The McKinsey Global Institute’s report Dependency and Depopulation? Confronting the Consequences of a New Demographic Reality highlights the profound demographic shifts reshaping the world. These trends, including declining fertility rates and an aging population, have far-reaching implications for economies, societies, and nations’ futures. While these changes are most pronounced in developed nations, their effects are now spreading to regions like South Asia, including India. This article examines the global, regional, and national impact of this demographic shift, focusing on challenges and opportunities.
Table of Contents
1. The Global Demographic Shift: A New Reality
Declining Fertility Rates
Globally, two-thirds of the population resides in countries with fertility rates below the replacement level of 2.1 children per woman. Fertility rates began declining in the mid-20th century due to factors like urbanization, improved healthcare, access to contraception, and changing cultural attitudes about family size. By 2100, many countries could experience population declines of 20% to 50%.

Aging Populations
Increased longevity is another major factor reshaping demographics. As healthcare and living standards improve, more people live beyond retirement age, leading to a disproportionate rise in elderly populations. These trends are shifting traditional population pyramids into shapes resembling obelisks, with a narrow base of younger people supporting a larger aging population.

Economic and Social Strain
The economic implications of these demographic changes are profound. A shrinking workforce and an increasing dependency ratio—where fewer workers support more non-working individuals—threaten to slow economic growth. Social welfare systems, particularly pensions and healthcare, face immense pressure in this scenario.
- Consumption Shifts: The elderly are projected to double their share of global consumption by 2050, changing economic priorities and industries’ focus.
- Slower Economic Growth: With fewer workers contributing to GDP, advanced economies like Japan, Germany, and Italy are already experiencing stagnation, and other countries may follow.

Advanced Economies Leading the Way
Countries such as Japan, South Korea, and Italy are at the forefront of this demographic shift. Japan, for instance, has one of the oldest populations in the world, with over 28% aged 65 and older. Despite its technological advancements, the country struggles to maintain its economic output and support its elderly population.

2. South Asia: Opportunities and Challenges in a Transitioning Population
South Asia, home to nearly 2 billion people, is undergoing significant demographic changes. While many South Asian countries, including India, still enjoy a demographic dividend, they are nearing the end of this advantageous period.
Fertility Rates in Transition
- India: India’s fertility rate fell from 5.9 in 1960 to below the replacement level in 2019.
- Sri Lanka: Sri Lanka has one of the lowest fertility rates in South Asia, reflecting trends similar to advanced economies.
- Bangladesh and Pakistan: Both countries are seeing declining fertility rates, although Pakistan’s decline is slower compared to others.

Demographic Dividend
The demographic dividend occurs when the working-age population outnumbers dependents, creating opportunities for economic growth. South Asia’s demographic dividend has fueled rapid economic expansion over the past three decades. However, this window of opportunity is closing as fertility rates decline and aging populations emerge.

Risks of Inaction
South Asia faces unique challenges that could undermine its potential to capitalize on the demographic dividend:
- Youth Unemployment: Large numbers of young people entering the workforce without adequate skills could lead to economic stagnation and social unrest.
- Healthcare and Aging: While aging populations remain a distant concern for some countries, preparation is necessary to avoid future crises.

3. India: A Critical Juncture in Demographic Transition
India’s demographic transition is pivotal not only for the country but also for the global economy. With over 1.4 billion people, India accounts for a significant portion of the world’s workforce. However, the country faces both opportunities and challenges as it navigates this transition.

Declining Fertility Rates
India’s fertility rate has consistently fallen, driven by factors like increased literacy, urbanization, and access to contraception. The country’s current fertility rate is below replacement level, meaning its population growth will plateau and eventually decline.

Time-Limited Opportunity
India’s demographic dividend is expected to last for another 33 years, providing a window of opportunity to accelerate economic growth. However, failing to address key challenges could turn this opportunity into a liability.

Challenges Facing India
- Workforce Productivity
India’s workforce productivity remains lower than global standards. To harness its demographic dividend, India must invest heavily in:- Education: Improve the quality and accessibility of education, particularly in rural areas.
- Skill Development: Equip young workers with skills aligned with global economic trends, such as digital literacy and automation technologies.
- Technology Adoption: Leverage advancements in AI, robotics, and other technologies to enhance productivity.
- Gender Inclusion in the Workforce
India’s female labor force participation rate is among the lowest in the world, at around 20%. Increasing women’s participation in the workforce is crucial to unlocking the country’s economic potential. - Urbanization and Infrastructure
Rapid urbanization is reshaping India’s demographic and economic landscape. Managing migration, housing, transportation, and basic services is critical for sustaining growth in urban centers. - Preparing for an Aging Population
While India’s elderly population currently accounts for a smaller share of the total population, this number is expected to rise significantly in the coming decades. Building robust healthcare systems, pensions, and social safety nets is essential.
4. Policy Recommendations for South Asia and India
To address the challenges posed by dependency and depopulation, South Asian countries, particularly India, need comprehensive policy interventions:
1. Boosting Productivity
- Invest in education and vocational training to improve workforce quality.
- Promote innovation and technology adoption in industries to enhance output.

2. Enhancing Workforce Participation
- Remove barriers to women’s workforce participation, such as inadequate childcare and workplace discrimination.
- Provide incentives for marginalized groups to join the labor market.

3. Planning for Aging Populations
- Expand healthcare infrastructure to meet the needs of the elderly.
- Reform pension systems to ensure sustainability.
- Encourage private sector participation in eldercare services.

4. Encouraging Lifelong Learning
- Create programs to reskill and upskill workers throughout their careers, ensuring they remain employable as industries evolve.
5. Regional Cooperation
South Asian countries can benefit from regional collaboration in areas like education, healthcare, and technology. Sharing resources and best practices could help address common demographic challenges.
5. The Way Forward: Navigating the Demographic Shift
The global demographic shift presents both challenges and opportunities. While declining fertility rates and aging populations pose risks to economic growth and social stability, they also open doors for innovation, technology adoption, and new industries.
Global Lessons for South Asia and India
Countries like Japan and South Korea offer valuable lessons in managing demographic transitions. Their experiences highlight the importance of proactive policies in areas like technology, healthcare, and workforce participation.
The Role of Leadership
Strong political and institutional leadership is critical for navigating demographic shifts. Governments must prioritize long-term planning over short-term gains to ensure sustainable development.
Conclusion
The McKinsey report underscores the urgency of addressing the consequences of dependency and depopulation. For South Asia, and particularly India, this is a once-in-a-generation opportunity to transform demographic potential into economic prosperity. With strategic investments in education, healthcare, and inclusive growth, countries can not only mitigate the risks of demographic shifts but also unlock new pathways for development. As the world grapples with this new reality, collaboration and innovation will be key to shaping a sustainable and equitable future.