The fertility rate of a country is the average number of children that women from that country will have throughout their reproductive years. From 1840 until 1910, Russia's fertility rate was relatively consistent, remaining between 6.7 and 7.4 children per woman during this time. Between 1910 and 1920, the fertility rate drops sharply as a result of the First World War and Russian Revolution (for individual years of WWI, the fertility rate dropped as low as 3.4). From 1920 to 1930 the fertility rate returns above 6 again, however a gradual decline then begins, and by the end of the Second World War, the Russian segment of the Soviet Union's fertility rate was below 2. The population experienced a relatively small 'baby boom' in the two decades following the war, but then the fertility rate dropped again, most sharply between 1990 and 1995 at the end of the Soviet Union's reign. Russia's fertility rate reached its lowest point in 2000 when it fell to just 1.25 children per woman, but in the past two decades it has risen again, and is expected to reach 1.8 in 2020.
In 1970, the United States' birth rate was slightly higher than that of the Soviet Union, at 18.2 births per thousand people compared to 17.4 respectively. Over the subsequent two decades, the U.S.' rate would fall below 16 births per thousand people, whereas the USSR's rate would climb to 19.4 births per thousand people in 1985, before falling rather sharply in the late 1980s.
In Russia, the crude birth rate in 1840 was just over 48 live births per thousand people, meaning that approximately 4.8 percent of the population had been born in that year. Throughout the nineteenth century, Russia's crude birth rate remained between 48 and 52, and fell to 43.4 in the late 1920s. From 1930 to 1945, the Soviet Union's crude birth rate dropped greatly, from 43.4 to 18.2, as a result of the Second World War (although it did increase in the late 1930s, in the early stages of the war). Russia did experience a baby boom after the war, and the birth rate did not fall to its pre-war level gain until the late 1960s. From 1970, the birth rate increased slightly to 16.2 in 1990, before the end of communism and dissolution of the Soviet Union caused the crude birth rate to fall to its lowest recorded level over the next decade, to 8.9 in 2000. Since the turn of the millennium, the crude birth rate of Russia has increased steadily, and was expected to be 12.8 in 2020.
Russian estimates suggest that the total population of the Soviet Union in 1941 was 195.4 million people, before it fell to 170.5 million in 1946 due to the devastation of the Second World War. Not only did the USSR's population fall as a consequence of the war, but fertility and birth rates also dropped due to the disruption. Hypothetical estimates suggest that, had the war not happened and had fertility rates remained on their pre-war trajectory, then the USSR's population in 1946 would have been 39 million higher than in reality. Gender differences When it comes to gender differences, the Soviet male population fell from 94 million in 1941, to 74 million in 1946, and the female population fell from 102 to 96 million. While the male and female population fell by 19 and 5.5 million respectively, hypothetical estimates suggest that both populations would have grown by seven million each had there been no war. In actual figures, adult males saw the largest change in population due to the war, as a drop of 18 to 21 percent was observed across the three age groups. In contrast, the adult female population actually grew between 1941 and 1946, although the population under 16 years fell by a number similar to that observed in the male population due to the war's impact on fertility.
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In more than a decade of research on fertility in the Russian Empire and the Soviet Union, the Office of Population Research at Princeton University has assembled a large inventory of quantitative information. Some of the data from early years are handwritten; others exist only in computer printouts. Much of the material was not included in published results for one reason or another. For the convenience of other researchers interested in the population of Russia, selected primary data have been put in machine-readable form.
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The 1997 the Kyrgyz Republic Demographic and Health Survey (KRDHS) is a nationally representative survey of 3,848 women age 15-49. Fieldwork was conducted from August to November 1997. The KRDHS was sponsored by the Ministry of Health (MOH), and was funded by the United States Agency for International Development. The Research Institute of Obstetrics and Pediatrics implemented the survey with technical assistance from the Demographic and Health Surveys (DHS) program. The purpose of the KRDHS was to provide data to the MOH on factors which determine the health status of women and children such as fertility, contraception, induced abortion, maternal care, infant mortality, nutritional status, and anemia. Some statistics presented in this report are currently available to the MOH from other sources. For example, the MOH collects and regularly publishes information on fertility, contraception, induced abortion and infant mortality. However, the survey presents information on these indices in a manner which is not currently available, i.e., by population subgroups such as those defined by age, marital duration, education, and ethnicity. Additionally, the survey provides statistics on some issues not previously available in the Kyrgyz Republic: for example, breastfeeding practices and anemia status of women and children. When considered together, existing MOH data and the KRDHS data provide a more complete picture of the health conditions in the Kyrgyz Republic than was previously available. A secondary objective of the survey was to enhance the capabilities of institutions in the Kyrgyz Republic to collect, process, and analyze population and health data. MAIN FINDINGS FERTILITY Fertility Rates. Survey results indicate a total fertility rate (TFR) for all of the Kyrgyz Republic of 3.4 children per woman. Fertility levels differ for different population groups. The TFR for women living in urban areas (2.3 children per woman) is substantially lower than for women living in rural areas (3.9). The TFR for Kyrgyz women (3.6 children per woman) is higher than for women of Russian ethnicity (1.5) but lower than Uzbek women (4.2). Among the regions of the Kyrgyz Republic, the TFR is lowest in Bishkek City (1.7 children per woman), and the highest in the East Region (4.3), and intermediate in the North and South Regions (3.1 and3.9, respectively). Time Trends. The KRDHS data show that fertility has declined in the Kyrgyz Republic in recent years. The decline in fertility from 5-9 to 0-4 years prior to the survey increases with age, from an 8 percent decline among 20-24 year olds to a 38 percent decline among 35-39 year olds. The declining trend in fertility can be seen by comparing the completed family size of women near the end of their childbearing years with the current TFR. Completed family size among women 40-49 is 4.6 children which is more than one child greater than the current TFR (3.4). Birth Intervals. Overall, 30 percent of births in the Kyrgyz Republic take place within 24 months of the previous birth. The median birth interval is 31.9 months. Age at Onset of Childbearing. The median age at which women in the Kyrgyz Republic begin childbearing has been holding steady over the past two decades at approximately 21.6 years. Most women have their first birth while in their early twenties, although about 20 percent of women give birth before age 20. Nearly half of married women in the Kyrgyz Republic (45 percent) do not want to have more children. Additional one-quarter of women (26 percent) want to delay their next birth by at least two years. These are the women who are potentially in need of some method of family planning. FAMILY PLANNING Ever Use. Among currently married women, 83 percent report having used a method of contraception at some time. The women most likely to have ever used a method of contraception are those age 30-44 (among both currently married and all women). Current Use. Overall, among currently married women, 60 percent report that they are currently using a contraceptive method. About half (49 percent) are using a modern method of contraception and another 11 percent are using a traditional method. The IUD is by far the most commonly used method; 38 percent of currently married women are using the IUD. Other modern methods of contraception account for only a small amount of use among currently married women: pills (2 percent), condoms (6 percent), and injectables and female sterilization (1 and 2 percent, respectively). Thus, the practice of family planning in the Kyrgyz Republic places high reliance on a single method, the IUD. Source of Methods. The vast majority of women obtain their contraceptives through the public sector (97 percent): 35 percent from a government hospital, and 36 percent from a women counseling center. The source of supply of the method depends on the method being used. For example, most women using IUDs obtain them at women counseling centers (42 percent) or hospitals (39 percent). Government pharmacies supply 46 percent of pill users and 75 percent of condom users. Pill users also obtain supplies from women counseling centers or (33 percent). Fertility Preferences. A majority of women in the Kyrgyz Republic (45 percent) indicated that they desire no more children. By age 25-29, 20 percent want no more children, and by age 30-34, nearly half (46 percent) want no more children. Thus, many women come to the preference to stop childbearing at relatively young ages-when they have 20 or more potential years of childbearing ahead of them. For some of these women, the most appropriate method of contraception may be a long-acting method such as female sterilization. However, there is a deficiency of use of this method in the Kyrgyz Republic. In the interests of providing a broad range of safe and effective methods, information about and access to sterilization should be increased so that individual women can make informed decisions about using this method. INDUCED ABORTION Abortion Rates. From the KRDHS data, the total abortion rate (TAR)-the number of abortions a woman will have in her lifetime based on the currently prevailing abortion rates-was calculated. For the Kyrgyz Republic, the TAR for the period from mid-1994 to mid-1997 is 1.6 abortions per woman. The TAR for the Kyrgyz Republic is lower than recent estimates of the TAR for other areas of the former Soviet Union such as Kazakhstan (1.8), and Yekaterinburg and Perm in Russia (2.3 and 2.8, respectively), but higher than for Uzbekistan (0.7). The TAR is higher in urban areas (2.1 abortions per woman) than in rural areas (1.3). The TAR in Bishkek City is 2.0 which is two times higher than in other regions of the Kyrgyz Republic. Additionally the TAR is substantially lower among ethnic Kyrgyz women (1.3) than among women of Uzbek and Russian ethnicities (1.9 and 2.2 percent, respectively). INFANT MORTALITY In the KRDHS, infant mortality data were collected based on the international definition of a live birth which, irrespective of the duration of pregnancy, is a birth that breathes or shows any sign of life (United Nations, 1992). Mortality Rates. For the five-year period before the survey (i.e., approximately mid-1992 to mid1997), infant mortality in the Kyrgyz Republic is estimated at 61 infant deaths per 1,000 births. The estimates of neonatal and postneonatal mortality are 32 and 30 per 1,000. The MOH publishes infant mortality rates annually but the definition of a live birth used by the MOH differs from that used in the survey. As is the case in most of the republics of the former Soviet Union, a pregnancy that terminates at less than 28 weeks of gestation is considered premature and is classified as a late miscarriage even if signs of life are present at the time of delivery. Thus, some events classified as late miscarriages in the MOH system would be classified as live births and infant deaths according to the definitions used in the KRDHS. Infant mortality rates based on the MOH data for the years 1983 through 1996 show a persistent declining trend throughout the period, starting at about 40 per 1,000 in the early 1980s and declining to 26 per 1,000 in 1996. This time trend is similar to that displayed by the rates estimated from the KRDHS. Thus, the estimates from both the KRDHS and the Ministry document a substantial decline in infant mortality; 25 percent over the period from 1982-87 to 1992-97 according to the KRDHS and 28 percent over the period from 1983-87 to 1993-96 according to the MOH estimates. This is strong evidence of improvements in infant survivorship in recent years in the Kyrgyz Republic. It should be noted that the rates from the survey are much higher than the MOH rates. For example, the KRDHS estimate of 61 per 1,000 for the period 1992-97 is twice the MOH estimate of 29 per 1,000 for 1993-96. Certainly, one factor leading to this difference are the differences in the definitions of a live birth and infant death in the KRDHS survey and in the MOH protocols. A thorough assessment of the difference between the two estimates would need to take into consideration the sampling variability of the survey's estimate. However, given the magnitude of the difference, it is likely that it arises from a combination of definitional and methodological differences between the survey and MOH registration system. MATERNAL AND CHILD HEALTH The Kyrgyz Republic has a well-developed health system with an extensive infrastructure of facilities that provide maternal care services. This system includes special delivery hospitals, the obstetrics and gynecology departments of general hospitals, women counseling centers, and doctor's assistant/midwife posts (FAPs). There is an extensive network of FAPs throughout the rural areas. Delivery. Virtually all births in the Kyrgyz Republic (96 percent) are delivered at health facilities: 95 percent in delivery hospitals and another 1 percent in either general hospitals
Between 1939 and 1950, the Soviet Union's fertility rate underwent the most drastic change of all the major Allied Powers; falling from 4.9 births per woman in 1939 to just 1.7 births in 1943. In Russia alone, this decline was even greater, falling from 4.9 to 1.3 births in the same time period. After the war's conclusion in 1945, there was an observable increase in fertility in all the given countries, and this marked beginning of the global baby boom of the mid-twentieth century.
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The 1996 Uzbekistan Demographic and Health Survey (UDHS) is a nationally representative survey of 4,415 women age 15-49. Fieldwork was conducted from June to October 1996. The UDHS was sponsored by the Ministry of Health (MOH), and was funded by the United States Agency for International Development. The Institute of Obstetrics and Gynecology implemented the survey with technical assistance from the Demographic and Health Surveys (DHS) program. The 1996 UDHS was the first national-level population and health survey in Uzbekistan. It was implemented by the Research Institute of Obstetrics and Gynecology of the Ministry of Health of Uzbekistan. The 1996 UDHS was funded by the United States Agency for International development (USAID) and technical assistance was provided by Macro International Inc. (Calverton, Maryland USA) through its contract with USAID. OBJECTIVES AND ORGANIZATION OF THE SURVEY The purpose of the 1996 Uzbekistan Demographic and Health Survey (UDHS) was to provide an information base to the Ministry of Health for the planning of policies and programs regarding the health of women and their children. The UDHS collected data on women's reproductive histories, knowledge and use of contraception, breastfeeding practices, and the nutrition, vaccination coverage, and episodes of illness among children under the age of three. The survey also included, for all women of reproductive age and for children under the age of three, the measurement of the hemoglobin level in the blood to assess the prevalence of anemia and measurements of height and weight to assess nutritional status. A secondary objective of the survey was to enhance the capabilities of institutions in Uzbekistan to collect, process and analyze population and health data so as to facilitate the implementation of future surveys of this type. MAIN RESULTS Fertility Rates. Survey results indicate a total fertility rate (TFR) for all of Uzbekistan of 3.3 children per woman. Fertility levels differ for different population groups. The TFR for women living in urbml areas (2.7 children per woman) is substantially lower than for women living in rural areas (3.7). The TFR for Uzbeki women (3.5 children per woman) is higher than for women of other ethnicities (2.5). Among the regions of Uzbekistan, the TFR is lowest in Tashkent City (2.3 children per woman). Family Planning. Knowledge. Knowledge of contraceptive methods is high among women in Uzbekistan. Knowledge of at least one method is 89 percent. High levels of knowledge are the norm for women of all ages, all regions of the country, all educational levels, and all ethnicities. However, knowledge of sterilization was low; only 27 percent of women reported knowing of this method. Fertility Preferences. A majority of women in Uzbekistan (51 percent) indicated that they desire no more children. Among women age 30 and above, the proportion that want no more children increases to 75 percent. Thus, many women come to the preference to stop childbearing at relatively young ages when they have 20 or more potential years of childbearing ahead of them. For some of these women, the most appropriate method of contraception may be a long-acting method such as female sterilization, However, there is a deficiency of both knowledge and use of this method in Uzbekistan. In the interest of providing couples with a broad choice of safe and effective methods, information about this method and access to it should be made available so that informed choices about its suitability can be made by individual women and couples. Induced Aboration : Abortion Rates. From the UDHS data, the total abortion rate (TAR)the number of abortions a woman will have in her lifetime based on the currently prevailing abortion rateswas calculated. For Uzbekistan, the TAR for the period from mid-1993 to mid-1996 is 0.7 abortions per woman. As expected, the TAR for Uzbekistan is substantially lower than recent estimates of the TAR for other areas of the former Soviet Union such as Kazakstan (1.8), Romania (3.4 abortions per woman), and Yekaterinburg and Perm in Russia (2.3 and 2.8, respectively). Infant mortality : In the UDHS, infant mortality data were collected based on the international definition of a live birth which, irrespective of the duration of pregnancy, is a birth that breathes or shows any sign of life (United Nations, 1992). Mortality Rates. For the five-year period before the survey (i.e., approximately mid- 1992 to mid- 1996), infant mortality in Uzbekistan is estimated at 49 infant deaths per 1,000 births. The estimates of neonatal and postneonatal mortality are 23 and 26 per 1,000. Maternal and child health : Uzbekistan has a well-developed health system with an extensive infrastructure of facilities that provide maternal care services. This system includes special delivery hospitals, the obstetrics and gynecology departments of general hospitals, women's consulting centers, and doctor's assistant/midwife posts (FAPs). There is an extensive network of FAPs throughout rural areas. Nutrition : Breastfeeding. Breastfeeding is almost universal in Uzbekistan; 96 percent of children born in the three years preceding the survey are breastfed. Overall, 19 percent of children are breastfed within an hour of delivery and 40 percent within 24 hours of delivery. The median duration of breastfeeding is lengthy (17 months). However, durations of exclusive breastfeeding, as recommended by WHO, are short (0.4 months). Prevalence of anemia : Testing of women and children for anemia was one of the major efforts of the 1996 UDHS. Anemia has been considered a major public health problem in Uzbekistan for decades. Nevertheless, this was the first anemia study in Uzbekistan done on a national basis. The study involved hemoglobin (Hb) testing for anemia using the Hemocue system. Women. Sixty percent of the women in Uzbekistan suffer from some degree of anemia. The great majority of these women have either mild (45 percent) or moderate anemia (14 percent). One percent have severe anemia.
This survey was undertaken to study everyday life in the Soviet Union by conducting highly-structured interviews with a probability sample of eligible Soviet emigrants in the United States. An interdisciplinary research team constructed a questionnaire with the expectation that the results would contribute not only to Sovietology, but to general theories in a number of academic disciplines, especially political science, economics, and sociology. Respondents were asked to comment on topics such as: crime, culture and the arts, education, ethnicity (or nationality), family life, fertility, friends, health and diet, housing, income and earnings, language practices, mass media, military experience, political and social opinions, politics, participation in organizations, religion, satisfaction, standard of living, and work. To insure that ''normal'' life experiences would be described, respondents were asked to define and discuss their last normal period in the USSR. Since applying to emigrate usually brings marked changes in Soviet citizens' lives, respondents reported the month and year in which they applied to emigrate, whether plans to emigrate had significantly changed their lives even before that date, and if so, specified the month and year in which their lives changed. Interviewers then made certain that all descriptions of day-to-day life in the Soviet Union referred to the period before the question of emigration became a significant issue for respondents.
The Country-Level Population and Downscaled Projections Based on Special Report on Emissions Scenarios (SRES) A1, B1, and A2 Scenarios, 1990-2100, were adopted in 2000 from population projections realized at the International Institute for Applied Systems Analysis (IIASA) in 1996. The Intergovernmental Panel on Climate Change (IPCC) SRES A1 and B1 scenarios both used the same IIASA "rapid" fertility transition projection, which assumes low fertility and low mortality rates. The SRES A2 scenario used a corresponding IIASA "slow" fertility transition projection (high fertility and high mortality rates). Both IIASA low and high projections are performed for 13 world regions including North Africa, Sub-Saharan Africa, China and Centrally Planned Asia, Pacific Asia, Pacific OECD, Central Asia, Middle East, South Asia, Eastern Europe, European part of the former Soviet Union, Western Europe, Latin America, and North America. This data set is produced and distributed by the Columbia University Center for International Earth Science Information Network (CIESIN).
In 1800, the total fertility rate in the region of present-day Latvia was 5.2 children per woman; meaning woman born in Latvia in that year could expect to have just over five children on average during the course of their reproductive years. Fertility in Latvia would decline steadily in the 19th century, primarily due to advancements in healthcare and declining child mortality rates, and also due to economic improvements in the years following the agricultural reforms of 1849, which would see a significant improvement in the living standards of the country’s peasantry. Fertility would decline faster in the 1930s and 1940s, due to the instability and devastation caused by the Second World War and Great Depression.
Following the end of the war, fertility would resume its steady decline until the 1970s and 1980s, when Latvian authorities promoted population growth and implemented financial incentives for mothers. However, with the demographic shifts following the dissolution of the Soviet Union in 1991, and economic downturn following the adoption of the market economy, women across most former-Soviet states were much more reluctant to have children in the 1990s. By the turn of the millennium, Latvia's fertility rate had fallen to just over one child per woman in 2000. While fertility has recovered somewhat following Latvia’s ascension to the European Union in 2004, total fertility remains below replacement level in the country, and in 2020, it is estimated that the average woman born in Latvia will have just over 1.7 children over the course of her reproductive years.
The Second World War had a profound impact on gender ratios within the Soviet Union's population, and its effect on different age groups varied greatly. The Soviet population structure had already been shaped heavily by the First World War, the Russian Revolution, and the famines of the early 1920s and early 1930s. The impact of these events on mortality and fertility meant that, in 1941, the generations whose births corresponded with these events had a lower population than would be expected on a typical population model. For example, in 1941, those aged between 5 and 9 had a significantly lower population than those aged 10 to 14, due to the effects of the Soviet famine of 1932-1933. Additionally, women outnumbered men in all age groups except the very youngest, due to the disproportionate effect of conflict and infant mortality on male populations. Impact of WWII In order to observe the impact of the war, one must compare populations of specific age groups in 1941 with the following age group in 1946. For men of "fighting age" in 1941, i.e. those aged between 15 and 44, these populations experience the most substantial decrease over the course of the war. For example, there are 5.6 million men aged 15-19 in 1941, but just 3.5 million aged 20-24 in 1946, giving a decrease of 38 percent. This decrease of almost forty percent can be observed until the 45-49 group, where the difference is 25 percent. Additionally, women aged between 15 and 34 saw a disproportionate decrease in their populations over this period, as many enlisted in the army and took an active part in the conflict, most notably as medics, snipers, and pilots.
The war's impact on fertility and child mortality meant that, in 1946, the total population under four years old was less than half its size in 1941. Generally, variations between age groups then fluctuated in line with pre-war patterns, however the overall ratio of women to men increased further after the war. For all age groups over 20 years, the number of men decreased between these years, whereas all women's age groups over 30 years saw an increase; this meant that, despite the war, women over 30 had a higher life expectancy in 1946.
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IntroductionDemographic and Health Surveys, widely used for estimation of fertility and reproductive health indicators in developing countries, remain underutilized for the study of pregnancy termination. This is partly due to most surveys not reporting the type of pregnancy termination, whether spontaneous or induced. Reproductive calendar data makes it possible to examine termination patterns according to contraceptive use at the time of pregnancy. Contraceptive failure is expected to increase the likelihood of induced abortion helping in the interpretation of reported termination patterns.Materials and methodsWe use individual-level calendar data regarding 623,966 pregnancies to analyze levels and differentials in reported patterns of pregnancy termination by age, union status, and contraceptive use in 107 DHS surveys from 50 countries. From the estimates of the probability of pregnancy termination, we compute derived reproductive health indicators providing an assessment of what is driving the differences by comparison to the few surveys reporting the type of pregnancy termination.ResultsFrom our estimates, 10.9% of pregnancies do not end in live-birth and 63.7% of them are spontaneous terminations. Reported pregnancy termination is higher among women using contraceptives, consistent with expectations. Very low levels of reported PT in some countries, particularly in sub-Saharan Africa, suggests possible underreporting. Differential patterns emerging from cluster analysis and regional rates indicate high rates of pregnancy termination driven by induced abortion in countries from the Former Soviet Union and Asian countries with liberal laws. Most countries with restrictive abortion laws have low levels of reported termination. While the probabilities of pregnancy termination are higher at older ages, termination rates generally peak at younger ages due to higher conception rates.DiscussionThis is the first large comparative study of the patterns of reported pregnancy termination in DHS surveys. While we have explored the extent to which differences arise from spontaneous terminations or induced abortion, more research is needed regarding the determinants of reported pregnancy termination.
Israel's total fertility rate has remained relatively stable over the past decade, with a slight decrease to **** births per woman in 2023. This high fertility rate, coupled with an increasing life expectancy, contributes to Israel's unique demographic situation among developed nations. The country's population growth is expected to continue, driven by these factors and a birth rate that outpaces the death rate. Diverse population and immigration impact Israel's demographic landscape is shaped by its diverse population and history of immigration. As of the end of 2024, the number of permanent residents in the country reached some *** million. Of them, some ** percent were Jews and ** percent Arabs. In the decade following the fall of the Soviet Union, about *********** Jewish immigrants arrived in the country. This wave of immigration has contributed to the country's cultural diversity and economic high-tech boom. Economic growth and declining unemployment As Israel's population continues to expand, its economy is also projected to grow. Gross domestic product (GDP) is forecast to increase by over a quarter between 2024 and 2029. Simultaneously, the unemployment rate has fallen to its lowest level in recent years, hitting **** percent in 2023. This combination of population growth, economic expansion, and low unemployment suggests a robust economic outlook.
The URHS was performed in conjunction with the Ukraine Women=s Reproductive Health Initiative (UWRHI), a project sponsored by the United States Agency for International Development (USAID). This project consisted of a variety of components, designed to help to reduce maternal morbidity and mortality and improve reproductive health generally in Ukraine. The stated goals of this initiative were to improve the quality of reproductive health services, as well as access to those services, to increase the rate of modern contraceptive use, and to reduce abortion rates in service sites. It was anticipated that improved access to and quality of reproductive health services for women, expanded and improved use of effective contraception, and reduced reliance on abortion as a means of birth prevention would result in reductions in maternal morbidity and mortality.
There were two major reasons for carrying out the 1999 URHS. First, it was intended to fill a substantial need for data regarding the current status of reproductive health of Ukrainian women. Besides providing data on the current situation overall, it also adds to what is known about reproductive health trends and differentials within the population and allows more accurate determinations to be made about the needs of the population. Secondly, the URHS was designed to provide programmatically useful results. The data collected on reproductive health can be used to help direct, modify, or develop interventions, as well as to provide information to policy makers and health care program officials and providers.
The survey was designed to obtain interviews with a nationally representative sample of about 7,000 women.
The 1999 Ukraine Reproductive Health Survey was designed to collect information from a representative sample of all women between the ages of 15 and 44 living in households throughout Ukraine. Although some pregnancy, childbearing, and abortion occurs outside of ages 15 to 44, the relative rarity of these events at those ages in Ukraine suggested that it would be most efficient to limit the sample to women in this age range.
Sample survey data [ssd]
The survey was designed to obtain interviews with a nationally representative sample of about 7,000 women between the ages of 15 and 44 years of age living throughout Ukraine. The survey was intended to be large enough to provide stable estimates regarding the main topics of interest at the regional level (there are five regions: the North, East, Central, South, and West) and for the urban and rural sectors of Ukraine. The sample was geographically self-weighting, with the exception of substantial over-sampling of two sites--the oblasts of Donetsk and Odessa.
The two oversampled oblasts were the sites for USAID-funded reproductive health activities. Donetsk was a site of activities sponsored by the Women’s Reproductive Health Initiative that started in 1996. Odessa was the focus of USAID-sponsored activities implemented by The Policy Project (coordinated by The Futures Group International) that are designed to improve support for family planning activities. Oversampling of these areas was designed to allow local estimates to be made in regard to many of the topics addressed in the URHS.
Three-stage cluster sampling was used to select survey respondents. Potential respondents consisted of all women between the ages of 15 and 44 years who lived in households anywhere in Ukraine. The first stage of sampling consisted of the selection of primary sampling units (PSU). Approximately 550 primary sampling units were selected across Ukraine. The sample was selected proportional to population size (PPS) of each of the country’s 26 oblasts and autonomous regions (with the exception of Odessa and Donetsk). Within each oblast the sample was split proportionally into five size-of-place categories, ranging from large cities to rural areas, using software that listed the estimated population of all locations. Population estimates were based on yearly updates made to census counts. Unfortunately, the most recent census in Ukraine took place when it was still part of the Soviet Union, in 1989. Within each size of place/oblast category, PSU (census enumeration districts) were selected with probability proportionate to size. Within rural areas, post offices were selected instead of places, under the assumption that all post offices cover roughly the same population. This process guarantees a selection of households approximately proportional to the entire population according to oblast and size of place.
The second stage of sampling consisted of the selection of dwelling units and respondents from the selected PSU. Within each selected PSU a random starting point was chosen, followed by selection of contiguous dwelling units, selected in a predetermined order. The number of dwellings visited per PSU varied from 23 to 30, depending on the size of place, since the average number of women of childbearing age per household varies according to size of place. Selection of women for interview was accomplished in the third stage by listing women in each visited household by descending age and selecting every second woman listed regardless of the household in which she was found. However, this procedure was slightly modified to ensure that no more than one woman per household was interviewed
Face-to-face [f2f]
The 1999 URHS consisted of two questionnaires: a short household instrument and a much longer individual questionnaire. The household questionnaire was two pages long and was administered to any adult living in visited households. It consisted primarily of information regarding the individuals who lived in the household and the location of the residence.
The individual form was completed by selected women 15 to 44 years of age who agreed to be interviewed. This questionnaire covered a wide range of topics related to reproductive health status and needs in Ukraine.
The sections of the questionnaire were: I. Social and demographic characteristics of respondents II. Fertility, pregnancy, and abortion– includes a complete pregnancy history, detailed information on abortions and live births in the preceding five years, use of maternal child health services, and infertility problems and treatment. III. Contraception– includes knowledge and use of specific methods, a month-by-month calendar of contraceptive use in the preceding five years, contraceptive counseling, and detailed information on many aspects of family planning. IV. Information, education, and communication (IEC) and attitudes and beliefs concerning family planning V. Women’s health– includes information on sexual behavior and sexually transmitted infection knowledge and history VI. Socioeconomic characteristics of respondents VII. Intimate partner violence.
At least one 15-44 year-old woman was identified as living in 55% of sampled households. In most of the remaining households, there were no resident females eligible for interview. Residents refused to provide interviewers with information concerning the household or its residents in fewer than 1% of the households visited. The difference between urban and rural areas was small, with urban households slightly less likely than rural ones to contain women eligible for interview.
Of those 15-44 year-old women who were identified as living in visited households and selected as potential respondents, 85% were interviewed. The figure was somewhat higher in rural areas (89%) than in urban areas (84%). Eight percent of women selected for interview were never found at home and 6% refused to be interviewed. Individual refusal rates were about twice as high in urban areas as in rural areas.
The Country-Level Population and Downscaled Projections Based on Special Report on Emissions Scenarios (SRES) A1, B1, and A2 Scenarios, 1990-2100, were adopted in 2000 from population projections realized at the International Institute for Applied Systems Analysis (IIASA) in 1996. The Intergovernmental Panel on Climate Change (IPCC) SRES A1 and B1 scenarios both used the same IIASA "rapid" fertility transition projection, which assumes low fertility and low mortality rates. The SRES A2 scenario used a corresponding IIASA "slow" fertility transition projection (high fertility and high mortality rates). Both IIASA low and high projections are performed for 13 world regions including North Africa, Sub-Saharan Africa, China and Centrally Planned Asia, Pacific Asia, Pacific OECD, Central Asia, Middle East, South Asia, Eastern Europe, European part of the former Soviet Union, Western Europe, Latin America, and North America. This data set is produced and distributed by the Columbia University Center for International Earth Science Information Network (CIESIN).
The spike in infant and child mortality rates due to Operation Barbarossa, the German invasion of the Soviet Union, meant that almost half of all deaths in Soviet Russia in 1941 were among those below the age of five, and the majority of those were among infants below the age of one year. The consequences of this and the decrease in Soviet fertility can be observed in the unusually-low mortality rates among infants in 1942. Because of this spike, the share of deaths across other age groups was lower than what would have been typical of Russia in terms of its demographic development. The share of deaths among children then decreased as the war progressed and the conflict moved west, although it remained disproportionately high until the late 1940s.
As of January 1, 2025, more than 146 million people were estimated to be residing on the Russian territory, down approximately 30,000 from the previous year. From the second half of the 20th century, the population steadily grew until 1995. Furthermore, the population size saw an increase from 2009, getting closer to the 1995 figures. In which regions do most Russians live? With some parts of Russia known for their harsh climate, most people choose regions which offer more comfortable conditions. The largest share of the Russian population, or 40 million, reside in the Central Federal District. Moscow, the capital, is particularly populated, counting nearly 13 million residents. Russia’s population projections Despite having the largest country area worldwide, Russia’s population was predicted to follow a negative trend under both low and medium expectation forecasts. Under the low expectation forecast, the country’s population was expected to drop from 146 million in 2022 to 134 million in 2036. The medium expectation scenario projected a milder drop to 143 million in 2036. The issues of low birth rates and high death rates in Russia are aggravated by the increasing desire to emigrate among young people. In 2023, more than 20 percent of the residents aged 18 to 24 years expressed their willingness to leave Russia.
In 1800, the population of the area of modern-day Hungary was approximately 3.3 million, a figure which would steadily rise in the first two decades of the 19th century, as modernization driven by rising exports of cash crops resulting from the ongoing Napoleonic wars would see Hungary become a major exporter in Europe. The slowing in population growth in the 1920s can be attributed in part to the economic recession which hit Hungary in the years following Napoleon defeat, as a grain prices collapsed, and economic hardship intensified in the country. Hungary would see a small increase in population growth in the 1860s, as the country would merge with the Austria to form Austria-Hungary in 1967. As industrialization would continue to accelerate in Hungary, the country’s population rise even further, reaching just over seven million by 1900.
While Hungary had enjoyed largely uninterrupted growth throughout the 19th century, the first half of the 20th century would see several major disruptions to Hungary’s population growth. Growth would slow greatly in the First World War, as Austria-Hungary would find itself one of the largest combatants in the conflict, losing an estimated 1.8 to 2 million people to the war. Hungary’s population would flatline entirely in the 1940s, as the country would see extensive military losses in the country’s invasion of the Soviet Union alongside Germany, and further loss of civilian life in the German occupation of the country and subsequent deportation and mass-murder of several hundred thousand Hungarian Jews. As a result, Hungary’s population would remain stagnant at just over nine million until the early 1950s.
After remaining stagnant for over a decade, Hungary’s population would spike greatly in the early 1950s, as a combination of a tax on childlessness and strict contraception restrictions implemented by then-Minister of Public Welfare Anna Ratkó would lead to a dramatic expansion in births, causing Hungary’s population to rise by over half a million in just five years. However, this spike would prove only temporary, as the death of Stalin in 1953 and subsequent resignation of much of the Stalinist regime in Hungary would see an end to the pro-natalist policies driving the spike. From 1980 onward, however, Hungary’s population would begin to steadily decline, as a sharp reduction in birth rates, combined with a trend of anti-immigrant policies by the Hungarian government, both before and after the collapse of the Soviet bloc, has led Hungary’s population to fall steadily from its 10.8 million peak in 1980, and in 2020, Hungary is estimated to have a population of just over nine and a half million.
In 1800, the population of the area of modern-day Lithuania was estimated to be just under 780,000. Lithuania’s rate of population growth would remain largely unchanged in the 19th century, as the Russian Empire would slowly but gradually develop its border regions. While large numbers of Lithuanians would emigrate west-ward (largely to the United States) between 1867 and 1868 after a famine in the country, growth would remain largely uninterrupted until the beginning of the First World War in 1912, which would see Lithuania, like much of the Baltic region, devastated as the battleground between the German and Russian Empires. As the conflict spread, those who were not made to evacuate by orders from the Russian government would face economic turmoil under German occupation, and as a result, Lithuania’s population would fall from just under 2.9 million in 1910, to under 2.3 million by 1920.
While Lithuania’s population would start to grow once more following the end of the First World War, this growth would be short-lived, as economic turmoil from the Great Depression, and later occupation and campaigns of mass extermination in the Second World War, most notably the extermination of 95 to 97 percent of the country’s Jewish population in the Holocaust, would cause Lithuania’s population growth to stagnate throughout the 1930s and 1940s. In the years following the end of the Second World War, Lithuania’s population would steadily climb, as industrialization by the Soviet Union would lead to improved economic growth and access to health, and campaigns of mass immunization and vaccination would lead to a sharp decline in child mortality. As a result, by the 1990s, Lithuania would have a population of over 3.7 million. However, Lithuania’s population would rapidly decline in the years following the dissolution of the Soviet Union in 1991, as economic crises and mass emigration from the country, paired with sharp declines in fertility, would result in a dramatic reduction in population. As a result, in 2020, Lithuania is estimated to have a population of just over 2.7 million.
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The fertility rate of a country is the average number of children that women from that country will have throughout their reproductive years. From 1840 until 1910, Russia's fertility rate was relatively consistent, remaining between 6.7 and 7.4 children per woman during this time. Between 1910 and 1920, the fertility rate drops sharply as a result of the First World War and Russian Revolution (for individual years of WWI, the fertility rate dropped as low as 3.4). From 1920 to 1930 the fertility rate returns above 6 again, however a gradual decline then begins, and by the end of the Second World War, the Russian segment of the Soviet Union's fertility rate was below 2. The population experienced a relatively small 'baby boom' in the two decades following the war, but then the fertility rate dropped again, most sharply between 1990 and 1995 at the end of the Soviet Union's reign. Russia's fertility rate reached its lowest point in 2000 when it fell to just 1.25 children per woman, but in the past two decades it has risen again, and is expected to reach 1.8 in 2020.