1. Nata Kazakhashvili, MD PHD Ivane Javakhishvili Tbilisi State University Maternal and Child Health 2000-2009, Georgia

2. 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. 3

4. National environment and ethnic diversity of the Caucasian region Source: http://titus.uni-frankfurt.de/didact/karten/kauk/kaukasm.htm 4

5. 5 Country Profile Georgia Population 4 385 400 Age Structure < 0-14 15,8% 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% - 2005) https://www.cia.gov/library/publications/the-world-factbook/geos/am.html http://en.wikipedia.org/wiki/List_of_countries_by_infant_mortality_rate http://www.geostat.ge/index.php?action=page&p_id=145&lang=geo http://www.indexmundi.com/azerbaijan/infant_mortality_rate.html

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

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

8. Net Migration Rate

9. Number of children under 14 and the number of older adults over 65 Georgia, 1995-2009 9 Source: www.geostat.ge

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

11. Total fertility rate Source: WHO/Europe, European HFA Database, July 2010 11

12. 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% 12 Source: www.ncdc.ge Number of Births. Georgia, 1986-2009 Number of Births. Georgia, 1986-2009

13. Number of Births. Georgia, 2005-2010

14. Number of live births to mothers age 35 years 14 Source: www.ncdc.ge www.geostat.ge www.geostat.ge

15. percent of physiological and pathological deliveries in total number of deliveries. 2005-2010 15 Source: www.ncdc.ge

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

17. Perinatal Mortality Rate per 1000 births Georgia, EU, CIS. 2000-2010 GeorgiaEUCIS

18. Stillbirth Rate per 1000 births Georgia, EU, CIS. 2000-2010 GeorgiaEUCIS

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

20. 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 www.ncdc.ge

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

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