The fertility rate of women in India was about 2.2 in rural regions and 1.6 in urban regions in 2020. Furthermore, the north Indian state of Bihar had the highest total fertility rate of about three in rural and urban areas in that year.

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.

In 2022, the total fertility rate in India remained nearly unchanged at around 2.01 children per woman. Yet 2022 saw the lowest fertility rate in India with 2.01 children per woman. The total fertility rate is the average number of children that a woman of childbearing age (generally considered 15 to 44 years) is expected to have throughout her reproductive years. Unlike birth rates, which are based on the actual number of live births in a given population, fertility rates are estimates (similar to life expectancy) that apply to a hypothetical woman, as they assume that current patterns in age-specific fertility will remain constant throughout her reproductive years.Find more statistics on other topics about India with key insights such as life expectancy of men at birth, death rate, and life expectancy of women at birth.

The projected crude birth rate in India, at national level, was expected to decrease to about 13 births per thousand people by 2031 to 2035 as opposed to the national crude birth rate from 2011 to 2015 which stood at more than 20 births per thousand people. At state level, Bihar reflected the highest crude birth rate from 2011 to 2015 as well as the highest projected crude birth rate from 2031-2035. By contrast, the states with the lowest projected crude birth rates were Punjab, Tamil Nadu, and Andhra Pradesh during the same time period.

Abstract

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

In 2024, there are six countries, all in Sub-Saharan Africa, where the average woman of childbearing age can expect to have around six or more children throughout their lifetime. In fact, of the 20 countries in the world with the highest fertility rates, Afghanistan is the only country not found in Sub-Saharan Africa. High fertility rates in Africa With a fertility rate of almost 7 children per woman, Niger is the country with the highest fertility rate in the world. Population growth in Niger 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 Niger'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 less-developed 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 four or 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

Native Hawaiian and Pacific Islander women had the highest fertility rate of any ethnicity in the United States in 2022, with about 2,237.5 births per 1,000 women. The fertility rate for all ethnicities in the U.S. was 1,656.5 births per 1,000 women. What is the total fertility rate? The total fertility rate is an estimation of the number of children who would theoretically be born per 1,000 women through their childbearing years (generally considered to be between the ages of 15 and 44) according to age-specific fertility rates. The fertility rate is different from the birth rate, in that the birth rate is the number of births in relation to the population over a specific period of time. Fertility rates around the world Fertility rates around the world differ on a country-by-country basis, and more industrialized countries tend to see lower fertility rates. For example, Niger topped the list of the countries with the highest fertility rates, and Taiwan had the lowest fertility rate.

Abstract

The National Family Health Survey (NFHS) was carried out as the principal activity of a collaborative project to strengthen the research capabilities of the Population Reasearch Centres (PRCs) in India, initiated by the Ministry of Health and Family Welfare (MOHFW), Government of India, and coordinated by the International Institute for Population Sciences (IIPS), Bombay. Interviews were conducted with a nationally representative sample of 89,777 ever-married women in the age group 13-49, from 24 states and the National Capital Territoty of Delhi. The main objective of the survey was to collect reliable and up-to-date information on fertility, family planning, mortality, and maternal and child health. Data collection was carried out in three phases from April 1992 to September 1993. THe NFHS is one of the most complete surveys of its kind ever conducted in India.

The households covered in the survey included 500,492 residents. The young age structure of the population highlights the momentum of the future population growth of the country; 38 percent of household residents are under age 15, with their reproductive years still in the future. Persons age 60 or older constitute 8 percent of the population. The population sex ratio of the de jure residents is 944 females per 1,000 males, which is slightly higher than sex ratio of 927 observed in the 1991 Census.

The primary objective of the NFHS is to provide national-level and state-level data on fertility, nuptiality, family size preferences, knowledge and practice of family planning, the potentiel demand for contraception, the level of unwanted fertility, utilization of antenatal services, breastfeeding and food supplemation practises, child nutrition and health, immunizations, and infant and child mortality. The NFHS is also designed to explore the demographic and socioeconomic determinants of fertility, family planning, and maternal and child health. This information is intended to assist policymakers, adminitrators and researchers in assessing and evaluating population and family welfare programmes and strategies. The NFHS used uniform questionnaires and uniform methods of sampling, data collection and analysis with the primary objective of providing a source of demographic and health data for interstate comparisons. The data collected in the NFHS are also comparable with those of the Demographic and Health Surveys (DHS) conducted in many other countries.

Geographic coverage

National

Analysis unit

• Household
• Data collected for women 13-49, indicators calculated for women 15-49

Universe

The population covered by the 1992-93 DHS is defined as the universe of all women age 13-49 who were either permanent residents of the households in the NDHS sample or visitors present in the households on the night before the survey were eligible to be interviewed.

Kind of data

Sample survey data

Sampling procedure

SAMPLE DESIGN

The sample design for the NFHS was discussed during a Sample Design Workshop held in Madurai in Octber, 1991. The workshop was attended by representative from the PRCs; the COs; the Office of the Registrar General, India; IIPS and the East-West Center/Macro International. A uniform sample design was adopted in all the NFHS states. The Sample design adopted in each state is a systematic, stratified sample of households, with two stages in rural areas and three stages in urban areas.

SAMPLE SIZE AND ALLOCATION

The sample size for each state was specified in terms of a target number of completed interviews with eligible women. The target sample size was set considering the size of the state, the time and ressources available for the survey and the need for separate estimates for urban and rural areas of the stat. The initial target sample size was 3,000 completed interviews with eligible women for states having a population of 25 million or less in 1991; 4,000 completed interviews for large states with more than 25 million population; 8,000 for Uttar Pradesh, the largest state; and 1,000 each for the six small northeastern states. In States with a substantial number of backward districts, the initial target samples were increased so as to allow separate estimates to be made for groups of backward districts.

The urban and rural samples within states were drawn separetly and , to the extent possible, sample allocation was proportional to the size of the urban-rural populations (to facilitate the selection of a self-weighting sample for each state). In states where the urban population was not sufficiently large to provide a sample of at least 1,000 completed interviews with eligible women, the urban areas were appropriately oversampled (except in the six small northeastern states).

THE RURAL SAMPLE: THE FRAME, STRATIFICATION AND SELECTION

A two-stage stratified sampling was adopted for the rural areas: selection of villages followed by selection of households. Because the 1991 Census data were not available at the time of sample selection in most states, the 1981 Census list of villages served as the sampling frame in all the states with the exception of Assam, Delhi and Punjab. In these three states the 1991 Census data were used as the sampling frame.

Villages were stratified prior to selection on the basis of a number of variables. The firts level of stratification in all the states was geographic, with districts subdivided into regions according to their geophysical characteristics. Within each of these regions, villages were further stratified using some of the following variables : village size, distance from the nearest town, proportion of nonagricultural workers, proportion of the population belonging to scheduled castes/scheduled tribes, and female literacy. However, not all variables were used in every state. Each state was examined individually and two or three variables were selected for stratification, with the aim of creating not more than 12 strata for small states and not more than 15 strata for large states. Females literacy was often used for implicit stratification (i.e., the villages were ordered prior to selection according to the proportion of females who were literate). Primary sampling Units (PSUs) were selected systematically, with probaility proportional to size (PPS). In some cases, adjacent villages with small population sizes were combined into a single PSU for the purpose of sample selection. On average, 30 households were selected for interviewing in each selected PSU.

In every state, all the households in the selected PSUs were listed about two weeks prior to the survey. This listing provided the necessary frame for selecting households at the second sampling stage. The household listing operation consisted of preparing up-to-date notional and layout sketch maps of each selected PSU, assigning numbers to structures, recording addresses (or locations) of these structures, identifying the residential structures, and listing the names of the heads of all the households in the residentiak structures in the selected PSU. Each household listing team consisted of a lister and a mapper. The listing operation was supervised by the senior field staff of the concerned CO and the PRC in each state. Special efforts were made not to miss any household in the selected PSU during the listing operation. In PSUs with fewer than 500 households, a complete household listing was done. In PSUs with 500 or more households, segmentation of the PSU was done on the basis of existing wards in the PSU, and two segments were selected using either systematic sampling or PPS sampling. The household listing in such PSUs was carried out in the selected segments. The households to be interviewed were selected from provided with the original household listing, layout sketch map and the household sample selected for each PSU. All the selected households were approached during the data collection, and no substitution of a household was allowed under any circumstances.

THE RURAL URBAN SAMPLE: THE FRAME, STRATIFICATION AND SELECTION

A three-stage sample design was adopted for the urban areas in each state: selection of cities/towns, followed by urban blocks, and finally households. Cities and towns were selected using the 1991 population figures while urban blocks were selected using the 1991 list of census enumeration blocks in all the states with the exception of the firts phase states. For the first phase states, the list of urban blocks provided by the National Sample Survey Organization (NSSSO) served as the sampling frame.

All cities and towns were subdivided into three strata: (1) self-selecting cities (i.e., cities with a population large enough to be selected with certainty), (2) towns that are district headquaters, and (3) other towns. Within each stratum, the cities/towns were arranged according to the same kind of geographic stratification used in the rural areas. In self-selecting cities, the sample was selected according to a two-stage sample design: selection of the required number of urban blocks, followed by selection of households in each of selected blocks. For district headquarters and other towns, a three stage sample design was used: selection of towns with PPS, followed by selection of two census blocks per selected town, followed by selection of households from each selected block. As in rural areas, a household listing was carried out in the selected blocks, and an average of 20 households per block was selected systematically.

Mode of data collection

Face-to-face

Research instrument

Three types of questionnaires were used in the NFHS: the Household Questionnaire, the Women's Questionnaire, and the Village Questionnaire. The overall content

The mean age of fertility among women in India was about 28 years in rural regions and 29 years in urban regions in 2020. The north Indian state of Jammu and Kashmir had the highest mean fertility age of about 32 years in both rural and urban areas in that year.

The projected median age of population in India, at national level, was expected to go up to more than 34 years by 2036 versus almost 25 years in 2011. At state level, Tamil Nadu reflected the highest projected median age with over 40 years in 2036 versus nearly 30 years in 2011.

The projected median age of population of a country is contingent upon several health metrics such as the fertility rate, birth rate, and mortality rate. For instance, if a country or state sees a lower fertility and mortality rate, the geriatric population is expected to increase proportionally.

Agricultural land in India amounted to over 179 million hectares in financial year 2023. This was a decrease in agricultural land when compared to the previous year. That year, Haryana and Punjab were the leading Indian states with land available for agricultural purposes.

The statistic shows the total population of India from 2019 to 2029. In 2023, the estimated total population in India amounted to approximately 1.43 billion people.

Total population in India

India currently has the second-largest population in the world and is projected to overtake top-ranking China within forty years. Its residents comprise more than one-seventh of the entire world’s population, and despite a slowly decreasing fertility rate (which still exceeds the replacement rate and keeps the median age of the population relatively low), an increasing life expectancy adds to an expanding population. In comparison with other countries whose populations are decreasing, such as Japan, India has a relatively small share of aged population, which indicates the probability of lower death rates and higher retention of the existing population.

With a land mass of less than half that of the United States and a population almost four times greater, India has recognized potential problems of its growing population. Government attempts to implement family planning programs have achieved varying degrees of success. Initiatives such as sterilization programs in the 1970s have been blamed for creating general antipathy to family planning, but the combined efforts of various family planning and contraception programs have helped halve fertility rates since the 1960s. The population growth rate has correspondingly shrunk as well, but has not yet reached less than one percent growth per year.

As home to thousands of ethnic groups, hundreds of languages, and numerous religions, a cohesive and broadly-supported effort to reduce population growth is difficult to create. Despite that, India is one country to watch in coming years. It is also a growing economic power; among other measures, its GDP per capita was expected to triple between 2003 and 2013 and was listed as the third-ranked country for its share of the global gross domestic product.

About 23 percent of married women used some method of modern contraception across the state of Bihar in India in financial year 2016. Tubal ligation, the surgical removal or blocking of fallopian tubes was the most common method in this region at around 21 percent.

The government had taken several measures to encourage the increase in awareness, availability and usage of modern contraceptives. This included Mission Parivar Vikas initiative, which focused on family planning in 146 high fertility districts across seven states in the country.

About 51 percent of married women used some method of modern contraception across the state of Karnataka in India in financial year 2016. Tubal ligation, the surgical removal or blocking of fallopian tubes was the most common method in this region at around 49 percent.

The government had taken several measures to encourage the increase in awareness, availability and usage of modern contraceptives. This included Mission Parivar Vikas initiative, which focused on family planning in 146 high fertility districts across seven states in the country.

About 57 percent of married women used some method of modern contraception across the state of Telangana in India in financial year 2016. Tubal ligation, the surgical removal or blocking of fallopian tubes was the most common method in this region at around 54 percent.

The government had taken several measures to encourage the increase in awareness, availability and usage of modern contraceptives. This included Mission Parivar Vikas initiative, which focused on family planning in 146 high fertility districts across seven states in the country.

The death rate in India decreased by 0.4 deaths per 1,000 inhabitants (-4.23 percent) compared to the previous year. Nevertheless, the last two years recorded a significantly higher death rate than the preceding years.The crude death rate is the annual number of deaths divided by the total population, expressed per 1,000 people.Find more statistics on other topics about India with key insights such as life expectancy of women at birth, total fertility rate, and crude birth rate.

From now until 2100, India and China will remain the most populous countries in the world, however China's population decline has already started, and it is on course to fall by around 50 percent in the 2090s; while India's population decline is projected to begin in the 2060s. Of the 10 most populous countries in the world in 2100, five will be located in Asia, four in Africa, as well as the United States. Rapid growth in Africa Rapid population growth across Africa will see the continent's population grow from around 1.5 billion people in 2024 to 3.8 billion in 2100. Additionally, unlike China or India, population growth in many of these countries is not expected to go into decline, and instead is expected to continue well into the 2100s. Previous estimates had projected these countries' populations would be much higher by 2100 (the 2019 report estimated Nigeria's population would exceed 650 million), yet the increased threat of the climate crisis and persistent instability is delaying demographic development and extending population growth. The U.S. as an outlier Compared to the nine other largest populations in 2100, the United States stands out as it is more demographically advanced, politically stable, and economically stronger. However, while most other so-called "advanced countries" are projected to see their population decline drastically in the coming decades, the U.S. population is projected to continue growing into the 2100s. This will largely be driven by high rates of immigration into the U.S., which will drive growth despite fertility rates being around 1.6 births per woman (below the replacement level of 2.1 births per woman), and the slowing rate of life expectancy. Current projections estimate the U.S. will have a net migration rate over 1.2 million people per year for the remainder of the century.

It was estimated that by 2050, India's Muslim population would grow by 76 percent compared to 2010. For followers of the Hindu faith, this change stood at 33 percent. According to this projection, the south Asian country would be home not just to the world's majority of Hindus, but also Muslims by this time period. Regardless, the latter would continue to remain a minority within the country at 18 percent, with 77 percent or 1.3 billion Hindus at the forefront by 2050.

In 1800, the population of the area of modern-day Bangladesh was estimated to be just over 19 million, a figure which would rise steadily throughout the 19th century, reaching over 26 million by 1900. At the time, Bangladesh was the eastern part of the Bengal region in the British Raj, and had the most-concentrated Muslim population in the subcontinent's east. At the turn of the 20th century, the British colonial administration believed that east Bengal was economically lagging behind the west, and Bengal was partitioned in 1905 as a means of improving the region's development. East Bengal then became the only Muslim-majority state in the eastern Raj, which led to socioeconomic tensions between the Hindu upper classes and the general population. Bengal Famine During the Second World War, over 2.5 million men from across the British Raj enlisted in the British Army and their involvement was fundamental to the war effort. The war, however, had devastating consequences for the Bengal region, as the famine of 1943-1944 resulted in the deaths of up to three million people (with over two thirds thought to have been in the east) due to starvation and malnutrition-related disease. As the population boomed in the 1930s, East Bengal's mismanaged and underdeveloped agricultural sector could not sustain this growth; by 1942, food shortages spread across the region, millions began migrating in search of food and work, and colonial mismanagement exacerbated this further. On the brink of famine in early-1943, authorities in India called for aid and permission to redirect their own resources from the war effort to combat the famine, however these were mostly rejected by authorities in London. While the exact extent of each of these factors on causing the famine remains a topic of debate, the general consensus is that the British War Cabinet's refusal to send food or aid was the most decisive. Food shortages did not dissipate until late 1943, however famine deaths persisted for another year. Partition to independence Following the war, the movement for Indian independence reached its final stages as the process of British decolonization began. Unrest between the Raj's Muslim and Hindu populations led to the creation of two separate states in1947; the Muslim-majority regions became East Pakistan (now Bangladesh) and West Pakistan (now Pakistan), separated by the Hindu-majority India. Although East Pakistan's population was larger, power lay with the military in the west, and authorities grew increasingly suppressive and neglectful of the eastern province in the following years. This reached a tipping point when authorities failed to respond adequately to the Bhola cyclone in 1970, which claimed over half a million lives in the Bengal region, and again when they failed to respect the results of the 1970 election, in which the Bengal party Awami League won the majority of seats. Bangladeshi independence was claimed the following March, leading to a brutal war between East and West Pakistan that claimed between 1.5 and three million deaths in just nine months. The war also saw over half of the country displaced, widespread atrocities, and the systematic rape of hundreds of thousands of women. As the war spilled over into India, their forces joined on the side of Bangladesh, and Pakistan was defeated two weeks later. An additional famine in 1974 claimed the lives of several hundred thousand people, meaning that the early 1970s was one of the most devastating periods in the country's history. Independent Bangladesh In the first decades of independence, Bangladesh's political hierarchy was particularly unstable and two of its presidents were assassinated in military coups. Since transitioning to parliamentary democracy in the 1990s, things have become comparatively stable, although political turmoil, violence, and corruption are persistent challenges. As Bangladesh continues to modernize and industrialize, living standards have increased and individual wealth has risen. Service industries have emerged to facilitate the demands of Bangladesh's developing economy, while manufacturing industries, particularly textiles, remain strong. Declining fertility rates have seen natural population growth fall in recent years, although the influx of Myanmar's Rohingya population due to the displacement crisis has seen upwards of one million refugees arrive in the country since 2017. In 2020, it is estimated that Bangladesh has a population of approximately 165 million people.