
Bihar’s Fertility Rate and the Governance Gap: What Policy Is Missing
Bihar holds a distinction that no state wants. Despite a decline from 3.4 in NFHS-4 (2015-16) to 3.0 in NFHS-5 (2019-21), Bihar still records the highest Total Fertility Rate among all major states in India. The national average has reached 2.0, the replacement level. All other medium and large states in India, those with a population above one crore, now have a TFR below the replacement level of 2.1. Bihar stands alone.






