Family planning in India is based on efforts largely sponsored by the Indian government. From 1965-2009, contraceptive usage has more than tripled (from 13% of married women in 1970 to 48% in 2009) and the fertility rate has more than halved (from 5.7 in 1966 to 2.4 in 2012), but the national fertility rate is still high enough to cause long-term population growth. India adds up to 1,000,000 people to its population every 20 days. Continuing at these rates, India is set to reach up to two billion people this century if drastic family planning changes are not made.
Women in India are not being fully educated on contraception usage and what they are putting in their bodies. From 2005-2006 data was collected to indicate only 15.6% of women using contraception in India were informed of all their option and what those options actually do. Contraceptive usage has been rising gradually in India. In 1970, 13% of married women used modern contraceptive methods, which rose to 35% by 1997 and 48% by 2009.
Awareness of contraception is near-universal among married women in India. However, the vast majority of married Indians (76% in a 2009 study) reported significant problems in accessing a choice of contraceptive methods. The above table clearly indicates more evidence that the availabity of cocontraceptives problem for people in India. In 2009, 48.4% of married women were estimated to use a contraceptive method. About three-fourths of these were using female stst sterilization whichs by far the most prevalent birth-control method in India. Condoms, at a mere 3%, were the next most prevalent method. Meghalaya, at 20%, had the lowest usage of contraception among all Indian states. Bihar and Uttar Pradesh were the other two states that reported usage below 30%. It is important to note that sterilization is a common practice in India. They also use camps to enforce sterilization. This process can be done with or without consent. In world-view context, the US has also used sterilization.
Comparative studies have indicated that increased female literacy is correlated strongly with a decline in fertility. Studies have indicated that female literacy levels are an independent strong predictor of the use of contraception, even when women do not otherwise have economic independence. Female literacy levels in India may be the primary factor that help in population stabilisation, but they are improving relatively slowly: a 1990 study estimated that it would take until 2060 for India to achieve universal literacy at the current rate of progress.
In 1952, India became the first country in the world to initiate a family planning program. The Ministry of Health and Family Welfare is the government unit responsible for formulating and executing family planning in India. An inverted Red Triangle is the symbol for family planning health and contraception services in India. In addition to the newly implemented government campaign, improved healthcare facilities, increased education for women, and higher participation among women in the workforce have helped lower fertility rates in many Indian cities. The objectives of the program are positioned towards achieving the goals stated in several policy documents. While India is improving in fertility rates, there are still areas of Inda that maintain much higher fertility rates.