Nata Kazakhashvili, MD PHD Ivane Javakhishvili Tbilisi State University Maternal and Child Health , 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: 4

5 Country Profile Georgia Population Age Structure < ,8% Age Structure >6516,2% 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% )

Unemployment rate (%) source:

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

Net Migration Rate

Number of children under 14 and the number of older adults over 65 Georgia, Source:

% of population aged 65+ years 10 Source: WHO/Europe, European HFA Database, July 2010

Total fertility rate Source: WHO/Europe, European HFA Database, July

Home Deliveries (%) 2003 – 3,8%; 2004 – 2,5%; 2005 – 1,5%; 2006 – 1,2%; 2007 – 0,6%; 2008 – 0,4% 2009 – 0,3% % 12 Source: Number of Births. Georgia, Number of Births. Georgia,

Number of Births. Georgia,

Number of live births to mothers age 35 years 14 Source:

percent of physiological and pathological deliveries in total number of deliveries Source:

Caesarean sections rate per 1000 live births (Georgia, EU, CIS) Georgia EUCIS

Perinatal Mortality Rate per 1000 births Georgia, EU, CIS GeorgiaEUCIS

Stillbirth Rate per 1000 births Georgia, EU, CIS GeorgiaEUCIS

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

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

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

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