º» JaCques Véron* The Demography of South Asia from the 1950s to the 2000s A Summary of Changes and a Statistical Assessment SouthAsia,forthepurposesofthischronicle,iscomposedofeightcountries, namelyAfghanistan,Bangladesh,Bhutan,India,theMaldives,Nepal,Pakistan andSriLanka(1).In2007thepopulationinthisregiontotallednearly1.6billion inhabitants(UnitedNations,2007a),representingnearly24%oftheworld’stotal populationspreadoverlessthan4%oftheworld’ssurface(2).Fromademographic pointofview,SouthAsiaisdominatedbyIndia,whichalonehasapopulation of1.17billion,buttherearetwootherdenselypopulatedcountriesinthisregion: PakistanandBangladesh,withpopulationsof164and159millionrespectively in2007.SouthAsiaalsoincludescountrieswithsmallpopulationssuchas Bhutan,withonly658,000inhabitantsandtheMaldiveswithjust306,000. There are sharp contrasts between these countries, be it in terms of demographicgrowth,populationdensity,mortalityandfertilityrates,urbanization orliteracy.AndthesituationwithinIndia,thelargestcountryintheregion, is itself one of major internal contrasts. Its 28 states each have distinct demographictraits–populationsize,stageofdemographictransition,density etc.–aswellasdifferenteconomic,socialandreligiouscharacteristics. ThedemographicchallengesconfrontingSouthAsiaarethoseofdeveloping countriesfacedwithamajorpopulationincrease.Theyarethechallengesof educating,housing,caringforandemployingagrowing–sometimesrapidly growing–population.Thesecountrieshavetofightagainstpovertywhile ensuringthattheeconomicgrowththeysobadlyneedtoimprovethelivesof theirpeopledoesnotresultinseriousenvironmentaldamage.Thepopulations *Institutnationald’étudesdémographiques,Paris. TranslatedbyKrystynaHorko,RosemaryKneipp,GodfreyRogers. (1)FortheUnitedNations,SouthAsiaismadeupofthesamecountriesexcludingAfghanistan, whichisconsideredtobeinCentralAsia. (2)Thelandsurfaceisthedifference,ineachcountry,betweenthetotalsurfaceareaandtheinland waters(themainriversandlakes).SeePison(2007). Population-E, 63 (1), 2008, 9-90 02_INE_Pop0108_007_090.indd 9 23/06/2008 14:36:15 J. Véron ofSouthAsiaareveryvulnerablebotheconomically(especiallythechildren whostartworkingatanearlyage)andenvironmentally.Forinstance,aportion oftheBangladeshipopulationlivesatsealevelwithconsiderableexposureto floodrisk,andseveralcountriesintheregionwereaffectedbythetsunamiin thewinterof2004.Incertainfragileorexposedareas,demographicgrowth andtheconsequentincreaseinpopulationdensityexacerbatethevulnerability ofthepoorestpopulations. I. South Asia in the world Withjustunderonequarteroftheworld’spopulationintheearly2000s, SouthAsia’spopulationgrowthof2.1%overthepastthirtyyearsisfarhigher thantheworldaverageof1.6%betweentheyears1975-2005(Table1),but belowthatofsub-SaharanAfrica(2.7%)ortheArabworld(2.6%).SouthAsia islessadvancedinitsdemographictransitionthantheworldasawhole:the fertilityratewas3.2childrenperwomanbetween2000-2005comparedwith aglobalaverageof2.7,whilelifeexpectancyatbirthwas3.6yearsbelowthe worldaverage.SouthAsiaisquitedistinctfromEastAsiaandthePacificregion, Map 1. South Asia n ista an fgh A ta n Bhutan kis Nep Pa al India Bangladesh Sri Lanka Maldives 10 02_INE_Pop0108_007_090.indd 10 23/06/2008 14:36:15 02_INE_Pop0108_007_090.indd 11 1,164.8 6,389.2 OECD countries World total TFR: total fertility rate. HDI: Human development index. PPP: Purchasing power parity. Source: UNDP (2006). 1,944.0 East Asia and the Pacific 548.3 Latin America and the Caribbean 1,528.1 310.5 North Africa and the Middle East South Asia 689.6 Sub-Saharan Africa Population in 2004 (in millions) 2.7 1.8 1.9 3.2 2.6 3.7 5.5 TFR in 2000-2005 (children per woman) 67.3 77.8 70.8 63.7 72.2 67.3 46.1 Life expectancy at birth in 2004 (in years) 1.6 0.8 1.4 2.1 1.9 2.6 2.7 Annual population growth 1975-2005 (%) 0.741 0.923 0.760 0.599 0.795 0.680 0.472 HDI in 2004 8,833 27,571 5,872 3,072 7,964 5,680 1,946 Per capita GNI in USD (PPP) in 2004 – – 90.7 60.9 90.2 69.9 63.3 Adult literacy rate in 2004 (%) Table 1. Selected socio-demographic characteristics of South Asia compared with other world regions the deMograPhy of south a sia froM the 1950s to the 2000s 11 23/06/2008 14:36:15 J. Véron wherefertilityisbelowreplacementlevelandlifeexpectancy7yearsabove thatofSouthAsia.ThehealthsituationinSouthAsiaisworsethaninother regionsoftheworld,withtheexceptionofsub-SaharanAfrica. SouthAsiaisalsothesecondleastdevelopedregionintheworldafter sub-SaharanAfrica.In2004,thehumandevelopmentindex(HDI)(3)was0.60 comparedwithaworldaverageof0.74;percapitaGDP(USD3,072perhead intermsofpurchasingpowerparity)wasnearlythreetimesbelowtheworld average, and adult literacy the lowest in the world, even below that of sub-SaharanAfrica. II. Abundant demographic data in view of development levels Overall,withtheexceptionofBhutanandAfghanistanforwhichdemographic information–apartfromUNdata–isfragmentary,richsourcesofdemographic dataareavailableforSouthAsiancountriesfrombothcensusesandsurveys (seeTable2a).Thethreemostdenselypopulatedcountries,India,Pakistan andBangladesh,havetakenregularcensusessincetheendofthenineteenth century.Indiahasheldoneeverytenyearssince1871.Thefirstpost-Independence censuswasconductedin1951,whilethemostrecentwasin2001.Pakistan tookitsfirstpost-Partitioncensusin1951andintendedtoapplythesame decennialprinciple.Thesecondcensuswasindeedheldin1961butthethird waspostponeduntil1972becauseofthewarwithIndia.Thefourthwasheld in1981butthefifthcensuswasdelayeduntil1998.Afteritsindependence fromPakistanin1971,Bangladeshheldfourcensusesin1974,1981,1991and 2001respectively.Afghanistanheldapartialcensusin1979,buttheone plannedfor2004waspostponedandwillprobablytakeplacein2008.Nepal hasheldtencensusessince1911,themostrecentbeingin2001.Bhutanhas takenaseriesofcensusesbutthesearereallycitizenshipcensusesforchecking thenationalityofpopulationsinthewakeofintensemigration.However,the governmentcarriedoutafullpopulationcensusin2005toobtainreliable socio-demographicdataforthecountryasawhole. Infivecountriesoutofeight,censusinformationiscomplementedby demographicandhealthsurveys.InthepastfifteenyearsIndiahascarried outthreesuchsurveys,calledNationalFamilyandHealthSurveys,andhas justpublishedtheresultsofthemostrecentoneheldin2005-2006.Sincethe early1990s,Bangladeshhascarriedoutsevendemographicandhealthsurveys, fiveofwhichwerestandard,whileSriLankacarriedoutthree(Table2b).Two demographicandhealthsurveyswerecarriedoutinPakistan:afirstonein 1990-1991andasecondin2006,buttheresultsofthelatestonearenotyet (3)ThehumandevelopmentindexwasintroducedbyUNDPin1990.Itisacompositeindexthat includeslifeexpectancy,adultliteracyratesandschoolenrolmentratio,aswellaspercapitaGDP. Itrangesfrom0to1. 12 02_INE_Pop0108_007_090.indd 12 23/06/2008 14:36:16 the deMograPhy of south a sia froM the 1950s to the 2000s Table 2a. Number of population censuses and national demographic surveys carried out since the 1960s in South Asia 1960-1969 1970-1979 1980-1989 1990-1999 2000-2007 Total Census 4 7 6 6 6 29 Demographic and health surveys (DHS) – – 2 8 7 17 Other surveys – 4* – – 4** Total 4 8 14 11 17 8 54 * 1975-1976 World Fertility Survey. ** 2002-2003 World Health Survey. Table 2b. Dates of DHS surveys in South Asian countries Country Dates Bangladesh 1993-1994 (standard) 1996-1997 (standard) 1999-2000 (standard) 1999-2000 (MCH SPA)* 2001 (maternal mortality) 2004 (standard) 2007 (standard) India 1992-1993 (standard) 1998-1999 (standard) 2005-2006 (standard) Nepal 1987 (in-depth)** 1996 (standard) 2001 (standard) 2006 (standard) Pakistan 1990-1991 (standard) 2006 (standard) Sri Lanka 1987 (standard) 1993*** 2000*** * Maternal and Child Health, Services Provision Assessment Survey. ** In-depth study to find out why women wanting to space births or limit family size were not using contraception. *** Surveys featured on the Sri Lanka Department of Census and Statistics website, but not on the Macro international site. Sources: www.measuresdhs.com/countries; www.statistics.gov.lk available.Theremainingcountriesintheregion(Afghanistan,Bhutanandthe Maldives)haveneverconductedasurveyofthistype. Themostdenselypopulatedcountryintheregionisalsotheoneforwhich wehavethemostdemographicdata,thanksinparttoIndia’sSampleRegistration System(SRS)whichconstitutesavaluableadditionalsource.Thissystemfor registeringdemographiceventswassetupbytheRegistrarGeneralbetween 1964-1965,originallyforafewstates,andthenextendedthroughoutIndia 13 02_INE_Pop0108_007_090.indd 13 23/06/2008 14:36:16 J. Véron between1969-1970.Itisbasedonadualsystemofbirthanddeathrecords(4). TheSRSBulletins,publishedtwiceayear,provideestimatesofcrudebirth anddeathrates,naturalgrowthratesandinfantmortalityratesforbothurban andruralareasaswellasbystate. III. Demographic and socioeconomic heterogeneity SouthAsiaisadiversifiedgeographiczone,withsharpcontrastsbetween themountainsofAfghanistanorNepal,forinstance,andthelowlandsofthe MaldivesIslandsortheGangesDeltainBangladesh.Regionalgeographic diversityisalsotobefoundwithinIndiaproper:HimachalPradesh,aHimalayan state,bearsnoresemblancetothecoastalregionsofKeralaorTamilNadu. Thisgeographicdiversitygoeshandinhandwithdemographic,economicand socialheteregoneity. Large demographic disparities SouthAsiancountriesareofveryunequalsize(Table3).Thepopulation oftheMaldives(306,000inhabitants)bearsnocomparisonwiththatofIndia (1,169billioninhabitantsin2007).Threeoftheregion’seightcountriesaccount for95%ofthetotalpopulation,andnearlythree-quartersoftheregion’s inhabitantsliveinIndia.SouthAsiancountriesalsodifferintermsofpopulation density,whichrangesfrommorethan1,100inhabitantspersq.kminBangladesh, toanaverageofjust14inhabitantspersq.kminBhutan. Thepopulationofthesecountriesisgrowingatavariablepace.According toUNestimates,theaveragerateofpopulationgrowthinAfghanistanwas nearly3.8%fortheperiod2000-2005,comparedwithscarcelymorethan0.4% forSriLanka.Theprogressofdemographictransitionisalsodifferent.Infant mortalitywasestimatedat11‰inSriLankaintheearly2000s,butexceeded 160‰inAfghanistan,whereasfertility,whichfelltoonly2childrenper womaninSriLankaiscloserto7inAfghanistan. WithinIndiaproper(Map2),thereareconsiderabledemographicdisparities intermsofpopulationsize,rateofpopulationgrowthandpopulationdensity, tonamejustthreecriteria.Forexample,inthe2001census,themostdensely populatedstateinthecountry,UttarPradesh,hadapopulationof166million –largerthanthatofPakistanorBangladesh–whereastheleastpopulated state,Sikkim,had populationofscarcely more than540,000. The Union (4)Thesystemisbasedonadualdatacollectionsystem:acontinuousprocessofbirthanddeath registrationinasampleofvillagesandurbanenumerationblocks,andanindependentretrospective survey over a six-month period. Matching the data from these two sources makes it possible to distinguish events registered by both sources, from those that are partially registered or not registeredbyoneofthesources.Inthesetwocases,acheckiscarriedoutinthefieldbyavisitto thehouseholdsconcerned.Thesystemdoesnotprovideameansforestimatingeventsthatmight havebeenomittedbybothsources(MariBhatetal.,1984). 14 02_INE_Pop0108_007_090.indd 14 23/06/2008 14:36:16 the deMograPhy of south a sia froM the 1950s to the 2000s Table 3. Population, surface area and density in South Asian countries in 2007 Country Number of inhabitants (thousands) Land area* (thousand sq.km) Population density (inhab. per sq.km) Maldives 306 0.3 Bhutan 658 47.0 14 Sri Lanka 19,299 66.0 292 Afghanistan 27,145 652.0 42 Nepal 28,196 147.0 192 Bangladesh 158,665 144.0 1,102 Pakistan 163,902 796.0 206 1,169,016 3,287.0 357 India 1,020 * Total surface area minus inland waters. Sources: United Nations (2007a) and Pison (2007). territory(5)oftheLakshadweepIslandshasthesmallestpopulation,withjust over60,000inhabitantsin2001(Table4).Intheperiod1991-2001,thepopulation inIndia’svariousstatesandterritoriesgrewatvariablerates,withanannual averageof5%inNagaland,3.8%intheTerritoryofDelhi,1.8%inPunjab (arateclosetotheIndianaverage,whichis1.93%),1.3%inAndhraPradesh and1.1%inTamilNadu.Populationdensityalsovariessharplybetweenregions. In2001itstoodat324inhabitantspersq.km forIndiaasawhole,butjust 13persq.kminArunachalPradesh,astatethatstretchesfromtheHimalayan mountainstotheBrahmaputraValley,andexceeded900inhabitantspersq.km inWestBengal,partlybecauseofthecityofCalcutta.Populationdensityis particularly high in the territories of Delhi and Chandigarh, (9,294 and 7,903inhabitantspersq.kmrespectively)becauseofintenseurbanization.But urbanizationisnotthesolereasonforhighpopulationdensity.InKerala,a statewhereonly26%ofthepopulationlivesinurbanareas,densityexceeded 800inhabitantspersq.kmin2001. Sharp socioeconomic inequalities Anexaminationofthethreesignificantvariablesforacountry’sdevelopment consideredtoplayavitalroleinacountry’sdemographictransition,namely literacy,GDPandurbanization,revealssharpcontrastsbetweenthecountries. Forexample,whilenearlyallwomenovertheageof15yearsareliteratein theMaldives(96%)andinSriLanka(nearly90%),theliteracyrateisbelow 50%inIndia,under40%inBangladesh,35%inPakistanandNepal,andas lowas13%inAfghanistan(Table5).Likewise,thereisathree-folddifference inpercapitaincomebetweenNepal(USD1,490intermsofpurchasingpower (5)Indiaiscomposedof28statesand7unionterritories.Delhi,PuducherryandChandigarhare included among the territories. Each state is administered by a Governor and a prime minister, whiletheterritoriesaregoverneddirectlyatfederallevel,representedbyaLieutenantGovernor. 15 02_INE_Pop0108_007_090.indd 15 23/06/2008 14:36:16 J. Véron Map 2. Administrative India (states, union territories and neighbouring countries) AFGHANISTAN Jammu & Kashmir Himachal Pradesh CHINA BHUTAN Uttar Pradesh Rajasthan Bihar d Gujarat Jharkhan Madhya Pradesh Daman & Diu Dadra & Nagar Haveli h Ch Maharashtra Meghalaya BANGLA DESH Manipur Tripura Mizoram h ar sg ti at ga lan d an a Ha ry hal nac h Aruades Pr a s As m Sikkim NEP AL Delhi Na Uttaranchal Punjab PAKISTAN MYANMAR (BURMA) West Bengal Orissa Andhra Pradesh BAY OF BENGAL Goa ARABIAN SEA DA AN DW SHA LAK AR OB ad lN Ta mi NIC DS AN ISL EA a ral Ke S EEP EEP DW SHA A) LAK (INDI Pondicherry SRI LANKA Ined 2008 N& MA u Karnataka INDIAN OCEAN 0 400 km parity)andSriLanka(USD4,390).Andalthoughthecountriesintheregion arenotyetheavilyurbanized,considerablediscrepanciesexistnonetheless. Theproportionofcity-dwellersinPakistan,themosturbanizedcountryin theregion,isthreetimeshigherthaninBhutan(36%versus12%). Likethedemographicindicators,thesocioeconomicindicatorsvaryfrom oneregiontoanotherinIndia.Accordingtodatafromthe2001census,with respecttotheIndianaverageof54%,femaleliteracyratesrangefrombelow 34%inBiharandapproximately88%inKerala.Thewealthofthestatesvaries 16 02_INE_Pop0108_007_090.indd 16 23/06/2008 14:36:17 the deMograPhy of south a sia froM the 1950s to the 2000s Table 4. The 28 states and 7 union territories of India by population in 2001 State or union territory Population Lakshadweep Island* Population density (Inhabitants per sq.km) 60,650 1,894 Daman & Diu* 158,204 1,411 Dadra & Nagar Haveli* 220,490 449 Andaman & Nicobar Islands* 356,152 43 Sikkim 540,851 76 Mizoram 888,573 42 Chandigarh* 900,635 7,903 974,345 2,029 Puducherry* Arunachal Pradesh 1,097,968 13 Goa 1,347,668 363 Nagaland 1,990,036 120 Manipur 2,166,788 107 Meghalaya 2,318,822 103 Tripura 3,199,203 304 Himachal Pradesh 6,077,900 109 Uttarakhand 8,489,349 159 Jammu and Kashmir 10,143,700 99 Delhi* 13,850,507 9,294 Chhattisgarh 20,833,803 154 Haryana 21,144,564 477 Punjab 24,358,999 482 Assam 26,655,528 340 Jharkhand 26,945,829 338 Kerala 31,841,374 819 Orissa 36,804,660 236 Gujarat 50,671,017 258 Karnataka 52,850,562 275 Rajasthan 56,507,188 165 Madhya Pradesh 60,348,023 196 Tamil Nadu 62,405,679 478 Andhra Pradesh 76,210,007 275 West Bengal 80,176,197 904 Bihar 82,998,509 880 Maharashtra 96,878,627 314 Uttar Pradesh 166,197,921 689 1,028,610,328 324 India * Union territories. Source: Banthia (2001), http://www.censusindia.net enormouslyasdoestheproportionofcity-dwellers.InGoa,India’smost urbanizedterritory,theproportionisnearly50%,comparedwiththeother extremeof10%inHimachalPradesh. 17 02_INE_Pop0108_007_090.indd 17 23/06/2008 14:36:17 J. Véron Table 5. Literacy, standard of living and urbanization in South Asian countries Literacy rate of women aged 15 or over in the 2000s (%) Per capita GNI in USD (PPP) in 2004 Percentage urbanized in 2005 (%) Afghanistan 13 – 23 Bangladesh 41 1,870 26 – 1,969 31 India 48 3,139 29 Maldives 96 – 34 Nepal 35 1,490 16 Pakistan 35 2,225 35 Sri Lanka 89 4,390 15 Bhutan Sources: UNDP (2006), United Nations (2008). PopulationbreakdownbyreligionisalsohighlydiverseinSouthAsian countries,asshowninTable6.InBangladeshandPakistan,thevastmajority ofthepopulationisMuslim.In2001,90%ofBangladeshiswereMuslimand, in1998,morethan96%ofPakistanis.ThepopulationofNepalismorethan 80%Hindu,whereasBuddhism,thesecondreligioninorderofimportance, nowonlyaccountsforjustover10%ofthetotalpopulation.Hinduismis alsothemajorityreligioninIndia(81%).ThereareotherreligionsinIndia butwiththeexceptionofIslam(13%ofthepopulation),theyareverymuch aminority.TheproportionofChristiansisjustabove2%andthatofSikhs isevenlower,whileBuddhistsaccountforlessthan1%ofthetotalIndian population. The other countries do not have detailed statistics on their religious composition.AfghanistanisanIslamicRepublicandapproximatelyfourfifths Table 6. Population breakdown by religion in five South Asian countries (%) Country Bangladesh (2001) Religion Hindu Muslim Buddhist Christian Sikh Jain Other(a) 9.2 89.6 0.7 0.3 – – 0.2 India (2001) 80.5 13.4 0.8 2.3 1.9 0.4 0.7 Nepal (2001) 80.6 4.2 10.7 0.5 – – 4.0(b) Pakistan (1998) 1.6 96.3 – 1.6 – – 0.5 Sri Lanka (2001) 7.8 8.5 76.7 7.0 – – – (a) Other religion or non-specified. Of which 3.6% Kiranti. Sources: Census of India, 2001; Census of Pakistan, 1998; Census of Sri Lanka, 2001; Census of Nepal, 2001. (b) 18 02_INE_Pop0108_007_090.indd 18 23/06/2008 14:36:17 the deMograPhy of south a sia froM the 1950s to the 2000s ofitsinhabitantsareMuslim.InBhutan,MahayanaBuddhism(6)isthestate religion.ThelawinBhutanguaranteesreligiousfreedom,andHinduismis practicedincertainareasofthecountry.Thisfreedomissomewhattheoretical, however,withthegovernmentpreventingtheestablishmentofnon-Buddhist missionsinthecountryortheconstructionofnon-Buddhistreligiousbuildings. TheNepaleseconstitutiondescribesthecountryasa“HinduKingdom”but Hinduismisnotastatereligionandin2006theHouseofRepresentatives declaredNepaltobea“secularstate”.IslamisthestatereligionintheMaldives, whereasinSriLankamorethanthree-quartersofthepopulationontheisland isBuddhist.HeretheMuslim,ChristianandHinducommunitieseachaccount forjust8%ofthetotalpopulation. Althoughfour-fifthsofthepopulationofIndiaisHindu,thereligious compositionvariesbetweenstates,andHinduismisnotthemajorityreligion everywhere.Theproportionisover94%inOrissa,ChhattisgarhandinHimachal Pradesh(whereitevenexceeds95%)butHindusonlyrepresent8%ofthe population in Nagaland and 4% in Mizoram which both have a majority Christianpopulation.TheproportionofMuslims,whichwasslightlyover13% inthecountryasawholein2001,isunder2%inPunjab,butcloseto25%in KeralaandWestBengal,morethan30%inAssam,67%inJammuandKashmir and95%intheLakshadweepIslands.TherearefewChristiansinIndia; nationallythefigurestandsat2.3%,butthisrisesto19%inKerala,27%in Goa,70%inMeghalayaand90%inNagaland.Sikhs,whorepresentlessthan 2%oftheIndianpopulation,constitute16%ofthepopulationinChandigarh and60%inPunjab.InIndialessthan1%ofthepopulationisBuddhist,but inSikkimBuddhistsaccountformorethan28%. IV. A history strongly marked by population movements Frequent migration waves in the past MajorpopulationmovementshaveoccurredinthecourseofSouthAsia’s history,whichexplainsthediversityofthepopulationsinthevariouscountries oftheregion.Afghanistan,locatedinthemainpathoftheCentralAsian invasionsofsouthorsouthwestAsia(7),hasaPashtunmajoritybutisalso peopledbyTajiks,Hazaras,Uzbeks,aswellasbyAimak,TurkmenandBaluch. (6)MahayanaBuddhism,orthe“GreatVehicle”isaformofBuddhismthatappearedintheearly ChristianeraandreintroducescertainprinciplesBuddhahaddiscarded,suchassalvationthrough devotionandritual. (7)AroundthemiddleofthesecondcenturyBC,Indo-AryanpopulationscrossedAfghanistanon theirwaytotheIndusValley.In637AfghanistanwasinvadedbyArabs,thenbyGenghisKhanin theearlythirteenthcenturyandtakenbyTamerlaneinthefourteenthcentury.Forseveralcenturies itwastheobjectofnumerousdisputesbetweenMongolsandPersians. 19 02_INE_Pop0108_007_090.indd 19 23/06/2008 14:36:17 J. Véron TheNepalesearetheproductofthreemajormigrations(8)fromIndia,Tibet andCentralAsia,whileBangladeshwassettledbyTurks,Arabs,Pashtunand Persians.SriLankawasuninhabiteduntilaPrinceofBengalsettledthere around540BCwithasuiteof700personswhobecametheancestorsofthe SinghalesepeoplefromwhommostcontemporarySriLankansaredescended (CICRED,1974b). Fromancienttimes,manygreatcivilizationsoccupiedthevastterritory that was India before the partition of West and East Pakistan in 1947(9). Populationmovementshaveplayedamajorroleintheriseandfallofcivilizations. InthebeginningofthethirdmillenniumBC,theInduscivilizationflourished andextendedfromtheIndianPunjabtotheArabianSea.Itderiveditsstrength fromitsproductiveagriculturebasedontherichalluvialsoilandabundant watersupplies,whichprovidednumerouscropsincludingcotton.Towns developedandtherewerenumerousexchangeswithWesterncivilizations, especiallywithSumerandEgypt.Thiscivilizationdisappearedaround1500BC, probablybecauseoftheAryaninvasionornaturaldisasters(10)(ESCAP,1982). Around500BC,theAryancivilizationdevelopedandspreadeastwardstothe GangesValley.Agriculturealsoflourishedandthepopulationgrew,partlyas aresultofnewwavesofAryanmigrationfromCentralAsia.TheAryanspushed theDravidians,whooriginallyinhabitedtheIndusValley,furthersouthand theDravidiancivilizationsubsequentlyflourishedinsouthernIndia.Fora longtimesouthernIndiawasdividedintonumerouskingdomsengagedin incessantwaragainsteachother. InthenorthofIndia,theMauryaEmpireextendedfromAfghanistanto BengalviathesouthernHimalayas,andreacheditsapogeeunderAshoka (273-232BC).Then,fromtheearlyfourthcenturyAD,theGuptaEmpire extendedfromtheIndustotheBrahmaputraRiverstoincludealargepartof theIndianpeninsula.Thisregionsubsequentlyenjoyed200yearsofpeace andpoliticalstabilityuptotheinvasionoftheHunsattheendofthefifth century.TheMogulEmpirefollowedfromthesixteenthtoseventeenthcentury, afterwhichthePortuguese,Dutch,BritishandFrenchtradersarrived.The EastIndiaCompany(11)establishedduringtheMogulperiodgreatlyadvanced Britain’sdominationofIndia. (8)Australoid peoples came from the south in the fourth century BC, then Mongols speaking aTibeto-Burmanlanguageoccupiedtheeastandthecentreofthecountryafewcenturieslater.The thirdmigrationinthesecondcenturyBCwastheIndo-Aryanpopulationfromthesouthandthe westintothehillsandvalleysofKathmandu(Bista,1977). (9)EastPakistanbecameBangladeshin1971. (10)MajorearthquakesmayhaveledtoadryingoftheIndusvalleybecauseofthewatersbeing divertedtotheGangesRivercatchment. (11)TheBritishEastIndiaCompanywasatradingcompanythatobtainedthetradingmonopolyof theIndianOceanfromQueenElisabethI. 20 02_INE_Pop0108_007_090.indd 20 23/06/2008 14:36:18 the deMograPhy of south a sia froM the 1950s to the 2000s The British influence AllthecountriesofSouthAsiahavebeensubjectedtostrongBritish influence.InAfghanistan,theBritishfoughttheRussiansforcontrolofthe countryfromtheendofthe1830s.Between1838and1842,thefirstAfghan warendedwiththedefeatoftheBritisharmy,butinthesecondAfghanwar of1878-1880theBritisharmyconqueredKabulandfreedKandahar.In1919, athirdAfghanwarresultedinthatcountry’sindependence.Afterawarthat wasintendedtocontroltheexpansionistaimsoftheGurkhas,Nepalcame underBritishrulein1815andremainedsountil1923,whenGreatBritain recognizedNepal’sindependence.TheannexationofAssambytheBritishin the1820sstirreduptensionsontheBhutaneseborderandconflictsensued untilatreatywassignedin1910thatmadeBhutanaBritishprotectorate.From themidtwentiethcentury,BhutanwaslargelyunderIndiandominancewhile SriLankawasunderBritishrulefrom1815to1948.ItwastheBritishwho introducedteaplantationstotheislandthatwasthencalledCeylon.The MaldiveswereaBritishprotectoratefrom1887to1965. India was almost entirely administered by the British from the mid nineteenthcenturyuntilindependencein1947(12).TheBritishunifiedthe country,inparticularbyconstructingarailwaynetwork.Theycarriedout irrigationwork,setupcommunications networks,developed the mining industry,cultivatedjuteandtea,etc.Togetaclearerpictureofthepopulation onitsterritories,theBritishgovernmentconductedafirstcensus,knownas the1872census,butwhichinfactstretchedovertheperiod1867-1872.The firstdetailed“instant”censuswasconductedin1881.Fromthattimeuntil thepresentday,colonialIndiaandlaterindependentIndiahastakenacensus everydecade,themostrecentin2001. Population diversity and political tensions Thepoliticalhistoryofthisregion,likethediversityofitspopulationsin termsoforiginorreligion,hasgivenrisetonumerousconflicts,someofwhich continuetothisday. TheindependenceofIndiaandthepartitionofEastandWestPakistanin 1947,resultedinmajorpopulationmovements,withHindusmigratingfrom PakistantoIndiaandMuslimssettlinginPakistan(13).In1971,EastPakistan foughta“liberationwar”withWestPakistan,accusedofpoliticalandeconomic dominance,resultinginEastPakistan’ssecessionandtheformationofBangladesh inDecemberofthesameyear.TheproblemofKashmirremainsasourceof frictionbetweenIndiaandPakistan,whohaveclashedthreetimesonthat issue.AnychangingorcrossingofbordersbetweenIndianandPakistani (12)Upuntilthen,India’shistorywasalsothatofPakistanandBangladesh. (13)Accordingtofiguresthataresometimesquotedbutwhichhaveyettobeverified,10million peopleweredisplacedduringPartition,and500,000diedintheconflict. 21 02_INE_Pop0108_007_090.indd 21 23/06/2008 14:36:18 J. Véron Kashmiralwaysleadstoconfrontations,particularlysincetheMuslimsonthe Pakistanisidetendtobeincreasinglyradical.Afghanistanhasalsobeenatthe heartofaseriesofconflictsoverthepastthirtyyears,withtheSovietinvasion of1979,thetakeoverbytheTalibanin1996,thetopplingoftheirregimein the2001war,andincessantguerrillawarfareeversince.SriLankahasseen violentconfrontationsbetweenthemajoritySinghalesepopulationandthe Tamils.TheMaldivesbecamearepublicin1968,butenduredacoup20years laterduringwhichtheMaldiviansobtainedhelpfromtheTamils,themselves inconflictwiththeSriLankanauthorities.However,withIndianhelp,the Maldivesgovernmentresistedthecoup.Bhutansufferedfromethnicviolence between1991-1993andinIndiaviolenceregularlyeruptsbetweenvarious communities.TheIndiangovernmenthadtocontainseparatistSikhsinthe 1980sandconsiderabletensionshaveexistedbetweenfundamentalistHindus and Muslims for nearly 20 years. Bangladesh is also subject to Islamist violence. V. Population and growth since 1950 Sustained population growth Intheearly1950s,thedemographicgrowthrateintheSouthAsiancountries (AppendixTableA.3)wastwiceashighinsomecountriesasinothers,ranging from1.54%inAfghanistanto3.09%inBhutan.Severalcountrieswereatthe higherendofthescale–SriLanka,withannualpopulationgrowthof2.8%, wasnotfarbehindBhutan,andPakistan,thoughgrowingmoreslowly,was stillabove2%.Duringthefollowingdecades,allthecountriesexceptSriLanka witnessedanaccelerationoftheirdemographicgrowth.Theannualgrowth rateinIndiarosefrom1.73%in1950-1955to2.26%thirtyyearslater,in19801985.Duringthesameperiod,thatofBangladeshincreasedfrom1.98%to 2.47%andthatofPakistanfrom2.15%to3.63%.Between1980-1985and 2000-2005,allthecountries,withtheexceptionofAfghanistan,recordeda slowdowninpopulationgrowth(Figure1).InAfghanistan,overtheperiod 1980-1985,thenaturalgrowthratewaslargelypositive,butthewarwiththe SovietUnionpromptedmassivemigrationofrefugeestoPakistanandIran thatledtonegativetotalpopulationgrowth(14). SriLankahasprovedtobeanexception,withasteadydecreaseinthe populationgrowthratesincetheearly1950s:from2.8%in1950-1955,it droppedto2.1%in1970-1975,1.4%in1980-1985,1.1%in1990-1995and finally0.4%in2000-2005,i.e.adeclinetovirtuallyzeropopulationgrowth inthespaceoffiftyyears(AppendixTableA.3). India,whichsetupitsfirstfamilyplanningprogrammeintheearly1950s hasseenitspopulationgrowthrateslowdownoverthepasttwentyyears, (14)Figureshavebeenputforwardof2.5to3millionrefugeesinPakistanand1.5millioninIran. 22 02_INE_Pop0108_007_090.indd 22 23/06/2008 14:36:18 the deMograPhy of south a sia froM the 1950s to the 2000s thoughin1990-1995itwasstillabove2%perannum.AlthoughtheIndian authoritieshavebeentryingtostabilizethepopulationgrowthrateformany yearsnow,thefigurewasstill1.62%perannumin2000-2005.Duringthe sameperiod,thepopulationgrowthratesinPakistanandBangladeshremained above1.8%,whichmeansthatifthereisnochange,thepopulationofthese countries will double in less than forty years. As a result of these high demographicgrowthratesoveraperiodofahalfacentury,thepopulationof SouthAsiatripledbetween1950and2005,climbingfrom478millionto 1,580millioninhabitants. Figure 1. Population growth rate in South Asia between 1980-1985 and 2000-2005 4 Growth rate in 2000-2005 (%) Ined 004 08 Afghanistan 3 Bhutan Nepal Bangladesh 2 India Pakistan Maldives 1 Sri Lanka 0 –3 –2 –1 0 1 2 3 4 Growth rate in 1980-1985 (%) Source: United Nations (2006a). South Asia in 2040: a forecast increase of 600 million inhabitants AccordingtothemediumvariantprojectionsoftheUnitedNations(2006 revision),thepopulationintheregionwillcontinuetogrowduringthenext fewdecades,reachingatotal2,200millioninhabitantsin2040,i.e.600million inhabitantsmorethantoday.Itsshareinthetotalworldpopulationwillincrease slightly,from23.3%in2005to25.3%in2040.Accordingtothesemeanvariant projections,inthirtyyearstime,Indiawillhaveapopulationof1,600million inhabitants, Pakistan 268 million, Bangladesh 239 million, Afghanistan 66million,Nepal47million,SriLankaabout20million,Bhutan900,000and theMaldives476,000.Bythen,IndiawillbemorepopulatedthanChina,with itsestimated1,450millioninhabitants. 23 02_INE_Pop0108_007_090.indd 23 23/06/2008 14:36:19 J. Véron Projections drawn up in India on the basis of the 2001 census and revisedin2006leadtoaslightlylowerpopulationin2025thanthefigure put forward by the United Nations (1,389 million against 1,447 million), but the difference – nearly 60 million – needs to be put into perspective, as it only corresponds to slightly more than two years of births in India. In 2026, the final year of these projections, it is forecast that India will have about 1,400 million inhabitants (Table7). The most populated state, UttarPradesh,willhaveapopulationof249millioninhabitants,equivalent totheentirepopulationofIndiain1911.ThreeotherStateswillhavemore than100millioninhabitants:Maharashtra(133million),Bihar(114million) and Western Bengal (101million). Andra Pradesh, Madhya Pradesh(15) and Rajasthan will have 94 million, 88million and 82 million inhabitants in 2026. Table 7. Population of Indian States of more than 20 million inhabitants in 2001 (in thousands) projected to 1 March 2026 State Projected population in 2026 (thousands) Andhra Pradesh Assam 94,073 35,602 Western Bengal 100,534 Bihar 113,847 Chhattisgarh 28,591 Gujerat 69,258 Haryana 31,087 Jharkhand 37,356 Karnataka 66,933 Kerala 37,254 Madhya Pradesh Maharashtra 87,729 133,333 Punjab 31,345 Rajasthan 81,501 Tamil Nadu Uttar Pradesh India 71,857 248,763 1,399,838 Source: Office of Registrar General & Census Commissioner (2006). http://www.jsk.gov.in/projection_report_december2006.pdf (15)Three new States were created after the 1991 census, namely Uttaranchal, Jharkhand and Chhattigarh,bydividingupthehighlypopulousIndianstatesofUttarPradesh,BiharandMadhya Pradesh. 24 02_INE_Pop0108_007_090.indd 24 23/06/2008 14:36:19 the deMograPhy of south a sia froM the 1950s to the 2000s VI. Diversified demographic transitions Acomparisonofdemographictransition“models”overhalfacentury (Figure2)doesnotindicatethatthereisatypeoftransitionspecifictothe region;neitherdoesitshowanyhighlycontrastedtransitionsbetweenthe differentcountries.TheonlymodelsthatreallystandoutarethoseofAfghanistan andSriLanka,thefirstbecauseofitshighbirthrateandthesecondbecause ofitssharpfertilitydecline. AccordingtotheUnitedNationsdata–2006revision(2007a)–themortality ratesvaryconsiderablybetweenthetwomostextremecountries(Appendix TableA.3).Inthefirsthalfofthe1950s,theoverallmortalityratewasnearly 37‰inAfghanistan,againstalittlemorethan11‰inSriLanka.Intheother countriesoftheregion,itvariedfrom23‰to28‰atthebeginningofthe 1950s.Ageneraldropinmortalityoccurredandthecrudemortalityratesfor allcountriesin2000to2005werebetween6.5‰and8.7‰,withtheexception ofAfghanistan,withanestimatedrateof21.6‰forthesameperiod. AfghanistanandSriLankaalsorepresentextremesituationsintermsof birthrates.TherehasbeenlittlechangeinAfghanistanoverthelastfiftyyears, withagrossestimatedrateof52.1‰in1950-1955and49.7‰in2000-2005. Ontheotherhand,duringthesameperiod,thebirthratecontinuedtofallin SriLankaandwasmorethanhalvedbetween1950-1955and2000-2005, droppingfrom39.9‰to16.3‰.Intheothercountriesintheregion,thebirth rate,stillveryhighatthebeginningofthe1950s(between43‰and49‰), alsodroppedbyhalfinfiftyyears,tobetween22‰and30‰in2000-2005, levelsthatremainwellabovethatofSriLanka.Onlythislastcountry(Figure1) isintheprocessofcompletingitsdemographictransition. AlthoughIndiaregisteredadownwardtrendinitsbirthrateoverhalfa century,itisstillfarshortofthetargetfixedbytheIndiangovernmentineach five-yearplan,whichmeansthatbirthrateandfertilitytargetsarefrequently revised(RajanandVéron,2006).ThefactthatIndiahasayoungpopulation maintainsbirthratesathighlevels:thisagestructureeffect(thenumberof womenofchild-bearingageishigh)explainswhytheoveralldropinfertility onlypartiallyleadstoadecreaseinthebirthrate.Butobservedfertilityisalso higherthantargetedfertility,duetolimitedaccesstocontraception,particularly inthepoorestareaswherethepopulationislesseducated. ThedemographictransitionintheSouthAsiancountriesoverthepast halfcenturycanalsobeanalysedintermsofthedemographicgrowthrates atthebeginningandendoftheperiod.InAfghanistan,forexample,theannual populationgrowthrateincreasedfrom1.54%in1950-1955to2.81%in20002005,duetothefairlyregulardecreaseinthedeathrate,whilethebirthrate remainedpracticallyconstant(Figure2A).Ontheotherhand,inBangladesh (Figure2B),thegrowthrateremainedpracticallythesame(1.99%atthe beginningand1.95%attheendoftheperiod).Thedownwardtrendinthe 25 02_INE_Pop0108_007_090.indd 25 23/06/2008 14:36:19 J. Véron Figure 2. The demographic transition in South Asia (changes in birth and death rates) Rate (‰) 60 Ined 005 08 Births n = 52.1 50 n = 49.7 Rate (‰) 60 Births n = 48.4 50 Ined 006 08 B. Bangladesh r = 1.54% 40 40 r = 1.99% r = 2.81% 30 m = 36.7 n = 27.8 30 Deaths 20 m = 21.6 10 m = 28.5 20 A. Afghanistan r = 1.96% Deaths 10 m = 8.2 0 0 Rate (‰) 60 Ined 007 08 50 n = 46.7 C. Bhutan Births Rate (‰) 60 Ined 008 08 D. India 50 n = 43.3 40 40 r = 1.99% Births n = 22.4 30 r = 1.73% n = 25.1 30 m = 26.8 20 Deaths 20 r = 1.46% 10 m = 26.0 r = 1.64% Deaths 10 m = 7.8 m = 8.7 0 0 Rate (‰) Ined 009 08 E. Maldives 50 Births n = 45.2 40 Ined 010 08 F. Nepal Births n = 43.9 40 n = 22.2 r = 1.79% 10 m = 8.7 m = 6.5 0 Rate (‰) 50 Ined 011 08 G. Pakistan Births n = 44.5 40 0 Rate (‰) 60 Ined 012 08 H. Sri Lanka 50 n = 27.5 r = 2.14% 30 r = 2.15% Deaths r = 1.57% Deaths 10 60 m = 28.1 20 m = 27.3 n = 39.9 40 Births 30 r = 2.85% 5 90 19 -8 80 -9 5 m = 7.3 5 -6 5 60 5 19 50 -5 5 19 -0 00 20 19 90 -9 5 -8 5 19 80 5 19 70 -7 5 -6 60 19 50 -5 5 0 Deaths 19 m = 11.4 m = 7.7 0 19 r = 0.90% 10 Deaths -7 10 n = 16.3 20 r = 1.98% 70 m = 23.1 19 20 5 20 30 -0 30 n = 30.2 r = 1.58% 00 50 Rate (‰) 60 20 60 Source: United Nations (2006) 26 02_INE_Pop0108_007_090.indd 26 23/06/2008 14:36:20 the deMograPhy of south a sia froM the 1950s to the 2000s deathandbirthrateswasofthesameorder,althoughthedropinmortality tookplaceearlier.Thedecreaseinthebirthratewassubsequentlymorerapid, however.InBhutan(Figure2C),thegrowthratein1950-1955,thesameas thatofBangladesh(1.99%)atthebeginningoftheperiod,fellsharplyto1.46% in2000-2005.InBhutan,thebirthratedroppedmorequicklythanthedeath rate.InIndia(Figure2D),thegrowthrateislessthan0.1pointlowerthanit wasfiftyyearsago.Duringthelasthalf-century,infact,thepopulationgrowth ofIndiaincreasedsubstantially,reaching2.3%in1980-1985,butthenslowed downconsiderably(decreaseofmorethan0.6points).IntheMaldives(Figure2E), thepopulationgrowthratedropped0.2pointsinthefiftyyearperiod:the mortalityratedecreasedregularlywhilethebirthrateremainedhighforalong periodbeforedroppingdrasticallyoverthelasttwentyyears.InNepal(Figure2F), thepopulationgrowthrateincreasedsharply,from1.58%to2.15%,withthe deathratedroppingmorequicklythanthebirthrate,evenifthelatterhas pickedupoverthelasttenyears.InPakistan(Figure2G),thepopulation growthratedroppedslightly,from2.14%atthebeginningofthe1950sto 1.98%atthestartof2000.ThetransitionhadalreadybeguninSriLanka (Figure2H)inthe1950s,whichexplainstherapidpopulationgrowthatthat time(2.85%).Thedeathratewasalreadyonthedecline,whilethebirthrate wasstillhigh.Today,thetransitionhasbeencompletedandthepopulation growthrateinSriLankaisbelow1%. VII. A continuing tradition of early and intense nuptiality Femalenuptiality,whichwasparticularlyearlyinIndiaattheendofthe nineteenthcentury,withameanageatfirstmarriageofonly13in1886-1891, wasstillearlyinthe1950s,despiteamarkedincreaseinage(16intheperiod from1951-1961)(ESCAP,1982).Menmarriedmuchlater,atameanageof20in 1886-1891and22.3in1951-1961.InBangladeshandPakistan,femalenuptiality wasstillveryearlyatthebeginningofthe1950s,withameanageatfirstmarriage of14.4years,differingconsiderablyfromthatofmen,whomarriedatamean ageof22.4years(ESCAP,1981).Dataconcerningthe1960sinKarachiindicate muchlaterfemalenuptialityinurbanareas(averageageof19in1962)andlittle differencebetweensocialgroups(CICRED,1974a).Inthedecadefrom1961to 1971,themeanageatfirstmarriageforwomenwasestimatedat17inIndia(16). InSriLanka,itwasalreadymuchhigherinthe1960sthanintheothercountries, withameanageof23in1961(CICRED,1974b). Thecountrieswhererecentnuptialitydataisavailable(Bangladesh,India andNepal) arecharacterizedbya continuing tradition of very early and (16)Withlargeregionalvariationssincethedataestablishedperdistrictfor1971showameanage atfirstmarriageforwomenrangingfrom13to23yearsofage(Goyal,1988). 27 02_INE_Pop0108_007_090.indd 27 23/06/2008 14:36:20 J. Véron Table 8a. Percentage of married persons by age, and age at first marriage in Bangladesh, 2004 Women Age group (years) Percentage of women married for the first time by exact age (years) 15 18 20 22 25 Percentage of never-married women Median age at first marriage 15-19 26.7 – – – – 52.1 – 20-24 37.3 68.4 78.6 – – 15.2 16.0 25-29 50.5 79.7 87.6 91.3 94.4 4.2 15.0 30-34 54.2 83.7 90.5 94.1 97.1 1.2 14.7 35-39 58.7 84.6 93.5 96.3 97.8 0.4 14.5 40-44 61.6 88.7 95.0 97.2 98.3 0.3 14.2 45-49 71.4 91.7 95.8 97.5 99.0 0.0 13.9 20-49 52.4 80.5 88.4 – – 5.0 14.8 Percentage of never-married men Median age at first marriage – Men Age group (years) Percentage of men married for the first time by exact age (years) 15 18 20 22 25 15-19 0.2 – – – – 96.6 20-24 0.4 4.4 15.3 – – 65.6 – 25-29 1.1 5.3 14.9 30.1 54.0 29.4 24.4 30-34 0.4 5.7 15.9 28.7 52.8 9.5 24.6 35-39 0.3 6.9 14.9 28.1 48.5 4.0 25.1 40-44 0.5 5.1 13.1 29.3 49.7 0.2 25.0 45-49 0.2 5.8 18.0 32.8 56.6 0.3 23.7 50-54 0.8 10.3 29.2 47.6 64.8 0.0 22.3 25-54 0.5 6.1 16.5 31.3 53.5 8.8 24.5 Source: DHS 2004. practicallyuniversalfemalenuptiality(Tables8a,8band8c).Accordingtothe 2004Bangladeshdemographicandhealthsurvey,themedianageofwomen atfirstmarriageisbelow15forthe20-49agegroup.Nuptialityonlyappears tobeslightlylaterinrecentcohorts(womenaged25-29atthetimeofthe survey)–15yearsofageagainst14–evenifthedataarenotstrictlycomparable becausefirstmarriageshavenotnecessarilyalltakenplaceinthemostrecent cohorts(iflatermarriagesarenumerous,themedianageatmarriagewillbe higher).InIndia,in2005-2006,themedianageatfirstmarriageforwomen aged20-50atthetimeofthesurveyis17.2,i.e.twoandahalfyearsmorethan inBangladesh.Onceagain,themedianageishigherforthemostrecentcohorts: forwomenaged20-24,itisnearlytwoyearshigherthanthatcalculatedfor 28 02_INE_Pop0108_007_090.indd 28 23/06/2008 14:36:20 the deMograPhy of south a sia froM the 1950s to the 2000s Table 8b. Percentage of persons married by age, and age at first marriage in India, 2005-2006 Women Age group (years) Percentage of women married for the first time per exact age (years) 15 18 20 21 25 Percentage of never-married women Median age at first marriage 15-19 11.9 – – – – 69.6 – 20-24 18.2 47.4 64.4 – – 24.3 18.3 25-29 25.4 55.4 72.4 78.6 91.3 5.8 17.4 30-34 28.5 61.2 76.5 82.0 93.2 1.8 16.8 35-39 31.0 63.4 79.1 84.3 83.8 1.1 16.6 40-44 32.4 64.6 79.8 85.5 94.6 0.8 16.5 45-49 32.9 64.2 79.1 85.1 94.5 0.6 16.5 20-49 26.9 57.9 74.0 – – 7.4 17.2 Percentage of never-married men Median age at first marriage – Men Age group (years) Percentage of men married for the first time by exact age (years) 15 18 20 21 25 15-19 1.3 – – – – 95.4 20-24 2.8 9.5 18.8 – – 66.1 – 25-29 4.1 13.3 25.6 32.3 58.5 29.4 23.7 30-34 6.3 18.1 31.0 38.8 63.6 8.7 22.7 35-39 6.2 18.5 31.9 41.0 66.3 3.0 22.3 40-44 8.0 19.9 34.7 43.6 68.2 1.9 22.0 45-49 6.6 18.5 31.9 41.3 67.1 1.1 22.4 50-54 7.1 17.9 31.7 39.9 65.3 1.6 22.5 20-49 5.4 15.7 28.2 – – 22.0 23.4 Source: NFHS, 2005-2006. womenaged45-49.InNepal,themedianageatfirstmarriagewasalso17in 2006.InSriLanka,ontheotherhand,thenuptialitymodelisradicallydifferent, andwomenmarryatamuchlatermeanage–22.9years–in2003.Infact, thisfigurehadalreadybeenreachedatthebeginningofthe1960s,andsince then,themeanageatfirstmarriageforwomenhasfluctuatedaround23years (CICRED,1974b). Anotherwayofappreciatingtheprevalenceofearlymarriageistoconsider theproportionofwomenalreadymarriedataspecificage:15,18,20,etc. (Tables8a,8band8c).InBangladesh,halfofallwomenaged25-29in2004 werealreadymarriedat15,againstonequarterofIndianwomenand13%of Nepalese women in the same age group. These surveys conducted at the 29 02_INE_Pop0108_007_090.indd 29 23/06/2008 14:36:20 J. Véron Table 8c. Percentage of persons married by age, and age at first marriage in Nepal, 2006 Women Age group (years) Percentage of women married for the first time by exact age (years) 15 18 20 22 25 Percentage of never-married women Median age at first marriage 15-19 5.5 – – – – 67.7 – 20-24 10.2 51.4 70.9 – – 17.9 17.9 25-29 13.3 60.2 77.3 87.3 93.6 4.4 17.3 30-34 15.3 59.9 79.0 88.4 94.0 1.6 17.3 35-39 15.4 65.0 81.3 90.2 96.4 1.4 16.9 40-44 19.7 65.0 81.9 90.7 94.9 1.3 16.8 45-49 24.7 69.4 84.7 91.9 95.6 1.2 16.5 20-49 15.3 60.4 78.1 – – 6.0 17.2 Percentage of never-married men Median age at first marriage – Men Age group (years) Percentage of men married for the first time by exact age 15 18 20 22 25 15-19 0.7 – – – – 89.5 20-24 1.8 15.5 32.9 – – 44.1 – 25-29 4.5 24.5 41.3 56.2 76.7 14.0 21.0 30-34 4.2 26.9 48.2 63.8 80.9 1.1 20.2 35-39 4.1 29.1 50.5 67.2 83.1 0.2 19.9 40-44 2.2 23.8 52.2 70.9 87.3 0.7 19.8 45-49 4.8 29.3 49.6 68.6 81.0 1.0 20.0 20-49 3.5 24.2 44.8 60.9 76.0 12.5 20.6 Source: DHS, 2006. beginningoftheyear2000showthat80%ofwomenaged25-29werealready marriedat18inBangladesh,60%inNepaland55%inIndia.Thegeneraltrend istowardsfemalemarriageatalaterage,withthepercentageofwomenmarried at15,18,20,etc.decreasingfromonecohorttothenext.Formen,thedecrease isnotasgeneralized,butacertainincreaseintheageofmalemarriagehas beenobservedinIndiaandNepal. Traditionally,menmarrylaterthanwomen,InBangladeshin2004,79% ofwomenaged20-24werealreadymarriedat20versusonly15%ofmenof thesameage;30%ofmenaged25-29weremarriedatage22whilethepercentage ofwomenwasabove90%.The2006surveyinNepalshowsthatthedifference inmarriagebehaviourbetweenmenandwomenislessmarked:87%ofwomen aged25-29and56%ofmenwerealreadymarriedatage22.Thenuptiality 30 02_INE_Pop0108_007_090.indd 30 23/06/2008 14:36:21 the deMograPhy of south a sia froM the 1950s to the 2000s modelinIndiaissimilartothatinBangladesh,withmenmarryingmuchlater thanwomen,althoughthenumberofmenalreadymarriedatage20ishigher inIndia(26%)thaninBangladesh(15%).Regionaldataonageatfirstmarriage showabroaddiversityinnuptialitybehaviourinIndia(NFHS,2005-2006). WhileacrossIndia,46%ofwomenaged18-29werealreadymarriedatage18, thefigurewasmuchlowerinGoa(12%)andashighas64%inBihar.The differencesarealsolargeformen:27%ofIndianmenaged21-29werealready marriedat21,witharangeextendingfromonly2%inKeralatomorethan 49%inRajasthan. InBangladesh,IndiaandNepal,femalecelibacyremainsextremelyrare: thehighestproportionofwomenaged45-49whohavenevermarriedisobserved inNepalwhereitstandsatjust1.2%.Celibacyalsoremainsexceptionalamong men:theproportionofsinglemenaged45-49isinthesameorderofmagnitude asthatofwomen.Thesefiguresapplytotheoldergenerations:anincreasein theageofmarriagemaybeaccompaniedbyanincreaseinpermanentcelibacy amongthemostrecentcohorts. VIII. An ongoing fertility transition The mean number of children per woman varies by a factor of two FertilityinallthecountriesofSouthAsiawasstillhighintheearly1950s, ranging from 5.7 childrenperwoman inSriLanka to 7.7in Afghanistan (AppendixTableA.5).Atthattime,fertilityrateswerecomparableinIndia andNepal(5.9and6.1childrenperwoman),substantiallyhigherinPakistan, BangladeshandBhutan(6.6-6.7childrenperwoman),andevenhigherinthe Maldives(7childrenperwoman)thoughstillbelowthelevelforAfghanistan (7.7). Between1950-1955and2000-2005,fertilitydeclinedsharplyinallcountries of the region, except in Afghanistan where, according to United Nations estimates,itcontinuedtofluctuatebetween7.5and8childrenperwoman. Overthisfifty-yearperiod,themeannumberofchildrenperwomanfellby around40%inNepalandPakistan,by47%inIndia,byover50%inBangladesh andBhutan,by60%intheMaldivesandby65%inSriLanka.WomeninSri Lankahadslightlyover2childrenonaveragein2000-2005andthefertility transitionthereiscomplete,whereasinAfghanistanithasyettostart.Inthe othercountriesthefertilitytransitionisunderway,thoughtheprocessismore orlessadvanceddependingonthecountry:today,themeannumberofchildren perwomanis2.8intheMaldivesand2.9inBhutan,3.1inIndiaand3.2in Bangladesh,3.7inNepaland4.0inPakistan.Afghanistanisverymuchthe exception(Figure3). Inmostofthecountries,womenstillbegintheirreproductivelifevery early,afactrelatedtoearlymarriageandthenotableabsenceofout-of-wedlock 31 02_INE_Pop0108_007_090.indd 31 23/06/2008 14:36:21 J. Véron Figure 3. Total fertility rates from 19601965 to 2000-2005 8 TFR 2000-2005 Ined 013 08 Afghanistan 6 Nepal 4 Pakistan Bangladesh India Bhutan 2 Maldives Sri Lanka 0 0 2 4 6 8 TFR 1960-1965 Source: United Nations (2007a). births(Table9).In2004,median ageatfirstchildbirthinBangladesh wasbelow18,bywhichagenearly 33%ofadolescentshavealready startedchildbearing.InIndia,on thebasisoftheNFHS-3survey (2005-2006),medianageatfirst childbirthis20.Theproportion ofwomenaged15-19whohave evergivenbirthrisesrapidlywith age:1.3%at15years,4.1%at16, 8.6%at17,17.9%at18and29.7% at19(17).InSriLanka,however, childbearingbeginsmuchlater andthisisnotarecentphenomenon: in1987,meanageatfirstchildbirth wasalready24years,andin2000 itwas23years. Table 9. Median age at first birth (women aged 20-49) and proportion of adolescents (women aged 15-19) who have started childbearing Median age at first birth (in years) 25-29 Afghanistan Bangladesh (2004) Bhutan India (2005-2006) Maldives 40-49 Proportion of adolescents who have started childbearing (in %) – – – 17.7 16.9 32.7 – – – 19.9 20.2 12.1 – – – Nepal (2006) 19.6 20.1 21.4 Pakistan (1990-1991)* 21.0 22.6 15.7 Sri Lanka (2000) 23.2** – * The most recent DHS survey for Pakistan dates from 2006 but the results are not yet available. ** Mean age at first birth. Sources: DHS and NFHS-3 surveys. Thepatternsofage-specificfertilityin2000-2005thatemergefromthe UnitedNationsdatarevealtheprogressofthefertilitytransitionineachcountry oftheregion(Table10andFigure4).Thetransitionhasnotyetbegunin (17)Asever,theuseofregionaldatahighlightsthediversityofIndia:theproportionofwomenaged 15-19whohavehadalivebirthis12.1%forIndiaasawhole;itisonly2.1%inHimachalPradesh andcloseto21%inJharkhand. 32 02_INE_Pop0108_007_090.indd 32 23/06/2008 14:36:21 the deMograPhy of south a sia froM the 1950s to the 2000s Table 10. Age-specific fertility rates in 2000-2005 in the countries of South Asia (‰) Country Age 15-19 Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Afghanistan 131.9 356.9 378.3 276.9 195.8 101.3 54.7 Bangladesh 149.2 195.0 147.7 90.4 44.1 16.1 2.2 Bhutan 50.9 163.0 157.2 98.8 63.9 37.1 10.6 India 68.9 228.8 177.5 89.5 40.1 12.9 4.9 Maldives 26.2 146.2 162.6 123.7 75.2 22.7 4.8 122.2 231.2 184.0 114.4 63.0 17.2 4.4 Pakistan 22.0 166.3 233.1 193.0 112.0 52.1 20.4 Sri Lanka 28.3 70.2 109.4 100.3 71.7 22.0 2.1 Nepal Source: United Nations, 2007a. Figure 4. Age-specific fertility rates in 2000-2005 in the countries of South Asia 400 Age-specific fertility rates (‰) Ined 014 08 Afghanistan Bangladesh Bhutan India Maldives Nepal Pakistan Sri Lanka 350 300 250 200 150 100 50 0 15-19 20-24 25-29 30-34 35-39 40-44 45-49 Age group Source: United Nations (2007a). Afghanistan,iscompleteinSriLanka,andisunderwayintheothercountries ofSouthAsia.Thetrendin age-specificfertilityfollowsasimilarcourseinthe Maldives,India,Bangladesh,BhutanandNepal,althoughtheratesateachage maydiffer.Pakistandiffersfromtheothercountriesinhavingasubstantially higherleveloffertilityfromthe25-29agegrouponwards,reflectinglower levelsofcontraceptivepractice. Betweenacountryattheendofthedemographictransition,likeSriLanka, andonestillengagedinit,likeIndia,thetrendsinage-specificfertilitypresent 33 02_INE_Pop0108_007_090.indd 33 23/06/2008 14:36:22 J. Véron Table 11a. Age-specific fertility rates in Sri Lanka between 1963 and 2000 (‰) Age groups 1963 1975 1987 1993 2000 15-19 52 31 38 35 20-24 228 146 147 110 27 83 25-29 278 161 161 134 118 30-34 240 158 122 104 98 35-39 157 126 71 54 40 40-44 46 43 23 14 8 45-49 7 6 3 4 1 Sources: World Fertility Survey for 1975; DHS surveys for 1987, 1993 and 2000. Table 11b. Age-specific fertility rates in India between 1970-1972 and 2005-2006 (‰) Age groups 1970-1972 1980-1982 1992-1993 1998-1999 2005-2006 15-19 103 89 116 107 90 20-24 254 246 231 210 209 25-29 259 231 170 143 139 30-34 203 165 97 69 62 35-39 134 100 44 28 25 40-44 63 46 15 8 7 45-49 27 21 5 3 3 Sources: SRS for 1970-1972 and 1980-1982; NFHS for 1992-1993, 1998-1999 and 2005-2006. sharpcontrasts(Tables11aand11b;Figures5aand5b).InSriLanka,afertility declineatallagesbetween1963and2000wasexplainedbyahighlevelof contraceptivepractice(70%contraceptiveprevalencein2000),whilerelatively lowfertilityratesatyoungeragesareduetolatemarriage:thefertilityrateis below30perthousandatages15-19andslightlyabove80perthousandat ages20-24.ThemainfeatureofthefertilitytrendinIndiaisadeclineafter age25.Theage-specificfertilityratestillstandsat90perthousandatages 15-19in2005-2006andexceeds200perthousandatages20-24.TheagespecificfertilitycurveforIndiaischaracteristicofapopulationinwhich contraceptivepracticeiswellestablishedbutwherelaterentryintochildbearing, resultingfromincreasedageatmarriageanduseofcontraceptionintheearly yearsofunion,isnotyetwidespread.Wewillreturntothispointbelow.The fertilityrateinBangladeshisevenhigherthaninIndiaatages15-19(135per thousandin2004)butslightlyloweratages20-24(192versus209perthousand) andsimilaratages25-29.InNepal,thefertilityratein2006islowerthanin Bangladeshatages15-19(closeto100perthousand)butsubstantiallyhigher, however,atages20-24(234perthousand).Atages25-29,fertilityistenpoints higherthaninIndiaandBangladesh. 34 02_INE_Pop0108_007_090.indd 34 23/06/2008 14:36:22 the deMograPhy of south a sia froM the 1950s to the 2000s Figure 5a. Age-specific fertility rates in Sri Lanka, 1963-2000 (‰) 300 Rate (‰) Ined 015 08 1963 1975 1987 1993 2000 250 200 150 100 50 0 15-19 20-24 25-29 30-34 35-39 40-44 45-49 Age group Sources: 1963 census; World Fertility Survey 1975; DHS surveys 1987, 1993 and 2000. Figure 5b. Age-specific fertility rates in India between 1970-1972 and 2005-2006 300 Rate (‰) Ined 016 08 SRS 1970-1972 SRS 1980-1982 NFHS 1992-1993 NFHS 1998-1998 NFHS 2005-2006 250 200 150 100 50 0 15-19 20-24 25-29 30-34 35-39 40-44 45-49 Age group Sources: Véron, 1997, and NFHS, 2005-2006. Thesurveysconductedsince2000revealfertilitydifferencesthatvaryby placeofresidence,butmostmarkedlybywomen’seducationallevel(Table12). Whiletheurban-ruralfertilitydifferencesarenon-negligible:0.7childrenper womaninBangladeshin2004,0.9inIndiain2005-2006and1.2inNepalin 35 02_INE_Pop0108_007_090.indd 35 23/06/2008 14:36:23 J. Véron Table 12. Total fertility rate by women’s place of residence and educational level Place of residence Educational level Completed Completed Incomplete primary or At least 10 years Urban Rural Illiterate secondary primary intermediate of education or higher level Bangladesh 1999-2000 2.45 3.54 4.12 3.30 3.42 2.40 – – 2004 2.50 3.20 3.60 3.30 2.90 2.20 – – 1993 2.70 3.67 4.03 3.01 2.49 2.15 – – 1998-1999 2.27 3.07 3.47 2.64 2.26 1.99 – – 2005-2006 2.06 2.98 3.55 2.45* 2.51** 2.23*** 1996 2.85 4.83 5.08 – 3.78 2.51 – – 2006 2.10 3.30 3.90 2.80 2.30 1.80 – – 4.90 5.60 5.70 4.90 4.50 3.60 – – India 2.08**** 1.8***** Nepal Pakistan 1990-1991 * less than 5 years of education, ** 5-7 years of education, ***8-9 years of education, ****10-11 years of education, *****12 years or more of education. Sources: DHS and NFHS surveys. 2006,thedifferencesbywomen’seducationallevelareverywideeverywhere. InBangladesh,womenwithnoeducationhaveonaverage3.6childrenversus only2.2forthemosteducatedwomen.InIndia,womenwithnoeducation haveidenticalfertilitytocomparablewomeninBangladeshwhereashighly educatedwomen–with12yearsormoreofeducation–currentlyhaveonly 1.8children.InNepalin2006,thereisadifferenceoftwochildrenbetween womenofthelowestandhighesteducationallevels.Inthisregionasinthe restoftheworld,educationisakeyvariableinthefertilitytransition. Thechangesinnetreproductionrates(18)summarizethechangesinmortality andfertility.Withanetreproductionrateof0.96daughtersperwomanin 2000-2005(TableA.5),itappearsthatthepopulationofSriLankaisnotquite replacingitself.Overthesameperiod,thenetreproductionrateforAfghanistan remainedhigh,ataround2.3.Fortheothercountries,thenetreproduction rateisbetween1.2(MaldivesandBhutan)and1.7(Pakistan). (18)Thenetreproductionrateofabirthcohortistheratioofthenumberofdaughtersborntothe womenofthiscohorttothenumberofthesewomenatbirth.Theperiodnetreproductionrateisthe equivalentmeasurecalculatedusingcross-sectionaldata.Anetreproductionrateofonemeansthat thecohortexactlyreplacesitself(itssizeisconstant). 36 02_INE_Pop0108_007_090.indd 36 23/06/2008 14:36:23 the deMograPhy of south a sia froM the 1950s to the 2000s Fertility is linked to social and health development Theinverserelationshipbetweenfertilityanddevelopmentisgenerally confirmedbyacountry-by-countrycomparisonoftotalfertilityratesforthe period2000-2005withthehumandevelopmentindexfor2004.Thecountries wherefertilityishighesttendtobethoseforwhichthedevelopmentindicators arelowest(Figure6).Forexample,fertilityinNepalandPakistanismuch higherthaninSriLanka,whilethehumandevelopmentindexismuchlower. However,thisrelationshipisnotverystrong:thedevelopmentindicatorsfor BhutanandPakistanarevirtuallyidenticalwhereasthefertilitydifference betweenthetwocountriesisofonechildperwoman;fertilityinBhutanis practicallythesameasintheMaldives(2.91and2.81childrenperwomanin 2000-2005, respectively), while the human development index shows a substantialdifference(0.54inBhutan,0.74intheMaldives).Thecoefficient ofdeterminationR2forthisrelationshipisslightlyabove0.6. Thecorrelation–positivethistime–betweenfertilityandinfantmortality isalsoobservedovertheperiod2000-2005.InSriLanka,lowfertilityis combinedwithlowinfantmortality,whileinAfghanistanfertilityandinfant mortalityarebothhigh(Figure7).Thecoefficientofdeterminationiscloseto 0.98,indicatingaparticularlystrongcorrelation.Thispositivecorrelation betweenfertilityandinfantmortalityisobservedinallworldregions(Tabutin and Schoumaker, 2004; Tabutin and Schoumaker, 2005; Guzman et al., 2006). Figure 6. Relationship between total fertility rate in 2000-2005 and human development index in 2004 4.5 TFR 2000-2005 Ined 017 08 Pakistan 4.0 Nepal 3.5 India Bangladesh 3.0 Maldives Bhutan R2 = 0.6112 2.5 2.0 1.5 0.40 Sri Lanka 0.45 0.50 0.55 0.60 0.65 0.70 0.75 0.80 HDI 2004 Sources: United Nations (2007a) and UNDP (2006). 37 02_INE_Pop0108_007_090.indd 37 23/06/2008 14:36:24 J. Véron Figure 7. Relationship between total fertility rate and infant mortality rate, 2000-2005 8 TFR 2000-2005 Ined 018 08 Afghanistan 7 6 5 Pakistan 4 3 Sri Lanka 2 Nepal Bhutan Bangladesh India Maldives R2 = 0.979 1 0 0 50 100 150 200 Infant mortality rate (‰) Source: United Nations (2007a). Fertilitydeclineisrelatedtoeconomicandsocialdevelopmentbutcan alsoresult,atleastpartially,fromtheimplementationofpopulationpolicies. ThecaseofIndiaisinterestinginthisrespect.Intheearly1950sitwasthe firstmajorcountrytoinitiateafamilyplanningprogramme,andthentoattempt averitablepopulationpolicy(Srinivasan,1995).Thepaceofpopulationgrowth acceleratedinsubsequentdecades,andthetargets,notablyforthebirthrate, provedover-ambitiousandhadtoberevisedseveraltimes(RajanandVéron, 2006).Thisdoesnotmeanthatthefamilyplanningprogrammeshadnoeffect atall,sinceatthistimeIndia’spopulationwasgettingyounger,withthe consequencethatthebirthratedecreasedlessthanfertility.However,without “modernization”(19),thefertilitytransitionwouldcertainlyhavebeenmuch slower(Visaria,1995;VisariaandVisaria,1995). Wide disparities in fertility still exist in India Attheregionallevel,thehistoryofthefertilitytransitioninIndiabreaks downintothreephases:anearlyfertilitydeclineconfinedtoKeralastatein the1960s;emergenceofadivisionbetweenlowfertilityinthesouthandhigh fertilityinthenorthinthe1970sand1980s;ageneralizeddeclineinthe subsequentperiod,thoughwithlargedifferencespersistingin2005. (19)The term “modernization” generally refers to improvements in the education and general statusofwomen,andtourbanization,industrializationandthedevelopmentofcommunications (transportationandmedia). 38 02_INE_Pop0108_007_090.indd 38 23/06/2008 14:36:25 the deMograPhy of south a sia froM the 1950s to the 2000s Table 13. Fertility changes in Kerala and in India (number of children per woman) Year Kerala India Censuses 1951-1961 1961-1971 1971-1981 5.60 5.00 3.40 6.30 6.00 5.20 SRS 1981-1985 1994 2.60 1.70 4.50 3.50 NFHS 1990-1992 1996-1998 2005-2006 2.00 1.96 1.93 3.39 2.85 2.68 Sources: Mari Bhat and Rajan (1997), SRS, NFHS, NFHS-2 and NFHS-3. Inthe1950s,fertilityinIndiaasawholestillstoodat6.3childrenper woman(20),butitwasalreadyslightlylower–5.6children–inthesouthern IndianstateofKerala(Table13).Keralaisthestatewherefertilitydeclined earliest.Thetotalfertilityratefellthereto5intheperiod1961-1971,while forIndiaasawholeitheldsteadyat6childrenperwoman.Thegapwidened inthefollowingyears.AccordingtotheNFHS-2,fertilityinKeralawasbelow 2childrenperwomanintheperiod1996-1998.Indeed,for1994theSample RegistrationSystemgaveavalueforfertilityhalfthatofthenationalvalue: 1.7versus3.5.Themostrecentsurvey(NFHS-3)findsadifferenceof0.75children perwomanbetweenKeralaandIndiaasawhole.Manystudieshaveattempted toexplainthereasonsforthesingularcourseoffertilitychangeinKerala (ZachariahandPatel,1984;MariBhatandRajan,1997).Thehigheducational levelofwomenandthepoliticalspecificityofKerala–astatethatbecame communistin1957withtheaimofreducingsocioeconomicinequalitiesand improvingthehealthofthepopulation–haveoftenbeeninvokedtoaccount forthisearlierdemographictransition.Inreality,changewasofanextremely generalnature(RajanandVéron,2006).Improvementswereindeedmadein theeducationofwomen,butbothageatmarriage(21)andcontraceptiveprevalence alsoincreasedconsiderably.Programmeswerealsosetuptopromotematernal andchildhealth, and in 1985thegovernmentlaunched a programme of universalvaccination,oneresultofwhichwastomakethepopulationmore familiarwiththehealthservices.Thisprogrammeseemstohavebeenas importantasspecificfamilyplanninginitiativesinmakingcouplesgivemore (20)Periodfertilityisestimatedat5.8childrenperwomanfortheyears1881-1891;itthenfluctuates aroundthisvaluebeforeexceeding6childrenperwomanintheearly1950s(MariBhat,1989). (21)ForZachariah,30%ofthefertilitydeclineintheperiod1968-1978resultedfromtheincrease inageatmarriage(Zachariah,1997). 39 02_INE_Pop0108_007_090.indd 39 23/06/2008 14:36:25 J. Véron Table 14. Total fertility rate in the northern and southern states of India in the 1990s (number of children per woman) Region and state 1980-1982 1990-1992 1996-1998 Uttar Pradesh 5.8 4.82 3.99 Bihar 5.7 4.00 3.49 Madhya Pradesh 5.2 3.91 3.31 Rajasthan 5.4 3.63 3.78 Andhra Pradesh 3.9 2.59 2.25 Karnataka 3.6 2.85 2.13 Tamil Nadu 3.4 2.48 2.19 Kerala 2.9 2.00 1.96 4.5 3.39 2.85 Northern states Southern states India Sources: Visaria (2004), NFHS and NFHS-2. thoughttothe“quality”ofchildren,knowntobeafactorinfertilityreduction (Zachariahetal.,1994).ThestateofKeraladidnothaveaparticularlyadvanced levelofeconomicdevelopment,norwasithighlyurbanized.Itoffersanexample ofatransitionlinkednottoeconomicdevelopmentorurbanizationbutto changesinthesocialsphere,andinthissenseitdidnotfollowthestandard patternoftransition.Thereafter,Kerala’sdemographicsingularitygaveway toanorth-southdivisionofIndia. ThefertilitytransitioninIndiaduringthe1990swascharacterizedby largefertilitydifferencesbetweenthecountry’snorthernandsouthernstates(22) (NairandVéron,2002).Atthattime,fertilityinthesouthernstates–Kerala, TamilNadu,KarnatakaandAndhraPradesh–was2childrenperwoman, whereaswomeninthenorthernstates–UttarPradesh,Bihar,MadhyaPradesh andRajasthan–werestillproducing3-4childrenonaverage(Table14).No singlefactorcanaccountforthesecontrastsinfertility(Véron,2000).Levels ofinfantmortalityandfertilityarecertainlybothlowerinthesouthernstates, butthechangingrelationshipovertimebetweenthesetwoindicatorsvaries fromstatetostate,asthecovariationintheseindicatorsovertheperiod 1981-1994shows.OnFigure8,eachdotrepresentsacombinationoffertility andinfantmortalityatagivenpointintime,andeachbrokenlineplotsthe covariationinfertilityandinfantmortalityinonestatebetween1981and 1994.Overthisperiod,thecombinedfertilityandinfantmortalityvaluesare consistentlylowerinthefoursouthernstatesthaninthenorthernstates,and (22)The contrast between north and south is widely used, but a more precise classification of Indianstatesdistinguishesthestatesofthenorth-east,thecentre,thenorth,etc.Referencehereis tothestandarddistinction. 40 02_INE_Pop0108_007_090.indd 40 23/06/2008 14:36:25 the deMograPhy of south a sia froM the 1950s to the 2000s Figure 8. Covariation in infant mortality and fertility in the northern and southern states of India, 1981-1994 7 Mean number of children per woman Ined 019 08 6 5 Northern states 4 3 2 Southern states 1 0 0 20 40 60 80 100 120 140 160 180 Infant mortality rate (‰) Source: Véron and Naïr, 2000. thetwodistinctgroupsareidentifiedclearlyinFigure8.Thusthebrokenline furthesttotheleftonFigure8representsthiscovariationoffertilityand infantmortalityinKeralabetween1981and1994.Itisseenthatinsomeyears fertilityhasfallensubstantiallywithoutanyclearreductionininfantmortality. Generallyspeaking,atstatelevel,nocloserelationshipbetweenfertilityand infant mortalityisobserved. Variationin oneofthese indicators maybe accompaniedbynoclearchange,orevenbyanincreaseintheother,thus producingasomewhaterratictrajectoryovertime.Theothervariablesusually consideredhaveequallylimitedexplanatorypower.Thoughthestatesinthe northofIndiaarelessurbanizedthanthoseinthesouth,andfertilityis invariablylowerinurbanthaninruralareas,thedegreeofurbanizationdoes notexplainthefertilitylevelinastate:BiharislessurbanizedthanUttar Pradesh,yetfertilitywaslowerthereintheearly1990s,andKerala,though lessurbanizedthanTamilNadu,alsohadlowerfertility(Table15).Thescale offertilitydifferencesbetweenurbanandruralareasvarieswidelywithin states.Ruralfertilityexceedsurbanfertilityby8%inTamilNaduwhilethe differenceis45%inUttarPradesh.Arelationshipalsoexistsbetweenfemale levelofeducationandfertility:moreeducatedwomenhavefewerchildren. Onitsown,however,theeducationallevelofmothersdoesnotexplainthe fertilitydifferences:in1991-1992,fertilityamongilliteratewomenranged,for anationalaverageof4children,from2.31inKeralato5.36inUttarPradesh. Fertilityalsoriseswiththeproportionofpeoplelivingbelowthepovertyline. However,comparableproportionslivingbelowthepovertyline(43%inMadhya 41 02_INE_Pop0108_007_090.indd 41 23/06/2008 14:36:26 J. Véron Table 15. Urbanization and fertility in India in the early 1990s Region and state Percentage urban Total fertility rate (number of children per woman) Urban areas Rural areas Ratio of rural fertility to urban fertility* Northern States Uttar Pradesh 19.9 3.58 5.19 145 Bihar 13.2 3.25 4.15 128 Madhya Pradesh 23.2 3.27 4.11 126 Rajasthan 22.9 2.77 3.87 140 Andhra Pradesh 26.8 2.35 2.67 114 Karnataka 30.9 2.39 3.09 129 Tamil Nadu 34.2 2.36 2.54 108 Kerala 26.4 1.78 2.09 117 25.7 2.70 3.67 136 Southern States India * Ratio of mean number of children per woman in rural areas to mean number of children per woman in urban areas (as a percentage). Sources: census of 1991; NFHS 1992-1993. Pradeshand45%inTamilNadu)canbeassociatedwithverydifferentfertility levels(3.9and2.5childrenperwoman,respectively).Equally,thedifferences infertilitybetweenstatesarenotexplainedbythereligiouscompositionof thepopulation,eventhoughatthenationallevelthenumberofchildrenper womandoesvarybyreligion(withadifferenceofoneadditionalchildfor MuslimsrelativetoHindusin1990-1992).InTamilNadu,MuslimandHindu womenproducethesamenumberofchildren,whereasthefertilityofHindus in1990-1992rangedfrom1.7childrenperwomaninKeralato4.7inUttar Pradesh(23). ThemostrecentdataforIndia,takenfromNFHS-3,showpersistently strongspatialdisparitiesinfertility,rangingfrom1.79childrenperwomanin GoaandAndhraPradeshto4inBihar(Table16).Replacingthenorth-south divisionofIndiabyafinergeographicalsubdivision–thatsplitsthecountry intonorth,centre,east,north-east,westandsouth–doesnotcauseany homogeneousregionstoappearalthoughthepreviousdemarcationlines disappear.Thus,underthepartitioningforNFHS-3,whatistermedthenorth regioncontainsHimachalPradeshwherefertilitywas1.94childrenperwoman andRajasthanwhereitwas3.21childrenperwoman.Inthenorth-eastregion, fertilityrangesfrom2.02inSikkimto3.80inMeghalaya.Thesouthernstates, however,remainrelativelyhomogeneousintermsoffertility,whichiseverywhere atsub-replacementlevel. (23)SeeGandotraetal.,1998foradetailedanalysisoftheseregionaldifferences. 42 02_INE_Pop0108_007_090.indd 42 23/06/2008 14:36:26 the deMograPhy of south a sia froM the 1950s to the 2000s Table 16. Total fertility rate (number of children per woman) in the states of India in 1990-1992, 1996-1998 and 2005-2006 State 1990-1992 1996-1998 2005-2006 North Delhi Haryana Himachal Pradesh Jammu and Kashmir Punjab Rajasthan Uttarakhand 3.02 3.99 2.97 – 2.92 3.63 – 2.40 2.88 2.14 2.71 2.21 3.78 – 2.13 2.69 1.94 2.38 1.99 3.21 2.55 Centre Chhattisgarh Madhya Pradesh Uttar Pradesh – 3.90 4.82 – 3.31 3.99 2.62 3.12 3.82 East Bihar Jharkhand Orissa West Bengal 4.00 – 2.92 2.92 3.49 – 2.46 2.29 4.00 3.31 2.37 2.27 North-east Arunachal Pradesh Assam Manipur Meghalaya Mizoram Nagaland Sikkim Tripura 4.25 3.53 2.76 3.73 2.30 3.26 – – 2.52 2.31 3.04 4.57 2.89 3.77 2.75 – 3.03 2.42 2.83 3.80 2.86 3.74 2.02 2.22 West Goa Gujarat Maharashtra 1.90 2.99 2.86 1.77 2.72 2.52 1.79 2.42 2.11 South Andhra Pradesh Karnataka Kerala Tamil Nadu 2.59 2.85 2.00 2.48 2.25 2.13 1.96 2.19 1.79 2.07 1.93 1.80 India 3.39 2.85 2.68 Source: NFHS, NFHS-2 and NFHS-3. Thestagereachedinthefertilitytransitionineachstatedependsonthe levelofdevelopment,butnosingledominantfactorcanbeidentified.Thus whilethepooreststatesareindeedthosewherefertilityremainshighest,the correlationbetweenthemeannumberofchildrenperwomanandtheproportion ofthepopulationlivingbelowthepovertylineislessthan0.40,andthesame proportionofpeoplelivingbelowthepovertylinecanbeassociatedwithsharply contrastedfertilitylevels.Inthemid2000s,fertilityinIndiawasonaverage 43 02_INE_Pop0108_007_090.indd 43 23/06/2008 14:36:26 J. Véron 2.68childrenperwomanand21.8%ofthepopulationlivedbelowthepoverty line,yetforsimilarfertilitylevels,asinGujaratandOrissa(2.42and2.37children perwoman,respectively)theassociatedproportionsinpovertydivergedwidely: 12.5%ofthepopulationintheformerand39.9%inthelatter. Thedifficultyofidentifyingsimpledeterminantsoffertilityattheaggregate levelofstateswasclearlyillustratedseveralyearsagobyamultivariateanalysis oftherelationshipbetweenfertilityandwomen’seducation,whichalsoconsidered theindirecteffectsoffemaleeducationviainfantmortalityandageatmarriage (SharmaandRetherford,1990).Themodel’sexplanatorypowerwasnotimproved byintroducingthelevelofurbanization.Whentheresidualsweremapped,the deviationsfromthevalueexplainedbythemodelexhibitedgeographical contiguitybysize,suggestingtheinfluenceofregionalorlocalfactors(religion, customs,andsuchlike).Thecomplexityoftheprocessesatworkwashighlighted inageographical analysisofthefertility transitionin southernIndia by C.Z.GuilmotoandI.S.Rajan(2005),whichshowedthattheexplanationneeds toincludefamilyplanningprogrammes,socioeconomictransformations,and changingreproductiveattitudes,andtakeintoaccountlocalcontextsandthe changesaffectingthem.Theseauthorsalsoviewedthereductioninfertilityas theconsequenceofasocialchangethatdiffusedgraduallybetweenneighbouring populations(GuilmotoandRajan,1998and2001). IX. Diversity in attitudes and behaviour towards contraception Varying levels of contraceptive practice ThedataoncontraceptioninthecountriesofSouthAsia,thoughvariable inbothquantityandquality(UnitedNations,2005),areadequatetoshowthe diversityofattitudesandbehaviourtowardscontraception(Figure9).While contraceptionremainspracticallynon-existentinAfghanistan,wherefewer than 5% of women aged 15-49 in unions use any method, contraceptive prevalenceinSriLankaalreadystoodatthehighlevelof70%in2000.The situationintheothercountriesisalsovaried:theproportionofwomen(24) usingsomeformofcontraceptionis18.8%inBhutan,27.6%inPakistan,39.3% inNepal,48.2%inIndiaand58.1%inBangladesh. Theuseofmoderncontraceptionalsovariesconsiderablybetweencountries. InBhutan,barely19%ofwomeninaunionandofchildbearingageuseany meansofcontraception(25),butmodernmethodsareusedexclusively:3%are protectedbyfemalesterilization,8%bymalesterilization,2%bythepill,4% byinjectionorimplant,1%byIUD,andfewerthan0.5%byuseofthecondom. Bycontrast,moderncontraceptionrepresentsonly73%oftotalcontraception (24)Asbefore,thesearewomenaged15-49,marriedorinaunion. (25)Thedataarelessrecentthanthosefortheothercountries,anddatefrom1994. 44 02_INE_Pop0108_007_090.indd 44 23/06/2008 14:36:27 the deMograPhy of south a sia froM the 1950s to the 2000s Figure 9. Contraceptive prevalence in the countries of South Asia in the 2000s 80 Prevalence (%) Ined 020 08 70 Any method Modern method 60 50 40 30 20 10 0 tan nis a fgh A B esh lad g an n uta Bh ia Ind ves ldi Ma l pa Ne tan kis Pa Sri ka Lan Source: United Nations (2005). inPakistanand71%inSriLanka.However,theproportionsofwomenusing moderncontraceptionarehighestinIndia,BangladeshandSriLanka,which togetheraccountfornearly50%ofallthewomenconcerned. Thecondomisnotwidelyusedinthisregion.Thehighestproportionof users(5.5%ofallwomenofchildbearingageinaunion)isobservedinPakistan. UseoftheIUDisequallylimited,withthehighestproportion(5.1%)observed inSriLanka.ThepillispopularonlyinBangladesh,whereitisusedby26% ofallwomeninaunion,representing45%ofwomenusingsomemethodof contraception.IntheMaldives,wherecontraceptiveprevalenceis42%,itsuse isonlyhalfasfrequent,andSriLanka,thethirdcountrywherethismethod isinuse,hasonly6.7%ofusers.Voluntarysterilization,mainlyfemale,is widelyemployedbycouplesinSouthAsiaforlimitingfamilysize.Among womenofchildbearingagesintheMaldives,10%areprotectedbyfemale sterilization,andtheproportionsare15%inNepal,21%inSriLankaand 34.2%inIndia.InSouthAsia,aselsewhereintheworld,thereisaclearinverse relationshipbetweenfertilityandcontraception(Figure10). Sterilization is the main birth control method in India Attitudestowardsfemaleandmalesterilizationareextremelydiversein thisworldregion.Sterilizationisnon-existentinAfghanistan,andisnotwidely practisedinBhutan,BangladeshandPakistan(ofthesethemaximumisin Pakistan,where7%ofwomeninaunionareprotectedbyfemalesterilization). Asmentioned,theproportionofwomenaged15-49relyingonsterilizationto 45 02_INE_Pop0108_007_090.indd 45 23/06/2008 14:36:27 J. Véron Figure 10. Relationship between the total fertility rate and contraceptive prevalence (all methods) in the 2000s 8 TFR Ined 021 08 Afghanistan (2000) 7 6 5 Pakistan (2000-2001) 4 India (2005-2006) Nepal (2006) 3 Bhutan (1994) Bangladesh (2004) Maldives (1999) Sri Lanka (2000) 2 1 0 0 20 40 60 80 Contraceptive prevalence (%) Source: United Nations (2006a). regulatetheirfertilityissubstantiallyhigherelsewhere,butIndiastandsout fromtheothercountries,sinceoverathirdofallwomenareconcerned(26). Malesterilizationforbirthcontrolpurposes,ontheotherhand,iseverywhere atalowlevel,withtheexceptionofBhutanwhere8%ofwomeninaunion areprotectedbythesterilizationoftheirspouseorpartnerand3%bytheir ownsterilization. Recoursetosterilization,andessentiallyfemalesterilization,hasbeen widespreadinIndiasincethemid1980s(RajanandVéron,2006).In2005-2006, 66%ofmarriedwomenaged15-49hadbeensterilized,andtheproportionwas 77%amongthoseusingmoderncontraception,whereasonly1%wereprotected bysterilizationoftheirhusband.Trendsoverthelastfifteenyearsincontraception andintherelativeimportanceofsterilizationcanbefollowedusingthethree NFHS surveys conducted in India (Table17). Between 1992-1993 and 2005-2006,contraceptiveprevalenceincreasedby15percentagepoints,taking tooveronehalftheproportionofwomenofchildbearingageandinaunionwho nowusecontraception,against41%atthestartofthe1990s.Overalongperiod, sterilizationandinparticularmalesterilizationwasencouragedinIndia(27), (26)The prevalence of female sterilization for contraception is slightly higher in India than in China (34.2% and 33.5% respectively) but lower than in Brazil (40%), Puerto Rico (45.5%) and theDominicanRepublic(45.8%).ThevalueforCanadais30.6%,makingitthedevelopedcountry wherecontroloffertilitythroughfemalesterilizationismostcommon. (27)FormoredetailsonthehistoryofsterilizationinIndia,andinparticulartheapparentshift awayfromstateprovisionofmalesterilizationtowardsfemalesterilizationsolicitedbycouples,see RajanandVéron(2006). 46 02_INE_Pop0108_007_090.indd 46 23/06/2008 14:36:28 the deMograPhy of south a sia froM the 1950s to the 2000s Table 17. Contraceptive methods used in India in the 1990s and 2000s (prevalence in %) Contraceptive method used 1992-1993 1998-1999 2005-2006 All methods 40.7 48.4 56.3 Modern methods 36.5 42.8 48.5 27.4 34.2 37.3 Male sterilization 3.5 1.9 1.0 Condom 2.4 3.1 5.2 Pill 1.2 2.1 3.1 IUD 1.9 1.6 1.7 4.3 5.6 7.8 Female sterilization Traditional methods Population: women aged 15-49 living in union. Sources: NFHS, NFHS-2 and NFHS-3. untiltheexcessescommittedduringthestateofemergency(1975-1977)led thecentralgovernmenttoissuestatementsinfavourofreversiblemethodsof contraception.Inspiteofthis,femalesterilizationremainsbyfarthemost commonmeansusedbyIndiancouplesforcontrollingtheirfertility,andeven increasedbyafurther10percentagepointsbetween1992-1993and2005-2006. Officialpronouncementsintendedtopromotemaleratherthanfemalesterilization havehadlittleeffect.Theproportionofcouplesrelyingonmalesterilization hasremainedsmallandhasactuallydeclinedoverthelastfifteenyears.Allin all,couplesjudgefemalesterilizationtobethesimplestmeansofcontrolling theirfertility:77%ofsterilizedwomenhavechosenthisoptiondirectlywithout previouslyusinganothermethodofbirthcontrol.Ageatsterilizationistending todecrease:themedianageofwomenatsterilizationfellfrom26.6in1992-1993 to25.5in2005-2006.Of100sterilizedwomeninthemostrecentsurvey,38were sterilizedatage20-25and35atage25-30. Country-widedataonsterilizationinIndiaconceallargeregionaldisparities. Only8%ofcouplesareprotectedbyfemalesterilizationinthestateofManipur against63%inAndhraPradesh;andwhereaswomen’smedianageatsterilization is30intheformer,itisalittleover23inthelatter. X. Overall mortality decline, but widely separated extremes A general improvement in life expectancy Asintherestoftheworld,mortalityhasdeclinedinallcountriesofthe regionsince1950(Figure11andTable18).Theregion’stwoextremesare Afghanistan,wherelifeexpectancyatbirthisamongthelowestintheworld (42yearsin2000-2005),andSriLanka,wherethemeanlengthoflife,close to71yearsin2000-2005,(i.e.nearly30yearslonger)isabovetheworldaverage. 47 02_INE_Pop0108_007_090.indd 47 23/06/2008 14:36:28 J. Véron Figure 11. Life expectancy at birth, 1950-2005 (in years) 75 Life expectancy (years) Ined 022 08 70 65 60 55 50 45 40 35 30 25 1950-1955 Afghanistan Maldives 1960-1965 1970-1975 Bangladesh Nepal 1980-1985 Bhutan Pakistan 1990-1995 2000-2005 Years India Sri Lanka Source: United Nations (2006). Theothercountriesareinintermediatepositions.Althoughthemortality transitionsinthesecountriesdifferinsomerespects,theincreasesinlife expectancyatbirtharecloselycomparable,andin2000-2005thepopulations ofBangladesh,Bhutan,India,theMaldives,NepalandPakistanallhadlengths oflifebetween61and66years.ThesecountriesareclosingthegapwithSri Lanka,wheretherateofprogressisslowingsomewhat,althoughin2000-2005, lifeexpectancytherewasstillfiveyearslongerthanintheMaldives,thetoprankingintermediategroupcountry. Genderdifferencesinmortalityhavealsoevolvedsubstantiallyoverthe lastfiftyyears.Intheearly1950s,lifeexpectancyatbirthwaslowerforwomen thanformenineverycountryoftheregionexceptBhutan,asisshownbythe indexbasedonthefemale/maleratiooflifeexpectanciesatbirth(Figure12). Thisresultwasindirectcontradictionwiththebiologicalnormsthatare responsibleformenhavinghighermortalitythanwomenatallagesandthat, intheabsenceofsexdiscrimination,leadtoashorterlifeexpectancyformales thanforfemales.In1950-1955,thisindexstoodattheparticularlylowlevel of94intheMaldivesandinPakistan,indicatingalargefemalemortality disadvantage.Themaleadvantagehasdisappearedineverycountryoverthe lastfiftyyears.In2000-2005,thelifeexpectanciesatbirthofmenandwomen inAfghanistanandtheMaldiveswereidentical.Elsewhere,womenareliving longerthanmen.ThemostfavourablerelativesituationforwomenisinSri Lanka,wheretheratiois112(Figure12).Inthepast,thefemalelifeexpectancy 48 02_INE_Pop0108_007_090.indd 48 23/06/2008 14:36:29 the deMograPhy of south a sia froM the 1950s to the 2000s Table 18. Life expectancy since the 1950s, maternal mortality in 2000 and HIV prevalence in 2005 Life expectancy (in years) Country Maternal HIV mortality prevalence rate rate at 2000in 2000 ages 15-49 2005 (per 100,000 in 2005 births) (%) 19501955 19601965 19701975 19801985 19901995 Afghanistan 28.8 32.0 36.1 39.9 41.7 42.1 1,900 < 0.1 Bangladesh 37.5 41.2 45.3 50.0 56.0 62.0 380 < 0.1 Bhutan 36.1 37.7 41.8 47.9 54.5 63.5 420 < 0.1 India 37.4 43.6 50.7 56.6 60.2 62.9 540 0.9 Maldives 38.9 45.2 51.4 57.1 61.0 65.6 110 – Nepal 36.2 39.4 44.0 49.6 55.7 61.3 740 0.5 Pakistan 43.4 47.7 51.9 56.2 60.8 63.6 500 0.1 Sri Lanka 57.6 62.2 65.0 68.8 70.4 70.8 92 < 0.1 Sources: United Nations (2007a), WHO and UNAIDS. disadvantagewasexplainedinpartbymaternalmortality,butthiswasnot theonlyfactorinvolved.Lifetablesfortheyears1945-1947inSriLanka,and for1970-1972inIndia,showanexcessfemalemortalityatallagesfrombirth uptoaroundage40(ESCAP,1982)duetosexinequalityinlevelsofcare, attentionandeducation.Discriminationagainstgirlsstillexists,particularly incertainstatesofIndia.Itoccurschieflybeforebirthand,inthecountries wherethesituationinthisrespectisleastfavourable,women’slifeexpectancy isatminimumequaltomen’s.Levelsofmaternalmortalitystilldivergewidely today:thenumberofmaternaldeathsper100,000birthsis92inSriLanka andestimatedat1,900inAfghanistan(Table18). AlthoughthenumbersofHIV-positivepersonscanbelargebecauseof populationsize–inIndiaespecially(28)–prevalenceratesforHIV/AIDSremain relativelylowintheregion.ThemaximumisobservedinNepalwheretherate amongpersonsaged15-49is0.5%comparedwithaworldaverageof0.8%(29). Theprevalencerateof0.9%initiallygivenforIndiain2005wassubsequently reviseddownwardsonthebasisoftheresultsfromNFHS-3(30)whichfounda prevalencerateof0.28%inthe15-49agegroup.Theepidemicaffectsmenmore thanwomen,andurbanmorethanruralpopulations(Table19).Italsoaffects (28)ThefirstcasesofAIDSinIndiawererecordedin1986.Serologicaltestsshowedthatamong 102prostitutes tested in Chennai (Madras), 10 were HIV positive. However, the Indian health authoritiesdidnottakeimmediatestepstocombattheepidemic,believingthathigh-risksexual behaviourwasexceptionalinIndia(multiplepartners,inparticular,wereuncommon). (29)TheHIVprevalenceratefortheadultpopulationis5%inSub-SaharanAfrica. (30)ThisisthefirstsurveyinIndiatoincludeasectiononHIVtesting. 49 02_INE_Pop0108_007_090.indd 49 23/06/2008 14:36:29 J. Véron Figure 12. Differential mortality index in 1950-1955 and 2000-2005 (female/male ratio of life expectancies at birth) 115 Index Ined 023 08 1950-1955 110 2000-2005 105 100 95 90 85 80 tan nis a fgh A sh de Ba la ng uta Bh n ia Ind ves ldi Ma Ne l pa tan kis Pa ka Lan Sri Interpretation: The value 100 represents equality. Source: Based on United Nations (2006a) data. thestatesofIndiaindifferentways,asshownbytheregionalvariationsin prevalence(menandwomencombined):0.07%inUttarPradesh,0.34%inTamil Nadu,0.62inMaharahtra,0.69%inKarnataka,0.97%inAndhraPradeshand 1.13%inManipur(prevalenceintheotherstatesis0.13%)(31).Amongwomen, theprevalencerateislowerforthosewithnoeducationthanforthosewithat leastfiveyearsofeducation(0.27%and0.49%respectively)butthendeclinesas educationallevelrises(0.07%forwomenwithatleast12yearsineducation). Amongmen,therateishighestforthosewithnoeducation(0.5%).Itislower Table 19. HIV/AIDS prevalence rate in the adult population (aged 15-49) in India, 2005-2006 (in %) Women Men Overall Urban areas 0.29 0.41 0.35 Rural areas 0.18 0.32 0.25 Total 0.22 0.36 0.28 Source: NFHS-3 survey. (31)InManipur,theHIVprevalencerateamongmenaged15-54isdoublethatamongwomenaged 15-49(1.59%against0.79%).ExceptinTamilNaduwhereitislowerthanthatforwomen,themale prevalencerateeverywhereelseishigherthanthefemalerate,thoughtoalesserdegree. 50 02_INE_Pop0108_007_090.indd 50 23/06/2008 14:36:29 the deMograPhy of south a sia froM the 1950s to the 2000s forthosewithatleastfiveyearsofeducation(0.36%)thenrisesagainforthose withbetweenfiveandsevenyearsofeducationandsubsequentlyfallswith lengthofeducation(theprevalencerateis0.16%formenwithmorethan12years ineducation).Wenotethatthehighestprevalenceratesareobservedforwomen whohadsexualintercoursewithahigh-riskpartnerinthe12monthsbefore thesurvey(rate2.23%)andforthosewhodidnotuseacondom(rate2.83%). Prevalenceratesformeninthesamecategoriesareconsiderablylower. ForanumberofcountriesinSouthAsia,the2005UnitedNationsreport onmortalitygivesvaluesformaleandfemalelifeexpectancyatbirthandat ages15and60attwoseparateperiodsintime(Table20).Thedeclinein Table 20. Male and female life expectancy at birth, at age 15 and at age 60 (in years) Country Years Men Women Years Men Women Afghanistan – – – – – – Bangladesh At birth 1974 45.8 46.6 1994 58.7 58.3 Age 15 1974 46.3 46.1 1994 53.0 51.4 Age 60 1974 14.4 14.0 1994 15.1 15.0 – – – – – – At birth 1961-1970 46.4 44.7 1993-1997 60.4 61.8 Age 15 1961-1971 45.0 44.0 1993-1998 53.1 55.8 Age 60 1961-1972 13.6 13.8 1993-1999 15.5 17.5 At birth 1982 53.4 49.5 1999 72.1 73.2 Age 15 1982 48.0 43.4 1999 59.2 60.2 Age 60 1982 9.2 8.2 1999 18.8 19.3 At birth 1981 50.9 48.1 2001 60.1 60.7 Age 15 1981 47.3 46.9 – – Age 60 1981 13.8 14.4 – – At birth 1976-1978 59.0 59.2 2001 64.5 66.1 Age 15 1976-1979 56.8 56.3 2001 56.9 58.8 Age 60 1976-1980 19.3 19.3 2001 18.8 20.1 At birth 1967 64.8 66.9 1991 68.9 73.6 Age 15 1967 55.8 57.7 1991 – – Age 60 1967 17.0 17.8 1991 – – Bhutan India Maldives Nepal Pakistan Sri Lanka Source: United Nations (2006b). 51 02_INE_Pop0108_007_090.indd 51 23/06/2008 14:36:30 J. Véron mortalityatyoungeragesaccountsforsomeoftheriseinlifeexpectancyat birthbutisnottheonlyfactorinvolvedsincelifeexpectanciesatage15are alsorising.Lifeexpectanciesatage60arefollowingamoredisparatecourse thoughthetrendisupward. Early-age mortality remains high in most countries Infantmortalityfellthroughouttheregionbetween1960-1965and20002005(Table21andFigure13).SriLankaandAfghanistanareagaininthe extremepositions:bythe1960s,infantmortalityinSriLankawasalready Table 21. Infant mortality since the early 1950s Infant mortality rate (‰) Change (%) 1952 1972 1992 2002 1952-1972 1972-1992 1992-2002 Afghanistan 275.3 211.6 171.1 168.1 – 23 – 19 –2 Bangladesh 200.5 148.0 89.0 61.3 – 26 – 40 – 31 Bhutan 184.8 149.2 87.5 52.7 – 19 – 41 – 40 India 165.7 116.8 77.2 62.5 – 30 – 34 – 19 Maldives 185.2 120.6 65.1 45.8 – 35 – 46 – 30 Nepal 210.9 156.1 90.6 64.5 – 26 – 42 – 29 Pakistan 168.6 127.6 87.0 75.4 – 24 – 32 – 13 Sri Lanka 76.6 49.9 17.0 12.4 – 35 – 66 – 27 Source: United Nations (2007a). Figure 13. Infant mortality between 1960-1965 and 2000-2005 260 Infant mortality 2000-2005 (‰) Ined 024 08 240 220 200 180 Afghanistan 160 140 120 100 Pakistan 80 India 60 40 Sri Lanka 20 0 0 20 40 60 Bangladesh Nepal Maldives Bhutan 80 100 120 140 160 180 200 220 240 260 Infant mortality 1960-2005 (‰) Source: United Nations (2006). 52 02_INE_Pop0108_007_090.indd 52 23/06/2008 14:36:30 the deMograPhy of south a sia froM the 1950s to the 2000s muchlowerthaninmostcountriesofSouthAsia,whileinAfghanistaninfant mortality was among the highest in the world. Considerable progress has beenachievedintheothercountriesoftheregion,thoughinfantmortality was still relatively high in the early 2000s: 46‰ in the Maldives, 53‰ in Bhutan, 61‰ in Bangladesh, 63‰ in India, 65‰ in Nepal and 75‰ in Pakistan. According to United Nations estimates (2007a), under-five mortality in Afghanistanhasnotdecreasedoverthelasttenyears:itwas257‰in19901995and252‰in2000-2005.At14‰in2000-2005,under-fivemortality inSriLankabearsnocomparisonwiththatinAfghanistan(Table22).The next best level of under-five mortality is in the Maldives, where the rate declined considerably in the 1990s but still stood at 59‰ in 2000-2005. Infantandchildmortalitylevelsintheothercountrieswereverysimilarin 1990-1995,withallratessituatedbetween124‰and128‰,buttenyears laterhadbecomemoredisparate,rangingfrom108‰inPakistanto78‰ inBhutan. Child health is closely correlated with mother’s level of education Childmortalitylevelsreflectthepersistentdisparitiesinchildhealthin SouthAsia.Theproportionsofdeliveriesattendedbyskilledhealthpersonnel, thepercentageofmalnourishedchildrenandthelevelsofchildvaccination coverageprovidefurtherproofofthisdiversity(Table22). Table 22. Child mortality, delivery conditions, malnutrition and vaccination Mortality rate (‰) Neonatal (2004) Below 1 year (20002005) 0-5 years (20002005) Deliveries attended by skilled health personnel (%) Afghanistan 60 168 252 14 (2003) 53.6 (1997) Bangladesh 36 61 83 13 (2004) 50.5 (2004) Bhutan 30 53 78 51(2005) 47.7 (1999) India 39 62 90 48 (2006) 51.0 (1998/99) Maldives 24 46 59 70 (2001) 31.9 (2001) Nepal 32 64 88 19 (2006) 57.1 (2001) 82.8 (2006) Pakistan 53 75 108 31 (2005) 41.5 (2001) 35.1 (1991) Sri Lanka 8 12 14 97 (2000) 18.4 (2000) 67.3 (1987) Country Children malnourished (%) Children vaccinated (%) – 73.1 (2004) – 42.0 (1999) – (a) Children receiving the full set of vaccinations (BCG, DPT, polio and measles). Children under five with stunted growth. Sources: United Nations, World Health Statistics 2007, DHS surveys and United Nations (2007a). (b) 53 02_INE_Pop0108_007_090.indd 53 23/06/2008 14:36:31 J. Véron Table 23. Child mortality, delivery conditions and vaccination by area of residence and educational level of mother, India, 2005-2006 Total Area of residence Urban Rural Mother’s level of education (years of shooling) No Below 5-7 education 5 8-9 10-11 12+ Infant mortality (‰) 57.0 41.5 62.2 69.7 66.0 49.5 41.5 36.5 Mortality 1-5 years (‰) 18.4 10.6 21.0 29.9 13.8 11.5 5.6 3.6 25.9 3.9 Mortality 0-5 years (‰) 74.3 51.7 82.0 94.7 78.8 60.5 46.9 40.0 29.7 Deliveries attended by trained personnel (%) 46.6 73.5 37.5 26.1 45.0 56.9 67.1 80.3 91.0 Children aged 1 or 2 receiving the main vaccinations (%) 43.5 57.6 38.6 26.1 46.1 51.8 59.7 66.1 75.2 Source: NFHS-3. Theconditionsofbirthvarywidely.InSriLanka,97%ofdeliveriesare attendedbyskilledhealthpersonnel,against70%intheMaldives,around50% inBhutanandIndia,14%inAfghanistanand13%inBangladesh.Theproportion ofchildrenvaccinatedisalsoanindicatorofhealthconditions.Thoughthe relevantdataarenotavailableforallthecountriesoftheregionandsomeare outofdate,inthe2000stheproportionofchildrenvaccinatedagainstthe maindiseasesexceeds70%inBangladeshand80%inNepal(32). DataforIndiaoninfantmortalityin2005-2006highlighttheimpactof areaofresidenceandmother’slevelofeducationonchildhealth(Table23). Infantmortality,whichhasanaveragevalueforIndiaof57‰in2005-2006, variesby20pointsdependingonwhethertheareaofresidenceisurbanor rural.Forchildrenunderone,themortalityratevariesby44pointsaccording towhetherthemothershavereceivednoeducation(70‰)ormorethan12years ofeducation(26‰).InIndiaaselsewhereintheworld,themortalitydifferentials areevenlargeratages1-5.Theconditionsofdeliveryaremuchmorefavourable inurbanareasthaninruralareas,sincewellover70%ofurbanbirthsare attendedbytrainedhealthpersonnel,comparedwithlessthan40%ofrural births.Similarly,theconditionsofbirthvaryconsiderablywiththemother’s educationallevel,rangingfrom26%ofdeliveriesattendedbytrainedpersonnel forwomenwithnoeducationto91%forwomenwithatleast12yearsof education.Thepercentageofchildrenreceivingthebasicvaccinationsvaries byalmost20pointsdependingonwhetherthemotherlivesinanurbanor ruralarea,andbynearly50pointsbetweentheleastandmosteducated women. (32)InNepal,83%ofchildrenaged1-2arefullyimmunizedatthetimeofthesurvey,while93%are BCGvaccinatedagainsttuberculosis,85%arevaccinatedagainstmeaslesand89%havereceivedthe firstdoseoftheDPT(diphtheria,pertussis,tetanus)vaccine. 54 02_INE_Pop0108_007_090.indd 54 23/06/2008 14:36:31 the deMograPhy of south a sia froM the 1950s to the 2000s HealthinequalitiesthusremainextremelylargeinSouthAsia,whether comparisonisbetweencountriesorbetweensocioeconomicstratainthe populationofasinglecountry.Indiaintroducedanewhealthpolicyin2002(33). Amongitsclearlystatedobjectives,basedontheprincipleofequity,isthatof reducingtheinequalitiesinaccesstohealthcareassociatedwithurbanversus ruralresidenceorwithdifferencesinthedevelopmentlevelofstatesorinthe economicstatusofpopulations.However,itwillbesomeyearsbeforeitseffects becomevisible. XI. Age structures: demographic windows of opportunity Young populations Median age, a crude indicator of age structure, reveals three sharply contrastingsituationsinheritedfrompasttrendsinmortalityandfertility (Table24).AcontrastisagainobservedbetweenAfghanistan,wherethefertility transitionhashardlystartedandthepopulationisparticularlyyoung(median age16.4),andSriLanka,wherethetransitioniscompleteandthepopulation ismucholder(medianage29.5).Intheothercountries,allofwhichareengaged inthefertilitytransition,medianagesrangefrom20to24. In2005,allthecountriesofSouthAsiawiththeexceptionofSriLanka hadpopulationswithlargeproportionsofyoungpeople.ExceptinSriLanka, wheretheproportionwas24%,theunder-15smakeupoverathirdofthe population(Table23).Theproportionofyoungpeopleunder15isaround 40%inNepalandreaches47%inAfghanistan. Table 24. Indicators of age-sex structure in the countries of South Asia, 2005 Median age (years) Under-15s (%) Over-60s (%) Sex ratio (%) Afghanistan 16.4 47.0 3.7 107.5 Bangladesh 22.2 35.2 5.7 104.9 Bhutan 22.3 33.0 6.9 111.1 India 23.8 33.0 7.5 107.5 Maldives 21.3 34.0 5.6 105.3 Nepal 20.1 39.0 5.8 98.2 Pakistan 20.3 37.2 5.9 106.0 Sri Lanka 29.5 24.2 9.7 97.7 Countries Source: United Nations (2007a). (33)Thepreviousnationalpolicyonhealthdatedfrom1983. 55 02_INE_Pop0108_007_090.indd 55 23/06/2008 14:36:31 J. Véron Usingtheproportion–nottheabsolutenumber–ofpeopleover60asthe criterionofpopulationageing,itisclearthattheprocesshasmadelittleimpact sofarinthecountriesoftheregion.OnlyinSriLankaistheproportionof over-60scloseto10%,asaconsequenceofthelongstandingfertilitydecline, whereasitis7.5%inIndiaandbelow7%intheothercountries. Populationprojectionsto2020showthatSriLankawillseeamarked ageingofitspopulationintheyearsahead,withtheproportionofover-60s exceeding17%bythatyear(AppendixTableA.11).Thenext“oldest”country willbeIndia,with10%ofitspopulationover60.Everywhereelse,theover60swillstillrepresentless–insomecasesmuchless–thanone-tenthofthe population.Theproportionofpersonsaged60andoveriscurrentlyverylow inAfghanistan(4%)andisunlikelytochangebetweennowand2020. ThepopulationsinthecountriesofSouthAsiaarealsodifferentiatedby theirsexratios.ThelargestmalesurplusesarefoundinBhutan,Afghanistan andIndia;menareintheminorityinNepalandSriLanka,wheretherewere 98malesfor100femalesin2005. ThelargeseximbalanceatbirthaffectingseveralEastandSoutheastAsian countries,amongthemChina,isnotobservedinthisregionexceptinIndia, andthenonlyinthecountry’snorth-weststates.Wewillreturnlatertothis seximbalancethatreflectsstrongdiscriminationagainstgirlchildreninthese states. Age distributions reflect the progress of the demographic transition Thestageofdemographictransitionreachedbythecountriesoftheregion isillustratedbytheiragestructures(Figures14A-14H).Thefertilitydecline inSriLankabeganmanyyearsago,asshownbythenarrowerbaseofthe pyramidstartingfromthe35-39agegroup.Despitean“echo”effect(34),cohort sizehasfallencontinuouslysince1980-1985.ComparedwithSriLanka,the fertilitytransitionhascomelaterinBhutanandtheMaldives,butcohortsize hasbeenfallinginbothcountriesforthelasttwentyandtenyearsrespectively. ThebaseofthepopulationpyramidforPakistanisstartingtocontract,while thepyramidsforBangladesh,IndiaandNepalareverysimilar,withasyetno majordecreaseinnumbersatyoungages.Despiteadeclineinfertility,the numbersofbirthsarenotyetfalling,becausethepopulationofchildbearing ageisstilllarge.Afghanistan,finally,presentsanagestructurecharacteristic ofacountrywithhighfertilityandhighmortality. Between2005and2020,theproportionofpeopleaged15-60,i.e.inthe working-agepopulation,willincreaseinallthecountries(exceptAfghanistan). (34)In2005,thelargersizeofthepopulationaged20-24relativetothoseaged25-29or30-34isa resultofhighbirthratesaroundtwentyyearsearlier,whentherelativelylargecohortsofwomen reachedchildbearingage. 56 02_INE_Pop0108_007_090.indd 56 23/06/2008 14:36:31 the deMograPhy of south a sia froM the 1950s to the 2000s Figure 14. Population pyramids of the countries of South Asia in 2005 A. AFGHANISTAN B. BANGLADESH Age 100 + Men Age Ined 025 08 Women 90-94 Men 10 80-84 70-74 70-74 60-64 60-64 50-54 50-54 40-44 40-44 30-34 30-34 20-24 20-24 10-14 10-14 0 0-4 0 10 20 20 10 C. BHUTAN 0 10 Women Men 80-84 70-74 70-74 60-64 60-64 50-54 50-54 40-44 40-44 30-34 30-34 20-24 20-24 10-14 10-14 0-4 0 10 20 20 10 E. MALDIVES 0 10 Women Men 80-84 70-74 70-74 60-64 60-64 50-54 50-54 40-44 40-44 30-34 30-34 20-24 20-24 10-14 10-14 0-4 0 10 20 20 10 G. PAKISTAN 0 10 0 20 Ined 032 08 100 + Women Men Women 90-94 80-84 80-84 70-74 70-74 60-64 60-64 50-54 50-54 40-44 40-44 30-34 30-34 20-24 20-24 10-14 10-14 0-4 20 10 Age Ined 031 08 90-94 0 H. SRI LANKA Age 100 + Men Women 90-94 80-84 0 20 Ined 030 08 100 + 0-4 20 10 Age Ined 029 08 90-94 0 F. NEPAL Age 100 + Men Women 90-94 80-84 0 20 Ined 028 08 100 + 0-4 20 10 Age Ined 027 08 90-94 0 D. INDIA Age 100 + Men Women 90-94 80-84 0-4 20 Ined 026 08 100 + 0-4 0 % 10 20 20 % % 10 0 0 10 20 % Source: United Nations, 2006a. 57 02_INE_Pop0108_007_090.indd 57 23/06/2008 14:36:32 J. Véron Furtherincreasecanbeexpectedevenincountrieswheretheproportionof peopleaged15-60wasalreadyhighin2005,likeBhutanandtheMaldives (60%).Thisrelativeincreaseintheworking-agepopulation,beforethereduction intheeconomicallyinactiveyoungpopulationiscancelledoutbytheincrease intheinactiveolderpopulation,constitutesthe“demographicwindow”.At thispointcountrieshaveanopportunityfordevelopment,sincethedependency ratioisfavourabletowealthcreation,thankstothereducedpublicburdenof educationcostsfortheyoungandofhealthandpensioncostsforolderpeople. InBhutan,peopleaged15-60willrepresent67%ofthepopulationin2020. Forthecountriesinapositiontobenefit,thedemographicwindowrepresents anopportunity.Buttheadvantageisapotentialone,andforittoberealized, theworking-agepopulationmustbeemployedinthefullsenseoftheterm, withlowunder-employmentorunemployment.SriLankadiffersfromthe othercountriesinthatitisalreadybenefitingfromthedemographicwindow (theproportionaged15-60iscurrently66%andwillprobablydescendto62% by2020). XII. A relatively low urban-rural ratio Moderate urbanization but strong urban growth InSouthAsia,likeelsewhereintheworld,thecriteriausedforclassifying populationsas“urban”arenotallthesame.ThedefinitionofurbaninIndia canbeadministrative(localitiespossessingamunicipalcharter,etc.)orbased on a combination of criteria: number of inhabitants, population density, proportionofmeninnon-agriculturaloccupations.InneighbouringSriLanka, onlypopulationsin“municipalzonesandzoneswithanurbancouncil”are classifiedasurban(Table25).InPakistan,anurbansettlementisalsodefined Table 25. Criteria for defining urban populations in four countries of South Asia Country Definition of “urban” India Towns and cities: localities possessing a municipal charter, a committee for a municipal zone or designated urban zone or grouped zone (cantonment) or localities with a population of 5,000 or more inhabitants, a population density of 1,000 or more inhabitants per square mile or 400 per sq.km, definite urban characteristics, and with three-quarters of adult males in non-agricultural employment. Maldives Male (capital) Pakistan Localities possessing a municipal charter or a municipal committee and grouped zones (cantonments) Sri Lanka Urban sector: comprising all the municipal zones and zones possessing an urban council. Source: United Nations (2007b). 58 02_INE_Pop0108_007_090.indd 58 23/06/2008 14:36:32 the deMograPhy of south a sia froM the 1950s to the 2000s inuniquelyadministrativeterms.InNepal,localitiesneeded5,000inhabitants tobeclassifiedasurbaninthe1961censusand9,000insubsequentcensuses. Thecriteriaforpopulationsizeanddensity,continuousbuilt-upareaand occupationalstructurehaveallchangedovertime,andsince1999thedefinition basedonpopulationsize,annualincomeandinfrastructurevariesbetween ecologicalzonesaccordingtocomplexrules(UnitedNations,2008)(35).The definitionofurbaninBangladeshissimilartothatinIndiabutmorecomplex sinceitalsoincludespublicamenities,accesstowater,educationallevel, etc. ThecountriesofSouthAsiaarestillnotheavilyurbanized(Table26).In Pakistan,thecountrywiththeregion’shighestpercentageurbanin2005,only 35%ofthepopulationlivedintownsorcities.Thelowestlevelsofurbanization areobservedinSriLankaandNepal,wherebarely15%oftheinhabitantsare urbandwellers.InIndia,lessthan30%ofthepopulationtodaylivesintowns orcities,whichisthreetimesmorethanin1901andtwicethelevelin1941, butstillasmallproportioncomparedwiththeworldaverage(50%). Table 26. Percentage urban, 1950-2005, and projections to 2030 Country 1950 1975 2005 2030 Afghanistan 5.8 13.3 22.9 36.2 Bangladesh 4.3 9.8 25.7 41.0 Bhutan 2.1 7.9 31.0 56.2 India 17.0 21.3 28.7 40.6 Maldives 10.6 17.3 33.9 60.7 2.7 4.8 15.8 30.6 Pakistan 17.5 26.3 34.9 49.8 Sri Lanka 15.3 19.5 15.1 21.4 Nepal Source: United Nations (2008). Althoughtheproportionofpeoplelivingintownsandcitiesisrisingata moderatepace,thetotalurbanpopulationinSouthAsiahasgrownsharply overfiftyyears.Itnumbered73.7millionin1950and433.2millionin2005, representingnearlyasix-foldincrease(Figure15).Indiaaccountedformuch ofthisurbangrowth,sinceofthe433.2millionurbandwellersinSouthAsia in2005,three-quarterslivedinIndia.Thepaceofchangeintheurbanpopulation differsbetweencountries,andinsomeinstancesvariesgreatlybetweenperiods withinthesamecountry.InAfghanistan,inparticular,theurbanpopulation grewatanannualrateof6%intheperiod2000-2005,buttheratewasnegative intheperiod1980-1985(36)thenreached8.5%intheyears1990-1995.Forthe (35)http://esa.un.org/wup/source/country.aspx (36)Asmentioned,thewarwiththeSovietUnionledtolarge-scaleemigration,withmanypeople takingrefugeinPakistanorIran. 59 02_INE_Pop0108_007_090.indd 59 23/06/2008 14:36:32 J. Véron Figure 15. The urban population of South Asia and India, 1950-2005 500 Urban population (millions) Ined 033 08 450 400 350 300 250 South Asia 200 India 150 100 50 0 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 Year Source: United Nations (2008). urbanpopulationofBangladesh,therateiscurrently3.5%,butwasinexcess of10%between1975and1980.InBhutan,therateofurbanpopulationgrowth since1950hasfluctuatedaroundanannualaverageof5%.Theurbangrowth rateinIndiaclimbedfrom2.6%in1950-1955to3.8%in1970-1975thenslowed toitspresentlevelof2.3%.LikeBangladesh,theMaldivesexperiencedaperiod ofrapidurbangrowth,witharateof10%in1970-1975.Between1970and 2000,theurbanpopulationinNepalgrewbyover6%ayearonaverage,whereas inPakistantheratewasbetween4%and4.5%overseveraldecades.Againthe patternforSriLankaissingular:thegrowthraterosefrom2.8%in1950-1955 to4.3%in1965-1970,thenfellbacktobelow1%andiscurrentlyclosetozero (0.15%in2000-2005). AccordingtoUnitedNationsforecasts,Pakistanwillremainthemost urbanizedcountryintheregionupto2030,withnearlyoneintwoinhabitants livinginurbanareas.UrbanizationinSriLanka,meanwhile,atslightlyover 20%,willstillberemarkablylow.InBangladeshandIndia,40%ofthepopulation willbeurban.Althoughthislevelmightbeconsideredmoderatein2030,it representsatotalof590millionurban-dwellersinIndiaalone. Five of the world’s thirteen largest cities are in South Asia ThecountriesofSouthAsiaareverydifferentinsize,andtheircapital citieslikewise.Delhihad15millioninhabitantsin2005,Katmanduwellbelow onemillion,andMale,capitaloftheMaldives,only89,000(Table27). ThecitywiththemostspectaculargrowthoverthelastfiftyyearsisDhaka, whosepopulationincreasedthirty-foldintheperiod1950-2005.Thecity 60 02_INE_Pop0108_007_090.indd 60 23/06/2008 14:36:33 02_INE_Pop0108_007_090.indd 61 Islamabad Pakistan Colombo – 400 1,047 36 104 3 572 3,989 107 180 – 7,082 7,888 4,426 8 2,173 674 1975 639 10,020 595 644 – 16,086 13,058 12,441 60 10,159 1,963 2000 * estimate. Source: United Nations, World Urbanization Prospects: the 2005 Revision. Sri Lanka Kathmandu Karachi Male 2,857 Mumbai (Bombay) Nepal 4,513 Kolkata (Calcutta) Maldives 1,369 Thimphu Delhi Bhutan India 171 417 Kabul Dhaka 1950 Afghanistan Cities Bangladesh Country 652* 11,608 736 815 – 18,196 14,277 15,048 85 12,430 2,994 2005 Population (in thousands) 701 15,155 1,008 1,280 – 21,869 16,980 18,604 143 16,842 4,666 2015 1.6 11.1 20.4 7.8 – 6.4 3.2 11.0 29.8 17.5 1.1 2.9 6.9 4.5 – 2.6 1.8 3.4 5.7 4.4 2005/1950 2005/1975 Ratio 3.4 7.4 3.0 – 1.6 1.3 1.4 8.8 10.0 Percentage of total population in 2005 22.5 21.1 19.1 – 5.7 4.5 4.7 35.0 43.8 Percentage of urban population in 2005 Table 27. Population change in selected capital and largest cities between 1950 and 2000 and forecasts for 2015 the deMograPhy of south a sia froM the 1950s to the 2000s 61 23/06/2008 14:36:33 J. Véron becamethecapitalofthenewlycreatedBangladeshin1971.Between1975and 2005,theseven-foldincreaseinthepopulationofIslamabadwasfasterthan thatofDhaka,wherepopulationincreasedsix-fold.ThepopulationsofKabul andKatmandugrewbyafactorof4.4-4.5overthesameperiod.Infiftyyears, thepopulationofDelhihasgrownmorethanten-fold,increasingfrom1.4million in1950to15millionin2005. Thedemographicweightofthecapitalcitiesintheirrespectivecountries alsovaries.Delhiishometolessthan2%ofthepopulationofIndia,whereas 10%ofthatofAfghanistanlivesinKabul.TheinhabitantsoftheAfghancapital represent44%ofthatcountry’surbanpopulation,whereasthepopulationof Kathmandurepresentslessthan20%ofNepal’surbanpopulationandthatof Delhilessthan5%ofIndia’s. TheurbanizationprocessissingularinIndiaonaccountofthepopulation sizeanditsrateofgrowthinthetwentiethcentury.Along-termcomparison withtheUnitedStateshasshownthatnotonlyisthepercentageurbanlower inIndiabutitisnotcatchingupwiththeAmericanlevel,eventhoughIndia hasalargerurbanpopulationthantheUnitedStates(Véron,1987).India alreadyhadanumberoflargecitiesattheendofthenineteenthcentury:in 1891,744,000peoplelivedinCalcutta,822,000inBombay,453,000inMadras and415,000inHyderabad(Davis,1951),Inthe2001census,Indiacounted 34urbanagglomerationswithoveronemillioninhabitantsandsixwithover fivemillioninhabitants:Mumbai(formerlyBombay,16.4million),Kolkata (Calcutta,13.2million),Delhi(12.9million),Chennai(formerlyMadras, 6.6million),HyderabadandBangalore(eachwith5.7million). Onagloballevel,of21urbanagglomerationswithover10millioninhabitants in2005,fiveofthem–notallcapitalcities–wereinSouthAsia:Dhaka,Delhi, Kolkata,MumbaiandKarachi.Thesefiveurbanagglomerationsareamong the13largestintheworld. XIII. A lack of data on international migration ThecountriesofSouthAsiaareemigrationcountries.Threetypesof migrationcanbeidentified:migrationleadingtopermanentsettlementin Europe,AustraliaandNorthAmerica;labourmigrationtocountriesinthe MiddleEast;andseasonalmigration,mostlylocalizedinborderregions,like thatintoIndiafromBangladeshandNepal(IOM,2005).Thelargestmigration flowsaretotheGulfcountries.Whennovisaisrequiredtoenteraneighbouring country–asisthecasebetweenIndiaandNepal,betweenIndiaandBhutan andbetweenBhutanandNepal(Khadria,2005)–cross-bordermigrationis indistinctfrominternalmigration.Whereavisaisrequired,asisthecasefor BangladeshandIndia,aproportionofthismigrationisillegal.Thislocal migrationinvolvesprimarilythepoorestpopulations,suchasthefarmersfrom theNepalvalleyswhogotonorth-eastIndiaatharvesttime. 62 02_INE_Pop0108_007_090.indd 62 23/06/2008 14:36:33 the deMograPhy of south a sia froM the 1950s to the 2000s Inthelastfewyears,therangeofdestinationcountriesforSouthAsian migrantshasbroadened(Khadria,2005).Increasingly,migrantsareattracted toJapan,HongKong,SouthKorea,Malaysia,SingaporeandTaiwan.Examples includeplantationworkersinMalaysia(manyBangladeshis),domesticstaff inSingaporeandconstructionworkersinSouthKorea(Nepaleseinparticular). Migrantsincludelargenumbersofwomen,mainlyinthedomesticservice sector.Highlyqualifiedmigrants,meanwhile,leaveforEurope,NorthAmerica orAustralia. Afghanistanexperiencedlarge-scalepopulationmovementsduringthe warwiththeSovietUnionbetween1979and1989.Allthreemaintypesof migration–correspondingtopermanentsettlementinEurope,NorthAmerica orAustralia;labourmigrationtotheMiddleEastandcertainSouth-EastAsian countries;andcross-bordermoves,suchasmigrationtoIndia–occurin Bangladeshthoughtherespectivescaleoftheseflowsisnotknown.Pakistanis alsoleavetheircountrytosettleinEurope,NorthAmericaorEastAsia,entering eitherlegally,orasstudents(someofwhomlaterseektostayon),or,forthe poorest, illegally. Sri Lanka too is experiencing large-scale international migration.PoliticalreasonsarecausingTamilstoleavethecountryandseek politicalrefugeestatusintheWest(Etiemble,2004).TheGulfcountriesremain amajordestinationformigrantsfromSriLanka.Womenaccountfor70%of thismigration,reflectingthehighdemandinthesecountriesforfemaledomestic workers. MigrationisagrowingphenomenoninIndia,thoughitsin-depthstudy islimitedessentiallytoKerala.Asurveyfromthelate1990shasbeenusedto analyse the impact of migration on population age structure, family life (temporaryseparationofspouses),averageeducationallevel(throughthe selectivityofmigration),poverty,unemployment,etc.(Zachariahetal.,2003). Itemerges,forexample,thatwomenwithamigranthusbandinaGulfcountry havehighstatusbecausetheyreceiveremittancesintheirownnamebutare weigheddownbyincreasedresponsibilitiesduetotheirhusband’sabsence, and by loneliness: 60% would like their husband to come home. Return migrationisbecomingmuchmorecommon,raisingtheissueofreintegrating migrantsintothesocietyoforigin.Fortypercentofreturnmigrantssetup theirownbusiness,butaproportionofreturneeshavegreatdifficultyin reintegratingKeralasocietyand,thoughstillofworkingage,donotfind employment and use their savings to maintain a high standard of living (Zachariahetal.,2002;Zachariahetal.,2006). Theeconomicimportanceofinternationalmigrationforeachcountrycan bemeasuredfromthefinancialtransfersmadebyitscitizensresidentabroad. In2004,migration-relatedtransfersrepresentedavaryingbutinsomecases largeproportionofgrossnationalincomeinthecountriesofSouthAsia:12.1% inNepal,8%inSriLanka,5.5%inBangladesh,4.2%inPakistan,3.2%inIndia and0.4%intheMaldives(UnitedNations,2006c). 63 02_INE_Pop0108_007_090.indd 63 23/06/2008 14:36:34 J. Véron Sendingcountriescanalsobereceivingcountries.TheUnitedNations estimatesthat191millionpeopleworldwidelivedoutsidetheircountryof birthin2005,representing3%oftheworldpopulation(37)(UnitedNations, 2006c).TheSouthAsiancountrywiththelargestnumberofforeign-born personsisIndia,wheretheytotal3.7million(38).Thismigrantstockisthe eighthlargestintheworld,thoughitrepresentsamere0.5%ofIndia’stotal population(AppendixTableA.12).Pakistancurrentlyhassome3.3million foreign-bornresidents,equivalentto2.1%ofthetotalpopulation.Themigrant stockthusdefinedis1millioninBangladesh(0.7%ofthepopulation),819,000in Nepal(3%),368,000inSriLanka(1.8%),43,000inAfghanistan(0.1%),10,000in Bhutan(0.5%)and3,000intheMaldives(1%). XIV. Access to education remains unequal Accesstoeducationplaysalargeroleinthepopulationdynamicsofall countries, affecting factors such as the pace of demographic transition, contraceptivepracticeorchildhealth. ThecountriesofSouthAsiapresentcontrastingsituationsintermsof literacy.Intheearly2000s,literacyamongadultsoverage15wasabove90% inSriLankaand96%intheMaldives(Table28).ThecontrastwithAfghanistan, whereonly28%oftheadultpopulationisliterate,isparticularlysharp.Literacy levelsarearound50%inBangladesh,NepalandPakistanandover60%in India. Overlayingthesedifferencesinliteracylevelsarevaryingdegreesofgender inequality(Figure16).ThesituationintheMaldivesandSriLankaisoneof Table 28. Literacy rates of adults aged 15 and over in the 2000s Rate (%) Afghanistan (2000) 28.0 Bangladesh (2001) 47.5 Bhutan – India (2001) 61.0 Maldives (2000) 96.3 Nepal (2001) 48.6 Pakistan (2005) 49.9 Sri Lanka (2001) 90.7 Source: Unesco (http://unesdoc.unesco.org/). (37)In1960,thenumberofpeoplelivingoutsidetheircountryofbirthwasestimatedat75million, or2.5%oftheworldpopulation. (38)TheIndiancensusof1991countednearly3.4millionmigrantsoriginatingfromBangladesh, with2.6millionsettledinWestBengal(Nanda,2005). 64 02_INE_Pop0108_007_090.indd 64 23/06/2008 14:36:34 the deMograPhy of south a sia froM the 1950s to the 2000s Figure 16. Literacy rates of men and women aged 15 and over in the 2000s 100 Female literacy rates (%) Ined 034 08 Maldives Sri Lanka 80 60 India 40 Bangladesh Pakistan Nepal 20 Afghanistan 0 0 20 40 60 80 Male literacy rates (%) 100 Source: Unesco (http://stats.uis.unesco.org/unesco). highequality,withliteracylevelsataround90%formenandwomenalike.In NepalandPakistan,ontheotherhand,inequalityismarkedandthefemale adultliteracyrateislessthan60%ofthemaleadultrate.Thisformofinequality isgreaterstillinAfghanistanwherefemaleliteracyratesrepresented29%of themaleratein2000. ThepopulationofIndiahasahighereducationallevelthanneighbouring countrieslikeBangladeshandPakistan,butinthisdomain,aselsewhere,the countryhasextremeregionaldisparities(Banthia,2001).In2001,theaverage literacyrateofthepopulationaged7andoverwas65%,butstoodatover90% inKeralaandbelow48%inBihar.Formen,theaverageliteracyrateis76% andvariesbetweenamaximumof94%inKeralaandaminimumof60%in Bihar,whileforwomentheaverageis54%withamaximumof88%inKerala andaminimumof34%inBihar. XV. Increasing vulnerability Insomecountriesoftheregion,violentconflictorextremetensionshave createdaclimateofinsecuritythatisunfavourabletodevelopmentatthe presenttime.However,increasedvulnerabilityofthepopulationsofSouth Asiaineconomic,socialandecologicaltermsisalsoalegacyofrapidpopulation growthinthepast. Economic and social vulnerability Several populations are particularly vulnerable today in economic and social terms. In some regions of India, strong discrimination against girl 65 02_INE_Pop0108_007_090.indd 65 23/06/2008 14:36:34 J. Véron childrenisreflectedinsex-selectiveabortionpractices.Resultsfromthe2001 Indiancensusshowingahighsexratiointheyoungpopulationrevealedthe extent of discrimination against girl children in the north-west of the country(39).InthePunjabandinHaryana,whichcountamongIndia’smost developed states, this discrimination was such that the sex ratio in the populationaged0-6reached130boysfor100girlsinsomedistrictsandeven higher levels in the district of Fatehgarh Sahib (Nanda and Véron, 2004). Women’seducationallevelisrelativelyhighinthePunjab(thefemaleliteracy ratewas64%in2001),yetfemalefoetusesarenonethelessabortedinlarge numbers, the result of a traditional boy preference that may have been rekindledbyfallingbirthrates(40).Inrecentyears,thegovernmenthasmade efforts to stamp out the practice of sex-selective abortion via information campaignsandsanctionsagainstpractitionerswhotellcouplesthesexofan unbornchild,butwithoutmuchapparentsuccess.ForIndiaasawhole,the sex ratio of the 0-6 age group was 108.9in the 2005-2006 NFHS, against 107.9inthe2001census.Thesexratiohasnotchangedinurbanareasbut hasriseninruralareas. Vulnerabilityalsotakesotherforms(41).Vulnerablepopulationsinclude child workers, unemployed adults, and those, particularly at older ages, withoutaccesstoasystemofsocialprotection.Althoughthedemographic weightofolderpeopleremainslimitedinSouthAsia,theirnumberisrising and,inIndiaforexample,thequestionofpopulationageingisanemerging concern (Bose and Shankardass, 2004). The country today has more than 80million people over age 60 and by 2016 is likely to have more than 110million.Sincehalfofallmenoverage60,andmorethan70%ofwomen, areeconomicallydependentonotherpeople,theireconomicsecurityisset tobecomeacrucialissue. Anotherformofvulnerabilityislinkedtotheproblemofurbanhousing amongthepoorestpopulationsasevidencedbythespontaneoussettlements andshantytownsthatspringuponcityoutskirts.UN-Habitatestimatesthat over 230 million people lived in shanty towns in South Asia in 2001(42). Accordingtothesamesource,shantytown-dwellersnumbered30millionin Bangladesh,36millioninPakistanand158millioninIndia.Inadditionto economicandsocialvulnerability,thepopulationsmayalsofaceecological vulnerability. (39)The district-level map of sex ratios in the population aged 0-6 shows this phenomenon to be very circumscribed in India (Dyson et al., 2004). For an in-depth analysis, see the article by Guilmotointhisissue. (40)The role played by declining fertility in the emergence of this form of discrimination is a matterfordebate(DasGupta,1987;DasGuptaandBhat,1997;BhatandZavier,2003).Thisformof discriminationagainstgirlshasnotaccompaniedfertilitydeclineinSouthernIndia. (41)Theproblemoffoodsecurityalsoarises(forIndia,seeUNFPA,1997). (42)UN-Habitat,http://ww2.unhabitat.org/programmes/guo/statistics.asp 66 02_INE_Pop0108_007_090.indd 66 23/06/2008 14:36:35 the deMograPhy of south a sia froM the 1950s to the 2000s Environmental vulnerability LivingconditionsforalargeproportionofthepopulationofBangladesh intheGanges-Brahmaputradeltaareparticularlyhazardous.Highpopulation densitiesmeanthateachepisodeoffloodingproduceslargenumbersofvictims. ThehistoryofnaturaldisastersinBangladeshoverthelasttwohundredyears revealsthefullextentofthecountry’sexposuretoecologicalhazards(Table29). Inlate2007,theagriculturalsectorwasagainbadlyhitbyatropicalcyclone, withlossestonearly7millionpeople. Table 29. Major disasters in Bangladesh over two centuries Years Event Losses 1769-1776 Great famine of Bengal Nearly one-third reduction in the Bengal population, though impact was lighter in West Bengal 1784-1788 Floods and famine. Brahmaputra River changed its course Unknown 1873-1874 Famine Unknown Bakerganj cyclone and tidal wave Around 400,000 deaths Famine Unknown Chittagong cyclone Around 175,000 deaths Spanish influenza Around 400,000 deaths 1943 Bengal famine Between 2 and 2.5 million deaths 1947 Partition of India Unknown. Total deaths in partition numbered 1 million, but most occurred in the West 1970 Cyclone and tidal wave Between 200,000 and 500,000 deaths 1971 War of Independence Around 500,000 deaths 1974 Famine Official death toll 30,000, but some estimates are much higher (including reference to 500,000 deaths with 80,000 for the Rangpur district alone). 1876 1884-1885 1897 1918-1919 Source: W. Brian Arthur and Geoffrey McNicoll, “An analytical survey of population and development in Bangladesh”, Population and Development Review, 4(1), March 1978, p. 29, cited by Escap (1981). Inothercountriesoftheregion,suchasIndia,theMaldivesorSriLanka, substantialproportionsofthepopulationareseverelyexposedtorisingwater levels.Theearlierperiodofrapidpopulationgrowthinthesecountriesbrought alargeincreaseinpopulationdensities.InIndia,averagepopulationdensity rosefrom77inhabitantspersq.kmin1901to324in2001;itcurrentlystands at over 800 inhabitants per sq.km in Kerala and 900in West Bengal. The resultingpressureonlandhasledtoincreasedsettlementincoastalzones, whicharebarelyabovesealevel.Theconsequencesofthe2004tsunamiwere particularlydisastrousinSriLanka,intheIndianstatesofTamilNaduand Kerala,andintheMaldives,allofwhichhadlargepopulationslivingatsea level. In India, it left 11,000 persons dead, 5,600 missing and around 7,000injured. The worst affected Indian state, Tamil Nadu, alone counted 67 02_INE_Pop0108_007_090.indd 67 23/06/2008 14:36:35 J. Véron 8,000dead(43).InSriLanka,thetsunamicaused40,000deathsanddisplaced 2.5 million persons. Rising water levels due to climate change threaten a growing number of people in Bangladesh, India, the Maldives and Sri Lanka. Conclusion Todayhometoapopulationofaround1.6billionpeople,SouthAsiaisa regionofcontrastsinbothitsgeographyanddemography.WhereAfghanistan iscomposedmainlyofmountainsandincludesnumeroushighpeaks,most ofSriLankaisoccupiedbyplains.Itisbetweenthesetwocountriesalsothat thedemographiccontrastsaresharpest.MortalityinAfghanistan,thoughit hasfallen,isstillextremelyhigh,sincelifeexpectancyatbirthscarcelyexceeds 40 years, whereas in Sri Lanka mean length of life was over 70 years in 2000-2005.AndwhereasdemographictransitionhasnotbeguninAfghanistan, inSriLankaitiscomplete.Oneconsequenceofthesechangesinmortality andfertilityisthatthepopulationofAfghanistanisstillextremelyyoung (medianage16in2005)whilethatofSriLankaismucholder(medianage closeto30).Theothercountriesoftheregion–Bangladesh,Bhutan,India, the Maldives, Nepal and Pakistan – are in intermediate positions for all demographicindicators.Inallofthemthedemographictransitionisunder way.Mortalityhasfallenappreciablyandlifeexpectancyatbirthis62years minimum.Fertilityhasfalleneverywherethoughlargedifferencesremain: womeninBhutanandtheMaldivesproducefewerthanthreechildrenwhereas thefigureisstillfourinPakistan. Fromademographicpointofview,SouthAsiaisheavilydominatedby India,whoseterritorycontainsmorethantwo-thirdsoftheregion’spopulation. Afterafour-foldincreaseinitspopulationoverahundredyears,Indiasought tolimitpopulationgrowththroughbirthcontrolprogrammesfromtheearly 1950s,andtodaythecountry’sdemographictransitioniswelladvanced.But therearelargeregionaldisparities.TheNationalFamilyandHealthSurveyof 2005-2006showsthatinfantmortality–average57‰forthecountryasa whole–rangesbystatebetween15‰(KeralaandGoa)and71‰(Chhattisgarh). Onfertility,theaverageforIndiais2.1childrenperwoman,andthevariation isbetween1.8(AndhraPradeshandGoa)and4(Bihar). In terms of development, the different countries face broadly the samechallenges: finding employment for large working-age populations, reducingpoverty,creatingasystemofsocialprotectionforthepoorandthe old,andendingthevariousformsofdiscriminationagainstwomen.Other challengesaremorespecifictoparticularcountries.Bangladesh,Pakistanand Indiamustfindwaystosustainthegrowthofurbanagglomerationswithover (43)DatafromtheAsianDevelopmentBank. 68 02_INE_Pop0108_007_090.indd 68 23/06/2008 14:36:35 the deMograPhy of south a sia froM the 1950s to the 2000s 10millioninhabitants,Thesameistrueforaccesstoeducation:inSriLanka andtheMaldivesthisisbarelyanissue–literacylevelsareabove90%–but thequestionofeducationisimportantinBangladeshandPakistan(where literacyratesareonly48%and50%)andfundamentalinAfghanistan(where literacywasonly28%in2000).Thesecountriesalsofacethechallengeof reducinggenderinequalitiesinaccesstoeducation. By2040,SouthAsiacanexpecttohave2.2billioninhabitants,representing anadditional600millioninhabitantswithrespecttoitspresentpopulation. Immensechallengeswillneedtobeovercomeifthecountriesofthisregion aretoachieveevenamodestdegreeofsustainabledevelopment. Acknowledgements TheauthorwouldliketothankCédricYaëlMathieuforhis valuableandeffectiveassistanceincompilingthedatabase. 69 02_INE_Pop0108_007_090.indd 69 23/06/2008 14:36:35 J. Véron º» STATISTICAL APPENDIX Table A.1. Censuses, national fertility and health surveys and other national demographic household surveys in South Asia from 1960 to 2007 Country Censuses DHS Other demographic household surveys Afghanistan 1979 – 2000, 2003, 2005 Bangladesh 1974, 1981, 1991, 2001 1993/94, 1996-1997, 19992000, 2001*, 2004, 2007 1975, 1995, 2000, 2001, 2002, 2006 Bhutan – – 2003, 2004 India 1961, 1971, 1981, 1991, 2001 1992-1993, 1998-1999, 2005-2006 2000, 2001, 2002, 2006 Maldives 1977, 1985, 1990, 1995, 2000 – 2001, 2004 Nepal 1961, 1971, 1981, 1991, 2001 1987, 1996, 2001, 2006 1976, 1981, 1986, 2002 Pakistan 1961, 1972, 1981, 1998 1990-1991, 2006 1975, 2002, 2003, 2004 Sri Lanka 1963, 1971, 1981, 2000 1987, 1993**, 2000** 1975, 1985, 1994, 1999, 2000, 2002, 2003 * Bangladesh Maternal Health Services and Maternal Mortality Survey 2001. ** Surveys posted on the website of the Department of Census and Statistics, Sri Lanka, but not on the Macro International website. Sources: www.measuredhs.com, http://surveynetwork.org 70 02_INE_Pop0108_007_090.indd 70 23/06/2008 14:36:35 02_INE_Pop0108_007_090.indd 71 United Kingdom United Kingdom United Kingdom United Kingdom United Kingdom Maldives Nepal Pakistan Sri Lanka 1948 1947 1923 1965 1947 1949 1971 1919 Independence in 66 796 147 0.3 3,287 47 144 652 285 181 166 916 318 12 968 32 2,091 678 1,051 – 652 399 1,725 262 Gross Land area Density per density (thousand sq. km of (inhab. per sq. km) arable land sq.km) 7,339 36,944 8,643 82 371,857 168 43,852 8,151 1950 12,342 59,565 12,155 121 549,312 298 69,817 11,840 1970 559 139,434 20,737 2000 684 166,638 30,389 2010 900 238,600 66,374 2040 17,114 112,991 19,114 216 18,714 144,360 24,419 273 19,576 173,351 29,898 323 19,671 268,506 47,185 476 860,195 1,046,235 1,220,182 1,596,719 547 113,049 12,659 1990 Number of inhabitants (in thousands) Sources: United Nations Common Database (http://unstats.un.org/unsd/cdb/) and World Population Prospects: The 2006 Revision (http://www.un.org/esa/population/publications/ wpp2006/wpp2006.htm); FAO Statistical Yearbook, 2005-2006 for arable land; Pison (2007), “The population of the world”, Population & Societies, 436. United Kingdom India Pakistan Bhutan United Kingdom Bangladesh Colonizing country Afghanistan Country History Table A.2. Land area and densities in 2000, and population of the countries of South Asia, 1950-2040 the deMograPhy of south a sia froM the 1950s to the 2000s 71 23/06/2008 14:36:35 02_INE_Pop0108_007_090.indd 72 Crude death rate (‰) Mean annual growth rate (%) 48.4 46.7 43.3 45.2 43.9 44.5 39.9 Bhutan India Maldives Nepal Pakistan Sri Lanka 34.3 44.2 43.6 40.9 40.7 47.7 48.6 52.2 Source: United Nations (2007a). 52.1 Bangladesh 30.2 42.9 42.0 40.5 37.3 46.4 43.6 51.5 25.3 44.1 40.1 41.7 34.3 42.3 39.9 51.1 20.4 38.7 38.1 36.6 30.7 35.7 33.6 52.1 16.3 27.5 30.2 22.2 25.1 22.4 27.8 49.7 11.4 23.1 28.1 27.3 26.0 26.8 28.5 36.7 8.9 19.3 24.6 20.8 20.2 25.6 23.5 32.5 7.5 15.6 20.2 15.9 15.1 21.9 18.9 27.8 6.3 12.9 15.9 11.8 11.6 17.1 15.0 24.1 6.5 9.8 12.0 8.9 9.8 12.6 11.1 22.6 7.3 7.7 8.7 6.5 8.7 7.8 8.2 21.6 2.82 2.15 1.49 1.77 1.73 3.09 1.98 1.54 2.46 2.47 1.77 2.01 2.04 2.63 2.50 1.97 2.05 2.74 2.17 2.46 2.22 3.68 2.47 2.37 2.22 7.32 1.39 3.63 2.30 2.99 2.26 1.10 2.46 2.51 2.78 2.08 2.57 – 1.53 2.47 – 2.46 0.43 1.82 2.08 1.57 1.62 2.63 1.89 3.79 1950- 1960- 1970- 1980- 1990- 2000- 1950- 1960- 1970- 1980- 1990- 2000- 1950- 1960- 1970- 1980- 1990- 20001955 1965 1975 1985 1995 2005 1955 1965 1975 1985 1995 2005 1955 1965 1975 1985 1995 2005 Afghanistan Country Crude birth rate (‰) Table A.3. Birth rate, death rate and total growth rate in the countries of South Asia, 1950-2005 J. Véron 72 23/06/2008 14:36:36 02_INE_Pop0108_007_090.indd 73 1987 Sri Lanka * Analysis in progress. Source: DHS surveys. 1990-1991, 2006* 2006 – 2005-2006 Pakistan Nepal Maldives India – Bangladesh Bhutan – 2004 Afghanistan Country Date of latest DHS survey 20.6 23.4 24.5 Men 22.4 18.6 17.2 17.2 14.8 Women Median age at first marriage (years) 3.4 6.2 9.7 Age difference between spouses 4.5 4.4 age 15-49 4.2 6.2 age 35-44 Percentage of women in polygamous unions 5.1 0.4 1.2 (age 45-49) 0.6 (age 45-49) 0.2 Percentage of never-married women aged 40-49 Table A.4. Median age at first marriage (men and women), prevalence of polygyny and proportion of never-married women in the countries of South Asia the deMograPhy of south a sia froM the 1950s to the 2000s 73 23/06/2008 14:36:36 02_INE_Pop0108_007_090.indd 74 6.70 6.67 5.91 7.00 6.06 6.60 5.70 Bhutan India Maldives Nepal Pakistan Sri Lanka 5.12 6.60 6.06 7.00 5.82 6.67 6.85 7.70 19601965 4.12 6.60 5.79 7.00 5.26 6.67 6.15 7.70 19701975 3.16 6.60 5.51 6.80 4.50 6.42 5.25 7.80 19801985 2.48 5.80 5.00 5.55 3.86 5.39 4.12 8.00 19901995 2.02 3.99 3.68 2.81 3.11 2.91 3.22 7.48 20002005 2.22 1.97 1.60 1.90 1.63 1.75 1.86 1.62 19501955 2.15 2.16 1.74 2.19 1.82 1.83 2.07 1.79 19601965 1.80 2.34 1.83 2.45 1.86 2.02 2.01 2.01 19701975 1.45 2.51 1.93 2.64 1.74 2.19 1.87 2.23 19801985 Net reproduction rate(b) 1.17 2.37 1.94 2.28 1.56 2.07 1.63 2.40 19901995 0.96 1.68 1.55 1.24 1.30 1.25 1.38 2.27 20002005 Sum of age-specific fertility rates observed over a given period. The TFR can be interpreted as the average number of children that a woman would bear throughout her reproductive life if she were to experience the fertility rates of the period at each age. It does not take mortality into account. (b) Average number of daughters that a woman would bear throughout her reproductive life if she were to experience the fertility and mortality rates of the period at each age. Source: United Nations (2007a), World Population Prospects: The 2006 Revision, http://www.un.org/esa/population/publications/wpp2006/wpp2006.htm (a) 7.70 Bangladesh 19501955 Afghanistan Country Total fertility rate(a) Table A.5. Total fertility rate and net reproduction rate in the countries of South Asia J. Véron 74 23/06/2008 14:36:36 02_INE_Pop0108_007_090.indd 75 1987 Sri Lanka Source: DHS surveys. 1990-1991 2001 – 2005-2006 Pakistan Nepal Maldives India – Bangladesh Bhutan – 2004 Afghanistan Country Date of latest available DHS survey 2.80 5.40 3.10 2.68 3.00 Total fertility rate 5.40 4.00 3.48 4.20 2.9 4.1 2.8 2.4 2.3 Number Ideal number of of children children at age 40-49 at age 25-34 24.0 21.3 19.9 20.0 17.6 Median age at first birth 15.7 18.5 32.7 Percentage of adolescent women who have who have begun childbearing 32.7 29.0 53.0 55.8 54.0 Percentage of fertility achieved before age 25 29.1 33.6 31.1 39.3 Interval between births (months) Table A.6. Most recent indices of level, timing and characteristics of fertility in the countries of South Asia the deMograPhy of south a sia froM the 1950s to the 2000s 75 23/06/2008 14:36:36 02_INE_Pop0108_007_090.indd 76 1987 Sri Lanka 22.7 19.8 29.5 24.4 28.8 Median duration of breastfeeding (months) 4.2 2.3 2.1 2.3 2.0 Median duration of postpartum abstinence (months) 70.0 27.6 39.3 42.0 48.2 18.8 58.1 4.8 All methods 49.6 20.2 35.4 33.0 42.8 18.8 47.3 3.6 Modern methods 3.7 5.5 2.9 6.0 3.1 0.3 4.3 0.0 Condom Contraceptive prevalence (%) (women aged 15-49, married or in a union) Sources: DHS surveys, Statcompiler; United Nations, Statistics Division (http://unstats.un.org/unsd/databases.htm). 1990-1991 2001 – 2005-2006 Pakistan Nepal Maldives India – Bangladesh Bhutan – 2004 Afghanistan Country Date of latest available DHS survey 2.7 3.4 1.8 2.2 1.5 Percentage of married women aged 40-49 remaining childless Table A.7. Breastfeeding, postpartum sexual abstinence and contraception in the countries of south Asia J. Véron 76 23/06/2008 14:36:36 02_INE_Pop0108_007_090.indd 77 37.5 36.1 37.4 38.9 36.2 43.4 57.6 Bhutan India Maldives Nepal Pakistan Sri Lanka 62.2 47.7 39.4 45.2 43.6 37.7 41.2 32.0 19601965 65.0 51.9 44.0 51.4 50.7 41.8 45.3 36.1 19701975 68.8 56.2 49.6 57.1 56.6 47.9 50.0 39.9 19801985 70.4 60.8 55.7 61.0 60.2 54.5 56.0 41.7 19901995 70.8 63.6 61.3 65.6 62.9 63.5 62.0 42.1 20002005 76.6 168.6 210.9 185.2 165.7 184.8 200.5 275.3 19501955 62.6 147.7 187.0 151.8 140.3 174.1 174.1 245.6 19601965 49.9 127.6 156.1 120.6 116.8 149.2 148.0 211.6 19701975 28.9 108.0 122.9 93.6 94.7 117.1 120.4 183.6 19801985 17.0 87.0 90.6 65.1 77.2 87.5 89.0 171.1 19901995 Infant mortality rate (per thousand) Source: United Nations (2007a), World Population Prospects: the 2006 Revision, http://www.un.org/esa/population/publications/wpp2006/wpp2006.htm 28.8 Bangladesh 19501955 Afghanistan Country Life expectancy (years) Table A.8. Life expectancy and infant mortality in the countries of South Asia, 1950-2005 12.4 75.4 64.5 45.8 62.5 52.7 61.3 168.1 20002005 the deMograPhy of south a sia froM the 1950s to the 2000s 77 23/06/2008 14:36:36 02_INE_Pop0108_007_090.indd 78 36 30 39 24 32 53 8 Bhutan India Maldives Nepal Pakistan Sri Lanka 12 80 56 33 56 65 54 165 Below one year (2005) 14 100 88 59 74 75 73 257 Age 0-5 (2005) 49 (2001) 98 (2000) 65 (1998-1999) 39 (1999-2000) 52 (2003) Percentage of births with at least one antenatal examination (b) Children who have received all vaccines (BCG, DPT, polio and measles). Children under 5 with stunted growth. Sources: United Nations, World Health Statistics 2007, (http://www.who.int/whosis/whostat2007) ; DHS surveys. (a) 60 Bangladesh Neonatal Afghanistan Country Probability of dying (‰) 97 (2000) 31 (2005) 19 (2006) 70 (2001) 48 (2006) 51 (2005) 13 (2004) 14 (2003) Percentage of deliveries attended by skilled health personnel 67.3 (1987) 35.1 (1991) 82.8 (2006) 42 (1999) 73.1 (2004) Percentage of children vaccinated(a) 18.4 (2000) 41.5 (2001) 57.1 (2001) 31.9 (2001) 51 (1998-1999) 47.7 (1999) 50.5 (2004) 53.6 (1997) Percentage of children malnourished(b) Table A.9. Conditions of delivery, mortality and health of children in the countries of South Asia J. Véron 78 23/06/2008 14:36:37 the deMograPhy of south a sia froM the 1950s to the 2000s Table A.10. Maternal mortality and HIV prevalence at ages 15-49 in the countries of South Asia Maternal mortality rate in 2000 (for 100,000 births) Prevalence rate of HIV in 2005 in the population aged 15-49 (%) Afghanistan 1,900 < 0.1 Bangladesh 380 < 0.1 Bhutan 420 < 0.1 India 540 0.9 Maldives 110 – Nepal 740 0.5 Pakistan 500 0.1 Sri Lanka 92 < 0.1 Country Sources: WHO, World Health Report 2005, p. 245 (http://www.who.int); UNAIDS, 2006 Report on the Global AIDS Epidemic, (http://www.unaids.org). 79 02_INE_Pop0108_007_090.indd 79 23/06/2008 14:36:37 02_INE_Pop0108_007_090.indd 80 40.4 43.8 37.5 33.1 38.4 37.9 40.9 Bhutan India Maldives Nepal Pakistan Sri Lanka 24.2 37.2 39.0 34.0 33.0 33.0 35.2 47.0 2005 20.5 31.5 32.6 29.0 26.7 24.0 29.2 45.0 2020 5.5 8.2 6.6 8.2 5.4 4.3 6.9 4.5 1950 9.7 5.9 5.8 5.6 7.5 6.9 5.7 3.7 2005 Percentage 60+ 17.2 7.6 7.1 7.3 10.2 9.1 8.0 3.7 2020 19.5 21.2 21.1 24.7 21.3 18.0 20.0 18.6 1950 29.5 20.3 20.1 21.3 23.8 22.3 22.2 16.4 2005 Median age 35.5 25.3 23.9 27.5 28.1 29.7 26.4 17.3 2020 44 70 74 61 61 60 63 97 Dependency ratio in 2005* (%) * Ratio of the population aged under 15 and over 65 to the population aged 15-65. Source: United Nations (2007a), World Population Prospects: The 2006 Revision, http://www.un.org/esa/population/publications/wpp2006/wpp2006.htm 42.6 Bangladesh 1950 Percentage under 15 Afghanistan Country 97.7 106.0 98.2 104.9 107.5 111.1 104.9 107.5 Sex ratio in 2005* (%) Table A.11. Proportions of the population aged under 15 and over 60, median age, dependency ratio and sex ratio in the countries of South Asia, 1950-2020 J. Véron 80 23/06/2008 14:36:37 the deMograPhy of south a sia froM the 1950s to the 2000s Table A.12. International migration, refugees and displaced populations in the countries of South Asia Migrant stock(a) in 2005 Country Number (in thousands) Percentage of total population Net migration rate(b) 2000-2005 (%) Population Number of under UNHCR (c) refugees mandate(d) in 2005 in 2005 (thousands) (thousands) Afghanistan 43 0.1 16.0 0.0 911.7 Bangladesh 1,032 0.7 – 0.5 21.1 271.2 1.6* 0 to 5,700 0.5 – 0.3 139.3 139.6 3 1.0 0.0 Bhutan India Maldives Nepal Pakistan Sri Lanka 10 819 3.0 – 0.8 126.4 538.6 3,254 2.1 – 2.4 1,084.7 1,088.1 368 1.8 – 1.6 0.1 354.8 * Figure corrected in accordance with the population size given by the United Nations (2006a) (a) Defined as the number of people born outside the country. (b) Defined as the annual number of immigrants minus the annual number of emigrants between 2000 and 2005 divided by the average total population of the country. (c) Persons with refugee status under the various international conventions currently in force. (d) Total number of foreign refugees, asylum seekers, return refugees and internally displaced individuals under UNHCR protection. Sources: United Nations (2006), International Migration 2006; UNHCR (2006), Statistical Yearbook 2005 (http://www.unhcr.fr/cgi-bin/texis/vtx/statistics/). 81 02_INE_Pop0108_007_090.indd 81 23/06/2008 14:36:37 02_INE_Pop0108_007_090.indd 82 29.2 15.3 34.5 15.2 India Maldives Nepal Pakistan Sri Lanka 4,390 2,225 1,490 – 3,139 1,969 1,870 – 9.3 50.1 51.4 3.7 39.0 – 97 66 78 90 90 – – 94 – Net rate of primary school enrolment in 2004 58.4(g) GNI per Percentage capita of illiterates (USD PPP)(b) aged 15 and in 2004 over in 2004 0.653 0.388 0.336 – 0.439 – 0.366 – 1980 0.755 0.539 0.527 0.739 0.611 0.538 0.530 – 2004 93 134 138 98 126 135 137 – World ranking 2004 Human development index(c) 17.7 36.3 38.1 16.9 31.3 39.0 44.2 – Human poverty index (HPI-1)(d) 0.749 0.513 0.513 – 0.591 – 0.524 – Genderrelated development index(e) *The United Nations (2008) give a percentage urban of 31.0% for 2005. (a) United Nations calculations based on national definitions. (b) Per capita gross national income calculated by the World Bank in terms of purchasing power parity (PPP). (c) Composite index measuring human development, including life expectancy, adult literacy rates, school enrolment ratios and per capita GDP. The closer it is to 1, the better the situation. (d) Not dated. Composite index measuring deprivations in health, education and standard of living.The closer it is to 0, the better the situation. (e) Index based on the same criteria and types of measure as the HDI, but reflecting inequalities between men and women. (f) UNDP has not calculated indices for this country. (g) In 2003. Sources: UNDP (2006), Human Development Report 2006, (http://hdr.undp.org) ; United Nations, UNstat. 10.8* 28.5 Bhutan – 24.7 Bangladesh Country Afghanistan(f) Percentage urban(a) in 2004 Table A.13. Development indicators in the countries of South Asia J. Véron 82 23/06/2008 14:36:37 02_INE_Pop0108_007_090.indd 83 96 63 63 92 Maldives Nepal Pakistan Sri Lanka 89 36 35 96 48 – 33 13 Women Source: Unesco (2007), EFA Global Monitoring Report. – 73 India 52 Bhutan 43 Bangladesh Men Afghanistan Country 91 50 49 96 61 – 43 28 Overall Literacy rate at age 15 and over (2000-2004) 0.97 0.57 0.56 1.00 0.66 – 0.63 0.30 F/M ratio – 76 84 89 92 – 93 – Male – 56 74 90 87 – 96 – Female 98 66 79 90 90 – 94 – Overall Net primary school enrolment ratio (school year ending in 2004) Table A.14. School enrolment and adult literacy by sex in the countries of South Asia – 0.73 0.87 1.01 0.94 – 1.03 – F/M (%) the deMograPhy of south a sia froM the 1950s to the 2000s 83 23/06/2008 14:36:37 02_INE_Pop0108_007_090.indd 84 16.9 18.6 18.2 20.0 15.1 Haryana Himachal Pradesh Jammu and Kashmir Penjab Rajasthan 15.0 Uttar Pradesh 14.9 17.5 16.8 Bihar Orissa West Bengal East 14.7 Madhya Pradesh Centre 19.0 Delhi North Median age at first marriage (years) 2.3 2.5 3.5 4.0 3.3 3.8 2.2 2.7 2.1 2.9 2.4 Total fertility rate 36.0 36.0 36.0 25.8 36.0 25.5 21.2 29.5 24.1 24.3 22.6 Median duration of breastfeeding (months) 43.8 43.7 11.0 21.2 22.4 17.3 72.1 56.7 83.4 62.7 69.8 Percentage of children vaccinated 33.6 32.9 32.3 30.4 30.2 29.5 28.0 32.5 29.4 30.0 33.6 Interval between births (months) 2.4 2.7 3.3 3.1 2.9 2.8 2.3 2.7 2.2 2.5 2.4 Ideal number of children 20.7 37.6 47.9 53.3 42.5 47.5 29.1 38.0 25.9 37.5 23.1 Prefer to have more boys than girls (%) 3.4 2.1 2.1 1.4 2.9 1.3 0.4 2.7 0.6 0.5 2.6 Prefer to have more girls than boys (%) Table A.15. Indicators of nuptiality, fertility and sex preference in India, 1998-1999 90.0 79.5 36.3 34.6 61.0 47.5 74.0 83.2 86.8 58.1 83.5 Percentage of births with at least one antenatal examination J. Véron 84 23/06/2008 14:36:38 02_INE_Pop0108_007_090.indd 85 18.1 21.7 19.1 22.0 20.1 19.8 Assam Manipur Meghalaya Mizoram Nagaland Sikkim 17.6 16.4 Gujarat Maharashtra 16.8 20.2 18.7 16.4 Karnataka Kerala Tamil Nadu India Source : NFHS-2, 1998-1999. 15.1 Andhra Pradesh South 23.2 Goa West 18.7 Arunachal Pradesh North-east Median age at first marriage (years) 2.9 2.2 2.0 2.1 2.3 2.5 2.7 1.8 2.8 3.8 2.9 4.6 3.0 2.3 2.5 Total fertility rate 25.4 16.1 24.5 20.0 25.0 23.8 22.0 23.3 27.3 23.1 21.8 22.6 29.3 36.0 30.8 Median duration of breastfeeding (months) 42.0 88.8 79.7 60.0 58.7 78.4 53.0 82.6 47.4 14.1 59.6 14.3 42.3 17.0 20.5 Percentage of children vaccinated 30.8 30.5 38.1 29.7 31.1 29.0 29.0 34.8 32.6 27.5 28.4 28.5 31.8 30.6 29.9 Interval between births (months) 2.7 2.0 2.5 2.2 2.4 2.3 2.5 2.3 2.2 4.0 4.0 4.7 3.6 2.9 3.2 Ideal number of children 33.2 9.6 14.6 13.0 19.8 27.1 33.2 17.0 22.4 32.7 26.0 20.9 36.5 38.2 41.9 Prefer to have more boys than girls (%) 2.2 1.9 5.2 1.9 2.7 1.9 1.8 5.1 2.1 6.3 19.0 16.9 4.8 2.9 2.5 Prefer to have more girls than boys (%) Table A.15 (cont’d). Indicators of nuptiality, fertility and sex preference in India, 1998-1999 65.4 98.5 98.8 86.3 92.7 90.4 86.4 99.0 69.9 60.4 91.8 53.6 80.2 60.1 61.6 Percentage of births with at least one antenatal examination the deMograPhy of south a sia froM the 1950s to the 2000s 85 23/06/2008 14:36:38 J. Véron º» RefeRences Banthia J.K., 2001, Census of India 2001, Provisional Population Totals, Paper 1 of 2001, Delhi. Bista D.B., 1977, “Patterns of Migration in Nepal”, Colloque international du CNRS 268. 1976, Paris, CNRS, pp. 397-399. Bose a., shanKarDass M.K., 2004, Growing Old in India, Voices Reveal, Statistics Speak, B. R. Publishing Corporation, Delhi. Census of inDia, 2001, Provisional Population Totals, Paper 1 of 2001, Series 1 India, Delhi. CiCreD, 1974a, The Population of Pakistan, Cicred Series, Paris. CiCreD, 1974b, The Population of Sri Lanka, Cicred Series, Paris. Das Gupta M., 1987, “Selective discrimination against females in rural Punjab”, Population and Development Review, 13(1), pp. 77-100. Das Gupta M., M ari Bhat, p.n. M, 1997, “Fertility decline and increased manifestation of sex bias in India”, Population Studies, 51(3), pp. 307-315. Davis K., 1951, The Population of India and Pakistan, Princeton, New Jersey, Princeton University Press. Dyson t., Cassen r., visaria L., 2004, Twenty-First Century India. Population, Economy, Human Development, and the Environment, Oxford University Press. esCap, 1981, Population of Bangladesh, Country Monograph Series No. 8, United Nations, New York, 1981. esCap, 1982, Population of India, Country Monograph Series No. 10, United Nations, New York, 1982. etieMBLe a., 2004, “Les Tamouls du Sri Lanka en France. L’emprise du politique”, Revue française des Affaires sociales, 2, pp. 145-164. GanDotra M.M., r etherforD r.D., arwin p., Luther n.y., vinoD K.M., 1998, “Fertility in India”, National Family Health Survey Subject Reports, 9, May, IIPS Bombay and EastWest Center, Honolulu. GoyaL r.p., 1988, Marriage Age in India, B.R. Publishing Corporation, Institute of Economic Growth, Delhi. GuiLMoto C.Z., r aJan i.s., 1998, “Regional Heterogeneity and fertility Behaviour in India”, Working Paper no. 290, Centre for Development Studies, Thiruvananthapuram. GuiLMoto C.Z., r aJan i.s., 2001, “Geographic Patterns of fertility Change”, in Srinivasan K. and Vlassoff M. (eds), Population-Development Nexus in India. Challenges for the New Millennium, Tata McGraw Hill, New Delhi, pp. 88-109. GuiLMoto C.Z., r aJan i.s., (eds), 2005, Fertility Transition in South India, Sage, New Delhi. GuZMán J.M., roDriGueZ J., M artíneZ J., Contreras J.M., GonZáLeZ, 2006, “La démographie de l’Amérique latine et de la Caraïbe depuis 1950”, Population, 61(4-5), 623-734. internationaL institute for popuLation sCienCes (iips), 1995, National Family Health Survey (MCH and Family Planning). India 1992-93. Bombay: IIPS. internationaL institute for popuLation sCienCes (iips) anD orC M aCro, 2000, National Family Health Survey (NFHS-2), 1998-99, India, Mumbai, Bombay, IIPS. internationaL institute for popuLation sCienCes (iips) anD M aCro internationaL. 2007, National Family Health Survey (NFHS-3), 2005-06, India, Volume I., Mumbai, IIPS. ioM, 2005, World Migration. Costs and Benefits of International Migration, IOM, Geneva. KhaDria B., 2005, “Migration in South and South-West Asia”, Global Commission on International Migration. M ari Bhat p.n. M., preston s., Dyson t., 1984, Vital Rates in India, 1961-1981, Committee on Population and Development. Report No 24, National Academy Press, Washington. M ari Bhat p.n., 1989, “Mortality and Fertility in India, 1881-1961: A Reassessment”, in India’s Historical Demography. Studies in Famine, Disease and Society, Dyson T. (ed.), Curzon Press, The Riverdale Company. 86 02_INE_Pop0108_007_090.indd 86 23/06/2008 14:36:38 the deMograPhy of south a sia froM the 1950s to the 2000s M ari Bhat p.n., r aJan i.s., 1997, “Demographic Transition Since Independence”, in Kerala’s Demographic Transition, K.C. Zachariah and Rajan I.S., Eds, Sage, New Delhi, pp. 33-78. M ari Bhat p.n., Zavier a.J., 2003, “Fertility Decline and Gender Bias in Northern India”, Demography, 40(4), pp. 637-657. naïr p.s., véron J., 2002, “L’Inde: un milliard d’habitants en 2001”, in La Population du monde, Géants démographiques et défis internationaux, Les Cahiers de l’Ined 149, pp. 227-243. nanDa a.K., véron J., 2004, “Child Sex Ratio Imbalances, Fertility Behaviour and Development in India: Recent Evidence from Haryana and Punjab”, Indian Social Science Review, Indian Council of Social Science Research, New Delhi, pp. 101-134. nanDa a.K., 2005, “Population Movement from Bangladesh to India: What do the Census Data of 1981 and 1991 Reveal?”, India-Bangladesh. Strengthening the Partnership, CRRID, Chandigarh, pp. 85-128. offiCe of reGistrar GeneraL & Census CoMMissioner, 2006, Census of India. Population Projections for India and States 2001-2026, Revised December 2006, Report of the technical group on population projections constituted by the National Commission on Population, New Delhi. pison G., 2007, “The population of the world (2007)”, Population & Societies, 436. r aJan i.s., véron J., 2006, “La politique de population de l’Inde face à l’inertie des évolutions démographiques”, in Démographie : analyse et synthèse. Tome VII. Histoire des idées et politiques de population, Paris, INED, pp. 595-623. sharMa o.p., r etherforD r.D., 1990, Effect of Female Literacy on Fertility in India, Census of India 1981, New Delhi. srinivasan K., 1995, Regulating Reproduction in India’s Population. Efforts. Results and Recommendations. Sage Publications. New Delhi. taButin D., sChouMaKer B., 2004, “The demography of sub-Saharan Africa from the 1950s to the 2000s. A survey of changes and a statistical assessment”, Population, English Edition 59(3-4), 457-556. taButin D., sChouMaKer B., 2005, “The demography of the Arab world and the Middle East from the 1950s to the 2000s. A survey of changes and a statistical assessment”, Population, English Edition, 60(5-6), 505-616. unaiDs anD who, 2007, 2007, AIDS epidemic update (http://data.unaids.org/pub/EPISlides/2007/2007_epiupdate_en.pdf) unfpa, 1997, India. Towards population and Development Goals, Oxford University Press, Delhi. uniteD nations, 2005, World Contraceptive Use 2005 (http://www.un.org/esa/population/publications/contraceptive2005/WCU2005.htm) uniteD nations, 2006a, World Population Prospects, United Nations, New York. uniteD nations, 2006b, World Mortality Report 2005, United Nations, New York. uniteD nations, 2006c, International Migration 2006, United Nations, New York. uniteD nations, 2007a, World Population Prospects. The 2006 Revision. Highlights. New York, United Nations. http://esa.un.org/unpp/ uniteD nations, 2007b, Demographic Yearbook 2004, United Nations, New York. uniteD nations, 2008, World Urbanization Prospects. The 2007 Revision Population Database (.http://esa.un.org/unpp/) un-h aBitat. United Nations Human Settlements Programme http://ww2.unhabitat.org/programmes/guo/documents/Table1.pdf unDp, 2006, Human Development Report 2006. véron J., 1987, “L’urbanisation indienne (1901-1981)”, Population 42(3), pp. 485-502. véron J., 1997, “La transition démographique en Inde”, Espace, Populations, Sociétés, 2-3. pp. 135-144. véron J., naïr p.s., 2000, “The demographic transition in India: How to explain the northsouth divide?”, Paper presented at the conference of the Population Association of America (PAA), Los Angeles, 19 p. visaria p., 1995, “Demographic transition and policy responses in India”, Demography India. 24(1), pp. 1-12. 87 02_INE_Pop0108_007_090.indd 87 23/06/2008 14:36:38 J. Véron visaria L., visaria p., 1995, “India’s population in transition”, Population Bulletin, PRB, 50(3), October, Washington. who, 2007, World Health Statistics 2007, Geneva http://www.who.int/whosis/whostat2007.pdf ZaChariah K.C., suLeKa pateL, 1984, “Determinants of fertility decline in India, an analysis”, World Bank staff working papers, 699, Population and Development Series, Number 24, The World Bank, Washington. ZaChariah K.C., r aJan. i.s., sarMa p.s., navaneethaM K., Gopinathan nair p.s., Misra u.s., 1994, Demographic Transition in Kerala in the 1980s, Centre for Development Studies Monograph Series, Thiruvananthapuram. ZaChariah K.C., K annan K.p., r aJan i.s., 2002, Kerala’s Gulf Connection. CDS Studies on International Labour Migration from Kerala State in India, Centre for Development Studies Thiruvananthapuram. ZaChariah K.C., M athew r aJan i.s., 2003, Dynamics of Migration in Kerala. Dimensions, Differentials and Consequences, Orient Longman, New Delhi. ZaChariah K.C., nair p.r., Gopinathan r aJan i.s., 2006, Return Emigrants in Kerala. Welfare, Rehabilitation and Development, IDPAD Manohar. unesCo, http://stats.uis.unesco.org/unesco/TableViewer/tableView.aspx?ReportId=210 88 02_INE_Pop0108_007_090.indd 88 23/06/2008 14:36:38 the deMograPhy of south a sia froM the 1950s to the 2000s JaCques Véron • The Demography of SouTh aSia from The 1950S To The 2000S. a Summary of ChangeS anD a STaTiSTiCal aSSeSSmenT The countries of South Asia (Afghanistan, Bangladesh, Bhutan, India, the Maldives, Nepal, Pakistan and Sri Lanka) cover less than 4% of the Earth’s surface, but their combined population of some 1.6 billion inhabitants in 2007 represents nearly a quarter of the world total. India, the largest country in the region, alone has 1.17 billion inhabitants. This chronicle charts the main demographic trends since the 1950s, which are explained in part by the countries’ diverse levels of development. Their demographic transitions also exhibit broad diversity. There is no single transition model specific to the region, just as there is no single transition in India, as the comparison of its states makes clear. Except in Sri Lanka, where the process is complete, the fertility transition is ongoing, and the mortality transition is in general very advanced. The potential for demographic growth remains high in South Asia, and the United Nations expects the region’s population to grow by 600 million inhabitants up to 2040. The future course of demographic change has major implications for development, since most of the countries need to reduce poverty and raise educational levels while at the same time coping with rapid urban growth and addressing environmental issues. JaCques Véron • l a Démographie De l’aSie Du SuD DeS annéeS 1950 aux annéeS 2000. SynThèSe DeS ChangemenTS eT bilan STaTiSTique Avec quelque 1,6 milliard d’habitants en 2007, l’Asie du Sud (Afghanistan, Bangladesh, Bhoutan, Inde, Maldives, Népal, Pakistan et Sri Lanka) rassemble sur moins de 4 % de la superficie totale de la terre près du quart de la population mondiale et l’Inde, plus grand pays de cette région, compte à elle seule 1,17 milliard d’habitants. Cette chronique présente l’évolution, depuis les années 1950, des principaux indicateurs démographiques, qui s’explique en partie par le niveau de développement des différents pays. Les transitions démographiques apparaissent diversifiées : il n’existe pas un modèle de transition qui serait propre à la région, pas plus qu’il n’existe un modèle indien de transition comme le montrent, pour ce pays, les comparaisons entre États. À l’exclusion du Sri Lanka où elle est achevée, la transition de la fécondité est toujours en cours alors que celle de la mortalité est généralement bien avancée. Le potentiel de croissance démographique de l’Asie du Sud reste très élevé puisque, selon les Nations unies, la population de cette région devrait s’accroître de 600 millions d’habitants d’ici 2040. Les évolutions démographiques futures constituent un enjeu majeur de développement, puisque la plupart des pays doivent réduire la pauvreté, améliorer les niveaux d’instruction, gérer une forte croissance urbaine et mieux protéger l’environnement. JaCques Véron • l a Demografía De aSia Del Sur De loS añoS 1950 a loS añoS 2000. SínTeSiS De loS CambioS y balanCe eSTaDíSTiCo Con cerca de 1 600 millones de habitantes en 2007, Asia del Sur (Afganistán, Bangladesh, Bhután, India, Maldivas, Nepal, Pakistán y Sri Lanka) reúne en menos del 4% de la superficie total de la tierra cerca de la cuarta parte de la población mundial y la India, país más grande de esta región, cuenta, éste sólo, con 1 170 millones de habitantes. Esta crónica presenta la evolución, desde los años 1950, de los principales indicadores demográficos, que se explica en parte por el nivel de desarrollo de los diferentes países. Las transiciones demográficas aparecen diversificadas. En efecto, no existe un modelo de transición específico de la región, ni tampoco existe un modelo indio de transición como lo muestran, para este país, las comparaciones entre Estados. Exceptuando a Sri Lanka en donde se encuentra acabada, la transición de la fecundidad está siempre en curso mientras que la de la mortalidad está generalmente bien avanzada. El potencial de crecimiento demográfico de Asia del Sur sigue siendo muy elevado puesto que, según las Naciones unidas, la población de esta región debería aumentar de 600 millones de habitantes de ahora a 2040. Las evoluciones demográficas futuras constituyen un reto mayor de desarrollo puesto que la mayoría de países deben reducir la pobreza, mejorar los niveles de instrucción, manejar un fuerte crecimiento urbano y proteger mejor el medio ambiente. Jacques véron, Institut national d’études démographiques, 133 boulevard Davout, 75980 Paris Cedex20,France,tel:33(0)156062176,e-mail:[email protected] 89 02_INE_Pop0108_007_090.indd 89 23/06/2008 14:36:39 02_INE_Pop0108_007_090.indd 90 23/06/2008 14:36:39
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