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.

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 2013-14. Uttar Pradesh had the highest average with about three children per woman, while Delhi had the lowest in the region, with about two children per woman during the survey period.

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.

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

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.

According to a survey in September 2023, about 46 percent of urban parents reported that their children spent three to six hours each day using social media, OTT, and online games in India. Comparatively, 15 percent of Indian parents stated their kids spent more than six hours using online media every day.

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.

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

NA: Not applicable, for cells where the zero percent of the population fell into that category.(1) Prevalences and standard errors are calculated using the survey weights from the 5-year visit provided with the dataset. These adjust for unequal probability of selection and response. Survey and subclass estimation commands were used to account for complex sample design.(2) Overweight/obesity is defined as body mass index (BMI) z-score >2 standard deviations (SD) above age- and sex- specific WHO Childhood Growth Standard reference mean at all time points except birth, where we define overweight/obesity as weight-for-age z-score >2 SD above age- and sex- specific WHO Childhood Growth Standard reference mean.(3) To represent socioeconomic status, we used a composite index to capture multiple of the social dimensions of socioeconomic status. This composite index was provided in the ECLS-B data that incorporates information about maternal and paternal education, occupations, and household income to create a variable representing family socioeconomic status on several domains. The variable was created using principal components analysis to create a score for family socioeconomic status, which was then normalized by taking the difference between each score and the mean score and dividing by the standard deviation. If data needed for the composite socioeconomic status score were missing, they were imputed by the ECLS-B analysts [9].(4) We created a 5-category race/ethnicity variable (American Indian/Alaska Native, African American, Hispanic, Asian, white) from the mothers' report of child's race/ethnicity, which originally came 25 race/ethnic categories. To have adequate sample size in race/ethnic categories, we assigned a single race/ethnic category for children reporting more than one race, using an ordered, stepwise approach similar to previously published work using ECLS-B (3). First, any child reporting at least one of his/her race/ethnicities as American Indian/Alaska Native (AIAN) was categorized as AIAN. Next, among remaining respondents, any child reporting at least one of his/her ethnicities as African American was categorized as African American. The same procedure was followed for Hispanic, Asian, and white, in that order. This order was chosen with the goal of preserving the highest numbers of children in the American Indian/Alaska Native group and other non-white ethnic groups in order to estimate relationships within ethnic groups, which is often not feasible due to low numbers.

In the financial year 2021, a majority of Indian households fell under the aspirers category, earning between 125,000 and 500,000 Indian rupees a year. On the other hand, about three percent of households that same year, accounted for the rich, earning over 3 million rupees annually. The middle class more than doubled that year compared to 14 percent in financial year 2005.

Middle-class income group and the COVID-19 pandemic

During the COVID-19 pandemic specifically during the lockdown in March 2020, loss of incomes hit the entire household income spectrum. However, research showed the severest affected groups were the upper middle- and middle-class income brackets. In addition, unemployment rates were rampant nationwide that further lead to a dismally low GDP. Despite job recoveries over the last few months, improvement in incomes were insignificant.

Economic inequality

While India maybe one of the fastest growing economies in the world, it is also one of the most vulnerable and severely afflicted economies in terms of economic inequality. The vast discrepancy between the rich and poor has been prominent since the last three decades. The rich continue to grow richer at a faster pace while the impoverished struggle more than ever before to earn a minimum wage. The widening gaps in the economic structure affect women and children the most. This is a call for reinforcement in in the country’s social structure that emphasizes access to quality education and universal healthcare services.

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.

Seen the popularity of the YouTube platform among younger users and children, kids-themed YouTube channels are among the most popular types of content on the platform. As of March 2024, ChuChu TV Nursery Rhymes & Kids Songs was the most subscribed kids' content channel, with approximately 94.7 million subscribers. Spanish-language channel El Reino Infantil ranked second with approximately 67.5 million subscribers, while Masha and the Bear ranked third with 53.3 million subscribers. Kids on YouTube According to a survey of global parents conducted in September 2022, over half of the respondents reported that watching YouTube videos was a popular online activity their children chose to engage with. In the United States, children were using the YouTube app to watch content for over one hour daily on average in 2023. Children media consumption As of May 2022, software, audio, and video content were the most popular categories for global children to interact with online, with approximately 44 percent of younger users visiting and engaging with these content formats. Between 52 percent and 55 percent of children in India, Saudi Arabia, and South Africa were reported visiting software, audio, and video websites between 2020 and 2021.

In 2022, the child abuse rate for children of Hispanic origin was at 7, indicating 7 out of every 1,000 Hispanic children in the United States suffered from some sort of abuse. This rate was highest among American Indian or Alaska Native children, with 14.3 children out of every 1,000 experiencing some form of abuse. Child abuse in the U.S. The child abuse rate in the United States is highest among American Indian or Alaska Native victims, followed by African-American victims. It is most common among children between two to five years of age. While child abuse cases are fairly evenly distributed between girls and boys, more boys than girls are victims of abuse resulting in death. The most common type of maltreatment is neglect, followed by physical abuse. Risk factors Child abuse is often reported by teachers, law enforcement officers, or social service providers. In the large majority of cases, the perpetrators of abuse were a parent of the victim. Risk factors, such as teen pregnancy, violent crime, and poverty that are associated with abuse and neglect have been found to be quite high in the United States in comparison to other countries.

In 2024, around 9.54 million babies were born in China. The number of births has increased slightly from 9.02 million in the previous year, but is much lower than the 17.86 million births recorded in 2016. Demographic development in China In 2022, the Chinese population decreased for the first time in decades, and population decline is expected to accelerate in the upcoming years. To curb the negative effects of an aging population, the Chinese government decided in 2013 to gradually relax the so called one-child-policy, which had been in effect since 1979. From 2016 onwards, parents in China were allowed to have two children in general. However, as the recent figures of births per year reveal, this policy change had only short-term effects on the general birth rate: the number of births slightly increased from 2014 onwards, but then started to fell again in 2018. In 2024, China was the second most populous country in the world, overtaken by India that year. China’s aging population The Chinese society is aging rapidly and facing a serious demographic shift towards older age groups. The median age of China’s population has increased massively from about 18 years in 1970 to 37.5 years in 2020 and is projected to rise continuously until 2080. In 2020, approximately 17.9 percent of the Chinese were 60 years and older, a figure that is forecast to rise as high as 44 percent by 2060. This shift in demographic development will increase social and elderly support expenditure of the society as a whole. One measure for this social imbalance is the old-age dependency ratio, measuring the relationship between economic dependent older age groups and the working-age population. The old-age dependency ratio in China is expected to soar to 69 percent in 2060, implying that by then three working-age persons will have to support two elderly persons.

As of 2018, the share of children in south Africa who stayed with a mother in the household was significantly higher than children staying in households with their biological father across all population groups. However, the gap was largest among the Black African population, where the share of children living with their father was as low as 31.7 percent, compared to the 74 percent for mothers in households. The story was different among Indian/Asian and White population with a higher share of the children living with their biological parents.

In the fiscal year of 2023, 221 children who were adopted by American families were from India. In that same fiscal year, a further 200 children adopted by Americans were from Colombia, and 83 were from Bulgaria.

According to the Global Hunger Index 2024, which was adopted by the International Food Policy Research Institute, Somalia was the most affected by hunger and malnutrition, with an index of 44.1. Yemen and Chad followed behind. The World Hunger Index combines three indicators: undernourishment, child underweight, and child mortality. Sub-Saharan Africa most affected The index is dominated by countries in Sub-Saharan Africa. In the region, more than one fifth of the population is undernourished . In terms of individuals, however, South Asia has the highest number of undernourished people. Globally, there are 735 million people that are considered undernourished or starving. A lack of food is increasing in over 20 countries worldwide. Undernourishment worldwide The term malnutrition includes both undernutrition and overnutrition. Undernutrition occurs when an individual cannot maintain normal bodily functions such as growth, recovering from disease, and both learning and physical work. Some conditions such as diarrhea, malaria, and HIV/AIDS can all have a negative impact on undernutrition. Rural and agricultural communities can be especially susceptible to hunger during certain seasons. The annual hunger gap occurs when a family’s food supply may run out before the next season’s harvest is available and can result in malnutrition. Nevertheless, the prevalence of people worldwide that are undernourished has decreased over the last decades, from 18.7 percent in 1990-92 to 9.2 percent in 2022, but it has slightly increased since the outbreak of COVID-19. According to the Global Hunger Index, the reduction of global hunger has stagnated over the past decade.