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India’s real fertility crisis is about choice, not numbers

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State of the World Population Report 2025

The United Nations Population Fund (UNFPA) has released a report focusing on the real fertility crises, emphasizing the importance of reproductive agency in a rapidly changing world. The crisis is not just about declining fertility rates but about unmet reproductive aspirations of women and couples.

Global Demographic Trends

  • The world’s fertility rate has significantly declined from around 5 in 1960 to 2.2 in 2024.
  • Over half of the world's countries now have fertility rates below 2.1 births per woman.
  • India's fertility rate decreased from 2.9 in 2005 to 2.0 in 2020, with regional variations.

Reproductive Challenges

  • An online survey revealed widespread unmet reproductive aspirations, highlighting dual challenges: 
    • Underachieved fertility: Having fewer children than desired.
    • Overachieved fertility: Having more children than intended.
  • Economic challenges, social norms, and unequal relationship dynamics are major barriers.
  • Over 30% of Indian respondents reported challenges in having a child when they wished to.

Women's Reproductive Autonomy

  • Women face challenges in balancing careers and family life due to lack of supportive workplace policies.
  • Marriage and childbearing pressures persist in India, impacting women's choices.
  • Infertility remains stigmatized, with treatments being expensive and dominated by private players.

Contraception and Childbearing Patterns

  • Widespread reliance on sterilization limits reproductive choices.
  • There is a need for modern, reversible contraception methods to maintain reproductive agency.
  • Changing childbearing patterns show a decline in early childbearing, with more women opting for later pregnancies.

Policy and Planning

  • Alarmist narratives around population shifts often ignore people's real aspirations.
  • Policies should focus on empowering individuals and communities rather than exerting control.
  • There is a call for a proactive approach to engage with women's reproductive autonomy.

The report underscores the importance of aligning reproductive policies with human rights and individual aspirations to ensure demographic resilience and societal well-being.

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