4 percent who are married but gauna has yet to be performed. These proportions are even higher in the rural areas. Older women are more likely than younger women to have married at an early age: 39 percent of women currently age 45-49 married before age 15 compared with 14 percent of women currently age 15-19. Although this indicates that the proportion of women who marry young is declining rapidly, half the women even in the age group 20-24 have married before reaching the legal minimum age of 18 years. On average, women are five years younger than the men they marry. The median age at marriage varies from about 15 years in Madhya Pradesh, Bihar, Uttar Pradesh, Rajasthan, and Andhra Pradesh to 23 years in Goa. As part of an increasing emphasis on gender issues, NFHS-2 asked women about their participation in household decisionmaking. In India, 91 percent of women are involved in decision-making on at least one of four selected topics. A much lower proportion (52 percent), however, are involved in making decisions about their own health care. There are large variations among states in India with regard to women's involvement in household decisionmaking. More than three out of four women are involved in decisions about their own health care in Himachal Pradesh, Meghalaya, and Punjab compared with about two out of five or less in Madhya Pradesh, Orissa, and Rajasthan. Thirty-nine percent of women do work other than housework, and more than two-thirds of these women work for cash. Only 41 percent of women who earn cash can decide independently how to spend the money that they earn. Forty-three percent of working women report that their earnings constitute at least half of total family earnings, including 18 percent who report that the family is entirely dependent on their earnings. Women's work-participation rates vary from 9 percent in Punjab and 13 percent in Haryana to 60-70 percent in Manipur, Nagaland, and Arunachal Pradesh. FERTILITY AND FAMILY PLANNING Fertility continues to decline in India. At current fertility levels, women will have an average of 2.9 children each throughout their childbearing years. The total fertility rate (TFR) is down from 3.4 children per woman at the time of NFHS-1, but is still well above the replacement level of just over two children per woman. There are large variations in fertility among the states in India. Goa and Kerala have attained below replacement level fertility and Karnataka, Himachal Pradesh, Tamil Nadu, and Punjab are at or close to replacement level fertility. By contrast, fertility is 3.3 or more children per woman in Meghalaya, Uttar Pradesh, Rajasthan, Nagaland, Bihar, and Madhya Pradesh. More than one-third to less than half of all births in these latter states are fourth or higher-order births compared with 7-9 percent of births in Kerala, Goa, and Tamil Nadu. Efforts to encourage the trend towards lower fertility might usefully focus on groups within the population that have higher fertility than average. In India, rural women and women from scheduled tribes and scheduled castes have somewhat higher fertility than other women, but fertility is particularly high for illiterate women, poor women, and Muslim women. Another striking feature is the high level of childbearing among young women. More than half of women age 20-49 had their first birth before reaching age 20, and women age 15-19 account for almost one-fifth of total fertility. Studies in India and elsewhere have shown that health and mortality risks increase when women give birth at such young ages?both for the women themselves and for their children. Family planning programmes focusing on women in this age group could make a significant impact on maternal and child health and help to reduce fertility. INFANT AND CHILD MORTALITY NFHS-2 provides estimates of infant and child mortality and examines factors associated with the survival of young children. During the five years preceding the survey, the infant mortality rate was 68 deaths at age 0-11 months per 1,000 live births, substantially lower than 79 per 1,000 in the five years preceding the NFHS-1 survey. The child mortality rate, 29 deaths at age 1-4 years per 1,000 children reaching age one, also declined from the corresponding rate of 33 per 1,000 in NFHS-1. Ninety-five children out of 1,000 born do not live to age five years. Expressed differently, 1 in 15 children die in the first year of life, and 1 in 11 die before reaching age five. Child-survival programmes might usefully focus on specific groups of children with particularly high infant and child mortality rates, such as children who live in rural areas, children whose mothers are illiterate, children belonging to scheduled castes or scheduled tribes, and children from poor households. Infant mortality rates are more than two and one-half times as high for women who did not receive any of the recommended types of maternity related medical care than for mothers who did receive all recommended types of care. HEALTH, HEALTH CARE, AND NUTRITION Promotion of maternal and child health has been one of the most important components of the Family Welfare Programme of the Government of India. One goal is for each pregnant woman to receive at least three antenatal check-ups plus two tetanus toxoid injections and a full course of iron and folic acid supplementation. In India, mothers of 65 percent of the children born in the three years preceding NFHS-2 received at least one antenatal

Total Fertility Rate may be defined as average number of children that would be born to a woman if she experiences the current fertility pattern throughout her reproductive span (15-49 years). The total fertility rate is a more direct measure of the level of fertility than the birth rate, since it refers to births per woman. This indicator shows the potential for population change in a country. A TFR of 2.1 i.e., two children per women is considered the replacement rate for a population, resulting in relative stability in terms of total population numbers. Rates above two children per woman indicate population growing in size and whose median age is declining. Rates below two children per woman indicate population decreasing in size and growing older. Office of Registrar General, India estates TFR annually through Sample Registration System, a large scales demographic Survey Conducted by them.

According to a 2020 survey of millennials in India, ** percent of respondents with a monthly household income of more than ****** Indian rupees reported that they aspired to have children. In comparison, ** percent of millennials with monthly household incomes less than 10,000 Indian rupees were interested in having children. The survey showed that those with lower incomes were less willing to have children.

Abstract

The Longitudinal Indian Family Health (LIFE) is a long-term research study that will examine socio-economic and environmental influences on children’s health and development in India. The main aim of the study is to understand the link between the environmental conditions in which Indian women conceive, go through their pregnancy and give birth, and their physical and mental health during this period.

The cohort comprises married women between 15 and 35 years of age (mean 22 years), recruited before pregnancy or in the first trimester of pregnancy, from 2009 to 2011. These CHVs focus on women in the village to ascertain pregnancy (by interview) and to educate and encourage the women to seek regular antenatal care and other health care services. REACH has enumerated all household members in these communities and mapped each dwelling by a geographical information system (GIS). During each visit, CHVs conduct interviews to collect and update information on demography and pregnancy. Since 2004, CHVs have been collecting data on infant deaths and birthweights in the population. Socio-demographic variables such as access to electricity, means of transportation and possession of audio-visual devices were collected from REACH database

Documentation

You can submit a proposal to collaborate with LIFE Study investigators. A written protocol must be submitted, reviewed and approved by the LIFE Data Sharing Plan Committee before initiation of new projects. For further information, contact Dr P. S. Reddy at [reddyps@verizon.net]. Updated information may be found on the research centre website at [www.sharefoundations.org].

Methodology

The LIFE study is being conducted in villages of Medchal Mandal, R.R.District, Telangana, India. Since 2009, 1227 women aged between 15 and 35 years were recruited before conception or within 14 weeks of gestation. Women were followed through pregnancy, delivery, and postpartum. Follow-up of children is ongoing. Baseline data were collected from husbands of 642 women.

Anthropometric measurements, biological samples and detailed questionnaire data were collected during registration, the first and third trimesters, delivery and at 1 month postpartum. Anthropometric measurements and health questionnaire data are obtained for each child, and a developmental assessment is done at 1, 6, 12, 18, 24, 36, 48 and 60 months. At 36 months, each child is screened for development and mental health problems. Questionnaires are completed for pregnancy loss and death of children under 5 years old. The LIFE Biobank preserves over 6000 samples.

Today, globally, women of childbearing age have an average of approximately 2.2 children over the course of their lifetime. In pre-industrial times, most women could expect to have somewhere between five and ten live births throughout their lifetime; however, the demographic transition then sees fertility rates fall significantly. Looking ahead, it is believed that the global fertility rate will fall below replacement level in the 2050s, which will eventually lead to population decline when life expectancy plateaus. Recent decades Between the 1950s and 1970s, the global fertility rate was roughly five children per woman - this was partly due to the post-WWII baby boom in many countries, on top of already-high rates in less-developed countries. The drop around 1960 can be attributed to China's "Great Leap Forward", where famine and disease in the world's most populous country saw the global fertility rate drop by roughly 0.5 children per woman. Between the 1970s and today, fertility rates fell consistently, although the rate of decline noticeably slowed as the baby boomer generation then began having their own children. Replacement level fertility Replacement level fertility, i.e. the number of children born per woman that a population needs for long-term stability, is approximately 2.1 children per woman. Populations may continue to grow naturally despite below-replacement level fertility, due to reduced mortality and increased life expectancy, however, these will plateau with time and then population decline will occur. It is believed that the global fertility rate will drop below replacement level in the mid-2050s, although improvements in healthcare and living standards will see population growth continue into the 2080s when the global population will then start falling.

Abstract

The National Family Health Survey 2019-21 (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India, each state/union territory (UT), and for 707 districts.

The primary objective of the 2019-21 round of National Family Health Surveys is to provide essential data on health and family welfare, as well as data on emerging issues in these areas, such as levels of fertility, infant and child mortality, maternal and child health, and other health and family welfare indicators by background characteristics at the national and state levels. Similar to NFHS-4, NFHS-5 also provides information on several emerging issues including perinatal mortality, high-risk sexual behaviour, safe injections, tuberculosis, noncommunicable diseases, and the use of emergency contraception.

The information collected through NFHS-5 is intended to assist policymakers and programme managers in setting benchmarks and examining progress over time in India’s health sector. Besides providing evidence on the effectiveness of ongoing programmes, NFHS-5 data will help to identify the need for new programmes in specific health areas.

The clinical, anthropometric, and biochemical (CAB) component of NFHS-5 is designed to provide vital estimates of the prevalence of malnutrition, anaemia, hypertension, high blood glucose levels, and waist and hip circumference, Vitamin D3, HbA1c, and malaria parasites through a series of biomarker tests and measurements.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15 to 54

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, all men age 15-54, and all children aged 0-5 resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

A uniform sample design, which is representative at the national, state/union territory, and district level, was adopted in each round of the survey. Each district is stratified into urban and rural areas. Each rural stratum is sub-stratified into smaller substrata which are created considering the village population and the percentage of the population belonging to scheduled castes and scheduled tribes (SC/ST). Within each explicit rural sampling stratum, a sample of villages was selected as Primary Sampling Units (PSUs); before the PSU selection, PSUs were sorted according to the literacy rate of women age 6+ years. Within each urban sampling stratum, a sample of Census Enumeration Blocks (CEBs) was selected as PSUs. Before the PSU selection, PSUs were sorted according to the percentage of SC/ST population. In the second stage of selection, a fixed number of 22 households per cluster was selected with an equal probability systematic selection from a newly created list of households in the selected PSUs. The list of households was created as a result of the mapping and household listing operation conducted in each selected PSU before the household selection in the second stage. In all, 30,456 Primary Sampling Units (PSUs) were selected across the country in NFHS-5 drawn from 707 districts as on March 31st 2017, of which fieldwork was completed in 30,198 PSUs.

For further details on sample design, see Section 1.2 of the final report.

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

Four survey schedules/questionnaires: Household, Woman, Man, and Biomarker were canvassed in 18 local languages using Computer Assisted Personal Interviewing (CAPI).

Cleaning operations

Electronic data collected in the 2019-21 National Family Health Survey were received on a daily basis via the SyncCloud system at the International Institute for Population Sciences, where the data were stored on a password-protected computer. Secondary editing of the data, which required resolution of computer-identified inconsistencies and coding of open-ended questions, was conducted in the field by the Field Agencies and at the Field Agencies central office, and IIPS checked the secondary edits before the dataset was finalized.

Field-check tables were produced by IIPS and the Field Agencies on a regular basis to identify certain types of errors that might have occurred in eliciting information and recording question responses. Information from the field-check tables on the performance of each fieldwork team and individual investigator was promptly shared with the Field Agencies during the fieldwork so that the performance of the teams could be improved, if required.

Response rate

A total of 664,972 households were selected for the sample, of which 653,144 were occupied. Among the occupied households, 636,699 were successfully interviewed, for a response rate of 98 percent.

In the interviewed households, 747,176 eligible women age 15-49 were identified for individual women’s interviews. Interviews were completed with 724,115 women, for a response rate of 97 percent. In all, there were 111,179 eligible men age 15-54 in households selected for the state module. Interviews were completed with 101,839 men, for a response rate of 92 percent.

In 2025, there are six countries, all in Sub-Saharan Africa, where the average woman of childbearing age can expect to have between 5-6 children throughout their lifetime. In fact, of the 20 countries in the world with the highest fertility rates, Afghanistan and Yemen are the only countries not found in Sub-Saharan Africa. High fertility rates in Africa With a fertility rate of almost six children per woman, Chad is the country with the highest fertility rate in the world. Population growth in Chad is among the highest in the world. Lack of healthcare access, as well as food instability, political instability, and climate change, are all exacerbating conditions that keep Chad's infant mortality rates high, which is generally the driver behind high fertility rates. This situation is common across much of the continent, and, although there has been considerable progress in recent decades, development in Sub-Saharan Africa is not moving as quickly as it did in other regions. Demographic transition While these countries have the highest fertility rates in the world, their rates are all on a generally downward trajectory due to a phenomenon known as the demographic transition. The third stage (of five) of this transition sees birth rates drop in response to decreased infant and child mortality, as families no longer feel the need to compensate for lost children. Eventually, fertility rates fall below replacement level (approximately 2.1 children per woman), which eventually leads to natural population decline once life expectancy plateaus. In some of the most developed countries today, low fertility rates are creating severe econoic and societal challenges as workforces are shrinking while aging populations are placin a greater burden on both public and personal resources.

The dataset contains state-wise National Family Health Survey (NFHS) compiled data on various family planning, childbirth, population, medical, health and other parameters which provide statistical indicators data on family profile and health status in India. There are 100+ indicators covered in the survey which broadly fall in the following categories: Health and Wellness, Maternal and Child Health, Family Planning and Reproductive Health, Disease Screening and Prevention, Social and Economic Factors, General Healthcare and Treatment

The different types of health data contained in the dataset include Anaemia among women and children, blood sugar levels and hypertension among men and women, tobacco and alcohol consumption among adults, delivery care and child feeding practices of women, quality of family planning services, screening of cancer among women, marriage and family, maternity care, nutritional status of women, child vaccinations and vitamin A supplementation, treatment of childhood diseases, etc.

Within these categories of health data, the dataset contains indicators data such as births attended by skilled health care professionals and caesarean section, number of children with under and heavy weight, stunted growth, their different vaccations status, male and female sterilization, consumption of iron folic acid among mothers, mother who had antenatal, postnatal, neonatal services, women who are obese and at the risk of weight to hip ratio, educational status among women and children, sanitation, birth and sex ratio, etc.

All of the data is compiled from the NFHS 4th and 5th survey reports. The The NFHS is a collaborative project of the International Institute for Population Sciences(IIPS), aimed at providing health data to strengthen India's health policies and programmes.

There are 100+ indicators covered in the survey which broadly fall in the following categories: Health and Wellness, Maternal and Child Health, Family Planning and Reproductive Health, Disease Screening and Prevention, Social and Economic Factors, General Healthcare and Treatment

India IN: Number of Deaths Ages 5-9 Years data was reported at 67,196.000 Person in 2019. This records a decrease from the previous number of 72,012.000 Person for 2018. India IN: Number of Deaths Ages 5-9 Years data is updated yearly, averaging 180,128.000 Person from Dec 1990 (Median) to 2019, with 30 observations. The data reached an all-time high of 310,340.000 Person in 1990 and a record low of 67,196.000 Person in 2019. India IN: Number of Deaths Ages 5-9 Years data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s India – Table IN.World Bank.WDI: Health Statistics. Number of deaths of children ages 5-9 years; ; Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Sum; Aggregate data for LIC, UMC, LMC, HIC are computed based on the groupings for the World Bank fiscal year in which the data was released by the UN Inter-agency Group for Child Mortality Estimation.

India Population: Census: Age: 5 to 9 Year data was reported at 126,928.126 Person th in 03-01-2011. This records a decrease from the previous number of 128,317.000 Person th for 03-01-2001. India Population: Census: Age: 5 to 9 Year data is updated decadal, averaging 126,928.126 Person th from Mar 1991 (Median) to 03-01-2011, with 3 observations. The data reached an all-time high of 128,317.000 Person th in 03-01-2001 and a record low of 111,295.000 Person th in 03-01-1991. India Population: Census: Age: 5 to 9 Year data remains active status in CEIC and is reported by Office of the Registrar General & Census Commissioner, India. The data is categorized under India Premium Database’s Demographic – Table IN.GAD001: Census: Population: by Age Group.

Explore the Saudi Arabia World Development Indicators dataset , including key indicators such as Access to clean fuels, Adjusted net enrollment rate, CO2 emissions, and more. Find valuable insights and trends for Saudi Arabia, Bahrain, Kuwait, Oman, Qatar, China, and India.

Indicator, Access to clean fuels and technologies for cooking, rural (% of rural population), Access to electricity (% of population), Adjusted net enrollment rate, primary, female (% of primary school age children), Adjusted net national income (annual % growth), Adjusted savings: education expenditure (% of GNI), Adjusted savings: mineral depletion (current US$), Adjusted savings: natural resources depletion (% of GNI), Adjusted savings: net national savings (current US$), Adolescents out of school (% of lower secondary school age), Adolescents out of school, female (% of female lower secondary school age), Age dependency ratio (% of working-age population), Agricultural methane emissions (% of total), Agriculture, forestry, and fishing, value added (current US$), Agriculture, forestry, and fishing, value added per worker (constant 2015 US$), Alternative and nuclear energy (% of total energy use), Annualized average growth rate in per capita real survey mean consumption or income, total population (%), Arms exports (SIPRI trend indicator values), Arms imports (SIPRI trend indicator values), Average working hours of children, working only, ages 7-14 (hours per week), Average working hours of children, working only, male, ages 7-14 (hours per week), Cause of death, by injury (% of total), Cereal yield (kg per hectare), Changes in inventories (current US$), Chemicals (% of value added in manufacturing), Child employment in agriculture (% of economically active children ages 7-14), Child employment in manufacturing, female (% of female economically active children ages 7-14), Child employment in manufacturing, male (% of male economically active children ages 7-14), Child employment in services (% of economically active children ages 7-14), Child employment in services, female (% of female economically active children ages 7-14), Children (ages 0-14) newly infected with HIV, Children in employment, study and work (% of children in employment, ages 7-14), Children in employment, unpaid family workers (% of children in employment, ages 7-14), Children in employment, wage workers (% of children in employment, ages 7-14), Children out of school, primary, Children out of school, primary, male, Claims on other sectors of the domestic economy (annual growth as % of broad money), CO2 emissions (kg per 2015 US$ of GDP), CO2 emissions (kt), CO2 emissions from other sectors, excluding residential buildings and commercial and public services (% of total fuel combustion), CO2 emissions from transport (% of total fuel combustion), Communications, computer, etc. (% of service exports, BoP), Condom use, population ages 15-24, female (% of females ages 15-24), Container port traffic (TEU: 20 foot equivalent units), Contraceptive prevalence, any method (% of married women ages 15-49), Control of Corruption: Estimate, Control of Corruption: Percentile Rank, Upper Bound of 90% Confidence Interval, Control of Corruption: Standard Error, Coverage of social insurance programs in 4th quintile (% of population), CPIA building human resources rating (1=low to 6=high), CPIA debt policy rating (1=low to 6=high), CPIA policies for social inclusion/equity cluster average (1=low to 6=high), CPIA public sector management and institutions cluster average (1=low to 6=high), CPIA quality of budgetary and financial management rating (1=low to 6=high), CPIA transparency, accountability, and corruption in the public sector rating (1=low to 6=high), Current education expenditure, secondary (% of total expenditure in secondary public institutions), DEC alternative conversion factor (LCU per US$), Deposit interest rate (%), Depth of credit information index (0=low to 8=high), Diarrhea treatment (% of children under 5 who received ORS packet), Discrepancy in expenditure estimate of GDP (current LCU), Domestic private health expenditure per capita, PPP (current international $), Droughts, floods, extreme temperatures (% of population, average 1990-2009), Educational attainment, at least Bachelor's or equivalent, population 25+, female (%) (cumulative), Educational attainment, at least Bachelor's or equivalent, population 25+, male (%) (cumulative), Educational attainment, at least completed lower secondary, population 25+, female (%) (cumulative), Educational attainment, at least completed primary, population 25+ years, total (%) (cumulative), Educational attainment, at least Master's or equivalent, population 25+, male (%) (cumulative), Educational attainment, at least Master's or equivalent, population 25+, total (%) (cumulative), Electricity production from coal sources (% of total), Electricity production from nuclear sources (% of total), Employers, total (% of total employment) (modeled ILO estimate), Employment in industry (% of total employment) (modeled ILO estimate), Employment in services, female (% of female employment) (modeled ILO estimate), Employment to population ratio, 15+, male (%) (modeled ILO estimate), Employment to population ratio, ages 15-24, total (%) (national estimate), Energy use (kg of oil equivalent per capita), Export unit value index (2015 = 100), Exports of goods and services (% of GDP), Exports of goods, services and primary income (BoP, current US$), External debt stocks (% of GNI), External health expenditure (% of current health expenditure), Female primary school age children out-of-school (%), Female share of employment in senior and middle management (%), Final consumption expenditure (constant 2015 US$), Firms expected to give gifts in meetings with tax officials (% of firms), Firms experiencing losses due to theft and vandalism (% of firms), Firms formally registered when operations started (% of firms), Fixed broadband subscriptions, Fixed telephone subscriptions (per 100 people), Foreign direct investment, net outflows (% of GDP), Forest area (% of land area), Forest area (sq. km), Forest rents (% of GDP), GDP growth (annual %), GDP per capita (constant LCU), GDP per unit of energy use (PPP $ per kg of oil equivalent), GDP, PPP (constant 2017 international $), General government final consumption expenditure (current LCU), GHG net emissions/removals by LUCF (Mt of CO2 equivalent), GNI growth (annual %), GNI per capita (constant LCU), GNI, PPP (current international $), Goods and services expense (current LCU), Government Effectiveness: Percentile Rank, Government Effectiveness: Percentile Rank, Lower Bound of 90% Confidence Interval, Government Effectiveness: Standard Error, Gross capital formation (annual % growth), Gross capital formation (constant 2015 US$), Gross capital formation (current LCU), Gross fixed capital formation, private sector (% of GDP), Gross intake ratio in first grade of primary education, male (% of relevant age group), Gross intake ratio in first grade of primary education, total (% of relevant age group), Gross national expenditure (current LCU), Gross national expenditure (current US$), Households and NPISHs Final consumption expenditure (constant LCU), Households and NPISHs Final consumption expenditure (current US$), Households and NPISHs Final consumption expenditure, PPP (constant 2017 international $), Households and NPISHs final consumption expenditure: linked series (current LCU), Human capital index (HCI) (scale 0-1), Human capital index (HCI), male (scale 0-1), Immunization, DPT (% of children ages 12-23 months), Import value index (2015 = 100), Imports of goods and services (% of GDP), Incidence of HIV, ages 15-24 (per 1,000 uninfected population ages 15-24), Incidence of HIV, all (per 1,000 uninfected population), Income share held by highest 20%, Income share held by lowest 20%, Income share held by third 20%, Individuals using the Internet (% of population), Industry (including construction), value added (constant LCU), Informal payments to public officials (% of firms), Intentional homicides, male (per 100,000 male), Interest payments (% of expense), Interest rate spread (lending rate minus deposit rate, %), Internally displaced persons, new displacement associated with conflict and violence (number of cases), International tourism, expenditures for passenger transport items (current US$), International tourism, expenditures for travel items (current US$), Investment in energy with private participation (current US$), Labor force participation rate for ages 15-24, female (%) (modeled ILO estimate), Development

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BackgroundThe World Health Organization recommends direct observation of treatment (DOT) to support patients with tuberculosis (TB) and to ensure treatment completion. As per national programme guidelines in India, a DOT provider can be anyone who is acceptable and accessible to the patient and accountable to the health system, except a family member. This poses challenges among children with TB who may be more comfortable receiving medicines from their parents or family members than from unfamiliar DOT providers. We conducted a non-inferiority trial to assess the effect of family DOT on treatment success rates among children with newly diagnosed TB registered for treatment during June–September 2012.MethodsWe randomly assigned all districts (n = 30) in Gujarat to the intervention (n = 15) or usual-practice group (n = 15). Adult family members in the intervention districts were given the choice to become their child’s DOT provider. DOT was provided by a non-family member in the usual-practice districts. Using routinely collected clinic-based TB treatment cards, we compared treatment success rates (cured and treatment completed) between the two groups and the non-inferiority limit was kept at 5%.ResultsOf 624 children with newly diagnosed TB, 359 (58%) were from intervention districts and 265 (42%) were from usual-practice districts. The two groups were similar with respect to baseline characteristics including age, sex, type of TB, and initial body weight. The treatment success rates were 344 (95.8%) and 247 (93.2%) (p = 0.11) among the intervention and usual-practice groups respectively.ConclusionDOT provided by a family member is not inferior to DOT provided by a non-family member among new TB cases in children and can attain international targets for treatment success.Trial RegistrationClinical Trials Registry–India, National Institute of Medical Statistics (Indian Council of Medical Research) CTRI/2015/09/006229

This layer shows children under 5 years who are wasted (weight-for-height) (%) across states and UTs of India as per the Economic Survey Report 2024-2025As per WHO wasting refers to weight for height. Under NFHS (National Family Health Survey), a child is considered wasted if s/he falls below 2 standard deviations.)Source of data: https://www.indiabudget.gov.in/economicsurvey/doc/stat/tab8.16.pdfNote: In NFHS-5, Jammu & Kashmir is Union Territory excluding Ladakh (UT). NFHS-5, Survey done over two years.This web layer is offered by Esri India, for ArcGIS Online subscribers. If you have any questions or comments, please let us know via content@esri.in.

Abstract

The National Family Health Surveys (NFHS) programme, initiated in the early 1990s, has emerged as a nationally important source of data on population, health, and nutrition for India and its states. The 2005-06 National Family Health Survey (NFHS-3), the third in the series of these national surveys, was preceded by NFHS-1 in 1992-93 and NFHS-2 in 1998-99. Like NFHS-1 and NFHS-2, NFHS-3 was designed to provide estimates of important indicators on family welfare, maternal and child health, and nutrition. In addition, NFHS-3 provides information on several new and emerging issues, including family life education, safe injections, perinatal mortality, adolescent reproductive health, high-risk sexual behaviour, tuberculosis, and malaria. Further, unlike the earlier surveys in which only ever-married women age 15-49 were eligible for individual interviews, NFHS-3 interviewed all women age 15-49 and all men age 15-54. Information on nutritional status, including the prevalence of anaemia, is provided in NFHS3 for women age 15-49, men age 15-54, and young children.

A special feature of NFHS-3 is the inclusion of testing of the adult population for HIV. NFHS-3 is the first nationwide community-based survey in India to provide an estimate of HIV prevalence in the general population. Specifically, NFHS-3 provides estimates of HIV prevalence among women age 15-49 and men age 15-54 for all of India, and separately for Uttar Pradesh and for Andhra Pradesh, Karnataka, Maharashtra, Manipur, and Tamil Nadu, five out of the six states classified by the National AIDS Control Organization (NACO) as high HIV prevalence states. No estimate of HIV prevalence is being provided for Nagaland, the sixth high HIV prevalence state, due to strong local opposition to the collection of blood samples.

NFHS-3 covered all 29 states in India, which comprise more than 99 percent of India's population. NFHS-3 is designed to provide estimates of key indicators for India as a whole and, with the exception of HIV prevalence, for all 29 states by urban-rural residence. Additionally, NFHS-3 provides estimates for the slum and non-slum populations of eight cities, namely Chennai, Delhi, Hyderabad, Indore, Kolkata, Meerut, Mumbai, and Nagpur. NFHS-3 was conducted under the stewardship of the Ministry of Health and Family Welfare (MOHFW), Government of India, and is the result of the collaborative efforts of a large number of organizations. The International Institute for Population Sciences (IIPS), Mumbai, was designated by MOHFW as the nodal agency for the project. Funding for NFHS-3 was provided by the United States Agency for International Development (USAID), DFID, the Bill and Melinda Gates Foundation, UNICEF, UNFPA, and MOHFW. Macro International, USA, provided technical assistance at all stages of the NFHS-3 project. NACO and the National AIDS Research Institute (NARI) provided technical assistance for the HIV component of NFHS-3. Eighteen Research Organizations, including six Population Research Centres, shouldered the responsibility of conducting the survey in the different states of India and producing electronic data files.

The survey used a uniform sample design, questionnaires (translated into 18 Indian languages), field procedures, and procedures for biomarker measurements throughout the country to facilitate comparability across the states and to ensure the highest possible data quality. The contents of the questionnaires were decided through an extensive collaborative process in early 2005. Based on provisional data, two national-level fact sheets and 29 state fact sheets that provide estimates of more than 50 key indicators of population, health, family welfare, and nutrition have already been released. The basic objective of releasing fact sheets within a very short period after the completion of data collection was to provide immediate feedback to planners and programme managers on key process indicators.

Geographic coverage

• National (29 states )
• Regional (for HIV Prevalence : Andhra Pradesh, Karnataka, Maharashtra, Manipur, and Tamil Nadu)
• Local (population and health indicators for slum and non-slum populations for eight cities, namely Chennai, Delhi, Hyderabad, Indore, Kolkata, Meerut, Mumbai, and Nagpur)

Analysis unit

• Household
• Women age 15-49
• Men age 15-59

Universe

The population covered by the 2005 DHS is defined as the universe of all ever-married women age 15-49, NFHS-3 included never married women age 15-49 and both ever-married and never married men age 15-54 as eligible respondents.

Kind of data

Sample survey data

Sampling procedure

SAMPLE SIZE

Since a large number of the key indicators to be estimated from NFHS-3 refer to ever-married women in the reproductive ages of 15-49, the target sample size for each state in NFHS-3 was estimated in terms of the number of ever-married women in the reproductive ages to be interviewed.

The initial target sample size was 4,000 completed interviews with ever-married women in states with a 2001 population of more than 30 million, 3,000 completed interviews with ever-married women in states with a 2001 population between 5 and 30 million, and 1,500 completed interviews with ever-married women in states with a population of less than 5 million. In addition, because of sample-size adjustments required to meet the need for HIV prevalence estimates for the high HIV prevalence states and Uttar Pradesh and for slum and non-slum estimates in eight selected cities, the sample size in some states was higher than that fixed by the above criteria. The target sample was increased for Andhra Pradesh, Karnataka, Maharashtra, Manipur, Nagaland, Tamil Nadu, and Uttar Pradesh to permit the calculation of reliable HIV prevalence estimates for each of these states. The sample size in Andhra Pradesh, Delhi, Maharashtra, Tamil Nadu, Madhya Pradesh, and West Bengal was increased to allow separate estimates for slum and non-slum populations in the cities of Chennai, Delhi, Hyderabad, Indore, Kolkata, Mumbai, Meerut, and Nagpur.

The target sample size for HIV tests was estimated on the basis of the assumed HIV prevalence rate, the design effect of the sample, and the acceptable level of precision. With an assumed level of HIV prevalence of 1.25 percent and a 15 percent relative standard error, the estimated sample size was 6,400 HIV tests each for men and women in each of the high HIV prevalence states. At the national level, the assumed level of HIV prevalence of less than 1 percent (0.92 percent) and less than a 5 percent relative standard error yielded a target of 125,000 HIV tests at the national level.

Blood was collected for HIV testing from all consenting ever-married and never married women age 15-49 and men age 15-54 in all sample households in Andhra Pradesh, Karnataka, Maharashtra, Manipur, Tamil Nadu, and Uttar Pradesh. All women age 15-49 and men age 15-54 in the sample households were eligible for interviewing in all of these states plus Nagaland. In the remaining 22 states, all ever-married and never married women age 15-49 in sample households were eligible to be interviewed. In those 22 states, men age 15-54 were eligible to be interviewed in only a subsample of households. HIV tests for women and men were carried out in only a subsample of the households that were selected for men's interviews in those 22 states. The reason for this sample design is that the required number of HIV tests is determined by the need to calculate HIV prevalence at the national level and for some states, whereas the number of individual interviews is determined by the need to provide state level estimates for attitudinal and behavioural indicators in every state. For statistical reasons, it is not possible to estimate HIV prevalence in every state from NFHS-3 as the number of tests required for estimating HIV prevalence reliably in low HIV prevalence states would have been very large.

SAMPLE DESIGN

The urban and rural samples within each state were drawn separately and, to the extent possible, unless oversampling was required to permit separate estimates for urban slum and non-slum areas, the sample within each state was allocated proportionally to the size of the state's urban and rural populations. A uniform sample design was adopted in all states. In each state, the rural sample was selected in two stages, with the selection of Primary Sampling Units (PSUs), which are villages, with probability proportional to population size (PPS) at the first stage, followed by the random selection of households within each PSU in the second stage. In urban areas, a three-stage procedure was followed. In the first stage, wards were selected with PPS sampling. In the next stage, one census enumeration block (CEB) was randomly selected from each sample ward. In the final stage, households were randomly selected within each selected CEB.

SAMPLE SELECTION IN RURAL AREAS

In rural areas, the 2001 Census list of villages served as the sampling frame. The list was stratified by a number of variables. The first level of stratification was geographic, with districts being subdivided into contiguous regions. Within each of these regions, villages were further stratified using selected variables from the following list: village size, percentage of males working in the nonagricultural sector, percentage of the population belonging to scheduled castes or scheduled tribes, and female literacy. In addition to these variables, an external estimate of HIV prevalence, i.e., 'High', 'Medium' or 'Low', as estimated for all the districts in high HIV prevalence states, was used for stratification in high HIV prevalence states. Female literacy was used for implicit stratification (i.e., villages were