.. .. kerala 54.7 (44.0 to 64.9) 19.6 (13.2 to 27.3) 73.6 (62.6 to 82.6) 3.0 (–11.0 to 17.0) 58.1 (38.6 to 75.0) 17.9 (8.8 to 31.2) 76.4 (56.4 to 89.3) 2.4 (–9.0 to 13.4) 0.55 (–0.18 to 1.25) madhya pradesh 52.4 (47.7 to 57.0) 14.2 (12.4 to 16.3) 78.6 (75.0 to 81.8) 16.5 (–7.1 to 37.8) 58.3 (39.3 to 75.0) 13.9 (6.8 to 23.7) 80.7 (63.8 to 91.5) .. .. maharashtra 63.5 (59.1 to 67.5) 11.7 (10.1 to 13.5) 84.4 (81.6 to 86.9) 13.0 (2.2 to 24.0) 65.4 (46.5 to 80.5) 11.5 (5.2 to 21.3) 85.0 (69.4 to 93.8) .. .. manipur 14.7 ( 8.9 to 22.3) 40.3 (30.9 to 50.4) 26.8 (16.7 to 38.5) –7.7 (–17.6 to 2.4) 28.8 (13.2 to 48.8) 35.0 (22.2 to 50.9) 44.9 (22.5 to 67.2) 33.8 (21.6 to 44.3) 0.15 (0.11 to 0.19) meghalaya 21.1 (18.1 to 24.5) 25.7 (23.1 to 28.5) 45.0 (40.1 to 50.0) 7.6 (1.2 to 13.2) 35.5 (19.8 to 54.3) 25.4 (16.1 to 36.1) 57.9 (38.4 to 76.2) 25.3 (14.1 to 34.7) 0.13 (0.08 to 0.17) mizoram 60.1 (48.9 to 70.3) 16.4 (10.2 to 24.4) 78.5 (67.3 to 87.1) 8.7 (–6.5 to 23.5) 63.3 (43.1 to 80.1) 13.5 (5.5 to 25.4) 82.4 (63.7 to 93.6) .. .. nagaland 37.0 (21.7 to 54.3) 29.8 (19.8 to 41.3) 55.2 (36.7 to 72.5) 25.0 (8.7 to 43.1) 49.1 (27.7 to 70.8) 23.7 (11.7 to 39.4) 67.2 (43.3 to 85.4) 17.8 (2.4 to 32.2) 0.06 (0.02 to 0.10) odisha 48.3 (37.3 to 59.2) 26.6 (18.8 to 36.2) 64.5 (51.4 to 75.5) 15.7 (1.0 to 29.9) 54.8 (34.0 to 73.0) 21.4 (10.7 to 37.8) 71.9 (48.8 to 87.0) 9.2 (–2.9 to 21.0) 1.25 (0.39 to 2.04) punjab 60.3 (49.7 to 69.9) 15.1 (9.9 to 21.9) 79.9 (70.2 to 87.3) 12.0 (–2.0 to 25.9) 77.1 (64.2 to 87.0) 14.7 (6.9 to 26.8) 80.7 (62.2 to 91.6) .. .. rajasthan 62.3 (51.8 to 71.2) 16.0 (10.8 to 23.0) 79.5 (69.9 to 86.6) 33.9 (20.1 to 46.4) 65.5 (45.2 to 81.3) 13.9 (6.3 to 26.5) 82.4 (63.9 to 92.7) .. .. sikkim 48.4 (43.4 to 53.3) 22.3 (19.6 to 25.3) 68.5 (63.6 to 72.8) 16.8 (–1.3 to 32.9) 55.7 (36.3 to 73.3) 18.7 (9.3 to 30.5) 74.7 (55.6 to 88.5) 7.7 (–2.1 to 15.7) 0.02 (0.01 to 0.03) tamil nadu 53.7 (48.9 to 58.5) 11.4 ( 9.8 to 13.2) 82.5 (79.0 to 85.4) 10.8 (–0.2 to 21.5) 59.2 (39.9 to 75.9) 11.7 (5.4 to 20.6) 83.5 (67.0 to 93.2) .. .. tripura 43.1 (38.5 to 47.8) 31.9 (27.0 to 37.8) 57.5 (50.8 to 63.5) 14.3 (3.7 to 24.1) 49.8 (29.0 to 68.6) 26.3 (13.8 to 45.3) 65.3 (40.1 to 82.9) 14.7 (4.9 to 23.3) 0.17 (0.10 to 0.22) uttar pradesh 40.7 (29.8 to 52.0) 35.0 (25.8 to 45.5) 53.7 (40.1 to 66.3) 24.1 (11.3 to 36.9) 51.7 (29.8 to 71.2) 26.2 (13.3 to 44.9) 66.2 (41.5 to 84.1) 18.0 (5.5 to 30.2) 9.18 (5.53 to 12.61) uttarakhand 50.9 (46.3 to 55.3) 19.9 (17.5 to 22.6) 71.8 (67.7 to 75.6) 15.2 (–8.3 to 36.7) 56.4 (37.7 to 73.7) 17.6 (9.0 to 29.3) 76.1 (57.3 to 89.0) 5.0 (–4.6 to 13.2) 0.26 (0.09 to 0.39) west bengal 57.5 (52.9 to 61.9) 21.7 (17.8 to 26.6) 72.6 (66.8 to 77.4) 21.7 (10.8 to 32.3) 59.6 (39.1 to 75.7) 19.9 (10.0 to 37.3) 74.9 (52.1 to 88.1) 2.6 (–6.5 to 10.4) 2.10 (0.51 to 3.44) family in pronatalist india india carries a pronatalist attitude towards fertility, with the large family structure creating an environment for new children to learn and grow in indian culture. in many parts of india, male children are favored over female children, however efforts are being taken to change this attitude. males are raised to be assertive and independent figures, while females are raised to put others before themselves, particularly their family. families tend to encourage childbearing and expect to provide an environment of support for any new members of the family, raising the children based on indian family practices and beliefs. children are not encouraged to be independent or assist the family from an early age, rather the family expects to support and provide for the child until they reach adolescence. two-child policy multiple indian states have adopted a limited two-child policy. the policies are implemented by prohibiting persons with more than two children from serving in government. the most recent policy to be implemented was by assam in 2017. some states have repealed policies; chhattisgarh introduced a policy in 2001 and repealed it in 2005. a criticism of these policies is that it decreases the number of women in government positions, and encourages sex-selective abortions. as of 2014, there were 11 indian states that implemented the two-child policy, in hopes to reduce the number of children per family. the policy was geared mainly towards politicians, future and aspiring, to limit their number of children to two or less. those who held politicians have stricter policies in hopes that they will set an example for the community, if one were to exceed the limit of two children while employed, they would be terminated from the job. non-politicians may also receive consequences to exceed the two child limit, the government begins to withhold health care, government rights, face jail and, fees. modern initiatives in reproductive health