Home / Health / India's Demographic Divide: Two Nations Emerge
India's Demographic Divide: Two Nations Emerge
26 May
Summary
- Birth rate dropped to 18.3 per 1,000 population in 2026.
- Infant mortality rate fell to 24 per 1,000 live births.
- Fertility rate at 1.9, below replacement level for five years.

A recent report indicates India's birth rate declined to 18.3 per 1,000 population in 2026, a notable decrease from 2014. Concurrently, the Infant Mortality Rate (IMR) has shown a steady fall, reaching 24 per 1,000 live births as of 2026. These improvements stem from decades of public health initiatives.
However, national figures obscure significant divides. States like Chhattisgarh, Madhya Pradesh, and Uttar Pradesh exhibit high IMRs, contrasting sharply with Kerala's significantly lower rate. This disparity points to ongoing local failures in healthcare delivery and access.
The Total Fertility Rate (TFR) has stabilized at 1.9 for five consecutive years, remaining below the replacement level of 2.1. This trend is more pronounced in economically advanced states, which are experiencing rapid ageing, with nearly 10% of the population now aged 60 and above.
The data reveals a picture of "two Indias" with differing demographic trajectories. Rural IMR stands at 27 deaths per 1,000 live births, compared to 17 in urban areas, reflecting enduring inequalities in healthcare, awareness, and maternal nutrition. Policymakers must acknowledge and confront these divergent demographic realities.