Ecostat

VITAL STATISTICS 	- 	
A TREND ANALYSIS	 	
 
 
  
 
 	
 Department of Economics and Statistics	 	
Government of Kerala

1	 	
 
I. Introduction 
 	
Demographic  data  are  required  for  planning  programm e 
implementation,  monitoring  and  evaluation  as  well  a s  for  the  research  in 
various  fields.  Usually  demographic  data  are  drawn  from  various  sources  such 
as population census, civil registration system as  well as sample survey. Census 
data  are  available  only  once  in  every  10  year.  So  i t  is  unable  to  obtain  the 
demographic  estimates  for  the  period  between  two  ce nsus.  So  CRS  has 
practically  become  important  in  this  modern  era  wer e  success  of  all  socio 
economic  programme  is  measured  and  monitored  by  get ting  indicators  based 
on the data from registration records. This report  has been prepared on the basis 
of data from civil registration records.   In India the registration of vital events and the  administrative machinery 
for  this  purpose  has  been  in  existence  for  more  tha n  a  century.  It  had  been 
working  under  diversified  Acts  and  executive  instru ctions  thus  making  it 
unsuitable  for  the  independent  India.  The  need  for  dependable  demographic 
data  was  felt  soon  after  independence  heralding  the   era  of  Five  Year  planning.  
In the beginning the registration of births and dea ths started on voluntary basis 
and  there  was  no  uniformity  in  statistical  returns  resulting  in  both  under 
registration  and  incomplete  coverage.    In  order  to  unify  the  civil  registration 
activities,  the  Civil  Registration  System  was  intro duced  in  India  under  the 
Registration of Births and Deaths Act (RBD Act), 19 69.    
Civil  Registration  System  may  be  defined  as  a  conti nuous  recording  of 
vital events such as births, deaths and marriages o ccurring in a population. The 
registration records are primarily useful for their  value as their legal documents 
and secondarily  as a source of vital  statistics.  Th e registration records generate 
current  and  continuous  statistics,  which  can  be  ava ilable  in  lower 
administrative level.

2	 	
Registration of Births and Deaths Act 1969 
This  Act  replaced  the  then  existed  laws  and  unified   the  system  of 
registration  through  out  the  country.  Under  the  RBD   Act  the  registration  of 
births  and  deaths  was  made  compulsory;  it  has  becom e  mandatory  on  the  part 
of  head  of  house  hold  or  his  representative  to  repo rt  and  register  domiciliary 
vital  events,  for  medical  officers  in  charge  of  med ical  institution  in  respect  of 
births  and  deaths  occurring  in  these  institution.  T he  Act  also  provided  the 
statutory  authority  at  Center,  State,  District  and  Peripheral  level.  It  prescribed 
definitions,  principles,  personnel  and  penalties  co nnected  with  enforcement  of 
the  Act.  It  enabled  Central  Government  to  insist  un iformity  in  registration 
procedures  and  bring  out  comparability  in  vital  sta tistics  registered  in  different 
parts of the country.  
 
National Level    At national  level the Registrar General of India (R GI) administers CRS. 
He  is  empowered  to  issue  general  directions  and  tak e  steps  to  co-ordinate  and 
unify  the  activities  of  Chief  Registrars  of  the  Sta tes,  who  are  the  Chief 
Executive  authority  in  the  states  for  executing  the   provision  of  RBD  Act  1969 
and  the  rules  and  orders  made  there  under.  They  wer e  responsible  for 
coordinating, unifying and supervising the work of  CRS within their respective 
state	
.  
State Level 	
 	
 
Prior  to  the  implementation  of  RBD  Act  1969,  the  Di rector  of  Health 
services  designated  as  the  Registrar  General  of  the   State  for  the  registration  of 
births  and  deaths.  In  the  Travancore  Cochin  portion   of  the  state  consisting  of 
six  districts  viz,  Trivandrum,  Quilon,  Kottayam,  Al leppy,  Ernakulam  and 
Thrissur,  the  District  Medical  officers  acted  as  th e  district  registrars.  In  the 
Malabar  area,  consisting  of  three  districts  viz;  Pa lakkad,  Kozhikkode  and 
Kannur,  The  District  Collectors  acted  as  the  distri ct  registrars  of  births  and 
deaths.  The  health  assistants  of  the  Department  of  Health  Services  in  the 
Travancore  Cochin  region  attended  the  registration  work  in  the  rural  areas

3	 	
whereas  in  Malabar  region  it  was  attended  by  the  village  staff  of  the  Revenue 
Department.  In  the  Municipal  area  the  municipal/cor poration  staff  did  the 
work.  At the lowest level the health assistants in  T.C. areas and village officers 
in  Malabar  area  who  were  designated  as  “Registrars”   were  responsible  for  the 
maintenance  of  birth  and  death  registers.    The  deta ils  of  the  vital  events  were 
transferred to the birth and death cards prescribed  by the Bureau of Economics 
and  Statistics.  The  cards  are  forwarded  periodicall y  to  the  taluk  registrars  in 
rural  areas  and  to  the  municipal/corporation  commis sioners  in  the  municipal 
areas who in turn forwarded them to the Bureau of E conomics and Statistics for 
compilation, consolidation and report writing.  	
   
The  Registration  of  Births  and  Deaths  Act  1969    (Ce ntral  Act  18  of 
1969)  came  into  force  in  Kerala  on  1	
st  April  1970  by  the  Government  of  India 
Gazette  notification  dated  21	
st  march  1970  along  with  many  other  states.  The 
Kerala  Registration  of  Births  and  Deaths  Rules  1970   published  in 
G.O.(P)No.7/70/LAD  dated  29
th  June  1970  by  S.R.O.No.262/70  Gazette  dated 
1	
st  July  1970  have  been  approved  by  the  Government  of  India  under  section 
10(1) of the said Act	
. 	
   
Organizational Setup in Kerala State 
  •  Chief Registrar 
The  Director  of  Panchayaths,  Government  of  Kerala  i s  the  Chief 
Registrar of Births and Deaths.    
•   Additional Chief Registrar  
The  Additional  Director  of  Economics  and  Statistics   Department  is  the 
Additional Chief Registrar of Births and Deaths.     
 
•  Deputy Chief Registrar  
A  Deputy  Chief  Registrar  assists  the  Chief  Registra r  in  the  day-to-day 
affairs relating to the registration of Births and  Deaths at the State level.

4	 	
Another  Deputy  Chief  Registrar  assists  the  Additional  Chief  Registrar 
who is the Deputy Director of Economics and Statist ics Department. 
 
•   District Registrars  
The  Deputy  Director  of  Panchayaths  of  the  14  distri cts  in  the  State  are 
functioning  as  the  District  Registrars.  The  Secreta ries  of  Corporations 
and  Municipalities  and  the  Executive  Officer  of  Kan nur  Cantonment 
area are exercising the powers of District Registra rs. 
 
•   Additional District Registrars  
The  Deputy  Directors  of  the  14  District  Statistical   offices  are 
functioning as the Additional District Registrars o f Births and Deaths of 
respective revenue districts.   
•   Registrars  
The Secretaries of Grama Panchayaths, Health Office rs of Corporations, 
Health  Inspectors  of  Municipalities  and  Executive  O fficer  of  Kannur 
Cantonment area are functioning as the Registrars o f births and deaths	
.

5	 	
   
                            
Each  local  registrar  maintains  an  office  for  the  purposes  of  registering  vital 
events. He has to register all information on birth s and deaths, which take place 
in  his  jurisdiction.  This  information  is  provided  i n  standard  format  for  live 
births, deaths and stillbirths. The prescribed form  for birth registration contains 
information on date of occurrence/registration, usu al residence of mother, place 
of birth, sex and weight of the child, order of bir th, type of medical attention at 
birth,  type  of  delivery  and  characteristics  of  the  parents  including  their  name, 
age,  religion,  educational  status,  occupation  etc.  In  the  case  of  death, 	 
Chief Registrar 	
 	
Additional Chief 
Registrar 	
Deputy Chief 
Registrar 	Additional  District 
Registrar 	
Local 
Registrars  (Urban) 	
 	
Deputy  Chief 
Registrar 	District 
Registrars 
(Rural) 	District 
Registrars 
(Urban) 	
Local 
Registrars 
(Rural )

6	 	
information  includes  name,  sex,  age,  marital  status,  religion,  occupation,  usual 
residence  of  the  deceased,  place  of  occurrence,  dat e  of  occurrence/registration, 
cause of death, whether medically certified or not  and kind of medical attention 
received  at  the  time  of  death  and  characteristics  o f  the  mother,  pregnancy 
period etc. in the case of still births. 
Under  the  RBD  Act  1969,  it  is  required  that,  each  v ital  event  should  be 
reported  within  21  days  from  the  date  of  occurrence   of  the  event.      This  Act 
also  provides  registration  of  events  beyond  21  days   on  payment  of  some 
penalty  and  in  the  case  of  large  delays  after  takin g  permission  of  the  District 
Magistrates.  
                        Registration Units in Keral a as on 01-01-2010 
Rural	
 
Grama Panchayaths   
999 	
Urban	 	
Corporations  5 
Municipalities  53 
Kannur Cantonment  1 
Total  1058 
  
The  statistical  part  of  the  vital  events  registered   in  the  above  units,  are 
forwarded  to  the  district  offices  of  Economics  and  Statistics  Department  on 
monthly  basis.  Annual  data  is  forwarded  to  the  Dire ctorate  from  each  District 
for the preparation of the Annual Statistical repor t.

1	 	
 
2. Analysis 	
 	
This report highlights the important features of li ve births and deaths by 
analyzing  few  demographic  and  socio  economic  charac teristics  in  the 
registration records. Detailed tables available for  the period from 1958 to 2008 
are included in this report. Kerala was divided in  the present administrative set 
up  of  14  districts  in  the  year  1985.  So  the  distric t  wise  analysis  is  done  from 
that  year  onwards.  Wherever  possible  separate  analy sis  of  data  relating  to  the 
period  before  (1958  –1969)  and  after  (1970  onwards)   the  implementation  of 
RBD Act is given. The data and the vital rates are  arrived on the basis of place 
of  occurrence  of  events.  The  criteria  for  including   an  event  are  based  on  the 
year of registration	
.  
 
2.1 LIVE BIRTHS   	
Live births and birth rates   
This  report  provides  data  on  live  births  registered   in  Kerala  and  their 
characteristics  from  1958  to  2008.  Number  of  live  b irths  registered  and  CBR 
are presented in Table 1.  	
 
Crude Birth Rate (CBR)    
Fertility  measures  the  rate  at  which  a  population  a dds  to  itself  by  births 
and  is  normally  assessed  by  relating  the  number  of  births  to  the  size  of  some 
section  of  population.  The  commonly  used  fertility  measures  are  Crude  birth 
rate,  age-specific  fertility  rate  total  fertility  r ate,  gross  reproduction  rate  etc;. 
Out  of  the  above  fertility  measures,  CBR  of  the  sta te  from  the  year  1958 
onward is included in this report.   
CBR is the simplest of all the measures of fertilit y and relate the number of 
live births to  the total  population.  This provides  an index of the relative speed 
at which additions are being made through childbirt h. It is defined as a ratio of 
the total number of births during a given  year  and  a given geographical area to

2	 	
the  average  (or  mid-year)  population  ever  lived  in that  year  and  geographical 
area.  CBR  should  not  be  used  to  compare  the  levels  of  fertility  for  any  two 
populations because they may differ widely in their  age-sex, composition.  
Focusing  on  the  period  prior  to  the  implementation  of  the  RBD  Act  it 
can be seen that Crude Birth Rate of the state had  declined from 24.58 in 1958 
to  18.64  in  1969.  It  can  be  observed  that  during  th e  above  period,  birth  rate 
shows  a  fluctuating  trend.  This  may  be  due  to  the  v ariation  in  the  level  of 
registration of events. The trend is shown in the c hart given below 
Chart 2.1.1 	
Trend in CBR from 1958 to 1969-Kerala	
0
5
10
15
20
25
30
1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 Ye a r	
CBR	
 	
  
As  mentioned  in  the  introduction,  before  1970  the  r esponsibility  for 
registering  the  vital  events  was  entrusted  with  Hea lth  and  Revenue 
departments.  The  RBD  Act  1969  came  in  to  force  in  K erala  on  1	
st  April  1970.  
Under  the  provisions  of  this  act  the  registration  o f  Births  and  Deaths  made 
compulsory  and  mandatory  As  a  result  the  organizati onal  set  up  for  executing 
the process of registration underwent a significant  change at state/district level. 
On  analyzing  the  registration  data  for  the  year  197 0  it  has  been  observed  that 
there is a significant decline in the birth rate as  compared with the previous and 
succeeding years. This might be due to the teething  troubles that have occurred 
in the implementation of the above said Act. The ch art given below depicts the

3	 	
variation  of  CBR  in  Kerala  from  1970  to  2008.  The  chart  2.1.2  reveals  that 
after 1975 the CBR shows a decreasing trend.  	
Chart 2.1.2 	
CBR from 1970 to2008	
0
5
10
15
20
25
1970 1971 1975 1980 1985 1990 1995 2000 2005 2008 Year	
CBR	
 
 	
District  wise  birth  rates  of  Kerala  from  1970  onwar ds  are  furnished  in 
table  2  of  Appendix.  As  far  as  the  district  wise  bi rth  rate  is  considered,  the 
highest  and  lowest  birth  rates  are  reported  from  Ma lappuram  and  Alappuzha 
respectively  since  1985.  Birth  rate  of  all  district s  has  declined  in  2008  when 
compared with 1985. This is evident from the chart  given below.

4	 	
Chart 2.1.3 
Sex Ratio at Birth 	
      The Sex ratio at birth or the proportion of male to  female births occurring in 
a population determines the relative number of male s and females entering in a 
population. It is a biological entity, and varies o nly in a narrow range from one 
population  to  another  population.  Universally,  it  i s  observed  that  sex  ratio  at 
birth  is  about  104  to  106  male  births  to  100  female   births.  Due  to  higher 
proportion  of  male  births,  juvenile  sex  ratios  (JSR s)  are  always  favorable  to 
males.  The  following  table  gives  sex  ratio  of  Keral a  for  the  period  from  1970-
2008                                              Table 2.1.1  
Sex ratio at birth, Kerala-1970-2008 
Year  Sex ratio at 
birth 	
1970 	107 	
1976 	106 	
1980 	105 	
1985 	105 	
1990 	110 	
Comparison of CBR-1985 & 2007 	
0
5
10
15
20
25
30
35	
TVPM
KLMPTA
ALP
KTM IDK
EKM TSR
PKD
MLPM KKD
WYD KNR
SKSGD	
District	
Birth rates	
1985
2008

5	 	
1995 	106 	
2000 	100 	
2005 	105 	
2008 	105 	
 	
Type of medical attention received at the time of delivery 
   	
Table  2.1.2    presents  the  distribution  of  live  births  by  type  of  medical 
attention received at the time of delivery from1976  to 2008. It may be observed 
from  the  statement  that  major  portion  of  live  birth s  have  occurred  in 
institutions.  It  is  worthwhile  to  mention  that  a  si gnificant  proportion,  of  live 
births  were  attendant  by  trained  health  professiona ls  or  occurred  at  health  care 
institutions  Another  observation  that  can  be  made  f rom  the  statement  is  that 
cases  attended  by  traditional  birth  attendants/  rel atives  and  others  has  declined 
over  the  years  from  1976  to  2008.However  the  practi ce  of  using  the  service  of 
traditional  birth  attendants/  relatives  and  others  is  still  in  existence.  In  spite  of 
having enough modern medical facilities across the  state, a small portion of live 
births  (2.17%)is  attended  by  the  traditional  birth  attendant/relatives  in  the  year 
2008. Number of live  births registered by  type of  m edical attention  at birth for 
the period from 1975 to 2008 is furnished in table  5 of Appendix. 
   
Table 2.1.2 
Percentage distribution of live birth by medical at tention at birth-
Kerala-1976-2008    
Type of attention at delivery  	
Year 
Institutions Doctors, 
Nurses and  Midwifes  Traditional 
birth 
attendants  Relatives 
and others  Total 	
1976	 	49.80	 	9.04	 	17.54	 	23.62	 	100.00	 	
1980	 	71.50	 	4.85	 	15.55	 	8.10	 	100.00	 	
1985	 	78.85	 	2.67	 	5.74	 	12.75	 	100.00	 	
1990	 	93.59	 	0.64	 	3.92	 	1.85	 	100.00	 	
1995	 	95.23	 	0.97	 	3.76	 	0.04	 	100.00	 	
2000	 	95.29	 	2.30	 	1.61	 	0.80	 	100.00	 	
2005	 	78.33	 	17.77	 	1.61	 	2.29	 	100.00	 	
2008	 	95.33	 	2.39	 	1.53	 	0.74	 	100.00

6	 	
Distribution of institutional live births 
  
  Percentage  distribution  of  institutional  live  birt hs  registered  in 
Kerala  during  the  past  three  years  are  presented  in   the  chart  2.1.4.  From  the 
chart  it  is  observed  that  the  number  live  births  oc curred  in  private  institutions 
are  higher  than  that  in  Government  institutions.  An other  observation  that  can 
be  made  from  the  chart  is  that  percentage  of  live  b irths  occurred  in  private 
institutions  shows  an  increasing  trend  whereas  in  t he  case  of  Government 
institutions it shows a decreasing trend under the  reference period. This may be 
due to effective as well as personnel care offered  by the private institutions.  
Chart 2.1.4 	
Percentage distribution of institutional live birth s-Kerala	
40.90
34.28
32.06 59.10
65.7267.94	
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
80.00
2006 2007 2008 Year	
Percentage	
Government
Private	
 
  
Live births by method of delivery  
   The  percentage  distribution  of  registered  live  birt hs  by  method  of 
delivery  for  the  past  seven  years  is  given  in  the  t able  furnished  below.  It  is 
observed that normal delivery constitute about more  than 60% of all registered 
live births. The chart below shows the pictorial re presentation of the above.

7	 	
Table 2.1.3 
Percentage distribution of registered live births b y institutions and 
method of delivery - Kerala 
Method  of  
delivery/Year	
 	Normal  Caesarean  Forceps/vacuum	 	Not 
stated  Total 	
2002 
71.78  24.95  2.87  0.40  100.00 
2003 61.55  35.03  3.27  0.15  100.00 
2004 66.14  28.98  4.22  0.66  100.00 
2005 65.56  30.38  3.94  0.13  100.00 
2006 63.10  32.45  4.21  0.24  100.00 
2007 60.88  34.63  3.24  1.25  100.00 
2008 60.73  35.84  3.25  0.18  100.00 	
   
 	
Chart 2.1.5 	
                                          	
percentage of live births by method of delivery-200 2-2008	
0
10
20
30
40
50
60
70
80
2002 2003 2004 2005 2006 2007 2008 ye a r	
percentage	
Normal
Caesarean
Forceps/vacuum	
 
      
                                                                                                          	
Live births by age of mother  
  
Distribution  of  live  births  by  age  of  mother  from  1 970  to  2008  is 
furnished in table 6 of Appendix. The table 2.1.4 b elow presents the percentage 
distribution of the above. The data reveals that th e highest number of live births 
occurred were from the mothers belonging to the age  group 20-24, followed by 
the  age  group  25-29and  there  after  it  declined  grad ually  with  age.  Analysis

8	 	
reveals that percentage of live births declined from 8.85 in 1970 to 5.82 in 2008 
in  the  case  of  mothers  in  the  age  group  15-19.  It  i ndicates  that  proportion  of 
girls getting married before 18 years of age is not  negligible. Percentage of live 
birth has decreased from 3.41 in 1970 to 0.31 in 20 08 in the case of mothers in 
the age group 40&above.  	
Table 2.1.4 	
Percentage distributions of live births by age of m other – Kerala 
 
Age of mother (years) 	
Year  Below  
15 15-19  20-24  25-29  30-34  35-39  40 
and  
above	
 	
Not  
stated	
 	Total 	
1970 
0.01	 	8.85	 	32.41	 	26.24	 	16.73	 	12.01	 	3.41	 	0.33	 	100 	
1977 0.01	 	10.11	 	39.21	 	27.63	 	11.88	 	8.27	 	2.74	 	0.15	 	100 	
1982 0.00	 	10.58	 	41.97	 	29.87	 	10.93	 	5.22	 	1.22	 	0.21	 	100 	
1985 0.00	 	13.02	 	42.53	 	29.09	 	10.01	 	4.23	 	0.81	 	0.31	 	100 	
1990 0.00	 	10.49	 	44.81	 	31.29	 	9.61	 	3.27	 	0.51	 	0.01	 	100 	
1995 0.00	 	9.07	 	45.44	 	32.93	 	8.98	 	2.09	 	0.24	 	0.00	 	100 	
2000 0.00	 	6.65	 	38.71	 	39.12	 	11.82	 	3.32	 	0.38	 	0.00	 	100 	
2005 0.00	 	6.68	 	40.82	 	36.08	 	13.25	 	2.95	 	0.19	 	0.02	 	100 	
2008 0.00	 	5.82	 	38.92	 	36.57	 	13.85	 	3.35	 	0.31	 	1.18	 	100 	
 	
  
 Live births by birth order 
  
Table  7  of  Appendix  gives  the  number  of  registered  live  births  by  birth 
order  for  the  year  from  1970  to  2008.  Percentage  di stribution  of  live  births  by 
birth order is presented in the table 2.1.5. On ana lysis it can be seen that among 
the  registered  live  births  major  portion  is  of  first  order  followe d  by  second 
order and there after it gradually declined for hig her birth orders. It also reveals 
that percentage of higher order births has decrease d over the period 1970-2008. 
This  phenomenon  explains  the  state’s  low  fertility  levels.  When  the  fertility  is 
low,  birth  rates  are  low,  the  no  of  children  born  i s  low  and  consequently  the 
population is old.

9	 	
Table 2.1.5 
Percentage distributions of live birth-by-birth ord er –Kerala 
 
Birth order 	
Birth  
order  1  2  3  4  5  6+  Not 
stated Total 
1970 
24.92	 	19.87	 	16.01	 	12.32	 	9.08	 	17.16	 	0.64	 	100 	
1977 29.65	 	24.81	 	16.78	 	10.30	 	6.69	 	11.17	 	0.60	 	100 	
1982 34.81	 	27.83	 	18.00	 	8.14	 	4.47	 	6.29	 	0.45	 	100 	
1985 40.63	 	28.59	 	16.40	 	6.63	 	3.06	 	4.56	 	0.49	 	100 	
1990 
45.01	 	33.98	 	12.97	 	3.86	 	1.85	 	2.32	 	0.06	 	100 	
1995 47.40	 	36.59	 	10.60	 	3.21	 	1.16	 	1.04	 	0.02	 	100 	
2000 
42.35	 	42.24	 	10.85	 	2.86	 	0.96	 	0.73	 	0.04	 	100 	
2005 52.05	 	35.67	 	9.81	 	2.01	 	0.30	 	0.13	 	0.00	 	100 	
2008 47.75	 	37.40	 	10.17	 	2.36	 	0.63	 	0.42	 	0.01	 	100 	
 	
Live births by duration of pregnancy and birth weig ht 
  A clear association  between duration  of pregnancy  and birth weight can 
be  observed  from  the  table  given  below.  During  2006 ,  12.91%  of  the  babies 
were  born  with  low  birth  weight  (less  than  2.5Kg)  w here  as  in  2008  it  is 
13.08%. Cases of babies born with LBW decreases wit h increase in duration of 
pregnancy.  It  is  quite  evident  from  the  table.  Numb er  of  live  births  registered 
by  duration  of  pregnancy  and  birth  weight  for  the  y ear  from  2002  to  2008  is 
given in the table 8 of Appendix. 
Table 2.1.6 
Percentage distribution of live births by duration  of pregnancy and birth 
weight   Kerala-2006-08 
2006 	
Birth weight (Kg) 	Duration  of  
pregnancy  
(weeks)  <2.5  2.5-3.0  3.0-4.0  4+  Not 
stated  Total 
<32 
67.47	 	15.12	 	13.71	 	3.39	 	0.32	 	100	 	
32-36 44.91	 	39.47	 	14.63	 	0.97	 	0.03	 	100	 	
37-39 14.10	 	40.68	 	43.71	 	1.50	 	0.00	 	100	 	
40 10.26	 	33.93	 	53.91	 	1.90	 	0.00	 	100	 	
41+ 11.35	 	37.07	 	50.06	 	1.53	 	0.00	 	100	 	
Total 12.91	 	37.23	 	47.92	 	1.92	 	0.02	 	100

10	 	
2007 	
Birth weight (Kg) 	Duration  of  
pregnancy 
(weeks) 
<2.5  2.5-3.0  3.0-4.0  4+  Not 
stated  Total 
<32  71.38  12.00  14.00  1.85  0.77  100 
32-36  36.32  32.25  29.83  0.82  0.78  100 
37-39  12.53  39.18  46.72  1.24  0.33  100 
40  9.32  36.23  52.67  1.54  0.24  100 
41+  9.56  34.45  54.32  1.67  0.00  100 
Total 
13.34  37.00  46.75  1.32  1.58  100 
 	
2008 
Birth weight (Kg) 	Duration  of 
pregnancy  
(weeks) 
<2.5  2.5-3.0  3.0-4.0  4+  Not stated	
 	Total 	
<32  76.13  14.42  8.88  0.36  0.2  100 
32-36  34.67  33.57  30.35  0.9  0.51  100 
37-39  11.87  38.54  48.11  1.29  0.19  100 
40  8.6  35.21  54.28  1.7  0.21  100 
41+  7.1  30.29  60.87  1.74  0  100 
Total 13.08  36.89  48.21  1.38  0.45  100 	
  
Live births by age of mother and birth weight    
  Table  9  of  Appendix  presents  the  distribution  of  l ive  births  by  age  of 
mother  and  birth  weight  for  past  seven  years.  Perce ntage  distribution  of  the 
same  for  the  years  2006  to  2008  is  furnished  in  the   table  given  below.  It  is 
observed  that  cases  of  low  birth  weight  babies  are  more  to  mothers  in  the

11	 	
higher  age  group  of  40-44  and  45  and  above  and  also  in  the  lower  age  below 
15. 	
Table 2.1.7 	
Percentage distribution of live births by age of mo ther and birth weight 
Kerala-2006-08	
 	
2006 
Birth weight (Kg) 	Age  of  
mother  
(years)  <2.5  2.5-3  3-4  4+ 
Not 
stated  Total 
<15 
33.33	 	50.00	 	16.67	 	0.00	 	0.00	 	100	 	
15-19 14.22	 	41.72	 	42.90	 	1.15	 	0.01	 	100	 	
20-24 13.17	 	38.68	 	46.58	 	1.56	 	0.00	 	100	 	
25-29 12.40	 	35.78	 	49.74	 	2.08	 	0.00	 	100	 	
30-34 12.62	 	35.07	 	49.94	 	2.38	 	0.00	 	100	 	
35-39 13.91	 	36.28	 	46.92	 	2.90	 	0.01	 	100	 	
40-44 16.05	 	38.22	 	41.67	 	4.06	 	0.00	 	100	 	
45  and  
above 16.00	 	37.33	 	40.67	 	6.00	 	0.00	 	100	 	
 	
2007 
Birth weight (Kg) 	Age  of  
mother 
(years) <2.5  2.5-3  3-4  4+ 
Not 
stated  Total 
<15 
25.00  25.00  50.00  0.00  0.00  100 
15-19 
15.38  41.96  41.67  0.65  0.34  100 
20-24 
13.77  38.80  45.97  1.08  0.38  100 
25-29 
12.54  36.35  49.16  1.45  0.51  100 
30-34 
13.51  35.14  48.87  1.88  0.59  100 
35-39 
16.45  34.91  45.79  1.96  0.89  100 
40-44 
19.95  34.32  40.28  2.31  3.14  100 
45  and  
above 25.00  32.69  32.05  1.28  8.97 
100

12	 	
2008 
Birth weight (Kg) 	Age  of  
mother 
(years) <2.5  2.5-3  3-4  4+ 
Not 
stated  Total 
<15 
14.29  85.71  0.00  0.00  0.00  100.00 
15-19 14.40  41.02  43.67  0.65  0.26  100.00 
20-24 13.27  38.24  46.99  1.12  0.38  100.00 
25-29 12.31  35.77  49.94  1.52  0.46  100.00 
30-34 13.30  34.66  49.71  1.88  0.46  100.00 
35-39 15.48  35.44  46.36  2.01  0.71  100.00 
40-44 19.83  34.25  42.03  2.31  1.58  100.00 
45  and  
above 24.48  34.97  30.77  0.00  9.79  100.00 
  
Live birth-by-birth order and birth weight  
  Table  2.1.8  reveals  that  birth  order  is  not  signif
icantly  associated  with 
the  birth  weight.  In  all  birth  orders  majority  of  b irth  falls  in  the  category  of 
birth  weight  3-4Kg.  Number  of  live  births  registere d  by  birth  order  and  birth 
weight for the period from 2002 to 2008  is furnish ed in table 10 of Appendix. 
Table 2.1.8 
Percentage distribution of Live birth by birth orde r and birth weight 
Kerala-2006-08 
2006 	
Birth weight (Kg) 	Birth  
order  <2.5  2.5-3  3-4  4+  Not 
stated  Total 
1 
13.46	 	39.18	 	45.95	 	1.40	 	0.00	 	100.00	 	
2 12.32	 	35.76	 	49.97	 	1.96	 	0.00	 	100.00	 	
3 12.73	 	35.10	 	49.39	 	2.78	 	0.00	 	100.00	 	
4+ 12.65	 	34.44	 	48.35	 	4.57	 	0.00	 	100.00	 	
All 13.46	 	39.18	 	45.95	 	1.40	 	0.00	 	100.00

13	 	
 	
2007 
Birth weight (Kg) 	Birth  
order 
<2.5  2.5-3  3-4  4+  Not 
stated  Total 
1  14.20  39.05  45.34  1.12  0.29  100 
2  12.42  36.34  49.35  1.47  0.42  100 
3  13.63  35.13  48.73  1.61  0.90  100 
4+  14.73  33.18  47.41  2.03  2.65  100 
All  13.34  37.00  46.75  1.32  1.58  100 	
 	
2008 
Birth weight (Kg) 	Birth  
order 
<2.5  2.5-3  3-4  4+  Not 
stated  Total 
1 
13.78  38.31  46.54  1.16  0.22  100.00 
2 12.05  35.98  49.98  1.52  0.46  100.00 
3 13.34  34.75  49.49  1.67  0.75  100.00 
4+ 13.85  33.27  48.75  2.01  2.12  100.00 
All 13.08  36.89  48.21  1.38  0.45  100.00 	
 
Live births by method of delivery and age of mother  
  The  delivery  characteristics  by  mother’s  age  are  p resented  in  the  tables 
given below. It reveals that percentage of normal d eliveries decreases where as 
that  of  caesarean  cases  increases.  As  we  analyses  m others  age  group  it  can  be 
observed  that  occurrence  of  caesarean  deliveries  ar e  more  in  the  case  of 
mothers  belonging  to  higher  age  group.  This  is  quit e  evident  from  the 
statement. Distribution of live births registered b y age of mother and method of 
delivery for the period from 2002 to 2008 is given  in table 11 of Appendix.

14	 	
Table 2.1.9 
Percentage distribution of live births by method of  delivery and age group                
Kerala-2006-08	
 
 	
2006 
Age of mother (years) 	Method of 
delivery  <15  15-19	
 	20-24	 	25-29	 	30-34	 	35-39	 	40-44	 	45 and 
above  Total 	
Normal  66.67  71.68  66.78	 	60.97  56.67  53.45  53.06  74.00  63.10 	
Caesarean  16.67  20.00  28.25	 	35.21  40.34  43.77  44.58  25.33  32.45 	
Forceps/  
Vacuum  16.67  8.07  4.76  3.63  2.81  2.56  2.06  0.67  4.21 
Not stated  0.00  0.25  0.20  0.18  0.18  0.22  0.30  0.00 
0.24 
Total  100  100  100  100  100  100  100  100  100 	
    	
2007 
Age of mother (years) 	
Method of 
delivery  <15 15-
19  20-
24  25-
29  30-
34  35-
39  40-
44  45 
and 
above	
 	
Total	 	
Normal  50.00	 	70.90	 	65.25	 	59.78	 	54.62	 	50.90	 	52.02	 	62.18  60.88	 	
Caesarean  0.00  21.66	 	30.76	 	37.42	 	43.22	 	46.89	 	46.82	 	35.90  34.63	 	
Forceps/Vacuum 25.00	 	7.24  3.83  2.66  2.02  2.02  0.77  0.00  3.24 	
Not stated 25.00	 	0.20  0.16  0.14  0.14  0.19  0.39  1.92  1.25 	
Total  100  100  100  100  100  100  100  100  100

15	 	
2008 
Age of mother (years) 	
Method of 
delivery  <15  15-19  20-24  25-29  30-34  35-39  40-44  45 
and 
above  Total 	
Normal 
42.86  70.21  64.42  58.78  54.30  50.65  47.14  60.84  60. 74 
Caesarean 
28.56  22.74  31.53  38.49  43.53  47.36  50.97  37.06  35. 86 
Forceps/Vacuum	 	14.29  6.80  3.89  2.60  1.99  1.82  1.71  1.40  3.24 	
Not stated 
14.29  0.25  0.16  0.13  0.18  0.17  0.18  0.70  0.16 
Total 100.00	 	100.00	 	100.00	 	100.00	 	100.00	 	100.00	 	100.00	 	100.00	 	100.00	 	
        
2.2. DEATHS 
 
Death  rates  measure  the  relative  frequency  of  death s  in  a  particular 
population in a specified interval.     
Crude Death Rate (CDR) 
  The Crude Death  Rate  is the  most commonly  used and  widely  available 
index of the level of mortality. CDR is defined as  the total number of deaths in 
a  given  year  and  geographical  region  per  one  thousa nd  mid-year  population  in 
that  year  and  geographical  region.    The  CDR  for  any   period  gives  the  rate  at 
which  the  population  is  depleted  through  deaths  ove r  the  course  of  the  period. 
The  CDR  also  provides  us  a  general  idea  about  the  t rend  in  mortality  in  a 
particular  area  over  short  period  of  time.    Another   important  use  of  this 
simplest  index  of  mortality  is  that  it  provides  one   of  the  bases  for  computing 
the  rate  of  natural  increase  in  population.  On  the  basis  of  CDR,  one  can  guess

16	 	
the level of mortality of an entire population and reach preliminary conclusions 
about  trends  of  mortality  situation  of  a  particular   community  over  a  short 
period  of  time.  CDR  is  excellent  for  observing  year ly  or  seasonal  fluctuations, 
because  such  a  period  is  normally  too  short  to  intr oduce  serious  change  in 
composition in a population    
   Crude Death Rate of the state had declined from 7.5 7 in 1958 to 4.29 in 
1969.  It  can  be  seen  that  during  1958  to  1961,  deat h  rate  shows  a  fluctuating 
trend.  After  that  period  it  shows  a  decreasing  tren d..  The  trend  is  shown  in  the 
chart given below. 
Chart 2.2.1 	
Trend in CDR from 1958 to 1969-Kerala	
0
1
2
3
4
5
6
7
8
9	
1958 
1959 
1960
1961
1962 
1963 
1964
1965
1966 
1967 
1968
1969	
Ye a r	
CDR	
 
  Analysis of death rate revels that after the year  1970, CDR shows 
an  increasing  trend  as  compared  to  the  decline  in  t he  previous  period.  It  is 
evident  from  the  chart  2.2.2.Several  factors  have  p layed  their  role  in  this 
reversal. They are :  1. Increase in the number of registered deaths 
2.  Increase in the number of deaths occurred in the ho spital 
3.  Change in the age structure of population

17	 	
Chart 2.2.2 	
CDR of Kerala from1970 to 2008	
0
1
2
3
4
5
6
7
8	
1970 
1975
1980
1985
1990
1995
2000
2005
2008	
Year	
Death rates	
 
District  wise  comparison  of  death  rates  for  the  yea r  1985  &  2008  is 
given in the chart.  
Chart 2.2.3 	
District wise comparison of death rates 1985 & 2007	
0
1
2
3
4
5
6
7
8
9	
TVM
KLM PTAALP
KTM IDK
EKM TSR
PKD
MLPM KKD
WYD KNR
KSGD	
Districts	
Death rates	
1985
2008	
 
Deaths by type of medical attention at death  
   Table  2.2.1  shows  the  result  of  medical  attention ,  the  deceased  had 
received  at  the  time  of  death.  It  is  evident  from  t he  statement  that  majority  of 
the  deaths  have  occurred  in  institutions.  Another  f eature  observed  is  that  in 
spite  of  having  enough  medical  facilities  across  th e  state  about  20%  of  the 
death has not received any medical attention.

18	 	
Table 2.2.1 
Percentage Distribution of deaths by type of medica l attention at death 
Kerala-2006-08 
Year  Rural/Urban	
 Institutional	 	Non-
institutional	
 	
No 
medical 
attention	
 	
Not 
stated	
 Total	 	
Rural  46.33  21.94  23.75  7.98  100 
Urban  79.15  9.29  11.40  0.16  100 	2006	 
Total  57.07  17.80  19.71  5.42  100 
Rural  49.57  22.32  22.93  5.18  100 
Urban 
79.88  8.03  11.42  0.67  100 	2007	 
Total 
59.05  17.85  19.33  3.77  100 
Rural  48.55  22.48  25.38  3.59  100 
Urban  79.65  8.86  11.3  0.19  100 	2008	 
Total  58.55  18.1  20.85  2.5  100 	
                                                   
 
Deaths by age and sex  
      Analysis  further  looked  at  the  age  pattern  of   mortality  in  the  state  by  sex. 
The results have been shown in the table 2.2.2. It  can be seen that percentage of 
male deaths is higher than that of females in all t he age groups. The differential 
in  the  mortality  of  males  and  females  is  one  of  the   factors  determining  the  sex 
structure  of  a  population.  Biologically  females  are   stronger  and  hence 
experience  low  level  of  mortality  in  comparison  to  males  in  the  same  age 
group.  	
Table 2.2.2 	
Percentage Distribution of deaths by age   Kerala-1 970-2008 
 
1970  1980  1990  2000  2008 	
Age 
group/ 
Year  M  F  M  F  M  F  M  F  M  F 
<1  55.42	 	44.58	 	56.30	 	43.70	 	55.34	 	44.66	 	59.65	 	40.35	 	57.07	 	42.29

19	 	
1-4  48.39	 	51.61	 	52.81	 	47.19	 	47.43	 	52.57	 	61.48	 	38.52	 	54.56	 	43.03	 	
5-14  50.83	 	49.17	 	50.67	 	49.33	 	52.22	 	47.78	 	58.59	 	41.41	 	59.43	 	39.53	 	
15-24  51.25	 	48.75	 	53.45	 	46.55	 	54.90	 	45.10	 	59.77	 	40.23	 	61.35	 	37.91	 	
25-44  55.33	 	44.67	 	61.37	 	38.63	 	67.62	 	32.38	 	68.89	 	31.11	 	67.94	 	31.58	 	
45-64  65.00	 	35.00	 	70.32	 	29.68	 	70.00	 	30.00	 	71.00	 	29.00	 	70.03	 	29.48	 	
65+  52.66	 	67.44	 	50.21	 	49.79	 	51.98	 	48.02	 	54.38	 	45.62	 	51.60	 	47.80	 	
Total  54.35	 	45.65	 	54.82	 	45.18	 	57.67	 	42.33	 	57.76	 	42.24	 	51.25	 	38.13	 	
  
The  table  given      below  reveals  that  the  percentage  of  death  was  lowest 
for  both  sexes  in  age  group  1-4  years.    Percentage  of  child  death  (in  the  age 
group 0-4  years) has shown a significant decline fr om 18.61 in 1970 to 2.28 in 
2008. This may be due to the improved medical care  available across the state. 
The highest percentage was seen in the age group 65  and above.  
Table 2.2.3 
Percentage distribution of deaths by age and sex Ke rala-1970-2008 
 
Age group/ 
Year  1970  1980  1990  2000  2008 	
<1  7.37  6.76  4.43  2.36  1.83 
1-4yrs  11.24  4.83  1.09  0.66  0.45 
5-14yrs  5.62  4.38  1.45  0.70  0.65 
15-24  4.09  5.07  3.09  1.78  1.65 
25-44  12.46  10.69  9.20  7.87  7.27 
45-64  19.96  23.64  22.56  24.36  24.71 
65+  39.26  44.64  57.61  62.28  62.80 
Total  100.00  100.00  100.00  100.00  100.00 	
   
The data have been further analyzed by occupation a
nd age group of the 
deceased. No particular pattern has been observed e xcept in the category “non-

20	 	
workers”.  The  percentage  distribution  of  deaths  is the  highest  in  the  case  of 
non-workers for all age groups. 
 
Cause of deaths by age and sex  One of the main objectives of death registration is  to know the causes of 
death. Heart attack, Asthma, Cancer, and old age ar e the main cause of deaths  	
Table 2.2.4 	
Percentage distribution of death by cause of death  Kerala-2000-2008 	
 
Cause of death/Year  2000  2001  2002  2003  2004  2005  2 006  2007  2008 	
Cancer 	7.36	 	7.57	 	6.09	 	6.11	 	7.15	 	6.61	 	6.82	 	6.98	 	7.49	 	
Diabetes 	2.33	 	2.66	 	2.05	 	3.10	 	3.00	 	2.82	 	2.57	 	2.63	 	2.50	 	
Heart attack 	22.80	 	27.58	 	18.13	 	20.88	 	24.40	 	21.80	 	26.25	 	26.98	 	27.03	 	
Asthma 	9.38	 	8.77	 	7.80	 	11.72	 	12.18	 	11.69	 	12.73	 	11.98	 	12.17	 	
Liver Disease 	0.56	 	0.50	 	0.26	 	0.82	 	1.15	 	0.92	 	1.39	 	1.75	 	1.70	 	
Paralysis 	2.17	 	4.28	 	2.54	 	3.58	 	4.66	 	4.28	 	3.91	 	3.15	 	3.45	 	
Accident(Trafic/Vehicle)	 	0.88	 	1.11	 	0.72	 	0.64	 	1.12	 	1.06	 	1.18	 	1.30	 	1.47	 	
Suicide 	2.05	 	2.30	 	1.88	 	2.11	 	2.42	 	2.49	 	2.51	 	2.33	 	2.38	 	
Blood Pressure 	0.18	 	2.13	 	1.55	 	2.85	 	3.26	 	3.12	 	2.72	 	2.90	 	2.70	 	
Kidney Trouble 	0.03	 	0.94	 	0.73	 	1.07	 	1.26	 	1.23	 	1.38	 	1.66	 	1.76	 	
Old age 	3.26	 	10.78	 	8.09	 	16.01	 	10.42	 	12.43	 	8.04	 	12.45	 	10.80	 	
Pulmunary T.B   1.39	 	1.62	 	0.60	 	0.68	 	0.96	 	0.88	 	0.57	 	0.65	 	0.62	 	
Cholera/Dysentry 	0.00	 	0.00	 	0.00	 	0.00	 	0.00	 	0.00	 	0.00	 	0.00	 	0.10	 	
 
Table 2.2.5 	
Percentage distribution of death by cause of death  and sex Kerala 
  
  Analyzing cause of death by death it can be seen t hat in all cases 
percentage of male death is higher than that of fem ales. 
2000  2005  2008 	
Cause of death/Year  M  F  M  F  M  F 
Cancer 	64.22	 	35.78	 	60.98	 	36.89	 	60.78	 	38.61

21	 	
Diabetes 	58.25	 	41.75	 	49.74	 	48.31	 	47.11	 	52.45	 	
Heart attack 	65.38	 	34.62	 	63.69	 	34.49	 	62.71	 	36.66	 	
Asthma 	58.56	 	41.44	 	53.05	 	44.67	 	54.26	 	44.97	 	
Liver Disease 	71.03	 	28.97	 	72.38	 	26.61	 	72.21	 	27.52	 	
Paralysis 	54.66	 	45.34	 	44.68	 	52.65	 	46.33	 	52.91	 	
Accident(Trafic/Vehicle) 	81.52	 	18.48	 	81.09	 	16.88	 	82.83	 	16.65	 	
Suicide 	72.74	 	27.26	 	73.98	 	23.86	 	73.98	 	25.02	 	
Blood Pressure 	57.75	 	42.25	 	47.02	 	51.28	 	43.30	 	55.99	 	
Kidney Trouble 	59.02	 	40.98	 	62.96	 	34.74	 	63.19	 	36.22	 	
Old age 	52.17	 	47.83	 	47.00	 	51.58	 	42.41	 	56.80	 	
Pulmunary T.B  	74.30	 	25.70	 	73.20	 	24.86	 	75.76	 	23.23	 	
 
  
2.3. INFANT DEATHS 	
Infant mortality rate (IMR)   
IMR  is  the  number  of  infants  dying  under  one  year  o f  age  in  a  given 
year  in  a  given  geographical  region  per  one  thousan d  live  births  in  the  same 
year  and  geographical  region.  Infant  mortality  rate   is  considered  as  the  most 
sensitive  indicator  of  general  health  and  medical  f acilities  available  in  a 
population. Improvement in mortality conditions wou ld spontaneously result in 
the  lower  infant  mortality  rates.  In  many  studies,  IMR  has  been  assumed  as  a 
cause  for  high  fertility  levels.  It  is  evident  from   the  chart  that  IMR  has 
decreased from 16.83 in 1970 to 7.58 in 2008.

22	 	
Chart 2.3.1 	
Trend in IMR from 1970 to 2008	
16.8319.59
15.45 13.23
11.48 10.15
7.17.35
7.58
0
5
10
15
20
25
1970 1975 1980 1985 1990 1995 2000 2005 2008 Year	
IMR	
 	
Percentage  of  infant  death  to  total  death  for  the  y ear  1970  to  2008  is 
given in the statement. The statement reveals that  percentage of infant death to 
total death was 5.29 in 1970 and this declined to 1 .83 in 2008. 
Table 2.3.1 
Percentage of infant death to total death-Kerala 
Year//Deaths	
 	1970	 	1980	 	1990	 	2000	 	2008	 	
Infant death  5141	 	8227	 	6534	 	4216	 	4060	 	
Total death 97130	 	176076	 	147551	 	178795	 	221769	 	
Percentage  5.29	 	4.67	 	4.43	 	2.36	 	1.83	 	
 	
Infant Deaths by age   
Percentage  distribution  of  infant  death  by  age  is  p resented  in  the  table 
2.3.2.  The  data  reveals  that  major  portion  of  infan t  deaths  have  been  occurred 
to  the  infants  aged  below  I  week.  Further  analysis  reveals  that  in  Kerala 
majority of infant death occurred either during the  first week or the first month 
after birth.

23	 	
Table 2.3.2 	
Percentage distribution of infant death by age Kerala-1970-2008 
 	
Year/Age  
group  1970	 	1975	 	1980	 	1985	 	1990	 	1995	 	2000	 	2005	 	2008	 	
<1W  37.81	 	33.53	 	48.89	 	54.17	 	65.00	 	65.71	 	69.92	 	46.57	 	67.76	 	
1W-1M  16.01	 	17.54	 	16.99	 	14.54	 	17.51	 	18.89	 	11.34	 	22.58	 	15.27	 	
1-6M  21.42	 	31.06	 	22.50	 	18.49	 	10.15	 	10.33	 	12.74	 	15.88	 	12.59	 	
6m-1Y  24.76	 	17.87	 	11.62	 	12.81	 	7.35	 	5.07	 	6.00	 	14.97	 	4.38	 	
 
2.4. MATERNAL DEATH     	
Maternal Mortality Ratio (MMR):  Number of maternal deaths (that is 
deaths of women while pregnant or within 42 days of  termination of pregnancy 
from  any  cause  related  to  pregnancy  and/or  childbir th  or  aggravated  by 
pregnancy and/or childbirth) per 1000 live births i n a given year.  
  MMR of the state for the period from 1970 to 2008  is given below. It is 
evident from the table that MMR shows a fluctuating  trend over the period.  
Table 2.4.1 
Trend in MMR 1970-2008 	
    	            	
Year  MMR 
1970  0.75 
1975  0.33 
1980  0.11 
1985  0.02 
1990  0.08 
1995  0.07 
2000  0.02 
2005  0.64 
2008  0.21

24	 	
    
2.5.   STILL BIRTH   	
Still  birth  is  the  death  of  fetus  after  completing 28  weeks  and  till  the 
time  of  birth.  Stillbirth  rate  is  the  number  of  Sti ll  birth  in  a  given  year  in  a 
given  geographical  region  per  one  thousand  live  bir ths  and  stillbirths  in  the 
same year and geographical region.   
  Number  of  still  births  registered  and  their  rates  for  the  state  and  district 
are  given  in  table  23  and  24  of  Appendix.  Still  bir th  rate  for  the  period  from 
1970 to 2008 shows  a  decreasing  trend.  It  is  eviden t  from  the  chart  given 
below.  
Chart 2.5.1 	
Trend in SBR 1970-2008	
3.71
9.24
9.24
6.61 6.18
5.72 6.43
6.27
0
2
4
6
8
10
1970 1980 1985 1990 1995 2000 2005 2008 Year	SBR	
 
 	
Still birth by sex  
Statement  given  below  provides  the  percentage  distr ibution  of  registered 
stillbirths by  sex. It can be noticed from the tabl e 2.5.1 that proportion of male 
stillbirths is grater than that of female.   
Table 2.5.1 
Percentage distribution of registered still births  by sex 
 Kerala-2002-2008 
Sex  2002	
 	2003	 	2004	 	2005	 	2006	 	2007	 	2008	 	
Male 	53.37	 	53.35	 	54.54	 	54.35	 	54.38	 	53.56	 	53.61	 	
Female 	44.36	 	44.34	 	44.48	 	44.32	 	44.37	 	45.24	 	45.44	 	
Not  
reported 	2.27	 	2.31	 	0.98	 	1.33	 	1.25	 	1.21	 	0.95	 	
Total 	100.00	 	100.00	 	100.00	 	100.00	 	100	 	100	 	100

25	 	
 	
 
Still births by age of mother  
Table  given  below  shows  the  percentage  distribution  of  still  births  by 
age  of  mother  at  birth.  It  is  evident  from  the  stat ement  that  the  percentage  of 
still  birth  is  more  in  the  case  of  mothers  belongin g  to  the  age  group  20-24 
followed  by  25-29.  Another  important  observation  de rived  from  the  statement 
is  that  the  incidence  of  still  birth  for  mothers  in   the  age  group  45+  is  less  than 
1%  except  in  the  year  2004.  This  may  be  due  to  the  best  medical  care  availed 
by these mothers during their pregnancy. 	
Table 2.5.2 	
Percentage distribution of still births Kerala-2006 -2008 
 
Age of  
mother  2004  2005  2006  2007  2008 	
Below 15 	0.00	 	0.00	 	0.03  0.06 
0 	
15-19 	3.06	 	5.78	 	6.53  5.97 5.27 	
20-24 	41.50	 	35.36	 	34.91  32.94  30.59 	
25-29 	28.34	 	33.04	 	33.46  33.91 33.30 	
30-34 	13.23	 	15.22	 	15.41  15.10 16.40 	
35-39 	4.99	 	5.30	 	5.44  5.76 5.17 	
40-44 	0.79	 	0.91	 	0.55  0.57 0.30 	
45+ 	1.02	 	0.06	 	0.13  0.03 0.00 	
Age not  
stated 	7.07	 	4.34	 	3.54  5.67 8.98 	
Total 	100.00	 	100.00	 	100  100 100 	
 	
 	
3.3
 Still births by duration of pregnancy 
Percentage distribution of still births by duration  of pregnancy for 
the  past  three  years  is  given  in  the  table  2.5.3.  F or  major  portion  of still 
births, duration of pregnancy is less than 32 weeks .

26	 	
Table 2.5.3 
Percentage distribution of still births by duration  of 
pregnancy Kerala –2006-2008 
Duration  of  
pregnancy  2004  2005  2006  2007  2008 	
<32 
30.61  32.45  33.62  34.72  38.82 
32-36 
27.51  33.35  23.46  23.60  23.77 
37-39 
16.48  21.39  29.92  26.76  25.53 
40 
6.92  6.94  5.98  6.78  4.96 
41+ 
18.48  1.08  5.86  6.57  5.82 
Not reported 
0.00  4.79  1.16  1.57  1.10 
Total 
100.00  100.00  100  100.00  100 	
   
2.6 Limitations of CRS 
 	
Under  CRS  the  vital  events  get  registered  at  the  pl ace  of  occurrence  of 
the  events  as  mandated  in  the  RBD  Act  and  vital  rat es  are  generated  on  the 
basis  of  the  “place  of  occurrence”.  Hence  vital  rat es  for  urban  areas  are 
abnormally  high  as  events  mostly  take  place  in  urba n  areas  due  to  the 
availability of modern medical facilities there. It  is evident from the table given 
below.  	
Table 2.6.1 
 
VITAL RATES OF KERALA, 1997-2006 	
   Crude Birth Rate  Crude Death Rate  Infant Mortalit y rate 	Year 
   CRS   SRS   CRS  SRS   CRS  SRS 	
Rural  9.73  17.9 4.17 
6.3 4.97 
11 
Urban  77.55  17.9 11.95 
6.1 12.23 
15 	1997 
Total  19.19  17.9 5.25 
6.2 9.07 
12 	
Rural  9.39  18.3 4.66 
6.5 4.86 
15 
Urban  74.40  18.2 12.75 
6.2 12.24 
17 	1998 
Total  18.43  18.3 5.79 
6.4 9.00 
16

27	 	
 	
Rural  8.95 
18.1 4.54 
6.5 4.41 
14 
Urban  76.56  17.7 13.10 
6.3 11.08 
16 	1999 
Total  18.32  18 5.73 
6.4 8.27 
14 	
Rural  8.51  18 4.32 
6.5 7.34 
14 
Urban  77.28  17.5 12.27 
6.2 6.94 
14 	2000 
Total  18.01  17.9 5.42 
6.4 7.10 
14 	
Rural  8.63  17.4 4.58 
6.8 5.53 
12 
Urban  66.88  16.7 11.45 
6.2 5.37 
9 	2001 
Total  18.13  17.3 5.7 
6.6 5.43 
11 	
Rural  8.29  17 4.57 
6.4 2.74 
11 
Urban  68.26  16.4 11.67 
6.2 7.29 
8 	2002 
Total  18.05  16.9 5.73 
6.4 5.54 
10 	
Rural  8.01  16.9 4.71 
6.4 1.05 
12 
Urban  64.32  16 12.46 
6.1 6.56 
10 	2003 
Total  17.16  16.7 5.97 
6.3 4.40 
11 	
Rural  8.04  15.4 4.95 
6 2.59 
13 
Urban  64.21  14.6 11.81 
6.4 5.31 
9 	2004 
Total  17.15  15.2 6.06 
6.1 4.25 
12 	
Rural  8.07  15.1 5.15 
6.3 1.46 
15 
Urban  65.04  14.8 12.42 
6.5 11.11 
12 	2005 
Total  17.34  15 6.33 
6.4 7.35 
14 	
Rural  7.68  15 5.26 
6.8 4.58 
16 
Urban  62.98  14.6 13.24 
6.5 10.33 
12 	2006 
Total  16.63  14.9 6.55 
6.7 8.10 
15 	
Rural  8.39  14.8 6.55 
6.9 6.17 
14 
Urban  38.54  14.5 8.59 
6.4 9.92 
10 	2007 
Total  16.16  14.7 7.08 
6.8 8.48 
13 	
Rural  8.21  14.6 5.95 
6.7 4.80 
12 
Urban  37.45  14.6 8.13 
6.4 9.33 
10 	2008 
Total  15.74  14.6 6.52 
6.6 7.58 
12

28	 	
 	To  reduce  the  abnormality  of  vital  rates  in  rural  and  urban  areas,  place 
of  actual  occurrence  concept  of  CRS  may  be  changed  to  the  place  of  usual 
residence  concept  of  SRS.  The  details  of  place  of  u sual  residence  of  the 
mother/deceased,  with  local  body  should  be  furnishe d  properly  in  the  CRS 
reporting forms of birth and death. This will  permi t grouping of vital events in 
rural/urban areas and in the district to which even t normally relates. 
 
 	
2.7. Conclusion 
 
  It  is  worthwhile  to  mention  that  CRS  is  the  only  so urce,  which  can 
provide  vital  rates  at  below  state  level.  Even  thou gh  cent  percentage 
registration  has  attained  in  the  case  of  births,  un der  registration  of  deaths  still 
exist.  Level  of  registration  of  maternal  deaths  and   infant  deaths  are  not 
satisfactory.  There  is  also  a  need  to  correctly  ide ntify  the  maternal  deaths  for 
estimating  the  vital  indicator  MMR.  Full  coverage  o f  maternal  deaths  and 
infant deaths by registration  machinery only can he lp to calculate rates such as 
IMR,  MMR  etc,  which  are  essential  for  health  planni ng.  Hence  more 
concentration  should  be  given  to  the  proper  impleme ntation  and  monitoring  of 
Civil Registration System.

1	 	
   	
Table 1 
Number of registered live births and crude birth ra te – Kerala 	
 	
Year  Number  Rate 
1958  -  24.58 
1959  -  26.23 
1960  -  23.92 
1961  -  25.00 
1962  395620  22.73 
1963  398244  22.38 
1964  424244  23.32 
1965  415109  22.32 
1966  428207  22.52 
1967  402151  20.69 
1968  415132  20.89 
1969  378716  18.64 
1970  305435  14.70 
1971  398159  18.54 
1972  468076  21.15 
1973  466445  20.66 
1974  471424  20.41 
1975  530425  22.42 
1976  529522  21.78 
1977  494888  19.93 
1978  498357  21.04 
1979  527839  21.88 
1980  532422  21.64 
1981  -  21.64 
1982  560859  21.48 
1983  546192  20.57 
1984  548998  20.32 
1985  587966  21.38 
1986  567210  20.26

2	 	
1987  570283  20.01 
1988  574312  19.80 
1989  564066  19.82 
1990  568981  19.73 
1991  557697  19.08 
1992  523455  17.67 
1993  530470  17.67 
1994  533209  17.52 
1995  557787  18.09 
1996  586253  18.76 
1997  607727  19.19 
1998  591508  18.43 
1999  596948  18.32 
2000  593724  18.01 
2001  579063  18.13 
2002  581925  18.05 
2003  558369  17.16 
2004  563153  17.15 
2005  559082  17.34 
2006  556326  16.63 
2007  545154  16.18 
2008  535738  15.74

3
 	
Table 2 
District wise birth rates –1970-2008   
Sl.No.	
 
District/Year  1970  1971  1972  1973  1974  1975  1976  19 77  1978  1979  1980 	
1 Thiruvananthapuram
 
16.73
 
22.28
 
19.8
 
21.52
 
18.31
 
20.98
 
19.46
 
17.52
 
18.7
 
19.9
 
20.55
 	
2 Kollam 
16.93
 
16.24
 
23.15
 
20.96
 
20.53
 
21.15
 
20.66
 
19.41
 
19.4
 
19.68
 
20.01
 	
3 Pathanamthitta 
                     	
4 Alappuzha 
16.26
 
21.33
 
20.63
 
18.79
 
18.78
 
19.66
 
19.3
 
18.1
 
17.45
 
16.68
 
15.84
 	
5 
Kottayam 
16.88
 
17.97
 
24.19
 
22.69
 
22.61
 
22.51
 
21.89
 
19.19
 
19.62
 
20.52
 
20.15
 	
6 Idukki 
    21.45
 
21.41
 
20.54
 
21.63
 
19.64
 
17.46
 
14.21
 
15.11
 
16.66
 	
7 Ernakulam 
21.95
 
20.6
 
20.44
 
20.18
 
19.41
 
20.57
 
20.72
 
18.84
 
18.86
 
19.73
 
19.72
 	
8 
Thrisuur 
10.53
 
14.87
 
16.11
 
16.64
 
17.2
 
18.86
 
18.54
 
17.6
 
18.89
 
20.39
 
20.1
 	
9 Palakkad 
8.68
 
15.85
 
18.42
 
18.95
 
19.92
 
23.31
 
23.21
 
19.31
 
20.58
 
22.36
 
21.74
 	
10 Malappuram 
  12.77
 
20.26
 
20.55
 
22.4
 
27.03
 
25.55
 
23.94
 
25.7
 
26.63
 
25.64
 	
11 Kozhikkode 
15.97
 
20.09
 
24.56
 
22.84
 
23.38
 
25.6
 
24.33
 
22.09
 
28.29
 
28.65
 
28.63
 	
12 
Wayanad 
                     	
13 Kannur 
7 
21.71
 
23.52
 
22.95
 
22.03
 
25.31
 
25.31
 
23.73
 
25.74
 
27.19
 
25.78
 	
14 Kasaragode

4
 	
Table 2 continued… 
Sl.No.	
 
District/Year 
1981
 
1982
 
1983
 
1984
 
1985
 
1986
 
1987
 
1988
 
1989
 
1990
 	
1  Thiruvananthapuram
 
19.36
 
19.97
 
19.07
 
19.15
 
20.81
 
19.69
 
19.57
 
18.98
 
19.29
 
17.9
 	
2 Kollam 
19.72
 
19.21
 
17.71
 
17.9
 
18.09
 
17.13
 
17.19
 
16.87
 
16.85
 
16.98
 	
3 
Pathanamthitta 
    14.75
 
18.76
 
19.76
 
19.59
 
18.72
 
18.42
 
17.84
 
18.71
 	
4 
Alappuzha 
18.28
 
17.4
 
15.88
 
15.53
 
15.25
 
14.49
 
14.43
 
13.97
 
14.83
 
14.7
 	
5 Kottayam 
19.87
 
19.05
 
18.38
 
18.39
 
18.5
 
16.7
 
16.66
 
17.3
 
17.89
 
17.06
 	
6 
Idukki 
17.42
 
15.82
 
15.74
 
16.66
 
16.71
 
15.65
 
15.95
 
16.04
 
16.63
 
16.12
 	
7 Ernakulam 
19.81
 
19.44
 
19
 
18.83
 
18.68
 
17.82
 
17.97
 
17.32
 
18.14
 
17.15
 	
8 
Thrisuur 
20.82
 
21.41
 
20.29
 
20.24
 
22.81
 
21.24
 
20.95
 
19.41
 
20.44
 
19.97
 	
9 Palakkad 
22.68
 
22.78
 
23.99
 
19.78
 
23.42
 
22.12
 
19.51
 
21.1
 
20.9
 
21.17
 	
10 Malappuram 
29.57
 
28.84
 
30
 
28.55
 
31.08
 
30.46
 
28.99
 
29.45
 
26.48
 
27.96
 	
11 
Kozhikkode 
23.69
 
24.76
 
22.4
 
23.67
 
23.38
 
22.58
 
22.45
 
21.64
 
22.27
 
22.12
 	
12 Wayanad 
20.97
 
19.96
 
20.37
 
20.91
 
21.29
 
20.97
 
21.23
 
21.2
 
20.32
 
20.45
 	
13 Kannur 
24.28
 
24.15
 
22.2
 
21.53
 
21.62
 
18.82
 
21.03
 
21.31
 
19.98
 
20.72
 	
14 
Kasaragode 
        24.22
 
23.78
 
23.43
 
22.46
 
21.38
 
20.91

5
 	
Table 2 continued… 
 
 
Sl.No.	
 
District/Year 
1991
 
1992
 
1993
 
1994
 
1995
 
1996
 
1997
 
1998
 
1999
 
2000
 	
1  Thiruvananthapuram
 
18.03
 
17.2
 
16.92
 
16.72
 
17.51
 
17.81
 
18.56
 
17.99
 
17.84
 
16.39
 	
2 Kollam 
16.52
 
15.76
 
15.39
 
15.29
 
16.06
 
16.33
 
16.56
 
16.53
 
16.25
 
15.19
 	
3 
Pathanamthitta 
17.77
 
16.72
 
15.06
 
15.64
 
15.12
 
15.97
 
15.08
 
14.33
 
14.72
 
14.32
 	
4 Alappuzha 
14.12
 
13.13
 
13.16
 
12.71
 
13.24
 
13.42
 
14.04
 
13.99
 
13.77
 
12.98
 	
5 Kottayam 
17.26
 
16.22
 
15.93
 
16.38
 
16.65
 
17.58
 
17.71
 
17.75
 
16.69
 
17.2
 	
6 Idukki 
15.07
 
13.92
 
13.26
 
13.46
 
15.21
 
16.99
 
16.24
 
16.2
 
16.63
 
16.37
 	
7 
Ernakulam 
17.48
 
16.71
 
16.45
 
16.21
 
17.13
 
17.97
 
18.69
 
17.59
 
17.16
 
16.24
 	
8 Thrisuur 
19.35
 
17.71
 
18.28
 
17.9
 
18.98
 
18.2
 
20.19
 
18.71
 
18.17
 
17.05
 	
9 Palakkad 
19.94
 
18.6
 
18.11
 
18.12
 
19.35
 
19.33
 
19.19
 
18.96
 
18.03
 
17.01
 	
10 Malappuram 
26.02
 
22.94
 
23.92
 
23.66
 
24.63
 
25.69
 
26.35
 
25.84
 
25.55
 
26.07
 	
11 
Kozhikkode 
21.1
 
19.76
 
20.27
 
19.75
 
19.59
 
22.68
 
21.37
 
19.35
 
20.37
 
20.88
 	
12 Wayanad 
18.78
 
17.97
 
16.99
 
17.43
 
18.15
 
20.23
 
21
 
20.18
 
21.32
 
20.78
 	
13 Kannur 
19.95
 
17.72
 
17.87
 
18.23
 
17.13
 
16.99
 
17.85
 
16.75
 
17.21
 
18.93
 	
14 Kasaragode 
20.54
 
18.84
 
19.86
 
18.41
 
18.75
 
19.16
 
20.88
 
19.11
 
20.09
 
20.63

6
 	
Table 2 continued… 
 
 	
                     	Sl.No.  District/Year 
2001
 
2002
 
2003
 
2004
 
2005
 
2006
 
2007
 
2008
 	
1 
Thiruvananthapuram 
17.16
 
18.25
 
15.75
 
15.43
 
16.01
 
15.43
 
14.71
 
14.43
 	
2 
Kollam 
16.58
 
17.02
 
15.41
 
15.23
 
14.55
 
14.27
 
13.75
 
13.53
 	
3 Pathanamthitta 
15.49
 
16.13
 
15.16
 
15.1
 
15.26
 
14.78
 
14.71
 
13.27
 	
4 
Alappuzha 
14.38
 
13.73
 
13.16
 
12.75
 
12.36
 
11.96
 
11.13
 
10.59
 	
5 Kottayam 
17.77
 
17.79
 
15.79
 
17.63
 
16.98
 
16.14
 
15.56
 
14.22
 	
6 
Idukki 
16.93
 
15.43
 
15.96
 
15.95
 
15.15
 
13.9
 
14.08
 
13.66
 	
7 Ernakulam 
17.04
 
18.22
 
15.92
 
15.61
 
15.38
 
15.37
 
14.87
 
14.6
 	
8 
Thrisuur 
18.51
 
16.09
 
17.75
 
17.74
 
18.93
 
17.46
 
16.91
 
16.67
 	
9 Palakkad 
16.74
 
15.16
 
16.08
 
15.28
 
15.76
 
15.05
 
14.96
 
14.06
 	
10 Malappuram 
24.28
 
23.46
 
22.13
 
21.99
 
22.54
 
21.79
 
20.7
 
20.75
 	
11 Kozhikkode 
19.08
 
21.58
 
19.62
 
19.63
 
20.24
 
18.81
 
18.39
 
18.08
 	
12 Wayanad 
19.65
 
18.42
 
18.69
 
18.63
 
18.69
 
17.63
 
17.97
 
16.67
 	
13 Kannur 
17.55
 
19.37
 
18.12
 
18.67
 
19.31
 
18.71
 
18.81
 
18.71
 	
14 Kasaragode 
19.29
 
15.12
 
17.2
 
17.79
 
17.49
 
16.71
 
16.23
 
15.85

7	 	
 	
Table 3 
Sex ratio at birth- Kerala-1963-2008 	
 	
Year  Male  Female  Sex ratio at 
birth 
1963  205790  192454  107 
1964  219645  204599  107 
1965  214564  200545  107 
1966  220883  207324  107 
1967  207736  194415  107 
1968  213635  201497  106 
1969  195725  182891  107 
1970  158075  147360  107 
1971  205259  192900  106 
1972  241839  226237  107 
1973  240439  226006  106 
1974  243449  227975  107 
1975  271841  258584  105 
1976  272000  257522  106 
1977  254908  239980  106 
1978  252177  246180  102 
1979  269770  258069  105 
1980  272926  259496  105 
1981  -  -  - 
1982  288882  271977  106 
1983  280437  265395  106 
1984  282338  266660  106 
1985  301506  286460  105 
1986  291820  275390  106 
1987  290972  279311  104 
1988  293294  281018  104 
1989  286685  277381  103

8	 	
1990  298328  270653  110 
1991  284581  273116  104 
1992  268309  255146  105 
1993  270469  260001  104 
1994  273845  259364  106 
1995  286480  271307  106 
1996  300057  286196  105 
1997  305946  301781  101 
1998  298760  292748  102 
1999  301319  295629  102 
2000  297111  296613  100 
2001  294226  284837  103 
2002  294605  278242  106 
2003  281827  267892  105 
2004  287177  271756  106 
2005  284827  270295  105 
2006  283270  270465  105 
2007  278724  263224  106 
2008  273975  260854  105

9	 	
Table 4 
District wise Sex ratio at Birth   	
District/Year  1970	 	1973	 	1976	 	1979	 	1983	 	1984	 	1985	 	1986	 	1987	 	1988	 	
Thiruvananthapuram  106	 	107	 	104	 	106	 	105	 	104	 	104	 	110	 	104	 	102	 	
Kollam   110	 	107	 	106	 	106	 	106	 	108	 	103	 	107	 	104	 	108	 	
Pathanamthitta           103	 	107	 	104	 	107	 	101	 	107	 	
Alappuzha  108	 	106	 	104	 	106	 	105	 	108	 	105	 	106	 	105	 	103	 	
Kottayam  103	 	106	 	104	 	105	 	105	 	107	 	104	 	107	 	99	 	102	 	
Idukki      105	 	101	 	108	 	107	 	102	 	106	 	109	 	105	 	
Ernakulam  107	 	105	 	104	 	106	 	106	 	105	 	106	 	107	 	104	 	105	 	
Thrissur  107	 	107	 	107	 	107	 	105	 	106	 	108	 	107	 	104	 	104	 	
Palakkad  106	 	107	 	107	 	106	 	105	 	104	 	107	 	103	 	103	 	105	 	
Malappuram    108	 	107	 	109	 	107	 	150	 	104	 	107	 	106	 	106	 	
Kozhikkode  108	 	106	 	106	 	104	 	107	 	105	 	107	 	103	 	104	 	103	 	
Wayand          105	 	106	 	106	 	102	 	105	 	106	 	
Kannur  111	 	107	 	106	 	107	 	105	 	106	 	105	 	100	 	103	 	102	 	
Kasaragode              106	 	108	 	107	 	106	 	
State  107	 	106	 	106	 	106	 	106	 	110	 	105	 	106	 	104	 	104	 	
   	
District/Year  1989	 	1990	 	1991	 	1992	 	1993	 	1994	 	1995	 	1996	 	1997	 	1998	 	
Thiruvananthapuram  76	 	110	 	100	 	102	 	102	 	110	 	106	 	107	 	101	 	99	 	
Kollam   99	 	119	 	105	 	107	 	104	 	104	 	105	 	105	 	98	 	101	 	
Pathanmthitta   127	 	114	 	102	 	106	 	103	 	105	 	104	 	104	 	100	 	106	 	
Alappuzha  102	 	104	 	104	 	106	 	106	 	104	 	106	 	107	 	107	 	106	 	
Kottayam  90	 	94	 	105	 	112	 	105	 	100	 	102	 	98	 	114	 	99	 	
Idukki  117	 	108	 	100	 	113	 	104	 	118	 	106	 	90	 	107	 	104	 	
Ernakulam  109	 	107	 	106	 	106	 	107	 	101	 	106	 	107	 	106	 	107	 	
Thrissur  107	 	114	 	104	 	105	 	102	 	105	 	105	 	107	 	90	 	100	 	
Palakkad  117	 	107	 	104	 	106	 	106	 	110	 	109	 	116	 	106	 	108	 	
Malappuram  112	 	107	 	107	 	105	 	104	 	107	 	105	 	105	 	102	 	101	 	
Kozhikkode  101	 	115	 	107	 	103	 	101	 	103	 	104	 	99	 	94	 	97	 	
Wayand  108	 	126	 	104	 	104	 	100	 	104	 	106	 	109	 	106	 	103	 	
Kannur  104	 	116	 	104	 	106	 	106	 	106	 	105	 	103	 	105	 	103	 	
Kasaragode  106	 	111	 	97	 	91	 	110	 	106	 	111	 	1996	 	104	 	102	 	
State  103	 	110	 	104	 	105	 	104	 	106	 	106	 	107	 	105	 	101

10	 	
Table 4 contd… 
 	
District/Year  1999	 	2000	 	2001	 	2002	 	2003	 	2004	 	2005	 	2006	 	2007	 	2008	 	
Thiruvananthapuram  102	 	100	 	105	 	107	 	105	 	110	 	107	 	105	 	106	 	108	 	
Kollam   97	 	100	 	100	 	106	 	106	 	107	 	106	 	106	 	105	 	108	 	
Pathanmthitta   102	 	101	 	106	 	107	 	107	 	106	 	107	 	106	 	105	 	105	 	
Alappuzha  103	 	99	 	106	 	106	 	105	 	106	 	107	 	106	 	104	 	106	 	
Kottayam  115	 	100	 	106	 	104	 	104	 	101	 	102	 	106	 	114	 	107	 	
Idukki  109	 	101	 	103	 	103	 	105	 	105	 	102	 	102	 	105	 	106	 	
Ernakulam  106	 	100	 	101	 	106	 	103	 	105	 	106	 	105	 	104	 	104	 	
Thrissur  93	 	99	 	105	 	109	 	105	 	107	 	107	 	104	 	107	 	105	 	
Palakkad  105	 	102	 	106	 	108	 	108	 	105	 	107	 	104	 	107	 	104	 	
Malappuram  84	 	100	 	100	 	104	 	106	 	105	 	102	 	104	 	106	 	102	 	
Kozhikkode  103	 	100	 	102	 	107	 	102	 	106	 	105	 	105	 	106	 	104	 	
Wayand  103	 	102	 	103	 	102	 	105	 	105	 	103	 	106	 	104	 	100	 	
Kannur  94	 	101	 	105	 	105	 	107	 	105	 	109	 	104	 	104	 	107	 	
Kasaragode  100	 	103	 	98	 	104	 	105	 	106	 	105	 	103	 	106	 	106	 	
State  102	 	96	 	100	 	103	 	106	 	105	 	106	 	105	 	105	 	105	 	
   	
Table 5 
Live births by type of attention received at the ti me of delivery                     
Kerala-1975-2008 	
 	
Year  Institutional  Physician, 
Nurse and 
trained midwife  Untrained 
midwife  Others 
1975  340211  57967  162092  88501 
1976  367949  53608  96400  129206 
1977  380697  25835  82778  43112 
1978  192173  50796  139128  237316 
1979  491591  32974  87229  45786 
1980  511064  27898  83832  34116 
1982  395276  20948  54909  89726 
1983  360839  15876  50049  79490 
1984  420395  11229  43380  73994 
1985  463609  15676  33741  74940

11	 	
1986  467190  14290  24500  91228 
1987  494370  6530  21559  47884 
1988  502384  5050  18837  48041 
1989  494701  7028  15953  46409 
1990  536246  2488  13172  7025 
1991  476648  18591  40112  22346 
1992  485482  8983  27840  1150 
1993  490332  5668  32629  1841 
1994  501401  8404  22347  1122 
1995  531051  5425  20978  212 
1996  562157  5000  18808  157 
1997  583033  5425  18975  155 
1998  570236  5022  16023  122 
1999  577502  4766  14478  82 
2000  565779  13654  9547  4744 
2001  557573  8015  8575  4900 
2002  552263  7790  15143  6729 
2003  494739  30788  13656  19306 
2004  465841  72107  11493  13712 
2005  437913  99345  9029  12795 
2006  498499  39146  10769  3567 
2007  453319  25893  7485  3821 
2008  487393  12211  7844  3801

12
 	
Table 6 
Live births by age of mother – Kerala 
 	
Sl.No. Age of  
mother  
(Year) 
1970  1972  1977  1982
 
1983
 
1984
 
1985
 
1986
 
1988
 
1989
 	
1 
<15  39
 
89
 
44
 
24
 
36
 
17
 
15
 
94
 
36
 
11
 	
2 
15-19  27019
 
47051
 
35392
 
59312
 
60754
 
61819
 
76555
 
64289
 
62824
 
59782
 	
3 
20-24  99002
 
161656
 
137301
 
235379
 
230678
 
238054
 
250039
 
252183
 
260169
 
256672
 	
4 
25-29  80152
 
122973
 
96764
 
167518
 
162120
 
161598
 
171058
 
166790
 
172396
 
177554
 	
5 
30-34  51102
 
69435
 
41596
 
61327
 
58508
 
56654
 
58863
 
54694
 
54600
 
48765
 	
6 
35-39  36682
 
50094
 
28952
 
29285
 
27449
 
24507
 
24855
 
23042
 
20080
 
17693
 	
7 
40-44  8881
 
11882
 
7071
 
5709
 
4268
 
4030
 
4062
 
3582
 
3039
 
2695
 	
8 
>45  1544
 
2162
 
2518
 
1136
 
1033
 
862
 
725
 
845
 
572
 
537
 	
9 
Age NR  1014
 
2734
 
514
 
1169
 
986
 
1457
 
1794
 
1691
 
596
 
357
 	
10 
State  305435
 
468076
 
350152
 
560859
 
545832
 
548998
 
587966
 
567210
 
574312
 
564066

13
 	
 
Table 6 contd… 
 	
Sl.No.
 
Age of  
mother/Year	
 
1990
 
1991
 
1992
 
1993
 
1994
 
1995
 
1996
 
1997
 
1998
 
1999
 	
1 
<15  7
 
26
 
17
 
4 
21
 
26
 
20
 
9 
4 
3 	
2 
15-19  59695
 
53865
 
44384
 
46241
 
48888
 
50576
 
53534
 
55695
 
56013
 
57346
 	
3 
20-24  254934
 
246519
 
224214
 
235326
 
238124
 
253461
 
265653
 
277485
 
273702
 
274947
 	
4 
25-29  178060
 
183862
 
190532
 
184341
 
180312
 
190670
 
201968
 
208723
 
199920
 
201182
 	
5 
30-34  54696
 
53037
 
49517
 
49207
 
51319
 
50070
 
53151
 
56682
 
53736
 
55832
 	
6 
35-39  18604
 
16680
 
12633
 
13190
 
12750
 
11630
 
10820
 
8478
 
7543
 
7207
 	
7 
40-44  2499
 
2652
 
1857
 
1766
 
1454
 
1195
 
932
 
586
 
530
 
385
 	
8 
>45  427
 
541
 
301
 
264
 
272
 
157
 
92
 
66
 
58
 
44
 	
9 
Age NR  59
 
515
 
0 
131
 
66
 
2 
3 
3 
2 
2 	
10 
State  568981
 
557697
 
523455
 
530470
 
533206
 
557787
 
586253
 
607727
 
591508
 
596948

14
 	
 
Table 6 contd…  
   	
Sl.No.  Age of  
mother/Year 
2000
 
2001
 
2002
 
2003
 
2004
 
2005
 
2006
 
2007
 
2008
 	
1 
<15  0
 
13
 
8 
30
 
  8
 
6 
4 
7 	
2 
15-19  39456
 
41847
 
44133
 
16247
 
38748
 
37339
 
35517 
31728 
32013
 	
3 
20-24  229833
 
232468
 
237330
 
273461
 
232206
 
228241
 
222699 
212156 
209977
 	
4 
25-29  232275
 
210448
 
205532
 
194205
 
197565
 
201715
 
200577 
199372 
198831
 	
5 
30-34  70162
 
72152
 
74194
 
59243
 
75161
 
74103
 
76564 
75498 
74260
 	
6 
35-39  19740
 
19366
 
17365
 
13583
 
17075
 
16511
 
18546 
18254 
18338
 	
7 
40-44  1945
 
1950
 
1683
 
1092
 
1506
 
1059
 
1651 
1559 
1644
 	
8 
>45  313
 
756
 
1035
 
300
 
329
 
2 
150 
156 
143
 	
9 
Age NR  0
 
63
 
645
 
208
 
563
 
104
 
616 
6427 
525
 	
10 
State  593724
 
579063
 
581925
 
558369
 
563153
 
559082
 
556326
 
545154 
535738

15
 	
   	
Table 7 	
Live births by birth order-Kerala 
 	
Birth 
order/Year	
 
1970
 
1972
 
1977
 
1982
 
1983
 
1984
 
1985
 
1986
 
1987
 
1988
 
1989
 	
1 
76132
 
127191
 
103811
 
195262
 
191714
 
207189
 
238893
 
230215
 
240155
 
237580
 
242130
 	
2 
60682
 
91531
 
86860
 
156105
 
154704
 
157740
 
168125
 
172109
 
177815
 
189430
 
189190
 	
3 
48905
 
76796
 
58761
 
100950
 
98877
 
94742
 
96430
 
87746
 
83524
 
86201
 
78770
 	
4 
37617
 
55841
 
36070
 
45657
 
43347
 
39137
 
38970
 
35469
 
31855
 
29940
 
27260
 	
5 
27729
 
39978
 
23438
 
25093
 
22783
 
19414
 
17994
 
16805
 
14995
 
13839
 
12348
 	
6 
20231
 
27619
 
15854
 
15459
 
13846
 
11733
 
10623
 
9672
 
8440
 
7659
 
6559
 	
7 
14013
 
18442
 
9730
 
9061
 
8137
 
6968
 
6331
 
5778
 
4802
 
4114
 
3392
 	
8 
9044
 
11911
 
6043
 
5429
 
4892
 
4301
 
3802
 
3673
 
3075
 
2600
 
2245
 	
9 
4777
 
6091
 
3260
 
2917
 
2530
 
2223
 
2011
 
1936
 
1564
 
1334
 
1138
 	
10 
2601
 
3474
 
2723
 
1568
 
1567
 
1562
 
1162
 
1076
 
940
 
763
 
670
 	
11 and above  1760
 
2256
 
1493
 
855
 
690
 
694
 
2877
 
544
 
396
 
366
 
207
 	
NR  1944
 
6946
 
2109
 
2503
 
2745
 
3295
 
748
 
2187
 
2722
 
486
 
157
 	
Total 
305435
 
468076
 
350152
 
560859
 
545832
 
548998
 
587966
 
567210
 
570283
 
574312
 
564066

16
 	
Table 7 contd… 	
Birth  
order/Year 
1990
 
1991
 
1992
 
1993
 
1994
 
1995
 
1996
 
1997
 
1998
 
1999
 	
1 
256103
 
249473
 
228717
 
235098
 
246167
 
264398
 
279751
 
288145
 
288173
 
289834
 	
2 
193362
 
188269
 
194648
 
194316
 
189128
 
204071
 
209295
 
215602
 
207768
 
208616
 	
3 
73816
 
73917
 
63010
 
63762
 
63907
 
59114
 
64976
 
70909
 
67060
 
68319
 	
4 
21962
 
24588
 
20559
 
20751
 
19801
 
17898
 
21178
 
21928
 
18776
 
20189
 	
5 
10545
 
10423
 
8274
 
8113
 
7512
 
6485
 
6284
 
6808
 
6056
 
6151
 	
6 
6084
 
5062
 
4295
 
4161
 
3311
 
2839
 
2540
 
2654
 
2285
 
2363
 	
7 
3187
 
2620
 
1965
 
2002
 
1557
 
1401
 
1157
 
935
 
811
 
901
 	
8 
1921
 
1619
 
964
 
1078
 
873
 
825
 
584
 
476
 
374
 
374
 	
9 
1135
 
880
 
557
 
629
 
650
 
438
 
259
 
149
 
125
 
124
 	
10 
535
 
518
 
321
 
348
 
197
 
193
 
129
 
77
 
56
 
53
 	
11 and above  323
 
224
 
142
 
169
 
90
 
111
 
84
 
37
 
21
 
21
 	
NR  8
 
104
 
3 
43
 
16
 
14
 
16
 
7 
3 
3 	
Total 568981
 
557697
 
523455
 
530470
 
533209
 
557787
 
586253
 
607727
 
591508
 
596948

17
 	
 
Table 7 contd… 
 	
Birth  
order/Year 
2000
 
2001
 
2002
 
2003
 
2004
 
2005
 
2006
 
2007
 
2008
 	
1 
251453
 
263191
 
271976
 
248939
 
259155
 
290995
 
261644
 
260296
 
258152
 	
2 
250814
 
226740
 
217102
 
214988
 
213589
 
199416
 
210900
 
203891
 
201298
 	
3 
64436
 
61367
 
64026
 
70952
 
61646
 
54847
 
60909
 
55443
 
57068
 	
4 
16971
 
16639
 
18243
 
18098
 
15514
 
11263
 
14418
 
12859
 
13142
 	
5 
5727
 
5060
 
5789
 
2962
 
4856
 
1673
 
4100
 
3453
 
3414
 	
6 
2184
 
2073
 
2257
 
1201
 
1825
 
225
 
1556
 
1162
 
1088
 	
7 
978
 
877
 
1096
 
472
 
907
 
298
 
746
 
535
 
502
 	
8 
507
 
392
 
614
 
248
 
499
 
146
 
429
 
290
 
254
 	
9 
261
 
233
 
368
 
153
 
377
 
41
 
296
 
172
 
148
 	
10 
153
 
117
 
218
 
85
 
113
 
7 
137
 
94
 
72
 	
11 and above  240
 
113
 
182
 
5 
601
 
2 
86
 
32
 
0 	
NR   
 
2261 
 
54
 
266
 
4071
 
169
 
1105
 
6927
 
600
 	
Total  593724
 
579063
 
581925
 
558369
 
563153
 
559082
 
556326
 
545154
 
535738

18
 	
 	
Table 8 
Live births by duration of pregnancy and birth weig ht 	
 	
2002  2003 	
Birth weight  Birth weight 	
Duration of 	Pregnancy       	(In weeks ) 	
< 2.5 2.500 -  
3.000  3.000-
4.000 
4.000+  NS  Total  < 2.5  2.500 - 
3.000 3.000-
4.000 
4.000+  NS  Total 	
Below 32 
0
 
0  0  0  0  0  0  0  0  0  0  0 	
 32-36 13803
 
12594  11356  388  1149  39290  13244
 
12084
 
10896
 
372
 
1102
 
37700
 	
 37-39 30499
 
100176  118514  3310  3746  256245  29264
 
96121
 
113717
 
3176
 
3594
 
245872
 	
40 17619
 
75066  109275  3606  3134  208700  16906
 
72027
 
104852
 
3460
 
3007
 
200252
 	
 41 & above 12653
 
25993  26890  729  11423  77688  12141
 
24941
 
25802
 
699
 
10961
 
74543
 	
 Not Stated  0
 
0  2  0  0  2  0
 
0 
2 
0 
0 
2 	
Total 
74574
 
213829  266037  8033  19452  581925  71555
 
205173
 
255268
 
7708
 
18665
 
558369

19
 	
      
Table 8 contd…  
 	
2004   2005 	
Birth weight  Birth weight 
Duration of 	Pregnancy            	(In weeks ) 	
< 2.5 2.500 -  
3.000  3.000-
4.000 
4.000+  NS  Total  < 2.5  2.500 - 
3.000 3.000-
4.000 
4.000+  NS  Total 	
Below 32 
1834
 
6885
 
6349
 
157
 
711
 
15936
 
0 
0  0  0  0  0 	
 32-36 
9284
 
21767
 
17146
 
467
 
5057
 
53721
 
12954
 
12838  12422  346  62  38622 	
 37-39 
29136
 
111629
 
127201
 
3388
 
7301
 
278655
 
36284
 
115420  137571  3595  205  293075
 	
40 
15509
 
78103
 
113401
 
3639
 
2268
 
212920
 
19452
 
78007  111451  3316  178  212404
 	
 41 &  
above 100
 
379
 
487
 
11
 
88
 
1065
 
2706
 
5163  6735  122  248 
14974 	
 Not Stated 
104
 
268
 
321
 
8 
155
 
856
 
1 
2  0  0  4  7 	
Total 
55967
 
219031
 
264905
 
7670
 
15580
 
563153
 
71397
 
211430  268179  7379  697  559082

20
 	
 
Table 8 contd…  
 	
2006   2007 	
Birth weight  Birth weight 
Duration of 	Pregnancy            	(In weeks ) 	
< 2.5 2.500 -  
3.000  3.000-
4.000 
4.000+  NS  Total  < 2.5 
2.500 - 
3.000 3.000-
4.000 
4.000+  NS  Total 	
Below 32 
1713
 
384
 
348
 
86
 
8 
2539
 
1856
 
312
 
364
 
48
 
20
 
2600
 	
 32-36 4513
 
3966
 
1470
 
97
 
3 
10049
 
14773
 
13117
 
12131
 
335
 
315
 
40671
 	
 37-39 
31513
 
90900
 
97687
 
3360
 
5 
223465
 
37505
 
117256
 
139835
 
3715
 
999
 
299310
 	
40 20810
 
68784
 
109282
 
3852
 
0 
202728
 
17888
 
69520
 
101062
 
2961
 
452
 
191883
 	
 41 &  
above 12794
 
41790
 
56436
 
1725
 
0 
112745
 
63
 
227
 
358
 
11
 
0 
659
 	
 Not Stated 
485
 
1320
 
1351
 
1576
 
68
 
4800
 
635
 
1287
 
1119
 
144
 
6846
 
10031
 	
Total 71828
 
207144
 
266574
 
10696
 
84
 
556326
 
72720
 
201719
 
254869
 
7214
 
8632
 
545154

21
 	
Table 8 contd… 
 	
2008
 	
Birth weight
 	
Duration of 	Pregnancy            	(In weeks ) 
< 2.5
 
2.500 - 3.000
 
3.000-4.000
 
4.000+
 
NS
 
Total
 	
Below 32  1895
 
359  221  9  5  2489 	
 32-36 16023
 
15516  14024  416  234  46213 	
 37-39 37326
 
121180  151269  4068  602  314445 	
40 14492
 
59308  91418  2861  348  168427 	
 41 & above  49
 
209  420  12  0  690 	
 Not Stated 
282
 
1047  924  19  1202  3474 	
Total 70067
 
197619  258276  7385  2391  535738

22
 	
Table 9 
Live births by age of mother and birth weight	
 	
2002  2003 	
Birth weight(Kg) Birth weight(Kg) 
Age of  
mother 
< 2.5	
 
2.500 - 
3.000	
 	
3.000-4.000	
 
4.000+
 
NS
 
Total
 
< 2.5
 
2.500 -  3.000	
 	
3.000-4.000	
 
4.000+
 
NS
 
Total
 	
Below 15  1
 
6 
1 
0 
0 
8 
4 
23
 
4 
0 
0 
30
 	
15-19 6809
 
18316
 
17247
 
304
 
1457
 
44133
 
2507
 
6743
 
6349
 
112
 
536
 
16247
 	
20-24 31253
 
90377
 
105330
 
2533
 
7837
 
237330
 
36011
 
104136
 
121365
 
2919
 
9030
 
273461
 	
25-29 24333
 
73278
 
98522
 
3238
 
6161
 
205532
 
22992
 
69240
 
93092
 
3060
 
5821
 
194205
 	
30-34  9064
 
25154
 
36031
 
1527
 
2418
 
74194
 
7237
 
20085
 
28770
 
1219
 
1931
 
59243
 	
35-39 2651
 
5734
 
7745
 
392
 
843
 
17365
 
2074
 
4485
 
6058
 
307
 
659
 
13583
 	
40-44  285
 
542
 
637
 
29
 
190
 
1683
 
185
 
352
 
413
 
19
 
123
 
1092
 	
45 & Above  97
 
247
 
321
 
8 
362
 
1035
 
28
 
72
 
93
 
2 
105
 
300
 	
 Not Stated 81
 
175
 
203
 
2 
184
 
645
 
26
 
56
 
65
 
1 
59
 
208
 	
Total 74574
 
213829
 
266037
 
8033
 
19452
 
581925
 
71555
 
205173
 
255268
 
7708
 
18665
 
558369
 	
   	
2004  2005 	
Birth weight (Kg) Birth weight (Kg) 
Age of  
mother 
< 2.5	
 
2.500 - 3.000	
 	
3.000-4.000	
 
4.000+
 
NS
 
Total
 
< 2.5
 
2.500 -  3.000	
 	
3.000-4.000	
 
4.000+
 
NS
 
Total
 	
Below 15  0
 
0 
0 
0 
0 
0 
3 
2 
3 
3 
0 
8 	
15-19 4434
 
16933
 
16390
 
228
 
763
 
38748
 
5675
 
15830
 
15590
 
15590
 
12
 
37339
 	
20-24 24019
 
93546
 
106177
 
2445
 
6019
 
232206
 
30063
 
88933
 
106687
 
106687
 
248
 
228241
 	
25-29 18481
 
74198
 
96569
 
3095
 
5222
 
197565
 
23907
 
74039
 
100431
 
100431
 
244
 
201715
 	
30-34  6906
 
27332
 
37087
 
1490
 
2346
 
75161
 
9043
 
26358
 
37186
 
37186
 
117
 
74103
 	
35-39 1870
 
6266
 
7820
 
366
 
753
 
17075
 
2518
 
5882
 
7754
 
7754
 
31
 
16511
 	
40-44  183
 
563
 
626
 
35
 
99
 
1506
 
181
 
358
 
493
 
493
 
9 
1059
 	
45 & Above  41
 
96
 
108
 
5 
79
 
329
 
1 
0 
1 
1 
0 
2 	
 Not Stated 33
 
97
 
128
 
6 
299
 
563
 
6 
28
 
34
 
34
 
36
 
104
 	
Total 55967
 
219031
 
264905
 
7670
 
15580
 
563153
 
71397
 
211430
 
268179
 
268179
 
697
 
559082

23
 	
Table 9 contd… 	
 	
2006  2007 	
Birth weight (Kg) Birth weight (Kg) 
Age of  
mother 
< 2.5 2.500 -  
3.000  3.000-
4.000 
4.000+  NS  Total  < 2.5  2.500 - 
3.000 3.000-
4.000 
4.000+  NS  Total 	Below 15 
2
 
3 
1 
0 
0 
6 
1 
1 
2 
0 
0 
4 	
15-19 5051
 
14817
 
15237
 
410
 
2 
35517
 
4880
 
13314
 
13221
 
206
 
107
 
31728
 	
20-24 29334
 
86148
 
103739
 
3473
 
5 
222699
 
29224
 
82319
 
97532
 
2281
 
800
 
212156
 	
25-29 24864
 
71774
 
99761
 
4174
 
4 
200577
 
24998
 
72467
 
98017
 
2881
 
1009
 
199372
 	
30-34  9659
 
26848
 
38233
 
1822
 
2 
76564
 
10202
 
26533
 
36898
 
1421
 
444
 
75498
 	
35-39 2579
 
6728
 
8701
 
537
 
1 
18546
 
3003
 
6372
 
8359
 
357
 
163
 
18254
 	
40-44  265
 
631
 
688
 
67
 
0 
1651
 
311
 
535
 
628
 
36
 
49
 
1559
 	
45 & Above  24
 
56
 
61
 
9 
0 
150
 
39
 
51
 
50
 
2 
14
 
156
 	
 Not Stated 51
 
138
 
153
 
204
 
70
 
616
 
62
 
127
 
162
 
30
 
6046
 
6427
 	
Total 71828
 
207144
 
266574
 
10696
 
84
 
556326
 
72720
 
201719
 
254869
 
7214
 
8632
 
545154
 	
   	
2008 	
Birth weight (Kg) 
Age of mother 
< 2.5  2.500 - 3.000  3.000-4.000  4.000+  NS  Total 	Below 15  1
 
6 
0 
0 
0 
7 	
15-19 4610
 
13133
 
13979
 
207
 
84
 
32013
 	
20-24 27860
 
80297
 
98675
 
2343
 
802
 
209977
 	
25-29 24482
 
71115
 
99298
 
3031
 
905
 
198831
 	
30-34  9876
 
25736
 
36914
 
1393
 
341
 
74260
 	
35-39 2838
 
6499
 
8502
 
369
 
130
 
18338
 	
40-44  326
 
563
 
691
 
38
 
26
 
1644
 	
45 & Above  35
 
50
 
44
 
0 
14
 
143
 	
 Not Stated 39
 
220
 
173
 
4 
89
 
525
 	
Total 70067
 
197619
 
258276 
 
7385
 
2391
 
535738

24
 	
Table 10 
Live births by birth order and birth weight	
 
   	
2002  2003 	
Birth weight (Kg) Birth weight (Kg) 	
Birth  
order 
< 2.5	
 
2.500 - 3.000	
 	
3.000-4.000	
 
4.000+
 
NS
 
Total
 
< 2.5
 
2.500 -  3.000	
 	
3.000-4.000	
 
4.000+
 
NS
 
Total
 	
1  38087
 
105717
 
117382
 
2934
 
7856
 
271976
 
34861
 
96763
 
107439
 
2685
 
7191
 
248939
 	
2 24445
 
77071
 
105625
 
3422
 
6539
 
217102
 
24207
 
76321
 
104596
 
3389
 
6475
 
214988
 	
3  8257
 
21867
 
30201
 
1120
 
2581
 
64026
 
9150
 
24232
 
33468
 
1241
 
2860
 
70952
 	
4 2405
 
5955
 
8312
 
348
 
1223
 
18243
 
2386
 
5908
 
8246
 
345
 
1213
 
18098
 	
5  807
 
1731
 
2609
 
108
 
534
 
5789
 
413
 
886
 
1335
 
55
 
273
 
2962
 	
6 301
 
713
 
963
 
51
 
229
 
2257
 
160
 
379
 
512
 
27
 
122
 
1201
 	
7 120
 
366
 
403
 
20
 
187
 
1096
 
52
 
158
 
174
 
9 
81
 
472
 	
8  70
 
175
 
262
 
14
 
93
 
614
 
28
 
71
 
106
 
6 
38
 
248
 	
9 26
 
114
 
114
 
3 
111
 
368
 
11
 
47
 
47
 
1 
46
 
153
 	
10 and 
above  53
 
115
 
145
 
12
 
75
 
400
 
12
 
26
 
33
 
3 
17
 
90
 	
Not stated 
3
 
5 
21
 
1 
24
 
54
 
15
 
25
 
103
 
5 
118
 
266
 	
Total 74574
 
213829
 
266037
 
8033
 
19452
 
581925
 
71555
 
205173
 
255268
 
7708
 
18665
 
558369

25
 	
Table 10 contd… 
 	
2004  2005 	
Birth weight (Kg) Birth weight (Kg) 
Age of  
mother 
< 2.5	
 
2.500 - 3.000	
 	
3.000-4.000	
 
4.000+
 
NS
 
Total
 
< 2.5
 
2.500 -  3.000	
 	
3.000-4.000	
 
4.000+
 
NS
 
Total
 	
1  28564
 
106382
 
115650
 
2815
 
5744
 
259155
 
41553
 
114869
 
131182
 
3056
 
335
 
290995
 	
2 18809
 
79718
 
106444
 
3361
 
5257
 
213589
 
21060
 
72609
 
102521
 
3027
 
199
 
199416
 	
3  5924
 
22700
 
29965
 
1013
 
2044
 
61646
 
6941
 
19275
 
27582
 
965
 
84
 
54847
 	
4 1437
 
5646
 
7450
 
273
 
708
 
15514
 
1513
 
3844
 
5609
 
266
 
31
 
11263
 	
5  473
 
1802
 
2217
 
101
 
263
 
4856
 
222
 
544
 
854
 
44
 
9 
1673
 	
6 153
 
657
 
802
 
27
 
186
 
1825
 
26
 
77
 
113
 
5 
4 
225
 	
7  73
 
320
 
374
 
17
 
123
 
907
 
39
 
89
 
156
 
9 
5 
298
 	
8 51
 
166
 
183
 
11
 
88
 
499
 
10
 
53
 
73
 
5 
5 
146
 	
9 26
 
143
 
155
 
3 
50
 
377
 
3 
12
 
25
 
0 
1 
41
 	
10 and 
above  457
 
1497
 
1665
 
49
 
1117
 
4785
 
0 
4 
5 
0 
0 
9 	
Not stated 
0
 
0 
0 
0 
0 
0 
30
 
54
 
59
 
2 
24
 
169
 	
Total 55967
 
219031
 
264905
 
7670
 
15580
 
563153
 
71397
 
211430
 
268179
 
7379
 
697
 
559082

26
 	
Table 10 contd… 
 	
2006  2007 	
Birth weight (Kg) Birth weight (Kg) 
Birth order 	
< 2.5 2.500 -  
3.000 3.000-
4.000 
4.000+  NS  Total  < 2.5 
2.500 - 
3.000 3.000-
4.000 
4.000+  NS  Total 	
1 
35222
 
102518
 
120218
 
3676
 
10
 
261644
 
36952
 
101666
 
118009
 
2916
 
753
 
260296
 	
2 
25977
 
75410
 
105381
 
4130
 
2 
210900
 
25325
 
74089
 
100623
 
2995
 
859
 
203891
 	
3 
7752
 
21379
 
30083
 
1692
 
3 
60909
 
7557
 
19477
 
27021
 
891
 
497
 
55443
 	
4 
1818
 
4911
 
7134
 
554
 
1 
14418
 
1868
 
4303
 
6221
 
264
 
203
 
12859
 	
5 
530
 
1438
 
1940
 
192
 
0 
4100
 
542
 
1168
 
1569
 
70
 
104
 
3453
 	
6 
192
 
551
 
714
 
99
 
0 
1556
 
169
 
371
 
541
 
20
 
61
 
1162
 	
7 
95
 
278
 
325
 
48
 
0 
746
 
81
 
150
 
230
 
18
 
56
 
535
 	
8 
55
 
140
 
186
 
48
 
0 
429
 
39
 
87
 
125
 
5 
34
 
290
 	
9 
36
 
98
 
135
 
27
 
0 
296
 
22
 
59
 
68
 
0 
23
 
172
 	
10 and above 
27
 
80
 
90
 
26
 
0 
223
 
18
 
32
 
63
 
1 
12
 
126
 	
Not stated 
123
 
342
 
368
 
204
 
68
 
1105
 
147
 
317
 
399
 
34
 
6030
 
6927
 	
Total 
71828
 
207144
 
266574
 
10696
 
84
 
556326
 
72720
 
201719
 
254869
 
7214
 
8632
 
545154

27
 	
Table 10 contd… 
 	
2008 	
Birth weight (Kg) 	
Birth order 
< 2.5	
 
2.500 - 3.000
 
3.000-4.000
 
4.000+
 
NS
 
Total
 	
1 35567
 
98893
 
120154
 
2982
 
556
 
258152
 	
2 
24255
 
72435
 
100614
 
3068
 
926
 
201298
 	
3  7614
 
19833
 
28243
 
952
 
426
 
57068
 	
4 1806
 
4395
 
6508
 
270
 
163
 
13142
 	
5  498
 
1113
 
1656
 
67
 
80
 
3414
 	
6 132
 
351
 
520
 
20
 
65
 
1088
 	
7  71
 
180
 
204
 
8 
39
 
502
 	
8 46
 
77
 
105
 
5 
21
 
254
 	
9 15
 
51
 
58
 
5 
19
 
148
 	
10 and above  10
 
28
 
27
 
0 
7 
72
 	
Not stated 53
 
263
 
187
 
8 
89
 
600
 	
Total 70067
 
197619
 
258276
 
7385
 
2391
 
535738

1
 	
 
Table-11 	
Live births by age of mother and method of delivery  Kerala-2002-08 	
 
2002  2003 	
Method of delivery Method of delivery 
Age of 
mother  (years)  Normal	
 
Caesarean
 
Forceps/ 
Vacuum	
 
Not stated
 
Total
 
Normal
 
Caesarean
 
Forceps/V acuum	
 
Not stated
 
Total
 	
<15 
7 
1 
0 
0 
8 
26
 
4 
0 
0 
30
 	
15-19 
35531
 
6304
 
2105
 
193
 
44133
 
13080
 
2321
 
775
 
71
 
16247
 	
20-24 
178096
 
50671
 
7624
 
939
 
237330
 
205209
 
58385
 
8785
 
1082
 
273461
 	
25-29 
142348
 
57390
 
5174
 
620
 
205532
 
134503
 
54227
 
4889
 
586
 
194205
 	
30-34 
48224
 
24255
 
1450
 
265
 
74194
 
38506
 
19367
 
1158
 
212
 
59243
 	
35-39 
11192
 
5804
 
296
 
73
 
17365
 
8754
 
4540
 
232
 
57
 
13583
 	
40-44 
1136
 
511
 
30
 
6 
1683
 
737
 
332
 
19
 
4 
1092
 	
45 and above 
752
 
136
 
15
 
132
 
1035
 
218
 
39
 
4 
38
 
300
 	
NS 
418
 
119
 
22
 
86
 
645
 
135
 
38
 
7 
28
 
208
 	
Total 
417704
 
145191
 
16716
 
2314
 
581925
 
400796
 
139314
 
16039
 
2220
 
558369

2
 	
 
Table-11 contd…  
 
2004  2005 	
Method of delivery Method of delivery 
Age of 
mother  (years)  Normal	
 
Caesarean
 
Forceps/ 
Vacuum	
 
Not stated
 
Total
 
Normal
 
Caesarean
 
Forceps/ Vacuum	
 	
Not 
stated	
 
Total
 	
<15 
0 
0 
0 
0 
0 
4 
4 
0 
0 
8 	
15-19 
29017
 
6561
 
2852
 
318
 
38748
 
28125
 
6715
 
2461
 
38
 
37339
 	
20-24 
160669
 
58589
 
11201
 
1747
 
232206
 
158361
 
59308
 
10306
 
266
 
228241
 	
25-29 
126501
 
63029
 
7085
 
950
 
197565
 
127212
 
67456
 
6787
 
260
 
201715
 	
30-34 
45012
 
27620
 
2178
 
351
 
75161
 
42793
 
29127
 
2067
 
116
 
74103
 	
35-39 
9896
 
6691
 
413
 
75
 
17075
 
9297
 
6805
 
386
 
23
 
16511
 	
40-44 
885
 
586
 
30
 
5 
1506
 
656
 
386
 
15
 
2 
1059
 	
45 and  above 
227
 
67
 
8 
27
 
329
 
0 
2 
0 
0 
2 	
NS 
265
 
48
 
16
 
234
 
563
 
62
 
21
 
5 
16
 
104
 	
Total 
372472
 
163191
 
23783
 
3707
 
563153
 
366510
 
169824
 
22027
 
721
 
559082

3
 	
 
Table-11contd…  
 
2006  2007 	
Method of delivery Method of delivery 
Age of 
mother  (years) 
Normal	
 
Caesarean
 
Forceps/ Vacuum	
 
Not stated
 
Total
 
Normal
 
Caesarean
 
Forceps/  Vacuum	
 
Not stated
 
Total
 	
<15  4
 
1 
1 
0 
6 
2 
0 
1 
1 
4 	
15-19  25460
 
7102
 
2866
 
89
 
35517
 
22495
 
6873
 
2296
 
64
 
31728
 	
20-24  148722
 
62921
 
10600
 
456
 
222699
 
138440
 
65248
 
8119
 
349
 
212156
 	
25-29  122299
 
70631
 
7289
 
358
 
200577
 
119191
 
74609
 
5300
 
272
 
199372
 	
30-34  43392
 
30886
 
2152
 
134
 
76564
 
41236
 
32626
 
1527
 
109
 
75498
 	
35-39  9913
 
8118
 
475
 
40
 
18546
 
9292
 
8559
 
369
 
34
 
18254
 	
40-44  876
 
736
 
34
 
5 
1651
 
811
 
730
 
12
 
6 
1559
 	
45 and 
above  111
 
38
 
1 
0 
150
 
97
 
56
 
0 
3 
156
 	
NS  281
 
80
 
19
 
236
 
616
 
312
 
93
 
21
 
6001
 
6427
 	
Total 
351058
 
180513
 
23437
 
1318
 
556326
 
331876
 
188794
 
17645
 
6839
 
545154

4
 	
Table-11contd… 
   
2008 	
Method of delivery 	
Age of 
mother  (years)  Normal	
 
Caesarean
 
Forceps/Vacuum
 
Not stated
 
Total
 	
<15  3
 
2 
1 
1 
7 	
15-19  22475
 
7281
 
2177
 
80
 
32013
 	
20-24  135265
 
66211
 
8168
 
333
 
209977
 	
25-29  116865
 
76532
 
5170
 
264
 
198831
 	
30-34  40322
 
32328
 
1479
 
131
 
74260
 	
35-39  9289
 
8685
 
334
 
30
 
18338
 	
40-44  775
 
838
 
28
 
3 
1644
 	
45 and above
 
87
 
53
 
2 
1 
143
 	
NS  271
 
81
 
26
 
147
 
525
 	
Total 
325352
 
192011
 
17385
 
990
 
535738

5	 	
Table 12 
Number of deaths registered and Crude Death Rates,  Kerala 1958-2008 	
 
Year  Number  Rate 	
1958  -  7.57 
1959  -  7.8 
1960  -  6.94 
1961  -  7.25 
1962  110456  6.35 
1963  106667  5.99 
1964  106496  5.85 
1965  97709  5.25 
1966  102245  5.38 
1967  94552  4.86 
1968  92669  4.66 
1969  87186  4.29 
1970  69745  3.36 
1971  91272  4.25 
1972  102515  4.63 
1973  105721  4.68 
1974  113447  4.91 
1975  131473  5.56 
1976  133602  5.49 
1977  119113  4.79 
1978  114434  4.83 
1979  117961  4.89 
1980  118140  4.8 
1981  -  4.84 
1982  119827  4.59

6	 	
1983  119414  4.5 
1984  120841  4.47 
1985  134230  4.88 
1986  133654  4.77 
1987  141047  4.95 
1988  146596  5.05 
1989  146194  5.14 
1990  147551  5.12 
1991  156919  5.37 
1992  162644  5.49 
1993  161403  5.38 
1994  163711  5.38 
1995  162868  5.28 
1996  172103  5.51 
1997  166428  5.25 
1998  185788  5.79 
1999  186828  5.73 
2000  178795  5.42 
2001  182059  5.7 
2002  184597  5.72 
2003  194264  5.97 
2004  199017  6.06 
2005  204157  6.33 
2006  219094  6.55 
2007  238691  7.08 
2008  221769  6.52

7
 	
Table 13. 
District wise crude death rates of Kerala 	
 
Sl.No.	
 
District/Year  1970  1971  1972  1973  1974  1975  1976  19 77  1978  1979  1980 
1981
 	
1 Thiruvananthapuram
 
3.9
 
4.35
 
4.15
 
4.24
 
4.18
 
4.91
 
4.88
 
4.44
 
4.6
 
4.7
 
4.76
 
4.67
 	
2 Kollam 
3.55
 
3.39
 
3.91
 
4.06
 
4.48
 
5.02
 
4.78
 
4.08
 
4.05
 
3.57
 
3.96
 
3.97
 	
3 Pathanamthitta 
                       	
4 Alappuzha 
3.87
 
5.53
 
4.94
 
5.02
 
5.22
 
5.86
 
5.76
 
5.02
 
4.71
 
4.35
 
4.32
 
5.03
 	
5 Kottayam 
3.52
 
3.78
 
5.09
 
5.3
 
5.51
 
5.78
 
5.38
 
4.55
 
4.68
 
4.97
 
4.92
 
5.07
 	
6 Idukki 
    3.66
 
3.37
 
3.58
 
3.81
 
3.81
 
3.3
 
2.53
 
2.77
 
3.17
 
3.3
 	
7 Ernakulam 
3.94
 
4.17
 
4.06
 
4.17
 
4.23
 
4.88
 
4.87
 
4.14
 
4.1
 
4.28
 
4.39
 
4.48
 	
8 Thrisuur 
1.39
 
2.67
 
3.07
 
3.41
 
3.65
 
4.6
 
4.58
 
4.23
 
4.36
 
4.62
 
4.63
 
4.85
 	
9 Palakkad 
2.67
 
5.18
 
5.73
 
6.13
 
6.7
 
7.4
 
7.19
 
6.65
 
6.06
 
6.5
 
5.95
 
6.28
 	
10 Malappuram 
  3.26
 
5.1
 
4.89
 
5.43
 
6.08
 
6 
4.92
 
4.75
 
5.03
 
4.52
 
4.59
 	
11 Kozhikkode 
4.47
 
5.3
 
6.06
 
5.62
 
5.82
 
6.35
 
6.83
 
5.54
 
7.01
 
6.85
 
6.71
 
5.98
 	
12 Wayanad 
                      3.71
 	
13 Kannur 
1.63
 
5 
5.09
 
4.99
 
5.08
 
5.94
 
5.75
 
5.29
 
5.37
 
5.32
 
4.99
 
4.91
 	
14 Kasaragode

8
 	
 	
Table 13contd... 	
 
Sl.No.	
 
District/Year 
1982
 
1983
 
1984
 
1985
 
1986
 
1987
 
1988
 
1989
 
1990
 
1991
 
1992
 	
1  Thiruvananthapuram
 
4.68
 
4.26
 
4.74
 
4.88
 
4.92
 
5.23
 
5.54
 
5.66
 
5.89
 
5.55
 
5.54
 	
2 Kollam 
3.92
 
3.64
 
3.68
 
3.81
 
3.72
 
4.88
 
4.18
 
4.17
 
4.24
 
4.77
 
4.62
 	
3 Pathanamthitta 
  3.66
 
4.49
 
5.04
 
4.92
 
5.03
 
4.99
 
5.51
 
5.56
 
5.62
 
5.97
 	
4 Alappuzha 
4.82
 
4.61
 
4.71
 
5.05
 
4.99
 
5.06
 
5.04
 
5.45
 
5.28
 
5.66
 
5.67
 	
5 Kottayam 
4.73
 
4.81
 
4.88
 
5.12
 
4.87
 
4.96
 
5.34
 
5.71
 
5.45
 
6.08
 
6.1
 	
6 Idukki 
3.21
 
2.96
 
3.28
 
3.31
 
3.31
 
3.31
 
3.45
 
3.88
 
3.81
 
4.06
 
4.24
 	
7 Ernakulam 
4.39
 
4.54
 
4.44
 
4.67
 
4.69
 
4.94
 
4.92
 
5.23
 
5.41
 
5.72
 
5.76
 	
8 Thrisuur 
4.66
 
4.48
 
4.39
 
5.14
 
5.33
 
5.33
 
5.44
 
5.61
 
5.69
 
6.02
 
6.19
 	
9 Palakkad 
5.53
 
5.82
 
4.7
 
5.86
 
5.68
 
5.14
 
5.62
 
5.63
 
5.59
 
6.17
 
5.88
 	
10 Malappuram 
4.13
 
4.39
 
3.96
 
4.16
 
4.26
 
4.1
 
4.1
 
3.74
 
3.91
 
3.96
 
3.83
 	
11 Kozhikkode 
5.71
 
5.37
 
5.7
 
6.26
 
5.71
 
6.05
 
6.25
 
6.19
 
5.86
 
6.05
 
6.17
 	
12 Wayanad 
3.59
 
3.39
 
3.76
 
4.27
 
4.24
 
4.27
 
3.96
 
4.14
 
4.18
 
4.26
 
4.46
 	
13 Kannur 
4.5
 
4.61
 
4.39
 
4.74
 
4.43
 
4.61
 
5.17
 
5.11
 
4.79
 
5.07
 
5.04
 	
14 Kasaragode 
      5.15
 
4.42
 
4.89
 
5.12
 
4.7
 
4.5
 
4.9
 
8.04

9
 	
   	
Table 13contd... 	
 
Sl.No.	
 
District/Year 
1993
 
1994
 
1995
 
1996
 
1997
 
1998
 
1999
 
2000
 
2001
 
2002
 
2003
 
2004
 
2005
 
2006
 
2007
 
2008
 	
1  Thiruvananthapuram
 
5.62
 
5.88
 
5.82
 
6.31
 
5.89
 
6.3
 
6.63
 
6.15
 
6.9
 
5.99
 
6.42
 
6.81
 
6.86
 
7.71
 
8.26
 
7.41
 	
2 Kollam 
4.66
 
4.65
 
4.69
 
4.95
 
4.81
 
5.21
 
5.18
 
4.82
 
5.13
 
5.52
 
5.72
 
5.45
 
5.94
 
6.36
 
7.15
 
6.06
 	
3 Pathanamthitta 
6.45
 
6.02
 
6.18
 
5.74
 
5.53
 
6.55
 
6.57
 
6.03
 
6.99
 
6.94
 
7.67
 
7.78
 
7.82
 
7.96
 
9.53
 
7.86
 	
4 Alappuzha 
5.85
 
5.71
 
5.44
 
5.74
 
5.43
 
6.17
 
5.81
 
5.3
 
5.41
 
6.22
 
6.25
 
6.33
 
6.41
 
7.07
 
7.22
 
6.61
 	
5 Kottayam 
6.04
 
5.93
 
6.06
 
6.12
 
5.73
 
6.81
 
6.7
 
6.4
 
6.69
 
6.78
 
6.45
 
7.53
 
7.36
 
7.77
 
8.9
 
7.83
 	
6 Idukki 
3.86
 
3.92
 
3.92
 
4.12
 
3.98
 
4.42
 
4.5
 
4.2
 
4.22
 
4.05
 
4.87
 
4.79
 
5.17
 
4.89
 
5.65
 
5.39
 	
7 Ernakulam 
5.65
 
5.4
 
5.72
 
5.82
 
5.82
 
6.13
 
6.19
 
5.67
 
6.53
 
6.17
 
6.57
 
5.78
 
7 
7.32
 
8.1
 
7.64
 	
8 Thrisuur 
6.4
 
6.02
 
6.52
 
5.85
 
6.33
 
6.46
 
6.6
 
6.48
 
7.34
 
6.91
 
7.42
 
7.66
 
7.88
 
7.91
 
8.29
 
7.9
 	
9 Palakkad 
5.82
 
5.84
 
5.34
 
5.61
 
4.93
 
5.71
 
5.48
 
5.27
 
5.35
 
5.19
 
5.65
 
5.76
 
6.16
 
6.07
 
6.5
 
5.8
 	
10 Malappuram 
3.83
 
3.96
 
3.85
 
4.1
 
3.83
 
4.5
 
4.22
 
4.08
 
4.08
 
3.87
 
4.2
 
4.18
 
4.47
 
4.35
 
4.9
 
4.21
 	
11 Kozhikkode 
5.95
 
6.42
 
5.81
 
6.87
 
6.01
 
6.48
 
6.29
 
6.05
 
5.58
 
6.45
 
6.17
 
6.58
 
6.7
 
6.96
 
7.09
 
7.14
 	
12 Wayanad 
5.17
 
4.41
 
4.05
 
4.55
 
4.09
 
4.45
 
4.58
 
4.63
 
4.09
 
4.4
 
4.64
 
4.79
 
4.76
 
4.53
 
4.76
 
4.7
 	
13 Kannur 
4.99
 
5.28
 
4.63
 
4.9
 
4.89
 
5.41
 
5.19
 
4.93
 
5.25
 
5.85
 
5.75
 
5.84
 
5.93
 
5.95
 
6.23
 
6.42
 	
14 Kasaragode 
4.28
 
4.5
 
4.42
 
4.84
 
4.61
 
4.92
 
5.05
 
4.79
 
4.43
 
4.72
 
5.22
 
5.18
 
5.04
 
5.25
 
5.11
 
4.98

10
 	
Table 14 
Registered deaths by type of attention at the time  of death 	
 
Type of attention at death 	
Year  Rural/Urban 	
Institutional  Medical Attention 
Other than Institution  No Medical 
Attention  Not Stated  Total 	
Rural  58516  28484  26159  10207  123366
 	
Urban  47183  5160  4910  3978  61231
 
2002 	
Total  105699  33644  31069  14185  184597
 	
Rural  60897  29643  27223  10622  128385
 	
Urban  50765  5552  5283  4280  65879
 
2003 	
Total  111234  35406  32696  14928  194264
 	
Rural  46546  52196  31576  5640  135958
 	
Urban  44629  8804  6872  2629  62934
 
2004 	
Total  91175  61000  38448  8269  198892
 	
Rural  57126  47005  32969  1890  138990
 	
Urban  47901  9397  7165  704  65167
 
2005 	
Total  105027  56402  40134  2594  204157
 	
Rural  68293  32340  35017  11764  147414
 	
Urban  56734  6659  8174  113  71680
 
2006 	
Total  125027  38999  43191  11877  219094
 	
Rural  81323  36622  37607  8497  164049
 	
Urban  59627  5990  8527  498  74642
 
2007 	
Total  140950  42612  46134  8995  238691
 	
Rural  73085  33835  38198  5403  150521
 	
Urban  56751  6310  8049  138  71248
 
2008 	
Total  129836  40145  46247  5541  221769

11
 	
Table 15 
Age and sex wise distribution of registered deaths  Kerala-1970-2008 	
 
1970  1971  1972  1973 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  2849
 
2292
 
5141
 
3658
 
3162
 
6820
 
4667
 
4132
 
8799
 
4437
 
3794
 
8231
 	
1-4yrs  3794
 
4047
 
7841
 
5008
 
5276
 
10284
 
4627
 
5140
 
9767
 
4734
 
5087
 
9821
 	
5-14yrs  1991
 
1926
 
3917
 
2578
 
2505
 
5083
 
2789
 
2937
 
5726
 
3125
 
3007
 
6132
 	
15-24  1461
 
1390
 
2851
 
1959
 
1794
 
3753
 
2096
 
1993
 
4089
 
2115
 
1956
 
4071
 	
25-44  4808
 
3882
 
8690
 
5595
 
4206
 
9801
 
6356
 
4727
 
11083
 
6538
 
4620
 
11158
 	
45-64  9048
 
4872
 
13920
 
12588
 
6693
 
19281
 
14142
 
7334
 
21476
 
14862
 
7353
 
22215
 	
65+  14422
 
12963
 
27385
 
19222
 
17028
 
36250
 
21429
 
19362
 
40791
 
23341
 
19885
 
43226
 	
Age NR              523
 
361
 
884
 
     	
Total  38373
 
31372
 
69745
 
50608
 
40664
 
91272
 
56529
 
45986
 
102515
 
59152
 
45702
 
104854
 	
    
1974  1976  1977  1978 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  4832
 
3875
 
8707
 
6131
 
4959
 
11090
 
5051
 
3846
 
8897
 
4277
 
4072
 
8349
 	
1-4yrs  4537
 
4940
 
9477
 
5096
 
5566
 
10662
 
3822
 
3924
 
7746
 
4855
 
4727
 
9582
 	
5-14yrs  2774
 
2766
 
5540
 
3040
 
3039
 
6079
 
2545
 
2403
 
4948
 
3196
 
3039
 
6235
 	
15-24  2315
 
2170
 
4485
 
2845
 
2648
 
5493
 
2686
 
2362
 
5048
 
3383
 
3309
 
6692
 	
25-44  6836
 
4786
 
11622
 
7573
 
5307
 
12880
 
6993
 
4794
 
11787
 
5477
 
5379
 
10856
 	
45-64  16089
 
8101
 
24190
 
18746
 
10010
 
28756
 
17713
 
8920
 
26633
 
11980
 
11507
 
23487
 	
65+  25662
 
23292
 
48954
 
30187
 
28455
 
58642
 
27503
 
25860
 
53363
 
24509
 
24724
 
49233
 	
Age NR              423
 
268
 
691
 
     	
Total  63045
 
49930
 
112975
 
73618
 
59984
 
133602
 
66736
 
52377
 
119113
 
57677
 
56757
 
114434

12
 	
Table 15contd...
 
 
1979  1980  1982  1983 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  4728
 
3906
 
8634
 
4632
 
3595
 
8227
 
4859
 
3727
 
8586
 
4959
 
3700
 
8659
 	
1-4yrs  3585
 
2907
 
6492
 
3107
 
2776
 
5883
 
2517
 
2474
 
4991
 
2551
 
2517
 
5068
 	
5-14yrs  3540
 
2885
 
6425
 
2699
 
2328
 
5027
 
1942
 
1595
 
3537
 
1877
 
1715
 
3592
 	
15-24  4116
 
3381
 
7497
 
3297
 
2871
 
6168
 
2505
 
2138
 
4643
 
2446
 
2134
 
4580
 	
25-44  8141
 
5428
 
13569
 
7985
 
5027
 
13012
 
7445
 
4028
 
11473
 
7458
 
4087
 
11545
 	
45-64  21699
 
8391
 
30090
 
20240
 
8541
 
28781
 
20351
 
8719
 
29070
 
20170
 
8354
 
28524
 	
65+  22819
 
22435
 
45254
 
27281
 
23761
 
51042
 
30727
 
26360
 
57087
 
30404
 
26486
 
56890
 	
Age NR         
 
  270
 
170
 
440
 
344
 
212
 
556
 	
Total  68628
 
49333
 
117961
 
69241
 
48899
 
118140
 
70616
 
49211
 
119827
 
70209
 
49205
 
119414
 	
    
1984  1985  1986  1987 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  4037
 
3004
 
7041
 
4447
 
3331
 
7778
 
3679
 
2719
 
6398
 
4084
 
3401
 
7485
 	
1-4yrs  2106
 
2110
 
4216
 
2000
 
1927
 
3927
 
1971
 
2387
 
4358
 
1670
 
1646
 
3316
 	
5-14yrs  1643
 
1405
 
3048
 
1659
 
1514
 
3173
 
1603
 
1445
 
3048
 
1621
 
1461
 
3082
 	
15-24  2548
 
2014
 
4562
 
2382
 
2149
 
4531
 
2522
 
2167
 
4689
 
2719
 
2255
 
4974
 	
25-44  7609
 
4349
 
11958
 
7986
 
4131
 
12117
 
8383
 
4814
 
13197
 
9233
 
4662
 
13895
 	
45-64  20567
 
8566
 
29133
 
21964
 
9334
 
31298
 
21279
 
9928
 
31207
 
21997
 
9922
 
31919
 	
65+  32944
 
27469
 
60413
 
38020
 
32893
 
70913
 
38679
 
31480
 
70159
 
40882
 
34286
 
75168
 	
Age NR  334
 
136
 
470
 
331
 
162
 
493
 
364
 
234
 
598
 
773
 
435
 
1208
 	
Total  71788
 
49053
 
120841
 
78789
 
55441
 
134230
 
78480
 
55174
 
133654
 
82979
 
58068
 
141047

13
 	
Table 15contd... 	
 
1970  1971  1972  1973 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  2849
 
2292
 
5141
 
3658
 
3162
 
6820
 
4667
 
4132
 
8799
 
4437
 
3794
 
8231
 	
1-4yrs  3794
 
4047
 
7841
 
5008
 
5276
 
10284
 
4627
 
5140
 
9767
 
4734
 
5087
 
9821
 	
5-14yrs  1991
 
1926
 
3917
 
2578
 
2505
 
5083
 
2789
 
2937
 
5726
 
3125
 
3007
 
6132
 	
15-24  1461
 
1390
 
2851
 
1959
 
1794
 
3753
 
2096
 
1993
 
4089
 
2115
 
1956
 
4071
 	
25-44  4808
 
3882
 
8690
 
5595
 
4206
 
9801
 
6356
 
4727
 
11083
 
6538
 
4620
 
11158
 	
45-64  9048
 
4872
 
13920
 
12588
 
6693
 
19281
 
14142
 
7334
 
21476
 
14862
 
7353
 
22215
 	
65+  14422
 
12963
 
27385
 
19222
 
17028
 
36250
 
21429
 
19362
 
40791
 
23341
 
19885
 
43226
 	
Age NR                         	Total  52795
 
44335
 
97130
 
69830
 
57692
 
127522
 
77535
 
64987
 
142522
 
59643
 
46078
 
105721
 	
   
1988  1989  1990  1991 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  4103
 
3089
 
7192
 
3913
 
3209
 
7122
 
3616
 
2918
 
6534
 
3491
 
2824
 
6315
 	
1-4yrs  1312
 
1274
 
2586
 
1183
 
1183
 
2366
 
766
 
849
 
1615
 
972
 
1017
 
1989
 	
5-14yrs  1410
 
1265
 
2675
 
1386
 
1075
 
2461
 
1116
 
1021
 
2137
 
1410
 
1217
 
2627
 	
15-24  2558
 
2059
 
4617
 
2469
 
2087
 
4556
 
2503
 
2056
 
4559
 
2729
 
2120
 
4849
 	
25-44  8802
 
4506
 
13308
 
8684
 
4150
 
12834
 
9176
 
4394
 
13570
 
9657
 
4562
 
14219
 	
45-64  23777
 
10621
 
34398
 
22818
 
10340
 
33158
 
23302
 
9988
 
33290
 
24496
 
10787
 
35283
 	
65+  43092
 
38283
 
81375
 
42713
 
40790
 
83503
 
44185
 
40824
 
85009
 
48265
 
43181
 
91446
 	
Age NR  289
 
156
 
445
 
139
 
55
 
194
 
427
 
410
 
837
 
108
 
83
 
191
 	
Total  85343
 
61253
 
146596
 
83305
 
62889
 
146194
 
85091
 
62460
 
147551
 
91128
 
65791
 
156919

14
 	
Table 15contd... 	
 
1992  1993  1994  1995 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  2934
 
2218
 
5152
 
3080
 
2477
 
5557
 
3094
 
2457
 
5551
 
3060
 
2576
 
5636
 	
1-4yrs  783
 
687
 
1470
 
862
 
684
 
1546
 
492
 
505
 
997
 
653
 
601
 
1254
 	
5-14yrs  1029
 
862
 
1891
 
927
 
874
 
1801
 
796
 
643
 
1439
 
870
 
693
 
1563
 	
15-24  2259
 
1662
 
3921
 
2228
 
1724
 
3952
 
2017
 
1576
 
3593
 
2095
 
1688
 
3783
 	
25-44  9352
 
4249
 
13601
 
12663
 
4922
 
17585
 
10228
 
5137
 
15365
 
9855
 
5269
 
15124
 	
45-64  27239
 
12048
 
39287
 
25529
 
12992
 
38521
 
26297
 
12680
 
38977
 
27049
 
14516
 
41565
 	
65+  50608
 
46256
 
96864
 
49975
 
45204
 
95179
 
51748
 
44177
 
95925
 
49262
 
43752
 
93014
 	
Age NR  319
 
139
 
458
 
126
 
136
 
262
 
830
 
1034
 
1864
 
475
 
454
 
929
 	
Total  94523
 
68121
 
162644
 
95390
 
69013
 
164403
 
95502
 
68209
 
163711
 
93319
 
69549
 
162868
 	
   
1996  1997  1998  1999 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  3037
 
2551
 
5588
 
2980
 
2525
 
5505
 
2849
 
2477
 
5326
 
2578
 
2358
 
4936
 	
1-4yrs  720
 
657
 
1377
 
653
 
611
 
1264
 
770
 
664
 
1434
 
566
 
545
 
1111
 	
5-14yrs  897
 
695
 
1592
 
832
 
646
 
1478
 
1018
 
806
 
1824
 
814
 
687
 
1501
 	
15-24  2341
 
1798
 
4139
 
2204
 
1687
 
3891
 
2489
 
1931
 
4420
 
2285
 
1812
 
4097
 	
25-44  9921
 
5581
 
15502
 
9248
 
5356
 
14604
 
10962
 
6695
 
17657
 
10554
 
6457
 
17011
 	
45-64  29333
 
16858
 
46191
 
28309
 
16650
 
44959
 
30764
 
23725
 
54489
 
30356
 
23487
 
53843
 	
65+  51027
 
45086
 
96113
 
48848
 
44527
 
93375
 
52357
 
46666
 
99023
 
53411
 
49370
 
102781
 	
Age NR  866
 
735
 
1601
 
777
 
575
 
1352
 
983
 
632
 
1615
 
897
 
651
 
1548
 	
Total  98142
 
73961
 
172103
 
93851
 
72577
 
166428
 
102192
 
83596
 
185788
 
101461
 
85367
 
186828

15
 	
Table 15contd... 	
 
2000  2001  2002  2003 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  2515
 
1701
 
4216
 
1836
 
1311
 
3147
 
1789
 
1222
 
3223
 
1236
 
1047
 
2459
 	
1-4yrs  723
 
453
 
1176
 
873
 
652
 
1525
 
904
 
780
 
1858
 
848
 
474
 
1340
 	
5-14yrs  730
 
516
 
1246
 
1053
 
735
 
1788
 
1102
 
755
 
1994
 
1201
 
720
 
1935
 	
15-24  1903
 
1281
 
3184
 
2448
 
1301
 
3749
 
2185
 
1465
 
3866
 
1992
 
1726
 
3757
 	
25-44  9692
 
4376
 
14068
 
11005
 
4473
 
15478
 
10111
 
4749
 
15656
 
9279
 
4143
 
13552
 	
45-64  30925
 
12632
 
43557
 
31048
 
11194
 
42242
 
29182
 
11993
 
43382
 
25475
 
13773
 
39619
 	
65+  60553
 
50795
 
111348
 
68106
 
46024
 
114130
 
56996
 
47460
 
110305
 
65982
 
55505
 
122200
 	
Age NR              1909
 
1289
 
4313
 
3929
 
3335
 
9132
 	
Total  107041
 
71754
 
178795
 
116369
 
65690
 
182059
 
104178
 
69713
 
184597
 
109942
 
80723
 
193994
 	
   
2004  2005  2006  2007  2008 	
Age 
group 	
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 
M 
F 
T 	
<1  1349
 
965
 
2391
 
2173
 
1906
 
4109
 
2424
 
1969
 
4508
 
2629
 
1957
 
4622
 
2317
 
1717
 
4060
 	
1-4yrs  676
 
497
 
1229
 
1256
 
921
 
2252
 
640
 
534
 
1216
 
610
 
519
 
1154
 
544
 
429
 
997
 	
5-14yrs  1357
 
1012
 
2497
 
1185
 
924
 
2176
 
850
 
670
 
1556
 
883
 
693
 
1592
 
851
 
566
 
1432
 	
15-24  2508
 
1484
 
4088
 
2297
 
1520
 
3881
 
2350
 
1433
 
3840
 
2331
 
1457
 
3834
 
2248
 
1389
 
3664
 	
25-44  11133
 
4879
 
16409
 
10609
 
5007
 
15849
 
11354
 
5102
 
16754
 
11715
 
5178
 
17041
 
10959
 
5094
 
16131
 	
45-64  32302
 
13491
 
46850
 
32788
 
14452
 
47963
 
36970
 
15249
 
53163
 
39390
 
16561
 
56500
 
38378
 
16155
 
54804
 	
65+  64813
 
55192
 
122901
 
65895
 
57916
 
125947
 
71483
 
63051
 
137196
 
79270
 
70984
 
151965
 
71865
 
66572
 
139278
 	
Age NR  1375
 
847
 
2652
 
1109
 
599
 
1980
 
359
 
260
 
861
 
781
 
635
 
1983
 
719
 
535
 
1403
 	
Total  115513
 
78367
 
199017
 
117312
 
83245
 
204157
 
126430
 
88268
 
219094
 
137609
 
97984
 
238691
 
127881
 
92457
 
221769

16
 	
Table 16 	
Deaths by major causes 	
 
Cause of death/Year  1992	
 
1993
 
1994
 
1995
 
1996
 
1997
 
1998
 
1999
 	
Cancer 
9507
 
9871
 
9698
 
11711
 
13332
 
13829
 
21384
 
21354
 	
Diabetes 
3153
 
2379
 
2419
 
2840
 
3342
 
3057
 
4882
 
5365
 	
Heart attack 
29765
 
42554
 
35916
 
37601
 
41748
 
40435
 
48085
 
48121
 	
Asthma 
16792
 
16581
 
13459
 
13041
 
13816
 
13124
 
14345
 
14292
 	
Liver Disease 
1168
 
2540
 
2612
 
565
 
691
 
762
 
1055
 
1036
 	
Paralysis 
4976
 
11833
 
9786
 
3466
 
3809
 
3684
 
4583
 
4578
 	
Accident(Trafic/Vehicle) 
2490
 
2547
 
1672
 
1309
 
1648
 
1860
 
3774
 
3974
 	
Suicide 
4540
 
4496
 
5584
 
2009
 
2270
 
2849
 
4664
 
5055
 	
Blood Pressure 
 
0 
0 
0 
0 
0 
0 
0 	
Kidney Trouble 
 
0 
0 
0 
0 
0 
0 
0 	
Old age 
 
0 
0 
0 
0 
0 
0 
0 	
Pulmunary T.B   2803
 
3034
 
2954
 
970
 
1320
 
1281
 
1766
 
1694

17
 	
Table 16 contd… 
 
Cause of death/Year  2000	
 
2001
 
2002
 
2003
 
2004
 
2005
 
2006
 
2007
 
2008
 	
Cancer 
13157
 
13786
 
11905
 
11864
 
14229
 
13500
 
14946
 
16651
 
16617 
 	
Diabetes 
4158
 
4851
 
3984
 
6017
 
5963
 
5754
 
5639
 
6271
 
5540
 	
Heart attack 
40769
 
50216
 
35278
 
40554
 
48552
 
44509
 
57507
 
64393
 
59954
 	
Asthma 
16766
 
15975
 
15334
 
22760
 
24240
 
23866
 
27880
 
28602
 
26986
 	
Liver Disease 
994
 
915
 
484
 
1598
 
2285
 
1883
 
3039
 
4185
 
3779
 	
Paralysis 
3873
 
7799
 
4948
 
6948
 
9271
 
8746
 
8576
 
7519
 
7645
 	
Accident  
(Traffic/Vehicle) 
1569
 
2020
 
1401
 
1251
 
2221
 
2168
 
2589
 
3105
 
3268
 	
Suicide 
3658
 
4191
 
3709
 
4092
 
4824
 
5085
 
5502
 
5571
 
5276
 	
Blood Pressure 
329
 
3886
 
3051
 
5534
 
6491
 
6367
 
5960
 
6930
 
5997
 	
Kidney Trouble 
61
 
1710
 
1426
 
2082
 
2510
 
2519
 
3022
 
3958
 
3901
 	
Old age 
1568
 
19631
 
15933
 
31102
 
20732
 
25370
 
17612
 
19895
 
23642
 	
Pulmonary T.B   2479
 
2947
 
1182
 
1313
 
1919
 
1802
 
1245
 
1557
 
1382

18	 	
Table17 	
Number of 	Maternal	 deaths registered and Maternal Death Rates, Kerala 
1958-2008 	
Year  Number  Rate 
1961  -  2.38 
1962  708  1.78 
1963  748  1.86 
1964  606  1.42 
1965  505  1.21 
1966  564  1.31 
1967  339  0.84 
1968  294  0.7 
1969  292  0.77 
1970  231  0.75 
1971  244  0.61 
1972  235  0.5 
1973  142  0.3 
1974  121  0.25 
1975  177  0.33 
1976  131  0.24 
1977  106  0.21 
1978  230  0.45 
1979  163  0.31 
1980  61  0.11 
1981     
1982  127  0.22 
1983  111  0.2 
1984  82  0.15 
1985  11  0.02 
1986  3  0.01

19	 	
1987  70  0.12 
1988  57  0.1 
1989  33  0.06 
1990  43  0.08 
1991  51  0.09 
1992  16  0.03 
1993  9  0.02 
1994  30  0.06 
1995  42  0.07 
1996  62  0.12 
1997  77  0.13 
1998  71  0.12 
1999     
2000  9  0.02 
2001  7  0.01 
2002  76  0.13 
2003  133  0.24 
2004  129  0.23 
2005  360  0.64 
2006  610  0.67 
2007  105  0.19 
2008  112  0.21

20
 	
Table18 
District wise MMR   
Sl.No.	
 
District/Year 
1970
 
1971
 
1972
 
1973
 
1974
 
1975
 
1976
 
1977
 
1978
 
1979
 
1980
 
1981
 
1982
 	
1  Thiruvananthapuram
 
0.5
 
0.3
 
0.26
 
0.18
 
0.32
 
0.23
 
0.16
 
0.31
 
0.38
 
0.28
 
0.08
 
  0.24
 	
2 Kollam 
0.83
 
0.58
 
0.39
 
0.35
 
0.11
 
0.35
 
0.15
 
0.18
 
0.42
 
0.29
 
0.09
 
  0.2
 	
3 Pathanamthitta 
                         	
4 Alappuzha 
0.74
 
0.46
 
0.31
 
0.26
 
0.14
 
0.2
 
0.04
 
0.09
 
0.43
 
0.28
 
0.16
 
  0.1
 	
5 Kottayam 
0.58
 
0.24
 
0.07
 
0.11
 
0.19
 
0.24
 
0.13
 
0.12
 
0.46
 
0.23
 
0.03
 
   	
6 Idukki 
    0.52
 
0.34
 
0.11
 
0.32
 
0.22
 
0.06
 
0.77
 
0.42
 
    0.37
 	
7 Ernakulam 
0.39
 
0.42
 
0.35
 
0.13
 
0.24
 
0.02
 
0.11
 
0.2
 
0.21
 
0.18
 
0.04
 
  0.24
 	
8 Thrisur 
0.33
 
0.41
 
0.47
 
0.16
 
0.1
 
0.34
 
0.12
 
0.43
 
0.22
 
0.16
 
0.1
 
  0.09
 	
9 Palakkad 
1.41
 
1 
0.93
 
0.3
 
0.53
 
0.49
 
0.56
 
0.42
 
0.44
 
0.29
 
0.2
 
  0.39
 	
10 Malappuram 
  1.75
 
1.12
 
0.71
 
  0.43
 
0.27
 
0.28
 
0.6
 
0.44
 
0.16
 
  0.28
 	
11 Kozhikkode 
1.24
 
0.64
 
0.42
 
0.33
 
0.51
 
0.52
 
0.51
 
0.26
 
0.69
 
0.43
 
0.17
 
  0.09
 	
12 Wayanad 
                        0.17
 	
13 Kannur 
0.84
 
0.88
 
0.73
 
0.42
 
0.41
 
0.41
 
0.28
 
0.08
 
0.48
 
0.33
 
0.11
 
  0.42
 	
14 Kasaragode

21
 	
Table18 contd… 
 
Sl.No.	
 
District/Year 
1983
 
1984
 
1985
 
1986
 
1987
 
1988
 
1989
 
1990
 
1991
 
1992
 
1993
 
1994
 
1995
 	
1  Thiruvananthapuram
 
0.04
 
0.02
 
0.02
 
  0.35
 
    0.02
 
0.13
 
0.06
 
  0.08
 
0.09
 	
2 Kollam 
0.1
 
  0.03
 
  0.12
 
0.07
 
0.1
 
0.2
 
0.05
 
0.03
 
  0.03
 
0.07
 	
3 Pathanamthitta 
0.23
 
  0.09
 
  0.04
 
0.04
 
0.05
 
    0.05
 
0.05
 
0.05
 
0.05
 	
4 Alappuzha 
0.1
 
0.08
 
    0.07
 
  0.03
 
  0.25
 
0.19
 
0.04
 
0.08
 
0.11
 	
5 Kottayam 
0.03
 
0.45
 
    0.16
 
0.12
 
0.06
 
  0.09
 
0.03
 
  0.06
 
0.06
 	
6 Idukki 
0.19
 
0.41
 
0.29
 
  0.75
 
0.06
 
  0.06
 
      0.07
 
0.11
 	
7 Ernakulam 
0.14
 
          0.02
 
0.23
 
0.18
 
  0.06
 
0.04
 
0.06
 	
8 Thrisuur 
0.1
 
0.1
 
    0.07
 
0.13
 
0.02
 
  0.09
 
0.02
 
  0.04
 
0.07
 	
9 Palakkad 
0.23
 
0.05
 
    0.13
 
0.12
 
0.02
 
  0.18
 
0.04
 
  0.04
 
0.08
 	
10 Malappuram 
0.09
 
0.14
 
0.02
 
0.01
 
0.04
 
0.16
 
0.05
 
    0.01
 
  0.04
 
0.06
 	
11 Kozhikkode 
0.19
 
      0.03
 
0.02
 
0.1
 
0.28
 
0.13
 
0.02
 
0.02
 
0.04
 
0.04
 	
12 Wayanad 
2.94
 
0.56 
 
  0.15
 
    0.15 
 
  0.17
 
0.24
 
0.23
 	
13 Kannur 
0.28
 
0.5
 
0.03
 
0.02
 
0.11
 
0.09
 
0.23
 
0.04 
 
    0.07
 
0.05
 	
14 Kasaragode 
 
 
    0.09
 
0.76
 
0.09
 
0.09
 
0.09
 
  0.05
 
0.1
 
0.14

22
 	
Table18 contd… 
Sl.No.	
 
District/Year 
1996
 
1997
 
1998
 
2000
 
2001
 
2002
 
2003
 
2004
 
2005
 
2006
 
2007
 
2008
 	
1  Thiruvananthapuram
 
0.07
 
0.08
 
0.08
 
0.04
 
0.02
 
0.02
 
0.46
 
0.23
 
1.59
 
  0.35
 
0.32 	
2 Kollam 
0.12
 
0.14
 
0.14
 
    0.05
 
0.57
 
0.05
 
0.1
 
  0.13
 
0.08 	
3 Pathanamthitta 
0.1
 
0.15
 
0.11
 
    0.15
 
0.05
 
0.05
 
0.05
 
  0.11
 
0.3 	
4 Alappuzha 
0.2
 
0.2
 
0.06
 
  0.03
 
0.27
 
0.14
 
0 
0.45
 
  0.08
 
0.17 	
5 Kottayam 
0.12
 
0.14
 
0.11
 
    0.17
 
0.29
 
0.4
 
0.95
 
  0.03
 
0.1 	
6 Idukki 
0.15
 
0.21
 
0.16
 
    0.05
 
0.44
 
.  0.92
 
  0.06
 
0.19 	
7 Ernakulam 
0.11
 
0.12
 
0.07
 
    0.31
 
0.1
 
0.22
 
0.78
 
  0.53
 
0.6 	
8 Thrisuur 
0.13
 
0.08
 
0.12
 
0.08
 
0.02
 
0.12
 
0.06
 
0.15
 
0.78
 
  0.15
 
0.17 	
9 Palakkad 
0.08
 
0.1
 
0.16
 
0.06
 
  0.07
 
0.12
 
0.31
 
0.38
 
  0.22
 
0.13 	
10 Malappuram 
0.09
 
0.1
 
0.14
 
  0.02
 
0.06
 
0.28
 
0.13
 
0.25
 
  0.19
 
0.21 	
11 Kozhikkode 
0.09
 
0.15
 
0.11
 
  0.04
 
0.11
 
0.29
 
0.26
 
0.64
 
  0.14
 
0.09 	
12 Wayanad 
0.2
 
0.2
 
0.27
 
    0.06
 
0.20
 
0.52
 
0.67
 
  0.06
 
0.28 	
13 Kannur 
0.05
 
0.11
 
0.1
 
    0.1
 
0.13
 
0.58
 
0.55
 
  0.06
 
0.11 	
14 Kasaragode 
0.09
 
0.21
 
0.18
 
0.02    0.48
 
0.09
 
0.68
 
0.79
 
  0.24
 
0.14

23
 	
Table19 
Maternal deaths by age   	
Year/Age  
group  1976	
 
1977
 
1978
 
1979
 
1980
 
1982
 
1983
 
1984
 
1985
 
1986
 
1987
 
1988
 
1989
 
1990
 	
<15  2
 
27
 
3 
3 
5 
0 
2 
2 
0 
0  0  0  0  0 	
15-19  13
 
13
 
7 
10
 
23
 
66
 
8 
26
 
4 
0  5  3  3  6 	
20-24  36
 
14
 
24
 
16
 
17
 
25
 
24
 
14
 
1 
0  11  7  3  2 	
25-29  32
 
13
 
39
 
47
 
14
 
20
 
29
 
13
 
0 
1  6  6  4  1 	
30-34  14
 
10
 
48
 
39
 
1 
8 
20
 
14
 
2 
1  3  2  2  7 	
35-39  22
 
9 
38
 
28
 
1 
7 
17
 
3 
1 
1  8  8  7  15 	
40-44  1
 
5 
33
 
10
 
  0
 
7 
8 
2 
0  1  1  0  0 	
>45  9
 
14
 
31
 
7 
  1
 
4 
2 
1 
0  0  0  0  0 	
Age NR  2
 
1 
7 
3 
  0
 
  0
 
0 
0  36  30 
14 
12 	
State  131
 
106
 
230
 
163
 
61
 
127
 
111
 
82
 
11
 
3  70  57 
33
 
43 	
   	
Year/Age  
group  1991	
 
1992
 
1993
 
1994
 
1995
 
1996
 
1997
 
1998
 
2000
 
2001
 
2002
 
2005
 
2006
 
2007
 	
2008
 	
<15  0  0  0  0  0  0  0  0  0  0  3  13  35  0  0 	15-19  5  2  0  0  2  4  6  5  0  0  0  14  17  7  3 	20-24  4  1  2  3  8  17  22  15  0  1  5  37  37  18  21 	25-29  6  2  2  5  9  24  31  29  0  1  11  36  42  20  23 	30-34  11  3  2  8  12  10  12  14  0  2  13  27  28  26  13 	35-39  13  6  3  9  5  3  4  6  2  3  6  20  22  9  20 	40-44  0  0  0  2  4  3  2  2  1  0  3  6  15  6  10 	>45  0  0  0  0  1  1  0  0  0  0  35  202  404  16  17 	Age NR  12  2  0  3  1  0  0  0  0  0  0  5  10  3  5 	State 
51  16  9  30  42  62  77  71  3  7  76 
360  610  105  112

24	 	
Table 20 	
Number of 	Infant	 deaths registered and Infant 	Mortality 	Rates, Kerala 
1958-2008 	
 
Year  Number  Rate 	
1958    49.31 
1959    49.77 
1960    39.79 
1961    41.82 
1962  13695  34.62 
1963  12750  32.02 
1964  12034  28.36 
1965  11328  27.28 
1966  11138  26.01 
1967  9683  24.08 
1968  8690  20.93 
1969  7519  19.85 
1970  5141  16.83 
1971  6820  17.13 
1972  8799  18.79 
1973  8231  17.65 
1974  8707  18.47 
1975  10393  19.59 
1976  11090  20.94 
1977  8897  17.97 
1978  8349  16.75 
1979  8634  16.36 
1980  8227  15.45 
1981     
1982  8587  15.32 
1983  8659  15.86

25	 	
1984  7041  12.83 
1985  7778  13.23 
1986  6398  11.28 
1987  7485  13.13 
1988  7192  12.52 
1989  7122  12.63 
1990  6534  11.48 
1991  6315  11.32 
1992  5152  9.84 
1993  5557  10.48 
1994  5551  10.41 
1995  5664  10.15 
1996  5588  9.53 
1997  5510  9.07 
1998  5326  9.00 
1999  4936  8.27 
2000  4216  7.10 
2001  3147  5.43 
2002  3223  5.54 
2003  2459  4.40 
2004  2391  4.26 
2005  4109  7.35 
2006  4508  8.10 
2007  4622  8.48 
2008  4060  7.58

1
 	
Table 21 
District wise IMR         
Sl.No.	
 
District/Year 
1970
 
1971
 
1972
 
1973
 
1974
 
1975
 
1976
 
1977
 
1978
 
1979
 
1980
 
1981
 
1982
 	
1 
Thiruvananthapuram
 
14.66
 
13.11
 
17.38
 
15.21
 
12.92
 
20.39
 
20.21
 
19.64
 
15.59
 
16.32
 
19.98
 
  24.72
 	
2 Kollam 
15.74
 
13.4
 
12.79
 
12.6
 
15.89
 
17.07
 
19.23
 
16.05
 
13.7
 
11.75
 
12.53
 
  12.38
 	
3 Pathanamthitta 
                         	
4 Alappuzha 
14.42
 
13.47
 
15.51
 
13.24
 
14.65
 
13.82
 
15.65
 
11.16
 
11.12
 
10.92
 
9.63
 
  12.16
 	
5 Kottayam 
16.16
 
22.42
 
18.32
 
15.84
 
19.94
 
20.7
 
20.42
 
17.8
 
16.75
 
17.07
 
17.1
 
  14.55
 	
6 Idukki 
    34.73
 
27.66
 
31.06
 
27.75
 
34.79
 
26.89
 
10.27
 
10.01
 
21.03
 
  21.15
 	
7 Ernakulam 
11.24
 
15.32
 
15.95
 
16.18
 
17.8
 
18.1
 
16.78
 
16.15
 
12.63
 
14.76
 
16.47
 
  15.01
 	
8 Thrisuur 
13.05
 
10.87
 
12.97
 
13.66
 
14.42
 
13.75
 
15.67
 
15.13
 
14.88
 
12.29
 
10.69
 
  12.73
 	
9 Palakkad 
26.49
 
24.9
 
25.73
 
27.09
 
29.3
 
30.16
 
26.9
 
27.71
 
25.53
 
24.21
 
20.08
 
  17.55
 	
10 Malappuram 
  21.43
 
21.48
 
19.51
 
18.89
 
19.17
 
21.04
 
17.22
 
13.52
 
13.5
 
11.59
 
  10.78
 	
11 Kozhikkode 
23.38
 
24.08
 
24.05
 
22.95
 
20.68
 
21.66
 
27.3
 
19.39
 
24.79
 
26.02
 
19.24
 
  20.48
 	
12 Wayanad 
                        18.26
 	
13 Kannur 
21.68
 
17
 
19.4
 
17.93
 
17.26
 
18.74
 
20.28
 
17.83
 
18.86
 
16.91
 
14.97
 
  11.95
 	
14 Kasaragode

2
 	
Table 21 contd… 
   
Sl.No.	
 
District/Year 
1983
 
1984
 
1985
 
1986
 
1987
 
1988
 
1989
 
1990
 
1991
 
1992
 
1993
 
1994
 
1995
 	
1  Thiruvananthapuram
 
21.14
 
17.87
 
13.83
 
4.86
 
16.95
 
14.46
 
15.36
 
14.73
 
12.89
 
12.48
 
12.93
 
11.78
 
12.71
 	
2 Kollam 	
14.53
 
11.38
 
11.89
 
9.59
 
11.08
 
9.96
 
9.97
 
9.34
 
11.19
 
9.32
 
8.22
 
8.84
 
6.59
 	
3 
Pathanamthitta 	
11.79
 
9.7
 
8.46
 
8.13
 
7.74
 
8.34
 
8.76
 
7.12
 
7.73
 
7.56
 
7.69
 
6.54
 
7.41
 	
4 Alappuzha 	
13.86
 
9.6
 
17.08
 
12.54
 
12.54
 
13.33
 
10
 
11.18
 
10.25
 
10.91
 
11.15
 
11.66
 
10.67
 	
5 Kottayam 	
16.63
 
12.73
 
14.75
 
11.51
 
10.27
 
11.98
 
13.17
 
14.28
 
15.68
 
8.45
 
9.06
 
9.77
 
14.88
 	
6 Idukki 	
19.69
 
17.17
 
15.67
 
14.86
 
14.56
 
11.28
 
12.31
 
10.6
 
11.77
 
7.13
 
9.16
 
8.24
 
10.3
 	
7 
Ernakulam 	
15.41
 
13.37
 
14.3
 
16.17
 
15.33
 
12.35
 
13.25
 
13.56
 
12.88
 
11.27
 
12.25
 
10.95
 
8.89
 	
8 Thrisuur 	
14.73
 
12.39
 
12.6
 
12.25
 
10.19
 
10.47
 
13.8
 
11.92
 
11.74
 
11.26
 
12.9
 
13.22
 
12.75
 	
9 Palakkad 	
17.05
 
14.59
 
14.06
 
11.89
 
13.97
 
10.09
 
9.42
 
12.23
 
10.18
 
7.41
 
8.61
 
9.37
 
7.61
 	
10 
Malappuram 	
11.67
 
8.22
 
8.65
 
7.69
 
7.45
 
7.71
 
8.24
 
7.54
 
5.97
 
5.02
 
5.88
 
5.43
 
6.42
 	
11 Kozhikkode 	
22.45
 
15.66
 
19
 
18.36
 
25.42
 
29.94
 
25.35
 
18.69
 
20.26
 
20.72
 
19.23
 
18.29
 
15.96
 	
12 Wayanad 	
14.38
 
15.21
 
17.34
 
11.49
 
15.55
 
12.17
 
11.66
 
9.51
 
9.63
 
8.14
 
11.62
 
11.53
 
9.83
 	
13 Kannur 	
13.34
 
10.52
 
10.23
 
9.48
 
9.24
 
9.41
 
9.1
 
6.78
 
7.87
 
5.97
 
6.26
 
9.02
 
9.35
 	
14 
Kasaragode 	
 
 
12.79
 
12.88
 
12.49
 
9.22
 
10.28
 
9.48
 
9.18
 
5.45
 
8.61
 
8.63
 
8.18

3
 	
    
Table 21 contd…  
 
                           Sl.No.	
 
District/Year 
1996
 
1997
 
1998
 
1999
 
2000
 
2001
 
2002
 
2003
 
2004
 
2005
 
2006
 
2007
 
2008
 	
1 
Thiruvananthapuram
 
14.04
 
13.46
 
12.89
 
12.06
 
5.76
 
7.42
 
7.41
 
11.97
 
3.22
 
11.84
 
15.19
 
14.52
 
13.63
 	
2 Kollam 
7.27
 
5.78
 
5.97
 
6.53
 
5.14
 
3.28
 
2.39
 
2.12
 
1.98
 
2.11
 
2.58
 
2.69
 
2.69
 	
3 
Pathanamthitta 	
6.92
 
9.99
 
6.65
 
6.08
 
4.67
 
3.35
 
1.74
 
4.13
 
3.91
 
3.64
 
3.91
 
6.02
 
4.63
 	
4 Alappuzha 
9.08
 
9.42
 
7.64
 
9.55
 
3.54
 
2.18
 
5.31
 
1.71
 
2.41
 
3.43
 
6.04
 
4 
5.13
 	
5 Kottayam 
9.27
 
8.51
 
9.78
 
4.84
 
13.16
 
16.51
 
1.43
 
1.37
 
2.13
 
1.4
 
8.97
 
5.83
 
5.69
 	
6 Idukki 
8.24
 
9.97
 
11.47
 
10.78
 
9.2
 
3.08
 
3.3
 
1.86
 
2.82
 
2.61
 
3 
5.07
 
4.26
 	
7 
Ernakulam 	
9.95
 
9.96
 
7.08
 
10.19
 
6.69
 
6.48
 
6.89
 
5.27
 
2.08
 
4.84
 
9.8
 
9.1
 
7.43
 	
8 Thrisuur 
12.67
 
11.12
 
10.6
 
10.63
 
9.86
 
7.26
 
11.88
 
3.69
 
4.29
 
7.25
 
9.25
 
12.53
 
9.24
 	
9 Palakkad 
6.85
 
8.66
 
8.33
 
6.37
 
6.51
 
4.87
 
1.94
 
1.77
 
1.28
 
3.64
 
5.12
 
4.07
 
3.75
 	
10 
Malappuram 	
5.35
 
5.05
 
5.48
 
4.13
 
3.63
 
3.08
 
2.19
 
2.43
 
3.82
 
2.39
 
4.46
 
5.86
 
5.10
 	
11 Kozhikkode 
14.34
 
13.6
 
17.57
 
16.699
 
14.2
 
3.54
 
12.35
 
10.05
 
14.47
 
34.35
 
16.45
 
18.5
 
17.07
 	
12 Wayanad 
11.02
 
5.27
 
3.94
 
3.87
 
8.02
 
7.4
 
5.19
 
1.66
 
4.4
 
0.74
 
1.62
 
10.18
 
7.16
 	
13 Kannur 
7.28
 
6.56
 
6.95
 
4.87
 
5.59
 
5.26
 
5.26
 
3.01
 
4.81
 
2.21
 
6.93
 
5.79
 
5.95
 	
14 
Kasaragode 	
9.8
 
6.94
 
6.2
 
2.08
 
2.6
 
2.83
 
2 
3.01
 
1.62
 
0.84
 
7.69
 
3.57
 
3.99

4
 	
 
Table 22 	
Infant deaths by age and sex 	
 
1970  1971  1972  1973 	
Age  
group/  
Year	
  M  F  T  M  F  T  M  F  T  M  F  T 	
<1W  1127
 
817
 
1944
 
1093
 
867
 
1960
 
1550
 
1300
 
2850
 
1436
 
1141
 
2577
 	
1W-1M  432
 
391
 
823
 
915
 
749
 
1664
 
986
 
817
 
1803
 
1073
 
916
 
1989
 	
1-6M  600
 
501
 
1101
 
811
 
793
 
1604
 
1034
 
1032
 
2066
 
1071
 
940
 
2011
 	
6m-1Y  690
 
583
 
1273
 
839
 
753
 
1592
 
1097
 
983
 
2080
 
857
 
797
 
1654
 	
   
1974  1975  1976  1977 	
Age  
group/ 
Year	
  M  F  T  M  F  T  M  F  T  M  F  T 	
<1W  1648
 
1164
 
2812
 
2001
 
1484
 
3485
 
1973
 
1336
 
3309
 
2039
 
1292
 
3331
 	
1W-1M  884
 
684
 
1568
 
1056
 
767
 
1823
 
1066
 
848
 
1914
 
798
 
677
 
1475
 	
1-6M  1399
 
1253
 
2652
 
1702
 
1526
 
3228
 
1745
 
1516
 
3261
 
1218
 
1007
 
2225
 	
6m-1Y  901
 
774
 
1675
 
975
 
882
 
1857
 
1061
 
1004
 
2065
 
699
 
703
 
1402
 	
   
1978  1979  1980  1982 	
Age  
group/ 
Year	
  M  F  T  M  F  T  M  F  T  M  F  T 	
<1W  1645
 
1582
 
3227
 
2182
 
1778
 
3960
 
2316
 
1706
 
4022
 
2640
 
1868
 
4508
 	
1W-1M  644
 
599
 
1243
 
847
 
636
 
1483
 
767
 
631
 
1398
 
715
 
544
 
1259
 	
1-6M  1111
 
1064
 
2175
 
1151
 
997
 
2148
 
1017
 
834
 
1851
 
880
 
788
 
1668
 	
6m-1Y  877
 
827
 
1704
 
548
 
495
 
1043
 
532
 
424
 
956
 
624
 
528
 
1152

5
 	
Table 22 contd… 
 
1983  1984  1985  1986 	
Age  
group/ 
Year	
  M  F  T  M  F  T  M  F  T  M  F  T 	
<1W  2574
 
1880
 
4454
 
2292
 
1607
 
3899
 
2518
 
1695
 
4213
 
2079
 
1473
 
3552
 	
1W-1M  683
 
508
 
1191
 
578
 
412
 
990
 
607
 
524
 
1131
 
605
 
436
 
1041
 	
1-6M  1052
 
815
 
1867
 
721
 
562
 
1283
 
767
 
671
 
1438
 
623
 
489
 
1112
 	
6m-1Y  650
 
497
 
1147
 
446
 
423
 
869
 
555
 
441
 
996
 
372
 
321
 
693
 	
 
1987  1988  1989  1990 	
Age  
group/ 
Year	
  M  F  T  M  F  T  M  F  T  M  F  T 	
<1W  2493
 
1911
 
4404
 
2673
 
1922
 
4595
 
2513
 
2009
 
4522
 
2377
 
1870
 
4247
 	
1W-1M  574
 
462
 
1036
 
569
 
449
 
1018
 
577
 
444
 
1021
 
650
 
494
 
1144
 	
1-6M  671
 
636
 
1307
 
560
 
478
 
1038
 
511
 
474
 
985
 
365
 
298
 
663
 	
6m-1Y  346
 
392
 
738
 
301
 
240
 
541
 
312
 
282
 
594
 
224
 
256
 
480
 	
   
1991  1992  1993  1994 	
Age  
group/  
Year	
  M  F  T  M  F  T  M  F  T
 
M  F  T 	
<1W  2134
 
1574
 
3708
 
2141
 
1488
 
3629  2249  1799  4048  2330  1844  4174 	
1W-1M  486
 
421
 
907
 
416
 
404
 
820  360  301  661  353  297  650 	
1-6M  540
 
535
 
1075
 
221
 
206
 
427  305  241  546  271  215  486 	
6m-1Y  331
 
294
 
625
 
156
 
120
 
276  166  136  302  140  101  241 	
 	 
1995  1996  1997  1998 	
Age  
group/ 
Year	
  M  F  T  M  F  T  M  F  T  M  F  T 	
<1W  1987
 
1735
 
3722
 
1791
 
1406
 
3197
 
1817
 
1445
 
3262
 
1809
 
24
 
1833
 	
1W-1M  607
 
463
 
1070
 
518
 
440
 
958
 
507
 
465
 
972
 
479
 
436
 
915
 	
1-6M  343
 
242
 
585
 
524
 
513
 
1037
 
522
 
515
 
1037
 
459
 
441
 
900
 	
6m-1Y  159
 
128
 
287
 
204
 
192
 
396
 
134
 
105
 
239
 
102
 
81
 
183

6
 	
Table 22 contd… 
   
1999  2000  2001  2002 	
Age  
group/ 
Year	
  M  F  T  M  F  T  M  F  T  M  F  T 	
<1W  1756
 
1376
 
3132
 
1800
 
1148
 
2948
 
1230
 
836
 
2066
 
1153
 
778
 
2068
 	
1W-1M  462
 
367
 
829
 
278
 
200
 
478
 
326
 
234
 
560
 
276
 
171
 
482
 	
1-6M  452
 
352
 
804
 
293
 
244
 
537
 
150
 
139
 
289
 
251
 
185
 
464
 	
6m-1Y  99
 
72
 
171
 
144
 
109
 
253
 
130
 
102
 
232
 
109
 
88
 
209
 	
   
2003  2004  2005  2006 	
Age  
group/ 
Year	
  M  F  T  M  F  T  M  F  T  M  F  T 	
<1W  726
 
530
 
1378
 
958
 
618
 
1623
 
1015
 
858
 
1889
 
1627
 
1335
 
3047
 	
1W-1M  257
 
316
 
596
 
244
 
202
 
469
 
490
 
421
 
916
 
368
 
288
 
667
 	
1-6M  154
 
113
 
286
 
89
 
72
 
163
 
328
 
311
 
644
 
318
 
249
 
584
 	
6m-1Y  99
 
88
 
199
 
58
 
73
 
136
 
320
 
283
 
607
 
111
 
97
 
210
 	
   
2007  2008 	
Age  
group/  
Year	
  M  F  T  M  F  T 	
<1W  1771
 
1262
 
3062
 
1619
 
1110
 
2751
 	
1W-1M  401
 
321
 
724
 
351
 
266
 
620
 	
1-6M  347
 
278
 
627
 
264
 
246
 
511
 	
6m-1Y  110
 
96
 
209
 
83
 
95
 
178

7	 	
   
Table 23 	
Number of 	Still births	 registered and Still birth Rates, Kerala 1961-2008  	
  
Year  Number  Rate 	
1961  -  9.06 
1962  3030  7.60 
1963  3183  7.93 
1964  3457  8.08 
1965  3571  8.53 
1966  3292  7.63 
1967  2936  7.25 
1968  2833  6.78 
1969  2910  7.63 
1970  2848  9.24 
1971  3550  8.84 
1972  4623  9.78 
1973  3005  6.4 
1974  3955  8.32 
1975  3884  7.27 
1976  4144  7.76 
1977  4586  9.18 
1978  5304  10.47 
1979  5207  9.77 
1980  4967  9.24 
1981     
1982  4854  8.58 
1983  3441  6.26 
1984  4175  7.55 
1985  3909  6.61 
1986  3236  5.67

8	 	
1987  3694  6.44 
1988  3249  5.63 
1989  3244  5.72 
1990  3537  6.18 
1991  3413  6.08 
1992  2782  5.29 
1993  2692  5.05 
1994  2743  5.14 
1995  3210  5.72 
1996  3026  5.14 
1997  3167  5.18 
1998  2762  4.65 
1999  3136  5.25 
2000  3841  6.43 
2001  2704  4.65 
2002  2863  4.89 
2003  2253  4.02 
2004  2646  4.68 
2005  3529  6.27 
2006  3108  5.56 
2007  3318  6.05 
2008  1994  3.71

9
 	
   
Table 24 	
District wise Still birth rates 
 	
Sl.No.  District/Year  1970  1971  1972  1973  1974  1975  1976  1977  1978 	1 
Thiruvananthapuram 
9.01
 
9.83
 
11.79
 
7.01
 
9.83
 
4.36
 
7.74
 
6.55
 
11.87
 	
2 Kollam 
11.23
 
9.45
 
12.52
 
8.59
 
7.71
 
7.66
 
10.99
 
9.07
 
11.07
 	
3 Pathanamthitta 
                 	
4 Alappuzha 
6.83
 
4.78
 
6.53
 
4.73
 
4.52
 
3.94
 
7.31
 
6.81
 
7.74
 	
5 Kottayam 
5.89
 
8.82
 
7.35
 
5.13
 
6.95
 
7.19
 
5.18
 
6.67
 
5.37
 	
6 Idukki 
    5.96
 
11.86
 
8.32
 
6.93
 
3.96
 
9.63
 
7.13
 	
7 Ernakulam 
10.71
 
14.52
 
17.71
 
6.39
 
13.39
 
12.51
 
12.96
 
12.84
 
14.25
 	
8 Thrisuur 
7.25
 
5.31
 
10.48
 
6.28
 
7.47
 
5.77
 
6.12
 
8.21
 
13.5
 	
9 Palakkad 
11.99
 
6.32
 
9.17
 
6.32
 
3.16
 
4.19
 
9.75
 
14.48
 
14.35
 	
10 Malappuram 
  6.2
 
3.09
 
5.39
 
4.59
 
2.91
 
2.89
 
6.26
 
9.32
 	
11 Kozhikkode 
8.49
 
14.59
 
13.38
 
6.51
 
14.52
 
14.21
 
11.26
 
12
 
12.65
 	
12 Wayanad 
                 	
13 Kannur 
14.99
 
5.71
 
5.16
 
4.98
 
8.3
 
7.83
 
4.62
 
8.61
 
6.26
 	
14 Kasaragode

10
 	
     
Table 24 contd…  
  
Sl.No.  District/Year  1979  1980  1982  1983  1984  1985  1986  1987  1988 	
1 
Thiruvananthapuram 
11.38
 
10.28
 
7.84
 
2.42
 
1.66
 
3.15
 
1 
2.67
 
1.44
 	
2 Kollam 
9.86
 
9.48
 
9.55
 
7.87
 
9.3
 
6.47
 
8.07
 
6.56
 
4.23
 	
3 Pathanamthitta 
      5.66
 
8.99
 
4.55
 
2.05
 
3.26
 
3.6
 	
4 Alappuzha 
7.56
 
7.44
 
3.56
 
6.4
 
2.95
 
3.96
 
1.51
 
2.85
 
4.16
 	
5 Kottayam 
5.81
 
6 
7.84
 
6.72
 
9.35
 
5.6
 
3.42
 
2.93
 
3.6
 	
6 Idukki 
8.79
 
10.25
 
7.85
 
10.52
 
5.29
 
6.03
 
3.46
 
1.73
 
4.21
 	
7 Ernakulam 
14.24
 
12.35
 
10.71
 
8.06
 
7.99
 
8 
6.18
 
7.72
 
7.16
 	
8 Thrisuur 
11.94
 
11.22
 
8.93
 
7.29
 
6.45
 
6.29
 
4.87
 
5.64
 
6.11
 	
9 Palakkad 
10.73
 
8.7
 
7.77
 
8.14
 
6.25
 
8.86
 
7.11
 
10.43
 
4.43
 	
10 Malappuram 
8.64
 
7.74
 
6.66
 
2.73
 
5.36
 
3.24
 
5.76
 
5.46
 
4.16
 	
11 Kozhikkode 
12.64
 
12.99
 
13.19
 
10.27
 
18
 
12.51
 
12.45
 
13.87
 
14.17
 	
12 Wayanad 
    11.55
 
11.85
 
12.45
 
9.48
 
10.44
 
8.43
 
6.3
 	
13 Kannur 
5.68
 
5.28
 
8.3
 
3.26
 
6.27
 
7.14
 
5.03
 
5.56
 
5.28
 	
14 Kasaragode 
          10.36
 
5.88
 
8.79
 
9.13

11
 	
Table 24 contd… 
   
Sl.No.  District/Year  1989  1990  1991  1992  1993  1994  1995  1996  1997  1998 	
1 
Thiruvananthapuram 	
1.95
 
4.26
 
3.34
 
3.46
 
3.51
 
3.03
 
5.2
 
6.63
 
6.51
 
6.83
 	
2 Kollam 
3.81
 
4.14
 
3.34
 
4.15
 
4.48
 
3.98
 
3.79
 
3.12
 
2.28
 
1.73
 	
3 Pathanamthitta 
3.18
 
3.86
 
3.32
 
3.84
 
4.1
 
2.82
 
3.72
 
3.03
 
3.01
 
2.76
 	
4 Alappuzha 
4.07
 
5.36
 
4.73
 
4.76
 
5.23
 
6.69
 
5.31
 
5.76
 
5.27
 
5.15
 	
5 
Kottayam 	
7.55
 
14.61
 
8.54
 
4.94
 
4.31
 
1.76
 
7.08
 
4.7
 
5.08
 
5.94
 	
6 Idukki 
7.27
 
1.1
 
6.51
 
4.37
 
3.31
 
4.09
 
3.67
 
3.65
 
2.98
 
4.14
 	
7 Ernakulam 
7.04
 
6.83
 
6.29
 
5.77
 
5.08
 
5.23
 
5.06
 
4.46
 
4.9
 
2.9
 	
8 Thrisuur 
5.31
 
6.04
 
6.33
 
6.92
 
7.88
 
8.14
 
8.11
 
7.44
 
5.08
 
5.81
 	
9 
Palakkad 	
4.45
 
3.91
 
5.77
 
4.26
 
2.89
 
3.57
 
4.14
 
2.94
 
3.44
 
2.16
 	
10 Malappuram 
3.78
 
5.73
 
3.98
 
1.79
 
1.79
 
2.08
 
2.14
 
2.71
 
2.36
 
1.71
 	
11 Kozhikkode 
12.71
 
10.51
 
12.57
 
11.2
 
12.9
 
11.84
 
10.46
 
8.45
 
11.45
 
10.44
 	
12 Wayanad 
8.63
 
5.94
 
5.49
 
5.9
 
5.4
 
7.02
 
4.47
 
4.5
 
6.08
 
4.32
 	
13 
Kannur 	
4.59
 
3.84
 
5.47
 
4.64
 
2.38
 
5.69
 
7.94
 
5.76
 
7.28
 
6.4
 	
14 Kasaragode 	
9.37
 
9.3
 
10.48
 
10.35
 
6.43
 
6.11
 
9.63
 
9.08
 
5.23
 
4.71

12
 	
 
Table 24 contd…  
   
Sl.No.  District/Year  1999  2000  2001  2002  2003  2004  2005  2006	
 
2007
 
2008 	
1 
Thiruvananthapuram 
9.08
 
1.11
 
5.63
 
0.58
 
3 
3.19
 
8.2
 
11.69
 
9.03
 
4.36
 	
2 Kollam 
2.58
 
3.99
 
2.76
 
2.8
 
2.07
 
2.1
 
3.2
 
3.37
 
2.71
 
1.65
 	
3 Pathanamthitta 
2.5
 
4.24
 
1.52
 
2.73
 
4.21
 
1.95
 
3.26
 
2.3
 
3.22
 
1.84
 	
4 Alappuzha 
5.49
 
6.12
 
6.59
 
5.01
 
3.05
 
3.75
 
9.09
 
4.78
 
6.27
 
3.95
 	
5 Kottayam 
6.42
 
2.94
 
6.63
 
4.69
 
0.80
 
4.41
 
7.01
 
7.53
 
6.98
 
6.88
 	
6 Idukki 
4.59
 
2.15
 
2.87
 
2.55
 
1.53
 
2.11
 
3.75
 
2.39
 
1.22
 
2.56
 	
7 Ernakulam 
3.16
 
3.75
 
4.49
 
3.32
 
3.67
 
4.58
 
4.63
 
2.93
 
6.37
 
3.97
 	
8 Thrisuur 
5.65
 
3.69
 
5.24
 
5.6
 
5.72
 
6.88
 
6.84
 
3.74
 
5.35
 
1.55
 	
9 Palakkad 
2.94
 
7.31
 
3.33
 
3.25
 
3.08
 
2.47
 
3.7
 
2.67
 
4.31
 
3.26
 	
10 Malappuram 
1.16
 
5.26
 
2.39
 
5.32
 
2.39
 
4.52
 
4.96
 
4.64
 
4.94
 
2.07
 	
11 Kozhikkode 
11.98
 
20.42
 
8.76
 
10.39
 
9.51
 
8.95
 
9.75
 
8.82
 
9.24
 
7.77
 	
12 Wayanad 
6 
10.43
 
6.78
 
6.18
 
6.59
 
9.62
 
9.07
 
7.42
 
7.66
 
1.17
 	
13 Kannur 
6.32
 
7.12
 
3.83
 
6.28
 
5.17
 
3.19
 
7.07
 
6.95
 
6.95
 
5.96
 	
14 Kasaragode 
5.94
 
7.33
 
4.61
 
9.75
 
3.75
 
6.71
 
6 
4.34
 
6.38
 
1.44

13	 	
Table 25 
Still births by sex and age of mother     
2002  2003 	
Age  
group/ 
Year	
  M  F  NR  T  M  F  NR  T 	
Below 
15  1  0  0  1  1  0  0  1 
15 - 19  129  83  4  216  102  65  3  170 
20 - 24 446  419  24  889  351  330  19  700 
25 - 29 453  364  17  834  356  286  13  656 
30 - 34 215  164  3  382  169  129  3  301 
35 - 39  67  65  3  135  53  51  2  106 
40 - 44 13  9  1  23  10  7  1  18 
45 & 
above  184  148  12  344  145  116  10  271 
Age not 
reported  20  18  1  39  16  14  1  31 
Total  1528  1270  65  2863  1202  999  52  2253 	
 
    
2004  2005 	
Age  
group/ 
Year	
  M  F  NR  T  M  F  NR  T 	
Below 
15  0	
 	0 	0 	0 	0  0  0  0 	
15 - 19 
45	 	33	 	3 	81	 	89  115  0  204 	
20 - 24 
623	 	464	 	11	 	1098	 	685  542  21  1248 	
25 - 29 
414	 	331	 	5 	750	 	650  507  9  1166 	
30 - 34 
183	 	161	 	6 	350	 	271  259  7  537 	
35 - 39 
69	 	63	 	0 	132	 	112  69  6  187 	
40 - 44 
12	 	9 	0 	21	 	21  11  0  32 	
45 & 
above  13	
 	14	 	0 	27	 	0  2  0  2 	
Age not 
reported	
 	84	 	102	 	1 	187	 	90  59  4  153 	
Total  1443	 	1177	 	26	 	2646	 	1918  1564  47  3529

14	 	
      
Table 25 contd…  
  
2006  2007 	
Age  
group/ 
Year	
  M  F  NR  T  M  F  NR  T 	
Below 
15 	0  1  0  1  1  1  0  2 	
15 - 19 	102  97  4  203  87  110  1  198 	
20 - 24 	589  478  18  1085  583  491  19  1093 	
25 - 29 	564  466  10  1040  610  507  8  1125 	
30 - 34 	275  198  6  479  269  223  9  501 	
35 - 39 	89  80  0  169  109  81  1  191 	
40 - 44 	7  10  0  17  9  10  0  19 	
45 & 
above 	3  1  0  4  1  0  0  1 	
Age not 
reported	
 	61  48  1  110  108  78  2  188 	
Total 	1690  1379  39  3108  1777  1501  40  3318 	
           
2008 	
Age group/  
Year	
  M  F  NR  T 	
Below 15 	
0  0  0  0 	
15 - 19 	61  42  2  105 	
20 - 24 	328  275  7  610 	
25 - 29 	360  298  6  664 	
30 - 34 	168  157  2  327 	
35 - 39 	55  48  0  103 	
40 - 44 	2  4  0  6 	
45 & above 	
0  0  0  0 	
Age not 
reported 	95  82  2  179 	
Total 	1069  906  19  1994

15	 	
Table 26 
Still births by sex and duration of pregnancy   
2002  2003 	
Age  
group/ 
Year	
  M  F  NR  T  M  F  NR  T 	
< 32 
306  274  14  594 
241  216  11  467 
32-36  375  294  19  688 
295  231  15  541 
37-39  351  234  12  597 
276  184  9  470 
40 140  110  4  254 
110  87  3  200 
41+  356  358  16  730 
280  282  13  574 
Not 
stated  0  0  0  0 
0  0  0  0 
Total  1528  1270  65  2863  1202  999  51 2253 	
    
2004  2005 	
Age  
group/  
Year	
  M  F  NR  T  M  F  NR  T 	
< 32 
408	 	384	 	18	 	810	 	675  464  6  1145 	
32-36 
419	 	303	 	6 	728	 	620  545  12  1177 	
37-39 
234	 	201	 	1 	436	 	384  360  11  755 	
40 
110	 	72	 	1 	183	 	139  99  7  245 	
41+ 
272	 	217	 	0 	489	 	20  18  0  38 	
Not 
stated  0	
 	0 	0 	0 	80  78  11  169 	
Total  1443	 	1177	 	26	 	2646	 	1918  1564  47  3529 	
    
2006  2007 	
Age  
group/ 
Year	
  M  F  NR  T  M  F  NR  T 	
< 32 	540  488  17  1045  559  571  22  1152 	
32-36 	405  316  8  729  437  338  8  783 	
37-39 	517  403  10  930  505  377  6  888 	
40 	91  92  3  186  123  99  3  225 	
41+ 	115  66  1  182  125  92  1  218 	
Not 
stated 	22  14  0  36  28  24  0  52 	
Total 	1690  1379  39  3108  1777  1501  40  3318 	
   
2008 	
Age  
group/ 
Year	
  M  F  NR  T 	
< 32 	417  346  11  774 	
32-36 	243  229  2  474 	
37-39 	284  222  3  509 	
40 	56  41  2  99 	
41+ 	59  57  0  116 	
Not 
stated 	10  11  1  22 	
Total 	1069  906  19  1994

16
 	
Table 27 
PROJECTED POPULATION AS ON 1
ST MARCH –INDIA, STATES AND UNION TERRITORIES*: 2001- 2026 (000’) 	
 
2001 
   
2006   
2011 	
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
 
India 
1028610
 
532157
 
496454
 
1112186
 
575529
 
536657
 
1192506
 
617316
 
575191
 	
1 
Jammu  & Kashmir  10144
 
5361
 
4783
 
10941
 
5756
 
5185
 
11718
 
6139
 
5579
 	
2 
Himachal Pradesh  6078
 
3088
 
2990
 
6455
 
3289
 
3166
 
6793
 
3471
 
3322
 	
3 
Punjab  24359
 
12985
 
11374
 
26059
 
13956
 
12104
 
27678
 
14886
 
12792
 	
4 
Chandigarh*  901
 
507
 
394
 
1103
 
632
 
471
 
1438
 
832
 
606
 	
5 
Uttaranchal  8489
 
4326
 
4163
 
9219
 
4699
 
4520
 
9943
 
5072
 
4871
 	
6 
Haryana  21145
 
11364
 
9781
 
23314
 
12568
 
10746
 
25439
 
13754
 
11685
 	
7 
Delhi*  13851
 
7607
 
6243
 
16021
 
8835
 
7186
 
18451
 
10215
 
8235
 	
8 
Rajasthan  56507
 
29420
 
27087
 
62276
 
32466
 
29811
 
67830
 
35394
 
32436
 	
9 
Uttar Pradesh  166198
 
87565
 
78633
 
183282
 
96589
 
86693
 
200764
 
105798
 
94966
 	
10
 
Bihar  82999
 
43244
 
39755
 
90752
 
47165
 
43586
 
97720
 
50640
 
47080
 	
11
 
Sikkim  541
 
288
 
252
 
576
 
307
 
269
 
612
 
325
 
287
 	
12
 
Arunachal Pradesh  1098
 
580
 
518
 
1169
 
617
 
553
 
1241
 
654
 
587
 	
13
 
Nagaland  1990
 
1047
 
943
 
2119
 
1113
 
1006
 
2249
 
1180
 
1069

17
 	
2001 
  2006  2011 
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
14
 
Manipur  2167
 
1096
 
1071
 
2308
 
1165
 
1143
 
2449
 
1235
 
1214
 	
15
 
Mizoram  889
 
459
 
429
 
946
 
488
 
458
 
1004
 
517
 
487
 	
16
 
Tripura  3199
 
1642
 
1557
 
3407
 
1746
 
1661
 
3616
 
1851
 
1765
 	
17
 
Meghalaya  2319
 
1176
 
1143
 
2470
 
1251
 
1219
 
2621
 
1325
 
1296
 	
18
 
Assam  26656
 
13777
 
12878
 
28665
 
14763
 
13902
 
30568
 
15698
 
14870
 	
19
 
West Bengal  80176
 
41466
 
38710
 
85216
 
43947
 
41268
 
89499
 
46045
 
43454
 	
20
 
Jharkhand  26946
 
13885
 
13061
 
29299
 
15088
 
14211
 
31472
 
16198
 
15274
 	
21
 
Orissa  36805
 
18661
 
18144
 
38887
 
19692
 
19196
 
40750
 
20602
 
20148
 	
22
 
Chhatisgargh  20834
 
10474
 
10360
 
22594
 
11345
 
11249
 
24258
 
12177
 
12081
 	
23
 
Madhya Pradesh  60348
 
31444
 
28904
 
66390
 
34617
 
31773
 
72200
 
37673
 
34527
 	
24
 
Gujarat  50671
 
26386
 
24285
 
54979
 
28760
 
26220
 
59020
 
31005
 
28016
 	
25
 
Dadra & Nagar Haveli*  220
 
122
 
99
 
266
 
157
 
109
 
354
 
194
 
160
 	
26
 
Maharashtra  96879
 
50401
 
46478
 
104804
 
54623
 
50181
 
112660
 
58844
 
53816
 	
27
 
Andhra Pradesh  76210
 
38527
 
37683
 
80712
 
40677
 
40036
 
84735
 
42611
 
42124
 	
28
 
Karnataka  52851
 
26899
 
25952
 
56258
 
28573
 
27685
 
59419
 
30140
 
29278

18
 	
 
2001 
   
2006   
2011 	
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
29
 
Goa  1348
 
687
 
660
 
1492
 
776
 
716
 
1767
 
926
 
841
 	
30
 
Daman Diu*  158
 
93
 
66
 
216
 
131
 
85
 
270
 
175
 
95
 	
31
 
Lakshadweep*  61
 
31
 
30
 
72
 
36
 
36
 
76
 
38
 
38
 	
32
 
Kerala  31841
 
15469
 
16373
 
33265
 
16191
 
17074
 
34563
 
16859
 
17704
 	
33
 
Tamil Nadu  62406
 
31401
 
31005
 
65135
 
32730
 
32405
 
67444
 
33852
 
33592
 	
34
 
Pondicherry*  974
 
487
 
487
 
1098
 
551
 
547
 
1391
 
730
 
661
 	
35
 	
Andaman & Nicobar  
Islands*  356	
 
193
 
163
 
419
 
231
 
188
 
494
 
261
 
233

19
 	
 
2016 
   
2021   
2026 	
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
 India  1268961
 
657168
 
611793
 
1339741
 
694080
 
645660
 
1399838
 
725176
 
674663
 	
1 
Jammu  & Kashmir  12419
 
6479
 
5940
 
12987
 
6747
 
6240
 
13434
 
6951
 
6483
 	
2 
Himachal Pradesh  7095
 
3635
 
3460
 
7361
 
3781
 
3580
 
7575
 
3900
 
3675
 	
3 
Punjab  29112
 
15718
 
13394
 
30323
 
16432
 
13891
 
31345
 
17038
 
14307
 	
4 
Chandigarh*  1780
 
1056
 
724
 
2226
 
1372
 
854
 
2518
 
1604
 
914
 	
5 
Uttaranchal  10632
 
5431
 
5201
 
11241
 
5750
 
5491
 
11746
 
6014
 
5732
 	
6 
Haryana  27477
 
14892
 
12586
 
29362
 
15944
 
13418
 
31087
 
16903
 
14184
 	
7 
Delhi*  21285
 
11827
 
9458
 
24485
 
13650
 
10835
 
27982
 
15645
 
12337
 	
8 
Rajasthan  72948
 
38090
 
34858
 
77676
 
40568
 
37107
 
81501
 
42551
 
38950
 	
9 
Uttar Pradesh  218088
 
114903
 
103185
 
234631
 
123532
 
111099
 
248763
 
130793
 
117970
 	
10
 
Bihar  103908
 
53676
 
50331
 
109431
 
56341
 
53091
 
113847
 
58409
 
55437
 	
11
 
Sikkim  647
 
344
 
303
 
679
 
360
 
319
 
709
 
375
 
334
 	
12
 
Arunachal Pradesh  1313
 
691
 
622
 
1379
 
724
 
655
 
1438
 
754
 
684
 	
13
 
Nagaland  2380
 
1247
 
1133
 
2500
 
1308
 
1192
 
2606
 
1361
 
1245
 	
14
 
Manipur  2592
 
1305
 
1287
 
2723
 
1368
 
1354
 
2839
 
1424
 
1414

20
 	
 
2016 
   
2021   
2026 	
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
15
 
Mizoram  1063
 
547
 
516
 
1116
 
573
 
543
 
1164
 
597
 
567
 	
16
 
Tripura  3826
 
1955
 
1871
 
4019
 
2051
 
1968
 
4191
 
2135
 
2056
 	
17
 
Meghalaya  2773
 
1400
 
1373
 
2914
 
1469
 
1445
 
3038
 
1529
 
1509
 	
18
 
Assam  32449
 
16625
 
15825
 
34183
 
17478
 
16705
 
35602
 
18162
 
17440
 	
19
 
West Bengal  93550
 
48012
 
45538
 
97383
 
49847
 
47535
 
100534
 
51307
 
49226
 	
20
 
Jharkhand  33652
 
17303
 
16349
 
35652
 
18297
 
17355
 
37356
 
19129
 
18227
 	
21
 
Orissa  42479
 
21438
 
21041
 
44068
 
22198
 
21870
 
45324
 
22775
 
22549
 	
22
 
Chhatisgargh  25879
 
12989
 
12890
 
27337
 
13719
 
13618
 
28591
 
14344
 
14247
 	
23
 
Madhya Pradesh  77875
 
40661
 
37213
 
83135
 
43432
 
39703
 
87729
 
45827
 
41902
 	
24
 
Gujarat  62825
 
33140
 
29685
 
66139
 
35020
 
31119
 
69258
 
36793
 
32465
 	
25
 
Dadra & Nagar Haveli*  422
 
228
 
194
 
506
 
273
 
233
 
534
 
280
 
254
 	
26
 
Maharashtra  120076
 
62849
 
57226
 
127082
 
66639
 
60442
 
133333
 
70023
 
63310
 	
27
 
Andhra Pradesh  88361
 
44348
 
44013
 
91549
 
45880
 
45669
 
94073
 
47061
 
47012
 	
28
 
Karnataka  62374
 
31613
 
30761
 
64848
 
32732
 
32016
 
66933
 
33846
 
33087

21
 	
 
2016 
   
2021   
2026 	
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
29
 
Goa  1977
 
1063
 
914
 
2232
 
1249
 
983
 
2275
 
1317
 
958
 	
30
 
Daman Diu*  330
 
221
 
109
 
409
 
284
 
125
 
441
 
310
 
131
 	
31
 
Lakshadweep*  81
 
39
 
42
 
86
 
41
 
45
 
78
 
36
 
42
 	
32
 
Kerala  35677
 
17440
 
18236
 
36569
 
17917
 
18652
 
37254
 
18297
 
18956
 	
33
 
Tamil Nadu  69396
 
34790
 
34605
 
70865
 
35482
 
35383
 
71857
 
35937
 
35920
 	
34
 
Pondicherry*  1669
 
929
 
740
 
2028
 
1208
 
820
 
2232
 
1410
 
822
 	
35
 	
Andaman & Nicobar  
Islands*  551	
 
283
 
268
 
617
 
312
 
305
 
653
 
338
 
315
 	
   
    Source: Report of the Technical Group on Populati on Projections Constituted by the National Commission on Population,  
       Office of the Registrar General & Census Commis sioner, India.

22
 	
Table 28 	
PROJECTED POPULATION AS ON 1
ST JULY INDIA, STATES AND UNION TERRITORIES* 2001-2026 (000’) 	
 	
2001  2006  2011 
 
State 
Code   
India and State/Union  Territory*  Persons  Males  Females  Persons  Males  Females  Persons
  Males  Females 	 
India  1034931
 
535245
 
499686
 
1117734
 
578412
 
539322
 
1197813
 
620079
 
577734
 	
1 
Jammu  & Kashmir  10228
 
5405
 
4823
 
10995
 
5783
 
5212
 
11768
 
6164
 
5605
 	
2 
Himachal Pradesh  6108
 
3104
 
3004
 
6479
 
3302
 
3177
 
6815
 
3483
 
3332
 	
3 
Punjab  24511
 
13068
 
11443
 
26172
 
14020
 
12152
 
27782
 
14946
 
12836
 	
4 
Chandigarh*  912
 
514
 
398
 
1121
 
643
 
478
 
1462
 
847
 
615
 	
5 
Uttaranchal  8540
 
4349
 
4192
 
9268
 
4724
 
4544
 
9990
 
5096
 
4894
 	
6 
Haryana  21328
 
11463
 
9865
 
23460
 
12649
 
10810
 
25580
 
13832
 
11747
 	
7 
Delhi*  14021
 
7705
 
6316
 
16175
 
8923
 
7253
 
18626
 
10315
 
8311
 	
8 
Rajasthan  56999
 
29660
 
27339
 
62661
 
32669
 
29992
 
68194
 
35586
 
32608
 	
9 
Uttar Pradesh  167481
 
88170
 
79312
 
184449
 
97205
 
87244
 
201942
 
106418
 
95524
 	
10
 
Bihar  83788
 
43609
 
40179
 
91253
 
47418
 
43836
 
98168
 
50862
 
47306
 	
11
 
Sikkim  547
 
292
 
255
 
578
 
308
 
270
 
615
 
326
 
288
 	
12
 
Arunachal Pradesh  1105
 
583
 
522
 
1174
 
619
 
555
 
1246
 
656
 
590
 	
13
 
Nagaland  2025
 
1066
 
960
 
2128
 
1118
 
1010
 
2258
 
1185
 
1073

23
 	
2001  2006  2011 
 
State 
Code   
India and State/Union 
Territory*  Persons  Males  Females  Persons  Males  Females  Persons
  Males  Females 	14
 
Manipur  2174
 
1099
 
1076
 
2317
 
1170
 
1148
 
2459
 
1239
 
1219
 	
15
 
Mizoram  895
 
462
 
433
 
950
 
490
 
460
 
1008
 
519
 
489
 	
16
 
Tripura  3203
 
1644
 
1559
 
3421
 
1753
 
1668
 
3630
 
1858
 
1772
 	
17
 
Meghalaya  2338
 
1185
 
1153
 
2480
 
1256
 
1224
 
2631
 
1330
 
1301
 	
18
 
Assam  26779
 
13838
 
12941
 
28797
 
14828
 
13969
 
30695
 
15760
 
14935
 	
19
 
West Bengal  80492
 
41609
 
38883
 
85531
 
44102
 
41429
 
89777
 
46181
 
43596
 	
20
 
Jharkhand  27131
 
13969
 
13162
 
29452
 
15166
 
14286
 
31617
 
16272
 
15345
 	
21
 
Orissa  36961
 
18736
 
18225
 
39021
 
19757
 
19263
 
40871
 
20661
 
20210
 	
22
 
Chhatisgargh  20911
 
10510
 
10401
 
22710
 
11402
 
11307
 
24369
 
12232
 
12136
 	
23
 
Madhya Pradesh  60751
 
31642
 
29109
 
66791
 
34828
 
31963
 
72587
 
37877
 
34711
 	
24
 
Gujarat  51058
 
26593
 
24464  55262
 
28916
 
26346
 
59286
 
31153
 
28133
 	
25
 
Dadra & Nagar Haveli*  225
 
125
 
100
 
271
 
160
 
111
 
360
 
196
 
163
 	
26
 
Maharashtra  97476
 
50724   
46752                                         
105338
 
54908
 
50430
 
113179
 
59123
 
54055
 	
27
 
Andhra Pradesh  76399
 
38614
 
37785
 
81001
 
40815
 
40186
 
84994
 
42735
 
42259
 	
28
 
Karnataka  53119
 
27029
 
26090
 
56480
 
28682
 
27798
 
59625
 
30243
 
29382

24
 	
2001  2006  2011 
 
State 
Code   
India and State/Union 
Territory*  Persons  Males  Females  Persons  Males  Females  Persons
  Males  Females 	29
 
Goa  1355
 
691
 
664
 
1506
 
784
 
722
 
1785
 
936
 
849
 	
30
 
Daman Diu*  161
 
95
 
66
 
220
 
134
 
86
 
274
 
178
 
96
 	
31
 
Lakshadweep*  61
 
31
 
30
 
73
 
36
 
36
 
76
 
38
 
38
 	
32
 
Kerala  31916
 
15495
 
16421
 
33357
 
16238
 
17119
 
34646
 
16902
 
17744
 	
33
 
Tamil Nadu  62598
 
31484
 
31114
 
65306
 
32813
 
32493
 
67589
 
33922
 
33667
 	
34
 
Pondicherry*  978
 
488
 
489
 
1112
 
559
 
553
 
1412
 
743
 
668
 	
35
 
Andaman & Nicobar  
Islands* 358
 
194
 
164
 
424
 
233
 
190
 
499
 
263
 
236

25
 	
 
2016 
   
2021   
2026 	
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
 India  1273986
 
659789
 
614197
 
1344306
 
696462
 
647844
 
1403476
 
727044
 
676432
 	
1 
Jammu  & Kashmir  12463
 
6500
 
5963
 
13020
 
6762
 
6258
 
13461
 
6963
 
6498
 	
2 
Himachal Pradesh  7115
 
3646
 
3469
 
7377
 
3790
 
3588
 
7588
 
3907
 
3681
 	
3 
Punjab  29201
 
15770
 
13431
 
30397
 
16476
 
13921
 
31409
 
17076
 
14333
 	
4 
Chandigarh*  1801
 
1071
 
730
 
2262
 
1398
 
864
 
2528
 
1614
 
914
 	
5 
Uttaranchal  10677
 
5455
 
5222
 
11279
 
5770
 
5509
 
11777
 
6030
 
5747
 	
6 
Haryana  27612
 
14966
 
12645
 
29483
 
16012
 
13471
 
31198
 
16964
 
14234
 	
7 
Delhi*  21492
 
11944
 
9547
 
24712
 
13779
 
10932
 
28226
 
15784
 
12441
 	
8 
Rajasthan  73276
 
38262
 
35014
 
77984
 
40729
 
37255
 
81722
 
42664
 
39058
 	
9 
Uttar Pradesh  219239
 
115507
 
103732
 
235710
 
124092
 
111618
 
249612
 
131224
 
118387
 	
10
 
Bihar  104303
 
53869
 
50434
 
109787
 
56511
 
53276
 
114103
 
58527
 
55576
 	
11
 
Sikkim  649
 
345
 
304
 
681
 
361
 
320
 
711
 
376
 
335
 	
12
 
Arunachal Pradesh  1318
 
693
 
625
 
1383
 
726
 
657
 
1442
 
756
 
686
 	
13
 
Nagaland  2389
 
1251
 
1137
 
2507
 
1312
 
1196
 
2613
 
1365
 
1248
 	
14
 
Manipur  2601
 
1309
 
1292
 
2731
 
1372
 
1358
 
2846
 
1428
 
1418

26
 	
 
2016 
   
2021   
2026 	
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
15
 
Mizoram  1067
 
549
 
518
 
1120
 
575
 
545
 
1167
 
598
 
569
 	
16
 
Tripura  3840
 
1963
 
1878
 
4032
 
2057
 
1974
 
4202
 
2140
 
2061
 	
17
 
Meghalaya  2784
 
1405
 
1378
 
2922
 
1473
 
1449
 
3046
 
1533
 
1513
 	
18
 
Assam  32577
 
16688
 
15889
 
34293
 
17532
 
16761
 
35685
 
18201
 
17484
 	
19
 
West Bengal  93827
 
48146
 
45681
 
97634
 
49967
 
47667
 
100716
 
51390
 
49327
 	
20
 
Jharkhand  33803
 
17379
 
16424
 
35777
 
18358
 
17419
 
37460
 
19179
 
18280
 	
21
 
Orissa  42593
 
21493
 
21100
 
44171
 
22247
 
21924
 
45395
 
22806
 
22589
 	
22
 
Chhatisgargh  25988
 
13043
 
12945
 
27428
 
13764
 
13663
 
28669
 
14383
 
14286
 	
23
 
Madhya Pradesh  78255
 
40862
 
37393
 
83471
 
43609
 
39862
 
88014
 
45974
 
42039
 	
24
 
Gujarat  63075
 
33281
 
29794
 
66343
 
35136
 
31206
 
69469
 
36912
 
32557
 	
25
 
Dadra & Nagar Haveli*  425
 
230
 
195
 
513
 
277
 
236
 
533
 
278
 
254
 	
26
 
Maharashtra  120554
 
63108
 
57446
 
127542
 
66888
 
60654
 
133725
 
70236
 
63490
 	
27
 
Andhra Pradesh  88596
 
44460
 
44136
 
91750
 
45977
 
45773
 
94220
 
47128
 
47092
 	
28
 
Karnataka  62568
 
31710
 
30858
 
64995
 
32904
 
32092
 
67064
 
33909
 
33155
 	
29
 
Goa  1985
 
1070
 
915
 
2253
 
1264
 
989
 
2267
 
1315
 
952

27
 	
 
2016 
   
2021   
2026 	
 
State 
Code	
 	
 
India and State/Union 
Territory*  Persons  Males  Females	
 
Persons  Males  Females
 
Persons  Males  Females 	
30
 
Daman Diu*  334
 
224
 
110
 
415
 
289
 
126
 
440
 
310
 
131
 	
31
 
Lakshadweep*  82
 
39
 
42
 
86
 
41
 
45
 
77
 
35
 
42
 	
32
 
Kerala  35745
 
17476
 
18269
 
36622
 
17946
 
18676
 
37294
 
18320
 
18974
 	
33
 
Tamil Nadu  69518
 
34849
 
34669
 
70947
 
35520
 
35427
 
71910
 
35961
 
35949
 	
34
 
Pondicherry*  1683
 
941
 
742
 
2057
 
1231
 
826
 
2236
 
1418
 
818
 	
35
 	
Andaman & Nicobar  
Islands*  554	
 
284
 
269
 
622
 
314
 
308
 
654
 
339
 
314
 	
   
                  Source: Report of the Technical G roup on Population Projections Constituted by the N ational Commission on Population,  
                               Office of the Regist rar General  & Census Commissioner, India.

28
 	
Table 29 
PROJECTED POPULATION CHARACTERISTICS AS ON 1
ST MARCH: 2001-2026 	
KERALA  	
Indicator   2001  2006  2011  2016  2021  2026 	
Population (000 ‘)             	
Total 
31841  33265  34563  35677  36569  37254 	
Male 
15469  16191  16859  17440  17917  18297 	Female   16373  17074  17704  18236  18652  18956 	Sex Ratio  1058  1055  1050  1046  1041  1036 	Population Density(Sq.km)  819  856  889  918  941  959 	Population by broad age-groups (000’ s)             	18 years and above  21747  23562  25120  26491  27722  28
760 	0-14 8303  8005  7849  7593  7319  6988 	15-59 20176  21530  22458  23100  23417  23462 	60+  3362  3729  4256  4983  5833  6804 	Proportion (percent)             	0-14 
26.1  24.1  22.7  21.3  20.0  18.8 	15-59 63.4  64.7  65.0  64.7  64.0  63.0 	15-49(Female Population)  55.4  55.5  54.5  52.8  50.7  4 8.3 	60+ 10.6  11.2  12.3  14.0  16.0  18.3 	Medium Age (Years)  28.05  29.87  31.81  33.79  35.79  37 .67 	
Dependency Ratio 
           	
Young (0-14)  412  372  349  329  313  298 	Old (60+)  167  173  189  216  249  290 	Total (Young and old)  578  545  539  544  562  588 	
         Source: Report of the Technical Group on Population Projections Constituted by the National Commission, 
            Office of the Registrar General  & Census  Commissioner, India.

29
 	
          	
Table 30 
DEMOGRAPHIC INDICATORS: 2001-2025 –KERALA 	
 
INDICATOR  2001-05  2006-10  2011-15  2016-20  2021-25 	
1  2  3  4  5  6 	
Population growth rate  0.9  0.8  0.6  0.5  0.4 	Crude Birth Rate(CBR)  16.3  15.4  14.2  13.1  12.3 	Crude Death Rate (CDR)  6.8  7.0  7.1  7.4  7.8 	Infant Mortality Rate (IMR)  12.1  11.1  10.0  9.2  8.4 	Under-5 mortality rate(qs)  14.1  13.0  11.8  11.0  10.1  	Total Fertility Rate (TFR)  1.8  1.8  1.8  1.8  1.8 	Life expectancy of males  70.8  72.0  73.2  74.2  75.2 	Life expectancy of  females  76.0  76.8  77.6  78.1  78.6   	
 
       Source: Report of the Technical Group on Popula tion Projections constituted by the National  
                                                  C ommission on Population, Office of the Registrar Ge neral  & Census Commissioner, India.

30
 	
Table 31 
 	
PROJECTED POPULATION BY AGE AND SEX AS ON 1
ST MARCH: 2001-2026 KERALA 	
2001  2006  2011 	
Age Group  Persons  Males  Females  Persons  Males  Females  Persons   Males  Females 	
1  2  3  4  5  6  7  8  9  10 	0-4  2713  1392  1321  2609  1351  1258  2571  1332  1239 	5-9  2712  1382  1330  2698  1384  1314  2594  1343  1251 	10-14  2878  1458  1420  2699  1375  1325  2685  1376  1308 	15-19  2988  1485  1503  2851  1446  1405  2672  1363  1310 	20-24  2937  1417  1520  2942  1468  1475  2806  1429  1377 	25-29  2771  1306  1464  2906  1400  1506  2912  1450  1461 	30-34  2574  1207  1367  2742  1289  1454  2878  1382  1496 	35-39  2352  1115  1237  2546  1189  1357  2715  1271  1444 	40-44  2075  1008  1068  2320  1095  1225  2514  1170  1344 	45-49  1812  898  914  2037  983  1055  2281  1070  1211 	50-54  1484  736  748  1762  864  897  1986  949  1037 	55-59  1184  573  611  1423  695  727  1695  820  874 	60-64  1025  476  549  1109  524  585  1340  642  698 	65-69  863  389  475  922  415  507  1007  463  543 	70-74  730  320  410  726  316  411  788  345  444 	75-79  462  200  262  560  236  324  570  240  330 	80+  282  107  175  412  162  250  550  215  335 	Total  31841  15469  16373  33265  16191  17074  34563  168 59  17704

31
 	
2016  2021  2026 
Age Group 
Persons  Males  Females  Persons  Males  Females  Persons   Males  Females 	
1  2  3  4  5  6  7  8  9  10 	0-4  2456  1272  1184  2333  1209  1124  2239  1160  1079 	5-9  2556  1324  1233  2441  1264  1177  2319  1202  1118 	10-14  2581  1335  1246  2544  1316  1228  2429  1257  1172 	15-19  2657  1364  1293  2554  1324  1230  2517  1305  1212 	20-24  2627  1346  1281  2611  1347  1264  2508  1306  1201 	25-29  2776  1412  1364  2598  1330  1269  2583  1331  1252 	30-34  2885  1433  1452  2750  1396  1354  2574  1314  1260 	35-39  2851  1365  1486  2859  1416  1442  2726  1381  1346 	40-44  2684  1252  1431  2821  1346  1474  2830  1399  1431 	45-49  2475  1145  1330  2645  1228  1417  2783  1323  1459 	50-54  2229  1037  1192  2422  1112  1310  2592  1196  1396 	55-59  1917  905  1012  2157  992  1164  2350  1069  1281 	60-64  1605  763  842  1824  848  976  2061  936  1125 	65-69  1227  575  652  1480  691  789  1693  776  918 	70-74  874  393  481  1077  496  581  1312  604  707 	75-79  632  269  363  710  312  398  885  400  486 	80+  645  250  395  743  289  454  853  338  515 	Total  35677  17440  18236  36569  17917  18652  37254  182 97  18956 	
             Source:  Report of the Technical Group on Population Projections Constituted by the Natio nal Commission on Population, Office of the Registr ar  
                General  & Census Commissioner, Indi a.

32
 	
Table 32 	
PROJECTED POPULATION BY SEX FOR AGES 5 TO 18 YEARS AS ON 1
ST
 MARCH 2001-2026 	
 	
2001  2006  2011 
Age Group 
Persons  Males  Females  Persons  Males  Females  Persons   Males  Females 	
1  2  3  4  5  6  7  8  9  10 	5  540  276  264  534  275  259  516  267  249 	6  537  274  263  539  277  262  516  267  248 	7  539  274  264  542  278  264  517  268  249 	8  544  277  267  542  278  265  520  269  251 	9  553  281  272  541  277  264  525  271  254 	10  563  286  277  537  274  263  531  273  258 	11  571  290  281  535  273  262  537  275  261 	12  577  293  284  536  273  263  539  276  263 	13  582  294  288  541  275  266  540  276  264 	14  585  295  291  550  279  270  538  275  263 	15  591  296  295  559  284  275  533  272  261 	16  598  299  299  566  288  278  530  271  260 	17  601  299  302  572  290  281  531  271  260 	18  601  297  303  576  292  284  535  273  262 	5-18  7982  4032  3950  7669  3913  3757  7408  3805  3603

33
 	
2016  2021  2026 	
Age Group 
Persons  Males  Females  Persons  Males  Females  Persons   Males  Females 	
1  11  12  13  14  15  16  17  18  19 	5  504  261  243  480  248  231  457  237  220 	6  510  264  246  484  251  233  460  238  222 	7  513  266  247  488  253  235  463  240  223 	8  515  266  248  493  255  237  467  242  225 	9  514  266  248  497  257  239  472  245  328 	10  313  266  248  502  260  242  477  247  230 	11  514  266  248  508  263  245  482  249  233 	12  515  267  248  511  264  247  486  252  235 	13  518  268  250  512  265  247  490  254  236 	14  522  269  252  511  265  247  493  255  238 	15  527  271  256  509  264  245  498  258  240 	16  532  273  259  509  264  245  503  261  242 	17  534  274  260  510  264  245  506  262  244 	18  534  274  260  512  265  246  506  262  244 	5-18  7264  3751  3513  7025  3638  3387  6760  3502  3259
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