CHAPTER 2 Demographic Features 2.1 The revised series of population projection based on final results of 2001 Census has recently been released by the office of the Registrar General of India. According to these estimates the population of West Bengal as on 1st October, 2006 was 8.58 crore. On 1st October, 2007 the total population is expected to reach 8.67 crore, the rural population would be 6.21 crore and urban population is likely to reach 2.45 crore. The male and female population would be 4.47 crore and 4.20 crore respectively on 1st October, 2007 as forecaste by SRS. On the other hand, according to Census 2001 figures, rural population of West Bengal was 72.03% of the total population whereas the urban population was 27.97% of the total population. The proportion of Scheduled Caste population was 23.02% and the proportion of Scheduled Tribe population was 5.50%; thus, 28.52% of the total population of the state accounted for backward classes according to Census 2001. The percentage of male was 51.72% and the percentage of female was 48.28 % in 2001. 2.2 The age distribution of population for 2001 has been released by the office of the Census operation. It has been noticed from this distribution that the percentage of population in the age group 0-4 has been declined to 9.50% in 2001 in comparison with 11.49% of 1991 Census. In the next higher age group viz. 59 the percentage declined from 13.27% of 1991 Census to 11.84% in 2001. On the other hand, the percentage of population in the age group 60 and above increased from 6.05% of 1991 Census to 7.11% in 2001. These findings are closely related to improvement of vital events like CBR, CDR and IMR discussed in the following paragraphs. 2.3 The vital statistics for West Bengal, Crude birth rate, Crude death rate and Infant mortality rate have declined over the years in West Bengal, both in the rural and urban areas as can be seen from Table 2.1. 15 Table 2.1 Vital Rates in West Bengal and India Birth Rate Year 1981 1982 1983 1984 1985 Ave. 1991 1992 1993 1994 1995 Ave. 2001 2002 2003 2004 2005 Ave. West Bengal Rural Urban Total 37.0 20.0 33.2 37.0 20.4 32.3 36.0 21.7 32.0 34.3 20.5 30.4 33.0 20.5 29.4 35.5 20.6 31.5 30.3 18.5 27.0 28.0 16.4 24.8 28.6 18.2 25.7 28.1 17.6 25.2 26.1 16.8 23.6 28.2 17.5 25.3 22.9 13.8 20.6 22.6 14.1 20.5 22.4 14.0 20.3 21.8 12.9 19.3 21.2 12.6 18.8 22.2 13.5 19.9 Death Rate India Total 33.9 33.8 33.7 33.9 32.9 33.6 29.5 29.2 28.7 28.7 28.3 28.9 25.4 25.0 24.8 24.1 23.8 24.6 West Bengal Rural Urban Total 12.2 6.9 11.0 12.0 6.3 10.4 11.6 6.9 10.3 12.0 7.5 10.7 10.7 6.8 9.6 11.7 6.9 10.4 8.9 6.7 8.3 9.1 6.6 8.4 8.5 4.4 7.4 8.8 7.1 8.3 8.1 7.2 7.9 8.7 6.4 8.1 7.2 6.4 7.0 6.9 6.4 6.7 6.8 6.2 6.6 6.4 6.0 6.3 6.3 6.6 6.4 6.7 6.3 6.6 Infant Mortality Rate India Total 12.5 11.9 11.9 12.6 11.8 12.1 9.8 10.1 9.3 9.3 9.0 9.5 8.4 8.1 8.0 7.5 7.6 7.9 West Bengal Rural Urban Total 98 44 91 93 52 86 93 48 84 88 55 82 80 46 74 90 49 83 76 47 71 71 38 65 64 33 58 64 52 62 61 45 58 67 43 63 54 37 51 52 36 49 48 34 46 42 32 40 40 31 38 47 34 45 Note: Birth Rate is number of live births per thousand population. Death Rate is number of deaths per thousand population. Infant Mortality Rate is number of infant death per thousand live births. Ave. : Average. Source : Sample Registration System, Registrar General, Govt. of India. 2.4 The birth rate, death rate as well as infant mortality rate in West Bengal have been uniformly lower than those for India over the last two decades. In most of the cases, the difference between the vital rates of West Bengal and India has widened over the years. 2.5 It is also evident from Table 2.1 that, although the vital rates are lower in urban West Bengal than those in rural West Bengal, the declining trend for all three rates is sharper in rural areas than in urban areas over decades and thus the difference between rural and urban rates have considerably diminished. It can be seen from Table 2.1 that in early 21st century (2001-05), Birth rate in rural West 16 India Total 110 105 105 104 97 104 80 79 74 74 74 76 66 63 60 58 58 61 Bengal dropped down by 37.5%,Death Rate registered a downfall of 42.77% and infant mortality rate is declined by 47.8% as compared to early eighties (198185). 2.6 The implementation of land reform measures led to the unleashing of productive forces in Agriculture, Cottage and Small Scale Industry Sector and Rural Service Sector. A rapid development took place in rural economy of West Bengal, which has improved the social position and thereby the conciousness of the rural population. The sharp decline registered in rural vital rates discussed above is a manifestation of this socio-economic development. 2.7 The significant fact is that not only have the vital rates declined in the rural areas, the vital rates for female in West Bengal have also progressively declined, so that at present they are one of the lowest among the major states. In Table 2.2, infant mortality rate by sex for rural and urban regions of the major states in 2005 is shown. Table 2.2 Infant Rortality Rate by Sex and Residence, 2005 ( Number of infant death per thousand live births ) India/States India Bigger States Andhra Pradesh Assam Bihar Gujarat Haryana Karnataka Kerala Madhya Pradesh Maharashtra Orissa Punjab Rajasthan Tamil Nadu Uttar Pradesh West Bengal Total 58 57 68 61 54 60 50 14 76 36 75 44 68 37 73 38 Total Male Female 56 61 56 66 60 52 51 48 14 72 34 74 41 64 35 71 38 58 69 62 55 70 51 15 79 37 77 48 72 39 75 39 Total 64 63 71 62 63 64 54 15 80 41 78 49 75 39 77 40 Rural Male Female 62 66 62 69 61 61 55 54 15 77 40 77 46 71 38 75 40 64 72 63 64 76 55 16 84 42 79 51 79 40 79 40 Total 40 39 39 47 37 45 39 12 54 27 55 37 43 34 54 31 Urban Male Female 37 43 38 36 45 36 40 37 11 52 25 50 32 37 30 53 28 Source : Sample Registration System, Registrar General, Govt. of India. 17 40 43 50 38 52 42 14 56 29 61 43 49 39 55 35 2.8 It can be seen from Table 2.2 that amongst the major states only Kerala, Maharashtra and Tamil Nadu have infant mortality rates lower than that of West Bengal. The rank of rural Infant Mortality Rate of West Bengal is third, the states of Kerala and Tamil Nadu being ahead of West Bengal in this respect. The most significant fact in this respect is that there is no gender difference in Infant Mortality Rate in rural areas of West Bengal. In urban areas of the state although the rate is lower, next only to Kerala and Maharashtra, higher Infant Mortality Rate for females is an area of concern. In conformity with low IMR in West Bengal the Under-5 Mortality Rate, Neo Natal Mortality Rate, Early Neo Natal Mortality and Perinatal Mortality Rate are also much lower than All India average and remain at a level lower than most of the major states of India. 2.9 The significantly lower female infant mortality rate and female under five mortality rate in West Bengal have got a positive effect on the Sex Ratio of population aged 0-6. According to census 2001, amongst population 0-6, West Bengal has got a sex ratio 960 which is much higher than the sex ratio of the total population of West Bengal viz. 934. Regarding Sex Ratio of population aged 0-6, West Bengal secured the third position jointly with Kerala marginally trailing from Andhra Pradesh who secured the second position amongst major states as indicated in Table 2.3. On the contrary, the states like Punjab,Haryana,Gujarat and Rajasthan have got alarmingly low sex ratio amongst population 0-6 which may cause undesirable imbalance in future generations In West Bengal this trend has been successfully resisted. Table 2.3 Sex Ratio ( 0-6 years ) in Major States of India India/States Sex ratio (0-6) India Major States Andhra Pradesh Assam Bihar Gujarat Haryana Karnataka Kerala Maharashtra Madhya Pradesh Orissa 927 961 965 942 883 819 946 960 913 932 953 18 Punjab 798 Rajasthan 909 Tamil Nadu 942 Uttar Pradesh 916 West Bengal 960 Note : Sex Ratio is number of females per thousand males. Source: 2001 Census 2.10 In Table 2.4, death rate by sex in rural and urban areas in 2005 is given for the bigger states. Now West Bengal has the lowest death rate along with Kerala amongst the major states of India. Also, rural female death rate in 2005 in West Bengal was second lowest after that of Kerala. Importantly, male death rate in rural West Bengal was the lowest amongst the major states, even lower than that of Kerala. Male death rate for the state as a whole is also the lowest. Table 2.4 Death Rate by Sex and Residence, 2005 ( Number of deaths per thousand population ) Total Rural Urban India/States India Total Male Female Total Male Female Total Male Female 7.6 8.0 7.1 8.1 8.5 7.7 6.0 6.5 5.5 7.3 8.7 8.1 7.1 6.7 7.1 6.4 9.0 6.7 9.5 6.7 7.0 7.4 7.7 9.3 8.2 7.6 7.0 7.6 7.6 9.2 7.4 10.1 7.2 7.0 8.0 6.9 7.9 8.0 6.6 6.3 6.6 5.2 8.6 5.9 8.8 6.1 6.9 6.7 7.9 9.2 8.3 8.0 7.0 7.9 6.3 9.8 7.4 9.9 7.2 7.2 8.2 8.4 9.8 8.4 8.8 7.4 8.3 7.6 10.1 8.3 10.5 7.8 7.2 8.7 7.4 8.5 8.1 7.2 6.5 7.5 5.2 9.5 6.5 9.2 6.6 7.2 7.6 5.9 5.6 6.6 5.8 5.8 5.6 6.5 6.1 5.7 7.0 5.8 6.2 6.2 6.1 6.6 6.5 5.9 5.8 6.3 7.8 6.4 6.2 7.2 6.2 6.5 7.1 5.7 4.6 6.7 5.7 5.8 4.9 5.3 5.7 5.1 6.8 5.4 5.9 5.4 Bigger States Andhra Pradesh Assam Bihar Gujarat Haryana Karnataka Kerala Madhya Pradesh Maharashtra Orissa Punjab Rajasthan Tamil Nadu 19 Uttar Pradesh West Bengal 8.7 6.4 8.8 7.0 8.6 5.7 9.1 6.3 9.2 6.8 9.1 5.7 6.8 6.6 7.0 7.5 6.5 5.6 Source : Sample Registration System, Registrar General, Govt. of India. 2.11 In respect of Birth rate, West Bengal ranked fourth amongst major statesKerala , Tamil Nadu and Punjab being ahead of it. While West Bengal has the lowest urban birth rate amongst the major states the rural birth rate also have registered substantial decline in last few years to reach a level of only 21.2 in 2005. Table 2.5 Birth Rate by Residence for India and Major States, 2005 ( Number of live births per thousand population ) India Total Rural Urban 23.8 25.6 19.1 19.1 25.0 30.4 23.7 24.3 20.6 15.0 29.4 19.0 22.3 18.1 28.6 16.5 30.4 18.8 20.1 26.6 31.2 25.5 25.7 22.1 15.1 31.6 19.6 23.2 18.8 30.2 16.9 31.3 21.2 16.7 15.3 23.8 21.0 21.0 17.9 14.8 22.0 18.2 16.3 17.0 23.8 16.0 26.5 12.6 Bigger States Andhra Pradesh Assam Bihar Gujarat Haryana Karnataka Kerala Madhya Pradesh Maharashtra Orissa Punjab Rajasthan Tamil Nadu Uttar Pradesh West Bengal Source: Sample Registration System, Registrar General, Govt. of India. 2.12 All these figures indicate that the general health of the population specially that of rural population has improved over the years. This is particularly significant for the rural female population and the female child. This, as was 20 noted earlier, is not merely because of the rising living standard but also is related to the improving social status of women in rural West Bengal. 2.13 In Table 2.6, other important health indicators for West Bengal and India are shown. Table 2.6 Health Indicators - West Bengal and India Birth Rate Total 18.8 23.8 West Bengal India Total Fertility Rate Total 2.3 3 West Bengal India Death Rate Total 6.4 7.6 West Bengal India Infant Mortality Rate West Bengal India Infant Mortality Rate by Sex Total 38 58 Total 38 58 West Bengal India Death Rate by Sex Total 6.4 7.6 West Bengal India Peri-natal Mortality Rate Total 29 33 West Bengal India Neo-natal Mortality Rate Total 30 West Bengal 21 2005 Rural 21.2 25.6 2003 Rural 2.5 3.2 2005 Rural 6.3 8.1 2005 Rural 40 64 2005 Male 38 56 2005 Male 7 8 2003 Rural 33 36 2003 Rural 33 Urban 12.6 19.1 Urban 1.6 2.2 Urban 6.6 6 Urban 31 40 Female 39 61 Female 5.7 7.1 Urban 9 20 Urban 16 India Maternal Mortality Rate per 100000 live births West Bengal India Expectation of Life at Birth West Bengal India 37 41 22 2001-03 194 301 2001-2006 Male Female 66.08 69.34 64.11 65.43 Source : Sample Registration System, Registrar General, Govt. of India 2.14 The performance of West Bengal is far better than the all India average in respect of all the health indicators shown in Table 2.6.. 2.15 However, while the improvement in these health indicators in West Bengal specially compared to other states is encouraging, there are few areas of concern. As per reports of National Family Health Survey and other surveys nutritional level of children, pregnant women and adolescent girls is far from satisfactory. Also, there are regional variations suggesting lower socio-demographic status in some districts in northern and western part of the state. 2.15. The State Government has been successful in involving the common people through the Panchayats and NGOs in the implementation of the family welfare programmes in the state. This coupled with improvement in socioeconomic factors discussed earlier has been instrumental in the successful implementation of family welfare programmes in the states as will be evident from Table no. 2.7. 22 Table 2.7 Family Planning Acceptors in West Bengal Year Total Family Planning acceptors 2001 - 2002 2002 - 2003 1176638 1190676 2003 - 2004 1227420 2004 - 2005 1362269 2005 - 2006 1443939 2006 - 2007 (Up to October'06)(P) 1230503 Source: Department of Health & Family Welfare, Government of West Bengal. 2.16 As already noted, the spread of education has been one of the factors for declining vital rates in the state. It is shown in Table 2.8, that average literacy among acceptors of family welfare measures was higher than the average literacy among the general population. Thus , literacy is an important factor in the acceptance of family welfare methods. Table 2.8 Percentage of Literates Among Acceptors of Family Welfare Methods in West Bengal 2005 - 06 Sterilisation I U D Husband 87.06 89.29 Wife 74.77 85.83 Source: Department of Health & Family Welfare, Government of West Bengal. 2.17 The declining age of the wife and the average number of living children of a sterilization acceptor also indicate the success of the family welfare programme. In 2005-06, average age of the wife of Sterilisation acceptor was 28.16 years and the number of living children was 2.64. In the mid-eighties, these were 34 years and 3.34, respectively. 23 2.18 The State Government has also involved the panchayats, municipalities and NGOs in implementing the immunization programmes in the state. The general awareness of the common people on the necessity of immunization as a result of spreading literacy and better socio demographic status as indicated earlier has been leading factor for the success of these programmes. In Table 2.9, progress under major immunization programmes is shown. Table2.9 Progress of Major Immunisation Programmes in West Bengal ( In number) Methods TT(PW) DPT POLIO BCG MEASLES 1421388 1549157 1554285 1772284 1274284 1481285 1533887 1556175 1784424 1503905 1512125 1621658 1605785 1855722 1520463 Year 2003 - 2004 2004 - 2005 2005 - 2006 2006 - 2007 (Upto October'06)(P) 897147 828070 834130 975944 866011 Source: Department of Health & Family Welfare, Government of West Bengal. P = Provisional. 2.20 Table 2.10 shows a comparative study between the results of NFHS- 1 and NFHS- 3 regarding immunization of children in West Bengal. Table 2.10 Child Immunization in West Bengal Description Children 12-23 months fully immunized (BCG, measles and 3 doses each of polio/DPT) (%) Children 12-23 months who have received BCG(%) Children 12-23 months who have received 3 doses of polio vaccine (%) 24 NFHS - 1 (1992-93) 34.2 NFHS - 3 (2005-06) 64.3 63.1 90.1 56.0 80.7 Children 12-23 months who have received 3 doses of DPT vaccine (%) Children 12-23 months who have received measles vaccine (%) 51.9 71.5 42.5 74.7 Source : National Family Health Survey (NFHS). 2.21 The State has taken up a massive programme for eradication of Poliomyelitis through (a) coverage of all infants by Oral Polio Vaccine regularly and (b) conduction of special programme of Pulse Polio Immunization (PPI) . Several rounds of Pulse Polio Immunisation programmes were conducted in the state and almost all the children below five years were covered under this programme. 25