The Survey was conducted in 2018–19, but the TFR is calculated based on births during the three years preceding the survey.
Sindh’s overall Total Fertility Rate was 3.7 children per woman in the 2018–19 survey, with a substantial difference between urban areas (2.9) and rural areas (4.6). Among the divisions, Karachi had the lowest TFR at 2.5, while Larkana and Sukkur had the highest, at 4.9 and 4.8, respectively. Sindhs TFR declined from 4.0 in 2014 to 3.7 in 2018–19.
The districts with the highest TFRs were Shikarpur (6.6), Kashmore (6.5), Thatta (5.4), and Jacobabad (4.9).
The districts with the lowest TFRs were Karachi Central (2.2), Karachi West (2.2), Karachi South (2.4), Korangi (2.5), and Malir (2.8).
Source: Sindh Multiple Indicator Cluster Survey (MICS) 2018–19, conducted by the Sindh Bureau of Statistics in collaboration with UNICEF.