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Syllabus
GS: 2 Important International institutions
Context:
Recently, the United Nations Population Fund (UNFPA) has released the State of World Population report 2025 titled “The Real Fertility Crisis: The pursuit of reproductive agency in a changing world”.
Key highlights of the report
The main reasons are the high cost of raising children, job insecurity, housing problems, worries about the world and not finding the right partner. Economic stress and gender inequality also play a big role.
Key Findings for India
About 36% of adult Indians have experienced unintended pregnancies.
Around 30% reported unfulfilled desire for having either more or fewer children.
23% experienced both challenges, among the highest rates across the 14 countries surveyed.
Barriers to Reproductive Autonomy in India

Fertility Trends in India
India has reached replacement-level fertility (TFR of 2.0), but disparities remain.
               This is aligned with the National Population Policy 2000 and the National Health Policy 2017 (TFR of 2.1).

| Category | Details | 
| States
  Above Replacement-Level TFR | ·        
  Bihar: TFR 3.0, Total Wanted Fertility Rate
  (TWFR) 2.2-  ·        
  Meghalaya: TFR 2.9, TWFR 2.2  ·        
  Uttar Pradesh: TFR 2.7 | 
| States
  with Below-Replacement TFR | ·        
  Delhi, Kerala, Tamil Nadu, Sikkim  | 
| Urban-Rural
  Gap | ·        
  Fertility below 2.1 in 31 States/UTs ·        
  7 states yet to reach replacement TFR in
  rural areas | 
| High vs.
  Low Fertility Duality | ·        
  Driven by disparities in: o  
  Economic opportunities o  
  Healthcare access o  
  Education levels o  
  Gender and social norms | 
UNFPA Recommendations for India
Focus on adapting to population changes without compromising human rights
Expand sexual and reproductive health services:
Universal access to contraception, safe abortion, maternal health, infertility care
Remove structural barriers:
Invest in childcare, education, housing, workplace flexibility
Promote inclusive policies:
Extend services to unmarried individuals, LGBTQIA+ persons, and marginalized groups
Enhance data systems and accountability:
Track unmet needs, bodily autonomy—not just fertility rates
United Nations Population Fund (UNFPA)
Key Terms Related to the topic
UPSC Mains Practice Question
Q: "The real fertility crisis is not about overpopulation or underpopulation, but about the lack of reproductive autonomy." In the light of the United Nations Population Fund (UNFPA) State of World Population Report 2025, discuss the implications of this perspective for India’s population policy and socio-economic planning.

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