Russia's Bold Plan to Reverse Declining Fertility Rates by 2036
Russia's Bold Plan to Reverse Declining Fertility Rates by 2036
Russia's Bold Plan to Reverse Declining Fertility Rates by 2036
Russia has unveiled a new health strategy aimed at boosting the country's fertility rates. The plan includes medical guidelines to support women's reproductive health and projects a gradual increase in family sizes over the next decade. Officials expect the total fertility rate to climb from its current low of around 1.4 to 1.8 by 2036.
The initiative comes as Russia's fertility rate has remained below the replacement level of 2.1 for years, hovering near 1.5 children per woman since 2015. This places it close to the EU average but below countries like France, where the rate stands at around 1.8.
Under the new guidelines, women with specific health concerns will receive targeted referrals. Those struggling with obesity or suspected endocrine disorders will be directed to an endocrinologist. Patients with acne or hair loss will see a dermatovenereologist, while women at risk due to underweight, chronic illnesses, or harmful habits will be advised to consult a general practitioner.
The strategy also stresses early detection and treatment of sexually transmitted infections, which can affect fertility. Women without diagnosed gynaecological issues but with risk factors will get advice on reducing those risks. Additionally, those who express no desire for children will be offered a consultation with a medical psychologist—though attendance remains optional.
Projections suggest these measures could help grow the number of large families in Russia. By 2030, at least 2.4 million families with three or more children are expected, rising to 2.725 million by 2036. The total fertility rate is forecast to reach 1.6 by 2030 and 1.8 six years later.
Russia's current rate of about 1.41 in 2023 marks a slight decline from 1.78 in 2015. This trend mirrors broader European patterns, where rates range from Germany and Italy's 1.3–1.4 to France's 1.8. Ukraine, however, has seen a sharp drop to around 1.0, largely due to ongoing conflict.
The government's plan focuses on medical support to improve reproductive health and encourage family growth. If successful, the fertility rate could rise steadily over the next 12 years. The approach combines mandatory referrals for high-risk patients with voluntary psychological support for those unsure about childbearing.