Challenges in India and Bhutan
Zaman, W.
Joicfp News 282: 4
1997
ISSN/ISBN: 0911-0755 PMID: 12348248 Document Number: 271246
While India is making overall progress in maternal and child health and reproductive health (MCH/RH), all states are not moving ahead. In fact, it is the states with the larger populations which are lagging behind. Primary education, women's status, and literacy remain problematic. UNFPA has worked in India for a long time, helping to realize the decline in total fertility rate from 6 to 3.5 over the past 20-30 years. India's population, however, is still growing at the annual rate of 1.8%. UNFPA's program in India for the period 1997-2001 will stress women's health as a matter of overall reproductive health, a new approach in India which has long relied upon sterilization. Attention must be given to meeting the needs of the poor in India as the country continues to grow in size and wealth. While Bhutan's estimated population is just over 1 million, the annual population growth rate of 3.1% threatens development over the long term. With a mountainous terrain and a low resource base, Bhutan cannot sustain a high population growth rate. Significant improvements have been made and women's status is good, the infant mortality rate has been reduced, and the health infrastructure is not bad. UNFPA's 5-year program beginning in 1998 will mainly address RH, especially adolescent RH.