By Jeni Klugman, George Schieber, Timothy E. Heleniak
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Additional resources for A survey of health reform in Central Asia, Volumes 23-344
In summary, the population is young, and likely to become younger in some countries, even though fertility rates have recently declined. Since 1989, mortality rates have tended to increase, and life expectancy has declined. There has also been significant outmigration. 7 million persons. All of the countries except Turkmenistan had a combination of high natural increase with outmigration. Kazakstan's population grew only minimally because low natural increase almost matched outmigration, mainly of Russians.
The crude death rates have increased in each republic, and most dramatically in Kazakstan and the Kyrgyz Republic. 2 As is the case in every other former Soviet republic during the transition (though much less so than in Russia), the male-female gap in life expectancy has widened in all countries, except Turkmenistan (see Annex 5). On the other hand, the infant mortality rate declined in all except Kazakstan and Tajikistan, and in Uzbekistan, fell by a remarkable 25 percent between 1989 and 1994.
There is often confusion in using national and international criteria for such statistics, especially in Central Asia since the former Soviet definitions differed. This also suggests the need for caution in any time series analysis. Page 8 Figure 1 Infant Mortality by Cause in Central Asia and Russia Source: Interstate Statistical Committee of the CIS, Demographic Yearbook 1994, Moscow, 1995. Maternal mortality rates in Uzbekistan are reported to be only about half the regional average, and only about one third of the rate in Tajikistan (Table 3).
A survey of health reform in Central Asia, Volumes 23-344 by Jeni Klugman, George Schieber, Timothy E. Heleniak