India, now the world’s most populous country with over 1.46 billion people (UN World Population Prospects, 2024), faces a profound demographic transformation that will reshape its economic trajectory by 2050. This paper analyses the current demographic scenario, evaluates sustainability across critical dimensions—workforce participation, healthcare infrastructure, pension readiness, and human capital formation—and benchmarks India’s preparedness against high-performing economies such as Japan, Germany, Sweden, and Singapore. Drawing on data from the United Nations Population Division, World Bank Development Indicators, India’s National Family Health Survey (NFHS-5), Periodic Labour Force Survey (PLFS 2022–23), the Global Burden of Disease Study 2021, and OECD databases, we employ descriptive statistical analysis, dependency ratio projections, and cross-country comparative frameworks. Our findings indicate that India’s demographic dividend window—open since approximately 2005–06—will begin narrowing by the early 2040s, with the working-age population peaking at approximately 1.04 billion around 2040. The old-age dependency ratio, currently at 16 per 100 working-age persons, is projected to reach 30 by 2050. India’s total fertility rate has fallen below replacement level to approximately 1.9–2.0 (GBD 2021; NFHS-5), while life expectancy has risen to 70 years. However, critical vulnerabilities persist: public health expenditure remains at merely 1.9% of GDP (FY2023–24); only 20% of the 600-million-strong labour force is formally skilled; female labour force participation stands at 32.8% (ILO 2024), far below the global average of 51.1%; and pension coverage remains alarmingly limited. Without urgent reforms in healthcare financing, skilling ecosystems, eldercare infrastructure, and female workforce integration, India risks ‘growing old before growing rich.’ The paper concludes with a policy framework synthesising best practices from comparator nations.
Reddy et al. (Thu,) studied this question.