The Covid-19 pandemic has not caused a baby boom, but quite the opposite in the city. Mumbai registered nearly 24% fewer births in 2021 compared to the pre-pandemic year of 2019—the second year of the country's second most populous city recording a significant drop in birth registrations.

For the last three decades, India's Family Welfare Programme has pursued the goal of reducing fertility as rapidly as possible. Until recently the means used to achieve this goal were method-specific contraceptive targets and cash incentives for acceptors.

The impact of the family planning (FP) programme over the years is showing varying impacts on fertility across regions and population groups in India.

A growing recognition that population dynamics, quality of life and women's status are closely inter related argues strongly for a fresh look at India's population program.

This essay advocates a reproductive health care strategy, to revitalize the country's family welfare program. A major shift in focus is needed in the population policy and programs in order to incorporate a gender-sensitive