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Kerala’s maternal mortality ratio climbs as fertility levels fall to a new low

(Source – The Hindu, International Edition – Page No. – 1)

Topic: GS2 – Social Justice – Health
Context
  • Kerala faces rising maternal mortality rates due to declining birth rates, impacting social fabric and demographic shifts in the state.

Kerala’s Maternal Mortality Ratio (MMR)

  • Kerala’s MMR has increased, moving from 19 to 29 per one lakh live births.
  • This rise is not due to more maternal deaths but fewer childbirths.
  • The drop in the number of live births has pushed the MMR higher.
  • Kerala’s MMR spike follows a dip in births from 5-5.5 lakh annually to 3.93 lakh.
  • In 2020-21, many deaths were linked to COVID-19 among pregnant women.
Everything You Need To Know About Kerala’s Maternal Mortality Ratio Climbs As Fertility Levels Fall To A New Low

Decline in Fertility Rate

  • Kerala’s fertility rate has been decreasing for over three decades.
  • In 1991, the fertility rate went below replacement level (2.1 children per woman) and stayed at 1.7-1.8.
  • In 2020, the total fertility rate (TFR) dropped to 1.5 and is currently at 1.46.
  • The TFR means couples in Kerala mostly have one or no children.
  • The state’s declining birth rates have significant social consequences.

Impact of Migration and Social Changes

  • Many young people in Kerala migrate for jobs or education, affecting fertility rates.
  • Delayed marriage and childbearing also contribute to the decline in births.
  • Over the next decade, the elderly population in Kerala will surpass the number of children, causing concerns for care and welfare.

Challenges in Data Collection

  • Kerala’s birth registration has issues, and official data on live births is not available publicly after 2021.
Practice Question:  Discuss the implications of declining birth rates in states like Kerala on demographic transition, social fabric, and policy formulation. (250 Words /15 marks)

For more such UPSC related Current Affairs, Check Out –11 January 2025 : PIB Summary For UPSC

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