**Executive Summary**
This document presents the Minister of Health & Family Welfare's response to Lok Sabha Unstarred Question No. 1077 regarding the National Total Fertility Rate (TFR), to be answered on December 5, 2025. It references the Sample Registration System (SRS) Statistical Report 2023 and discusses national TFR, replacement levels, related policies, and population trends. The document also mentions existing welfare schemes to improve overall health and fertility outcomes.
**Key Points / Main Content**
* **National Total Fertility Rate (TFR)**:
* The TFR for India in 2023 is 1.9, according to the SRS Statistical Report 2023.
* The TFR is higher in rural areas (2.1) than in urban areas (1.5).
* The replacement level TFR is 2.1.
* Several states/UTs have attained the replacement level TFR including Delhi (1.2), Tamil Nadu (1.3), West Bengal (1.3), Kerala (1.5), Punjab (1.5), Himachal Pradesh (1.6), Maharashtra (1.4), Andhra Pradesh (1.5), Jammu & Kashmir (1.5), Karnataka (1.5), Telangana (1.5), Odisha (1.7), Uttarakhand (1.7), Gujarat (1.8), Haryana (1.9), Assam (2.0) and Jharkhand (2.1).
* **Government Initiatives and Policies**:
* The Ministry of Health and Family Welfare focuses on voluntary family planning services to promote healthy timing and spacing of pregnancies.
* The government supports integrated care across maternal, child, and adolescent health through various IEC and awareness activities.
* State-specific budgets under the Programme Implementation Plan are being considered for approval based on proposals submitted by the States.
* **Pradhan Mantri Matru Vandana Yojana (PMMVY)**:
* Implemented by the Ministry of Women and Child Development across the country (except Telangana) since 01.01.2017.
* It is a Centrally Sponsored Maternity Benefit Scheme providing cash incentives of ₹5,000 directly to the beneficiary's bank/post office account via DBT mode for the first child.
* Eligible beneficiaries receive the remaining cash incentive as per approved norms towards maternity benefit under Janani Suraksha Yojana after institutional delivery, averaging ₹6,000 per woman.
* A cash incentive of ₹6,000 is also provided under PMMVY to eligible beneficiaries for a second child if the second child is a girl.
**Impact Analysis**
**States/Union Territories**
* **Impact:** States with TFRs below the replacement level (2.1) may need to focus on improving the overall TFR by implementing policies that promote healthy family planning and well-being for women and children.
* **Action Required:** States should submit proposals under the Programme Implementation Plan to receive budget approval from the government.
**Ministry of Health and Family Welfare**
* **Impact:** Responsible for implementing and promoting family planning services and related healthcare initiatives.
* **Action Required:** Continue supporting and monitoring the implementation of the National Population Policy 2000 and National Health Policy 2017, along with relevant IEC activities.
**Ministry of Women and Child Development**
* **Impact:** Responsible for implementing the Pradhan Mantri Matru Vandana Yojana (PMMVY) to provide maternity benefits.
* **Action Required:** Continue implementing PMMVY and providing cash incentives to eligible beneficiaries.
**Beneficiaries of PMMVY**
* **Impact:** Financial assistance for maternity and childcare.
* **Action Required:** Must meet the eligibility criteria for receiving cash incentives under PMMVY, including institutional delivery.
Key Entities Referenced
Sample Registration System (SRS) Statistical Report 2023: Source of the National Total Fertility Rate (TFR) data presented in the document.
Ministry of Health and Family Welfare: The primary ministry responsible for health and family welfare policies and initiatives mentioned in the document.
Pradhan Mantri Matru Vandana Yojana (PMMVY): A Centrally Sponsored Maternity Benefit Scheme implemented by the Ministry of Women and Child Development.
National Population Policy 2000: A referenced policy document relating to family planning.
National Health Policy 2017: A referenced policy document relating to health.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1077
TO BE ANSWERED ON05-12-2025
NATIONALTOTALFERTILITYRATE
1077:SHRIBRIJMOHANAGRAWAL:
Will the Minister of HEALTH & FAMILYWELFARE be pleasedtostate:
(a) the details of the current National Total Fertility Rate (TFR) as per the 2023 Sample
Registration System(SRS) statistical report,inthe country;
(b) the detailsof the specific TFRvalue considered the replacement levelinthe country;
(c) whether the rural or urban sector has reachedthis levelas perlast tenyears data andif so, the
detailsthereofalongwith data of TFRvalue inthe country, State/UT-wise;
(d) the details of the initiatives and policies being considered for the States that have alarmingly
lowTFRfor overallimprovement of TFRof our country;
(e)the detailsof the decade inwhich the populationof the countryisexpected topeakalongwith
the expectedpopulation size thereto;and
(f) the details of the approximate year by which the proportion of India’s population of seniors
(over60) isexpectedtosurpass the numberof children (under14) inthe country?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH & FAMILYWELFARE
(SMT.ANUPRIYA PATEL)
(a) to (f): As per the Sample Registration System (SRS) Statistical Report 2023, the Total
Fertility Rate (TFR) for India in 2023 was 1.9, with a higher TFR in rural areas (2.1) than in
urban areas (1.5). The replacement level TFR, viz. 2.1, has been attained at the National level,
along with Delhi (1.2), Tamil Nadu (1.3), West Bengal (1.3), Kerala (1.5), Punjab (1.5),
Himachal Pradesh (1.6), Maharashtra (1.4), Andhra Pradesh (1.5), Jammu & Kashmir (1.5),Karnataka (1.5), Telangana (1.5), Odisha (1.7), Uttarakhand (1.7), Gujarat (1.8), Haryana (1.9),
Assam (2.0) andJharkhand (2.1). The detailsare at Annexure.
In alignment with the National Population Policy 2000 and the National Health Policy 2017, the
Ministry of Health and Family Welfare focuses on the voluntary adoption of family planning
services, with programmatic interventions to promote healthy timing and spacing of pregnancies
for the health and well-being of the mother and child. A Continuum of Care integrated approach
across maternal, child, and adolescent health is supported with various IEC and awareness
activities to safeguard the health of the mother and child. State-specific budgets under the
Programme Implementation Plan are being considered for approval based on proposals
submitted by the States.
Ministry of Women and Child Development is implementing Pradhan Mantri Matru Vandana
Yojana (PMMVY) across the country (except Telangana), w.e.f. 01.01.2017. The PMMVY is a
Centrally Sponsored Maternity Benefit Scheme under which cash incentives of ₹5,000/- is
provided directly to the Bank/Post Office account of the beneficiary in Direct Benefit Transfer
(DBT) mode for first child. The eligible beneficiaries receive the remaining cash incentive, as
per approved norms towards maternity benefit under Janani Suraksha Yojana after institutional
delivery, so that on an average a woman gets ₹6,000/-. Cash incentive of ₹6,000/- is also
provided under PMMVY to eligible beneficiaries for second child subject to the second child
beinga girl.
******Annexure
Annexurereferred to inreply to parts(a) to (f) of Lok SabhaUnstarred QuestionNo.-1077
to beanswered on05-12-2025
TFR(TotalFertility Rate) byResidence,IndiaandbiggerStates/UTs, 2023
States/UTs Total Rural Urban
India 1.9 2.1 1.5
Andhra Pradesh 1.5 1.6 1.3
Assam 2.0 2.1 1.3
Bihar 2.8 2.9 2.2
Chhattisgarh 2.2 2.5 1.6
Delhi 1.2 1.3 1.2
Gujarat 1.8 2.1 1.6
Haryana 1.9 2.1 1.7
HimachalPradesh 1.6 1.6 1.1
Jammu & Kashmir 1.5 1.6 1.2
Jharkhand 2.1 2.3 1.7
Karnataka 1.5 1.7 1.4
Kerala 1.5 1.5 1.5
Madhya Pradesh 2.4 2.6 1.8
Maharashtra 1.4 1.6 1.3
Odisha 1.7 1.8 1.2
Punjab 1.5 1.5 1.4
Rajasthan 2.3 2.4 2.1
Tamil Nadu 1.3 1.3 1.3
Telangana 1.5 1.6 1.5
Uttar Pradesh 2.6 2.7 2.2
Uttarakhand 1.7 1.8 1.6
West Bengal 1.3 1.4 1.1
Note: Rounded offto one decimalpoint.
Source: SRSStatisticalReport 2023(Statement 24)