Nata Kazakhashvili, MD PHD Ivane Javakhishvili Tbilisi State University Maternal and Child Health...

Nata Kazakhashvili, MD PHD

Ivane Javakhishvili Tbilisi State University

Maternal and Child Health 2000-2009, Georgia

2

War and conflicts

Ethnic diversity of the Caucasian region (legal, cultural and religious obstacles to use reproductive health services)

Migration and Disruptions of traditional family life

Poverty and unemployment

Key Points

Factors Affecting Mothers and Children's Health

3

National environment and ethnic diversity of the Caucasian region Source: http://titus.uni-frankfurt.de/didact/karten/kauk/kaukasm.htm

4

5

Country Profile Georgia

Population 4 385 400

Age Structure< 0-14

15,8%

Age Structure>65

16,2%

Birth Rate 14,4 births/1000 population(2009 est.)

Death Rate 10,6 deaths/1000 population (2009 est.)

Population Growth Rate 3,8 (2009 est.)

Total Fertility Rate 1,44 children born/woman

IMR 14,9 deaths/1000 live birth

Life Expectancy at birth 76,93 years

Net Migration Rate 18 migrants/1000 population(2010 est.)

GDP per Capita (at current prices), USD 2450,1 USD (2009 est.)

Poverty level 21,0% (2009 est.)

Unemployment Rate 16,9% (2009 est. 13,8% - 2005)

https://www.cia.gov/library/publications/the-world-factbook/geos/am.htmlhttp://en.wikipedia.org/wiki/List_of_countries_by_infant_mortality_ratehttp://www.geostat.ge/index.php?action=page&p_id=145&lang=geohttp://www.indexmundi.com/azerbaijan/infant_mortality_rate.html

Unemployment rate (%)source: http://www.indexmundi.com/g/g.aspx?v=74&c=gg&l=en

Population below poverty line Source: Ministry of Labour, Health and Social Affairs of Georgia.

0.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

2007 2008 2009 2010

Net Migration Rate

-60

-40

-20

0

20

40

60

80

100

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

mig.rate

Number of children under 14 and the number of older adults over 65

Georgia, 1995-2009

9

Source: www.geostat.ge

% of population aged 65+ years

10

Source: WHO/Europe, European HFA Database, July 2010

0,00%

2,00%

4,00%

6,00%

8,00%

10,00%

12,00%

14,00%

16,00%

18,00%

1995 2000 2005 2009

Georgia

Armenia

Azerbaijan

EuropeanRegion

CIS

Total fertility rate

Source: WHO/Europe, European HFA Database, July 2010 11

0.00

0.50

1.00

1.50

2.00

2.50

1995 2000 2005 2009

Georgia

Armenia

Azerbaijan

EuropeanRegion

CIS

Home Deliveries (%) 2003 – 3,8%; 2004 – 2,5%; 2005 – 1,5%; 2006 – 1,2%; 2007 – 0,6%; 2008 – 0,4% 2009 – 0,3%2010 - 0.4%

98.155

57.311

44.396

0

20

40

60

80

100

120

12

Source: www.ncdc.ge

Number of Births. Georgia, 1986-2009

Number of Births. Georgia, 2005-2010

0

10000

20000

30000

40000

50000

60000

70000

2005 2006 2007 2008 2009 2010

Number of live births to mothers age <20 and >35 years

14

Source: www.ncdc.ge www.geostat.ge

percent of physiological and pathological deliveries in total number of deliveries.

2005-2010

15

0% 10% 20% 30% 40% 50% 60% 70% 80%

2005

2006

2007

2008

2009

2010

Physiological Deliveries Pathological Deliveries

Source: www.ncdc.ge

Caesarean sections rate per 1000 live births (Georgia, EU, CIS) 2000-2010

Georgia EU CIS

Perinatal Mortality Rate per 1000 birthsGeorgia, EU, CIS. 2000-2010

Georgia EU CIS

Stillbirth Rate per 1000 birthsGeorgia, EU, CIS.

2000-2010

Georgia EU CIS

Early Neonatal Mortality Rate per 1000 live-birth and Newborn Patient Referrals (percent) 2005-2010

Early Neonatal Mortality

Referrals

Poverty Rate, Birth rate and Perinatal Mortality Rate by region, Georgia 2002

Georg

ia

Tbilisi

Adjara

Guria

Imer

eti

Kakhe

ti

Mts

khet

a-m

tiane

ti

Racha

-lech

khum

i-kve

mos

vane

ti

Sameg

relo-

Zemos

vane

ti

sam

tskh

e-Ja

vakh

eti

Kvem

o Kar

tli

Shida

Kartli

0

10

20

30

40

50

60

70

80

90

Poverty

BR

PMR

Series4

Series5

Series6

Series7

Series8

Series9

Series10

source: IMPROVING TARGETING OF POOR AND EXTREMELY POOR FAMILIES IN GEORGIA: THE CONSTRUCTION OF POVERTY MAPS AT THE DISTRICT LEVEL

Georgia 2003 UNDP Country Office in Georgia

www.ncdc.ge

0

5

10

15

20

25

30

Tbi li si aWar a

imereT

i

samcxe-

j avaxeT

ikax

eTi

samegr

elo

qvemo qa

r Tl igu

r ia

saqar Tvel

o

siRar ibi s siRr me Sobadoba mkvdr adSobadoba

Poverty Rate, Birth rate and stillbirth by region, Georgia 2000

Secondary sex ratio, Georgia, 2000 – 2010 M/F

Georgia Normal