NFHS-5 National Report 2019- 2021

Union Ministry for Health and Family Welfare released the National Report of the fifth round of National Family Health Survey (NFHS-5) for the year 2019-2021.


  • Released on : 5 May, 2022
  • Released by: Ministry of Health and Family Welfare
  • Round: Fifth (Phase 2), Phase I was released in December 2020,
  • Report comprises-around 131 indicators (population; fertility: family planning, infant and child mortality, maternal and child health; nutrition etc.)
  • New dimensions added in NFHS-5: Death registration, pre-school education, menstrual hygiene, disability, access to a toilet facility.
  • NFHS-1 was conducted in: 1992-93,

Key findings

  • The Total Fertility Rate (TFR), has further declined from 2.2 to 2.0 at the national level between NFHS 4 and 5.
  • There are only five states in India which are above replacement level of fertility of 2.1. These states are Bihar, Meghalaya, Uttar Pradesh, Jharkhand and Manipur.
  • Bihar (3.0) and Meghalaya have the highest fertility rates in the country, while Sikkim (1.1) and Andaman and Nicobar Islands have the lowest.
  • Total fertility rate (children per women) is 2.4 (total) in Uttar Pradesh (for rural areas it is 2.5 and for urban areas it is 1.9)
  • In rural areas, TFR has declined from 3.7 children per woman in 1992-93 to 2.1 children in 2019-21.
  • The corresponding decline among women in urban areas was from 2.7 children in 1992-93 to 1.6 children in 2019-21.
  • TFR of all communities except Muslims is now less than the current TFR average of 2 in the country. TFR of the Muslim community 2.4.
  • West Bengal, along with Bihar, remains one of the states with highest rate of underage marriages.