Three largest Hindi-speaking states in India such as Uttar Pradesh, Bihar and Madhya Pradesh have high fertility rates, reveals a UN report.
![Three States in India Have High Fertility Rates Three States in India Have High Fertility Rates](https://images.medindia.net/health-images/1200_1000/proteins-boost-ivf.jpg)
‘Fertility rate in Uttar Pradesh, Bihar and Madhya Pradesh is 3.0 and unintended pregnancies contribute to higher fertility rates.’
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In South Asia, Pakistan has the highest fertility rate of 3.3 children per women, while Bhutan, Maldives, and Sri Lanka with two children per women have dipped below the replacement level and Bangladesh and Nepal are at the mark with 2.1 children per women, the report found. ![twitter](https://images.medindia.net/icons/news/social/twitter.png)
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The replacement-level fertility rate, which is the average number of children a woman has to have to keep population at a constant size, is 2.1 and India is closing in with the overall the number of children per woman at 2.3.
If women in a nation or a region or a group have fewer than 2.1 children each, its population will go down over time, while those whose women have more than that will see their population continue to rise.
There is a marked difference between urban and rural areas and urban India's fertility rate reached the replacement level in 2007, said the report with the theme of "Power of Choice".
The UNFPA report did not give the fertility rates for individual states, but among states for which NITI Aayog provided data for 2016, Bihar had the highest in India of 3.3 children per woman, followed by Uttar Pradesh with 3.1.
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In addition to the six states mentioned in the UNFPA report, several others, including Himachal Pradesh, Delhi, Punjab and Kashmir, also had low fertility rates according to to NITI Aayog.
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Andhra Pradesh, Telengana, Himachal Pradesh, Jammu and Kashmir and Punjab had a fertility rate of 1.7, and for Karnataka, Kerala and Maharashtra, it was 1.8, according to NITI Aayog.
The UNFPA report said that in India "states with fertility below replacement level account for 50 per cent of the country's population".
"Many districts in India have fertility below replacement level, while about half have fertility of 3.0 or more births per woman."
Low fertility is achieved only at higher levels of income and, therefore, India achieving the overall fertility rate of 2.3 is "unusual", the report noted and ascribed it "gains in human development, reflected in improved health, higher attainment of education and decreases in child mortality".
The report said that within India "the varied fertility rates do not clearly correlate with income levels and are likely influenced by a multitude of factors. The states of Kerala and Tamil Nadu, for example, experienced major fertility declines, despite limited economic growth. These states have comparatively less gender and economic inequality, and have also experienced rapid social development".
The report said that unintended pregnancies contribute to higher fertility rates and "if unwanted fertility were eliminated through means such as increasing access to contraception, average fertility rates would drop by more than half a child per woman".
"In India between 2005 and 2015, unwanted fertility fell sharply, from 0.8 to 0.4 children, reflecting a trend of couples having the means to prevent pregnancy and having their preferred number of children."
According to a report by the Population Division of the UN Department of Economic and Social Affairs (UNDESA), India's population growth for 2015 to 2020 is 1.1 per cent, and is expected to go down to .97 per cent in the next five years and 0.27 by 2045.
Its population is forecast by the report to reach 1.383 billion in 2020 and 1.658 billion in the 2050.
Source-IANS