DEMOGRAPHIC PROFILE IN INDIA AND ITS IMPACT ON HEALTH
DEMOGRAPHIC PROFILE IN INDIA AND ITS IMPACT ON HEALTH
• Definition
• Sources of demographic data
• Demographic cycle
• Demographic trends in World
• Demographic trends in India
• Demographic Indicators
DEFINITION
• Around 2000 years ago at the beginning of Christian era, population of world was
around 250 million
• Current world’s total population is 7.7 billion (WPD 2020)
• Projected world population is 8 billion(2025)
• Worlds population is growing at an annual rate of 1.1 percent(WPD 2020)
• Three fourths of world’s population lives in developing countries
WORLD BIRTH RATE
• The world’s birth rate fell below 30 for the first time around 1975 and had
declined to about 18.2 per 1000 population (WPD 2020)
• Examples: Singapore and Thailand
• Key factors in fertility decline include
a) Change in marriage patterns
b) Spread of education
c) Increased availability of contraception
d) Extension of services offered through Family planning programmes
WORLD DEATH RATE
• The global death rate declined from 11(1980) to 7 per thousand population
(WPD 2020)
• Crude death rates are mainly affected by Infant and Child mortality
• Decline in death rate is due to
a) Improvement in maternal and child health services
b) Implementation of Expanded programme on Immunisation
c) Diarrhoeal disease and Acute respiratory infection control programmes
d) Control of other Infectious diseases
reflected decline in crude death rate
DEMOGRAPHIC TRENDS IN INDIA
• Crude birth rate in India -19.7,rural-21.4, urban-16.4 per 1000 mid year
population(SRS 2019)
• Crude death rate in India -6.0, rural-6.5, urban-5.0 per 1000 mid year
population(SRS 2019)
• Annual growth rate – 1.3 percent (rapid growth rate)
• Decline in death rate is due to improvement in sanitation, hygiene and successful
implementation of heath programs
• Tamil Nadu CBR and CDR are 14.2 and 6.1 per 1000 mid year population (SRS
2019)
DEMOGRAPHIC INDICATORS
• 1921- “the Great divide” absolute number of people added to the population
during this decade has been on increase
POPULATION SIZE
Population pyramid:
• Graphical representation of age and sex of population
• Pyramid is typical of developing countries with broad base and tapering top
POPULATION PYRAMID
SEX RATIO
Continued…
• Low sex ratio indicates
strong male child preference
consequent gender inequities
female infanticide
female foeticide
higher maternal mortality
CHILD SEX RATIO
• Defined as the total number of girl children (0-6 years) per 1000 boys (0-6 years)
• In India - 914 /1000(Census 2011)
• Child sex ratio of the country has fallen to a large extent from 927 to 914 between
2001 and 2011
• Schemes:
1) Beti Bachao, Beti Padhao scheme(save daughters, educate daughters)
2) Sukanya Samriddhi Yojana
3) Balika Samriddhi Yojana
4) Ladli scheme
DEPENDENCY RATIO
• Ratio of combined age groups 0-14 years plus 65 years and above to the 15-65
years age group
×100
Continued…
• There is a shift from child dependency to old age dependency, as fertility declines
and Life expectancy increases
• Demographic bonus: Connotes the period when the dependency ratio in the
population declines because of decline in fertility, until it starts to raise again
because of increase in longevity
• Demographic burden: Connotes increase in total dependency ratio during any
period of time, mostly caused by increased old age dependency ratio
POPULATION DENSITY
Continued….
• Increase in urban population has been attributed to
a) Natural growth and migration from villages for employment opportunities
b) Attraction of better living conditions and availability of social services such as
education, health, transport, entertainment, etc
FAMILY SIZE
×100
LITERACY AND EDUCATION
Continued..
• Total number of illiterates has come down from 301 million(2001) to 272
million(2011) showing a decline in 31 million
• A decadal increase in number of literates among males is of 31.9 percent and the
corresponding increase among females is of 49.1 percent
• Census 2011
LITERACY RATE MALE FEMALES
India 74.04 82.14 65.46
• LITERACY RATE
Tamil Nadu 80.33 • MALES 86.61 73.86
• FEM
• LITERACY RATE
• MAL
LITERACY AND EDUCATION
Continued…
• Average number of years which a person of that age can expect to live, according
to the mortality pattern prevalent in the country
• Life Expectancy at birth has continued to increase globally over the years
• Trends in Life Expectancy show that people are living longer and they have right
to a long life in good health, rather than one of pain and disability
DEVELOPING MALE FEMALE DEVELOPED MALE FEMALE
COUNTRIES COUNTRIES
Nepal 67 70 UK 79 83
Bangladesh 71 64 USA 76 81
India 68 70 Japan 81 87
Sri Lanka 74 80 Sweden 81 85
Thailand 73 80 Singapore 81 85
Pakistan 67 71 Switzerland 82 85
FERTILITY
• Spacing of children: when all births are delayed by 1 year in each group there was
decrease in total fertility
• Education: education provides knowledge, increased exposure to information and
increases female involvement in family planning
• Family planning: Important factor in fertility reduction, Family planning
programmes can be initiated rapidly and require only limited resources compared
to other factors
FERTILITY INDICATORS