
Financial limitation one of biggest barriers to reproductive freedom in India: UN study
New Delhi, Financial limitation is one of the biggest barriers to reproductive freedom in India with about 38 per cent respondents saying this is stopping them from having the families they want, according to a UN study released on Tuesday.
The findings were shared in UNFPA's 2025 State of World Population Report, The Real Fertility Crisis, which is an online poll conducted across 14 countries including India with 14,000 respondents out of which 1,048 adults were from India.
The study listed financial limitations as one of the biggest barriers to reproductive freedom with 38 per cent of the respondents in India saying financial limitations are stopping them from having the families they want.
Job insecurity , housing constraints , and the lack of reliable childcare are making parenthood feel out of reach, the report said.
Also, health barriers like poor general wellbeing , infertility , and limited access to pregnancy-related care add further strain, the report said.
The UNFPA said many are also holding back due to growing anxiety about the future - from climate change to political and social instability while 19 per cent faced partner or family pressure to have fewer children than they personally wanted.
The SOWP 2025 underlined millions of individuals are not able to realise their real fertility goals.
"This is the real crisis, not underpopulation or overpopulation. And, the answer lies in greater reproductive agency - a person's ability to make free and informed 150 per cent choices about sex, contraception and starting a family," the report said.
It said many people, especially women, still face significant barriers to making free and informed decisions about their reproductive lives and significant disparities persist across regions and states.
The report said states such as Bihar, Jharkhand, and Uttar Pradesh continue to experience high fertility rates, while others, like Delhi, Kerala, and Tamil Nadu, have sustained below-replacement fertility.
"This duality reflects differences in economic opportunities, access to healthcare, education levels, and prevailing gender and social norms," it said.
"India has made significant progress in lowering fertility rates - from nearly five children per woman in 1970 to about two today - thanks to improved education and access to reproductive healthcare," said Andrea M. Wojnar, UNFPA India representative.
"This has led to major reductions in maternal mortality, meaning million more mothers are alive today, raising children and building communities. Yet, deep inequalities persist across states, castes, and income groups. The real demographic dividend comes when everyone has the freedom and means to make informed reproductive choices. India has a unique opportunity to show how reproductive rights and economic prosperity can advance together," she said.
Beyond traditional barriers, emerging social realities are reshaping reproductive decisions. The report identified a complex web of modern challenges: the growing loneliness pandemic, shifting relationship patterns, difficulties in finding supportive partners, social stigma around reproductive decisions, and deeply entrenched gender norms.
Rising expectations around intensive parenting place disproportionate pressure on women, reinforcing unequal caregiving burdens and influencing decisions about if and when to have children, the report said.
The report underscored that the real crisis lies not in population size, but in the widespread challenges to support individuals' right to decide freely and responsibly if, when, and how many children to have.
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Mint
6 hours ago
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Missing from India's population narrative: Unmet family goals, financial barriers, coercion
India's population estimates often provoke extreme reactions: frustration over overpopulation or alarm over the signs of a falling fertility rate. However, such narratives fail to capture a nuanced picture—one that centres around what couples go through in their fertility journey. A recent report by the UN Population Fund (UNFPA)—State of World Population—finds that Indians are now having fewer children than needed to offset deaths. A parallel crisis is also playing out with many couples struggling to meet their fertility goals, having either more or fewer children than planned, facing several barriers and struggling with coercion. Shrinking fertility India's total fertility rate (TFR) fell to 1.9 in 2025, according to estimates from the report. This figure has been below the replacement level of 2.1 since 2020. In practical terms, this means that Indian women, on average, are now having fewer children than needed to prevent the population from shrinking over time, without accounting for migration. 'This decline is driven by a combination of factors, including rising education levels, increasing urbanization, delayed marriage, improved access to contraception, and evolving social and economic aspirations," said Andrea Wojnar, the UNFPA's India representative. The latest Sample Registration System data showed a fertility rate of 2 in fertility rates have become a cause of concern, especially in developed nations, as their populations are growing older and economies are slowing. Such concerns are taking hold in India as well, despite it being home to the largest population in the world. Unfulfilled aspirations For many years, India has chosen a policy of population control through greater awareness about family planning and making contraceptives available to people, among other measures. However, beyond these policies, several complexities faced by couples may also be contributing to the current trend. Over 30% of Indians experienced unintended pregnancies, and a similar share also went through a time when they wanted a child but couldn't have one, showed the report by the UNFPA, which conducted a survey with polling agency YouGov. About one in four Indians encountered both scenarios. These findings highlight a widespread prevalence of having either more or fewer children than planned or desired, both with detrimental consequences. Unintended pregnancies can lead to financial strain from unexpected childcare costs and potential health risks for mothers and children. Conversely, having fewer children than desired can lead to heightened psychological stress. Barriers to parenthood But what are the barriers preventing Indian couples from achieving their desired family size? Financial constraint is the number one reason, with nearly 40% citing it as a major hurdle, as per the report. Housing issues (22%), job insecurity (21%), and one partner desiring fewer children (19%) are also significant factors in family expansion goals. Many are also holding back due to growing anxiety about the future, from climate change to political and social instability. For many, insufficient involvement of the other partner in housework and childcare holds them back from expanding the family, the report showed. Notably, Indians face a disproportionately higher share of barriers compared to the global average for 10 out of 14 tracked factors. The gap is particularly wide for concerns like climate change, inadequate pregnancy-related healthcare, and pressure from the medical fraternity regarding family planning decisions, underscoring unique challenges in India. Limited agency The discourse around exercising reproductive agency has been largely focused on women since they are more directly affected by childbirth. However, the report showed that both men and women in India report significant constraints on their reproductive rights. Nearly the same share of respondents (about 61%) in both genders reported experiencing some form of coercion during a reproductive relationship in India. More men (30%) than women (26%) reported pressure to have a child when they did not want one. More men also reported feeling pressured to use contraception when they desired a child. Alarmingly, 33% of women and 34% of men reported feeling unable to refuse sexual intercourse, highlighting widespread sexual coercion. This is broadly in line with the global trend, with 60% of men and 70% of women reporting some form of limitation of their reproductive rights. 'This finding, among both women and men, should be a call to action for all policymakers and advocates, a clear indication that sexual coercion is unacceptably commonplace for both men and women," the report noted. Positive trajectory India's declining fertility rate is closing the window for the demographic dividend. However, this may have come on the back of a positive development that prioritized women's education, financial independence, and health through delayed childbearing. Births per 1,000 women for those aged 15-19 years came down dramatically—and at a faster pace than the global trend—in the 21st century. The UNFPA report also highlighted that the recent declines in total fertility rates to low and very low levels, as evidenced in some countries, were intricately linked to rapid reductions in birth rates among adolescents and young women (aged 15-24 years), caused by a postponement of childbearing. According to Wojnar, this shift reflects meaningful progress toward greater reproductive autonomy and healthier life choices for young people. 'India's fertility story is not one story, but many. And the answer lies not in prescribing outcomes, but in ensuring an enabling environment where everyone has the ability and support to realise their own reproductive goals safely, freely, and with dignity," Wojnar added.


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7 hours ago
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India's Baby Bust Is Real & IVF Is Stepping In. It's Time The Government Catches Up
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It highlights that the key health-related barrier is infertility, which affects nearly 13 per cent of the population and prevents many couples from starting or expanding families. Since the report's launch, several IVF chains have made announcements related to expansion or undertaken promotional activities. Market gearing up in smaller towns In-vitro fertilisation (IVF) clinics are now trying to become a common sight across Tier-II and Tier-III cities. The report highlights that with 1 in 6 couples in India experiencing infertility, there is a growing need to improve access to fertility care in these areas. Recognising the big business potential, these chains have been pushing into smaller markets like Haldwani, Namakkal, Meerut, Prayagraj, Vellore and others. He also pointed out that there is a 'positive change" happening in these regions with greater awareness, rising acceptance of fertility treatments, and improving affordability. 'With states like Karnataka, Tamil Nadu, Andhra Pradesh, and Sikkim witnessing a steady fall in fertility rates, our presence in these markets is both timely and crucial." However, the major task at hand for these chains is to break the stigma and myths around IVF—a task that is already underway. According to Navin Desai, co-founder and clinical embryologist at Archish Fertility & IVF, the latest UNFPA report on population collapse is a stark reminder of the demographic shifts reshaping our world with ageing societies and declining birth rates. For the IVF sector, this presents both a concern and an opportunity. On one hand, it's unfortunate that more individuals and couples are struggling with fertility; on the other hand, it reinforces the urgent need for accessible, high-quality fertility care. 'This is a defining moment for the IVF industry to lead with innovation, improve access, and dismantle stigma—not just to meet rising demand, but to contribute meaningfully to the future of global reproductive health." Desai's chain has recently launched a few initiatives focused on education and awareness, mainly to break the stigma and misinformation. One of those is the 'Fearless Fertility" campaign, which includes expert insights and digital content that debunks common myths such as IVF being the 'last resort" or only for older couples. It also runs myth-busting infographics and reels: 'Bite-sized educational content addressing top myths like 'IVF always results in twins' or 'infertility is only a woman's issue'." These are localised into different languages to reach a broader audience. Birla Fertility & IVF launched a toll-free support line last week to offer free and confidential fertility counselling. 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According to industry estimates, the average cost for accessing IVF services stands at around Rs 1 lakh to Rs 2.5 lakh per cycle in private clinics. 'In Tier-I metro clinics such as Delhi, Mumbai and Bangalore, the cost could be as high as Rs 4 lakh per cycle, whereas in Tier-II and Tier-III cities, clinics ask for around Rs 80,000," said an industry expert, requesting anonymity. He explained that on average, couples require two to three IVF cycles to achieve a successful pregnancy, but this varies significantly based on age, health, embryo quality, and underlying fertility issues. 'Some may achieve pregnancy in the first go, and some may not even after four to five attempts. Hence, IVF treatment often becomes a financial black hole." Sample this: If the cost of undergoing one cycle of IVF is Rs 1 lakh and a woman achieves pregnancy in the third attempt, the bill at IVF centres stands at Rs 3 lakh, and in the majority of cases, payments are made in advance. Hence, to help those who cannot afford private IVF chains, the government needs to intervene. An encouraging example is Mumbai's government-run Cama Hospital, which is gearing up to provide free IVF treatment for women. Last year, it started offering basic fertility treatments such as intrauterine insemination and ovulation induction. Overall, the government should plan and play a crucial role in making IVF and fertility treatments more accessible and equitable. This can be achieved by including IVF under public health insurance schemes like Ayushman Bharat, subsidising treatment costs for low-income couples, and expanding ART services in government hospitals through public-private partnerships. In short, addressing infertility as a public health concern rather than a private burden is key to supporting India's demographic future. About the Author Himani Chandna Himani Chandna, Associate Editor at CNN News18, specialises in healthcare and pharmaceuticals. With firsthand insights into India's COVID-19 battle, she brings a seasoned perspective. She is particularly More Get breaking news, in-depth analysis, and expert perspectives on everything from politics to crime and society. Stay informed with the latest India news only on News18. Download the News18 App to stay updated! tags : fertility rate health matters infertility IVF IVF treatment news18 specials Location : New Delhi, India, India First Published: June 23, 2025, 10:13 IST News india India's Baby Bust Is Real & IVF Is Stepping In. It's Time The Government Catches Up


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