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Title: Lessons from Goa, Kerala and Tamil Nadu: the three successful
fertility transition states in India. 
Author: Srinivasan K 
Source: DEMOGRAPHY INDIA. 1995 Jul-Dec;24(2):163-94. 
Year: 1995 
Language: English 
Abstract: This article presents three case studies of successful
fertility transitions in the Indian states of Goa, Kerala, and Tamil
Nadu. The author provides a concise description of literacy, gross
domestic product, marriage patterns, and fertility and mortality
trends for each state. Goa is distinguished by its Portuguese colonial
heritage, its very small size, its higher standard of living before
India's independence, and the onset of fertility decline before the
introduction of organized official family planning in 1961. The
sociocultural context among this large Catholic population was mostly
responsible for the rapid diffusion of the small family norm,
increased contraceptive use, and sustained fertility decline after
1968-69. Female literacy was higher than the national average. Female
age at marriage in 1981 was the highest (22.8 years) in the nation.
Even illiterate women delayed marriage until 18.3 years, on the
average, in 1985. The crude birth rate declined from 32.0 in 1961 to
14.7 in 1993. The crude death rate declined from 13.4 to 6.7 during
the same period. Natural family planning methods were widespread. The
total fertility rate was 1.90 in 1990-92. The case study of Kerala is
unusual in that the annual rate of population growth up until 1971 was
higher than in all other states, but the death rate during 1931-40 was
lower compared to the nation. Fertility decline began after 1968.
Fertility decline is attributed to a more accessible and a
higher-quality family planning program, properly sequenced policy
initiatives, and improved health and education. In Tamil Nadu,
population growth rates had been lower than the nation's since 1921.
Fertility decline was rapid after 1970 and is attributed to social and
political will, bureaucratic efficiency, and effective communication
strategies. The lessons gained from these case studies is that
socioeconomic factors are not the key determinants of fertility
decline and that a balanced bottom-up and top-down approach works
best.
Keywords: 
India; Case Studies; Recommendations; Multiregional Analysis;
Fertility Decline [Determinants]; Contraceptive Usage; Family Planning
Programs; Political Factors; Southern Asia; Asia; Developing
Countries; Studies; Research Methodology; Fertility; Population
Dynamics; Demographic Factors; Population; Contraception; Family
Planning 
Document Number: PIP 117101 



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