In India,the state of Kerala had a total fertility rate of 1.8 in 1991,which was half of India's national rate.How did Kerala achieve this remarkable feat?

A) by means of a yearlong public relations campaign on overpopulation
B) by devoting most of the state budget to contraception
C) by becoming a highly industrialized region
D) good luck
E) none of these choices

Total Fertility Rate

The average number of children a woman is expected to give birth to during her lifetime, based on current birth rates.

Kerala

A state on the southwestern coast of India, noted for its high literacy rates, robust health services, and strong social welfare policies.

Public Relations

The professional maintenance of a favorable public image by a company, organization, or famous person.