India has one billion reasons not to cheer
By Mahesh Uniyal
NEW DELHI - India will early Thursday afternoon become the world's second
nation with a billion people, amidst official functions to mark the event.
But the enthusiastic search for the baby, to be born at 12.56pm on May 11,
that will be officially declared the billionth Indian, is tempered by the
sobering thought that this is nothing to celebrate.
The day, ironically, also marks the second anniversary of India's adoption
of nuclear weapons, which critics say will reduce government funds
available for efforts to tackle poverty and ignorance that are blocking
birth control efforts.
Senior government officials who framed the recently unveiled national
population policy, admit that it is not difficult for India to overtake
China as the most populous nation. At the present rate of growth, India
will have 1.5 billion people by 2045. The population policy aims to avoid
0.2 billion births by tackling the root causes of the unchecked
demographic growth. These are the high rates of infant, under-five and
maternal mortality, coupled with thinly spread and poor quality birth
control and basic health services in this mainly rural nation.
Seven out of every 10 Indians still live in villages that usually lack
sufficient health care. Less than five out of every 10 of them can read
and write. The situation of women is worse, with less than a third of them
literate in rural India. The averages hide the sharp disparities with the
literacy level of village women being as low as 4.2 percent in large parts
of the socially backward state of Rajasthan.
For the first time this century, India's annual population growth rate has
come down below 2 percent, recording 1.9 percent between the years
1991-96. The last decennial national headcount held in early 1991 recorded
an annual growth of 2.14 percent in the 1980s. Preparations are on for the
new census to be held next year.
The average number of children an Indian woman bears during her
reproductive life came down from about five in the 1970s to slightly more
than three in the 1980s. But this is still unacceptably high and far from
the ''replacement level'' fertility of two children per woman that India
has long aimed for. Moreover, the national average conceals the fact that
the most populous state of Uttar Pradesh still has a high fertility rate
of 4.8.
The new population policy has set a target date of 2045 for
''stabilizing'' the population - a point when the net addition to the
total population from births is balanced by the net reduction from deaths.
A much-praised provision of the policy cleared by Prime Minister Atal
Behari Vajpayee's cabinet has frozen till the year 2026 the number of
seats in national Parliament. This is to ensure that states with poor
records in birth control are not ''rewarded'' by increased representation
in parliament.
To show that the government is according high political priority to birth
control, the policy has also provided for a first time National Population
Commission to be headed by the Prime Minister that will review the working
of the population policy. The commission is expected to be set up on May
11.
To encourage poor parents to have no more than two children, the policy
has announced a series of ''promotional and motivational measures''. These
include health insurance schemes for low income parents who undergo
sterilization after having two children. The policy also aims to expand
the reach of contraceptive and basic health services.
However, some population experts think that the new measures are unlikely
to be effective. They have faulted these for continuing with the official
grip on the population control programme.
Despite having the world's oldest birth control program that was launched
in the early 1950s, India has failed to make a dent in the problem - with
just four states still accounting for four out of every 10 births. The
four - Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh in the northern
Indian heartland - are together referred to by the Hindi acronym BIMARU
(Hindi for sick) because of their persistently high levels of fertility,
female illiteracy, infant and maternal mortality.
According to well-known Indian demographic expert Ashish Bose, the new
policy seems not to have given ''special'' attention to these problem
states. ''Unless a dent is made in these states, all attempts to stabilize
population by 2045, will amount to nothing. But there appears to be no
special thrust, no strategy on what will be done with these states,'' he
told the Indian Express newspaper.
Bose also did not approve of the creation of more layers of bureaucratic
controls by the new policy. The new policy is drawn from a draft prepared
by a panel set up by the government six years ago. Bose was a member of
this panel. He pointed out that the 1994 draft had strongly urged the
dismantling of the huge bureaucracy that supervises the birth control
program. It had advised that each of India's nearly 500 administrative
units set its own population targets and decide suitable policies for
achieving these.
Another prominent population expert, K Srinivasan, who heads the
Population Foundation of India, thinks that the new policy will increase
bureaucratic control of the population control program.
A section of NGOs and reproductive health professionals are unhappy with
the use of disincentives for birth control. They argue that it is wrong to
penalize poor parents who have more than two children, as this overlooks
the social and economic reasons for large families. Having more children
is seen as protection against high infant and child mortality levels. It
also means more working hands and therefore income for poor families in
rural India.
According to prominent woman politician and former senior government
minister Jayanthi Natarajan, women's well-being is key to successful
population control. ''The more effective way of dealing with the problem
would be through education of girls, better health services, reduced
infant mortality, and improved family well-being,'' she says.