Modern medical and demographic situation in the Tambov Region
Abstract. We understand the medical and demographic situation as a set of demographic phenomena and processes that are factors that negatively affect the state of health of the population in this territory, and actualize the need for making scientifically sound management decisions in the regional health system. The purpose of the study: on the basis of official statistics, to research the features of the demographic situation in the Tambov Region and to identify fundamental demographically determined patterns of formation, the state of health of the region's population. Materials and methods. As an information base, we used the following: official statistics on the demography of Tambovstat for 2000–2020; data from statistical collections of the Ministry of Health of the Russian Federation for 2007–2019. Results. The demographic situation in the region has been in deep crisis over the past decades and is characterized by a steady downward trend in the total population, averaging 10276 per year; lack of female population of fertile age, which is 41,4 % of all women instead of the necessary 50 %; adverse changes in the structure of women of fertile age, which consisted in a decrease in the proportion of intervals of 20–24 years and 25–29 years, which are the most reproductive; the low level of the total fertility rate, according to which the Tambov Region occupies 84th place among 85 subjects of the Russian Federation; completion of the formation of a low-density family model; 90 % of families in the Tambov Region have 1–2 children and only 10 % – more than two; sustainable narrowing of the population; in 2018, the average number of children a woman gives birth to during the re-productive period was 1.33 (TFR); negative natural growth and negative migration balances, which represent steady trends since 1990. In the Tambov Region, it is necessary to conduct fundamental demographic studies that will make it possible to develop scientifically justified models of the reproduction of the population of a typical agro-industrial region of the Central Federal District of the Russian Federation, calculate the forecast and offer management structures recommendations for the formation of a rational and productive regional demographic policy.