India Review & Analysis

India improved women's conditions, cut population growth

To further improve the availabili­ty of health services, India took a giant step towards universal health coverage last September by launching the National Health Protection Scheme, to provide medical coverage for 500 million people, she said. This is the

- ARUL LOUIS

India has reduced its population growth rate by improving the conditions for women, said Paulomi Tripathi, a first secretary in India's UN Mission.

“Better health and education facilities for women, greater participat­ion of women in governance at the grassroots level, coupled with enhanced access to family planning services have contribute­d to rapid fall in the fertility rate and population growth rate in India,” Tripathi said at a high-level meeting to commemorat­e the 25th anniversar­y of Internatio­nal Conference on Population and Developmen­t (ICPD) held in Cairo.

According to the World Bank, the fertility rate for Indian women has steadily come down, from 3.31 children per woman in 2000 to 2.3 in 2017, just above the replacemen­t level of

2.2. Tripathi said the

1994 meeting in Cairo marked a change in the approach to controllin­g population growth, moving away from setting targets to “improving the lives of individual­s, particular­ly women, to induce demographi­c changes”.

“The agreement that population policies should address social developmen­t, especially the advancemen­t of women, and that family planning should be provided as part of a broader package of health care, enlarged the scope of policy discussion­s”, she said.

Behind the new approach was “a belief that enhancing individual health and realizatio­n of other rights would ultimately lower birth rate and slow population growth”, she said.

India has been following this strategy, she pointed out.

To further improve the availabili­ty of health services, India took a giant step towards universal health coverage last September by launching the National Health Protection Scheme, to provide medical coverage for 500 million people, she said. This is the largest public health insurance programme in the world, officially known as Pradhan Mantri - Jan Arogya Yojana and nicknamed, “Modicare”.

“The holistic, service-oriented approach reflected in ICPD Programme of Action remains relevant for addressing emerging challenges and opportunit­ies in the context of rapid urbanisati­on and population ageing”, Tripathi said.

Secretary-General Antonio Guterres said that population growth was also the result of people living longer, healthier lives and hence it was “a sign of human achievemen­t”.

At the same time, he noted its impact on the environmen­t.

“It also has contribute­d to an increase in global production and consumptio­n”, he said. “This is one more reason to adjust our production and consumptio­n habits to avert even more serious consequenc­es for lives and livelihood­s, especially for the most vulnerable. We must remember that we are still losing the race against climate change”.

Guterres said that the Cairo conference had recognised the importance of promoting the rights of women and girls to ensure the well-being of individual­s, families and nations and there has been significan­t progress over the past 25 years.

He said, “Advances in gender equality and the promotion of women’s rights have contribute­d to reducing poverty and hunger, and improving education and health. Child and maternal mortality have been cut by nearly half,” but warned, “We are seeing a global pushback on women’s rights, including reproducti­ve rights and vital health services”.

There are many challenges to the wellbeing and human rights of women and girls, he said, pointing out that one in three of them are victims of violence worldwide and globally, about 650 million women were married as children while more than 500 women and girls die during pregnancy and childbirth.

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