Adolescent Marriage and Childbearing in India: Current Situation and Recent Trends

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Key Points

Key Points
  • Nearly half—45%—of young women in India marry (begin cohabiting with their husband) before age 18, the legal age at marriage for women. A majority, 63%, marry before age 20. 
  • Reflecting the country’s diversity, few women (12%) marry before age 18 in Goa and Himachal Pradesh, while nearly three-fifths (57–61%) do so in Rajasthan, Jharkhand and Bihar. Differences by area of residence are also stark: 28% in urban areas vs. 53% in rural areas.
  • Yet, there has been a slow trend toward delaying marriage: Nationally, the proportion of women marrying before their 18th birthday declined by five percentage points from 1993 to 2006, from 50% to 45%.
  • Similar trends emerged in the timing of first births. The proportion giving birth before age 18 declined by six percentage points during the same period (from 28% to 22%), and the proportion giving birth before age 20 fell by seven points (from 49% to 42%).
  • Contraceptive use remains very low: Just 7% of married 15–19-year-old women use a modern method, and 6%, a traditional method. Current use of modern methods ranges from a high of 18% in Delhi to a low of 2% in Bihar.
  • Forty-three percent of married 15–19-year-old women have an unmet need for modern contraception, down considerably from 52% in 1993, but still a very high proportion. n Unplanned childbearing among adolescents is not uncommon: 14% of all adolescents’ recent births were unplanned in 2006, a proportion that remained basically unchanged from that in 1993. 
  • Adolescent-specific reproductive health services continue to be scarce and inadequate, and targeted toward married adolescents. However, the government’s recent enactment of policies to address the information and service needs of adolescents is encouraging.
  • Programs to keep girls in school hold promise for decreasing early marriages; since childbearing outside marriage is rare, delays in marriage will go a long way toward reducing adolescent childbearing. 

1 Chen S and Ravaillon M, Absolute poverty measures
for the developing world, 1981–2004, World Bank Policy
Research Working Paper, Washington, DC: World Bank, 2007,
No. 4211.
2 International Institute for Population Sciences (IIPS) and
Macro International, India: National Family Health Survey
(NFHS-3), 2005-06, Mumbai: IIPS, 2007.
3 IIPS, India: National Family Health Survey (MCH and
Family Planning), 1992-93, Bombay: IIPS, 1995.
4 IIPS, India: National Family Health Survey (NFHS-2),
1998-99, Mumbai and Calverton, MD, USA: IIPS and ORC
Macro, 2000.
5 Government of India, Population Projections for India
and States 2001-2026, Report of the Technical Group
on Population Projections Constituted by the National
Commission Population, New Delhi: Government of India,
2006.
6 Chalam KS, Caste-Based Reservations and Human
Development in India, London: Sage Publications, 2007.
7 Jensen R and Oster E, The power of TV: cable television
and women’s status in India, working paper, Cambridge,
MA, USA: National Bureau of Economic Research, 2007, No.
13305.
8 PCI Media Impact, Telling stories, saving lives: India,
<http://www.population.org/programs_india.shtml&gt;, accessed
Mar. 18, 2009.
9 Lloyd CB, ed., Growing Up Global: The Changing
Transitions to Adulthood in Developing Countries,
Washington, DC: National Academies Press, 2005.
10 United Nations Statistics Division, Millennium
Development Goals Indicators, 2008, <http://unstats.un.org/
unsd/mdg/Data.aspx?cr=356>, accessed June 16, 2008.
11 Barua A and Kurz K, Reproductive health-seeking by
married adolescent girls in Maharashtra, in: Koenig MA et
al., eds., Reproductive Health in India: New Evidence, Jaipur,
India: Rawat Publications, 2008, pp. 32–46.
12 Ram U et al., How early marriage compromises girls’
lives and reproductive health and choices in Maharashtra:
evidence from the Youth in India, Situation and Needs Study,
paper presented at International Seminar on Changing
Transitions to Marriage: Gender Implications for the Next
Generation in Developing Countries, New Delhi, Sept. 10,
2008.
13 Maitra S and Schensul S, Sexual behaviour and decisionmaking
among married Muslim women and men in a Mumbai
slum, paper presented at Reproductive Health in India: New
Evidence and Issues, Pune, India, Feb. 28 to Mar. 1, 2000.
14 Clark S, Bruce J and Dude A, Protecting young women
from HIV/AIDS: the case against adolescent and child marriage,
International Family Planning Perspectives, 2006,
32(2):79–88.
15 Das Gupta S et al., Knot ready: lessons from programs
and policies to delay marriage for girls in India, paper pre-
Guttmacher Institute 25
Lanka, <http://www.statcompiler.com/&gt;, accessed Nov. 19,
2008.
31 Santhya KG, Empowering Married Young Women and
Improving Their Sexual and Reproductive Health: Effects of
the First-Time Parents Project, New Delhi: Population Council,
2008.
32 Research Studies and Standards Division, Ministry of
Health and Family Welfare (MOHFW), Standards for Female
and Male Sterilization Services, New Delhi: Government of
India, 2006.
33 Duggal R and Ramachandran V, Summary and key
findings, in: Duggal R and Ramachandran V, eds., Abortion
Assessment Project India: Research Summaries and
Abstracts, Mumbai: Center for Enquiry into Health and Allied
Themes (CEHAT) and Healthwatch Trust, 2004, pp. 15–21.
34 Santhya KG and Verma S, Induced abortion: the current
scenario in India, Regional Health Forum, 2004, 8(2):1–14.
35 Ganatra B and Hirve S, Induced abortions among adolescent
women in rural Maharashtra, India, Reproductive Health
Matters, 2002, 10(19):76–85.
36 Ganatra B and Hirve S, Induced abortions: decisionmaking,
provider choice and morbidity experience among
rural adolescents in India, in: Bott S et al., eds., Towards
Adulthood: Exploring the Sexual and Reproductive Health
of Adolescents in South Asia, Geneva: World Health
Organization, 2003, pp. 127–130.
37 Sharma OP and Haub C, Sex Ratio at Birth Begins to
Improve in India, Washington, DC: Population Reference
Bureau, 2008.
38 Santhya KG and Jejeebhoy SJ, Young People’s Sexual
and Reproductive Health in India: Policies, Programs and
Realities, New Delhi: Population Council, Regional Offices for
South and East Asia, 2007, No. 19.
39 United Nations Population Fund, Master Plans for
Development: Summary of the ICPD Programme of Action:
International Conference on Population and Development,
1995, <http://www.unfpa.org/icpd/summary.cfm&gt;, accessed
Mar. 17, 2009.
40 MOHFW, National Population Policy 2000, New Delhi:
Government of India, 2000, <http://populationcommission.
nic.in/npp.htm>, accessed Oct. 20, 2008.
41 Ministry of Human Resource Development, Department
of Women and Child Development, National Policy for the
Empowerment of Women, 2001, New Delhi: Government of
India, 2001.
42 Ministry of Youth Affairs and Sports, National Youth
Policy 2003, New Delhi: Government of India, 2003.
43 Ministry of Human Resource Development, Department
of Women and Child Development, National Plan of Action for
Children, 2005, New Delhi: Government of India, 2005.
44 MOHFW, National Program Implementation Plan, RCH
Phase II, New Delhi: Government of India, 2005.
45 Planning Commission, Government of India, Eleventh
Five Year Plan, 2007-2012, New Delhi: Oxford University
Press, 2008.
46 The Medical Termination of Pregnancy Act, 1971.
47 Pre-Conception and Pre-Natal Diagnostic Techniques
Act, 1994.
48 The Prohibition of Child Marriage Act, 2006 (No. 6 of
2007), 2007.
49 Das Gupta S, Legal, Policy and Advocacy Initiatives
to Delay Marriage for Girls in India, conference presentation,
Investing in Young People’s Health and Development:
Research that Improves Policies and Programs, Abuja,
Nigeria, Apr. 29, 2008.
50 National Commission on Macroeconomics and
Health, MOHFW, Report of the National Commission on
Macroeconomics and Health, New Delhi: Government of
India, 2005.
51 MOHFW, National Rural Health Mission 2005–2012:
Mission Document, New Delhi: Government of India, <http://
mohfw.nic.in/NRHM/Documents/NRHM%20Mission%20
Document.pdf>, accessed Oct. 20, 2008.
52 MOHFW, National Rural Health Mission: Meeting
People’s Health Needs in Rural Areas: Framework for
Implementation, 2005–2012, New Delhi: Government of
India, <http://mohfw.nic.in/NRHM/Documents/
NRHM%20%20Framework%20for%20Implementation.pdf>,
accessed Oct. 20, 2008.
53 MOHFW, Janani Suraksha Yojana: Guidelines for
Implementation, New Delhi: Government of India, <http://
mohfw.nic.in/layout_09-06.pdf>, accessed Nov. 1, 2008.
54 Ministry of Women and Child Development, Guidelines
for the Balika Samriddhi Yojana (BSY), New Delhi: Government
of India, <http://wcd.nic.in/&gt;, accessed Dec. 23, 2008.
55 Special tabulations from unpublished data from Youth
in India: Situation and Needs project for the states of Andhra
Pradesh, Bihar, Jharkhand, Maharashtra and Tamil Nadu.
56 No sex education, say UP teachers, The Times of India,
Jul. 9, 2007, <http://timesofindia.indiatimes.com/No_sex_
education_say_UP_teachers/articleshow/2188741.cms>,
accessed Mar. 18, 2009.
57 Jain S and Kurz K, New Insights on Preventing Child
Marriage: A Global Analysis of Factors and Programs, New
Delhi: International Center for Research on Women, 2007.