NFHS-6: Women's health and digital inclusion surge, child nutrition gaps persist
Synopsis
Key Takeaways
India's National Family Health Survey (NFHS-6), released by the Union Health Ministry in May 2025, shows significant gains in women's maternal healthcare, reproductive health, and financial and digital inclusion over the past three years, according to an analysis by SBI Research published on Wednesday, 17 June. The findings mark a broad improvement in key social and health indicators, even as certain child nutrition metrics continue to lag.
Key Developments in Women's Health
The survey recorded notable progress on reproductive health. India's total fertility rate held steady at 2.0 across both NFHS-5 and NFHS-6, while contraceptive prevalence climbed from 66.7% to 69.1%. Child marriage has declined substantially — the proportion of women aged 20–24 who were married before the legal age fell sharply from 47.4% in 2005–06 to 20.1% in 2023–24. However, one in five young women still enters marriage early, which continues to affect education, fertility, labour-force participation, and long-term health outcomes.
A significant health transition is also underway. The share of women who are overweight or obese rose from 12.6% in 2005–06 to 30.7% in 2023–24, signalling a growing burden of non-communicable diseases including obesity, diabetes, and hypertension — a trend that analysts say will require sustained policy attention.
Digital and Financial Inclusion Gains
Women's access to financial and digital tools has expanded markedly. The proportion of women using their own bank or savings account rose from 78.6% in NFHS-5 to 89% in NFHS-6. Notably, the share of women who had ever used the internet nearly doubled, reaching 64.3%. The SBI Research report highlighted that these channels are increasingly serving as delivery mechanisms for health services and welfare outreach.
Child Nutrition: Progress and Gaps
On child health, the picture is mixed. Stunting among children has declined sharply, and vaccination coverage has improved. However, wasting and underweight rates have shown only modest improvement, prompting the SBI Research report to flag the need for greater spending on holistic child healthcare. States with higher medical and health expenditure as a share of gross state domestic product tend to record larger reductions in underweight and stunting, according to the analysis — a finding that underscores the link between public spending and outcomes.
Survey Frequency and Tracking
The NFHS, first initiated in 1992–93, historically conducted surveys at irregular intervals of roughly 7 years, at times extended to 10 years. Under the current government, the gap has been standardised to a fixed 3-year interval, enabling more consistent tracking of health and social indicators. This structural change in data collection is itself being credited with improving policy responsiveness.
With the overweight-obesity ratio now at nearly a third of women and child wasting gains still modest, the next phase of India's health policy will need to balance communicable disease control with a rising non-communicable disease burden.