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Concerns Rise About The Elderly Population In TN

  • Tamil Nadu’s live birth count dropped by 6.6% in 2024, falling below 9 lakh for the first time in at least five years.
  • 2024 births: 8,42,412 vs. 2023 births: 9,02,306.
  • The birth rate declined from 11.7 (2023) to 10.9 (2024).
  • The Total Fertility Rate (TFR) is 1.4, much below the replacement level of 2.1.

Relevance : GS 2(Health , Governance)

Reasons for Declining Birth Rate

  • Development indicators (e.g., education, healthcare, economic growth).
  • Economic and social factors discouraging larger families.
  • Successful government interventions in population control over the past decades.

Major Concerns

  • Aging Population & Dependency Ratio:
    • Increasing elderly population requiring greater healthcare and social support.
    • Shrinking workforce, affecting economic growth and productivity.
  • Maternal Mortality Ratio (MMR):
    • MMR decline may slow down due to a lower number of births.

Expert Views

  • Dr. T.S. Selvavinayagam (Director, Public Health & Preventive Medicine):
    • Tamil Nadu is experiencing a trend similar to developed nations with falling birth rates.
    • Policy focus should shift towards higher-order births and addressing infertility issues.
  • Dr. Jacob John (CMC, Vellore):
    • Tamil Nadu and Kerala have overshot their demographic transition, leading to below-replacement fertility.
    • The decline is not due to health issues but rather economic and social factors.

Way Forward

  • Policy recalibration to encourage population stabilization at the replacement level.
  • Support mechanisms for the aging population, including healthcarepensions, and social security.
  • Address economic disincentives to childbirth, such as high living costs and career constraints for parents.
  • Encouraging balanced demographic transition while ensuring sustainable economic and social development.

January 2025
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