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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