The Total Fertility Rate (TFR), an average number of children per woman, has further declined from 2.2 to 2.0 at the national level between National Family Health Survey (NFHS) 4 and 5. There are only five States in India which are above replacement level of fertility of 2.1 — Bihar (2.98), Meghalaya (2.91), Uttar Pradesh (2.35), Jharkhand (2.26) Manipur (2.17) — as per the national report of the NFHS-5, released by the Health Ministry.
The main objective of successive rounds of the NFHS has been to provide reliable and comparable data relating to health and family welfare and other emerging areas in India. The NFHS-5 National Report lists progress from NFHS-4 (2015-16) to NFHS-5 (2019-21).
The other key highlights of the survey include _ institutional births having increased from 79% to 89% in India and in rural areas around 87% births being delivered in institutions and the same is 94% in urban areas.