The India Advantage |
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PHARMA LANDSCAPE |
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| The pharmaceutical industry in India is |
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Valued at USD 12 billion with a healthy compound annual growth rate (CAGR) of 10-11 per cent (last updated August 2011). |
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Market poised to grow to USD 55 billion by 2020. |
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| The Indian generic drug market is expected to grow at a CAGR of around 17 per cent between 2012-13. |
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India’s healthcare industry market size: |
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| Source: http://www.ibef.org/industry/pharmaceuticals.aspx. |
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HEALTHCARE LANDSCAPE: |
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| Source:http://www.pacifichealthsummit.org/downloads/hitcasestudies/economy/indiahit.pdf |
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| Expenditure |
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| The Indian healthcare system is mainly funded by out-of-pocket payments, followed by government spending and a small contribution from insurance coverage. |
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| Total national spending on healthcare is approximately 5.3% of GDP (Approximately USD 45 billion). Private spending accounts for 82% of this expenditure with public spending constituting the remaining 18%, which turns out to be abysmally low (1.3% of GDP). |
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National Healthcare Spending Expenditure |
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| The Indian healthcare services industry is composed of both public and private entities. |
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Public Sector. The government provides and manages the majority of the services through a hierarchical network of hundreds of thousands of rural village, primary, and community health centers and more than 5,000 hospitals. The primary health centers refer the complex cases into secondary and tertiary centers. Public health services are provided at no cost to patients, with the state taking responsibility for service delivery. |
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Private Sector. A fee-levying private sector co-exists with public healthcare. It accounts for 82% of the overall health expenditure. The private sector provides services through Allopathic, Ayurvedic, Homeopathic, and Unani practitioners. Most in-patient services are delivered through 1–10 bed nursing homes, which are usually staffed by a single physician. |
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Healthcare Infrastructure |
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close to 5,000 hospitals |
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an average of 89 beds per 100,000 people |
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a total of ~ 870,000 beds |
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Population to bed ratio: one bed per ~ 1,123 people. |
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Hospitals (numbers) – 15,393 |
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Public – 4,049 |
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Private – 11,34 |
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Hospital beds - 875,000 |
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Doctors – 592,215 |
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Nurses – 737,000 |
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Dentists – 80,000 |
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Medical colleges – 170 |
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New doctors every year – 18,000 |
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Retail chemist (pharmacy) outlets – 350,000 + |
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CLINICAL RESEARCH HIGHLIGHTS |
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Outsourcing of clinical trials to India provides several advantages: |
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Enormous pool of treatment naïve patients |
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Vast spectrum of disease profiles |
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Genetically distinct group of population |
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Hospitals spread across country |
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Medical colleges and institutions |
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Skilled English-speaking medical personnel |
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Cost effectiveness |
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Why choose India for your business? |
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Competent workforce: India has a pool of personnel with high managerial and technical competence as also skilled workforce. It has an educated work force and English is commonly used. Professional services are easily available. |
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Cost-effective chemical synthesis: Its track record of development, particularly in the area of improved cost-beneficial chemical synthesis for various drug molecules is excellent. It provides a wide variety of bulk drugs and exports sophisticated bulk drugs. |
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Legal & Financial Framework: India has a 53 year old democracy and hence has a solid legal framework and strong financial markets. There is already an established international industry and business community. |
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Information & Technology: India has a good network of world class educational institutions and established strengths in Information Technology. |
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Globalization: The country is committed to a free market economy and globalization. Above all, it has a 70 million middle class market, which is continuously growing. |
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Consolidation: For the first time in many years, the international pharmaceutical industry is finding great opportunities in India. The process of consolidation, which has become a generalized phenomenon in the world pharmaceutical industry, has started taking place in India. |
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| Big Pharma organizations are contributing patients from India for multicentric global trials for FDA / EMEA submissions. |
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| Seven of the top 10 global CROs have a presence in India. |
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| The above mentioned advantages are an asset and have strengthened the Indian pharmaceutical industry, thus generating a great deal of opportunities for the sector to flourish. |
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ECONOMIC LANDSCAPE |
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India's diverse economy encompasses traditional village farming, modern agriculture, handicrafts, a wide range of modern industries, and a multitude of services. |
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Services are the major source of economic growth, accounting for more than half of India's output with less than one third of its labor force. |
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The government has reduced controls on foreign trade and investment. Higher limits on foreign direct investment were permitted in a few key sectors, such as telecommunications. |
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The economy has posted an average growth rate of more than 7% in the decade since 1997, reducing poverty by about 10 percentage points. India achieved 8.5% GDP growth in 2006, and again in 2007, significantly expanding production of manufactures. |
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India is capitalizing on its large numbers of well-educated people skilled in the English language to become a major exporter of software services and software workers. Economic expansion has helped New Delhi continue to make progress in reducing its federal fiscal deficit. |
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Despite slowing from highs of 8% to 9% growth, India's economy is expected to grow 8.1 percent by 2012 starting from April 1, 2012. |
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Amid domestic and global liquidity crunch, large domestic savings and corporate retained earnings are financing investment. Sluggish labor market and wealth effects have hit urban consumption. But low export dependence, a large consumption base and the high share of employment (two-thirds) and income (one-half) coming from rural areas has helped sustain consumption. |
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According to TNS Global Affluent Investigator’s study, India appears in the top five countries where the affluent have more than $1m investable assets on average and has already surpassed major European markets like Germany and France. |
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| GDP (purchasing power parity): $4.06 trillion* |
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| Note: data is in 2010 US dollars |
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| GDP (official exchange rate): $1.538 trillion* |
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| GDP - real growth rate: 10.4%* |
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| GDP - per capita (PPP): $3,500* |
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| Note: data are in 2010 US dollars |
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| GDP - composition by sector* |
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| Agriculture: 18.5% |
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| Industry: 26.3% |
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| Services: 55.2% |
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| *2010 est. |
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| Currency Converter |
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DEMOGRAPHIC LANDSCAPE: |
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| There are 28 states and 7 Union territories in the country. |
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| Category |
City (ies) |
| Metro cities (M) |
Bangalore, Chennai, Delhi, Hyderabad, Kolkata, Mumbai |
| Major cities (J) |
Ahmedabad, Jaipur, Kanpur, Lucknow, Nagpur, Nashik, Patna, Pune, Surat |
| Other important cities (C) |
Kochi, Visakhapatnam, Vijayawada, Bhopal, Vadodara, Ludhiana, Agra, Madurai, Coimbatore, Faridabad, Varanasi, Rajkot, Jabalpur, Jamshedpur, Allahabad, Amritsar, Indore, Dhanbad, Dehradun, Chandigarh, Jabalpur, Kochi, Ludhiana, Agra, Coimbatore, Jamshedpur, Amritsar, Aurangabad, Mysore
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Population Matrices |
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S.No. |
State/UT |
Total population |
Males
(%) |
Females
(%) |
% of India Population |
Rural Population
(%) |
Urban
Population
(%) |
1 |
INDIA |
1210193422 |
51.5 |
48.5 |
100.0 |
68.8 |
31.2 |
2 |
Uttar Pradesh |
199581477 |
52.4 |
47.6 |
16.5 |
77.7 |
22.3 |
3 |
Maharashtra |
112372972 |
51.9 |
48.1 |
9.3 |
54.8 |
45.2 |
4 |
Bihar |
103804637 |
52.2 |
47.8 |
8.6 |
88.7 |
11.3 |
5 |
West Bengal |
91347736 |
51.4 |
48.6 |
7.6 |
68.1 |
31.9 |
6 |
Andhra Pradesh |
84665533 |
50.2 |
49.8 |
7.0 |
66.5 |
33.5 |
7 |
Madhya Pradesh |
72597565 |
51.8 |
48.2 |
6.0 |
72.4 |
27.6 |
8 |
Tamil Nadu |
72138958 |
50.1 |
49.9 |
6.0 |
51.6 |
48.4 |
9 |
Rajasthan |
68621012 |
51.9 |
48.1 |
5.7 |
75.1 |
24.9 |
10 |
Karnataka |
61130704 |
50.8 |
49.2 |
5.1 |
61.4 |
38.6 |
11 |
Gujarat |
60383628 |
52.1 |
47.9 |
5.0 |
57.4 |
42.6 |
12 |
Orissa |
41947358 |
50.5 |
49.5 |
3.5 |
83.3 |
16.7 |
13 |
Kerala |
33387677 |
48.0 |
52.0 |
2.8 |
52.3 |
47.7 |
14 |
Jharkhand |
32966238 |
51.4 |
48.6 |
2.7 |
75.9 |
24.1 |
15 |
Assam |
31169272 |
51.2 |
48.8 |
2.6 |
85.9 |
14.1 |
16 |
Punjab |
27704236 |
52.8 |
47.2 |
2.3 |
62.5 |
37.5 |
17 |
Chhattisgarh |
25540196 |
50.2 |
49.8 |
2.1 |
76.8 |
23.2 |
18 |
Haryana |
25353081 |
53.3 |
46.7 |
2.1 |
65.2 |
34.8 |
19 |
NCT of Delhi # |
16753235 |
53.6 |
46.4 |
1.4 |
2.5 |
97.5 |
20 |
Jammu & Kashmir |
12548926 |
53.1 |
46.9 |
1.0 |
72.8 |
27.2 |
21 |
Uttarakhand |
10116752 |
50.9 |
49.1 |
0.8 |
69.4 |
30.6 |
22 |
Himachal Pradesh |
6856509 |
50.7 |
49.3 |
0.6 |
90.0 |
10.0 |
23 |
Tripura |
3671032 |
51.0 |
49.0 |
0.3 |
73.8 |
26.2 |
24 |
Meghalaya |
2964007 |
50.4 |
49.6 |
0.2 |
79.9 |
20.1 |
25 |
Manipur |
2721756 |
50.3 |
49.7 |
0.2 |
69.8 |
30.2 |
26 |
Nagaland |
1980602 |
51.8 |
48.2 |
0.2 |
71.0 |
29.0 |
27 |
Goa |
1457723 |
50.8 |
49.2 |
0.1 |
37.8 |
62.2 |
28 |
Arunachal Pradesh |
1382611 |
52.1 |
47.9 |
0.1 |
77.3 |
22.7 |
29 |
Puducherry # |
1244464 |
49.1 |
50.9 |
0.1 |
31.7 |
68.3 |
30 |
Mizoram |
1091014 |
50.6 |
49.4 |
0.1 |
48.5 |
51.5 |
31 |
Chandigarh # |
1054686 |
55.0 |
45.0 |
0.1 |
2.8 |
97.2 |
32 |
Sikkim |
607688 |
52.9 |
47.1 |
0.1 |
75.0 |
25.0 |
33 |
Andaman &
Nicobar Islands # |
379944 |
53.3 |
46.7 |
0.0 |
64.3 |
35.7 |
34 |
Dadra & Nagar Haveli # |
342853 |
56.3 |
43.7 |
0.0 |
53.4 |
46.6 |
35 |
Daman & Diu # |
242911 |
61.8 |
38.2 |
0.0 |
24.8 |
75.2 |
36 |
Lakshadweep # |
64429 |
51.4 |
48.6 |
0.0 |
21.9 |
78.1 |
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TRAVEL TO INDIA: |
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| India has the following five main gateways for international flights: |
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Delhi |
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Mumbai |
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Chennai |
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Bengaluru |
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Kolkata |
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| India is connected with non-stop direct flights with the US east coast and Chicago, several European and East Asian capitals. |
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INDIA FACTOIDS |
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Government type: Federal republic
Independence: 15 August 1947 (from UK)
National holiday: Republic Day, 26 January (1950)
Legal system: Based on English common law; judicial review of legislative acts; accepts compulsory ICJ jurisdiction with reservations
Suffrage: 18 years of age; universal
Head of government: Prime Minister Mr. Manmohan Singh (since 22 May 2004)
Location: Southern Asia, bordering the Arabian Sea and the Bay of Bengal, between Burma and Pakistan
Geographic coordinates: 20 00 N, 77 00 E |
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| Climate: Varies from tropical monsoon in south to temperate in north |
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Ethnic groups: South Asian populations along with populations of Europe, North Africa, the Horn of Africa, Western Asia (Middle East) and Central Asia are collectively termed as Caucasian race (also Caucasoid, Europid, or Europoid) without regard necessarily to skin tone. (Definition from Wikipedia) |
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"Caucasoid", a term formerly used in physical anthropology to refer to people of a certain range of anthropometric measurements, aptly conveys the general physical type of the populations of South Asia |
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Dravidians (people living in Dravid region, i.e., the area of South India encompassing states of Andhra Pradesh, Karnataka, Kerala and Tamil Nadu as well as the union territories of Lakshadweep and Puducherry, occupying 19.31% of India's area) were classified by Carleton S. Coon in his 1939 The Races of Europe as Caucasoid due to his assessment of what he called their "Caucasoid skull structure" and other physical traits (e.g. noses, eyes, hair). In his The Living Races of Man, Coon stated that "India is the easternmost outpost of the Caucasian racial region" |
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Though most lay people in the US did not consider Asian Indians to be white people, but US Supreme Court decided that Asian Indians were Caucasians, though not white |
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Languages: |
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English enjoys associate status but is the most important language for national, political, and commercial communication
Hindi is the national language and primary tongue of 30% of the people
There are 21 other official languages: Assamese, Bengali, Bodo, Dogri, Gujarati, Kannada, Kashmiri, Konkani, Maithili, Malayalam, Manipuri, Marathi, Nepali, Oriya, Punjabi, Sanscrit, Santhali, Sindhi, Tamil, Telugu, and Urdu
Hindustani is a popular variant of Hindi/Urdu spoken widely throughout northern India but is not an official language |
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| 15 official languages! |
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Literacy: |
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| Definition: age 7 and over can read and write |
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| Total population: 64.32% |
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| Male: 57.06% |
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| Female: 42.93% (July 2011 est) |
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Population: |
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| 1,21,01,93,422 (July 2011 est) |
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Age structure: |
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| 0-14 years: 31.8% (male 188,208,196/female 171,356,024) |
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| 15-64 years: 63.1% (male 366,977,821/female 346,034,565) |
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| 65 years and over: 5.1% (male 27,258,259/female 30,031,289) (2007 est.) |
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Median age: |
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| Total: 24.8 years |
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| Male: 24.5 years |
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| Female: 25.2 years |
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Birth rate: |
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| 22.69 births/1,000 population (2007 est.) |
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| Sex ratio: |
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| At birth: 1.12 male(s)/female |
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| Under 15 years: 1.098 male(s)/female |
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| 15-64 years: 1.061 male(s)/female |
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| 65 years and over: 0.908 male(s)/female |
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| Total population: 1.064 male(s)/female (2007 est.) |
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Administrative divisions: |
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28 states and 7 union territories*; Andaman and Nicobar Islands*, Andhra Pradesh, Arunachal Pradesh, Assam, Bihar, Chandigarh*, Chhattisgarh, Dadra and Nagar Haveli*, Daman and Diu*, Delhi*, Goa, Gujarat, Haryana, Himachal Pradesh, Jammu and Kashmir, Jharkhand, Karnataka, Kerala, Lakshadweep*, Madhya Pradesh, Maharashtra, Manipur, Meghalaya, Mizoram, Nagaland, Orissa, Puducherry*, Punjab, Rajasthan, Sikkim, Tamil Nadu, Tripura, Uttar Pradesh, Uttarakhand, West Bengal |
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