Reclaiming Reproductive Autonomy in a Changing Demographic Landscape
June 14, 2025

Context:

  • The United Nations Population Fund (UNFPA), in its State of the World Population Report 2025, challenges alarmist narratives surrounding declining fertility and demographic transitions.
  • The report emphasizes reproductive agency - the ability of individuals and couples to realize their fertility aspirations - as the real issue, rather than mere population numbers.
  • It holds vital significance for policymakers, especially in a country like India, where socio-economic and cultural factors shape fertility behavior and population policy.
  • In this context, we will try to analyse the key highlights/findings of the report.

The Changing Global Demographic Landscape:

  • Declining fertility rates worldwide:
    • Global fertility rate has declined from 5 (1960) to 2.2 (2024).
    • More than 50% of countries now have fertility rates below 2.1, the replacement level.
    • By 2054, all countries are projected to have fertility rates below 4.
    • Demographic anxiety is rising due to ageing populations and shrinking workforce.
  • India's demographic shift:
    • India's Total Fertility Rate (TFR) fell from 2.9 (2005) to 2.0 (2020) (SRS 2020).
    • Large inter-state variations persist.
    • Population under age 5 peaked in 2004; under 15 peaked in 2009.
    • India’s population is projected to peak mid-century, driven by young cohorts and increased life expectancy.
      • "Peak population" refers to the point in time when a population reaches its maximum size, after which it is expected to decline. 

Reproductive Aspirations and Realities:

  • Unmet fertility desires - A dual challenge: UNFPA–YouGov survey of 14 countries, including India -
    • 36% of Indian respondents had unintended pregnancies.
    • 30% couldn't conceive when they wanted.
    • Indicates both overachieved fertility (more children than desired) and underachieved fertility (fewer children than desired).
  • Economic and social constraints:
    • Major barriers: Financial insecurity, unemployment, housing, lack of childcare.
    • Marriage and domestic burden on Indian women restrict reproductive choices.
    • Lack of supportive workplace policies like paid parental leave and flexible hours.
    • Discrimination and career disruption due to pregnancy, especially in the informal sector.

Barriers to Reproductive Health and Autonomy:

  • Stigma and structural gaps in infertility care:
    • Infertility remains stigmatized, especially where marriage equals childbearing.
    • Treatments are expensive, unregulated, and dominated by the private sector.
    • High costs and lack of insurance deter access.
  • Over-reliance on sterilisation:
    • Widespread reliance on female sterilisation in India.
    • The need to promote reversible, modern contraception methods, not just for birth control but also to preserve choice, is essential to ensure people can plan families on their own terms.
  • Delayed and spaced childbearing:
    • Educated, urban couples are delaying childbirth, but spacing for second child is often neglected.
    • NFHS-5: 4% of married women aged 15 to 49 who are currently married report that their needs for spacing are not being satisfied.
    • Son preference and norms against contraceptive use inhibit planning.

 Toward Reproductive Justice and Demographic Resilience:

  • Countering demographic anxiety:
    • Public discourse focused on ageing, overpopulation, and low fertility often blames women.
    • The real issue is policy failure, not demographic change itself.
  • Reproductive agency as central to policy:
    • Shift from population control to reproductive empowerment.
    • Policies must be people-centric, enabling choices, not imposing targets.

Conclusion - A Rights-Based Demographic Vision:

  • To secure a demographically resilient future, nations must prioritize reproductive autonomy, dismantle socio-cultural barriers, and design inclusive policies that reflect the real fertility aspirations of individuals.
  • India, standing at the crossroads of a demographic transition, has the opportunity to reshape its population policy through a framework of dignity, equity, and choice.

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