Issuu on Google+

ქალთა რეპროდუქციული ჯანმრთელობის კვლევა საქართველოში, 2010


saboloo angariSi

        , 2010 saboloo angariSi

daavadebaTa kontrolisa da sazogadoebrivi jandacvis erovnuli centri Sromis, janmrTelobisa da socialuri dacvis saministro saqarTvelos statistikis erovnuli samsaxuri Tbilisi, saqarTvelo reproduqciuli janmrTelobis ganyofileba daavadebaTa kontrolisa da prevenciis centrebi (DRH/CDC) atlanta, jorjia, aSS gaerTianebuli erebis organizaciis mosaxleobis fondi (UNFPA) amerikis SeerTebuli Statebis saerTaSoriso ganviTarebis saagento (USAID) gaerTianebuli erebis organizaciis bavSvTa fondi (UNICEF)

2012 i


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

avtorebi da angariSis SeqmnaSi monawile pirebi: daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnuli centri: m. buwaSvili, reproduqciuli janmrTelobis kvlevis samecniero komitetis xelmZRvaneli g. kandelaki l. sturua m. Sax-nazarova n. mebonia n. avaliani eqspertTa sabWo: z. boxua T. asaTiani z. sinauriZe g. wulaZe q. CxataraSvili j. qristesaSvili g. cagareiSvili reproduqciuli janmrTelobis ganyofileba, daavadebaTa kontrolisa da prevenciis centrebi: florina serbanesku vasili egnataSvili alisia ruici daniel suCdevi meri gudvini mTavari redaqtori – jon rosi garekani: Wviruli balTa: Seuba, Cv. w. II-III saukuneebi, brinjao (namuSevari daculia saqarTvelos erovnuli muzeumis saganZurSi) Š saqarTvelos erovnuli muzeumi; www.museum.ge winamdebare angariSi dafinansebulia gaeros mosaxleobis fondisa da gaeros bavSvTa fondis erToblivi proeqtis GEO2R11A `daxmareba saqarTvelos reproduqciuli janmrTelobis kvlevisTvis, 2010~ farglebSi kvlevis winaswari angariSi dafinansda amerikis SeerTebuli Statebis saerTaSoriso ganviTarebis saagentos (USAID) da daavadebaTa kontrolisa da prevenciis centrebis reproduqciuli janmrTelobis ganyofilebas Soris gaformebuli SeTanxmebis safuZvelze. kontraqti # HRN-C-00-97-0019-00. am publikaciaSi gamoTqmuli Sexedulebebi ganxiluli unda iqnes rogorc avtorTa Sexedulebebi da ara gaeros mosaxleobis fondis (UNFPA), gaeros bavSvTa fondis (UNICEF) da amerikis SeerTebuli Statebis saerTaSoriso ganviTarebis saagentos (USAID) Sexedulebebi. damatebiTi informacia am angariSis Sesaxeb SegiZliaT moiZioT daavadebaTa kontrolisa da sazogadoebrivi jandacvis erovnul centrSi: saqarTvelo, Tbilisi 0177, m. asaTianis q. #9 telefoni: (995 32) 239 89 46 faqsi: (995 32) 231 14 85 el. fosta: ncdc@ncdc.ge angariSi dabeWdilia Sps `vestas~ mier (saqarTvelo, Tbilisi) ii


saboloo angariSi

Sesavali

w

inamdebare angariSSi warmodgenilia saqarTvelos 2010 wlis qalTa reproduqciuli janmrTelobis kvlevis Sedegebi. aRniSnuli kvleva erovnuli masStabis rigiT mesame warmomadgenlobiTi kvlevaa, romlis mizania qveyanaSi reproduqciuli janmrTelobis mdgomareobisa da reproduqciuli, dedaTa da bavSvTa janmrTelobis servisebis utilizaciis Sesaxeb yovlismomcveli informaciis mopoveba. pirveli ori kvleva 1999 da 2005 wlebSi Catarda. am kvlevebma mogvca sabaziso monacemebi janmrTeblobis rig arsebiT indikatorebTan dakavSirebiT, romelTa meSveobiT SesaZlebelia Tvali mivadevnoT ojaxis dagegmvis, dedaTa da bavSvTa janmrTelobisa da reproduqciuli janmrTelobis sxva sferoebSi ganxorcielebuli Zalisxmevis Sedegad arsebul cvlilebebs. wina kvlevebSi Tanamedrove kontracepciul saSualebaTa dabali gamoyenebisa da daugegmavi orsulobebis maRali maCveneblebis amsaxveli Sedegebi sasargeblo gamodga janmrTelobis dacvis axali strategiebisa da programebis SemuSavebisa da ganxorcielebisaTvis, zogadad jandacvis sferoSi reformebis xelSewyobisaTvis. wina kvlevebis Semdgom periodSi gaZlierda dedaTa da bavSvTa janmrTelobis samsaxurebi, gaaqtiurda ojaxis dagegmvis sferoSi saWiro saSualebaTa miwodeba, gaizarda ojaxis dagegmvis momsaxurebis mimwodebeli dawesebulebebisa da eqimebis raodenoba da gafarTovda reproduqciuli janmrTelobis Sesaxeb informaciisa da codnis gamavrcelebeli saqmianoba. qalebis, Cvilebisa da bavSvebis janmrTelobis gaumjobesebisken mimarTul RonisZiebebs erTerTi centraluri adgili uWiravs saqarTveloSi mimdinare jandacvis reformebSi. saqarTvelos janmrTelobis dacvis 2011-2015 wlebis erovnul strategia - `xarisxiani xelmisawvdomi jandacva~ - miznad isaxavs dedaTa da bavSvTa servisebis ganviTarebas. am Zalisxmevis warmatebisaTvis aucilebelia, rom sazogadoebrivi janmrTelobis muSakebma gansazRvron qalebisa da bavSvebis saWiroebebi, dagegmon da ganaxorcielon Sesabamisi RonisZiebebi, monitoringi gauwion da Seafason aRniSnul RonisZiebaTa mimdinareoba. Sromis, janmrTelobisa da socialuri dacvis saministros akisria uSualo pasuxismgebloba reproduqciuli janmrTelobis sferoSi reformebis gatarebaze, romelTa Sorisaa: jandacvis seqtorSi arsebul saerTaSoriso standartebTan da xelSekrulebebTan Sesabamisobis uzrunvelyofa; dedebisa da bavSvebisaTvis xarisxiani jandacvis servisebis miwodeba da xelmisawvdomobis uzrunvelyofa; jandacvis samsaxurebisTvis saerTaSoriso standartebis Sesabamisi infrastruqturis Seqmna; dedaTa da bavSvTa sikvdilis SemTxvevebis analizi mtkicebulebebze damyarebuli prevenciuli RonisZiebebis SemuSavebis mizniT. reproduqciuli janmrTelobis kvlevebi Sromis, janmrTelobisa da socialuri dacvis saministros aZlevs SesaZleblobas Tvali miadevnos progress programis Sedegebis mimarTulebiT, dagegmos miznobrivi RonisZiebebi da monitoringi gauwios ganviTarebis nacionalur programebs, raTa awarmoos angariSgeba aTaswleulis ganviTarebis miznebis miRwevaSi arsebul winsvlasTan dakavSirebiT. reproduqciuli janmrTelobis mdgomareobisa da am sferoSi momsaxurebis miwodebis Sesaxeb qveynisa da misi regionebisTvis damaxasiaTebeli monacemebis uzrunvelyofiT, agreTve adgilobrivi organizaciebis SesaZleblobis gaZlierebiT Seagrovon, gaaanalizon da gaavrcelon amgvari informacia, aRniSnulma samma kvlevam udidesi wvlili Seitana saxelmwifo organizaciebis (Sromis, janmrTelobisa da socialuri dacvis saministro, reproduqciuli janmrTelobis erovnuli sabWo, daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnuli centri), saerTaSoriso donorebsa (aSS saerTaSoriso ganviTarebis saagento, gaeros mosaxleobis fondi da gaeros bavSvTa fondi) da teqnikur eqspertebs (daavadebaTa kontrolisa da prevenciis centrebi) Soris TanamSromlobis xelSewyobaSi. yvela zemoaRniSnuli mxaris saerTo mizans warmoadgens politikis SemuSavebisaTvis informaciis miwodeba da reproduqciuli janmrTelobis seqtorSi saTanadod dagegmili reformebis ganxorcielebis xelSewyoba. moxaruli var, rom maqvs SesaZlebloba madloba movaxseno am organizaciebs Zalisxmevis, droisa da resursebis gamoyofisaTvis. udidesi madloba Cems TanamSromlebs da im adamianebs, vinc monawileobda Cveni erToblivi samuSaos warmatebiT SesrulebaSi, maTi fasdaudebeli wvlilisaTvis.

zurab WiaberaSvili, saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministri iii


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

iv


saboloo angariSi

madloba 2010 wlis reproduqciuli janmrTelobis kvleva saqarTveloSi Caatara daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnulma centrma saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrosTan TanamSromlobiT, gaeros mosaxleobis fondis, gaeros bavSvTa fondisa da amerikis SeerTebuli Statebis saerTaSoriso ganviTarebis saagentos mxardaWeriT. aSS-s daavadebaTa kontrolisa da prevenciis centrebis reproduqciuli janmrTelobis ganyofilebam uzrunvelyo teqnikuri daxmareba kvlevis dizainisa da kiTxvaris SemuSavebaSi, treningSi, monacemTa damuSavebasa da winaswari angariSis momzadebaSi. daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnuli centri da aSS-is daavadebaTa kontrolisa da prevenciis centrebi madlobas moaxseneben yvela im adamians, vinc monawileoba miiRo saqarTvelos 2010 wlis reproduqciuli janmrTelobis kvlevis CatarebaSi da winamdebare angariSis momzadebaSi. gansakuTrebul madlobas vuxdiT Sromis, janmrTelobisa da socialuri dacvis saministros kvlevis saorganizacio komitetis TavmjdomareobisTvis da reproduqciuli janmrTelobis erovnul sabWos saqarTvelos pirveli ledis, q-n sandra elisabed rulovsis TavmjdomareobiT, qveyanaSi reproduqciuli janmrTelobis sferoSi misi wamyvani rolisTvis. aseve gansakuTrebuli madloba gvinda vuTxraT b-n jon ross, kvlevis daskvniTi angariSis mTavar redaqtors da erovnul eqspertTa gunds, romlis wevrebma monawileoba miiRes am angariSis momzadebaSi. udidesi madloba aSS-is saerTaSoriso ganviTarebis saagentos kvlevis ganxorcielebaSi Setanili finansuri wvlilisaTvis da wlebis ganmavlobaSi, daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnuli centris populaciuri kvlevebis ganxorcielebis SesaZleblobebis gaZlierebisaTvis. aSS-is saerTaSoriso ganviTarebis saagentos mxardaWeriT ganxorcielda aSS-is daavadebaTa kontrolisa da prevenciis centrebis reproduqciuli janmrTelobis ganyofilebis teqnikur daxmarebis da kvlevis winaswari angariSis momzadebis uzrunvelyofa. gansakuTrebul madlobas movaxsenebT Tamar sirbilaZes, janmrTelobisa da infeqciuri daavadebebis dargSi ufros mrCevels, jeri daibls, janmrTelobisa da socialuri ganviTarebis samsaxuris direqtors, jonatan konlis, aSS-is saerTaSoriso ganviTarebis saagentos misiis direqtors, da nana Wyonias, aSS saerTaSoriso ganviTarebis saagentos saqarTvelos programis asistents – daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnuli centris da aSS-is daavadebaTa kontrolisa da prevenciis centrebis reproduqciuli janmrTelobis ganyofilebisTvis gaweuli daxmarebisa da kvlevis CatarebaSi Setanili wvlilisTvis. uaRresad didi madliereba gvsurs gamovTqvaT gaeros mosaxleobis fondisa da gaeros bavSvTa fondis mimarT, romelTa mxridan guluxvma dafinansebam da teqnikurma gamocdilebam arsebiTi wvlili Seitana kvlevis dagegmvaSi, savele samuSaoebis Sesrulebasa da Sedegebis gavrcelebaSi. gansakuTrebiT gvsurs aRvniSnoT gaeros mosaxleobis fondis saqarTvelos ofisis TanamSromlebi – Tamar xomasuriZe, gaeros mosaxleobis fondis saqarTvelos ofisis xelmZRvaneli, lela baqraZe, programis analitikosi, marina cincaZe, administraciulfinansuri TanaSemwe da ana cqitiSvili, programis TanaSemwe da gaeros bavSvTa fondis TanamSromlebi – ruland monaSi, gaeros bavSvTa fondis warmomadgeneli saqarTveloSi da TinaTin baumi, socialuri politikis specialisti – maTi daxmarebisTvis kvlevis modelis SemuSavebaSi, dagegmvasa da finansur marTvaSi. da bolos, gansakuTrebiT did madlobas movaxsenebT im ojaxebs, romelTa monawileobam SesaZlebeli gaxada kvlevis procesSi sarwmuno informaciis mopoveba da gaafarTova Cveni codna saqarTveloSi qalebis reproduqciuli janmrTelobis mdgomareobis Sesaxeb. madlobas vuxdiT Cvens kvalificiur interviuerebs, kvlevis supervaizorebsa da monacemTa Seyvanaze pasuxismgebel TanamSromlebs maTi SromisTvis, disciplinisa da proeqtis mimarT erTgulebisTvis. winamdebare angariSi momzadda daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnuli centris mier, rogorc uSualod centris TanamSromlebis, agreTve gareSe eqspertebisa da sxva specialistebis fasdaudebebeli ZalisxmeviTa da monawileobiT.

v


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

vi


saboloo angariSi

reziume saqarTvelo Zlieri kulturuli identu­ robis qveyanaa. eTnikuri qarTvelebi mTliani mosaxleobis 84%-s Seadgenen, xolo somxebi da azerbaijanelebi - yvelaze did eTnikur umciresobebs. qalTa janmrTelobaze saqarT­ veloSi did gavlenas axdens kulturuli, istoriuli da socialur-ekonomikuri faq­ torebi. Yyofili komunisturi reJimis dros ojaxis dagegmvis sakiTxebi ugulebelyofili iyo, ramac didi gavlena iqonia qalebsa da maT reproduqciul janmrTelobaze. 1990-ian wlebSi socialur-ekonomikuri pirobebis mniSvnelovan gauaresebasTan erTad, sagrZnoblad gauaresda mosaxleobis janmrTelobac. saxelmwifo sakuTrebaSi myof hospitalur seqtorze dafuZnebuli jandacvis sistemis kolafsis sapasuxod saqarTveloSi 1990-iani wlebis Sua periodidan daiwyo janmrTelobis seqtoris reforma, romlis mizani iyo jandacvis seqtoris yvela mimarTulebis mocva da yuradRebis gamaxvileba samedicino momsaxurebis xarisxze, xelmisawvdomobis gaumjobesebaze, efeqturobis zrdasa da pirveladi jandacvis sistemis reabilitaciaze. decentralizacia, xolo 2007 wlidan moyolebuli – privatizacia, reformis procesis umTavresi komponentebia. saavadmyofoebis privatizacia mflobelobis kerZo seqtorze gadacemas gulisxmobda. ganxorcielda pirveladi jandacvis samsaxurebis privatizaciis sxvadasxva etapebi. ukanasknel aTwleulSi miRweuli mniSvnelovani progresis miuxedavad, biujetidan jandacvaze gamoyofili saxsrebi SedarebiT dabalia da ar aris sakmarisi oja­xis dagegmvisa da reproduqciuli janmrTelobis garkveuli servisebis uzrunvelsayofad. ukanaskneli wlebis ganmavlobaSi, amerikis SeerTebuli Statebis saerTaSoriso gan­ viTarebis saagento (USAID), gaeros mo­ saxleobis fondi (UNFPA) da sxva mul­ tilateraluri da bilateraluri donorebi mxars uWerdnen ojaxis dagegmvisa da reproduqcili janmrTelobis sxva servisebis xelmisawvdomobis gaumjobesebas saqarTveloSi. 1999 wlidan USAID-is da UNFPA-s, xolo 2010 wels ki damatebiT UNICEF dafinansebiT Catarda reproduqciuli janmrTelobis erovnuli masStabis sami kvleva (1999, 2005 da 2010 wlebSi). kvlevebi SemuSavebulia aSS daavadebaTa kontrolisa da prevenciis centris (CDC) mier reproduqciuli, dedaTa da bavSvTa janmrTelobis indikatorebis mopovebisa da saerTaSoriso monacemebTan Sedarebis mizniT. kvlevebis meTodologiaSi gaTvaliswinebulia CDC-s kvleviTi eqspertiza SeerTebul StatebSi, agreTve saerTaSoriso gamocdileba

iseT sakiTxebSi, rogoricaa ojaxis dagegmva, dedaTa da bavSvTa janmrTeloba da qalTa janmrTeloba. bevr qveyanaSi, maT Soris saqarTveloSi, es kvlevebi populaciuri monacemebis mopovebis ZiriTad wyaros warmoadgens, rac safuZvlad udevs rep­ roduqciuli janmrTelobis sferoSi politikis SemuSavebas. aRniSnuli kvlevebis Sedegad miRebuli demografiuli da reproduqciuli janmrTelobis indikatorebi mniSvnelovan miznebs emsaxureba: janmr­ Telobis tendenciebis Seswavla, samomavlo miznebis dasaxva, resursebis gamoyofa, Sesrulebis monitoringi, programis Sedegebis gazomva, saqmianobis prioritizacia, samecniero saqmianoba da reproduqciuli janmrTelobis indikatorebis globaluri Sedarebebi. saqarTveloSi Catarebuli kvlevebis mTavari mizani iyo orsulobasa da SobadobasTan dakavSirebuli faqtorebis Sefaseba erovnul da regionul doneebze, maT Soris iseTi sakiTxebis, rogoricaa: sqesobrivi aqtivoba, Sobadoba, aborti da kontracefciis gamoyeneba, sxva samedicino servisebis gamoyeneba, dedaTa da CvilTa janmrTeloba, qalTa janmrTeloba. reproduqciuli janmrTelobis pirveli kvleva saqarTveloSi 1999 wels Catarda; Semdegi kvleva ganxorcielda 2005 wels, romelsac mohyva mesame, 2010 wels Catarebuli kvleva. pirveli ori raundis msgavsad, es kvlevac Caatara saqarTvelos Sromis, janmrTelobisa da socialuri dacvis sami­ nistrom (MoLHSA) daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnul centrTan (NCDC) TanamSromlobiT. samive kvlevisas teqnikuri daxmareba kvlevis dizainis, SerCevis, kiTxvaris SemuSavebis, treiningis, monacemebis damuSavebisa da analizis sakiTxebSi aSS CDC-m gawia, amerikis SeerTebuli Statebis saerTaSoriso ganviTarebis saagentos (USAID) finansuri mxardaWeriT. adgilobrivi xarjebi mTlianad iqna dafinansebuli UNFPA-sa da UNICEF-is mier. samive kvleva ganxorcielda qveynis masStabiT; SemTxveviTi SerCevis meTodis gamoyenebiT kvlevam moicva qveynis warmomadgenlobiTi nawili. kvlevis Sedegad Segrovda informacia janmrTelobasTan dakavSirebul mraval sakiTxze 15-44 wlis asakobrivi jgufis qalebSi, romlebic sakuTar saxlebSi iyvnen gamokiTxuli. sakvlevi nimuSebis SeirCevisas gaTvaliswinebuli iqna is principebi, rac iZleva monacemTa analizisa da Sedarebis SesaZleblobas qalaqisa da soflis, aseve regionebis doneze. reproduqciuli janmrTelobis kvlevis

vii


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

(GERHS10) savele samuSaoebis Catarebisas ganxorcilda viziti 13,363 SinameurneobaSi, interviu iqna aRebuli 6,292 qalisagan, ramac mogvca interviuze gamopasuxebis 99%-iani maCvenebeli. qvemoT ganxilulia saqarTvelos 2010 wlis reproduqciuli janmrTelobis kvlevis ZiriTadi Sedegebi. GERHS10 kvlevis mimoxilva • qveynis socialur-ekonomikuri ganvi­ Tarebis konteqstSi 2010 wlis kvlevis mizani iyo demografiuli da reproduqciuli janmrTelobis ZiriTadi indikatorebis erovnuli da regionaluri maCveneblebis mopoveba da maTi Sedareba wina kvlevebis SedegebTan; • jandacvis samsaxurebis decentra­ lizaciis Sesabamisad gamoyenebul iqna kvlevis dizaini, romlis saSualebiTac SesaZlebeli gaxda disagregirebul monacemTa miReba regionebis mixedviT (qveynis 11 regionisaTvis) da soflad da qalaqad macxovrebelTa mixedviT, rac dainteresebul mxareebs reproduqciuli janmrTelobis indikatorebis SedarebiTi analizis saSua­ lebas aZlevs; • 2010 wlis kvlevaSi, 1999 da 2005 wlebis msgavsad, SerCevis stratificirebuli mravalsafexuriani dizaini iqna gamoyenebuli.

Sinameurneobebisa da respondentebis maxasiaTeblebi • miuxedavad imisa, rom Sinameurneobebis umravlesobas (76%) saxlebsa an ezoebSi hqonda sasmeli (onkanis) wyali, qalaqad da soflad arsebul Sinameurneobebs Soris mainc didi sxvaobaa (Sesabamisad 96% da 55%). zogadad, saqarTveloSi qalaqis macxovrebeli Sinameurneobebis 98% da soflad mcxovrebi Sinameurneobebis 88% iyenebs sasmeli wylis gaumjobesebul wyaroebs (onkanis wyali da wyali daculi Webidan). • zogadad, qalaqad macxovrebeli Sinameurneobebis 96% da soflad mac­ xovrebeli Sinameurneobebis 71% sargeblobs gaumjobesebuli sanitaruli kvanZebiT. • saqarTveloSi mcxovrebi mosaxleobis ganawileba keTildReobis maCveneblis mixed­ viT mniSvnelovnad icvleba sacxovrebeli adgilis mixedviT; qalaqSi macxovrebeli yoveli oTxi Sinameurneobidan TiTqmis sami (74%) Sefasda keTildReobis ori zeda kvintiliT, xolo soflad macxovrebeli Sinameurneobebidan amave jgufSi moxvda mxolod 3%. • respodentebis umravlesoba erovnebiT iyvnen qarTvelebi (87%); raodenobiT Semdeg mosdevdnen somxebi (5%) da azerbaijanelebi (5%); sxva danarCeni erovnebebi ki erTad Seadgendnen 3%. erovnul umciresobaTa

viii

jgufebis warmomadgeneli respondentebi ufro xSirad cxovrobdnen soflad, vidre qalaqad. • qalebis 82% iyo qarTveli marTl­ madidebeli da 11% musulmani aRm­ sarebloblobis. • saqarTveloSi ganaTlebis done sakmaod maRalia; qalebis 77%-Si sul mcire sruli saSualo ganaTleba dafiqsirda; 39%-s aqvs umaRlesi an post-diplomuri ganaTleba. TbilisSi mcxovrebi respondentebis ganaTlebis done gacilebiT maRalia vid­ re sxva regionebSi: 60%-ma daafiqsira sauniversiteto ganaTleba da mxolod 13%-s ar aqvs dasrulebuli saSualo ganaTleba. • pirvel klasSi Caricxuli biWebis da gogonebis procentuli maCvenebeli Tanabaria, iseve rogorc damwyebi klasebidan saSualo klasebSi gadasulTa procenti. • qalebis umravlesobam (79%) ganacxada, rom amJamad diasaxlisia; es situacia ufro xSiri iyo soflad (87%), sadac samuSao adgilebis raodenoba sakmaod mcirea.

qorwineba da Sobadoba • gamokiTxul qalTa 60% imyofeboda qorwinebaSi an cxovrobs partniorTan; 7% ganqorwinebuli an gaSorebulia, xolo 34% arasodes yofila qorwinebaSi.. • 2010 wlis kvlevis Sedegad gamovlenili Sobadobis jamorbrivi koeficienti (TFR) 20072010 wlebisaTvis aris 2.0 bavSvi erT qalze (95%CI=1.9–2.1), rac kvlevaze dafuZnebuli yvelaze maRali maCvenebelia, romelic saqarTveloSi dRemde dafiqsirebula. igi 25%-iT maRalia 2002-2005 wlebis Sobadobis jamobriv maCvenebelze - 1.6 (95%CI=1.4–1.7) . • tradiciulad qarTveli qalebi adre­ ul asakSi iwyeben da asruleben Svilosnobis cikls, rac gamoixateba axalgazrda qalebSi Sobadobis gansakuTrebiT maRali maCvenebliT. yvelaze maRali fertilobis asakia 20-24 da 25-29 wlebi, rac Sesabamisad Seadgens TFR-is 36%-s da 29%-s. fertiloba mozardebSi (39 axalSobili 15-19 wlis yovel 1,000 qalze) TFR-s mxolod 10%-s Seadgens. Sobadobis maCveneblis mixedviT mesame adgilze 30-34 wlis asakobrivi jgufia, sadac TFR 15% Seadgina. • 2005 wlis kvlevasTan SedarebiT, Sobadobis maCvenebeli gaizarda yvela asakobriv jgufSi garda erTisa (mozardebi), rac mianiSnebs saqarTveloSi Sobadobis asakis TandaTanobiT zrdaze. zogadad, Sobadobis “piki” umaRlesi ganaTlebis mqone qalebSi 25-29 wlis asakze modis, maSin, roca arasruli ganaTlebis donis mqone qalebSi es Sobadobis “piki” 20-24 wlebSi aRniSneba. igive tendencia aRiniSneba qorwinebis asakSic. Sobadobis maCvenebeli


saboloo angariSi

gansakuTrebiT maRalia azerbaijanuli warmoSobis qalebSi (2.4 bavSvi yovel qalze), SedarebiT dabalia qarTvelebSi (2.0 bavSvi erT qalze), rac gamowveulia 15-24 wlis asakobriv jgufSi maRali Sobadobis maCvenebliT azerbaijanel qalTa Soris..

orsulobis dagegmva • qalebis umravlesoba, romelic orsulad iyo ukanaskneli 5 wlis ganmavlobaSi, aRniSnavs, rom orsuloba iyo dagegmili, xolo 36% aRniSnavs rom orsuloba iyo daugegmavi – maT Soris 11% - aradrouli da 26%-Si - arasasurveli. SedarebisTvis, wina kvlevebis mixedviT, ukanasknel orsulobas, rogorc daugegmavs aRniSnavda respodentTa 59% da 51% Sesabamisad 1999 da 2005 wlebSi. aradrouli orsulobebi warmoadgenda daugegmavi orsulobebis ufro did nawils 2010 wels, vidre wina kvlevebisas, rac mianiSnebs imaze, rom amJamad ufro met qals urCevnia orsulobis gadavadeba, vidre saerTod uaris Tqma Svilis gaCenaze. • TiTqmis yvela qalma (96%), romlis ukanaskneli orsuloba dasrulda xelovnuri abortiT, ganacxada, rom orsuloba iyo daugegmavi. • qorwinebaSi an partniorTan kavSirSi myofi qalebis 35%-s surs meti Svilis yola, SedarebiT 25%-Tan 1999 wels (40%-ni zrda). es tendencia ar aris asocirebuli amJamad arsebul Svilebis raodenobasTan. gansakuTrebiT aRsaniSnavia im respodentTa proporciis zrda, visac ori an sami Svili hyavT da meti Svili undaT (21%, SedarebiT 12%-Tan 1999 wels). • Svilebis yolis survili gansakuTrebiT maRalia axalgazrda qalebs Soris (89% 1519 wlis asakobriv jgufSi da 73% 20-24 wlis asakobriv jgufSi), es maCvenebeli iklebs 47%-mde 25-29 wlis asakobriv jgufSi da kidev ufro naklebia 30 da meti wlis asakis qalTa Soris. • 1999 da 2010 wlis kvlevebis SedegebSi SesamCnevia cvlileba orsulobis dagegmvis vadebSi. axalgazrda qalebis raodenoba, romlebsac Svilis gaCena undaT momavali ori wlis ganmavlobaSi, Semcirda 29%-T (61%-dan 44%-mde); procentuli maCvenebeli qalebisa, vinc ganacxada, rom meti Svili aRar undodaT, Semcirda 14%-dan 7%-mde. maCveneblebis msgavs klebas hqonda adgili ufro maRal asakobriv jgufSic. • qorwinebaSi myofi Casaxvisunariani qalebis umravlesobam (68%), visac ukve hyavda ori an meti bavSvi, ganacxada, rom aRar apirebs Svilis gaCenas. es tendencia msgavsia 1999sa da 2005 wlis kvlevebisa, magram 2010 wels ufro naklebia im qalebTa raodenoba visac aRar surs (kidev erTi) Svilis yola.

xelovnuri aborti • kvlevis monacemebi saSualebas gvaZ­ levs gamoviTvaloT xelovnuri abortis jamobrivi koeficienti (TIAR), romelic gviCvenebs abortebis raodenobas, rac qals SeiZleboda gaekeTebina sicocxlis ganmavlobaSi Sobadobis arsebuli asakobrivi koeficientis gaTvaliswinebiT. (ASIARs). wina reproduqciuli janmrTelobis kvlevebma aCvena, rom xelovnuri abortebis jamobrivi koeficienti mkveTrad gaizarda 1990-ni wlebis Semdeg, rodesac sabWoTa kavSiri daiSala da miaRwia piks 3.7 aborti yovel qalze 1997-1999 wlebSi. abortebis raodenoba TandaTanobiT Semcirda 3.1 abortamde yovel qalze (95% CI= 2.9–3.4 aborti yovel qalze) 2002 – 2005 wlebSi. 2005-dan 2010 wlamde abortebis raodenoba mkveTrad Secirda - 1.6 abortamde yovel qalze (95%CI= 1.5–1.8 aborti yovel qalze), 48%-ni Semcireba 3.1 dan da 57%-iani 3.7-dan. • TIAR 2007-2010 wlebSi oficialuri wyaroebis mixedviT Seadgenda mxolod 0.9 aborts yovel qalze (kvleviT dafiqsirebul raodenobaze 44%-T dabali maCvenebeli), Tumca SeiniSneba oficialuri monacemebis Segrovebis 80%-iT gaumjobeseba 1999-2005 wlebTan SedarebiT. • qalebisNnaxevarze meti, romlebmac aborti gaikeTes 2007-2010 wlebSi, iyvnen 2529 wlis (102 aborti yovel 1000 qalze) da 3034 wlis (83 aborti yovel 1 000 qalze). mesame jgufi yvelaze maRali xelovnuri abortis jamobrivi koeficientiT, romelic Seadgenda abortebis saerTo raodenobis 25%-s, iyo 35-39 wlis asakis qalebis jgufi. SA IAR mniSvnelovnad ufro maRali iyo, vidre ASFR 30 an meti wlis asakis qalebs Soris. rac mianiSnebs imaze, rom qarTveli qalebi zrunaven ojaxis sasurveli zomis Seqmnaze 30 wlis asakamde, ris Semdegac, Tu moxda daugegmavi orsuloba, isini ufro xSirad mimarTaven arasasurveli orsulobis xelovnur Sewyvetas. • xelovnuri abortebis raodenobis Sefardeba cocxalSobilTa raodenobasTan wlebis mixedviT Semdegnairad icvleboda: 2.1:1 - 1999 wels, 1.5:1 - 2005 wels da 0.8:1 - 2010 wels. Sesabamisad, 2010 wlis kvlevis mixedviT, cocxalSobilTa raodenobam pirvelad gadaaWarba abortebis raodenobas mas Semdeg, rac es kvlevebi tardeba. Aamis miRweva SesaZlebeli gaxda Sobadobis zrdisa da abortebis Semcirebis xarjze 20–24, 25–29, da 30–34 wlis asakobriv jgufebSi, rac yvelaze did nawils Seadgens rogorc Sobadobis, ise xelovnuri abortebis raodenobis mixedviT. • abortebis ufro maRali maCvenebeli soflad mcxovreb qalebs, naklebad ganaTlebul qalebsa da azerbaijanuli warmomavlobis qalebs Soris mianiSnebs imaze, rom momsaxurebaze xelmisawvdomoba

ix


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

araTanabaria da ojaxis dagegmvis programebma ufro farTod unda moicvas mosaxleobis Sesabamisi qvejgufebi. • abortis ZiriTadi mizezebi iyo: Svilosnobis Sewyveta (51%), survili rom Semdegi Svilis gaCenamde gaevlo garkveul dros (18%) da socialur-ekonomikuri pirobebi, romlebic xels uSlis ojaxs kidev erTi Svilis yolaSi (20%). • respondentebis mier Uukanaskneli 5 wlis manZilze dafiqsirebuli abortebidan 71% iyo mini-aborti, rac mkveTri zrdaa 1999 wlis (40%) da 2005 wlis maCveneblebidan (56%). • 2005 wlidan xelovnuri abortebis umravlesoba Catarebuli iyo ginekologiur kabinetebSi (56%); maTi 42% - ambulatorul klinikebSi rogoricaa, magaliTad, qalTa konsultaciebi, da 2% - samedicino dawe­ sebulebebis gareT. rac Seexeba gadasaxdel Tanxas, saSualo gadasaxadi ar gansxvavdeboda samedicino dawesebulebebis mixedviT. kvlevis periodSi saSualo gadasaxadi abortisaTvis iyo daaxloebiT US$29.00, rac warmoadgens 65%-ian zrdas 2005 wlis fasebTan SedarebiT. • xelovnuli abortis proceduris periodSi da mis Semdeg pacienti adeqvaturad ar iRebs ojaxis dagegmvasTan dakavSirebul momsaxurebas. samidan erTma respondentma (33%), romlebsac 2005-2010 wlebSi gaukeTebiaT xelovnuri aborti, aRniSna, rom miiRo konsultacia kontracefciis Sesaxeb abortamde an/da abortis Semdeg; qalebis mxolod 6.6%-ma (konsultacia gavlili qalebis 29%), miiRo kontraceptivi Semdgomi arasasurveli orsulobis Tavidan asacileblad da damatebiT kidev 7.4%-ma miiRo daniSnuleba. (22% yvela konsultacia gavlili qalebisa). • 2010 wels kontracefciaze miRebuli informacia orjer ufro maRali iyo, vidre 1999 wels (33% da 15% Sesabamisad). kontraceptiuli saSualebis miwodeba an daniSnuleba TiTqmis gasammagda - 5%-dan 14%mde, rac TavisTavad, dabali maCveneblebia, Tumca saxezea aSkara gaumjobeseba.

dedaTa da bavSvTa janmrTelobis samsaxurebi • prenataluri momsaxurebis gamoyeneba TiTqmis universaluria: qalebis 98%-ma gaiara sul mcire erTi prenataluri viziti mainc. prenataluri momsaxurebis miReba orsulobis pirvel trimestrSi ufro xSirad xdeboda qalaqad, vidre soflad (93% da 86%) da yvelaze ufro gavrcelebuli iyo TbilisSi (94%). • qalTa 90%-ma prenatalur samsaxurs mimarTa sul cota oTxjer mainc, rac ufro xSirad aRiniSneba qalaqSi mcxovreb qalTa Soris (95%), vidre soflad macxovrebl qalTa

x

Soris (86%). • oridan erTma qalma gaiara prenata­ luri momsaxureba qalTa sakonsultacio klinikebSi (49%), xolo 44%-ma – regionalur samSobiaro saxlebSi. Qqalebis mxolod 7%-ma miiRo aseTi momsaxureba pirveladi jandacvis klinikebsa an saojaxo medicinis centrebSi. • 1999 da 2005 wlebSi Tormetidan erTi mSobiaroba moxda binaze, umetesoba - specialistebis dauswreblad; 2010 wels axalSobilebis mxolod 2% daibada binaze. binaze mSobiarobis maCvenebeli odnav ufro maRali iyo azerbaijanel qalebSi (5%), Tumca aRiniSneba aSkara kleba 2005 wels am eTnikur jgufSi dafiqsirebul binaze mSobiarobis maCvenebelTan (40%) SedarebiT. • axalSobilTa 84%-ma gaiara janmrTelobis Semowmeba, magram qalTa mxolod 23%-ma miiRo mSobiarobis Semdgomi momsaxureba 2010 wels. mSobiarobis Semdgomi momsaxureba dabali iyo 2005 welsac, rac mianiSnebs imaze, rom es momsaxureba jer kidev ar aris farTod gamoyenebuli saqarTveloSi. • dedis gadmocemiT, praqtikulad yvela cocxladSobili (97%) 2005 – 2010 wlebSi registrirebuli iyo, Tumca registrirebuli axalSobilebis maCvenebeli meryeobda 92%-dan kaxeTis regionSi 99%-mde samcxe-javaxeTis regionSi. binaze Sobili bavSvebi yvelaze naklebad registrirdebodnen (67%).

ZuZuTi kveba • 2005-2010 wlis periodSi axalSobilTa umravlesoba (87%) ikvebeboda ZuZuTi, rac praqtikulad ar Secvlila 1999 da 2005 wlebTan SedarebiT. qarTvel qalebSi ZuZuTi kvebis maCvenebeli ufro naklebia , vidre sxva eTnikuri jgufebis qalebSi. • 1999 wlis kvlevasTan SedarebiT, im axalSobilebis raodenoba, romlebic ZuZuTi ikvebebodnen dabadebidan pirveli saaTis ganmavlobaSi, gaizarda 4-jer (5%-dan 1999 wels 10%-mde 2005-Si da 20%-mde 2010-Si), xolo axalSobilTa procentuli maCvenebeli, vinc miiRo dedis rZe dabadebidan pirveli 23 saaTis ganmavlobaSi gaormagda - 28%-dan 55%mde. • saSualod, ZuZuTi kvebis xangrZlivoba iyo 12.1 Tve, rac 2 TviT metia 2005 wlis maCvenebelTan SedarebiT (10.1 Tve). srulyofili ZuZuTi kvebis xangrZlivoba (ekskluziurad ZuZuTi kveba an ZiriTadad ZuZuTi kveba) Seadgenda 4.1 Tves, rac ufro metia, vidre 1999 da 2005 wlebis kvlevebiT dafiqsirebuli xangrZlivoba - 3.7 Tve. Yyvelaze mniSvnelovani mateba iyo eqskluziurad ZuZuTi kvebis xangrZlivobaSi, rac gaormagda 1999 wlis kvlevasTan SedarebiT (1.5 Tvidan 3 Tvemde).


saboloo angariSi

Pperinataluri da bavSvTa sikvdilianoba

Tumca, qalebis mxolod 39%-s smenia milebis ligaciisa (4%) da vazeqtomiis Sesaxeb. • yoveli kontracefciuli meTodi­ • kvlevamde 5 wlis ganmavlobaSi yoveli 1,000 axalSobilidan 8 iyo mkvdradSobili. saTvis arsebobs mniSvnelovani sxvaoba meTo­ MmkvdradSobilTa yvelaze didi raodenoba dis Sesaxeb informaciis da am proceduris an iyo im qalTa Soris, romlebsac ar miuRiaT produqtis gamoyenebis Sesaxeb codnis doneTa prenataluri momsaxureba (50 mkvdradSobili Soris. • qalTa umetesobas ara aqvs zusti yovel 1,000 axalSobilze), qalebSi, romlebsac codna imis Sesaxeb, Tu ramdenad efeqtiania orsulobisas hqondaT garTulebebi (34 kontracefciis Tanamedrove meTodebi; maSin SemTxveva yovel 1,000-ze), qalebSi, romlebsac roca qalebis 30%-ma sworad aRniSna rom xangrZlivi mSobiaroba hqondaT (30 yovel sSs Zalian efeqturia fexmZimobis Tavidan 1,000-ze) da qalebSi, romlebic mSobiarobis asacileblad, mxolod 16%-s sjeroda, rom dros iyvnen 35 welze ufrosi asakis (11 yovel kontracefciuli sterilizacia Zalian 1,000-ze). efeqturia. q A alebis umetesoba fiqrobda, rom • Cvil bavSvTa sikvdilianobis maCvenebeli, (anu maCvenebeli, rac asaxavs abebis miReba mainc da mainc efeqturi ar iyo. 1 wlamde asakis bavSvTa sikvdilianobas) Kkontraceptivebis gamoyeneba mkveTrad mcirdeboda 1999 wlis kvlevis • 15-44 wlis asakis qalebs Soris 32% Semdeg: 41.6 yovel 1,000 cocxladSobilze 19951999 wlebSi, 21.1 – 1, 000 cocxladSobilze 2000- iyenebda kontracefciul meTods, maT Soris 2004 wlebSi, da 14.1 – 1,000 cocxladSobilze 21% maragdeboda kontraceptivebiT (donorTa 2005 – 2009 wlebSi. neonataluri dafinansebuli programebis farglebSi sikvdilianobis maCvenebeli (gardacvlilTa kondomebi, sSs, oraluri kontraceptivebi, raodenoba sicocxlis pirveli Tvis milebis ligacia da spermicidebi). • 15-44 wlis qorwinebaSi myofi qalebis ganmavlobaSi) Semcirda 25.4-dan yovel 1,000 cocxladSobilze 1995–1999-Si 16.8-mde yovel naxevarze meti (53%) amJamad iyenebda 1,000 cocxladSobilze 2000–2004-Si da 9.5- kontracefcias, maT Soris 35% iyenebda meTodebs. Tanamedrove mde yovel 1,000 cocxladSobilze 2005-2009 Tanamedrove kontracefciuli meTodebis gamoyeneba wlebSi. mkveTrad gaizarda 20%-dan 1999 wels 35%-mde • 5 wlamde asakis bavSvTa sikvdilianobis 2010 wels. pirvelad, Tanamedrove meTodebis Semcireba ori mesamediT 1990-dan 2015 wlamde gadaaWarba tradiciuli formulirebulia, rogorc aTaswleulis gamoyenebam ganviTarebis miznebis erT-erTi centraluri meTodebis gamoyenebas (am ukanasknelTa amocana (MDG 4). kvlevis monacemiT 5 wlamde gamoyeneba sagrZnoblad Semcirda). Sedegad, asakis bavSvTa sikvdilobis maCvenebeli kontracefciis prevalentobis maCvenebeli Semcirda 45.3-dan yovel 1,000 axalSobilze (CPR) gaTxovili qalebisaTvis gaizarda 41%1995–1999-wlebSi 25.0-mde 2000-2005 ww. da 16.4- dan 1999 wels 45%-mde 2005 wels da 53%-mde mde 2005-2010 ww. rac TiTqmis 64%-iani klebaa. 2010 wels. • amJamad kontraceptivebis momxmare­ Sesabamisad, kvlevis monacemebis mixedviT, saqarTvelom TiTqmis miRwia aTaswleulis belTa 26% iyenebs kondoms, 25% - sSs-s, 21% ganviTarebis me-4 mizans. gadarCenili bavSvebis - Sewyvetil sqesobriv aqts, 13% - periodul maCvenebeli sagrZnoblad gaizarda bolo 15 TavSekavebas, 7% iyenebs abebs, 5% - saSvilosnos wlis ganmavlobaSi, ZiriTadad neonataluri milebis ligacias da 3% - spermicidebs. • 1999 wlidan 2010 wlamde kondomis da post-neonataluri sikvdilianobis Semcirebis xarjze. radgan sikvdilianoba gamoyeneba wyvilebs Soris gaizarda 2.5-jer neonatalur fazaSi CvilTa sikvdilianobis (6%-dan 14%-mde) da sSs-s gamoyeneba gaizarda umTavres mizezad rCeba da Seadgens xuT 10%-dan 13%-mde, amJamad isini warmoadgenen wlamde asakis bavSvebis sikvdilianobis 58%- yvelaze xSirad gamoyenebad meTodebs wyvi­ s, bavSvTa sikvdilianobis Semdgomi Semcireba lebs Soris. Sewyvetili sqesobrivi aqti da mniSvnelovanwilad iqneba damokidebuli kalendaruli meTodi, romlebic gamoyenebis neonataluri sikvdilianobis maCveneblis sixSiris mxriv yvelaze popularuli meTodebi iyo 1999 wels, mesame da meoTxe adgilzea 2010 mniSvnelovnad Semcirebaze. wlis monacemebiT. abebis moxmareba, rac jer isev dabalia, gaizarda 2%-dan 1999 wels 4%kontraceptivebis Sesaxeb mde 2010 wels, xolo milebis ligaciis meTodis informire­bu­lobis done • respondentebis 96%-s smenia gamoyeneba gaizarda 2%-dan 3%-mde. • samedicino dawesebulebebi, maT sul cota erTi Tanamedrove meTodis Soris jandacvis klinikebi/centrebi, Sesaxeb – gansakuTrebiT kondomebis (94%), saSvilosnos Sida spiralis (sSs) (87%) da qalTa sakonsultacio klinikebi da qalaqis oraluri kontraceptivebis (81%) Sesaxeb. Tu regionaluri saavadmyofoebi Tavisi

xi


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ginekologiuri kabinetebiT warmoadgendnen Tanamedrove kontracefciuli meTodebis miwdoebis mTavar wyaroebs, amaragebdnen ra momxmarebelTa 50%-s. komerciuli gayidvebi, konkretulad ki afTiaqebis saSualebiT, Tanamedrove kontraceptivebiT momaragebis meore, yvelaze mniSvnelovani wyaro iyo (45%). Mmomxmareblebis TiTqmis 5% Rebulobda Tavis meTods “sxva” wyaroebidan, mag. TavianTi partniorebisgan, megobrebisa da naTesavebisagan anda Ria bazarze.

P otenciuri moTxovna p kontracefciaze • gaTxovil qalTa TiTqmis or mesameds (65%) gaaCnia potenciuri moTxovna kontracefciaze, maT Soris 52% ukve iyenebs meTods, 12%-Si ki moTxovna jer kidev dasakmayofilebelia (e.i. maT gaaCniaT daukmayofilebeli moTxovna kontracefciis zogierT meTodze). kontracefciaze daukmayofilebeli moTxovna gaTxovil qalTa Soris 2010 wels, 1999 wels dokumenturad dafiqsirebuli donis naxevaria (12% da 24%, Sesabamisad), rac ZiriTadad Sedegia Tanamedrove meTodebis gamoyenebis zrdisa. saWiroeba kontraceptivebze izrdeba soflad macxovrebel, dabali donis ganaTlebis, didi ojaxebis da dabal socio-ekonomikur statusis SemTxvevebSi. kontraceptivebis gamoyenebis saWiroeba ufro metia mSobiarobis raodenobis SezRudvis mizniT, vidre mSobiarobebs Soris intervalis gazrdis mizniT, SefardebiT 2:1. • kontracefciis meTodebis amJamad momxmarebelTa Soris (52%) 18% mimarTavs tradiciul meTodebs, romelTa drosac xSiria warumateblobis SemTxvevebi, rasac Sedegad mosevs xelovnuri abortebis gamoyeneba. Tau am qalTa am jgufs davamatebT im jgufs, sadac aRiniSneba daukmayofilebeli moTxovna kontracefciaze (12%), maSin mTliani moTxovna Tanamedrove meTodebze Seadgens 30%-s, rac yvela gaTxovili qalis TiTqmis mesameds Seadgens. • gaTxovil qalTa Soris, garda im 52%-isa, romelic iyenebs kontracefciis meTods, 13% amJamad fexmZimedaa an axlad namSobiarebi, 9% unayofoa, 6% sqesobrivad araaqtiuria da 8% surs dafexmZimeba, rac mTlianad Seadgens 88%-s. danarCeni 12%is moTxovna daukmayofilebelia, rogorc aRvniSneT; anu, mTlianad maTi raodenoba iqneba 30%, Tu im qalebsac CavTvliT, vinc tradiciul meTodebs iyenebs. (am raodenobas emateba axalnamSobiarebi qalebi, romlebic male dadgebian arasasurveli orsulobis riskis qveS).

xii

konsultireba kontracefciis sakiTxebze • ojaxis dagegmva saqarTveloSi xelmisawvdomia mxolod specializirebul dawesebulebebSi da mas sTavazoben, rogorc mSobiarobis Semdgom an abortis Semdgom momsaxurebas da is iSviaTad moicavs kontracefciul saSualebaTa maragebis an am maragebisaTvis saWiro receptebis gacemas. ase rom, saqarTveloSi mwvaved dgas axali politikis SemuSavebis sakiTxi, romelic gamoiwvevs kontracefciaze konsultirebis masStabis gazrdas da moaxdens mis integrirebas reproduqciuli janmrTelobis sxva momsaxurebaSi, pirveladi jandacvis doneze. • ojaxis dagegmvis momsaxurebis didi nawili saqarTveloSi uzrunvelyofilia ginekologebisa da “reproduqtologebis” (eqimebi, romlebmac gaiares damatebiTi treinengebi reproduqciul sakiTxebze) mier, romelTac tradiciulad mwiri gamocdileba gaaCniaT ojaxis dagegmvis klientze orientirebuli konsultaciebis gawevis mxriv. saqarTveloSi axlaxan ganxorcielebuli reproduqciuli janmrTelobis strategiis mniSvnelovani komponentia jandacvis profesionalebis wvrTna ojaxis dagegmvis sakiTxebze konsultaciis gasawevad samedicino momsaxurebis nebismier doneze, pirveladi jandacvis rgolis CaTvliT. • respondentTa umetesobas ginekolog­ ma an reproduqtologma urCia gamoeyenebinaT is meTodi, romelsac amJamad iyeneben (56%). Aqalebma, romlebsac ar miuRiaT rCeva samedicino personalisagan, daiwyes meTodis gamoyeneba partnioris rCeviT (23%), sakuTari gadawyvetilebiT (9%), megobris rCeviT (5%), an naTesavis rCeviT (4%), farmacevtisagan rCeva miiRo mxolod 1%-ma. • konsultirebis SemTxvevaSi, 2010 wels qalTa 64%-ma miiRo zogadi informacia alternatiul kontracefciul meTodebze, SedarebiT 32%-Tan 1999 wels; 2010 wels 59%s Cautarda konsultaciebi arCeuli meTodis efeqtianobis Sesaxeb SedarebiT mxolod 31%-Tan 1999 wels; da 82%-ma aRniSna, rom momsaxurebis mimwodebelma maT auxsna arCeuli meTodis SesaZlo gverdiTi movlenebi; 1999 wels analogiuri maCvenebli Seadgenda 70%-s.

qalTa janmrTeloba • respondentTa umravlesobam (79%) aRniSna, rom isini janmrTelobis dacvasTan dakavSirebul yvela sakiTxze erTi da igive samedicino dawesebulebas mimarTaven. maT Soris, vinc erTi da igive dawesebulebiT sargeblobda, umetesoba samedicino mom­ saxurebas iRebda saavadmyofoebSi (38%) da ambulatoriul klinikebSi (e.i.


saboloo angariSi

poliklinikebSi da qalTa sakonsultacio klinikebSi - 26%). mxolod umciresoba iRebda samedicino momsaxurebas pirveladi jandacvis dawesebulebebSi (PHC) (14%). • yoveli sami qalidan erT qalze metma aRniSna, rom wvevia samedicino dawesebulebas ukanaskneli erTi wlis ganmavlobaSi. aqedan naxevari (51%) mivida iq gadaudebeli samedicino daxmarebis misaRebad, 41% prevenciuli mkurnalobisaTvis, maT Soris ojaxis dagegmvis sakiTxebze, xolo 20% qronikuli daavadebis samkurnalod (rac jamSi Seadgens 100% mravaljeradi vizitebis gaTvaliswinebiT). • respondentTa meoTxedma (25%) aRniSna, rom maT mouwiaT dayovnebiT mieRoT samedicino daxmareba bolo 12 Tvis ganmavlobaSi (prevenciuli, mwvave da qronikuli SemTxvevebisaTvis). Aam qalTa didma umravlesobam (82%) ganacxada, rom jandacvis momsaxurebis fasi iyo ZiriTadi damabrkolebeli faqtori. • intervius dros qalTa mxolod 22%-s gaaCnda raime tipis samedicino dazRveva. siRaribis zRvars qvemoT mcxovrebi mosaxleobis araTanabari geografiuli ganawilebis gamo soflad macxovrebel dazRveul qalebs ufro xSirad hqondaT janmrTelobis saxelmwifos mier dafinansebuli dazRveva, vidre qalaqSi macxovreblebs da ufro iSviaTad janmrTelobis kerZo dazRveva. • rutinuli ginekologiuri vizitebis raodenoba (prevalentoba) kvlav dabalia saqarTveloSi: sqesobrivi gamocdilebis mqone qalTa mxolod 24%-ma mimarTa am prevenciul serviss. radgan saSvilosnos yelisa da sarZeve jirkvlis kibos skriningi ZiriTadad xorcieldeba an iniSneba rutinuli ginekoliguri vizitebisas, rutinuli ginekologiuri Semowmebebis dabali prevalentoba aucileblad aisaxeba da gavlenas iqoniebs reproduqciuli organoebis simsivneebis droul gamovlenasa da mkurnalobaze. Amas aseve mniSvnelovani negatiuri gavlena aqvs ojaxis dagegmvis Sesaxeb konsultaciebsa da janmrTelobasTan dakavSirebuli sxva inforamciis gavrcelebaze. • mTlianobaSi, sqesobrivad gamocdili qalebis 42%-s Cautarebia mkerdis TviTgasinjva (breast self-exam - BSE), rac ufro maRali maCvenebelia, vidre 2005 wels (29%), magram aseve mianiSnebs, rom am mimarTulebiT kvlav bevria misaRwevi. rac Seexeba mkerdis TviTgasinjvis sixSires, sqesobrivi gamocdilebis mqone qalTa 17% aRniSnavs, rom TviTgasinjvas itarebs yovelTviurad, 12% yovel 2-5 TveSi erTxel, 12% - yovel 6-12 an met TveSi erTxel da 58%-s arasodes Cautarebia. • mkerdis TviTgasinjva, TavisTavad,

ar aris sakmarisi qmedeba. SekiTxvaze, Cautarebia Tu ara mkerdis klinikuri gamokvleva (clinical breast exam - CBE) da mamografia, sqesobrivad gamocdili qalebis mexuTedze naklebma (18%) aRniSna, rom odesme Cautarebia mkerdis klinikuri gamokvleva (jandacvis profesionalis mier paTologiis gamosavlenad). • 40-44 wlis asakis qalebis mxolod 10%s Cautarebia odesme mamografia; mamografiis Cautareblobis sam yvelaze mniSvnelovan mizezad dasaxelda: janmrTelobis servisebis mimwodeblisagan rekomendaciis nakleboba, kvlevis saWiroebis arcodna da mamografiis Sesaxeb absoluturi arainformirebuloba. • saSvilosnos yelis kibos skriningis prevalentoba aseve dabali iyo; sqesobrivi gamocdilebis mqone qalTa mxolod 12%-ma aRniSna, rom odesme Cautarebia pap-testi; Tumca, es maCvenebeli samjer aris gazrdili 1999 da 2005 wels dafiqsirebul SedegTan SedarebiT (4%). • 2010 wlis kvlevam pirvelad gamoikvlia saqarTveloSi adamianis papilomavirusis (HPV) vaqcinis Sesaxeb gaTviTcnobierebisa da gamoyenebis done. 15-44 wlis qalTa mxolod mexuTeds (21%) smenia HPV-is da 18%s - vaqcinis Sesaxeb; rodesac ganemartaT saSvilosnos yelis kibos prevenciisTvis vaqcinis efeqturobis Sesaxeb, 29%-ma gamoTqva vaqcinaciis Catarebis survili. • TiTqmis yvela (95%) gamokiTxulma qalma icoda tuberkulozis Sesaxeb da orma mesamedma (67%) swored aRniSna, rom igi gadaecema xvelebisas, haer-wveTovani gziT. qalTa mniSvnelovani nawili mdgara tuberkulozis safrTxis qveS tuberkuloziT daavadebul ojaxis wevrTan, (9%) an tuberkuloziT daavadebul sxva adamianebTan xSiri kontaqtebis gamo (12%). • qalTa mxolod samma meoTxedma (75%) icoda, rom tuberkulozis sruli gankurneba SesaZlebelia. kiTxvaze, Tu ra saxis mkurnalobaa tuberkuloziT daavadebuli adamianisaTvis saukeTeso, didma umravlesobam (82%) aRniSna, rom unda moxdes pacientTa hospitalizacia, 14%-ma aRniSna, rom dasawyisSi unda moxdes maTi hospitalizacia da Semdeg maTi binaze mkurnaloba, da 2%ma miuTiTa, rom mkurnaloba unda Catardes mxolod binaze. • yvela asakobriv jgufSi odesme, amJamad Tu warsulSi mwevelTa procentuli maCveneblebi dabali iyo; qalTa mxolod 8%-s mouwevia odesme Tambaqo, 6% amJamindeli mwevelia da 2% - warsulSi eweoda. es maCveneblebi qalaqSi ufro maRali iyo, vidre soflad. magaliTad, qalaqSi mcxovreb qalTa 9%-ma aRniSna, rom amJamad mwevelia (Tbiliseli qalebis 13%), soflad mcxovrebi qalebis 2%-Tan SedarebiT.

xiii


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

• miuxedavad imisa, rom gamokiTxuli qalebis umetesoba ar eweoda, yovelma meorem aRniSna amJamindeli pasiuri mowevis (secondhand smoke - SHS) maRali done rogorc saxlSi, aseve samsaxurSi. saxlSi pasiuri mowevis maRali done aRniSna 15-44 wlis asakis yvela qalTa 52%-ma da aramwevelTa 50%-ma. pasiuri mowevis zegavlena aRniSna daxurul SenobaSi momuSave qalebis 44%-ma, maT Soris aramwevel qalTa 40%-ma. • saSualod, gamokiTxulTa 31%-s odesme miuRia alkoholi, xolo 17%-s ukanaskneli erTi Tvis ganmavlobaSi, magram mxolod 2% moixmars alkohols xSirad. gamokvlevamde ukanaskneli sami Tvis ganmavlobaSi 5 an meti Wiqa alkohols erT jerze iRebdaAqalebis 8%.

axalgazrda qalebis qceva • saqarTveloSi axalgazrda qalebis (15-24 wlis) TiTqmis mesamedma (32%) aRniSna sqesobrivi urTierTobebis gamocdilebis arseboba; maTma didma umravlesobam (31%) aRniSna sqesobrivi cxovrebis dawyeba qorwinebis Semdeg. • saintereso gansxvaveba gamovlinda pirveli sqesobrivi kavSirisas asakisa da ganaTlebis donis mixedviT; 22 wlis asakamde sqesobrivad aqtiuri gaxda sruli saSualo an arasruli ganaTlebis mqone axalgazrda qalebis naxevarze meti da umaRlesi an saSualo teqnikri ganaTlebis mqone qalTa 39%, rac ZiriTadad aixsneba qorwinebis asakiT. • im axalgazrda qalebis naxevarze mets, romelTac sqesobrivi kavSiri hqondaT 18 wlis asakamde, hyavdaT xuTi, an meti wliT ufrosi partniori. • pirveli sqesobrivi kavSirisas kontraceptivebis gamoyeneba saqarTveloSi iSviaTia, miuxedavad qorwinebis sta­ tusisa. pirveli sqesobrivi kavSirisas kontraceptivebi ar gamoiyenes ZiriTadad im mizezebis gamo, rom surdaT daorsuleba (67%) an ar ufiqriaT meTodis gamoyenebis Sesaxeb (24%).

Zaladoba ojaxSi • saqarTveloSi miRebulia axa­li samarTlebrivi regulaciebi da gaZlie­ rebulia Zalisxmeva ojaxSi Zaladobis sakiTxebze gacnobierebis amaRlebis kuTxiT. qalTa gancxadebebi intimuri partnioris mier Cadenili Zaladobis Sesaxeb 2010 wels sakmaod mcirericxovani iyo: respondentTa mcire raodenobam aRniSna ukanaskneli 12 Tvis ganmavlobaSi (2%) an cxovrebis manZilze (7%) gancdili fizikuri da sqesobrivi Zaladoba.. Ees procentuli maCvenebeli metnaklebad ucvlelia 1999 wlidan moyolebuli. Mmetic, mniSvnelovnad ar Secvlila arc Zaladobis Sesaxeb oficialuri ganacxadebiT Sesabamis

xiv

uwyebebSi mimarTvis tendenciebi. • intimuri partnioris mier fizikur Zaladobas adgili hqonda yvela qvejgufSi, miuxedavad socio-ekonomikuri da ganaTlebis statusisa; maCvenebeli yvelaze maRali (23%) iyo warsulSi gaTxovil qalebs Soris. uaxloes warsulSi fizikuri Zaladobis ufro maRali prevalentoba daafiqsires 15-19 wlis gogonebma ufro asakovan qalebTan SedarebiT. O • ojaxSi Zaladoba bavSvebzec axdens gavlenas. saSualod, respondentTa 8%-ma ganacxada, rom maT gaugoniaT an daunaxavT mSoblebs Soris momxdari Zaladobis faqti da 8%-ma ganacxada, rom maT sakuTar Tavze gamoucdiaT mSoblebisagan fizikuri Zaladoba. bavSvobis asakSi ojaxuri Zaladobis danaxva, an sakuTar Tavze gamocda zrdis imis albaTobas, rom qali TviTon gaxdes intimuri partnioris mxridan Zaladobis msxverpli. im qalebs Soris, romlebmac bavSvobaSi ganicades Zaladoba mSoblebis mxridan, fiqsirdeba fsiqologiuri Zaladobis 3-jer da fizikuri Zaladobis 2-jer ufro maRali prevalentoba im qalebTan SedarebiT, visac msgavsi gamocdileba ar aqvs. • im ojaxebSi cxovreba, sadac genderuli Tanasworobis dabali donea, asocirdeba (nebismieri saxis) ojaxSi Zaladobis gazrdil riskTan. • im qalTa Soris, romelTac odesme gamoucdiaT fizikuri Zaladoba, daxloebiT yovel mesames (29%) arasodes aravisTvis ar gaumxelia es faqti. is qalebi, romlebic gancdil Zaladobas garSemo myofT uziareben, amis Sesaxeb ZiriTadad ojaxis wevrebs an megobrebs uyvebian; Mmxolod 5%-ma ganacxada policiaSi, 3%-ma mimarTa samedicino daxmarebas da 2%-ma iTxova iuridiuli rCeva. • zogadad, odesme gaTxovili qalebis daaxloebiT 20% eTanxmeba sul cota erT garemoebas, rodesac colze fizikuri Zaladoba gamarTlebulia. es procentuli maCvenebeli ufro maRali iyo im qalebSi, romlebmac aRniSnes fizikuri an sqesobrivi Zaladobis Sesaxeb, im qalebTan SedarebiT, romelTac Zaladoba arasodes gamoucdiaT; es faqti imas mianiSnebs, rom qalebSi TviTpativiscemis naklebobam SesaZloa isini intimuri partnioris mier Cadenili fizikuri an sqesobrivi Zaladobis mimarT ufro mowyvladi gaxados.


saboloo angariSi

sarCevi

Sesavali ................................................................................................................................................................................................... iii madloba ..................................................................................................................................................................................................... v reziume ..................................................................................................................................................................................................... vii Tavi 1. Sesavali ................................................................................................................................................................................. 1

1.1 winasityvaoba ..................................................................................................................................................................................... 1 1.2 Omiznebi ...................................................................................................................................................................................................... 4

Tavi 2. meTodologia ................................................................................................................................................................. 7

2.1 SerCevis dizaini

...........................................................................................................................................................................

2.2 kiTxvaris Sinaarsi

.....................................................................................................................................................................

8 9

2.3 DmonacemTa Segroveba ................................................................................................................................................................. 10 2.4 mopasuxeTa koeficienti ....................................................................................................................................................... 11 2.5 xarisxis kontrolis meqanizmebi .................................................................................................................................. 11 2.6 SerCevis wonebi .............................................................................................................................................................................. 11 2.7 oficialur statistikur monacemebTan Sedareba ....................................................................................... 12 Tavi 3.

SerCevis nimuSis maxasiaTeblebi ................................................................................................. 15

3.1 SinameurneobaTa maxasiaTeblebi

............................................................................................................................

17

3.2 respondentTa maxasiaTeblebi ........................................................................................................................................ 23 3.3 skolaSi Sesvlis da daswrebis indikatorebi ................................................................................................... 25 Tavi 4. Sobadobis da orsulobis gamocdileba ............................................................................... 43

4.1 Sobadobis doneebi da tendenciebi ............................................................................................................................ 43 4.2 FSobadobis maxasiaTeblebi

................................................................................................................................................

48

4.3 NqorwinebiTi mdgomareobis maxasiaTeblebi ....................................................................................................... 49 4.4 Aqalis asaki pirveli sqesobrivi kavSiris, partniorTan Tanacxovrebisa da mSobiarobis dros .................................................................................... 51 4.5 sqesobrivi aqtivoba ukanasknel xanebSi ................................................................................................................ 52 4.6 Pbolo orsulobis dagegmvis statusi ........................................................................................................................ 53 4.7 Svilebis sasurveli raodenoba momavalSi .......................................................................................................... 56 4.8 uSvilobis problemebi ........................................................................................................................................................... 57

xv


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

Tavi 5. xelovnuri aborti ................................................................................................................................................. 71

5.1 Aabortebis maCveneblebi da tendenciebi ............................................................................................................... 72 5.2 xelovnuri abortis koeficientebi ........................................................................................................................... 78 5.3 momsaxureba abortebis sferoSi .................................................................................................................................. 79 5.4 Aabortis garTulebebi .............................................................................................................................................................. 85 5.5 abortis gamomwvevi mizezebi ............................................................................................................................................ 86 Tavi 6. dedaTa da bavSvTa janmrTeloba .................................................................................................. 99

6.1 MdedaTa sikvdilianobis statistika ......................................................................................................................... 100 6.2 prenataluri samedicino momsaxureba .................................................................................................................. 100 6.3 intranataluri samedicino momsaxureba ........................................................................................................... 109 6.4 Ppostnataluri samedicino momsaxureba ............................................................................................................ 112 6.5 Tambaqosa da alkoholis moxmareba orsulobis dros .......................................................................... 114 6.6 Porsulobis da mSobiarobis Semdgomi garTulebebi ................................................................................. 115 6.7 PmSobiarobis mZime Sedegebi .............................................................................................................................................. 115 6.8 BZuZuTi kveba ................................................................................................................................................................................... 117 6.9 CvilTa da bavSvTa sikvdilianoba ............................................................................................................................. 119 Tavi 7. informirebulobis done kontraceptivebis Sesaxeb ..................................... 143

7.1 informirebulobis done kontraceptivebisa da maTi gamoyenebis Sesaxeb ........................ 144 7.2 kontracepciis Sesaxeb informaciis yvelaze mniSvnelovani wyaro

....................................

149

7.3 codna kontraceptivebisefeqturobis Sesaxeb ............................................................................................ 150 Tavi 8. kontracepciuli saSualebebis gamoyeneba ................................................................. 159

8.1 kontracepciuli saSualebebis odesme gamoyeneba .................................................................................... 159 8.2 kontracepciuli saSualebebis amJamad moxmareba .................................................................................. 161 8.3 kontracepciuli saSualebebiT momaragebis wyaro ............................................................................... 168 8.4 kontracepciis meTodis Secvlis survili ..................................................................................................... 170 8.5 tradiciuli meTodebis gamoyeneba

.....................................................................................................................

171

8.6 kontracepciuli meTodebis gamouyeneblobis mizezebi .................................................................... 172 8.7A gegmebi kontracepciuli meTodebis gamoyenebis Sesaxeb maT Soris, vinc ar mimarTavs kontracepcias ............................................................................................................................. 173 8.8A kontracepciuli saSualebebis araefeqturoba da maTi gamoyenebis Sewyveta ............. 173 Tavi 9. kontracepciuli momsaxurebis saWiroeba ..................................................................... 193

9.1 potenciuri moTxovna da daukmayofilebeli saWiroeba kontracepciaze ......................... 195 9.2 Ppotenciuri moTxovnileba ojaxis dagegmvaze Sobadobis arCevanis mixedviT ............... 197 Tavi 10. konsultacia kontracepciis Sesaxeb ................................................................................ 203

10.1 ojaxis dagegmarebis samsaxurebis warmomadgenelTa urTierToba klientebTan ..... 207 10.2 sakonsultacio momsaxurebiT kmayofileba

xvi

.............................................................................................

208


saboloo angariSi

10.3 Pabortis Semdgomi da mSobiarobis Semdgomi konsultacia ............................................................. 208 Tavi 11. Sexedulebebi kontracepciis Sesaxeb .............................................................................. 215

11.1 Sexedulebebi meTodis efeqturobis Sesaxeb ........................................................................................... 215 11.2 Sexedulebebi abebisa da sSs-s gamoyenebis dadebiTi da tuaryofiTi mxareebis Sesaxeb .................................................................................................................................... 217 11.3 Sexedulebebi kontraceptivebis gamoyenebasTan dakavSirebuli riskis Sesaxeb .................................................................................................................................... 219 11.4 kontracepciis meTodebis Sesaxeb damatebiTi informaciis miRebis survili .............. 221 Tavi 12. mosazrebebi da codna reproduqciuli

janmrTelobis Sesaxeb ................................................................................................................................................... 235 12.1 ojaxis sasurveli sidide .............................................................................................................................................. 235 12.2 codna menstrualuri ciklis Sesaxeb

...........................................................................................................

12.3 Kcodna ZuZuTi kvebis fertilobaze gavlenis Sesaxeb

.....................................................................

12.4 mosazrebebi imis Sesaxeb, Tu ramdenad misaRebia aborti

..........................................................

236 237 238

12.5 Amidgomebi da mosazrebebi ojaxisa da reproduqciuli rolis Sesaxeb ............................. 240 Tavi 13. janmrTelobasTan dakavSirebuli qceva ....................................................................... 251

13.1 Usamedicino momsaxurebis gamoyeneba .................................................................................................................... 252 13.2 Prutinuli ginekologiuri vizitebis sixSire ............................................................................................. 254 13.3 BsarZeve jirkvlis kibos skriningi

.......................................................................................................................

254

13.4 saSvilosnos yelis kibos skriningi da cnobiereba adamianis papiloma virusTan dakavSirebiT .................................................................................................................................................... 257 13.5 tuberkuliozis zemoqmedeba da gaTviTcnobiereba mis Sesaxeb ................................................ 258 13.6 Tambaqos moxmareba

.............................................................................................................................................................

13.7 alkoholis gamoyeneba

.....................................................................................................................................................

260 261

13.8 PjanmrTelobis SerCeuli problemebis prevalentoba ....................................................................... 262 Tavi 14. ganaTleba ojaxuri cxovrebis Sesaxeb .............................................................................. 283 .................................................

283

..........................................................

285

......................................................................................................

286

14.1 mosazrebebi skolebSi ojaxuri cxovrebis swavlebis Sesaxeb 14.2 Dsqesobrivi ganaTlebis sakiTxebis ganxilva mSoblebTan 14.3 Fojaxuri cxovrebis swavleba skolebSi

14.4 informaciis wyaro sqesobrivi cxovrebis Sesaxeb

.............................................................................

287

14.5 fertilobisa da kontracepciis Sesaxeb informirebulobis done ........................................ 288 Tavi 15. sqesobrivi cxovrebisa da kontracepciuli meTodebis

gamoyenebis gamocdileba axalgazrdebs Soris ..................................................................... 297 15.1 sqesobrivi gamocdileba .................................................................................................................................................. 297 15.2 Ppirveli sqesobrivi kavSiri ......................................................................................................................................... 299 xvii


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

15.3 mimdinare sqesobrivi aqtivoba da kontracepciis gamoyeneba

.................................................

300

15.4 Sexedulebebi da midgomebi kondomebisa da maTi gamoyenebis Sesaxeb ................................... 301 Tavi 16. sqesobrivi gziT gadamdebi infeqciebi aiv/Sidsis garda .................. 311

16.1 sqesobrivi gziT gadamdebi infeqciebi saqarTveloSi da yofili sabWoTa kavSiris qveynebSi ................................................................................................................................................. 311 16.2 Acnobierebis done sqesobrivi gziT gadamdebi infeqciebis Sesaxeb ...................................... 312 16.3 Acnobierebis done sqesobrivi gziT gadamdebi infeqcebis simptomebis Sesaxeb

............................................................................................................................................................

313

16.4 sqesobrivi gziT gadamdebi infeqciebis riskis TviT Sefaseba ................................................... 314 16.5 testireba sqesobrivi gziT gadamdeb infeqciebze

..........................................................................

16.6 sqesobrivi gziT gadamdebi infeqciebis simptomebis arseboba

.............................................

315 316

16.7 Pinformaciis Ziridadi wyaro sqesobrivi gziT gadamdebi infeqciebis Sesaxeb .............................................................................................................................................................. 317

Tavi 17. aiv/Sidsi ....................................................................................................................................................................... 329

17.1 aiv/Sidsi saqarTveloSi .................................................................................................................................................. 329 ................................................................

330

......................................................................................

332

17.2 Ainformirebuloba da codnis done aiv/Sidsis Sesaxeb 17.3 testireba adamianis imunodeficitis virusze

17.4 informaciis wyaro aiv/Sidsis Sesaxeb .............................................................................................................. 333 ...................................................................

334

.......................................................................................

335

17.5 Kcodnis done aiv infeqciis gadacemis gzebis Sesaxeb 17.6 Kcodnis done aiv infeqciis prevenciis Sesaxeb

17.7 aiv infeqciis riskis TviT Sefaseba ....................................................................................................................... 336 Tavi 18. Zaladoba ojaxSi .............................................................................................................................................. 351

18.1 fizikuri Zaladoba mSoblebisgan an mSoblebs Soris fizikuri Zaladobis aqtis mowmed yofna ............................................................................................................................................ 354 18.2 Pintimuri partnioris mier Cadenili Zaladobis prevalentoba

..........................................

354

18.3 daxmarebisTvis mimarTva intimuri partniorisgan Zaladobis gamo ....................................... 356 18.4 Aintimur partniorTan urTierTobis aspeqtebi da genderuli normebi .............................. 356

danarTi a: monawile organizaciebi ......................................................................................................... 364 danarTi b: kvlevaze momuSave personali .......................................................................................... 366 bibliografia

xviii

............................................................................................................................................................................

367


Sesavali 1.1 winasityvaoba

Tavi

1

qalTa janmrTelobis mdgomareobaze saqarTveloSi mniSvnelovan gavlenas axdens kulturuli, istoriuli da socialur-ekonomikuri faqtorebi. jandacvis Zveli sistema ZiriTadad koncentrirebuli iyo mkurnalobaze da naklebad – prevenciul momsaxurebaze, eyrdnoboda specializirebul mkurnalobas da saTanadod ver uzrunvelyofda pirveladi jandacvis momsaxurebas. Sesabamisad, ojaxis dagegmvis servisebic . marTvis sabWouri centralizebuli sistemis daSlis da ekonomikis daRmasvlis pirobebSi SeuZlebeli gaxda mkurnalobaze orientirebuli saavadmyofoebis sistemis SenarCuneba. saavadmyofoebis umravlesobaSi ar arsebobda aucilebeli samedicino aparatura, medikamentebi, saxarji masalebi da saxsrebi mimdinare xarjebisTvis. saxelmwifos mier dafinansebuli, saavadmyofoebze dafuZnebuli jandacvis sistemis daSlis Semdeg saqarTvelos jandacvis seqtorma transformaciis ramdenime etapi gamoiara. 2007 wlidan saqarTvelos xelisuflebam wamoiwyo jandacvis sistemis farTomasStabiani reformebi, romlebic miznad isaxavda jandacvis sferos dafinansebis sistemis Seqmnas dazRvevis safuZvelze, romelic orientirebuli iyo Rarib mosaxleobaze. sazogadoebrivi jandacvis RonisZiebebSi saxelmwifo resursebis wilis gazrdis paralelurad. 2011-2015 wlebis jandacvis erovnul strategiaSi - `xelmisawvdomi, da xarisxiani jandacvis sistemis Camoyalibeba~ - mocemulia axali gegma jandacvis sistemis ganviTarebisaTvis. 2013 wlisTvis dasruldeba saavadmyofoTa moZvelebuli infrastruqturis Secvla jandacvis Tanamedrove raionuli centrebiT, romlebic aerTianebs pirvelad, prehospitalur da stacionarul momsaxurebas. saqarTveloSi bolo ramdenime wlis ganmavlobaSi SeiniSneba mniSvnelovani gaumjobeseba ojaxis dagegmvisa da reproduqciuli janmrTelobis momsaxurebis sferoSi. xelisufleba, saerTaSoriso da adgilobrivi arasamTavrobo organizaciebis daxmarebiT, sul ufro met aqtivobebs eweva personalis gadamzadebis, ganaTlebis da infrastruqturis ganviTarebis, xarisxiani ojaxis dagegmvisa da reproduqciuli janm1


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

rTelobis momsaxurebis xelmisawvdomobis gasazrdelad. sazogadoebrivi jandacvis proeqtebi da saxelmwifos mier dafinansebuli momsaxurebebi amJamad moicavs tuberkulozs, aiv/Sidss, imunizacias, dedaTa da bavSvTa janmrTelobas, maT Soris antenataluri zrunvis sayovelTao xelmisawvdomobas, da ZuZusa da saSvilosnos yelis kibos skriningis servisebs Tumca kvlav problemas warmoadgens ojaxis dagegmvisa da reproduqciuli janmrTelobis sxva momsaxurebaTa integrireba janmrTelobis dazRvevis programebSi. ojaxis dagegmvis sferoSi momsaxurebas amJamad mxars uWers ramdenime donoris, ZiriTadad ki aSS-is saerTaSoriso ganviTarebis saagentos (USAID) da gaeros mosaxleobis fondis (UNFPA), iniciativebi. aSS-is saerTaSoriso ganviTarebis saagento, gaeros mosaxleobis fondi da sxva bilateraluri Tu multilateraluri donorebi xels uwyobdnen saqarTvelos xelisuflebis da adgilobrivi arasamTavrobo organizaciebis mcdelobebs, gaeumjobesebinaT mosaxleobisTvis reproduqciuli janmrTelobisa da ojaxis dagegmvis momsaxurebaTa xelmisawvdomoba. 1990-iani wlebis dasawyisidan muSaobis ZiriTadi mimarTulebaa klientze orientirebuli ojaxis dagegmvis da reproduqciuli janmrTelobis politikisa da programebis SemuSaveba, eqimebisa da sxva samedicino personalis profesiuli gadamzadeba, agreTve sazogadoebis informirebis kampaniebis organizeba da kontracepciuli saSualebebis gavrcelebis erTiani saxelmwifo sistemis Seqmna. aSS-is saerTaSoriso ganviTarebis saagentom daafinansa ramdenime iniciativa reproduqciuli janmrTelobis sferoSi, maT Soris proeqti `janmrTeli qalebi saqarTveloSi~ (HWG) (proeqti dasrulebulia). aRniSnuli proeqti, romelic ganaxorciela jon snous saxelobis samecniero-kvleviTma institutma (John Snow Research and Training Institute - JSI), yuradRebas, upirveles yovlisa, amaxvilebda mtkicebulebebze damyarebul, qalebis saWiroebebze morgebul da klientze orientirebul ojaxis dagegmvisa da reproduqciuli janmrTelobis momsaxurebebze. garda amisa, proeqtis farglebSi meti yuradReba miepyro orsul qalebsa da axalSobilebze zrunvas: SemoRebuli iqna efeqtiani perinataluri zrunvis ganyofilebebi 16 samSobiaro saxlSi. ojaxis dagegmvis momsaxureba gafarTovda - Seiqmna momsaxurebis ramdenime aseuli

2

punqti. programis farglebSi aseve daxmareba eweoda ZuZusa da saSvilosnos yelis kibos skrinings, reproduqciuli janmrTelobis momsaxurebis xarisxs, saojaxo cxovrebasTan dakavSirebul saswavlo kursebs da sxva iniciativebs. 2008-2009 wlebSi Sromis, janmrTelobisa da socialuri dacvis saministrom, aSS daavadebaTa kontrolis centrTan (CDC) da proeqtTan `janmrTeli qalebi saqarTveloSi~ (HWG) TanamSromlobiT Caatara reproduqciuli asakis axalgazrda qalebSi sikvdilianobis pirveli kvleva (RAMOS) aSS saerTaSoriso ganviTarebis saagentos mxardaWeriT. mas Semdeg aSS-is saerTaSoriso ganviTarebis saagentom daafinansa kidev ori programa reproduqciuli janmrTelobis sferoSi, romlebic aseve jon snous saxelobis samecniero-kvleviTma institutma ganaxorciela: SURVIVE (ZuZusa da saSvilosnos yelis kibos prevencia), romelic 2009– 2010 wlebSi ganxorcielda, da amJamad mimdinare SUSTAIN. programa. SUSTAIN agrZelebs ojaxis dagegmvis sakiTxebze treiningebis Catarebas pirveladi jandacvis sferos da ojaxis eqimebisaTvis, pediatrebisTvis da mean-ginekologebisaTvis da xels uwyobs pirveladi jandacvis gaZlierebis (EPC) principebis danergvas mravaldargobrivi jgufebisaTvis pirveladi jandacvis gaZlierebis treiningebis Catarebis gziT. gaeros mosaxleobis fonds (UNFPA) saqarTvelos yvela regionisTvis 1993 wlidan Semoaqvs reproduqciuli janmrTelobis sferoSi aucilebeli moxmarebis sagnebi da masalebi, maT Soris ojaxis dagegmvis Tanamedrove meTodebis gamosayeneblad saWiro masalebi. wina wlebSi miRweul warmatebebze dayrdnobiT gaeros mosaxleobis fondis meore, 2011-2015 wlebis, erovnuli programis farglebSi daxmareba eweva mosaxleobisa da ganviTarebis saerTaSoriso konferenciaze (ICPD) miRebuli samoqmedo programisa da saqarTvelos jandacvis 2011-2015 wlebis erovnuli strategiis ganxorcielebas. aRniSnuli programis reproduqciuli janmrTelobis komponentSi sami mimarTulebaa gamokveTili: reproduqciuli janmrTelobis sferoSi politikis gaZliereba, sakononmdeblo garemos srulyofa da momsaxurebis xarisxis gaumjobeseba saerTaSoriso standartebis Sesabamisad. gaeros mosaxleobis fondi aseve xels uwyobs reproduqciuli janmrTelobis erovnuli sabWos saqmianobas, romelic saqarTvelos pirveli ledis TaosnobiT dafuZnda da 2006 wlis


saboloo angariSi

Semdeg moqmedebs, aseve jandacvis saministrosTan erTad daxmarebas uwevs reproduqciuli janmrTelobis (maT Soris gadaudebeli sameano zrunvis, ojaxis dagegmvis, saSvilosnos yelisa da ZuZus kibos skriningisa da a.S.) sferoSi klinikuri gaidlainebis SemuSavebas da ganxorcielebas. garda amisa, gaeros mosaxleobis fondi xels uwyobs reproduqciuli janmrTelobis servisebis integrirebas pirveladi jandacvis sistemaSi reproduqciuli janmrTelobis sferoSi pirveladi jandacvis muSakTa treiningis gziT antenataluri zrunvis, postnataluri zrunvis, ojaxis dagegmvis da saSvilosnos yelisa da ZuZus kibos skriningis Temebze, aseve atarebs praqtikul treinings pap-testis Catarebis meTodologiasTan dakavSirebiT. saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministro da reproduqciuli janmrTelobis erovnuli sabWo aseve TanamSromloben `iunisefTan~ da israelis Sebas samedicino centrTan. es TanamSromloba miznad isaxavs qveyanaSi perinataluri/neonataluri sistemis gaZlierebas. garda amisa, jandacvis saministros da iusticiis saministros erToblivi ZalisxmeviT, `iunisefTan~ TanamSromlobiT, 2011 wels Seiqmna saxelmZRvanelo `mSobeli-Cvili~ (bavSvis zrdisa da ganviTarebis piradi baraTi) wigni qveynis yvela axalSobilis mSobels sTavazobs informacias pirveli eqvsi wlis ganmavlobaSi bavSvis janmrTelobisa da ganviTarebis Sesaxeb. gaeros mosaxleobis fondisa da Tbilisis municipalitetis partnioroba reproduqciuli sistemis simsivneebis prevenciisa da adreuli diagnostikis mizniT, romelic 2006 wels iqna wamowyebuli, 2009 wels evroparlamentis saSvilosnos yelis kibos prevenciisadmi miZRvnil samitze `sibrZnis margalitis~ nominaciaze iqna wardgenili. 2008 wlidan 2012 wlamde TbilisSi 57 000-ze metma qalma isargebla ZuZus kibos skriningis (klinikuri gamokvleva an mamografia) da 59 000-ze metma qalma - saSvilosnos yelis kibos skriningis momsaxurebiT. kibos skriningis programa jandacvis saministrosa da daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnuli centris mier gavrcelda saqarTvelos yvela regionSi. gaeros mosaxleobis fondis xelSewyobiT xorcieldeboda aseve reproduqciuli janmrTelobis iniciativebi axalgazrdebisTvis, maT Soris iyo sagangebod axalgaz-

rdebisTvis gankuTvnili reproduqciuli janmrTelobis momsaxurebebi, axalgazrdebSi sqesobrivi da reproduqciuli janmrTelobisa da uflebebis Temaze codnis gafarToeba TanatolTa ganaTlebis programebis meSveobiT. xelisuflebis mcdelobisa da saerTaSoriso donori organizaciebis daxmarebis Sedegad saqarTveloSi qalebisaTvis ufro xelmisawvdomi gaxda Tanamedrove kontraceptivebi da reproduqciuli janmrTelobis sxva momsaxurebebi. Tumca jer kidev bevri gamowveva rCeba, kerZod, momsaxurebis xelmisawvdomobisa da xarisxis Semdgomi gaumjobesebis kuTxiT. politikis ganmsazRvreli organizaciebisTvis da programebis xelmZRvanelebisTvis arsebuli saWiroebebis SefasebaSi daxmarebis gasawevad 1999, 2005 da 2010 wlebSi saqarTveloSi Catarda reproduqciuli janmrTelobis kvleva qveynis masStabiT. es kvlevebi Catarda ori saerTaSoriso organizaciis mxardaWeriT: aSS-is saerTaSoriso ganviTarebis saagento, romelmac daafinansa teqnikuri daxmareba aSS-is daavadebaTa kontrolis centris reproduqciuli janmrTelobis ganyofilebisgan (CDC/DRH), da gaeros mosaxleobis fondi, romelmac daafinansa savele muSaoba, Targmna da konferenciebis Catareba kvlevis Sedegebis warsadgenad. 2010 wlis kvlevisTvis teqnikur daxmarebasa da dafinansebaSi wvlili Seitana aseve gaeros bavSvTa fondma (`iunisefma~). samive kvlevis CatarebaSi aSS-is daavadebaTa kontrolisa da prevenciis centris reproduqciuli janmrTelobis ganyofilebam teqnikuri daxmareba gauwia daavadebaTa kontrolisa da sazogadoebrivi janmrTelobis erovnul centrs – ZiriTad ganmaxorcielebel uwyebas. 1999 wlis reproduqciuli janmrTelobis kvleva SinameurneobaTa saqarTveloSi Catarebuli pirveli warmomadgenlobiTi saxelmwifo kvleva iyo, romelmac gamoavlina kontraceptivebis gamoyenebis dabali da abortebis maRali maCveneblebi. reproduqciuli janmrTelobis meore kvleva 2005 wlis pirvel naxevarSi Catarda. wina kvlevebis analogiurad, 2010 wlis kvleva afasebs reproduqciuli janmrTelobis sferoSi ganxorcielebul aqtivobebs da reproduqciuli janmrTelobis ZiriTadi indikatorebis tendenciebs. reproduqciuli janmrTelobis 2010 wlis kvlevaSi gamoyenebul kiTxvarSi CarTuli iqna zogierTi indikatori `iunisefis~ mravalindikatoruli klasteruli kvlevidan, romlebic

3


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

exeba bavSvebis ganaTlebis, wylis, sanitariisa da higienis sakiTxebs. 1999 wlis kvlevaSi CarTuli iyo droebiTi sacxovreblis mqone iZulebiT gadaadgilebul qalTa calke SerCeuli jgufi. es jgufi Semdgom kvlevebSi aRar iyo Setanili. samive kvlevaSi qveynis masStabiT SerCeulni da gamokiTxulni iyvnen 15-44 wlis asakis qalebi da es kvlevebi erTmaneTis msgavsi iyo kvlevis miznebiT, dizainiTa da SinaarsiT da sakvlevi pirebis SerCeva xdeboda mravaletapiani albaTobis SerCevis meTodiT. pirveladi SesarCevi erTeulebis gansazRvra 2005 da 2010 wlebSi eyrdnoboda mosaxleobis 2002 wlis aRweras da iZleoda reproduqciuli janmrTelobis yvelaze mniSvnelovani indikatorebis regionuli maCveneblebis gamoTvlis saSualebas maSin, roca 1999 wels gamoyenebuli SerCevis sistema, romelic 1999 wlis mravalindikatoruli klasteruli kvlevis SerCevis sistemas efuZneboda, ar iZleoda yvela regionisTvis damoukidebeli Sefasebebis gakeTebis SesaZleblobas. reproduqciuli janmrTelobis kvlevis xarisxiani monacemebis wyalobiT ufro zustad gaxda SesaZlebeli saqarTveloSi kontraceptivebis gamoyenebis da xelovnuri abortebis Sesaxeb situaciis Sefaseba. vidre es odesme iyo SesaZlebeli. kvlevaSi mocemuli Sefasebebi kontraceptivebis gamoyenebasTan dakavSirebiT ufro zustia, vidre Sefasebebi, romlebic eyrdnoba servisis mimwodebelTa statistikas – es ukanaskneli angariSobs mxolod im qalebis raodenobas, vinc mimarTavs ojaxis dagegmvis momsaxurebis mimwodebel dawesebulebebs. kvlevaze damyarebuli Sefasebebi abortebis raodenobasTan dakavSirebiT aseve ufro maRalia, vidre oficialuri monacemebi, Tumca bolo wlebSi oficialuri maCveneblebi uaxlovdeba kvlevaSi mocemul cifrebs, rac gaumjobesebul angariSgebaze miuTiTebs. damatebiTi informacia winamdebare angariSisTvis kidev ori kvlevis Sedegad miviReT. erTia 2010-11 wlebis mravalindikatoruli klasteruli kvleva, romelSi mocemuli informaciac gamoviyenbul iqna me-3 TavSi. meore - 2009 wlis specialuri kvleva ojaxuri Zaladobis Sesaxeb (CitaSvili da sxv,, 2010), romlis monacemebic me18 TavSia gamoyenebuli.

4

1.2 miznebi mosaxleobis perioduli kvlevebi, romlebic SinameurneobaTa kvlevebs efuZneba, saukeTeso da yvelaze drouli saSualebaa saqarTveloSi ojaxebis janmrTelobis dacvis mxriv arsebuli moTxovnilebebis da janmrTelobis sxvadasxva sferoSi maTTvis saWiro momsaxurebis Sesaxeb informaciis mosapoveblad. saqarTvelos socialur-ekonomikuri ganviTarebis zogadi konteqstis gaTvaliswinebiT, 2010 wlis reproduqciuli janmrTelobis kvleva miznad isaxavda erovnul da regionul doneze ZiriTadi demografiuli da reproduqciuli janmrTelobis indikatorebis dadgenas, rac iZleva gasaumjobesebeli sakiTxebis gansazRvris, resursebis ganawilebis, ojaxis dagegmvisa da dedaTa da bavSvTa janmrTelobis programebis Sesrulebis monitoringis saSualebas. 2010 wlis oqtombridan da 2011 wlis TebervlamdeM SerCeuli da gamokiTxuli iqna 15-44 wlis asakis 6 292 qali. kvleva, rogorc es zemoT aRiniSna, 1999 da 2005 wlebis kvlevebis, aseve aRmosavleT evropis da centraluri aziis sxva qveynebSi Catarebuli analogiuri kvlevebis msgavsia modeliTac da SinaarsiTac. 2010 wlis reproduqciuli janmrTelobis kvlevis konkretuli amocanebi iyo: • saqarTveloSi Sobadobis, abortebisa da kontraceptivebis gamoyenebis mxriv arsebuli situaciis, agreTve reproduqciuli janmrTelobis sxva problemebis gansazRvra; • politikis ganmsazRvreli organizaciebisTvis, programebis xelmZRvanelebisa da mkvlevarebisTvis reproduqciuli janmrTelobis sferoSi arsebuli programebis Sefasebasa da daxvewaSi da axali strategiebis SemuSavebaSi xelis Sewyoba; • saqarTvelos SinameurneobaTa socialur-ekonomikuri maxasiaTeblebis, aseve SinameurneobebisTvis jandacvis momsaxurebis misawvdomobis da am momsaxurebiT sargeblobis modelebis aRricxva; • Sobadobis da kontraceptivebis gamoyenebis maCveneblebSi cvlilebebis Sefaseba da im faqtorebis Seswavla, romlebic gavlenas axdens am cvlilebebze, rogoric aris geografiuli da socialur-demografiuli faqtorebi, ZuZuTi kveba, xelovnuri abortebi, ojaxis dagegmvis momsaxurebis xelmisawvdomoba;


saboloo angariSi

• ganaTlebasTan, dedaTa da bavSvTa gadarCenasTan, genderul TanasworobasTan da adamianis imunodeficitis virusisa da sxva daavadebaTa gavrcelebis SemcirebasTan dakavSirebuli globaluri ganviTarebis indikatorebis Sesafaseblad saWiro monacemTa mopoveba; • monacemTa mopoveba 15-24 wlis axalgazrdebSi codnis, Sexedulebebisa da qcevis Sesaxeb da maT mier sqesobriv sakiTxebSi ganaTlebisa da jandacvis xelSewyobis programebiT sargeblobis Sefaseba; • maRali riskis jgufebSi reproduq��������� ciul janmrTelobasTan dakavSirebiT gansakuTrebiT yuradsaRebi Temebis identificireba. kvlevam xeli Seuwyo TanamSromlobas saqarTvelos mTavrobas, saerTaSoriso donorebsa da sxva partniorebs Soris: erTi mxriv, kvlevis Sedegad mopovebuli qveynisTvis da regionebisTvis damaxasiaTebeli monacemebi reproduqciuli janmrTelobis da momsaxurebis Sesaxeb xelmisawvdomi gaxda yvela dainteresebuli mxarisaTvis, xolo meore mxriv, xeli Seewyo saxelmwifo organizaciebis SesaZleblobis zrdas Sekribon, gaaanalizon da gaavrcelon aRniSnuli informacia. kvlevis Sedegebi

gamoyenebuli iqneba saqarTveloSi janmrTelobis seqtoris reformisa da siRaribis daZlevis strategiebis konteqstSi ��� reproduqciuli janmrTelobisa da dedaTa da bavSvTa janmrTelobis programebis ��� monitoringisaTvis. kvleva aseve saSualebas gvaZlevs, ganvsazRvroT janmrTelobis dacvis sferoSi arsebuli saWiroebani da janmrTelobis samsaxurebisa da seqtorebis reformebs Soris kavSirebi da urTierTzegavlena. saerTaSoriso ormxriv da mravalmxriv donorebs (magaliTad, aSS-is saerTaSoriso ganviTarebis saagento, gaeros saagentoebi, msoflio banki, evrokavSiri) da sxvadasxva samTavrobo dawesebulebas (kerZod, Sromis, janmrTelobisa da socialur sakiTxTa saministros, ekonomikuri ganviTarebis saministros da finansTa saministros) saSualeba aqvT, es monacemebi janmrTelobis dacvis axali strategiebis SemuSavebisa da jandacvis seqtoris reformisaTvis gamoiyenon – rogorc modernizaciisa da dasaqmebisaTvis saqarTvelos mTavrobis strategiuli aTpunqtiani gegmis da jandacvis erovnuli strategiis -������������������������������������� `xelmisawvdomi, ������������������������������������ maRalxarisxiani jandacvis sistemis Camoyalibeba~ - farglebSi, ise gaeros aTaswleulis ganviTarebis miznebis miRwevis gzaze miRweuli progresis monitoringisa da SefasebisaTvis.

5


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

6


meTodologia

2

Tavi

mosaxleobis gamokiTxvebi mTel msoflioSi farTod gamoiyeneba samedicino informaciis sistemebis Sesavsebad. am gamokiTxvebis upiratesoba is aris, rom isini janmrTelobis sakmaod bevr sakiTxze informaciis miRebis, jandacvis programebis mimdinareobaze dakvirvebis da zogadad mosaxleobasa Tu konkretul risk-jgufebze am programebis zegavlenis Sefasebis saSualebas iZleva. reproduqciuli janmrTelobis kvlevebi aSSis daavadebaTa kontrolisa da prevenciis centrebma SeimuSava, vinaidan saWiro gaxda reproduqciisa da dedaTa da bavSvTa janmrTelobis Sesaxeb detaluri saerTaSoriso indikatorebis Segroveba (Morris, 2000). es kvlevebi efuZneba am centrebis gamocdilebas im meTodologiebSi, romelTa mixedviTac aSSSi ojaxis dagegmvisa da qalTa janmrTelobis kvlevebi tardeba, da aseve, saerTaSoriso gamocdilebas. daavadebaTa kontrolisa da prevenciis centrebis teqnikuri daxmarebiT, 1990-iani wlebis Sua periodis Semdeg, reproduqciuli janmrTelobis ramdenime kvleva Catarda aRmosavleT evropis qveynebSi, maT Soris sami kvleva saqarTveloSi. reproduqciuli janmrTelobis kvlevebis mTavari mizani orsulobasa da SobadobasTan dakavSirebul iseT sakiTxebze erovnuli da qveerovnuli monacemebis miRebaa, rogorebicaa sqesobrivi aqtivoba da kontracepcia, abortisa da sxva samedicino momsaxurebiT sargebloba, dedisa da bavSvis janmrTeloba. reproduqciuli janmrTelobis pirveli kvleva saqarTveloSi 1999 wels Catarda, meore kvleva - 2005 wlis martidan ivlisis CaTvliT, xolo mesame kvleva (GERHS10) - 2010 wels. pirveli ori kvlevis msgavsad, mesame kvlevac saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrom saqarTvelos daavadebaTa kontrolis erovnul centrTan erTad ganaxorciela. aSS-is reproduqciuli daavadebaTa kontrolisa da prevenciis centrebma teqnikuri daxmareba gauwia janmrTelobis samive kvlevas saqarTveloSi. es teqnikuri daxmareba, rac iTvaliswinebda xelSewyobas kvlevis dizainis, SerCevis meTodis da kiTxvaris SemuSavebaSi, treningis CatarebaSi, monacemTa damuSavebasa da analizSi, aSS-is saerTaSoriso ganviTarebis saagentom daafinansa. 2010 wlis kvlevis yvela adgilobrivi xarji, maT Soris Sedegebis gamoqveynebis xarjebi, gaeros mosaxleobis fondma (UNFPA) da gaeros bavSvTa fondma (UNICEF) dafara. saqarTveloSi yvela kvleva Catarda warmomadgenlobiTi SemTxveviTi SerCevis meTodiT da informacia janmrTelobis farTo 7


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

speqtris sakiTxebze reproduqciuli asakis qalebisgan Segrovda. Tanmimdevruli kvlevebis ZiriTadi mizania droTa ganmavlobaSi tendenciebis gamovlena da monacemebis Sedareba. amrigad, 2005 wlis kvleva SemuSavebuli iqna 1999 wlis kvlevis modelis mixedviT, xolo 2010 wlis kvleva wina ori raundis gamocdilebas daefuZna da ramdenime axali elementiT gamdidrda. yvela kvlevis Sinaarsi ganixiles saqarTvelos adgilobrivma eqspertebma, mTavrobis warmomadgenlebma, aseve samTavrobo da arasamTavrobo organizaciebis eqspertebma da donorebma. winamdebare angariSs darTuli aqvs im eqspertTa CamonaTvali, romlebmac ganixiles da Seiswavles GERHS10-is kiTxvari da am kvlevis ZiriTadi Sedegebi. TiToeuli kvlevis meSveobiT Segrovda informacia saqarTveloSi mcxovreb 15-44 wlis qalTa warmomadgenlobiTi SerCevisgan. amrigad, am monacemTa gamoyenebiT SeiZleba saqarTveloSi SinameurneobebSi mcxovrebi reproduqciuli asakis qalebis mTliani raodenobis procentuli ganawilebis, saSualo koeficientebisa da sxva maCveneblebis gansazRvra.

2.1 SerCevis dizaini reproduqciuli janmrTelobis 1999 da 2005 wlis kvlevebis msgavsad, 2010 wlis kvlevac did warmomadgenlobiT SerCevas emyareba (13,363 Sinameurneoba) da moicavs reproduqciuli asakis qalebTan pirispir interviuebs, romlebic maT saxlebSi Catarda. mosaxleoba, saidanac respondentebi SeirCa, moicavda 15-dan 44 wlamde asakis qalebs, ganurCevlad maTi qorwinebis statu-

sisa, romlebic kvlevis Cartarebis periodSi saqarTvelos SinameurneobebSi cxovrodnen (afxazeTisa da samxreT oseTis regionebis gamoklebiT). SerCeva moxda ise, rom SesaZlebeli yofiliyo qalaqis da soflis, aseve regionuli donis monacemebis miReba samizne mosaxleobis da janmrTelobasTan dakavSirebuli iseTi ZiriTadi sakiTxebis Sesaxeb, rogorebicaa Sobadoba, aborti, kontracepcia, dedaTa da bavSvTa janmrTeloba, 5 wlamde asakis bavSvTa sikvdilianoba. SerCevaSi monawile SinameurneobaTa raodenoba ganisazRvra ise, rom Sedegad Catarebuli yofiliyo 6000 interviu 15-44 wlis qalebTan. reproduqciuli janmrTelobis 2005 wlis kvlevis msgavsad, am kvlevaSic gamoyenebuli iqna SerCevis stratificirebuli mravalsafexuriani modeli, romlisTvisac saqarTvelos 2002 wlis aRwera iqna SerCevis CarCod aRebuli (statistikis saxelmwifo departamenti, 2003). qveerovnul doneze janmrTelobasTan dakavSirebuli sakiTxebis ukeTesi monitoringis mizniT, aseve, mTavari dainteresebuli mxareebisTvis decentralizaciis mcdelobebis Sefasebis gasaadvileblad, SerCevis modeli ese SemuSavda, rom miRebuli yofiliyo qveynis 11 regionis monacemebi. aRweris seqtorebi 11 stratad dajgufda saqarTvelos administraciuli regionebis Sesabamisad; sami patara regioni – raWa-leCxumi, qvemo svaneTi da zemo svaneTi erT - raWa-svaneTis strataSi, gaerTianda. suraTSi 2.1 Sedarebulia 2002 wlis aRweraSi SinameurneobaTa ganawileba SinameurneobaTa im ganawilebasTan, romelic SerCevaSi iqna miRebuli.

SinameurneobaTa raodenoba 2010 wlis kvlevis SerCevis erTeulis 11 stratasa da 2002 wlis aRweraSi

suraTi 2.1 Sinameurneobebi

Sinameurneobebi

305,896

SerCevis erTeulSi

arweraSi

320,000

3000

SerCeva

2734

280,000

aRwera (2002)

2500 240,000

201,213

2000

200,000 1684

1500

1603

160,000

124,031 115,982

109,632

1000

120,000 87,527

83,391

1056

1053

1057 1005

842

845

80,000

643

841

500

51,381

39,743

40,000 34,834

20,395

0

0 kaxeTi

8

Tbilisi

Sida K arTli q

K vemo q qarTli

samcxejavaxeTi

aWara

Gguria

samegrelo imereTi

mcxeTamTianeTi

raWasvaneTi


saboloo angariSi

pirvel safexurze moxda SerCevis pirveladi erTeulebis amorCeva, romlebic 2005 wlis kvlevaSi monawile seqtorebs emTxvevoda. pirvel safexurze moxda SemTxveviTi SerCeva, romelic 11-dan TiToeul regionul seqtorSi SinameurneobaTa raodenobis proporciuli iyo. gamoyenebuli iqna sistematuri SerCevis procesi SemTxveviTi dasawyisiT TiToeul strataSi. pirvel safexurze SerCevis pirveladi erTeulebad aRweris 310 seqtori SeurCa, rogorc es naCvenebia cxrilSi 2.1. aqedan gamomdinare, SerCeva moicavda 310 SerCevis pirveladi erTeuls da sruli interviuebis samizne raodenoba SerCevis TiToeul pirvelad erTeulze saSualod 20 iyo. interviuebis minimalurad misaRebi raodenoba TiToeul strataSi 400-iT ganisazRvra, da, Sesabamisad, pirveladi SerCevis erTeulebis minimaluri ricxvi TiTo strataSi 20-iT. aRniSnuli kriteriumebiT TiToeul strataSi 20 pirveladi SerCevis erTeuli ganawilda, xolo mTlianobaSi ki pirveladi SerCevis erTeulTa raodenobam 220 Seadgina. 80 pirveladi SerCevis erTeuli udides regionebSi gadanawilda, raTa pirveladi SerCevis erTeulebi 2002 wlis aRweraSi SinameurneobaTa ganawilebis daaxloebiT proporciuli yofiliyo. damatebiTi 10 pirveladi SerCevis erTeuli qveynis yvelaze patara, raWa-svaneTis stratas daemata, am strataSi reproduqciuli asakis qalTa sagrZnobi gafantulobis sakompensaciod. cxrilSi 2.1 Sedarebulia SerCevaSi SinameurneobaTa ganawileba 2002 wlis aRweris ganawilebasTan 11 stratas mixedviT. SerCevis wili meryeobs erTi Sinameurneoba 13-dan raWa-svaneTis strataSi (yvelaze naklebdasaxlebuli strata) erT Sinameurneobamde 136-dan aWaris strataSi. rogorc naCvenebia cxrilSi 2.1, im regionSi, sadac Sefardeba aRweris da SerCevis SinameurneobaTa Soris aRemateboda 100.0-s, SerCeulTa wili Semcirebuli iqna, xolo sadac es Sefardeba 100.0-ze naklebi iyo, SerCeulTa wili gazrdili iqna. SerCevis meore safexurze moxda SinameurneobaTa klasterebis SemTxveviTi SerCeva pirvel safexurze gamoyofili TiToeuli aRweris seqtoridan. TiToeuli SerCeuli pirveladi SerCevis erTeulis CamonaTvali 2005 wlis kvlevis mosamzadebel periodSi gakeTda. 2010 wlis kvlevisTvis Sinameurneobebi TiToeuli pirveladi SerCevis erTeulSi ganaxlebuli CamonaTvalidan SeirCa. TiToeuli klasteris sidide saSualod 20 sruli intervius mosagroveblad saWiro SinameurneobaTa raodenobiT ganisazRvra. TiToeul klasterSi SinameurneobaTa saerTo raodenobis gansazRvrisas gaTvaliswinebuli iqna dausaxlebeli Sinameurneobebis

wili, TiToeul SinameurneobaSi 15-44 wlamde asakis qalebis saSualo raodenoba, calkeul SinameurneobaSi mxolod erTi respondentis interviuireba da mopasuxeTa savaraudo koeficienti 98%-is doneze. im SinameurneobebSi, sadac erTze meti 15-44 wlamde asakis qali iyo, interviusTvis SemTxveviTi SerCevis principiT mxolod erTi qali SeirCa.

2.2. kiTxvaris Sinaarsi reproduqciuli janmrTelobis 1999 da 2005 wlis kvlevebis msgavsad, 2010 wlis kvlevaSic, SinameurneobaTa da Sesabamisi respondentebisagan informaciis misaRebad ori kiTxvari iqna gamoyenebuli - SinameurneobaTa kiTxvari da qalTa kiTxvari. orive kiTxvari damzadda or enaze - qarTulsa da rusulze. SinameurneobaTa kiTxvari moicavda kiTxvebs iseT detalebze, rogorebicaa Sinamurneobis Semadgenloba, ojaxis wevrebis ganaTlebis done da bavSvebisa da axalgazrdebis skolaSi wasvlisTvis mzadyofna da daswreba, Sinameurneobis socialur-ekonomikuri maxasiaTeblebi, ojaxis wevrTa mier socialuri daxmarebis miReba. es kiTxvebi Sesworda saqarTvelos saWiroebebis Sesabamisad, risTvisac gamoyenebuli iqna reproduqciuli janmrTelobis kvlevis SinameurneobaTa kiTxvaris nimuSi da gaeros bavSvTa fondis mier SemuSavebuli mravalindikatoriani klasteruli kvlevebis meoTxe raundi. wina kvlevebis msgavsad, 2010 wlis kvlevis qalTa kiTxvari Semdegi informaciis mopovebas isaxavda miznad: • demografiuli maxasiaTeblebi; • Sobadoba da bavSvTa sikvdilianoba; • ojaxis dagegmvis da reproduqciuli janmrTelobis prioritetebi; • reproduqciuli da bavSvis janmrTelobasTan dakavSirebuli samsaxurebiT sargebloba; • dedobasTan dakavSirebuli samsaxurebis mravalferovneba da xarisxi; • janmrTelobis dacvis profilaqtikuri da samkurnalo samsaxurebis gamoyeneba; • reproduqciuli janmrTelobasTan dakavSirebuli xarjebi; • janmrTelobis dacvis samsaxurebis xarisxis Sefaseba respodentTa mier; • janmrTelobisaTvis mavne Cvevebi (Tambaqosa da alkoholis moxmareba); • janmrTelobis sakiTxebSi mozardTa ganaTleba da janmrTelobasTan dakavSirebuli maTi qcevebi; • Zaladoba intimuri partnioris mxridan; • monacemebi aiv/Sidsisa da sxva sqesobrivi gziT gadamdebi daavadebebis Sesaxeb.

9


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

garda amisa, daisva kiTxvebi, raTa Sefasebul iyo respondentebis informirebis done tuberkulozisa da sxva qronikuli daavadebebis Sesaxeb da am daavadebebis SemTxvevebis sixSire, mdgomareoba ZuZus kibos skriningiT sargeblobis TvalsazrisiT, papiloma virusis vaqcinaciis Sesaxeb informirebis done da am acris gamoyenebis sixSire. da bolos, qalebs usvamdnen kiTxvebs jandacvis profilaqtikuri da samkurnalo samsaxurebis xelmisawvdomobis, janmrTelobis dazRvevis statusis da samedicino momsaxurebis xarjebis gadaxdisunarianobis Sesafaseblad. vinaidan aRmosavleT evropis sxva qveynebSi Catarebuli reproduqciuli janmrTelobis kvlevebis msgavsi monacemebi mravlad arsebobs, SeiZleba qveynebis Sedareba da warmatebuli regionuli midgomebis adaptireba qveynisTvis specifikuri konteqstis gaTvaliswinebiT.

2.3 monacemTa Segroveba intervius 40 interviueri qali atarebda, romlebmac intervius teqnikis, kvlevis procedurebis da kiTxvaris Sinaarsis asaTviseblad specialuri momzadeba gaiares. interviuerTa momzadeba Catarda monacemebis Segrovebis dawyebamde daavadebaTa kontrolis erovnuli centris ofisSi. interviuerTa treningi umetesad qarTul enaze trenerTa gundma Caatara. trenerTa gundi Sedgeboda aSS-is daavadebaTa kontrolisa da prevenciis centrebis sami konsultantisa da daavadebaTa kontrolis erovnuli centris TanamSromlebisagan. mosamzadebeli periodis dasasruls SeirCa 8 gundi, TiToeuli 5 interviueri qalis, 1 zedamxedvelisa da 2 mZRolis SemadgenlobiT. yvela interviueri or suraTi 2.2

enas flobda (qarTulsa da rusuls). savele samuSaoebs daavadebaTa kontrolis erovnuli centris TanamSromlebi xelmZRvanelobdnen, aSS-is daavadebaTa kontrolisa da prevenciis centrebis teqnikuri daxmarebiT. savele samuSaoebi 2009 wlis oqtombridan 2010 wlis Tebervlis CaTvliT Catarda. TiToeuli gundi pasuxismgebeli iyo ramdenime pirveladi SerCevis erTeulze da isini dagegmili ganrigisa da marSrutebis mixedviT manqanebiT mgzavrobdnen. interviuebis umetesoba qarTul enaze, xolo daaxleobiT 20% rusul enaze warimarTa. azerbaijanuli enis mcodne medmuSakebi muSaobdnen im respondentebTan, romlebmac mxolod azerbaijanuli ena icodnen. Sevsebul kiTxvarebs gundis xelmZRvanelebi adgilzeve amowmebdnen da mxolod amis Semdeg, savele samuSaoebis koordinatorebs mihqondaT isini monacemTa dasamuSaveblad daavadebaTa kontrolis erovnul centrSi. 2010 wlis reproduqciuli janmrTelobis kvlevis savele samuSaoebis jgufs ori koordinatori hyavda, romlebic savele samuSaoebs interivuerebisa da zedamxedvelebis rva jgufs unawilebda. savele samuSaoebis koordinatorebi da zedamxedvelebi amzadebdnen interviuerebis davalebebs da monitorings uwevdnen TiToeuli maTganis muSaobas savele dakvirvebebis, interviuerTa samuSaos piradad gadamowmebis da pasiur respondentebTan muSaobis gziT. savele samuSaoebis zedamxedvelebi yovelkvireulad aanalizebdnen TiToeuli interviueris muSaobis Sedegebsa da xarisxs da koordinirebas uwevdnen monacemebis eleqtronul bazaSi Seyvanis samuSaos zedamxedvelebs.

15-44 wlamde qalTa asakobrivi ganawileba 2010 wlis kvlevisa da 2002 wlis aRweris mixedviT

procenti

25

kvleva (2010)

aRwera (2002)

20

15

10

5

0

15-19

20-24

25-29

30-34

asakobrivi jgufi

10

35-39

40-44


saboloo angariSi

2.4 mopasuxeTa koeficienti 13363 SerCeuli Sinameurneobidan 6356-Si minimum erTi Sesaferisi respondenti qali (15-44 wlis) iyo. am respondentebidan 6292 qals srulyofili interviu CamoerTva, amgvarad, mopasuxeTa koeficientma 99% Seadgina. praqtikulad yvela respondenti, romelic kvlevisTvis SeirCa da visTan misvlac moxerxda, interviuze daTanxmda da iTanamSromla. SinamurneobaTa kiTxvarsa da qalTa kiTxvarze uaris koeficienti Zalian dabali iyo (0.2%). geografiuli adgilmdebareobis mixedviT mopasuxeTa koeficientebi erTmaneTisagan mniSvnelovnad ar gansxvavdeboda (cxrili 2.2).

2.5 xarisxis kontrolis meqanizmebi monacemebis maRali xarisxis uzrunvelsayofad, garkveuli zomebi iqna miRebuli. upirveles yovlisa, kiTxvari, romelic ukve saqarTveloSi reproduqciuli janmrTelobis kvlevis wina raundebis dros daixvewa, yuradRebiT ganixila qarTveli eqspertebis jgufma. Sedegad, kiTxvaris Sinaarsi mniSvnelovnad gafarTovda da ufro metad Seesabameboda programul saWiroebebs. moxda kiTxvaris farTo testireba rogorc sacdel gamokiTxvamde da mis dros, aseve savele samuSaoebis dawyebamde. testireba moicavda savele da simulirebul interviuebs, romlebsac daavadebaTa kontrolisa da prevenciis centrebis da daavadebaTa kontrolis erovnuli centris TanamSromlebi warmarTavdnen. kiTxvari iTargmna qarTulad da rusulad da Semdeg, xelaxla inglisurad. trenerebis gundma SearCia 40 interviueri da 8 zedamxedveli erTkviriani Teoriuli treningisa da erTkviriani savele swavlebis Semdeg. treningi sakmaod konkurentuli iyo da Tavdapirveli 75 monawilidan mxolod yvelaze kvalificiuri SeirCa. zedamxedvelebi moamzades TiToeuli intervius dasrulebisTanave anketebis Semowmebasa da SesworebaSi, raTa interviueris an respondentis mier daSvebuli Secdomis an romelime kiTxva-pasuxis gamorCenis aRmoCenisas interviuers hqonoda SesaZlebloba, dauyovnebliv gamoesworebina aseTi xarvezi ganmeorebiTi mokle vizitebis gziT. aseTi redaqtirebebis pirobebSi kiTxvaze pasuxis gaucemlobis SemTxvevebi 2%-mde Semcirda. zedamxedvelebi da savele samuSaoebis koordinatorebi interviuerebis muSaobis xarisxs xSirad da yuradRebiT amomwmebdnen SemTxveviTi SerCeviT. savele samuSaoebis gadamowmebis es procesi xarisxis kontrolis mTliani sistemis umniSvnelovanesi komponenti iyo.

cxovrebis manZilze mniSvnelovani monacemebis (qorwinebisa da orsulobis istoria) da orsulobebis, kontracepciis gamoyenebisa da qorwinebis statusis 5 wlis periodisTvis yovelTviuri kalendris kiTxvarSi CarTva daexmara respondentebs, gaexsenebinaT movlenebi da maTTan dakavSirebuli TariRebi. cxovrebis mniSvnelovan movlenebs Soris Sesabamisobis Semowmebebi Seyvanili iqna monacemebis gadamamuSavebel programaSi, raTa monacemebis Seyvanis zedamxedvelebs SesZlebodaT mcdari da Seusabamo monacemebis gamovlena da problemuri interviuebis velze dabruneba repondentebTan ganmeorebiTi vizitebis Casatareblad. daavadebaTa kontrolis centrebis gundi savele samuSaoebis mimdinareobas akvirdeboda xarisxis kontrolis im standartuli cxrilebis meSveobiT, romlebic mzaddeboda Segrovili uaxlesi monacemebiT da maT daaxloebiT or kviraSi erTxel egzavnebodaT. garda amisa, gundi oTxi kvira iyo velze da yvela jgufs gayva ramdenime winaswari SerCevis erTeulSi vizitebze. garda daavadebaTa kontrolis erovnuli centris gundis wevrebisa, savele samuSaoebs daavadebaTa kontrolisa da prevenciis centrebis warmomadgenlebic akvirdebodnen, amowmebdnen savele samuSaoebis mimdinareobasa da xarisxs.

2.6 SerCevis wonebi reproduqciuli janmrTelobis kvlevis mizania statistikuri maCveneblebis miReba, romlebic asaxavs viTarebas qveynis masStabiT. isini miiReba TiToeuli respondentisTvis „SerCevis wonis“ gamoTvliT, romelic Sesworebulia SerCevis albaTobis gaTvaliswinebiT. reproduqciuli janmrTelobis kvlevisTvis wonebi Semdegnairad gamoiTvala: pirvelad, wonebi Sesworda, raTa aesaxa Sinameurneobebidan reproduqciuli asakis mxolod erTi qalis SerCeva. im SinameurneobebSi, sadac erTze meti Sesaferisi respondenti iyo, is qali, romelic interviusTvis SeirCeoda, damatebiT wonas iRebda. mere, wonebi Sesworda, imis asasaxad, rom meCxerad dasaxlebul regionebSi mcxovreb qalebTa SerCeva ufro maRali maCveneblebiT moxda (e.i. maTi meti raodenoba iyo SerCeuli), vidre mWidrod dasaxlebul regionebSi, sadac qalebis naklebi raodenoba iyo SerCeuli. vinaidan pasuxebis miRebis zogadi maCvenebeli maRali iyo (99%), ar gaxda saWiro Sewonva im SemTxvevebis Sesasworeblad, roca interviuerebma ver moaxerxes respodentebis naxva an maTgan pasuxebis miReba. mas Semdeg, rac gamosakvlevi mosaxleobis Sewonili ga-

11


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

nawileba xuT asakobriv jgufad da sacxovrebeli adgilis mixedviT daiyo da Sedarebuli iqna aRweris monacemebTan, poststratifikaciuli Sewonva aRar iqna saWirod miCneuli (ix. seqcia 2.7). cxrili 2.2-is garda, winamdebare angariSSi mocemul yvela sxva cxrilSi Sewonili Sedegebia warmodgenili, Tumca Seuwonavi SemTxvevebi, gamoyenebuli gadaxris gamoTvlis mizniT, naCvenebia TiToeul cxrilSi. zogadad, cxrilebi, sadac procentuli ganawilebebia mocemuli, jamSi 100%-s unda Seadgendes, magram damrgvalebis gamo SeiZleba Seadginos 99.9% an 101.1%.

2.7 oficialur statistikur monacemebTan Sedareba 2010 wlis kvlevisaTvis SerCeul qalTa Sewonili procentuli ganawileba, 5-wliani asakobrivi jgufebis mixedviT, mxolod umniSvnelod gansxvavdeba 2009 wlis oficialuri saSualo wliuri monacemebisagan, romlebic aRweris monacemebs efuZneba (cxrili 2.3). sandoobis intervalis gaTvaliswinebis Semdeg,

12

saerTo asakobriv ganawilebaSi statistikurad mniSvnelovani gansxvavebebi ar aRiniSneboda. samwuxarod, SerCevis qalaqi/sofeli ganawilebas ver SevadarebT mimdinare oficialur monacemebs, vinaidan oficialuri statistika ar asaxavs mosaxleobis monacemebs qalaqebisa da soflebis mixedviT. 2002 welTan SedarebiT, SerCevis rogorc mTliani, aseve qalaqi/sofeli ganawileba moicavda 3539 da 40-44 wlis qalebis nakleb raodenobas (suraTi 2.2). Tumca 2002 wlis Semdeg asakobrivi Semadgenloba mniSvnelovnad Seicvala da amitom, saWiroa Sedarebis gakeTeba mosaxleobis saprognozo cifrebTan. 2009 wlis oficialuri prognozebi am asakobrivi jgufebis qalTa procentuli wilisTvis emTxveva 2010 wlis kvlevis mier aRricxul cifrebs da am qalebs Soris asakobriv ganawilebaSi raime didi gadaxra maTi qalaqad da soflad mcxovreb qalebad stratificirebis dros ar yofila. es Sedegebi imaze miuTiTebs, rom 3539 da 39-44 wlis qalebis SerCevis ganawileba sacxovrebeli adgilis mixedviT oficialur prognozebTan miaxloebuli iqneboda, aseTi prognozebi xelmisawvdomi rom yofiliyo.


saboloo angariSi

cxrili 2.1 2.1Sinameurneobebis raodenoba cxrili SinameurneobaTa raodenoba2010 2010 wlis wlis reproduqciuli reproduqciuli janmrTelobis kvlevis SerCevaSi dada 2002 wlis aRweraSi, kvlevis SerCevaSi 2002 wlis aRweraSi, janmrTelobis aRweris monacemebSi SinameurneobaTa ricxvis Sefardeba kvlevis Sedegad aRweris monacemebSi SinameurneobaTa ricxvis Sefardeba SerCevaSi SerCeuli Sinameurneobebis ricxvTan, regionebis Sinameurneobebis ricxvTan, regionebis mixedviT. mixedviT. reproduqciuli janmrTelobis 2010 reproduqciuli janmrTelobiskvleva, kvleva, saqarTvelo, saqarTvelo, 2010 aRweraSi Sinameurneobebis raodenobis Sefardeba SerCevaSi Sinameurneobebis raodenobasTan

Catarebuli sruli inetrviuebis raodenoba

1056

103.8

498

65

2734

111.9

1,426

83,391

20

841

99.2

392

124,031

25

1053

117.8

546

samcxe-javaxeTi

51,381

20

842

61.0

481

aWara

87,527

20

643

136.1

419

guria

39,743

20

1005

39.5

401

samegrelo

115,982

25

1057

109.7

477

imereTi

201,213

40

1684

119.5

805

mcxeTa-mTianeTi

34,484

20

845

40.8

393

20,395

30

1603

12.7

454

1,173,675

310

87.8

6,292

SinameurneobaTa raodenoba aRweris mixedviT

pirveladi SerCevis erTeulebis ( PSU) raodenoba SerCevaSi

kaxeTi

109,632

25

Tbilisi

305,896

Sida qarTli qvemo qarTli

strata (regioni)

raWa - svaneTi

sul

SesarCev SinameurneobaTa raodenoba

13,363

*wyaro: statistikis saxelmwifo departamenti, 2002 wlis mosaxleobis sayovelTao aRweris monacemebi † raWa-leCxumis,

qvemo-svaneTisa da zemo svaneTis regionebi gaerTianebulia erT strataSi

HH = Sinameurneoba; PSU = pirveladi SerCevis erTeuli

13


14

cxrili 2.3

0.1 100.0

0.0 100.0

1,426

0.4

0.7

6,292

0.3

0.2

1,442

0.3

6,356

98.9

0.1

2,734

52.7 43.7 0.5 0.9 1.9 0.3 100.0

1,549

1,559

0.0 100.0

0.5

0.1

0.1

99.4

3,152

49.5 48.0 0.0 0.1 2.4 0.1 100.0

3,317

3,355

0.0 100.0

0.9

0.1

0.1

98.9

7,477

44.9 51.4 0.1 0.1 3.6 0.0 100.0

sacxovrebeli adgili sxva sofeli qalaqi

Tbilisi

99.0

13,363

47.6 49.0 0.1 0.2 3.0 0.1 100.0

sul

498

501

0.0 100.0

0.0

0.6

0.0

99.4

1,056

47.4 49.5 0.2 0.0 2.8 0.0 100.0

kaxeTi

1,426

1,442

0.1 100.0

0.4

0.3

0.3

98.9

2,734

52.7 43.7 0.5 0.9 1.9 0.3 100.0

Tbilisi

392

395

0.0 100.0

0.8

0.0

0.0

99.2

841

47.0 50.2 0.0 0.0 2.9 0.0 100.0

Sida qarTli

546

548

0.0 100.0

0.4

0.0

0.0

99.6

1,053

52.0 44.8 0.0 0.4 2.8 0.0 100.0

qvemo qarTli

481

484

0.0 100.0

0.6

0.0

0.0

99.4

842

57.5 40.1 0.0 0.2 2.0 0.1 100.0

samcxejavaxeTi

419

422

0.0 100.0

0.7

0.0

0.0

99.3

643

65.6 30.9 0.0 0.0 3.4 0.0 100.0

aWara

regioni

401

410

0.0 100.0

1.2

0.2

0.7

97.8

1,005

40.8 59.0 0.0 0.0 0.2 0.0 100.0

guria

477

481

0.0 100.0

0.6

0.2

0.0

99.2

1,057

45.5 53.8 0.0 0.0 0.7 0.0 100.0

samegrelo

805

810

0.0 100.0

0.6

0.0

0.0

99.4

1,684

48.1 48.9 0.0 0.0 3.0 0.0 100.0

imereTi

393

403

0.0 100.0

2.2

0.2

0.0

97.5

845

47.7 49.5 0.2 0.1 2.4 0.1 100.0

mcxeTamTianeTi

100.0

17.9 18.9 16.6 16.3 15.8 14.4 (1.3) (1.4) (1.3) (1.3) (1.3) (1 3) (1.4)

sul

100.0

17.4 19.7 16.3 16.7 15.6 14.3 (1.3) (1.4) (1.3) (1.3) (1 (1.3) 3) (1.3)

qalaqi

100.0

18.6 18.0 17.0 15.9 16.1 14.5 (1.3) (1.3) (1.3) (1.3) (1 (1.3) 3) (1.4)

sofeli

2010 wlis kvleva (95% sandoobis intervali)

oficialuri

100.0

17.2 18.1 17.0 16.1 1 15.8 8 15.8

sul

wliuri) *

monacemebi (saSualo

100.0

17.6 16.4 15.8 15.5 17.0 1 0 17.7

sul

100.0

16.7 16.2 15.9 15.6 17.4 1 4 18.3

qalaqi

wliuri monacemebi, saqarTvelo, 2008 – 2009 † statistikis saxelmwifo departamenti, 2003. 2002 wlis saqarTvelos mosaxleobis aRweris monacemebi.

sofeli

100.0

18.8 16.7 15.8 15.3 16.6 16 6 16.8

2002 wlis oficialuri monacemebi

* statistikis saxelmwifo departamenti, 2011: mosaxleobs asakobrivi jgufebisa da sqesis mixedviT, saSualo

sul

15–19 20–24 25–29 30–34 3 39 35–39 40–44

asakobrivi jgufi

2009 wlis

454

460

0.0 100.0

1.3

0.0

0.0

98.7

1,603

28.7 62.2 0.0 0.1 9.0 0.0 100.0

raWasvaneTi

cxrili 2.3 qalebis, sruli interviu CamoerTva, ganawileba qalebis raodenoba, visac srulivisac interviu CamoerTva, Sedareba oficialur monacemebTan sacxovrebeli adgilisa da Sedareba oficialur monacemebTan sacxovrebeli adgilisa da asakis mixedviT asakobrivi jgufis mixedviT. reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

sruli interviuebis raodenoba

arCeuli Sesaferisi qalebis raodenoba

sruli interviuebi SerCeuli respondenti adgilze ar iyo SerCeulma respondentma uari Tqva qv SerCeuli respondenti ar aris kompetenturi arasruli interviu sul

Sesaferisi qalebis raodenoba

monaxulebuli komlebis raodenoba

Sesaferisi qalebi ar aris vizitisas saxlSi aravinaa komlis uari dausaxlebeli komli sxva sul

Sesaferisi qalebi arCeulia

SinameurneobebSi vizitebi

cxrilicxrili 2.2 SinameurneobebSivizitebisSedegebi interviusaTvisSesaferisqalTainterviuerebis 2.2 SinameurneobebSi vizitebis Sedegebi da da qalebTan Catarebuli interviuebis statusi, sacxovrebeli adgilisSedegebi mixedviT sacxovrebeli adgilis janmrTelobis kvleva, saqarTvelo, 2010 mixedviT,reproduqciuli procentuliganawileba. reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


Tavi

3

SerCevis nimuSis maxasiaTeblebi kvlevaSi aRwerilia reproduqciuli asakis qalebSi janmrTelobis maCveneblebisa da maTi ganmsazRvreli faqtorebis farTo speqtri. aRniSnuli maCveneblebis ukeT gasagebad, me-3 TavSi aRwerilia respondentebis ZiriTadi maxasiaTeblebi, romlebic gamoyenebulia winamdebare angariSSi. ZiriTad geografiul maCveneblebad aRebulia sacxovrebeli adgilis tipi, rac niSnavs qalaqad an soflad cxovrebas; sacxovrebelis adgilmdebareoba, romelic moicavs Tbilisis sxva urbanul da sasoflo dasaxlebas, aseve sacxovrebeli adgilis lokalizacia regionebis mixedviT (sul 11 regioni). ZiriTad demografiul maCveneblebad SerCeulia asaki da ojaxuri mdgomareoba intervius aRebis momentSi. asakis maCvenebeli dajgufebulia 5-wliani intervaliT (an zogierT TavSi 10-wliani intervaliT), xolo ojaxuri mdgomareobis maCvenebeli moicavs 4 tipis urTierTobas: oficialuri qorwineba. samoqalaqo kavSiri, warsulSi arsebuli kavSiri (qvrivi, ganqorwinebuli an daSorebuli) da qalebi, romlebic arasodes yofilan qorwinebaSi. socialur-ekonomikur maCveneblebSi Sedis ganaTlebis done da Sinamurneobis qonebrivi mdgomareoba. ganaTleba iyofa Semdeg kategoriebad: arasruli saSualo an naklebi (Seesabameba saSualo skolis 0-10 klasis ganaTlebas), sruli saSualo (saSualo skolis ganaTleba me-11 da me-12 klasebis CaTvliT), teqnikuri (profesiuli koleji) da umaRlesi (bakalavriati/magistratura) ganaTleba. qonebrivi mdgomareoba ganisazRvreba SinameurneobaTa aqtivebis, maT Soris xangrZlivi moxmarebis nivTebis (macivari, televizori, avtomobili, kompiuteri da sxva) da sayofacxovrebo pirobebis (sasmeli wyali, tualeti, saWmlis mosamzadeblad da gasaTbobad gamoyenebuli energoresursi, saxlis gadaxurvisTvis gamoyenebuli ZiriTadi masala, SinameurneobaSi mosaxleTa simWidrove) safuZvelze. qonebrivi mdgomareobis indeqsis gamosaTvlelad, SinamurneobaSi arsebul TiToeul aqtivs mieniWa konkretuli qula, romelic ganisazRvra ZiriTadi komponentebis analizis meSveobiT. ganxorcielda aqtivebis qulebis standartizeba, raTa normaluri ganawilebis standartuli saSualo sidide nulis da standartuli gadaxra erTis toli yofiliyo (Gwatkin et al., 2000). TiToeul Sinameurneobas mieniWa 15


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

SinameurneobaTa procentuli maCveneblebi qveda or qonebriv kvintilSi, regionebis mixedviT

FsuraTi 3.1.1 procenti 100

85

80 75 66

60

70

59

44

54

50 43

40 35

20

1

0 kaxeTi

Tbilisi

Sida qarTli

Kqvemo samcxeKqarTli javaxeTi

standartizebuli qula, romelic asaxavda am SinameurneobaSi arsebul aqtivebs da qonebas; Sinameurneobebis jamuri qulebi miRebuli iqna standartizebuli qulebis SejamebiT. Semdeg, Sinameurneobebi daiyo xuTi Tanabari zomis jgufad anu kvintilebad jamuri qulebis mixedviT. aqtivebis yvelaze dabali jamuri qulis mqone SinameurneobaTa 20% moxvda 1-l kvintilSi, anu yvelaze dabal qonebriv kvintilSi; momdevno 20% - me-2 kvintilSi anu, meore qonebriv kvintilSi, da ase Semdeg. TiToeuli respondentis ranJireba moxda im Sinameurneobis qonebrivi kvintilis Sesabamisad, romelSic cxovrobda. amrigad qonebrivi indeqsi afasebs Sinameurneobis sayofacxovrebo pirobebs sxva SinameurneobebTan SedarebiT, rac miuTiTebs, rom maRali qonebrivi kvintilis SinameurneobebSi mcxovreb respondentebs ukeTesi socialur-ekonomikuri statusi aqvT, vidre dabali qonebrivi kvintilis SinameurneobebSi mcxovreb respondentebs. cxrilSi 3.1.1 naCvenebia saqarTvelos mosaxleobis ganawileba qonebrivi kvintilebis mixedviT, sacxovrebeli adgilis tipis (qalaqi/sofeli) da regionebis Sesabamisad. SinameurneobaTa qonebrivi indeqsi georgafiulad Semdegnairadaa gadanawilebuli: qalaqis SinameurneobaTa 74% zeda or kvintilSi moxvda maSin, rodesac am qonebriv jgufebs soflis SinameurneobaTa mxolod 3% miekuTvna. regionebs Soris gansxvavebebs Tu davakvirdebiT, davinaxavT, rom zeda or qonebriv kvintils mikuTvnebuli Sinameurneobebis yvelaze didi wili Tbilisze modis (91%). suraTSi 3.1.1 Cans,

16

aWara

Gguria

samegrelo imereTi

mcxeTamTianeTi

raWasvaneTi

rom raWa-svaneTSi, guriasa da samegreloSi aris qveda ori qonebrivi kvintilis mqone Sinameurneobebis yvelaze didi raodenoba. aRsaniSnavia, rom saqarTveloSi 1999 da 2005 wlebSi Catarebul reproduqciuli janmrTelobis kvlevebSi socialurekonomikuri statusis dasaxasiaTeblad qonebrivi indeqsi ar gamoyenebula. wina kvlevebSi gamoiyeneboda socialur-ekonomikuri indeqsi, romelic efuZneboda sayofacxovrebo pirobebisa da sakuTrebaSi arsebuli sagnebisTvis miniWebul Tanabar sidideebs. miRebuli qulebi 0-dan 9-mde an 0-dan 10-mde meryeobda, sadac 0 yvelaze dabali niSnuli iyo (anu, iseTi sayofacxovrebo pirobebi da sakuTrebaSi arsebuli sagnebi, romlebsac qulebi ar eniWeboda), xolo 9 da 10 umaRlesi niSnuli iyo (rodesac Sinameurneobas yvela sagani hqonda). Semdeg, aRniSnuli qula iyofoda tercilebad, Sinameurneobis socialurekonomikuri statusis sami donis misaRebad. imisaTvis, rom gaadvildes 2010 wlis kvlevaSi gamokiTxuli respondentebis reproduqciuli janmrTelobis indikatorebis Sedareba wina kvlevebis SedegebTan socialur-ekonomikuri maxasiaTeblebis mixedviT, 2010 wlis kvlevis qonebrivi indeqsi aseve gamoiyeneba SinameurneobaTa tercilebis mixedviT ganawilebisaTvis. qonebrivi tercilebi efuZneba ZiriTadi komponentebis analizs da kvlevaSi SerCeul Sinameurneobebs hyofs imgvarad, rom 33% xvdeba mTliani aqtivebis yvelaze dabali qulis kategoriaSi, meore 33% - saSualo da mesame 33% - umaRles kategoriaSi. amrigad, indikatorebis tendenciebis Se-


saboloo angariSi

FsuraTi 3.1.2

onkanis wyliT mosargeble SinameurneobaTa procentuli maCveneblebi, regionebis mixedviT % Households with Water Faucet <45 45-54

*

55-69 70-79 80+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

FsuraTi 3.1.3

Casarecxi tualetiT mosargeble SinameurneobaTa procentuli maCveneblebi, regionebis mixedviT % Households with Flush Toilet <20 20-29

*

30-44 45-54 55+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

dareba socialur-ekonomikuri statusis mixedviT unda moxdes frTxilad, vinaidan 2010 wlis kvlevis analizSi socialurekonomikuri statusis Sefasebis odnav gansxvavebuli meTodologiaa gamoyenebuli.

3.1 SinameurneobaTa maxasiaTeblebi socialur-ekonomikuri keTildReoba reporduqciuli janmrTelobis statusis ganmsazRvreli mniSvnelovani faqtoria. respondentTa socialur-ekonomikuri statusis Sesafaseblad, 2010 wlis kvlevis farglebSi Segrovda informacia SinameurneobebSi ZiriTadi sayofacxovrebo pirobebis (mag., eleqtroenergiis miwodeba, sasmeli wylis wyaro, tualetis tipi,

saWmlis momzadebisa da gaTbobisaTvis gamoyenebuli energoresursi, gadaxurvisaTvis gamoyenebuli ZiriTadi masala) da sxvadasxva nivTebis (mag., televizori, macivari, avtomobili, satelituri antena, kompiuteri, an video/DVD magnitofoni da sxva) Sesaxeb. SinameurneobaTa 76% sasmelad onkanis wyals iyenebs, romelic an milsadeniT aqvT Seyvanili binaSi, ezoSi, SemoRobil teritoriaze an miwis nakveTze (cxrili 3.1.2). SinameurneobaTa daaxloebiT 15% sasmelad Wis wyals iyenebs, xolo 3% - wyaros wyals. onkanis wyali ufro gavrcelebulia qalaqebSi (97%), vidre soflad (55%). onkanis wylis xelmisawvdomoba izrdeba qonebrivi indeqsis zrdis Sesabamisad, 45%-dan yvelaze dabal qonebriv kvintilSi TiTqmis 17


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

100%-mde yvelaze maRal qonebriv kvintilSi (cxrili 3.1.3). onkanis wyali xelmisawvdomia 80%-ze met SinameurneobaSi Tbilisis, aWarisa da raWa-svaneTis regionebSi (suraTi 3.1.2). onkanis wyali sasmeli wylis ZiriTadi wyaroa sxva regionebSic, garda guriisa da samegrelosi, sadac SinameurneobaTa umetesoba Wis wyliT sargeblobs. saerTo moxmarebis onkanebi sasmeli wylis rigiT meore mniSvnelovani wyaroa kaxeTsa da qvemo qarTlSi (cxrili 3.1.2). mTlianobaSi, saqarTvelos SinameurneobaTa 93% (aqedan, 98% qalaqad, xolo 88% soflad) sasmeli wylis gaumjobesebul wyaros iyenebs (daucveli Wis da wyaros wyali sasmelad saxifaTod iTvleba). sasmeli wylis gaumjobesebuli wyaros yvelaze dabali procenti (69%) samegreloSia (cxrili 3.1.4). SeniSvna: cxrilebi 3.1.4-dan 3.1.7-is CaTvliT da 3.3.1-dan 3.3.6-is CaTvliT Sedgenilia SinameurneobaTa kiTxvarebidan aRebuli monacemebiT, romlebic moicavs mravalindikatoriani klasteruli kvlevebis maCveneblebs. mravalindikatoriani klasteruli kvlevebis maCveneblis nomeri yoveli TemisTvis naCvenebia TiToeuli cxrilis qveS. (gaeros bavSvTa fondis mier SemuSavebuli mravalindikatoriani klasteruli kvleva - IM CS) cxrili 3.1.5 gviCvenebs, rom SinameurneobaTa 75%-s sasmeli wylis wyaro adgilze aqvs. SinameurneobaTa 20% sasmeli wylis wyarosTan misvlas da wylis motanas 30 wuTs, SinameurneobaTa 4% ki, 30 wuTze mets andomebs. 2010 wels TiTqmis yvela Sinameurneobas uwyvetad miewodeboda eleqtroenergia da FsuraTi 3.1.4

mxolod umniSvnelo gansxvavebebi iyo regionebs Soris (cxrili 3.1.2). eleqtroenergiis uwyveti miwodebis mkveTri zrda (37%dan 96%-mde) aRiniSna 2005 da 2010 wlebis kvlevebs Soris. - n 2005-Si 2010 wels. rogorc naCvenebia cxrilSi 3.1.2, Sinameurnebobis 48% Casarecxi tualetiT sargeblobs, xolo 50% _ ezos sapirfareSoTi. SinameurneobebSi Casarecxi tualetis arsebobis TvalsazrisiT mniSvnelovani sxvaobaa qalaqsa (84%) da sofels Soris (9%). SinameurneobaSi Casarecxi tualetis arsebobis yvelaze maRali maCvenebelia TbilisSi (96%), xolo yvelaze dabali _ kaxeTis da raWa-svaneTis regionebSi (8%) (suraTi 3.1.3). rogorc cxrili 3.1.6 gviCvenebs, regionebis umetesobaSi, Tbilisis da aWaris garda, Sinameurneobebi ZiriTadad ezos sapirfareSoebiT sargebloben. zogadad, qalaqis SinameurneobaTa 96%, xolo soflis SinameurneobaTa 71% sargeblobs gaumjobesebuli sanitaruli saSualebebiT. samcxe-javaxeTis mosaxleoba yvelaze naklebad iyenebs gaumjobesebul sakanalizacio saSualebebs (53%). soflad mosaxleoba ZiriTadad sargeblobs ezos sapirfareSoebiT betonis iatakiT an mis gareSe (Sesabamisad, 59% da 24%; ezos sapirfareSo, romelsac betonis iataki ara aqvs, ar iTvleba gaumjobesebuli tipis sakanalizacio saSualebad), xolo urbanul dasaxlebebSi yvelaze gavrcelebuli Casarecxi tualetebia, romlebic sakanalizacio sistemasTan aris mierTebuli (82%). cxrili 3.1.7 (bolo sveti) gviCvenebs, rom mTeli mosaxleobis 79% iyenebs wylisa da sanitariis gaumjobesebul saSualebebs.

ZiriTadi sayofacxovrebo pirobebi SinameurneobebSi, sacxovrebeli adgilis tipis mixedviT

procenti 100

qalaqi

80

sofeli

60

40

20

0

eleqtroenergiiT (24 saaTi)

18

onkanis wyali

Casarecxi tualeti

bunebrivi airi an eleqtroenergia

centraluri gaTboba


saboloo angariSi

SinameurneobebSi xangrZlivi moxmarebis nivTebis procentuli maCveneblebi, sacxovrebeli adgilis tipis mixedviT

FsuraTi 3.1.5 procenti 100

qalaqi

80

sofeli

60

40

20

0

t

i

or

viz

e el

FsuraTi 3.1.6

ebi

ivr

mac

i ur bil ni mo efo l te

s li sax foni e l te

a

qan

man

ri

te

piu

m ko

eo i vid afon t i n g ma

mobiluri telefoniT mosargeble SinameurneobaTa procentuli maCveneblebi, regionebis mixedviT % Households with Cell Phones <40 40-49

*

50-59 60+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

am maxasiaTeblis mixedviT mkveTri gansxvavebaa (56%-dan 99%-mde) qonebriv kvintilebs Soris. Sinameurneobebi saWmlis mosamzadeblad ZiriTadad iyeneben bunebriv airs (45%),qvanaxSirs an SeSas (40%). eleqtroenergias SinameurneobaTa mxolod 4% iyenebs saWmlis mosamzadeblad. qalaqebSi SinameurneobaTa umetesoba (74%) saWmlis mosamzadeblad bunebriv airs iyenebs, xolo soflad (70%) qvanaxSirs an SeSas. bunebrivi airis moxmareba yvelaze maRalia TbilisSi (80%), xolo yvelaze dabali â&#x20AC;&#x201C; raWa-svaneTSi (2%). SinameurnoebaTa TiTqmis ori mesamedi gasaTbobad Rumels iyenebs (66%), romelsac mosdevs oTaxebis sxvadasxva saxis individ-

ualuri gamaTboblebi (29%). centraluri gaTbobiT sargeblobs SinamurneobaTa mxolod 1.4% da isic ZiriTadad TbilisSi. SinamurneobaTa 2%-s saerTod ar hqonda gaTboba, rac ufro xSiria qalaqad vidre soflad. saxlebis gadaxurvisTvis gamoyenebuli ZiriTadi masalaa gofrirebuli Tunuqi (36%), Tunuqis furclebi (33%), kramiti an betonis fila (26%). gofrirebuli Tunuqi ZiriTadad gamoiyeneba soflad, xolo kramitis an betonis filebiani saxuravebi ufro urbanuli dasaxlebebisTvis aris damaxasiaTebeli. gofrirebuli TunuqiT gadaxuruli saxlebi yvelaze gavrcelebulia guriis regionSi (70%), xolo kramitiT an betonis filebiT gadaxurva yvelaze

19


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 3.1.7

ZiriTadi sayofacxovrebo pirobebi SinameurneobebSi; 1999, 2005 da 2010 wlis reproduqciuli janmrTelobis kvlevebi

procenti 100

1999 80

2005 2010

60

40

20

0

Casarecxi tualeti

FsuraTi 3.1.8

saxlis telefoni

eleqtroenergia (24 HsaaTi)

centraluri gaTboba

Sinameurneobebis qoneba; 1999, 2005 da 2010 wlis reproduqciuli janmrTelobis kvlevebi

procenti

100

1999 80

2005 2010

60

40

20

0

televizori

macivari

agaraki

xSirad TbilisSi gvxvdeba (62%). jamSi, urbanuli SinamurneobebisTvis ufro metad aris damaxasiaTebeli wyalgayvanilobis, Casarecxi tualetis da centraluri gaTbobis arseboba, aseve bunebrivi airis gamoyeneba saWmlis mosamzadeblad. uwyveti eleqtroenergiiT momaragebis mxriv, praqtikulad ar arsebobs gansxvaveba qalaqsa da sofels Soris da eleqtroenergia miewodeba TiTqmis yvela ojaxs (suraTi 3.1.4). erTaderTi maxasiaTebeli, romelic soflis Sinameurneobebs ukeTesi aqvT, es aris oTaxebis raodenoba erT sul mosaxleze. qalaqTan SedarebiT, soflad erT sul mosaxleze oTaxebis meti raodenoba modis. cxrilis 3.1.8 Tanaxmad, televizori yvelaze gavrcelebuli xangrZlivi mox20

manqana

videomagn.

mobiluri telefoni

marebis nivTia da saqarTvelos TiTqmis yvela Sinameurneobas aqvs (97%), mciredi gansxvavebiT qalaqsa da sofels Soris. xangrZlivi moxmarebis yvela sxva nivTi ufro metad qalaqis SinameurneobebSi gvxvdeba, vidre soflad (suraTi 3.1.5). macivari da mobiluri telefoni (minimum erTi) SinameurneobaTa or mesamedze mets aqvs. fiqsirebuli satelefono xazi aqvs SinameurneobaTa naxevarze mets (56%). unda aRiniSnos, rom fiqsirebuli satelefono xazi gavrcelebis TvalsazrisiT, gansxvaveba qalaqsa da sofels Soris sakmaod didia (73% da 38%), Tumca es sxvaoba mniSvnelovnad mcirdeba mobiluri telefonebis flobis maxasiaTeblis mixedviT. mobiluri telefonei qalaqis SinameurneobaTa 82%-s, xolo soflis SinameurneobaTa 67% aqvs. minimum


saboloo angariSi

FsuraTi 3.2.1

reproduqciuli asakis qalebis amJamindeli ojaxuri mdgomareoba, asakis mixedviT

procenti

amJamad gaTxovili

ganaTxovari

gauTxovari

100

80

60

40

20

0

15-19

20-24

25-29

30-34

35-39

40-44

asakobrivi jgufi

erTi mobiluri telefonis flobis maCvenebeli yvelaze dabalia raWa-svaneTSi (57%) da yvelaze maRalia TbilisSi (86%) (suraTi 3.1.6). zogadad, SinameurneobaTa 25% flobs avtomobils. avtomobilis mflobelTa wili yvelaze maRalia Tbilisis da samcxejavaxeTis regionebSi (31%), xolo yvelaze dabali raWa-svaneTSi (13%). kompiuteri da interneti SinameurneobaTa 20%-s aqvs da aRiniSneba mniSvnelovani gansxvaveba sacxovrebeli adgilis tipis mixedviT. kompiuteri qalaqis SinameurneobaTa 35%s da soflis SinameurneobaTa mxolod 6%-s gaaCnia. analogiurad, interneti xelmisawvdomia qalaqis SinameurneobaTa 34%-isTvis da soflis SinameurneobaTa 4%-sTvis (cxrili 3.1.3). zogadad, yovel mexuTe Sinameurneobas satelituri TefSi aqvs. aRniSnuli nivTis qona ufro gavrcelebulia soflad(29%) , vidre qalaqad (14%). respondentTa 19%s gaaCnia video/DVD magnitofoni, ufro metad qalaqis SinameurneobebSi, ad (29%), vidre soflebSi (11%). kondicionerebi SinameurneobaTa mxolod 4%-s aqvs, ZiriTadad qalaqebSi. agaraks SinameurneobaTa mxolod 7% flobs da sxvaoba qalaqad da soflad mcxovreb Sinameurneobebs Soris didia (12% da 1.2%, Sesabamisad). xangrZlivi moxmarebis nebismieri nivTi ufro metad qalaqis Sinameurneobebs gaaCnia, erTaderTi gamonaklis garda. es aris televizori, romelic TiTqmis yvela Sinameurneobas aqvs rogorc qalaqad, aseve soflad (suraTi 3.1.5). suraTSi 3.1.7 naCvenebia SinameurneobaTa sayofacxovrebo pirobebis cvlileba uka-

naskneli 11 wlis ganmavlobaSi. aRsaniSnavia, rom am periodis ganmavlobaSi Casarecxi tualetebis xelmisawvdomobis maCvenebeli praqtikulad ar Secvlila, magram 10-jer gaizarda eleqtroenergiis 24-saaTiani momarageba (9%-dan 1999 wels 96%-mde 2010 wels). ufro met Sinameurneobas aqvs fiqsirebuli satelefono xazi (36%-dan 56%mde zrda) da 10-jer met Sinameurneobas aqvs centraluri gaTboba. suraTSi 3.1.8 naCvenebia SinameurneobaSi xangrZlivi moxmarebis nivTebis arsebobis maCveneblebis tendenciebi. erTaderTi mniSvnelovani zrda mxolod mobiluri telefonis flobis maCvenebelSi aRiniSna â&#x20AC;&#x201C;10%-dan (1999 wels) gaizarda 75%-mde (2010 wels). bolo 11 wlis ganmavlobaSi mniSvnelovnad Semcirda agarakebis mflobelTa raodenoba da umniSvnelod Semcirda macivris da avtomobilis mflobelTa raodenoba. cxrili 3.1.3 gviCvenebs SinameurneobaTa procentul maCveneblebs SerCeuli maxasiaTeblebis (mag., sayofacxovrebo pirobebis da xangrZlivi moxmarebis nivTebis) mixedviT TiToeul qonebriv kvintilSi. rogorc mosalodneli iyo, SinameurneobaTa proporcia TiToeuli konkretuli maxasiaTeblis mixedviT, izrdeba qonebrivi kvintilis matebasTan erTad; gamonakliss warmoadgens mobinadreTa simWidrovis da satelituri TefSis maxasiaTeblebi. mobinadreTa simWidrovis mixedviT saukeTeso maCveneblebia qveda or qonebriv kvintilSi da mniSvnelovnad uaresdeba zeda qonebriv kvintilebSi. satelituri TefSis yvelaze maRali maCvenebeli saSualo qonebriv kvintilSia (31%) xolo yvelaze dabali maCvenebeli (16%) umaRles qonebriv kvintilSi. 21


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

reproduqciuli asakis qalebSi Svilebis raodenoba, sacxovrebeli adgilis mixedviT

FsuraTi 3.2.2 procenti

50

Tbilisi 40

Osxva qalaqi sofeli

30

20

10

0

0

1

2

3

4+

bavSvebis raodenoba

unda aRiniSnos, rom qonebriv kvintilebs Soris Zalze umniSvnelo sxvaobaa uwyveti eleqtromomaragebisa da televizoris qonis maxasiaTeblebis mixedviT. mkveTri gansxvaveba aRiniSneba SinameurneobebSi Casarecxi tualetebis arsebobis mxriv, rac meryeobs 0%-dan yvelaze dabal qonebriv kvintilSi 100%-mde yvelaze maRal qonebriv kvintilSi. aseve mniSvnelovani variacia gamovlinda qonebriv kvintilebSi iseTi maxasiaTeblis mixedviT, rogorebicaa saWmlis momzadebisTvis gamoyenebuli energiis ZiriTadi wyaro, gaTbobis sistemis tipi, kompiuteris da internetis qona. 2005-dan 2010 wlamde gaizarda respondentTa ricxvi, romlebic cxovroben sakuTar binaSi an saxlSi (85%-dan 93%mde). sakuTar binaSi/saxlSi mcxovrebTa yvelaze maRali maCvenebeli kaxeTis re-

gionSia (99%), xolo yvelaze dabali TbilisSi (84%). naqiraveb binaSi da ojaxTan erTad ufro metad qalaqebSi cxovroben, vidre soflad ( 12% da 3%, Sesabamisad) da maTi wili yvelaze maRalia TbilisSi. respondentTa raodenoba, romlebic ojaxTan erTad cxovroben, 2005 wlis Semdeg 2%-iT Semcirda (2010 wlis monacemebi ixileT cxrilSi 3.1.9). 2010 wlis kvlevis mixedviT, tipiur Sinameurneobas saSualod 3.8 oTaxi aqvs, samzareulosa da saabazano oTaxis garda. soflisSinameurneobebs oTaxebis ufro meti raodenoba aqvT , vidre qalaqisas. (saSualod 4.6 oTaxi da 3.0 oTaxi, Sesabamisad). yvelaze meti oTaxi kaxeTis regionSi mdebare Sinameurneobebs aqvT (saSualod 5.2 oTaxi), romlebsac mosdevs guriis, samegrelosa da imereTis regionebSi arsebuli Sinameurneobebi, saSualod 4.5

reproduqciuli asakis qalebSi ganaTlebis done, sacxovrebeli adgilis mixedviT

FsuraTi 3.2.3 procenti

arasrul saSualoze naklebi

sruli saSualo

teqnikuri

umaRlesi

100

80

60

40

20

0

sul

22

Tbilisi

sxva qalaqi

sofeli


saboloo angariSi

FsuraTi 3.2.4

saSualo skolaze maRali ganaTlebis mqone qalebis procentuli maCveneblebi, regionebis mixedviT % Households with 12+ Yrs. of Education <45 45-54

*

55-59 60+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

oTaxiT. oTaxebis yvelaze naklebi raodenobiT gamoirCeva Tbilisis Sinameurneobebi (saSualod 2.5 oTaxi). (cxrili 3.1.10). Sinameurneobebis suladoba, saSualod 3.3 adamians Seadgens da metia soflad (3.5) vidre qalaqad (3.2). Sinameurneobis saSualo sidide yvelaze dabalia raWa-svaneTis regionSi (2.8 adamiani), xolo yvelaze maRali aWarisa da samcxe-javaxeTis regionebSi ( 3.9 da 3.8 adamiani, Sesabamisad). Sinameurneobebis 67%-Si ojaxis ufrosi mamakacia. ojaxis ufrosoba mamakacebs ufro metad soflad ekuTvniT, vidre qalaqad. (71% da 64%, Sesabamisad). ojaxis ufrosi mamakacebis yvelaze meti raodenoba aWarisa da guriis regionebSia (71%), yvelaze naklebi ki - TbilisSi (64%) (cxrili 3.1.11). SinameurneobebSi mobinadreTa simWidrove Semdegnairad Sefasda: mobinadreTa saSualo raodenoba (cxrili 3.1.11) gaiyo oTaxebis saSualo raodenobaze (cxrili 3.1.10). mTlianobaSi, erT oTaxze modis 0.8 adamiani. qalaqSi aRniSnuli maCvenebeli 1.1-ss, xolo soflad - 0.8-s Seadgens. TbilisSi erT oTaxze saSualod 1.3 adamiani modis. 2010 wlis kvlevaSi respondentebma sakuTari ojaxebis materialuri statusi Semdegnairad Seafases: respondentTa 67%ma aRniSna, rom ojaxi `rogorRac axerxebs Tavis gatanas~, 26%-is TqmiT ojaxs `uWirs Tavis gatana~. mxolod 7%-ma ganacxada, rom ojaxi `Tavisuflad akmayofilebs sakuTar moTxovnilebebs~, romelTa umetesoba aWaris regionSi cxovrobs. SinameurneobaTa procentuli maCvenebeli, romelsac `uWirs Tavis gatana~ yvelaze maRalia soflad (35%) da guriis regionSi (45%). (cxrili 3.1.12).

3.2 respondentTa maxasiaTeblebi cxrilis 3.2.1 mixedviT, respondentTa asakobrivi ganawileba sakmaod erTgvarovania rogorc zogadad, aseve sacxovrebeli adgilis mixedviT. mTlianobaSi, intervius Catarebis momentisTvis, gamokiTxulTa 36% 15-24 wlis asakis iyo. aRniSnuli maCvenebeli ar icvleba sagrZnoblad sacxovrebeli adgilis mixedviT. . respondentTa TiTqmis 60% oficialurad daqorwinebuli iyo an imyofeboda araoficialur col-qmrul kavSirSi mamakacTan. qalebis umravlesoba (58%) imyofeboda registrirebul qorwinebaSi oficialur qorwinebaSi an araoficialur col-qmrul kavSirSi myofi respondentebis umravlesoba (64%) cxovrobda soflad. gamokiTxuli qalebis erT mesamedze meti arasdros yofila qorwinebaSi an ucxovria partniorTan, romelTa yvelaze maRali procentuli maCvenebeli (40%) TbilisSi dafiqsirda. respondentTa 7%-ma ganacxada, rom meuRlesTan an partniorTan amJamad ganqorwinebuli an daSorebuli arian. suraTSi 3.2.1 naCvenebia respondentTa ojaxuri mdgomareobis damatebiTi monacemebi asakobrivi jgufebis mixedviT. 15-19 wlis asakis qalTa udidesi umravlesoba arasodes yofila qorwinebaSi an araoficialur col-qmrul kavSirSi partniorTan. 20-24 wlis asakobrivi jgufis warmomadgenel qalebs Soris TiTqmis yoveli meore (49%), xolo 25-29 wlis asakis qalebis 71% daqorwinebuli iyo an Tanacxovrobda partniorTan. qorwinebaSi myofi qalebis procentuli maCvenebeli izdreboda asakis matebis paralelurad da 40-44 wlis asa23


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

kobriv jgufSi 90%-s miaRwia. asakis matebasTan erTad, aseve, izrdeboda warsulSi qorwinebaSi myof qalTa procentuli maCvenebeli: Tu 15-19 wlis asakis qalebis mxolod 0.8 %-ia ganworwinebuli, 40-44 wlis asakobriv jgufSi es maCvenebeli 13 %-s aRwevs (cxrili 3.2.2). intervius Catarebis momentSi, gamokiTxulTa 41%-s ar hyavda Svili (cocxali). es maCvenebeli yvelaze maRali iyo TbilisSi mcxovreb respondentTa Soris (47%) da yvelaze dabali - soflad mcxovreb qalebs Soris (38%). TiTqmis yovel mexuTe respondents hyavda erTi cocxali Svili, respondentTa 30 %-s _ ori, xolo 10%-s _ sami da meti cocxali Svili (cxrili 3.2.1). 2010 wlis reproduqciuli janmrTelobis kvlevis Sedegebis mixedviT, TbilisSi mcxovreb qalebs SedarebiT naklebi raodenobis Svilebi hyavT (saSualod 1.7), vidre sxva qalaqebsa (saSualod 1.8) da soflebSi mcxovreb (saSualod 2.0) qalebs. Msgavsi monacemebi iqna miRebuli 2005 wels Catarebuli kvlevis dros (suraTi 3.2.2). ganaTlebis done qarTvel qalebSi maRalia, rac dasturdeba im faqtiT, rom respondentTa mxolod 23%-s aqvs arasruli saSualo ganaTleba. zogadad, Tbilissa da sxva qalaqebSi mcxovrebi qalebis ganaTlebis done ufro maRalia, vidre soflebSi (suraTi 3.2.3). magaliTad, rogorc cxrilidan 3.2.1 Cans, umaRlesi ganaTlebis miRebis albaToba samjer metia TbilisSi mcxovreb qalebs Soris, vidre soflad macxovreblebSi. ganaTlebis dabali donis mqone yvelaze meti qali cxovrobs qvemo qarTlSi, samcxe-javaxeTSi, kaxeTsa da guriaSi, kerZod, aRniSnul regionebSi respondentTa mxolod 37% - 42%-s hqonda miRebuli 12 wliani an ufro xangrZlivi ganaTleba (suraTi 3.2.4). umaRlesi ganaTlebis mxriv gamoirCeva q. Tbilisi, sadac respondentTa 60%-s umaRlesi ganaTleba aqvs miRebuli. arasruli saSualo ganaTleba daafiqsira TbilisSi mcxovreb respondentTa mxolod 13%-ma (cxrili 3.2.1). ukanaskneli maxasiaTebliT, qveynis arc erTi sxva regioni ar cdeba 20%ian maCvenebels. aRniSnuli gansxvaveba, savaraudod, aixsneba q. TbilisSi umaRlesi saganmanaTleblo dawesebulebebis ukeTesi xelmisawvdomobiT. respondentTa erT mesamedze meti cxovrobda SinameurneobebSi, romlebic or yvelaze dabal qonebriv kvintilSi moxvdnen, 21% - saSualo qonebriv kvintilSi, xolo 44% - or umaRles qonebriv kvin-

24

tilSi. qveda or qonebriv kvintilSi moxvedrili qalebis udidesi nawili soflad cxovrobda (66%), xolo umciresi - TbilisSi (1%). Sesabamisad, or umaRles qonebriv kvintilSi soflad mcxovrebi respondentebis mxolod 5% da TbilisSi mcxovrebi qalebis absoluturi umravlesoba moxvda (cxrili 3.2.1). gamokiTxuli qalebis mxolod 21%-ma ganacxada, rom muSaobs ojaxis gareT, kviraSi sul mcire 20 saaTis ganmavlobaSi. soflad qalebi ufro naklebad arian dasaqmebuli ojaxis gareT (13%), vidre Tbilissa da sxva qalaqebSi (31% da 26%, Sesabamisad). gamokiTxulTa umravlesobam (87%) sakuTar erovnebad daasaxela qarTveli, 5%-ma - eTnikuri azerbaijaneli, da aseve 5%-ma â&#x20AC;&#x201C; eTnikuri somexi. eTnikuri umciresobebis warmomadgenlebidan ufro meti cxovrobda soflad, vidre qalaqad (19% da 8%, Sesabamisad). respondentTa umravlesoba (82%) qarTveli marTlmadidebeli iyo, 11% - musulmani, xolo 5% - sxva qristianuli religiis warmomadgeneli. rogorc cxrilidan 3.2.1 Cans, musulmanTa umetesoba soflad cxovrobs da mosaxleobis 18%-s Seadgens. cxrili 3.2.2 warmogvidgens damatebiT informacias 15-44 wlis asakis qalebis ganaTlebis donis Sesaxeb. mTlianobaSi, daaxloebiT yovel meoTxe respondents (23%) arasruli saSualo, xolo 39%-s umaRlesi ganaTleba hqonda miRebuli. axalgazrda qalebSi (15-19 wlis asakis respondentebis garda, romelTa umetesoba, savaraudod, jer kidev skolaSi swavlobs), umaRlesi ganaTlebis sixSire metia, vidre SedarebiT asakovan qalebSi. rac Seexeba teqnikur ganaTlebas, igi dominirebs 40-44 wlis asakis respondentebs Soris. rogorc cxrilidan 3.2.3 Cans, umaRlesi ganaTleba ufro metad qalaqad mcxovrebi qalebisTvis aris damaxasiaTebeli (45%), vidre soflad mcxovrebTaTvis (19%). umaRlesi ganaTlebis mqoneTa yvelaze maRali wili Tbilisze modis (53%), yvelaze dabali ki - guriis regionze (15%). ganaTlebis done icvleba qonebrivi kvintilebis mixedviT: yvelaze dabal kvintilSi qalebis mxolod 13%-s aqvs umaRlesi ganaTleba, xolo yvelaze maRal kvintilSi â&#x20AC;&#x201C; 57%-s. cxrilis 3.2.3 mixedviT, reproduqciuli asakis qalebSi ganaTlebis xangrZlivobis mediana saSualod 10.8 wels Seadgens. cxrilSi 3.2.4 Sejamebulia SinameurneobebSi mcxovrebi mamakacebis ganaTlebis done. mTlianobaSi, mamakacTa 25%-s aras-


saboloo angariSi

ruli saSualo (10 welze naklebi), xolo 29%-s - umaRlesi ganaTleba aqvs miRebuli. ganaTlebis xangrZlivobis mediana saSualod 10.7 wels Seadgens (TiTqmis imdenives, rac qalebSi).. qalebis msgavsad, umaRlesi ganaTlebis mqone mamakacebis udidesi nawili Tbilisze da umaRles qonebriv kvintilze modis, xolo yvelaze mcire nawili - guriis regionsa da yvelaze dabal qonebriv kvintilze.

3.3 skolaSi Sesvlis da daswrebis indikatorebi cxrilebSi 3.3.1â&#x20AC;&#x201C;3.3.6 naCvenebia damatebiTi informacia ganaTlebasTan dakavSirebiT, kerZod, skolaSi Sesvlisa da daswrebis maCveneblebi. yvela es informacia aRebulia 2010-2011 wlebis mravalindikatoriani klasteruli kvlevidan da aRniSnuli kvlevis indikatori naCvenebia TiToeuli cxrilis qveS. aRniSnul cxrilebSi mocemuli informacia SesaZlebelia SemdegnairadSejamdes: cxrili 3.3.1 CvenTvis saintereso indikatori exeba skolamdeli aRzrdis dawesebulebidan saSualo skolis pirvel klasSi Sesvlas. saqarTveloSi pirvelklaselTa

40% skolaSi Sesvlis wina wels skolamdeli aRzrdis dawesebulebaSi dadioda. cxrili 3.3.2 pirvel klasSi Sesasvleli asakis mqone bavSvebTagan, 83% skolaSi Sedis (maTgan 84% biWi da 82% gogo, anu, TiTqmis Tanabari raodenoba). cxrili 3.3.3 dawyebiTi klasebis asakis mqone yvela bavSvidan 96% dadis skolaSi (daswrebis wminda maCvenebeli). skolis gareT rCeba 4%, romelic skolaSi unda dadiodes. saSualo indikatorze odnav dabali maCvenebeli aRiniSna kaxeTsa da qvemo qarTlSi â&#x20AC;&#x201C; 93%. cxrili 3.3.4 saSualo skolaSi daswrebis saerTo maCvenebeli 86%-ia . skolis gareT rCeba 14%, rac bavSvebis im 4%-ze metia, romelic skolaSi ar Sedis. savaraudoa, rom am 14%-dan zogi dawyebiT skolaSi dadis. cxrili 3.3.5 dawyebiTidan saSualo klasebSi gadasvlis maCvenebeli daaxloebiT 100%-ia da TiTqmis Tanabaria gogonebisa da biWebisaTvis. cxrili 3.3.6 genderuli gansxvaveba sqesTa Tanabari warmomadgenlobis sazomiT Zalze mcirea rogorc dawyebiT, aseve saSualo klasebSi.

25


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 3.1.1 procentuli maCveneblebi sxvadasxva qonebriv kvintilSi, cxrili 3.1.1SinameurneobaTa SinameurneobaTa procentuli maCveneblebi sxvadasxva qonebriv sacxovrebeli adgilis da regionebis mixedviT kvintilSi, sacxovrebeli adgilis da regionebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 qonebrivi kvintili

maxasiaTebeli

sul

Sinameurne obaTa raodenoba

yvelaze dabali

meore

saSualo

meoTxe

umaRlesi

sul

20.0

20.0

20.2

19.8

20.0

100.0

12,904

sacxovrebeli adgili qalaqi sofeli

3.7 37.5

5.0 36.0

17.4 23.1

35.7 2.8

38.1 0.6

100.0 100.0

5,708 7,196

0.4 7.1 37.5

0.6 9.5 36.0

7.7 27.1 23.1

35.4 36.0 2.8

55.8 20.4 0.6

100.0 100.0 100.0

2,636 3,072 7,196

30.3 0.4 25.9 23.3 20.8 14.0 50.4 41.4 19.0 24.4 57.1

35.2 0.6 32.9 20.5 29.6 20.6 24.9 29.0 23.9 29.1 27.8

30.0 7.7 27.2 23.7 38.6 25.9 17.4 18.7 22.2 26.6 13.6

3.6 35.4 9.8 18.4 8.4 26.6 6.0 8.0 22.7 14.1 1.4

1.0 55.8 4.2 14.0 2.7 12.9 1.2 3.0 12.2 5.8 0.1

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

1,024 2,636 817 1,020 822 621 1,003 1,050 1,633 821 1,457

sacxovrebeli adgili Tbilisi sxva qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi

26


0.8 0.3 1.1 1.5 0.2 0.0 00 0.0 82.9 1.3 0.9

5.8 1.2 8.4 5.3 2.0 0.8 04 0.4 45.8 2.2 1.9

Casarecxi tualeti, mierTebuli raime sxva sistemasTan

ezos sapirfareSo ventilaciis gaumjobesebuli sistemiT 3.4 0.0 0.0 0.4

6.3 73.77 73 11.5 8.5 2.6 1.4 47.5 45.0 3.3 02 0.2 45.3 19.6 28.3 4.5 1.6 0.7

1.4 0.0 0.2

3.7 44.88 44 39.8 11.6 1.4 0.8 28.9 66.5 2.1 03 0.3 26.5 36.0 33.2 2.4 1.3 0.5

dakiduli sapirfareSo

sapirfareSo ar aris/buCqi/mindori

sxva sakvebis mosamzadeblad gamoyenebuli energiis wyaro

eleqtroenergia bunebrivi airi qvanaxSiri/SeSa sxva gaTbobis sistemebi centraluri gaTboba sakuTari saqvabe oTaxebis individualuri gaTboba Rumeli ara aqvs sxva saxuravis ZiriTadi masala kramiti an cementis fila gofrirebuli Tunuqi Tunuqis furclebi betonis fila bunebrivi masalebi sxva SinameurneobaTa raodenoba

11.1

34.5 14.0

ezos sapirfareSo cementis safariT

ezos sapirfareSo cementis safaris gareSe

saerTo sargeblobis onkani WaburRili daculi Wa daucvelia Wa daculi wyaro daucveli wyaro sxva sapirfareSo Casarecxi tualeti, mierTebuli kanalizaciis sistemasTan

86.8 9.2

53.3 22.7

qalaqi

96.6 3.4

sul

96.4 3.6

24-saaTiani eleqtromomarageba diax ara sasmeli wylis wyaro onkani (saxlSi) onkani (ezoSi, sakuTar teritoriaze)

maxasiaTebeli

6.5 53.6 38.3 0.1 1.1 0.4 7,196

0.1 0.2 9.0 89.6 0.8 03 0.3

1.1 13.88 13 70.1 15.0

0.0

0.1

2.9

25.3

59.6

2.9

3.2

6.0

11.2 2.2 16.2 9.2 4.1 1.7 08 0.8

17.4 37.2

96.2 3.8

sofeli

sacxovrebeli adgili

3.1 42.7 52.8 0.1 0.7 0.6 1,024

0.1 0.2 5.7 93.0 1.0 01 0.1

0.4 26.22 26 57.6 15.8

0.0

0.0

0.3

18.4

64.5

2.7

6.8

7.3

19.6 1.6 11.0 1.6 2.6 1.1 08 0.8

19.4 42.3

98.3 1.7

kaxeTi

61.8 6.8 23.7 5.2 2.0 0.5 2,636

4.1 1.7 57.1 32.7 4.2 01 0.1

7.5 89.88 89 1.1 1.6

0.1

0.0

0.0

1.0

2.0

0.5

1.1

95.3

0.3 0.1 0.0 0.0 0.0 0.0 00 0.0

96.8 2.7

97.1 2.9

Tbilisi

8.8 47.1 42.8 0.1 0.9 0.2 817

0.5 0.5 23.9 74.7 0.5 00 0.0

1.5 29.33 29 55.7 13.6

2.1

0.0

0.0

20.9

54.8

1.6

0.7

19.8

11.6 1.2 5.8 12.2 2.4 1.5 09 0.9

30.7 33.7

97.7 2.3

Sida qarTli

17.2 48.7 27.4 5.3 0.6 0.9 1,020

0.3 1.0 24.8 71.5 2.2 03 0.3

2.9 51.88 51 36.1 9.2

0.0

0.1

0.1

13.9

42.3

2.6

2.7

38.2

13.7 0.5 2.8 5.0 5.0 3.3 09 0.9

44.8 23.9

91.9 8.1

qvemo qarTli

4.7 58.9 35.4 0.0 0.6 0.4 822

0.4 0.2 6.1 93.1 0.2 00 0.0

0.6 99 9.9 64.7 24.8

0.1

0.5

4.5

38.7

26.6

2.8

1.9

24.8

7.2 0.0 0.4 0.0 1.1 0.7 00 0.0

55.8 34.8

99.3 0.7

samcxejavaxeTi

18.7 51.7 27.5 0.6 0.6 0.8 621

1.6 1.8 27.5 65.4 1.9 18 1.8

6.0 26.99 26 39.3 27.9

0.0

0.0

15.1

11.4

12.7

1.3

5.3

54.1

2.9 1.1 1.1 0.2 7.9 0.8 23 2.3

63.0 20.8

91.8 8.2

aWara

regioni

7.1 69.7 22.5 0.3 0.2 0.2 1,003

0.1 1.2 8.7 89.5 0.5 00 0.0

1.2 81 8.1 81.3 9.5

0.0

0.0

0.2

14.7

69.3

1.0

0.7

14.2

5.7 3.0 46.2 4.2 0.3 0.2 00 0.0

16.7 23.8

97.9 2.1

guria

13.5 49.2 33.7 0.9 2.6 0.1 1,050

0.1 0.1 23.2 75.5 1.0 00 0.0

3.3 37 3.7 75.5 17.4

0.0

0.0

0.0

13.0

67.8

4.9

0.5

13.8

2.0 3.2 19.8 29.2 0.2 0.0 00 0.0

19.8 25.7

97.4 2.6

samegrelo

22.2 38.5 36.1 1.6 1.0 0.7 1,633

0.4 0.2 21.6 75.8 1.7 04 0.4

2.2 43.88 43 40.7 13.3

0.1

0.0

0.2

18.7

36.6

1.3

1.4

41.7

2.1 1.5 16.0 3.2 1.5 0.6 01 0.1

49.1 26.0

97.6 2.4

imereTi

25.3 34.0 36.1 1.2 2.2 1.2 821

0.6 0.5 17.1 80.3 1.2 04 0.4

3.8 33.00 33 54.8 8.4

0.0

0.1

0.2

32.9

33.9

1.7

5.4

25.8

8.0 3.3 6.8 1.0 4.8 0.7 09 0.9

38.2 36.3

90.9 9.1

mcxeTamTianeTi

3.4 23.1 68.9 1.0 2.5 1.1 1,457

0.1 0.1 7.5 92.1 0.2 00 0.0

0.2 15 1.5 96.2 2.1

0.0

0.1

0.1

29.6

58.2

3.6

1.4

7.0

7.1 1.3 1.0 1.2 1.4 3.6 01 0.1

15.9 68.5

98.1 1.9

raWasvaneTi

cxrili 3.1.2 SinameurneobebSi ZiriTadi sayofacxovrebo pirobebis arseboba, sacxovrebeli adgilis da regionebis mixedviT, cxrili 3.1.2 SinameurneobebSi ZiriTadi sayofacxovrebo pirobebis arseboba, sacxovrebeli adgilis da regionebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010saqarTvelo, 2010 mixedviT, reproduqciuli janmrTelobis kvleva,

saboloo angariSi

27


28 51.5 57.8 97.9 81 9 81.9 89.1 72.5 28.1 35.2 34.0 26.0 13.9 12.2 6.9 5,708

31.1 66.5 96.6 74 5 74.5 78.8 56.0 25.2 21.0 19.7 18.6 21.3 6.9 3.8 12.904

gadautvirTavi sacxovrebeli farTi*

televizori m b mobiluri r telefoni t n macivari saxlis telefoni avtomobili kompiuteri interneti video/DVD magnitofoni 29.2 1.2 0.5 7,196

95.1 66 5 66.5 67.9 38.3 22.0 5.8 4.4 10.6

75.8

9.3

96.2 54.6 93 9.3 14.9

sofeli

17.6 0.2 0.0 3,312

89.3 43 4 43.4 41.7 15.9 3.2 0.0 0.0 0.6

76.1

0.2

94.6 45.3 00 0.0 0.2

yvelaze dabali

29.0 1.0 0.1 2,815

98.0 74 0 74.0 78.2 41.3 25.3 1.1 0.6 9.3

76.3

8.0

96.4 57.3 24 2.4 11.8

meore

30.7 1.8 0.4 2,603

97.8 79 2 79.2 85.2 59.0 28.9 11.7 8.8 17.6

73.0

18.8

97.0 79.1 40 6 40.6 46.7

saSualo

13.0 4.2 1.6 2,121

98.0 78 1 78.1 90.4 70.3 20.9 18.8 17.6 19.5

61.4

47.9

96.0 98.6 97 8 97.8 87.7

meoTxe

qonebrivi kvintili

16.1 27.3 17.2 2,053

99.8 97 7 97.7 98.9 93.7 47.3 73.7 71.7 45.8

45.4

81.1

97.9 99.9 100 0 100.0 96.9

umaRlesi

* SinameurneobaSi mcxovrebi pirebis saerTo raodenoba gayofili oTaxebis raodenobaze (samzareulosa da saabazanos gamoklebiT) udrida erTs an naklebs.

satelituri TefSi agaraki kondicioneri SinameurneobaTa raodenoba

96.6 96.0 84 2 84.2 80.0

qalaqi

96.4 76.0 48 0 48.0 48.6

sul

24-saaTiani eleqtromomarageba onkanis wyali Casarecxi tualeti sakvebis momzadeba eleqtroenergiiT an bunebrivi airiT centraluri an oTaxis individualuri gaTboba

maxasiaTebeli

sacxovrebeli adgili

reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

SinameurneobebSi ZiriTadi sayofacxovrebo pirobebis arseboba, cxrili sayofacxovrebo 3.1.4 cxrili 3.1.3 SinameurneobebSi ZiriTadi pirobebs arseboba,sacxovrebeli adgilisa da qonebrivi kvintilis mixedviT. sacxovrebeli adgilisa da qonebrivi kvintilis mixedviT. reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


43.3 43.7 23.1 2.1 .1 22.4

.1 10.7 54.2 96.1 99.9 52.5

25.1 33.8 67.4

49.7 39.8 17.4

15.9 31.6 28.4 .0

22.0 22.9 24.9

59.4 16.8 18.8

67.8 31.3 38.6 100.0

33.7

56.1

8.9 35.5

23.7

42.9

86.9 19.2

41.1 2.7 32.4

onkani (ezoSi)

19.4 96.9 30.9

onkani (saxlSi)

[1] MICS indikatori 4.1; MDG indikatori 7.8

sacxovrebeli adgili qalaqi sofeli ojaxis ufrosis ganaTlebis done aranairi dawyebiTi saSualo + ar vici qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi sul

samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi

samcxe-javaxeTi aWara guria

qvemo qarTli

Sida qarTli

regioni kaxeTi Tbilisi

maxasiaTebeli

2.8 2.2 1.9 .3 .0 1.4

.9 2.5 1.9 .0

.4 2.5

.9 2.8 2.5

1.1 .8 1.7

2.4

1.3

4.8 .2 1.7

8.8 9.2 4.6 .7 .0 4.6

3.2 8.5 5.8 .0

.3 8.8

.9 4.5 3.6

2.5 5.0 .2

5.5

13.2

15.7 .1 9.2

saerTo onkani sargeblobis (mezobelTan) onkani

2.0 2.8 2.1 .1 .0 1.4

.9 1.9 1.9 .0

.3 2.5

1.9 3.7 .9

1.6 3.1 3.5

.0

.7

1.7 .1 1.7

WaburRili

gaumjobesebuli wyaro

20.1 15.5 6.8 .5 .0 8.4

5.8 7.9 11.1 .0

1.3 15.3

16.2 7.7 1.1

.8 47.0 19.9

.4

3.5

11.2 .0 6.1

daculi Wa

5.5 4.7 1.5 .2 .0 2.3

1.6 6.8 2.7 .0

.2 4.4

1.6 4.9 1.1

9.1 .2 .3

1.2

5.2

2.8 .0 2.4

daculi wyaro

.1 .1 .1 .0 .0 .0

.0 .0 .1 .0

.0 .1

.0 .1 .0

.0 .0 .0

.0

.4

.0 .0 .0

13.1 8.9 5.3 .1 .0 5.4

3.0 5.5 7.9 .0

1.7 9.0

3.0 1.2 1.5

.1 3.9 30.6

.0

4.7

1.4 .0 13.5

boTlSi Camosxmuli daucveli Wa wyali

sasmeli wylis ZiriTadi wyaro

3.1 1.6 .0 .0 .0 .9

.5 3.7 1.0 .0

.0 1.8

.6 .9 4.3

.8 .2 .0

.8

3.6

1.1 .0 1.3

daucveli wyaro

.0 .1 .0 .0 .0 .0

.0 .0 .0 .0

.0 .0

.0 .0 .0

.0 .0 .0

.0

.1

.1 .0 .0

wyalmzidi manqanis cisterna

.1 .1 .3 .0 .0 .1

.1 .2 .1 .0

.0 .2

.0 .5 .1

.0 .0 .0

.0

.5

.4 .0 .0

urikebi patara zomis cisternebiT

aragaumjobesebuli wyaro

.0 .1 .0 .0 .0 .0

.0 .0 .0 .0

.0 .0

.0 .1 .0

.0 .0 .0

.0

.1

.0 .0 .0

zedapiridan aRebuli wyali (mdinare, nakaduli,

.8 .6 .2 .0 .0 .3

.3 .0 .4 .0

.0 .6

.0 .0 .0

2.6 .0 .0

.0

.0

.3 .0 .7

sxva

100.0 100.0 100.0 100.0 100.0 100.0

100.0 100.0 100.0 100.0

100.0 100.0

100.0 100.0 100.0

100.0 100.0 100.0

100.0

100.0

100.0 100.0 100.0

sul

82.7 88.7 94.2 99.9 100.0 93.2

96.1 90.6 90.5 100.0

98.3 88.4

96.4 97.3 94.1

96.5 95.9 69.4

99.2

90.9

7,634 9,175 9,180 7,621 9,242 42,853

20,846 1,577 20,424 5

21,102 21,751

7,005 1,241 584

3,782 1,419 4,345

2,148

4,692

4,079 10,506 3,052

raodenoba procentuli maCvenebeli [1]

96.7 100.0 84.5

aTa

Sinameurneob mosargeble SinameurneobaTa

gaumjobesebuli wyaroebiT

sasmeli wylis

cxrili 3.1.4 SinameurneobebSi SinameurneobebSi sasmeli wyaros procentuli maCveneblebi, SerCeuli maxasiaTeblebis mixedviT. cxrili 3.1.4 sasmeli wylis ZiriTadi wyaros wylis procentuliZiriTadi maCveneblebi, SerCeuli maxasiaTeblebis mixedviT janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

saboloo angariSi

29


30

aranairi dawyebiTi saSualo + ar vici qonebrivi kvintilis yvelaze dabali meore saSualo meoTxe umaRlesi sul

kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi sacxovrebeli adgili qalaqi sofeli ojaxis ufrosis ganaTlebis done

maxasiaTebeli 30 wuTze naklebi 28.0 .2 18.5 14.2 5.8 6.1 51.8 23.0 18.4 17.8 5.9 1.9 25.8

9.7 18.1 18.1 .0 30.3 26.8 12.6 1.1 .1 14.1

wyali adgilze 65.3 99.8 65.0 68.2 92.1 82.5 40.5 45.4 75.8 76.5 87.3 96.1 57.3

84.6 65.5 68.9 100.0 46.3 56.6 79.2 98.5 99.9 76.4

6.1 5.2 2.4 .3 .0 2.8

1.8 7.0 3.4 .0

.2 5.3

3.4 .0 1.0 8.5 1.2 7.8 3.6 1.0 2.2 3.0 .8

30 wuTze meti

sasmeli wylis gaumjobesebuli wyaros momxmareblebi

14.5 9.9 5.1 .1 .0 5.8

3.3 7.0 8.3 .0

1.5 9.9

2.0 .0 14.8 6.2 .8 1.3 3.8 30.2 2.5 2.1 5.8

30 wuTze naklebi

2.8 1.4 .7 .0 .0 1.0

.6 2.4 1.2 .0

.2 1.7

1.3 .0 .8 2.9 .0 2.3 .3 .4 1.2 .6 .1

30 wuTze meti

sasmeli wylis aragaumjobesebuli wyaros momxmareblebi

sasmeli wylis wyaromde misasvlelad saWiro dro

100.0 100.0 100.0 100.0 100.0 100.0

100.0 100.0 100.0 100.0

100.0 100.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

sul

7,634 9,175 9,180 7,621 9,242 42,853

20,846 1,577 20,424 5

21,102 21,751

4,079 10,506 3,052 4,692 2,148 3,782 1,419 4,345 7,005 1,241 584

SinameurneobaTa raodenoba

cxrili 3.1.5 Sinameurneobidan sasmeli wylis wyaromde misasvlelad saWiro dro sasmeli wylis gaumjobesebuli da cxrili 3.1.5 Sinameurneobidan sasmeli wylis wyaromde misasvlelad saWiro dro aragaumjobesebuli wyaros momxmareblebisTvis, SerCeuli maxasiaTeblebis mixedviT sasmeli wylis gaumjobesebuli da aragaumjobesebuli wyaros momxmareblebisTvis, reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 SerCeuli maxasiaTeblebis mixedviT, reproduqciuli janmrTelobis kvleva, saqarTvelo, 20

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


SinameurneobebSi sxvadasxva tipis tualetebis procentuli maCveneblebi, SerCeuli maxasiaTeblebis mixedviT

sacxovrebeli adgili qalaqi sofeli ojaxis ufrosis ganaTlebis done aranairi dawyebiTi saSualo + ar vici qonebrivi kvintilis indeqsi yvelaze dabali meore saSualo meoTxe umaRlesi sul

regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi

maxasiaTebeli

1.0 2.1

1.9 2.4 1.2 .0

.0 .2 3.8 3.3 .7 1.6

59.8 13.1 27.2 100.0

.0 .2 23.0 91.2 98.9 42.5

1.4 .5 1.1 2.9 .4 2.0 1.6 1.3 2.9 2.0 1.3

81.9 4.3

5.2 94.8 18.5 32.9 20.9 47.9 12.4 11.3 38.2 24.7 6.0

Casarecxi tualeti mierTebuli kanalizaciis sistemasTan

Casarecxi tualeti mierTebuli septikur cisternasTa n

.0 .4 3.8 1.6 .4 1.3

1.0 2.0 1.4 .0

.9 1.6

3.6 .7 .6 2.3 1.1 1.4 .4 .3 .5 4.2 1.1

Casarecxi tualeti mierTebuli ormosTan

.0 .9 1.0 .2 .0 .4

.3 2.6 .4 .0

.1 .7

1.9 .1 .1 .1 .0 1.9 .3 .1 .1 .0 .1

Casarecxi tualeti, romelic ucnobia rasTan aris mierTebuli

2.6 2.7 3.5 .6 .0 1.9

1.3 1.4 2.6 .0

.9 2.9

2.0 .5 1.7 3.1 3.4 1.4 1.0 5.2 1.2 1.7 3.0

63.8 65.1 45.9 2.0 .1 35.5

25.2 44.4 45.3 .0

11.5 58.8

65.5 2.2 57.0 44.9 27.6 12.9 68.8 68.0 38.2 35.1 59.6

ezos sapirfareSo cementis safariT

.9 .3 .3 .0 .0 .3

.3 1.6 .2 .0

.0 .6

.3 .0 .0 .1 .0 2.0 .2 .0 .4 .4 .2

biotualeti

tualetis tipi

ezos sapirfareSo gaumjobeseb uli ventilaciis sistemiT

gaumjobesebuli tualeti

reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 SinameurneobebSi sxvadasxva tipis tualetebis

.0 .3 2.1 .6 .0 .6

.4 .5 .9 .0

.2 1.0

2.1 .1 .1 .3 .9 1.6 .2 .0 .9 .7 .2

tualeti, romelic ucnobia rasTan aris mierTebuli

30.5 24.9 14.7 .3 .0 14.0

9.2 21.8 18.2 .0

3.2 24.4

18.0 1.0 19.2 13.4 40.0 12.5 15.0 13.8 17.6 31.1 28.5

ezos sapirfareSo cementis safaris gareSe

.0 .0 .0 .0 .0 .0

.0 .0 .0 .0

.0 .0

.0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0

vedro

1.9 4.8 1.6 .0 .0 1.7

.5 9.9 2.3 .0

.0 3.4

.0 .0 .0 .0 5.4 16.3 .0 .0 .0 .0 .0

dakiduli sapirfareSo

.1 .2 .3 .1 .0 .1

.1 .2 .2 .0

.3 .0

.0 .1 1.5 .0 .1 .0 .0 .0 .0 .0 .0

sxva

aragaumjobesebuli tualeti

.0 .0 .0 .0 .0 .0

.0 .1 .0 .0

.0 .0

.0 .0 .0 .0 .2 .0 .0 .0 .0 .0 .0

sapirfareSo ar aris/ buCqi/ mindori

cxrili 3.1.6 procentuli maCveneblebi, SerCeuli maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

cxrili 3.1.6

100.0 100.0 100.0 100.0 100.0 100.0

100.0 100.0 100.0 100.0

100.0 100.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

sul

7,634 9,175 9,180 7,621 9,242 42,853

20,846 1,577 20,424 5

21,102 21,751

4,079 10,506 3,052 4,692 2,148 3,782 1,419 4,345 7,005 1,241 584

SinameurneobaTa raodenoba

saboloo angariSi

31


32

onkanis wyali saxlSi, ezoSi an sakuTar teritoriaze

regioni kaxeTi 60.5 Tbilisi 99.6 Sida qarTli 63.3 qvemo qarTli 66.6 samcxe-javaxeTi 89.7 aWara 81.4 guria 39.7 samegrelo 43.8 imereTi 74.9 mcxeTa-mTianeTi 73.6 raWa-svaneTi 84.8 adgili qalaqi 95.7 sofeli 54.8 ojaxis Tavis ganaTleba aranairi 83.6 dawyebiTi 63.0 saSualo + 67.0 ar vici 100.0 qonebrivi kvintilis indeqsi yvelaze dabali 43.4 meore 54.4 saSualo 77.3 meoTxe 98.2 umaRlesi 99.9 sul 74.9 [1] MICS indikatori 4.1; MDG indikatori 7.8 [2] MICS indikatori 4.3; MDG acadbusx 7.9

maxasiaTebeli

3.3 .0 15.5 9.1 .8 3.5 4.1 30.6 3.6 2.7 5.9 1.7 11.6

3.9 9.4 9.5 .0

17.3 11.3 5.8 .1 .0 6.8

2.5 33.6

12.5 27.6 23.5 .0

39.3 34.3 16.9 1.8 .1 18.3

aragaumjobesebu li sasmeli wyali

36.2 .4 21.2 24.3 9.4 15.0 56.3 25.6 21.5 23.7 9.2

sxva gaumjobesebuli

gaumjobesebuli sasmeli wyali[1]

100.0 100.0 100.0 100.0 100.0 100.0

100.0 100.0 100.0 100.0

100.0 100.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

sul

67.4 69.7 81.3 98.9 100.0 83.5

89.8 67.5 78.3 100.0

96.3 71.1

79.9 98.8 79.2 86.2 53.3 69.5 84.8 86.2 81.5 68.2 71.2

gaumjobesebuli tualetis tipi [2]

32.6 30.2 18.7 1.1 .0 16.5

10.2 32.4 21.7 .0

3.7 28.8

20.1 1.2 20.8 13.7 46.5 30.5 15.2 13.8 18.5 31.8 28.7

aragaumjobesebu li tualetis tipi

.0 .0 .0 .0 .0 .0

.0 .1 .0 .0

.0 .0

.0 .0 .0 .0 .2 .0 .0 .0 .0 .0 .0

Ria defekacia

aragaumjobesebuli tualetis tipi

SinameurneobaTa mosaxleobis procentuli wili, romelic sargeblobs:

100.0 100.0 100.0 100.0 100.0 100.0

100.0 100.0 100.0 100.0

100.0 100.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

sul

56.3 61.5 76.3 98.8 100.0 78.7

87.1 61.7 71.4 100.0

95.0 62.9

79.1 98.8 68.9 78.2 52.6 68.4 81.0 61.1 79.9 66.5 68.5

gaumjobesebuli sasmelis wylis wyaroebi da gaumjobesebuli tualetis tipi

cxrili 3.1.7 SinameurneobebSi sasmeli wylis wyarosa da sxvadasxva tipis tualetis procentuli maCvenebeli, SerCeuli cxrili 3.1.7 SinameurneobebSi sasmeli wylis wyarosa da sxvadasxva tipis tualetis procentuli maCveneblebi, maxasiaTeblebis mixedviT SerCeuli maxasiaTeblebis janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobismixedviT, kvleva: reproduqciuli saqarTvelo, 2010

7,634 9,175 9,180 7,621 9,242 42,853

20,846 1,577 20,424 5

21,102 21,751

4,079 10,506 3,052 4,692 2,148 3,782 1,419 4,345 7,005 1,241 584

SinameurneobaTa raodenoba

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


8.0 2.2 0.3 0.6 100.0 5,708

4.4 1.5 0.3 0.5 100.0 12,904

cxovrobs naTesavebTan sxva

sul SinameurneobaTa raodenoba

88.9

93.3

qalaqi

100.0 7,196

0.3 0.4

0.8

0.5

97.9

sofeli

sacxovrebeli adgili

cxovrobs sakuTar binaSi an saxlSi cxovrobs naqiraveb oTaxSi, binaSi an saxlSi cxovrobs sakuTar ojaxTan

Sinameurneobis tipi sul

100.0 1,024

0.2 0.0

0.1

1.0

98.7

kaxeTi

100.0 2,636

0.4 0.8

2.8

11.9

84.1

Tbilisi

100.0 817

0.0 1.6

4.4

0.7

93.3

Sida qarTli

reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

100.0 1,020

0.4 0.4

0.8

2.6

95.8

qvemo qarTli

100.0 822

0.5 0.4

0.5

0.9

97.8

samcxejavaxeTi

100.0 621

0.3 0.3

0.0

4.2

95.2

aWara

regioni

cxrili 3.1.9 Sinameurneobis tipi sacxovrebeli adgilisa da regionis mixedviT 3.1.9 Sinameurneobis tipi sacxovrebeli adgilisasaqarTvelo, da regionis mixedviT. cxrilireproduqciuli janmrTelobis kvleva: 2010

100.0 1,003

0.2 0.3

0.7

0.6

98.2

guria

100.0 1,050

0.4 0.3

1.7

2.1

95.5

samegrel o

100.0 1,633

0.2 0.2

0.7

1.3

97.6

imereTi

100.0 821

1.1 1.5

1.0

2.1

94.4

mcxeTamTianeTi

100.0 1,457

0.1 0.1

0.6

0.8

98.4

raWasvaneTi

cxrili 3.1.8 SinameurneobebSi xangrZlivi moxmarebis nivTebis an qonebis arseboba, sacxovrebeli adgilisa da regionebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

saboloo angariSi

33


cxrili 3.2.1

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

SerCeuli qalebis maxasiaTeblebi, romlebTanac srulad Catarda interviu, cxrili 3.2.1 SerCeuli qalebis maxasiaTeblebi, romlebTanac srulad Catarda sacxovrebeli adgilis mixedviT, interviu, sacxovrebeli adgilis mixedviT, reproduqciuli janmrTelobis kvleva:

reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

saqarTvelo, 2010 maxasiaTebeli asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44

sul

sacxovrebeli adgili Tbilisi

sxva qalaqi

sofeli

17.9 18.9 16.6 16.3 15.8 14.4

17.2 20.3 16.3 17.2 14.9 14.1

17.7 18.9 16.3 16.2 16.3 14.5

18.6 18.0 17.0 15.9 16.1 14.5

kanonieri qorwineba nebayoflobiTi Tanacxovreba ganaTxovari gauTxovari bavSvebis raodenoba 0 1 2 3 4 an meti ganaTlebis done arasruli saSualo an naklebi

57.9 1.2 6.5 34.4

50.2 1.4 8.7 39.8

57.2 1.3 7.2 34.2

62.8 1.2 4.8 31.2

41.3 19.0 29.5 8.3 1.9

46.8 21.8 25.3 5.1 1.1

41.6 20.7 29.7 6.5 1.5

37.9 16.5 31.8 11.2 2.6

22.6

12.6

17.8

31.2

sruli saSualo teqnikumi universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi dasaqmeba dasaqmebuli umuSevari eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva religia marTlmadidebeli sxva qristianuli religia muslimi sxva ara aqvs religia sul SemTxvevebis raodenoba

24.7 13.2 39.4

17.5 10.0 60.0

21.7 14.1 46.5

30.6 14.6 23.6

14.6 19.5 21.5 18.5 25.9

0.5 0.3 4.6 27.9 66.7

3.5 7.6 26.0 34.9 27.9

28.9 37.3 28.9 4.0 0.9

21.3 78.7

30.9 69.1

25.7 74.3

13.3 86.7

86.9 5.2 5.2 2.8

91.3 0.9 4.2 3.6

92.5 2.3 2.8 2.4

81.2 9.3 7.0 2.5

82.4 4.9 10.5 1.6 0.5 100.0 6,292

92.1 4.8 1.0 1.7 0.4 100.0 1,426

89.2 3.3 6.2 0.9 0.5 100.0 1,549

73.0 6.0 18.4 2.0 0.6 100.0 3,317

ojaxuri mdgomareoba

34


saboloo angariSi

cxrili 3.2.2 reproduqciuli asakis qalTa procentuli maCveneblebi asakis, ojaxuri mdgomareobisa da ganaTlebis mixedviT.maCveneblebi asakis, cxrili 3.2.2 reproduqciuli asakis qalTa procentuli ojaxuri mdgomareobisa da ganaTlebis mixedviT. reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 ojaxuri mdgomareoba asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 Total

nebayoflobiTi Tanacxovreba

kanonieri qorwineba

10.3 47.1 69.5 77.0 77.4 75.0 57.9

ganqorwinebuli an daSorebuli

0.3 1.6 1.5 1.0 1.8 1.4 1.2

arasodes yofila qorwinebaSi

0.8 3.2 4.2 8.8 10.8 13.2 6.5

88.5 48.2 24.8 13.1 10.1 10.5 34.4

sul

SemTxvevaTa raodenoba

100.0 100.0 100.0 100.0 100.0 100.0 100.0

861 1,099 1,191 1,168 1,051 922 6,292

sul

SemTxvevaTa raodenoba

ganaTleba asakobrivi jgufi

arasruli saSualo an naklebi

sruli saSualo

teqnikumi

umaRlesi

15–19 20–24 25–29

57.4 12.7 14.1

29.6 31.4 24.9

2.4 12.7 11.9

10.7 43.3 49.2

100.0 100.0 100.0

861 1,099 1,191

30–34 35–39 40–44 Total

16.7 16.88 16 15.5 22.6

22.8 22.44 22 14.5 24.7

14.0 14.66 14 26.5 13.2

46.5 46.22 46 43.5 39.4

100.0 100.00 100 100.0 100.0

1,168 11,051 051 922 6,292

cxrili 3.2.3 SinameurneobebSi qalebis ganaTlebis done da ganaTlebis miRebaze cxrili 3.2.3 SinameurneobebSi qalebis ganaTlebis done da ganaTlebis miRebaze daxardaxarjuli wlebis saSualo raodenoba, SerCeuli maxasiaTeblebis mixedviT juli wlebis saSualo raodenoba, SerCeuli maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 miRebuli ganaTlebis done maxasiaTebeli

sul asaki 3–9 10–14 15–19 20–24 25–29 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70–74 75–79 80 an meti sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi

profesiuli

umaRlesi

sul

ganaTlebis misaRebad daxarjuli wlebis saSualo raodenoba

ganaTleba ara aqvs

skolamdeli

dawyebiTi (1–6 klasi)

2.8

1.8

8.8

11.5

31.0

11.9

32.2

100.0

21,117

10.8

23.5 0.6 0.9 1.2 0.8 1.1 0.7 0.5 0.9 1.3 1.3 1.5 1.4 1.6 3.2 4.6

24.8 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.3 0.0

51.6 45.7 0.8 1.0 1.5 0.6 0.6 0.4 0.3 1.4 1.5 3.6 4.0 6.7 9.8 17.0

0.1 52.0 14.9 5.3 7.3 8.2 6.3 4.8 4.2 6.1 7.6 9.2 14.2 18.1 20.7 22.6

0.0 1.7 63.3 30.4 28.0 27.2 29.0 24.0 35.3 35.3 36.0 37.0 39.7 42.8 39.0 31.5

0.0 0.0 3.6 10.8 10.2 12.0 12.0 19.7 20.9 18.5 19.3 15.5 13.0 12.3 10.0 6.5

0.0 0.0 16.6 51.4 52.1 50.7 51.4 50.6 38.3 37.4 34.2 33.1 27.7 18.5 17.0 17.8

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

1,466 1,263 1,415 1,444 1,380 1,331 1,303 1,278 1,783 1,686 1,407 1,267 920 1,416 803 955

1.0 5.5 10.1 12.1 13.1 12.5 12.7 12.4 11.5 11.4 11.2 11.0 10.5 9.9 9.7 9.4

1.7 4.1

2.4 1.2

7.3 10.3

7.2 16.0

24.1 38.2

12.0 11.7

45.4 18.6

100.0 100.0

9,279 11,838

11.7 10.0

7.7 1.6 2.2 4.4 3.2 3.6 1.9 2.1 1.5 3.0 2.5

1.7 2.3 1.1 1.7 1.2 0.9 1.3 1.3 2.5 2.3 0.9

10.3 6.9 9.2 13.2 10.2 11.3 7.2 6.4 7.4 9.9 9.7

17.2 5.8 10.5 16.3 11.9 14.4 20.5 11.2 10.7 12.6 14.4

32.5 19.5 37.1 31.3 40.4 32.7 34.4 43.4 32.9 30.4 37.8

12.6 10.1 12.0 10.1 9.6 12.7 19.6 10.1 14.3 17.1 10.8

18.1 53.8 27.9 23.1 23.5 24.5 15.1 25.5 30.7 24.7 24.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

1,694 4,308 1,367 1,752 1,555 1,209 1,574 1,728 2,602 1,334 1,994

10.0 13.0 10.4 9.9 9.8 11.1 9.9 10.4 10.7 10.6 10.1

5.2 4.0 2.2 1.9 1.3

0.7 1.3 2.0 2.4 2.5

11.0 10.2 9.2 6.8 6.9

20.3 14.3 11.4 7.2 5.3

39.9 39.7 33.9 26.0 17.0

9.9 11.9 13.6 14.3 9.6

13.1 18.6 27.7 41.3 57.4

100.0 100.0 100.0 100.0 100.0

4,748 4,806 4,507 3,341 3,715

9.6 10.1 10.5 11.5 14.0

* gamoiricxa 2 qali, romelTa ganaTlebis

sruli saSualo (10–12 klasi)

SemTxvevebis raodenoba*

sabaziso saSualo (7–9 klasi)

done ucnobi iyo.

35


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili3.2.4 3.2.4 SinameurneobebSi SinameurneobebSi mamakacebis ganaTlebis done da ganaTlebis cxrili mamakacebis ganaTlebis done da miRebaze ganaTlebis miRebaze daxarjuli wlebis saSualo raodenoba, SerCeuli maxasiaTeblebis mixedviT daxarjuli wlebis saSualo raodenoba, SerCeuli maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 ganaTlebis

miRebuli ganaTlebis umaRlesi done maxasiaTebeli

sul asakobrivi jgufi 3–9 10–14 15–19 20–24 25–29 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70–74 75–79 80 an meti adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi

ganaTleba skolamd dawyebiTi eli ara aqvs (1–6 klasi)

sabaziso sruli profesiu saSualo saSualo li (7–9 klasi) (10–12 klasi)

raodenoba

3.1

2.1

9.2

10.3

34.9

11.0

29.4

100.0

19,482

10.7

25.0 1.1 1.1 1.2 0.5 1.1 1.0 0.9 0.6 1.0 1.2 0.6 0.8 1.3 2.9 3.0

24.0 0.2 0.0 0.0 0.0 0.1 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.2 0.3

50.9 49.4 0.8 1.1 1.1 0.7 0.8 0.4 0.5 1.3 0.7 1.6 2.2 3.6 11.1 13.9

0.1 48.5 15.3 6.1 6.8 6.4 4.5 4.3 3.2 3.8 4.8 7.7 13.8 17.1 20.8 23.9

0.0 0.7 66.0 41.4 36.4 36.0 39.6 36.5 37.8 39.9 37.0 39.9 43.4 40.9 39.0 32.0

0.0 0.1 2.5 7.6 8.7 11.3 13.4 17.5 19.6 19.5 20.3 17.4 13.3 13.3 8.8 7.5

0.0 0.0 14.4 42.7 46.5 44.5 40.6 40.2 38.2 34.5 36.0 32.8 26.6 23.7 17.1 19.4

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

1,606 1,338 1,582 1,548 1,507 1,410 1,292 1,302 1,481 1,450 1,209 982 701 944 543 587

1.0 5.2 10.0 11.6 11.8 11.7 11.5 11.5 11.4 11.3 11.4 11.0 10.7 10.1 9.6 9.4

2.2 4.0

2.9 1.4

8.6 9.8

6.6 13.6

26.5 42.4

10.5 11.4

42.7 17.4

100.0 100.0

7,936 11,546

11.6 10.0

7.6 1.9 3.4 4.4 4.3 2.8 2.1 2.8 1.7 2.4 1.7

1.4 3.0 1.3 1.5 1.2 1.9 1.0 1.4 3.1 2.6 0.9

10.3 8.5 8.2 13.1 10.1 10.6 8.0 7.4 8.1 9.4 8.6

13.7 5.4 11.3 15.0 8.4 11.8 16.8 9.2 9.8 13.0 14.9

40.1 21.6 39.3 35.9 45.7 34.4 40.2 48.0 34.7 34.7 45.6

11.4 8.9 12.0 8.4 10.1 13.4 17.7 8.5 13.5 15.1 9.2

15.6 50.7 24.5 21.8 20.1 25.1 14.2 22.6 29.0 22.7 18.9

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

1,647 3,638 1,271 1,622 1,410 1,134 1,534 1,661 2,362 1,253 1,950

10.0 12.3 10.3 9.9 9.9 11.1 9.9 10.3 10.6 10.6 10.0

4.9 4.1 2.7 2.1 1.8

0.9 1.5 1.9 2.4 3.7

10.2 9.7 9.6 8.3 8.4

16.8 12.8 10.2 7.2 4.7

44.9 43.0 38.8 28.5 18.9

10.4 11.5 11.9 13.1 8.3

12.0 17.4 24.9 38.4 54.2

100.0 100.0 100.0 100.0 100.0

4,376 4,691 4,318 2,798 3,299

9.7 10.1 10.5 11.4 13.3

* ar asaxavs 1 kacs, romlis ganaTlebis umaRlesi done ucnobi iyo.

36

sul umaRlesi

SemTxveve misaRebad bis daxarjuli wlebis raodenob saSualo a*


cxrili 3.3.1

mzaoba skolisTvis saboloo angariSi pirvelklaselTa procentuli maCveneblebi sxvadasxva maxasiaTeblebis mixedviT, romlebic cxrili 3.3.1 pirvelklaselTa mzaoba skolisTvis,romlebic skolaSi Sesvlamde erTi skolaSi Sesvlamde erTi wlis ganmavlobaSi wlisganmavlobaSi dadiodnen skolamdeli aRzrdis dawesebulebebSi, dadiodnen skolamdeli aRzrdis dawesebulebebSi, procentuli maCveneblebi sxvadasxvamaxasiaTeblebis mixedviT

saqarTvelo, 2010-2011 weli

maxasiaTebeli

sqesi mamrobiTi mdedrobiTi regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi sacxovrebeli adgili qalaqi sofeli qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi sul [1] MICS indikatori 7.2

saqarTvelo, 2010-2011 weli pirvelklaselTa procentuli maCveneblebi, romlebic skolaSi Sesvlamde erTi wlis ganmavlobaSi dadiodnen skolamdeli aRzrdis dawesebulebebSi

pirvelklaselTa raodenoba

42.5 38.3

227 224

21.6 52.3 25.9 41.7 16.7 48.0 34.2 37.1 43.8 53.6 22.2

37 86 27 36 36 25 41 35 73 28 27

49.9 30.5

196 255

26.2 28.3 39.9 53.5 51.4 40.4

102 89 101 68 91 451

37


cxrili 3.3.2

dawyebiT skolaSi Sesvla

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

dawyebiTi skolisTvis Sesabamisi asakis bavSvTa procentuli cxrili 3.3.2 dawyebiT skolaSi Sesvla. maCveneblebi sxvadasxva maxasiaTeblebis mixedviT, romlebic Sesabamisi Sedian pirvel klasSi (daswrebis wminda maCveneblebi maCvenebeli) dawyebiHTi skolisTvis asakis bavSvTa procentuli sxvadasxva maxasiaTeblebis mixedviT, romlebicSedian pirvel klasSi saqarTvelo, 2010-2011 (daswrebis wminda maCvenebeli), saqarTvelo, 2010-2011

maxasiaTebeli

sqesi mamrobiTi mdedrobiTi regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi sacxovrebeli adgili qalaqi sofeli qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi sul [1] MICS indikatori 7.3

38

dawyebiTi skolisTvis Sesabamisi dawyebiTi skolisTvis asakis bavSvTa procentuli Sesabamisi asakis bavSvTa maCveneblebi, romlebic Sedian pirvel raodenoba klasSi [1] 84.1 81.6

476 440

77.5 86.9 82.4 78.7 82.1 84.8 83.3 88.9 80.0 84.5 85.7

89 183 51 89 67 46 72 63 135 58 63

84.5 81.1

399 517

79.2 81.7 76.8 86.6 89.4 82.8

182 208 210 135 181 916


116 265 89 145 109 73 103 112 170 84 118 589 795 219 227 238 199 278 223 267 326 342 191 258 1384

96.3 94.5

83.5 97.1 99.0 99.4 98.0 95.0

93.1 93.2 98.0 97.6 94.8 95.4

bavSvebis raodenoba

95.7 96.6 96.6 92.4 92.7 95.9 99.0 94.6 94.7 98.8 99.2

daswrebis wminda maCvenebeli (misadagebuli) [1]

[1] MICS indikatori 7.4; MDG indikatori 2.1

regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi sacxovrebeli adgili qalaqi sofeli asaki saswavlo wlis dasawyisisTvis 6 7 8 9 10 11 qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi sul

maxasiaTebeli

mamrobiTi

91.7 97.1 96.6 96.6 97.8 96.1

85.7 97.5 98.1 98.4 98.7 98.8

97.2 95.1

90.8 97.4 100.0 94.7 96.7 96.3 93.4 95.5 97.2 96.4 96.3

daswrebis wminda maCvenebeli (misadagebuli) [1]

259 300 261 183 224 1227

209 201 191 196 226 204

511 716

109 234 85 113 91 80 91 89 144 84 107

bavSvebis raodenoba

mdedrobiTi

92.4 95.0 97.4 97.1 96.2 95.7

84.6 97.3 98.6 98.9 98.3 96.8

96.7 94.7

93.3 97.0 98.3 93.4 94.5 96.1 96.4 95.0 95.9 97.6 97.8

daswrebis wminda maCvenebeli (misadagebuli) [1]

sul

526 626 603 374 482 2611

428 428 429 395 504 427

1100 1511

225 499 174 258 200 153 194 201 314 168 225

bavSvebis raodenoba

cxrilimoswavleTa 3.3.3 moswavleTa daswreba dawyebiT klasebSi dawyebiTi klasebisTvis Sesabamisi asakis bavSvTa procentuli maCveneblebi cxrili 3.3.3 daswreba dawyebiT klasebSi; dawyebiTi klasebisTvis Sesabamisi asakis bavSvTa procentuli maCveneblebi sxvadasxva maxasiaTeblebis mixedviT, sxvadasxvaromlebic maxasiaTeblebis mixedviT, romlebic dadian dawyebiT an maRal klasebSi (daswrebis wminda MmaCvenebeli). dadian dawyebiT an maRal klasebSi (daswrebis wminda maCvenebeli) saqarTvelo, 2010-2011 wlebi 2010-2011 wlebi saqarTvelo,

saboloo angariSi

39


40

[1] MICS indikatori 7.5

12 13 14 15 16 qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi sul

sacxovrebeli adgili qalaqi sofeli asaki saswavlo wlis dasawyisisTvis

regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi

maxasiaTebeli

mamrobiTi

7.4 8.7

36.4 3.7 1.0 0.4 0.0

8.7 9.9 5.8 7.4 8.4 8.1

61.0 92.6 92.0 92.2 88.8

76.1 85.6 88.4 86.5 88.3 85.4

11.6 7.6 5.1 11.7 11.9 5.4 7.0 6.7 7.4 2.2 7.5

procentuli maCvenebeli, romlebic eswrebian dawyebiT klasebs

87.9 83.2

72.7 86.9 90.8 79.9 81.2 89.1 90.0 86.6 90.1 88.0 88.8

daswrebis wminda maCvenebeli (Sesworebuli) [1]

291 373 328 200 245 1437

279 272 286 299 301

576 861

121 237 98 154 101 92 100 119 162 92 161

bavSvebis raodenoba

89.5 83.6 84.9 89.6 90.1 87.5

64.1 93.7 96.9 91.2 91.3

87.7 87.3

81.8 87.2 91.3 81.0 83.9 90.9 93.5 90.2 91.1 85.5 87.7

daswrebis wminda maCvenebeli (misadagebuli) [1]

4.2 8.7 10.1 6.1 5.1 6.9

32.0 2.1 0.5 0.0 0.0

6.9 6.9

6.4 7.4 4.9 10.2 11.0 6.8 2.2 2.7 7.0 5.8 8.7

procentuli maCvenebeli, romlebic eswrebian dawyebiT klasebs

mdedrobiTi

330 292 313 182 251 1368

268 290 275 285 250

572 796

110 243 103 137 118 88 92 112 158 69 138

bavSvebis raodenoba

83.3 84.7 86.7 88.0 89.2 86.4

62.5 93.2 94.4 91.7 89.9

87.8 85.2

77.1 87.1 91.0 80.4 82.7 90.0 91.7 88.3 90.6 87.0 88.3

daswrebis wminda maCvenebeli (misadagebuli) [1]

6.3 9.4 7.9 6.8 6.7 7.5

34.2 2.8 0.7 0.2 0.0

7.2 7.8

9.1 7.5 5.0 11.0 11.4 6.1 4.7 4.8 7.2 3.7 8.0

procentuli maCvenebeli, romlebic eswrebian dawyebiT klasebs

sul

621 665 641 382 496 2805

547 562 561 584 551

1148 1657

231 480 201 291 219 180 192 231 320 161 299

bavSvebis raodenoba

cxrili 3.3.4 moswavleTa daswreba maRal klasebSi maRali klasebisTvis Seasbamisi asakis moswavleTa procentuli maCveneblebi cxrili 3.3.4 sxvadasxva moswavleTa daswreba maRal klasebSi mixedviT, romlebic dadian maRal kalsebSi (daswrebis wminda maCvenebeli) maxasiaTeblebis klasebisTvis Sesabamisi asakis moswavleTa procentuli maCveneblebi sxvadasxva maxasiaTeblebis mixedviT, romlebic dadian maRal klasebSi (daswrebis wminda maCvenebeli) da maRali bavSvTa procentuli maCvenebeli, romlebic dadian dawyebiT klasebSi da bavSvTa procentuli maCvenebeli, romlebic dadian dawyebiT klasebSi saqarTvelo, 2010-2011 saqarTvelo, 2010-2011 qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


dawyebiTi skolis dasruleba da gadasvla saSualo skolaSi ?????

[1] MICS indikatori 7.7 [2] MICS indikatori 7.8

mamrobiTi mdedrobiTi regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli s m x samcxe-javaxeTi x aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi sacxovrebeli adgili qalaqi sofeli qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi sul

sqesi 279 268 49 111 41 64 41 28 32 38 57 32 54 240 307 108 128 125 80 106 547

89.3 83.8 85.7 84.7 85.4 89.1 82.9 82 9 85.7 84.4 92.1 84.2 96.9 100.0 83.7 89.5 80.4 89.6 91.5 92.3 79.7 86.6

100.0 100.0 100.0 100.0 98.8 99.7

99.4 100.0

100.0 98.8 100.0 100.0 100.0 100 0 100.0 100.0 100.0 100.0 100.0 100.0

100.0 99.4

93 102 110 62 86 453

190 263

37 86 34 44 35 28 34 33 47 29 46

244 209

dawyebiTi skolis dasrulebisa da saSualo skolaSi gadasvlis cxrili 3.3.5 moswavleTa gadasvla dawyebiTi klasebidan maRal klasebSi dawyebiTi klasebis dasrulebis da maRal klasebSi gadasvlis maCveneblebi, saqarTvelo, 2010-2011 sixSire, saqarTvelo, 2010-2011 weli v v de dawyebiTi skolis romlebic iyvnen dasasrulebeli dawyebiTi skolis dawyebiTi skolis saSualo skolaSi maxasiaTebeli dasrulebis asakis bavSvTa gadasvlis damamTavrebel klasSi maCvenebeli [1] raodenoba maCvenebeli [2] wina wels

cxrili 3.3.5

saboloo angariSi

41


42 93.1 93.2 98.0 97.6 94.8 95.4

91.7 97.1 96.6 96.6 97.8 96.1

yvelaze dabali meore saSualo meoTxe umaRlesi sul

[1] MICS indikatori 7.9; MDG indikatori 3.1 [2] MICS indikatori 7.10; MDG indikatori 3.1

96.3 94.5

95.7 96.6 96.6 92.4 92.7 95.9 99.0 94.6 94.7 98.8 99.2

97.2 95.1

90.8 97.4 100.0 94.7 96.7 96.3 93.4 95.5 97.2 96.4 96.3

dawyebiT klasebSi daswrebis wminda maCvenebeli, vaJebi

sacxovrebeli adgili qalaqi sofeli qonebrivi kvintili

regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi

maxasiaTebeli

dawyebiT klasebSi daswrebis wminda maCvenebeli, gogonebi

0.98 1.04 0.99 0.99 1.03 1.01

1.01 1.01

0.95 1.01 1.03 1.02 1.04 1.00 0.94 1.01 1.03 0.98 0.97

dawyebiT klasebSi genderuli balansis indeqsi misadagebuli daswrebis wminda maCvenebelTan

89.5 83.6 84.9 89.6 90.1 87.5

87.7 87.3

81.8 87.2 91.3 81.0 83.9 90.9 93.5 90.2 91.1 85.5 87.7

maRal klasebSi daswrebis wminda maCvenebeli, gogonebi

76.1 85.6 88.4 86.5 88.3 85.4

87.9 83.2

72.7 86.9 90.8 79.9 81.2 89.1 90.0 86.6 90.1 88.0 88.8

maRal klasebSi daswrebis wminda maCvenebeli, vaJebi

1.18 0.98 0.96 1.04 1.02 1.02

1.00 1.05

1.12 1.00 1.00 1.01 1.03 1.02 1.04 1.04 1.01 0.97 0.99

maRal klasebSi genderuli balansis indeqsi misadagebuli daswrebis wminda maCvenebelTan

maCvenebelTan saSualo skolis dawyebiT da maRal klasebSi, saqarTvelo, 2010-2011 wlebi

cxrili cxrili 3.3.6 genderuli balansi 3.3.6 genderuli balansi gogonebis daswrebis wminda maCveneblis Sefardeba vaJebisSefardeba daswrebis wminda maCvenebelTan saSualo skolis dawyebiT da gogonebis daswrebis wminda maCveneblis vaJebis daswrebis wminda maRal klasebSi, saqarTvelo, 2010-2011 wlebi

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


Tavi

4

Sobadobis da orsulobis gamocdileba kvlevis erT-erT mizans warmoadgenda Sobadobisa da orsulobis gamocdilebis amJamindeli doneebisa da tendenciebis gansazRvra da reproduqciul qcevaze gavlenis mqone SesaZlo faqtorebis dadgena. reproduqciuli modelis Sesaxeb informaciis mosapoveblad kvleva moicavda SekiTxvaTa rigs orsulobis, xelovnuri abortebis, ojaxis sasurveli zomis da Sobadobis upiratesobis da bolo xuTi wlis ganmavlobaSi yvela orsulobis dadgegmvis statusis Sesaxeb. kvlevaze damyarebuli statistikuri monacemebi orsulobis Sesaxeb aRebulia orsulobis istoriidan da moicavs informacias mSobiarobis, abortisa da orsulobis Sewyvetis yvela SemTxvevis Sesaxeb, rac gulisxmobs aseve informacias orsulobis Sedegebis, orsulobis xangrZlivobis TariRebisa da cocxladSobilTa gadarCenis statusis Sesaxeb. TiToeul qals eTxova, detalurad aRewera pirveli orsulobidan intervius CamorTmevamde drois monakveTSi mimdinare pirvelidan dawyebuli yvela orsulobis istoria da maTi Sedegebi. es informacia mniSvnelovnad avsebs adgilobriv Tu saxelmwifoebriv doneze regularulad mopovebul demografiul-statistikur monacemebs, radgan saSualebas gvaZlevs, gamovikvlioT Sobadobisa da abortebis maxasiaTeblebi zogad maxasiaTeblebsa da janmrTelobasTan dakavSirebul qcevebTan mimarTebaSi. es informacia aseve gvaZlevs orsulobis SemTxvevebis ufro zustad Sefasebis saSualebas saxelmwifo da regionul doneebze, vinaidan wina wlebSi oficialuri statistika Sobadobis da abortebis arsebulze ufro dabal raodenobas aRricxavda (Serbanescu et al., 2001).

4.1. Sobadobis doneebi da tendenciebi demografiuli TvalsazrisiT, saqarTve­ losa da regionis sxva, gardamaval periodSi myof qveynebs bevri aqvT saerTo, radgan msgavs socialur, politikur da ekonomikur cvlilebebs ganicdian. garda amisa, komunisturi reJimis dangrevis Semdeg, maT memkvidreobiT miiRes janmrTelobis dacvis centralizebuli, saxelmwifo dafinansebaze myofi sistema. Sobadobis jamobrivi koeficienti – cocxladSobilTa SesaZlo saSualo raodenoba erT qalze misi cxovrebis reproduqciuli periodis ganmavlobaSi (Tu am qalebSi aRiniSneboda mocemuli wlis Sobadobis asakobrivi koeficientis mocemuli maCveneblebi) – gamoiyeneba indikatorad Sobadobis do43


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 4.1.1

Sobadobis jamobrivi koeficientebi yofili sabWoTa kavSiris qveynebSi, 1975–2009

neebisa da tendenciebis SeswavlisaTvis. misi Sedareba SeiZleba qveynebs Soris, radgan igi ar aris damokidebuli gansxvavebaze mosaxleobis raodenobasa da struqturas Soris. oficialuri statistikis mixedviT, bolo sami aTwleulis ganmavlobaSi yofili sabWoTa kavSiris qveynebSi Sobadoba stabilurad iklebda. es maCvenebeli yvelaze metad 1985-1995 wlebSi daiklo; miuxedavad amisa, Sobadobis doneebi, tendenciebi da klebis tempi gansxvavdeboda Sua aziis respublikebsa da sabWoTa kavSiris evropul nawils Soris (janmrTelobis msoflio organizacia, 2011a da 2011b). Sobadobis jamobrivi koeficientis Semcireba ufro adre Sua aziaSi daiwyo. iq Semcirebis tempic ufro mRali iyo, ramac Sedegad moitana Sobadobis koeficientebis dRevandeli konvergencia (suraTi 4.1.1). 1980iani wlebis Sua periodSi gansxvaveba Sobadobis yvelaze maRali (Sua azia) da yvelaze dabali (sabWoTa kavSiris evropuli nawili) koeficientis mqone regionebs Soris iyo 3 mSobiaroba erT qalze. 1990-iani wlebis Sua periodSi gansxvaveba Semcirda 2 mSobiarobamde erT qalze. 2005 wlisTvis gansxvaveba ufro Semcirda da Seadgina erT bavSvze naklebi erT qalze. am periodSi tajikeTi (erTaderTi qveyana, sadac Sobadoba 3.5 bavSvs Seadgenda erT qalze) da Llatvia or ukiduresobas warmoadgenda. amJamad klebisken mimarTuli tendencia Seicvala mTel rig qveynebSi. saqarTvelosa da cxra sxva qveyanaSi (somxeTi, azerbaijani, belarusi, estoneTi, yazaxeTi, litva, moldova, ukraina da uzbekeTi) 2007-2009 wlebis Sobadobis jamobrivi koeficienti ufro maRalia, vidre 2004-2006 wlebSi. Sobadobis jamobrivi koeficienti (daaxloebiT 2.1 bavS-

44

vi erT qalze) ganixileba rogorc aRdgenis done, rac niSnavs Sobadobis saSualo ricxvs erT qalze, rac aucilebelia mosaxleobis raodenobis xangrZlivad SenarCunebisTvis, Tu adgili ar eqneba Sida da gare migracias. Sobadobis jamobrivi koeficienti kvlavac dabalia aRdgenis doneze - 2.1 bavSvi erT qalze – Sua aziis sazRvrebs gareT mdebare yvela qveyanaSi, garda azerbaijanisa (2.3 bavSvi erT qalze). yofili sabWoTa kavSiris evropuli nawilis qveynebs Soris saqarTvelo Sobadobis koeficientis mixedviT meore adgilzea azerbaijanis Semdeg. kvlevebis dros SobadobasTan dakavSirebuli istoriebidan amokrefili informacia kidev sxva wyaroa Sobadobis jamobrivi koeficientis gamosaTvlelad. 1999-2005 wlebSi Catarebuli kvlevebisas orsulobis istoriebi gamoyenebuli iqna amJamindeli Sobadobis or yvelaze farTod gavrcelebuli maCveneblis – Sobadobis jamobrivi koeficientis da misi komponentis, Sobadobis asakobrivi koeficientebis - gamosaTvlelad. es maCveneblebi efuZneba informacias TiToeuli qalis orsulobis istoriidan, anu cocxladSobilis dabadebis Tves da wels da dedis asaks mSobiarobisas. Sobadobis jamobrivi koeficienti mocemul periodSi gamoTvlili iqna TiToeul asakobriv jgufSi Sobadobis asakobrivi koeficientebis Sekrebisa da jamis xuTze (wlebis raodenoba TiToeul jgufSi) gamravlebis gziT. amrigad, Sobadobis jamobrivi koeficienti ganisazRvra rogorc cocxaldSobilTa SesaZlo saSualo raodenoba erT qalze misi cxovrebis reproduqciuli periodis ganmavlobaSi (15-44 wlis asaki) (Tu am qalebSi AaRiniSneboda Sobadobis asakobrivi koefi-


saboloo angariSi

FsuraTi 4.1.2

samwliani Sobadobis jamobrivi koeficienti: kvlevis Sefaseba da oficialuri wyaroebi: 1999, 2005, 2010

oficialuri wyaro

mSobiarobaTa raodenoba erT qalze Sefaseba kvlevis mier

2.0 1.7

1.6

1.4

1.3

1999

cientis mocemuli maCveneblebi). Sobadobis asakobrivi koeficienti gamoxatavs cocxladSobilTa raodenobas mocemul asakobriv jgufSi yovel 1000 qalze wlis ganmavlobaSi. am kvlevaSi, rogorc wina SemTxvevebSi, Sobadobis asakobrivi koeficienti nebismier 5-wlian asakobriv jgufSi gamoiTvleboda kvlevis win 1-36 Tvis ganmavlobaSi mocemuli asakobrivi jgufis qalebze cocxlad dabadebulTa raodenobis gayofiT qali-wlebis im raodenobaze, ramdeni welic icocxles am asakobriv jgufSi imave periodis ganmavlobaSi. Sobadobis asakobrivi koeficienti Zalian sasargebloa Sobadobis asakobrivi modelis dasadgenad. 2007-2010 wlebSi Sobadobis jamobrivi koeficienti, gamoTvlili 2010 wlis reproduqciuli janmrTelobis kvlevis farglebSi - 2.0 bavSvi erT qalze (95%CI=1.9â&#x20AC;&#x201C;2.1) - warmoadgens kvlevaze dafuZnebul Sobadobis umaRles jamobriv koeficients, romelic ki odesme dafiqsirebula saqarTveloSi (suraTi 4.1.2). bolo wlebis Sobadobis koeficienti 25%-iT metia, vidre 2002-2005 wlebis Sobadobis jamobrivi koeficienti 1.6 (95%CI=1.4â&#x20AC;&#x201C;1.7), romelic aseve gamoTvlilia 2005 wlis reproduqciuli janmrTelobis kvlevis orsulobis istoriebidan (Serbanescu et al., 2007). rogorc wina SedarebebSi, kvlevaze dafuZnebuli bolo sami wlis Sobadobis jamobrivi koeficienti ufro maRali iyo, vidre Sobadobis Sesabamisi jamobrivi koeficienti oficialur maCveneblebze dayrdnobiT. saqarTveloSi Catarebul wina kvlevebSi mSobiarobaTa registraciis sistemis Seusabamoba aixsneba ori faqtoriT: 1) Sobadobis araswori Cawera mricxvelSi, ZiriTa-

2005

1.7

2010

dad, dabadebis registrirebis dagvianebis gamo; da 2) mniSvnelis gadaWarbeba mosaxleobis saprognozo raodenobebis gamoyenebis gamo (Serbanescu et al., 2001; Alyoshina and Redmond, 2005). rogorc es naCvenebi iqneba mogvianebiT winamdebare angariSSi, bolo 5 wlis ganmavlobaSi saqarTveloSi TiTqmis yvela SemTxvevaSi adgili hqonda adreul registracias (pirveli ori kviris ganmavlobaSi bavSvis dabadebidan), ase rom, axalSobilebis registraciaSi gautarebloba ver iqneba Sobadobis jamur koeficientSi arsebuli gansxvavebebis safuZveli. gadaWarbebuli mniSvnelebis arseboba kvlavac problemaa, vinaidan aRweris saprognozo gamoTvlebi ar iTvaliswinebda gare migracias da reproduqciul asakSi myofi qalebis raodenoba gadametebiT iyo Sefasebuli. aman SeiZleba Sedegad mogvces Sobadobis koeficientebis da mosaxleobasTan dakavSirebuli sxva statistikis araswori Sefaseba. 2007-2010 wlebis Sobadobis asakobrivi koeficienti da Sesabamisi Sobadobis jamobrivi koeficienti mocemulia cxrilSi 4.1.1 da suraTze 4.1.3. tradiciulad qarTveli qalebi adreul asakSi iwyeben da asruleben Svilosnobas, rogorc es aisaxa Sobadobis Zalian maRal asakobriv koeficientebSi axalgazrda qalebisTvis. Sobadobis umaRlesi done SeimCneva 20-24 wlis da 25-29 wlis asakSi, rac Seadgens Sobadobis jamobrivi koeficientis 36%-s da 29%-s Sesabamisad. Sobadoba 30-34 wlis qalebSi aRwevs mesame umaRles maCvenebels Sobadobis asakobriv koeficientebs Soris da Seadgens Sobadobis jamobrivi koeficientis 15%-s. 35-39 da 40-44 wlis qalebis Sobadobis maCvenebeli Zalian dabalia, maTi Sobadobis asakobrivi koeficienti 45


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 4.1.3

samwliani Sobadobis asakobrivi koeficienti (2007â&#x20AC;&#x201C;2010)

Sobadoba 1 000 qalze

160 142

140 120

115

100 80 62

60 40

39 30

20 0

11

15-19

20-24

25-29

30-34

35-39

40-44

asakobrivi jgufi

FsuraTi 4.1.4

samwliani Sobadobis asakobrivi koeficienti, 1999, 2005, 2010

Sobadoba 1 000 qalze

140

GERHS10 GERHS05

120

GERHS99

100 80 60 40 20 0

15-19

20-24

25-29

30-34

35-39

40-44

asakobrivi jgufi

Seadgens Sobadobis jamobrivi koeficientis 8%-s da 3%-s Sesabamisad. amgvarad, saerTo jamobrivi koeficientis 26% ukaviaT 30 da meti wlis qalebs. saqarTveloSi ganxorcielebuli reproduqciuli janmrTelobis kvlevebis mixedviT, Sobadobis tendencia sami 3-wliani periodiT SeiZleba Sefasdes (cxrili 4.1.1 da suraTi 4.1.4). uaxlesi kvlevis Tanaxmad, sam weliwadSi (2007-2010) Sobadobis jamobrivma koeficientma moimata 25%-iT 2002-2005 wlebis periodTan SedarebiT. 1996-1999 wlebis periodTan SedarebiT Sobadobis jamobrivi koeficienti 18%-iT gaizarda. Sobadobis asakobrivi koeficientebi gaizarda yvela jgufSi, garda erTisa. es jgufia axalgazrda qalebi, rac qmnis saqarTveloSi Sobadobis TandaTan gadawevas SedarebiT ufrosi asak-

46

isken. am jgufSi Sobadobis asakobrivi koeficienti daiklo 65-dan 1996-1999 wlebSi 47-mde 2002-2005 wlebSi da 39-mde am bolo periodis ganmavlobaSi (2007-2010). saerTo jamSi 1996-1999-dan 2007-2010 wlebamde maCveneblis saerTo klebam 40% Seadgina. amave dros, Sobadobis asakobrivma koeficientma 20-24 da 25-29 wlis qalebSi moimata 26%-iT da 25%-iT Sesabamisad. amis Sedegad maTi wili Sobadobis jamobriv koeficientSi gaizarda 59%-dan 65%-mde 1996-1999 da 20072010 periodebSi. aseve SesamCnevi cvlileba moxda SobadobaSi SedarebiT ufrosi asakis qalebs Soris: Sobadobis asakobrivi koeficienti 30-34, 35-39 da 40-44 wlis qalebSi gaizarda 29%, 43% da 57%-iT Sesabamisad, Tumca dabali doneebis farglebSi, rogorc es naCvenebia suraTze 4.1.4. maTi wili Sobado-


saboloo angariSi

FsuraTi 4.2.1

samwliani Sobadobis jamobrivi koeficienti, regionaluri Wrili Total Fertility Rate (Births per Woman) <2.0 2.0-2.1

*

2.2+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

bis jamobriv koeficientSi 22%-dan 26%-mde gaizarda. cxrili 4.1.2 gviCvenebs 2010 wlis reproduqciuli janmrTelobis kvlevaSi gamokiTxuli yvela qalisa da amJamad daqorwinebuli qalebis mier gaCenili bavSvebis raodenobas. informacia warsul Sobadobaze asaxavs kumulaciur Sobadobas qalTa mTliani Svilosnobis wlebis ganmavlobaSi da sasargebloa imis dasanaxad, Tu rogor icvleba saSualo ojaxis zoma asakobrivi jgufebSi. Tumca am monacemebs arc ise didi kavSiri aqvs Sobadobis arsebul doneebTan. mTlianobaSi, intervius periodSi 15-44 wlis asakis yvela qalis 41% uSvilo iyo, 18%s hyavda mxolod erTi Svili, 29%-s – ori da mxolod 12%-s - sami da meti Svili. 15-19 wlis qalebSi mxolod 5%-s hyavda gaCenili Svili, xolo 25-29 wlis qalebSi 69%-s hyavda TiTo FsuraTi 4.2.2

Svili. 40-44 wlis qalebSi TiTqmis yoveli meSvide (15%) uSvilo iyo. amJamad qorwinebaSi myofi qalebis 26%-s erTi Svili hyavs, 45%-s – ori da mxolod 19%-s hyavs sami da meti Svili. amJamad qorwinebaSi myofi qalebidan yovel 10-s arasdros hyolia Svili. TiTqmis yovel meore gaTxovil axalgazrda (15-19 wlis) qals mcire raodenobis gamokiTxulebidan ukve gaCenili hyavs pirveli Svili; 20-24 wlis qalebSi pirveli Svili hyavs 79%-s, xolo 2529 wlis asakobriv jgufSi - 92%-s. 35-44 wlis qalebSi, kvlevis Tanaxmad, 5% uSviloa, rac Sobadobis gauaresebas niSnavs, vinaidan sakuTari surviliT uSvilod darCena Zalian iSviaTia saqarTveloSi, sadac wyvilebis umravlesobas erTi Svili mainc hyavs.

samwliani Sobadobis jamobrivi koeficienti 15–19 wlis asakobrivi jgufi, regionaluri Wrili Adolecent ASFR (per 1,000 Women) <25 25-39

*

40-59 60-69 70+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

47


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 4.2.3

samwliani Sobadobis asakobrivi koeficienti (2007–2010), erovnuli Wrili

Sobadoba 1 000 qalze

200 180

GqarTveli

160

Aazeri Asomexi

140 120 100 80 60 40 20 0

15-19

20-24

25-29

30-34

35-39

40-44

asakobrivi jgufi

FsuraTi 4.3.1

amJamad qorwinebaSi an urTierTTanxmobiT kavSirSi myofi 15-44 wlis qalebis procentuli ganawileba*

aRmosavleTi evropa

80 70 64

kavkasia

Sua azia

68

66 62

60

58

62 58

54

60

58

58

60

65 58

50 40 30 20 10 0 CZ

MO

RO

RU

UA

AM

AZ

GE1999

GE2005 GE2010

KZ

KG

TM

UZ

* წყარო: CDC and ORC/Macro, 2003. Reproductive, Maternal and Child Health in Eastern Europe and Eurasia; A Comparative Report შენიშვნა; CZ = ჩეხეთის რესპ.; MD = მოლდოვა; Ro = რუმინეთი; Ru = რუსეთი; UA = უკრაინა; AM = სომხეთი; AZ = აზერბაიჯანი; GE = საქართველო; KZ = ყაზახეთი; KG = ყირგიზეთი; TM = თურქმენეთი; UZ = უზბეკეთი

4.2. Sobadobis maxasiaTeblebi Sobadobis ganmsazRvreli faqtorebis dadgenisas upriania qalebis sxvadasxva qvejgufebis Sedareba. Sobadoba icvleba socialur, kulturul da ekonomikur faqtorebTan erTad, rac zegavlenas axdens gadawyvetilebis miRebaze bavSvebis raodenobasTan dakavSirebiT, romelic sasurvelia wyvilisTvis an qalisTvis. intervius wina samwliani periodis ganmavlobaSi Sobadoba qalaqSi (maT Soris TbilisSi) mcxovreb qalebs Soris Sobadobis jamobrivi koeficientis mixedviT TiTqmis 10%-iT ufro dabali iyo, vidre soflad mcxovreb qalebSi (cxrili 4.2). gansxvavebis didi wili qalaqSi da soflad mcxovreb qalebs Soris Sobadobis koeficientebis Tval-

48

sazrisiT gamomdinareobda Sobadobis ufro maRali asakobrivi koeficientidan soflad macxovreblebs Soris – 15-19, 20-24 da 25-29. gasakviria, magram Sobadoba 30-34 wlis qalebis jgufSi ufro maRali iyo qalaqSi, vidre soflad. regionebis mixedviT, Sobadobis jamobrivi koeficienti yvelaze dabali iyo guriaSi (1.7 bavSvi erT qalze), xolo yvelaze maRali _ mcxeTa-mTianeTsa da raWa-svaneTSi (2.3), amas mohyveboda aWara (2.2) da samcxe-javaxeTi da kaxeTi (2.1) (suraTi 4.2.1). 20 wlamde asakSi qalebs Soris Sobadobis yvelaze maRali asakobrivi koeficienti hqondaT kaxeTis, qvemo qarTlis da raWa-svaneTis mcxovrebT (suraTi 4.2.2), SesaZloa, imis Sedegad, rom qveynis sxva regionebTan SedarebiT am mxareebSi pirveli qorwineba da pirveli bavSvis gaCena ufro


saboloo angariSi

FsuraTi 4.3.2

qorwinebaSi myofi 20-24 wlis qalebis procentuli ganawileba ganaTlebis doneebis mixedviT, 1999, 2005, 2010

procenti

100 1999

80

2010

76 64

60

2005

60

59 50

56 43

40

45

49 41 32

35

20

0

arasruli saSualo

sruli saSualo

adreul asakSi xdeba. ganaTlebis donis mixedviT Sobadobis koeficientebis sxvaoba ufro axalgazrda qalebSi gamoikveTa. sazogadod, umaRlesi ganaTlebis mqone qalebs Soris Sobadobis yvelaze maRali maCveneblebi 2529 wlis asakSi aRiniSneba, maSin, rodesac ganaTlebis ufro dabali donis mqone qalebSi Sobadobis yvelaze maRali maCveneblebi 20-24 wlis asakobriv jgufSia. azerbaijanel qalebSi Sobadoba (Sobadobis jamobrivi koeficienti - 2.4) ufro maRali iyo, vidre ZiriTad eTnikur jgufSi - qarTvelebSi (Sobadobis jamobrivi koeficienti - 2.0), rac 15-24 wlis azerbaijanel qalebs Soris ufro maRali Sobadobis asakobrivi koeficientiT aixsneba (suraTi 4.2.3).

4.3. qorwinebiTi mdgomareobis maxasiaTeblebi vinaidan saqarTveloSi daorsulebis riski ufro didia qorwinebaSi an araregistrirebul kavSirSi myof qalebs Soris, reproduqciul qcevas mniSvnelovanwilad ganapirobebs qorwinebiTi statusi. 1996 wlidan 11 qveyanaSi Catarebulma kvlevam, romelic moicavda qalis janmrTelobasTan dakavSirebul sxvadasxva Temas, gviCvena, rom pirveli qorwinebis saSualo asaki reproduqciuli asakis mqone qalebSi aRmosavleT evropasa da centralur aziaSi 20 da 22 wlebs Sorisaa (CDC and ORC/Macro, 2003). regionis qveynebis umravlesobaSi amJamad daqorwinebul wyvilebSi Sobadobis koeficienti yvelaze maRalia. amas ori mizezi aqvs: bavSvis gaCenis albaToba yvelaze didia gaTxovil qalebs Soris da, garda amisa, wyvilebs Cveulebriv daqorwinebidan male surT Svilis yola (pirveli bavSvi, Cveulebriv, Cndeba qorwinebidan 2 weliwad-

teqnikuri

umaRlesi

Si). amrigad, mniSvnelovania qalebis qorwinebiTi mdgomareobis codna jgufebis mixedviT, aseve pirveli sqesobrivi gamocdilebisa da pirveli mSobiarobis asakSi droTa ganmavlobaSi momxdari cvlilebebis codna. amJamad qorwinebaSi myof qalTa wili saqarTveloSi (58%) da regionis sxva qveynebSi sakmaod axlosaa erTmaneTTan (54%-dan ruseTSi 68%-mde uzbekeTSi). araregistrirebul kavSirSi imyofeboda qalebis mcire nawili (2%), roca wyvilTa Tanacxovrebis maCvenebeli regionis qveynebis erT nawilSi ufro maRalia (10% qalebisa ruseTSi, 6% rumineTSi da 4% ukrainaSi), xolo Sua aziaSi â&#x20AC;&#x201C; gacilebiT naklebi (suraTi 4.3.1). 2010 wlis reproduqciuli janmrTelobis kvlevis Catarebis droisTvis, qalebis 6.5%-s hqonda wina qorwinebiTi gamocdileba (magaliTad, qvrivi, ganqorwinebuli an daSorebuli qmars an partniors, visTanac hqonda araregistrirebuli kavSiri). samidan erTi an meti qali (34%) arasdros yofila gaTxovili Tu araregistrirebul kavSirSi. 15-44 wlis qorwinebaSi myofi qalebis wili ucvlelia 2005 wlisa da 2010 wlis kvlevebis monacemebis mixedviT (58%), Tumca de faqto (anu araregistrirebuli, nebayoflobiTi) qorwinebebis raodenobam iklo (2005 wlis 2%-dan 1%-mde 2010 wels). amJamad qorwinebaSi myofi (registrirebul Tu araregistrirebul kavSirSi) qalebis procenti metia soflad, vidre qalaqSi (64% da 56%, Sesabamisad), da Semdeg regionebSi: guriasa da aWaraSi (64%), kaxeTSi (63%) da qvemo qarTlSi (63%). wina qorwinebiTi gamocdilebis mqone qalTa procenti odnav meti iyo qalaqis macxovreblebs Soris, soflis macxovreblebTan SedarebiT (8% da 5%), iseve, rogorc im qalebisa, romlebic aras-

49


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

dros gaTxovilan (37% da 31%, Sesabamisad). qorwinebaSi myofTa procenti izrdeba asakis matebasTan erTad, 10%-dan 15-19 wlis asakobriv jgufSi 47%-mde 20-24 wlis da 69%-mde 25-29 wlis asakis qalebs Soris; qorwinebaSi myofTa wili yvelaze maRalia 40-44 wlis qalebs Soris da Seadgens 75%-s. asakTan erTad mkveTrad klebulobs gauTxovar qalTa wili _ 88%-dan 15-19 wlis asakobriv jgufSi 48%mde 20-24 wlis, 25%-mde 25-29 wlis da 13%-mde 30-34 wlis asakis qalebs Soris. 35 wlis da ufros qalTa 10% arasodes yofila gaTxovili. registrirebul Tu araregistrirebul qorwinebaSi myof qalTa wili gacilebiT dabali iyo arasruli saSualo ganaTlebis mqone qalebs Soris (45%), vidre sruli saSualo an teqnikumis (63% da 69%, Sesabamisad) an universitetis an aspiranturis kursdamTavrebul (58%) qalebs Soris. qorwinebFsuraTi 4.4.1

is doneebze ganaTlebis gavlenis kvlevisas unda gaviTvaliswinoT, rom yvelaze axalgazrda qalebi naklebad Txovdebian, radgan jer kidev skolaSi swavloben. oficialuri daqorwinebis yvelaze axalgazrda asakia 18 weli, Tumca 16 wlis asakSic SeiZleba daqorwineba mSoblebis Tanxmobis safuZvelze. 20-24 wlis qalebs Soris ki registrirebul Tu araregistrirebul qorwinebaSi yofna didad iyo damokidebuli ganaTlebaze. magaliTad, 2010 wels saSualo da arasruli saSualo ganaTlebis mqone 20-24 wlis qalebis 56%â&#x20AC;&#x201C; 60% imyofeboda registrirebul Tu araregistrirebul qorwinebaSi, roca imave asakis saSualoze maRali ganaTlebis mqone qalebSi qorwinebaSi yofnis maCvenebeli Seadgenda 3549%-s (suraTi 4.3.2). aRniSnuli miuTiTebs, rom qalebi cdiloben, gadaavadon gaTxoveba ganaTlebis TvalsazrisiT sasurveli miz-

20-44 wlis qalebis procenti, romlebsac 20 wlis asakamde miRebuli hqonda pirveli sqesobrivi gamocdileba, qorwinebiTi kavSiri da pirveli mSobiaroba, amJamindeli asakis mixedviT pirv. sqesobrivi kavS. pirv. qorwineba pirveli mSobiaroba

procenti 45 40 35 30 25 20 15 10 5 0

20-24

FsuraTi 4.4.2

25-29

30-34

35-39

40-44

asakis mediana pirveli sqesobrivi gamocdilebis miRebisas, pirveli Tanacxovrebis dawyebisas da pirveli mSobiarobisas 15-44 wlis qalebSi: 1999, 2005, 2010

24 1999

23.5

2005

23.6

2010

23.0

23

23.2

22.5 22

21.9

21.8

21.5

21.6 21.6

21.5 21.3

21 20.5 20

asakis mediana pirveli sqesobrivi gamocdilebis miRebisas

50

asakis mediana pirveli Tanacxovrebis dawyebisas

asakis mediana pirveli mSobiarobisas


saboloo angariSi

nis miRwevamde. tendencia 1999 da 2010 wlebs Soris gviCvenebs, rom ganaTlebis SedarebiT dabali donis mqone axalgazrda qalebi ukve naklebad cdiloben adre daqorwinebas.

4.4 qalis asaki pirveli sqesobrivi kavSiris, partniorTan Tanacxovrebisa da mSobiarobis dros Sobadobas mniSvnelovnad gansazRvravs pirveli sqesobrivi kavSiris da partniorTan Tanacxovrebis asaki. aRniSnuli movlenebis gadavadeba amcirebs reproduqciuli wlebis ricxvs, roca qalis daorsulebis riski arsebobs. am movlenebis zemoqmedebas aseve uSualod SeuZlia Sobadobis arsebuli koeficientebis Semcireba, vinaidan Svilis gaCenis SemTxvevebi ufro naklebia, roca xdeba amis gadadeba samomavlod. informacia pirveli sqesobrivi kavSiris, Tanacxovrebis pirveli gamocdilebisa da pirveli mSobiarobis Sesaxeb intervius CamorTmevis momentisTvis respondentTa asakis mixedviT mocemulia cxrilSi 4.4.1. cxrilis marcxena nawilSi mocemulia respondentTa ganawileba TiToeul asakobriv jgufSi (5-wliani asakobrivi intervaliT), visac garkveuli asakis miRwevamde odesme hqonia sqesobrivi kavSiri (cxrilis zeda nawili), odesme yofila registrirebul Tu araregistrirebul qorwinebaSi (cxrilis Sua nawili) da hqonia cocxladSobiT dasrulebuli orsuloba (cxrilis qveda nawili). magaliTad, cxrilis zeda nawilSi amJamad 25-29 wlis asakis qalebis 30%-s sqesobrivi gamocdileba miRebuli hqondaT 20 wlamde. FsuraTi 4.6.1

saSualo asaki (bolos wina sveti), roca 15-44 wlis qalebis 50%-s gamocdili aqvs aRniSnuli movlenebi, da saSualo asaki asakobrivi jgufebis mixedviT aseve mocemulia TiToeul movlenasTan mimarTebaSi. sxvadasxva asakobriv qvejgufSi im qalTa ganawilebebis SedarebiT, visac 20 wlis asakamde gamoucdia aRniSnuli movlenebi, SesaZlebelia imis gansazRvra, Seicvala Tu ara saSualo asaki TiToeul movlenasTan mimarTebaSi drois ganmavlobaSi. magaliTad, qalTa procentuli maCvenebeli, vinc sqesobrivi gamocdileba 20 wlis asakamde SeiZina, iyo 33% 40-44 wlis asakobriv jgufSi, magram sxvamxriv man daiklo 43%-dan 35-39 wlis qalebisTvis 29%-mde 20-24 wlis qalebs Soris. sqesobriv gamocdilebasa da qorwinebas Soris intervali Zalian mcirea. yvela asakobriv jgufSi qorwinebamdeli sqesobrivi gamocdileba hqonda respondentTa mxolod mcire nawils, radgan 20 wlis asakisTvis gaTxovil qalTa wili TiTqmis identuria sqesobrivi gamocdilebis mqone qalTa procentis (suraTi 4.4.1). aseve, pirveli sqesobrivi gamocdilebisas respodentTa saSualo asaki yvela asakobriv jgufSi odnav CamorCeboda pirveli qorwinebis saSualo asaks. amrigad, 2010 wlis reproduqciuli janmrTelobis kvlevis Sedegebma daadastura adrindeli Sedegebi imis Sesaxeb, rom saqarTveloSi qorwinebamde sqesobrivi urTierTobebisgan Tavis Sekaveba farTodaa gavrcelebuli. aSkaraa, rom tradiciebi Zlieria da maTze ar mouxdenia gavlena bolodroindel faqtorebs, romlebmac Secvala axalgazrdebis reproduqciuli qceva ganviTarebul samyaroSi da aRmosavleT evropis

demografiuli terminologia orsulobis ganzraxvis mixedviT

dagegmili

udroo

arasasurveli

}

}

sasurveli

daugegmavi

FsuraTi 4.6.2

daugegmavi 59% dagegmili 41%

bolo orsulobis dagegmvis statusi 15-44 wlis yvela qalSi: 1999, 2005, 2010

arasasurveli 49% udroo 10%

GsaqarTvelo, 1999

dagegmili 48%

daugegmavi 52%

arasasurveli 40% udroo 12%

G saqarTvelo , 2005

dagegmili 63%

daugegmavi 36%

arasasurveli 26% udroo 11%

G saqarTvelo , 2010

51


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

yofili sabWoTa blokis zogierT qveyanaSi. yvelaze axalgazrda asakobriv jgufSi 20 wlis asakamde gaTxovil qalTa procentis Semcireba SesaZloa asaxavdes qorwinebis Tavidan acilebis bolodroindel tendencias. ramdenadac umaRlesi ganaTlebis miRebis msurvel qalTa raodenobac Sesabamisad gaizarda, axalgazrda qalebi saqarTveloSi ayovneben pirvel qorwinebas Tu araregistrirebul kavSirs da pirvel orsulobas iqamde, sanam miaRweven ganaTlebis sasurvel dones da stabilur Semosavals. aRniSnuli tendencia gansakuTrebiT sainteresoa da momavalSi albaT gavlenas iqoniebs Sobadobisa da Sobadobis kontrolis suraTis ganviTarebaze. 2010 wels pirveli qorwinebisa da orsulobis asaki Seadgenda 21.9 da 23.6-s Sesabamisad (suraTi 4.4.2). saqarTveloSi qalebi ufro adre Txovdebian, vidre dasavleT evropaSi, sadac pirveli qorwinebisas saSualo asaki 27 welia (UNECE, 2002). meore mxriv, 2005 welTan SedarebiT, pirveli sqesobrivi gamocdilebisas respondentTa asaki odnav Semcirda 2010 wels (21.8 da 21.3). axalgazrdebis proporcia, romlebsac hqondaT qorwinebamdeli sqesobrivi gamocdileba, miuxedavad Zalian dabali wilisa, TiTqmis gaormagda 2005 da 2010 wlebis kvlevebs Soris intervalSi (2.7%-dan 2005 wels 5%-mde 2010 wels), roca nebismieri sqesobrivi gamocdilebis proporcia TiTqmis ucvleli darCa (66%). qalaqSi mcxovrebi qalebi soflis mcxovreblebTan SedarebiT 1.7-2 wliT gvian iwyeben sqesobriv cxovrebas, qorwinebas da orsulobas (cxrili 4.4.2). yvelaze maRali saSualo asaki aRniSnulTan mimarTebaSi dafiqsirda Tbilisis mkvidr respondentebSi, rac imis mimaniSnebelia, rom cxovrebis siZvire, ganaTlebis miRebis SesaZleblobe-

bi da dedaqalaqis konkurentuli samuSao bazari ayovnebs sqesobrivi cxovrebis dawyebas, qorwinebas da orsulobas. sainteresoa, rom raWa-svaneTis (mTiani mxare) mosaxle qalebSic aseve maRali iyo sqesobrivi cxovrebis dawyebis saSualo asaki, magram, savaraudod, absoluturad sxva mizezebis gamo. es mizezebia regionSi reproduqciuli asakis qalebisa da mamakacebis simcire (dadasturebulia mosaxleobis aRweriTa da 2010 wlis reproduqciuli janmrTelobis kvlevis SedegebiT), aseve zrdasruli mosaxleobis, gansakuTrebiT mamakacebis gadineba kvalifikaciis amaRlebisa da ukeTesi dasaqmebis perspeqtivis mizniT. gansxvavebuli saSualo asaki sqesobrivi gamocdilebis, qorwinebisa da orsulobis mixedviT mniSvnelovnadaa ganpirobebuli ganaTlebis doniT. umaRlesi saswavleblis kursamTavrebulTa Soris pirveli sqesobrivi gamocdilebis, qorwinebisa da orsulobis saSualo asaki 5 wliT CamorCeboda arasruli saSualo ganaTlebis mqone qalebis maCvenebels.

4.5 sqesobrivi aqtivoba ukanasknel xanebSi mimdinare sqesobrivi aqtivoba mniSvnelovani indikatoria arasasurveli orsulobis riskis mqone qalTa xvedriTi wilisa da kontracepciul momsaxurebaze moTxovnilebis Sesafaseblad. aRniSnuli informacia aseve mniSvnelovania im kontracepciuli meTodis SesarCevad, romelic yvelaze metad miesadageba yoveli calkeuli adamianis reproduqciul qcevasa da reproduqciul prioritetebs. rogorc naCvenebia cxrilSi 4.5, 15-44 wlis yvela qalis 34%

bolo orsulobis dagegmvis statusi dedis asakis mixedviT 15-44 wlis qalebs Soris

FsuraTi 4.6.3 asakobrivi jgufi

arasasurveli

35-44

udroo

54

30-34

4

39

25-29

24

20-24

8

15-19

6

0%

dagegmili 42

10

51

12

63

14

78

10

85

20%

40%

60%

damrgvalebis gamo kategoriebi yovelTvis ar Seadgens 100%-s.

52

80%

100%


saboloo angariSi

sqesobrivad gamoucdeli aRmoCnda, 5% iyo orsulad, xolo 3% - Tavs ikavebda mSobiarobis Semdgomi sqesobrivi aqtivobisgan intervius CamorTmevis dros. TiTqmis naxevari (48%) eweoda sqesobrivad aqtiur cxovrebas (hqondaT sqesobrivi kavSiri bolo erTi Tvis ganmavlobaSi), xolo 10% –sqesobriv cxovrebas eweoda araregularul. qorwinebaSi an partniorTan TanacxovrebaSi myofi qalebidan 80%-s hqonda sqesobrivi kavSiri erTxel mainc interviumde erTi Tvis ganmavlobaSi, xolo 3%-s – wina 3 Tvis ganmavlobaSi, amaT emateba 13%, romelic iyo orsulad an orsulobis Semdgom periodSi. maTgan gansxvavebiT, adre qorwinebaSi myof qalTa mxolod 12%-s hqonda sqesobrivi kavSiri ukanaskneli 3 Tvis ganmavlobaSi. ganaTxovar qalTa umravlesobam (70%) Tqva, rom ukanasknelad sqesobrivi kavSiri hqonda erTi an meti wlis win, savaraudod, roca jer kidev qorwinebaSi imyofebodnen. TiTqmis aravis (0.1%) gauTxovari qalebidan ar hqonia sqesobrivi gamocdileba, rac kidev erTi mtkicebaa imisa, rom saqarTveloSi jer kidev mtkicea tradiciuli akrZalva seqsualuri urTierTobebis qorwinebamde. samidan TiTqmis erTi axalgazrda qali (15-24 wlis asakis) (cxrilis qveda nawili) eweoda sqesobriv cxovrebas, maTgan 10% iyo orsulad an axlad namSobiarebi. 25 wlis da ufrosi asakis qalebis TiTqmis 71% sqesobrivi gamocdilebis mqone aRmoCnda, maTgan ori mesamedi sqesobrivad aqtiuri iyo interviumde bolo erTi Tvis manZilze.

4.6 bolo orsulobis dagegmvis statusi daugegmavi orsuloba warmoadgens janmrTelobis dacvis did problemas mTel msoflioSi, rac xdeba yvela kulturaSi da FsuraTi 4.6.4

rac emarTeba yvela asakis da yvela socialur-ekonomikuri donis Tu ganaTlebis mqone qals. reproduqciuli prioritetebis zusti dokumentireba mniSvnelovania mosaxleobis Sobadobisa da SobadobasTan dakavSirebuli qcevis gagebisa da kontracepciaze moTxovnilebis gansazRvrisaTvis. daugegmavi orsulobebi Cveulebriv asocirdeba orsulobis nebayoflobiT SewyvetasTan, arasaTanado prenatalur momsaxurebasTan, orsulTa mavne qcevebTan da orsulobis an orsulobis Semdgom garTulebebTan (Brown and Eisenberg, 1995). daugegmavi orsuloba didi xania, rac klasificirdeba janmrTelobis dacvis, socialur da ekonomikur problemad, rac sirTuleebs uqmnis qalebs da Cvilebs. aRniSnulis Sedegebs, Tavis mxriv, ganekuTvneba ojaxebze dawolili didi tvirTi, mTavrobis mier jandacvaze gaweuli xarjebis zrda da siRaribeSi mcxovrebi qalebis finansuri daxmareba. arasasurveli orsulobebis tradiciuli gansazRvreba asaxavs qalis reproduqciul prioritetebs daorsulebamde (Henshaw, 1998). yvela respondents, romelmac imSobiara 2005 wlis ianvris Semdeg, ekiTxebodnen, iyo Tu ara dagegmili orsuloba Casaxvis momentisaTvis. yvela orsuloba klasificirebuli iqna rogorc: `dagegmili” (sasurveli misi dadgomis droisaTvis), `udroo” (dagegmilze ufro naadrevi), `arasasurveli” (arasasurveli bavSvi an Svilebis sasurvel raodenobas gadaWarbebuli) an `gaurkveveli statusis”. udroo da arasasurveli orsulobebi erTad ganekuTvnebian `daugegmavi” orsulobebis jgufs (Westoff, 1976) (suraTi 4.6.1). daugegmavi orsulobebis Sesaxeb informaciis Segroveba rTulia. erT-erTi mud-

bolo orsulobis dagegmvis statusi cocxali Svilebis raodenobis mixedviT 15-44 wlis qorwinebaSi myof qalebSi

procenti

100

87

dagegmili

udroo

arasasurveli

81

80

60

55 48

40

45

34

20

13 0

3 arcerTi

6

6 erTi

11

ori

7 sami da meti

cocxali Svilebis raodenoba

53


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 4.7.1

momavali Sobadobis upiratesoba qorwinebaSi myof 15-44 wlis qalebSi meti Svili aRa unda uSvilo unda Svili 1 wlis ganmavlobaSi unda Svili 1-2 weliwadSi unda Svili 2 weliwadSi an ufro gvian ver gadauwyvetia

9%

14% 7%

50%

15%

6%

FsuraTi 4.7.2 procenti

gadawyvetileba, aRar iyolion meti Svili, cocxali Svilebis raodenobis mixedviT qorwinebaSi myof 15-44 wlis qalebSi

100

81

80

64 60

50 40

20

17 1

0

sul

arcerTi

erTi

ori

sami da meti

cocxali Svilebis raodenoba

mivi problema isaa, rom xelovnuri abortiT dasrulebuli orsulobebi naklebad aris aRricxuli. imis gamo, rom daugegmavi orsulobebis umravlesoba udroo da arasasurvelia, maTi registracia arasrulia da aRwevs abortebis registraciis dones. Tumca ganucxadebeli abortebi 2010 wlis reproduqciuli janmrTelobis kvlevis mTavari dabrkoleba ar gamxdara (ix. me-5 Tavi). kidev erTi problema SesaZloa davukavSiroT orsulobis dagegmvis retrospeqtiul gaazrebas da orsaxovnebas, im SemTxvevebSi, roca orsulobis Sedegi cocxladSobili bavSvia. qalebs sTxovdnen Casaxvis momentisaTvis orsulobis ganzraxvis Taobaze mosazrebebis Camoyalibebas. bavSvis gaCenis Semdeg retrospeqtiulad gancxadebuli ganzraxva ufro 54

dadebiTia xolme (Miller WB 1994). ase rom, warmodgenili monacemebi daugegmavi orsulobebis namdvili doneebis konservatuli Sefasebebia. 2010 wlis reproduqciuli janmrTelobis kvlevis dros qalebis TiTqmis orma mesamedma (63%), romlebsac orsuloba hqondaT bolo 5 wlis ganmavlobaSi, gansazRvra Tavisi orsuloba rogorc `dagegmili~; 10%-ma – rogorc `udroo”, xolo 26%-ma - rogorc `arasasurveli”, ramac sabolood mogvca 36% `daugegmavi” orsulobebisa (cxrili 4.6). igive maCveneblebi udrida 52%-s 2005 wels da 59%-s - 1999 wels (suraTi 4.6.2). rogorc wina kvlevebSi, daugegmavi orsulobebis umetesoba arasasurveli iyo, magram udroo orsuloba daugegmavi orsulobebis yvelaze did nawils Sead-


saboloo angariSi

meti Svilis gaCenis survili cocxali Svilebis raodenobis mixedviT qorwinebaSi myof 15-44 wlis qalebSi:1999, 2005, 2010

FsuraTi 4.7.3

procentebi

1999

2005

2010

80

65

63

60

40

70

71

66

64

35 25

27 21

20

12

13

0

sul

erTi

arcerTi

ori

sami da meti

cocxali Svilebis raodenoba

FsuraTi 4.7.4

8

4

3

bavSvis gaCenis survili or weliwadSi qorwinebaSi myof 15-44 wlis qalebSi: 1999, 2005, 2010

procenti

1999

2005

2010

80

60

61 47

44

40

38

33

38 26

20

21

23 17

21 15

15 7

7

0

15-19

20-24

25-29

genda (36%-dan - 11%) anu 31%-s – es yvelaze maRali maCvenebelia wina wlebTan SedarebiT (2005 wels - 23% da 1999 wels - mxolod 17%). es migviTiTebs kontraceptivebiT momsaxurebis mimarT yuradRebis miqcevis aucileblobaze im wyvilebisTvis, visac surs Tavisi ojaxis dagegmva. im qalebis umravlesoba (94%), romelTa bolo orsuloba dasrulda cocxladSobili bavSvis gaCeniT, acxadebs, rom maTi orsuloba dagegmili iyo (cxrili 4.6). da piriqiT, mxolod 3% im qalebisa, romelTa orsuloba dasrulda xelovnuri abortiT, adasturebs orsulobis sasurvelobas. im qalebis SedarebiT didi raodenoba (19%), romelTa bolo orsuloba dasrulda uneblie abortiT an mkvdarSobili bavSvis gaCeniT, Tavis am orsulobas moixseniebs rogorc arasasurvels. es aTjer aRemateba cocxladSobil bavSvTa dedebis wils (2%), romlebmac orsuloba arasasurvelad Seafases. SeiZleba vivaraudoT, rom orsulobis ganviTarebasa da Sedegebze uaryofiTi gavlena an daugegmavobam iqo-

30-34

35-39

2

4

7

40-44

nia, an am Sedegebidan zogierTi sinamdvileSi xelovnuri aborti iyo, rac gacxadda nayofis sxva saxiT dakargvad. daugegmavi orsulobebis, romlebic dasrulda an spontanuri abortiT, an mkvdarSobili bavSvis gaCeniT, procenti msgavsia 1999 da 2005 wlebis procentebisa (Serbanescu et al., 2001, 2007). saerTo jamSi, dagegmili orsulobebis proporciam gadaaWarba daugegmavs yvela asakobriv jgufSi, garda 35-44 wlis qalebisa da sam da metbavSviani ojaxebisa, sadac proporcia Camovarda 50%-ze qvemoT. daugegmavi orsulobebis wili Zalian gaizarda SedarebiT ufrosi asakisebSi da did ojaxebSi (suraTi 4.6.3). 15-19 wlis asakobriv jgufSi orsulobis mxolod 16% iyo daugegmavi, Tumca maTi umravlesoba ufro `udroo” iyo, vidre `arasasurveli”. am qalebisTvis arasasruveliudroos Sefardeba iyo daaxloebiT 0.6:1, anu 5.8/9.7; maCvenebeli igive iyo 20-24 wlis asakobriv jgufSi. Tumca es Semdeg Seicvala da gaxda 2.1:1-dan 3.8:1 da 14.9:1-mde Semdgom, ufro maRali asakis jgufebSi. rac ufro 55


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

maRalia asaki, miT ufro meti orsuloba klasificirdeba rogorc `arasasurveliâ&#x20AC;? da ara rogorc `udrooâ&#x20AC;?. amrigad, udroo orsulobebs swrafad anacvlebs arasasurveli orsulobebi dedis asakis zrdasTan erTad upirveles yovlisa imitom, rom ojaxis dagegmvis survili Caanacvla bavSvebis yolis survilis Sewyvetam. aRniSnulidan gamomdinare, faqtobrivad yvela daugegmavi orsuloba arasasurvelia SedarebiT ufros asakSi. qalebi, romlebsac arasdros hyoliaT Svili, an hyavdaT mxolod erTi Svili (albaT ufro axalgazrda qalebi), ar acxadebdnen, rom maTi orsuloba arasasurveli iyo, rogorc amas akeTebdnen ori an meti cocxladSobilis dedebi (suraTi 4.6.4). daugegmavi orsulobebis wili ufro maRali iyo codnis dabali donis da dabali Semosavlis mqone qalebSi. es wili aseve ufro maRali iyo azerbaijanel da somex qalebs, vidre qarTvelebs, Soris.

4.7 Svilebis sasurveli raodenoba momavalSi mosaxleobis codna mosalodneli Sobadobis Sesaxeb mniSvnelovania daugegmavi orsulobebis Tavidan acilebisa da wyvilebisaTvis sasurveli zomis ojaxis dagegmvaSi xelis Sesawyobad. jandacvis muSakebma da samedicino momsaxurebis momwodeblebma unda icodnen adamianebis SobadobasTan dakavSirebuli survilebi, raTa SeZlon wyvilebis daxmareba daugegmavi orsulobis da xelovnuri abortebis maCveneblebis SemcirebaSi. yvela kvlevaSi qalebSi gamokvleuli iqna meti bavSvis yolis survili. maT dausves kiTxva, surdaT Tu ara Svilis (kidev erTi Svilis) gaCena momavalSi. im respondentebs, romlebmac gamoxates Svilis yolis survili

momavalSi, hkiTxes, isurvebdnen Tu ara bavSvis yolas erT weliwadSi, erT-or weliwadSi an ori wlis Semdeg. 4.7.1 cxrilidan da 4.7.1 suraTidan Cans, rom daqorwinebuli Tu araregistrirebul qorwinebaSi myofi sami qalidan erT qalze mets surs meti Svilebis yola; damatebiT 6% ar iyo darwmunebuli, undoda Tu ara meti Svili. qalebis 9%-ma ganacxada, rom misi partniori an TviTon unayofo iyo. es qalebi momavalSi bavSvebis sasurveli raodenobis Taobaze ar gamoukiTxavT. Sobadobis Semdgom ganviTarebaze did gavlenas axdens cocxladSobili bavSvebis raodenoba. magaliTad, gaTxovili qalebis 70%-s, romlebsac ar hyavdaT bavSvebi, undodaT Svilis yola da TiTqmis yvela maTgans (66%/69.6%=95%) undoda bavSvis gaCena or weliwadSi. erTSvilian qalebSi 71%-s undoda kidev erTi Svilis gaCena momavalSi, maT Soris 37%-ma es isurva momavali ori wlis ganmavlobaSi. es procentuli maCvenebeli swrafad Semcirda 21%-mde orSvilian qalebSi da 8%mde sam da metSvilian qalebSi. aRniSnulis sapirispirod, gadawyvetileba, meti Svili aRar gaeCinaT, swrafad gaizarda cocxladSobili bavSvebis raodenobis zrdasTan erTad (suraTi 4.7.2). im qalebis 81%, romlebsac ukve hyavdaT sami da meti Svili, mzad iyo Svilosnobis SewyvetisTvis. sapirispirod amisa, im qalebs Soris, romlebsac ar hyavdaT cocxladSobili bavSvi, mxolod 1%-ma aRar isurva Svilis yola. cvlilebebi bavSvebis gaCenis survilSi saqarTveloSi reproduqciuli janmrTelobis sami kvlevis manZilze Zalian relevanturia Sobadobis koeficientis (2010 wlis kvleva) zrdis interpretirebisaTvis. rogorc naCvenebia 4.7.3 suraTze, im qalebis raodenoba, romlebmac ganacxades, rom surT meti Svilis yola, gazrdilia 1999 wlis 25%-dan

gadawyvetileba, meti aRar iyolios Svili, cocxali Svilebis raodenobis mixedviT qorwinebaSi myof Sobadobis unari mqone 15-44 wlis qalebSi: reproduqciuli janmrTelobis kvleva 1999, 2005, 2010

FsuraTi 4.7.5 procenti 100

91 92 87

80

60

78 78 64 63 68

54

40

18 19 18

20

1 1 1

0

sul

arc erTi

erTi

cocxali Svilebis raodenoba

56

ori

sami da meti


saboloo angariSi

35%-me 2010 wels â&#x20AC;&#x201C; es aris 40%-iani zrda. aRniSnuli tendencia Tanmimdevrulia, miuxedavad cocxladSobili bavSvebis raodenobisa. gansakuTrebiT aRsaniSnavia im ori da metSviliani qalebis raodenoba (21%), romlebmac 2010 wels ganacxades, rom surT meti Svili. es maCvenebeli mxolod 12% iyo 1999 wels. Sobadobis modelebis Seswavlam saqarTveloSi gviCvena Sobadobis maRali koncentracia SedarebiT axalgazrda asakSi. ar aris gasakviri, rom Svilebis yolis survili Zalian maRali iyo axalgazrda qalebs Soris (89% - 15-19 wlis asakobriv jgufSi da 73% - 20-24 wlis qalebs Soris). igive maCvenebeli Camodis 47%-mde 25-29 wlis qalebSi da kidev ufro mcirdeba 30 da meti wlis qalebSi (4.7.1 cxrilis bolo nawili). TiTqmis naxevars im qalebisa, romlebsac surdaT Svili (kidev erTi Svili), es undodaT ori wlis ganmavlobaSi (suraTi 4.7.4). magaliTad, 15-19 wlis qalebis 45%-ma 89%-dan ganacxada, rom surda Svilis (kidev erTi Svilis) yola momavalSi. meore mxriv, 29 wlis da ufro axalgazrda qalebs Soris, romlebmac isurves kidev erTi Svili, oridan erTs undoda, sul mcire, ori weli moecada (magaliTad, 34.8/72.8 20-24 wlis qalebs Soris). 30 da meti wlis qalebi, romlebsac surdaT meti Svili, amis ganxorcielebas apirebdnen momavali ori wlis ganmavlobaSi da 40 wlisTvis TiTqmis yvelam Seasrula Tavisi survili. 1999 da 2010 wlebs Soris SesamCnevi cvlilebebi moxda kidev erTi bavSvis yolaSi mocemul asakSi. yvelaze axalgazrda qalebs Soris, romlebsac surdaT Svilis gaCena momavali ori wlis ganmavlobaSi, maCvenebeli mkveTrad daeca, TiTqmis meoTxediT, 61%-dan 44%-mde, magram Semcirebas adgili ar hqonia 30 da meti wlis qalebSi, romlebsac surdaT Svilis gaCena momavali ori wlis ganmavlobaSi. es Sedegebi miesadageba Sobadobis maCveneblis Semcirebas axalgazrda qalebSi da gazrdil Sobadobas 30 da meti wlis qalebSi, rac SeiZleba iyos ufrosi asakis qalebSi orsulobis raodenobis zrdis mimaniSnebeli. ufro zusti analizi meti Svilis msurvel qalebTan dakavSirebiT miRebuli iqna dakvirvebis SemofargvliT mxolod nayofieri (vinc orsuldeba) qalebiT, romlebic SeiZleba imyofebodnen daugegmavi orsulobis riskis qveS (cxrili 4.7.2). Semdeg uSvilo qalebis gamoricxva gvaZlevs tendenciebze ukeT dakvirvebis saSualebas (1999 da 2010 wlebs Soris SesamCnevad Semcirda uSviloTa jgufi â&#x20AC;&#x201C; 14%-dan 9%-mde). da piriqiT - ukuproporciuli kavSiri im qalebs, romlebsac meti Svili aRar undaT, da dedobis msurvelTa Soris dRes ufro gamoxatulia. mTlianad qarTveli

qalebis 54%, romelTac SeuZliaT Svilosnoba, acxadebs, rom maT ar undaT meti Svili, magram es maCvenebeli gaizarda 18%-dan erTSvilian dedebs Soris 87%-mde sam da metSviliani dedebs Soris (suraTi 4.7.5). erTSvilian dedebs Soris meti Svilis aryolis survili ufro maRali iyo qalaqebSi mcxovreb qalebSi, vidre soflis binadarT Soris (21% da 15%) da es maCvenebeli izrdeba ganaTlebis donis amaRlebasTan erTad. nebismier dros Svilosnobis Sewyvetis survili uSualod iyo dakavSirebuli asakTan. es modeli hgavs 1999 da 2005 wlebis kvlevisas aRricxul SemTxvevebs, Tumca 2010 wels ori da metSviliani qalebis ufro mcire nawilma ganacxada, rom aRar undoda meti Svili, vidre es gamoxates qalebma 1999 an 2005 wels. ojaxis dagegmvis programam unda gaiTvaliswinos saqarTveloSi wyvilTa mosazrebani Svilebis sasurveli raodenobis Sesaxeb, raTa uzrunvelyos isini moTxovnilebis Sesabamisi kontracepciuli meTodebiT. erTi an meti Svilis mosurne axalgazrda qalebs iseTi meTodebi sWirdebaT, romlebic Svilis gaCenis Sesaferisi drois gansazRvris saSualebas miscemT; maSin, roca SedarebiT asakovnebi, romelTa umravlesobas bavSvis gaCena aRar surs, xangrZliv an permanentul kontraceptiul meTodebs saWiroeben.

4.8 uSvilobis problemebi 2010 wlis kvlevaSi Sedioda moduli, romlis daniSnulebas warmoadgenda uSvilobis amJamindeli doneebis Sefaseba da unayofo qalebisTvis arsebuli reproduqciuli janmrTelobis samsaxurebis dokumenturi saxiT aRricxvas. uSviloba xSirad saxeldeba reproduqciuli janmrTelobis problemad aRmosavleT evropaSi, sadac mkveTrad klebulobs Sobadoba, farTodaa gavrcelebuli abortebi, gamravlebulia sqesobrivi gziT gadamdebi da menjis Rrus infeqciebi; garda amisa, arasakmarisia jandacvis sistemis infrastruqtura. Tumca ar arsebobs mkafio dokumenturi dasabuTeba imisa, rom saqarTveloSi uSvilobis koeficienti izrdeba, calkeuli mtkicebulebebi saTaves aZlevs farTod gavrcelebul Sexedulebas, rom saqarTveloSi qalebi ufro xSirad mimarTaven samedicino daxmarebas uSvilobisgan gankurnebisTvis, vidre adre, risi mizezi SeiZleba iyos menjis Rrus infeqciebi (abortis an mSobiarobis garTulebebi) an Zlieri tradiciuli zewola, rom bavSvi qorwinebidan sul male unda gaCndes. imis gaTvaliswinebiT, rom uSvilobasTan da uSvilobis samkurnalo samsaxurebSi miRebul momsax-

57


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

urebasTan dakavSirebul monacemebs didi mniSvneloba aqvs samomavlod momsaxurebaze moTxovnilebis da janmrTelobis dacvis xarjebis gansazRvrisTvis, kvlevaSi Setanili iqna mTeli rigi kiTxvebisa momsaxurebiT mosargeble adamianebis raodenobisa da diagnostirebuli problemebis Sesaxeb. termini `unayofoba” winamdebare TavSi exeba wyvilis SesaZleblobis darRvevas, iyolios Svili an raime cnobili samedicino mizezis, an Casaxvis unaris dakargvis gamo, daucveli sqesobrivi aqtebis SemTxvevaSi, sul mcire ori wlis ganmavlobaSi. rogorc es naCvenebia 4.8.1 cxrilSi, sqesobrivi cxovrebis gamocdilebis mqone qalebis 10%-s an maT partniorebs sxvadasxva dros miRebuli hqondaT uSvilobis mkurnalobasTan dakavSirebuli momsaxureba da dasmuli hqondaT `unayofobis” diagnozi. im qalebis raodenoba, romlebsac odesRac hqondaT dasmuli aseTi diagnozi, ufro maRalia TbilisSi, vidre sxva qalaqebsa an soflebSi, savaraudod imitom, rom TbilisSi mcxovrebTaTvis ufro xelmisawvdomia iseTi samedicino samsaxureba, romlebsac SeuZlia qalisTvis `unayofobis” diagnozis dasma. miuxedavad amisa, im xuT procent qalebs Soris, romlebmac ganacxades, rom maT amJamad dasmuli aqvT unayofobis diagnozi, yvelaze naklebi raodenoba movida Tbilisze, maSin, rodesac soflad am problemis gacilebiT maRali maCvenebeli aRmoCnda. unayofoba pirdapir proporciuli aRmoCnda asakisa – daaxloebiT 1,5% 20-24 wlis qalebSi da 13% 40 da meti wlis qalebSi. Zalze didma nawilma qalebisa, romlebsac arasdros gauCeniaT Svili, ganacxada unayofobis Sesaxeb (aseve ewodeba pirveladi unayofoba). garda amisa, pirveladi unayofobis mqone qalebis maCvenebeli samjer da ufro metad maRalia im qalebs Soris, visac odesRac awuxebda menjis Rrus infeqciebi, vidre maT Soris, visac es daavadeba ar hqonia. sqesobrivi cxovrebis gamocdilebis mqone im qalebis 10%-s Soris, romlebsac odesme miuRiaT uSvilobis mkurnalobasTan dakavS-

58

irebuli momsaxureba, 25% (ar aris naCvenebi) iRebda specialur samedicino daxmarebas interviumde 12 Tvis manZilze. uSvilobis problemebi, romlebic diagnostirebuli iyo daorsulebis mizniT samedicino daxmarebisTvis mimarTvisas, mocemulia 4.8.2 cxrilSi (pacientebs SeuZliaT ganacxadon ramodenime diagnozis Sesaxeb, ase rom, jami zogierT striqonSi gaxdeba 100%-ze meti, zogierTi jami ver miaRwevs 100%-s, radgan 75 SemTxvevaSi informacia gamotovebulia). problemaTa umravlesoba exeba ovulaciis disfunqciebs, xolo danarCenebi TiTqmis Tanabradaa gayofili 10-15% TiToeuli. diagnozebi mniSvnelovnad gansxvavdeba sacxovrebeli adgilidan, regionidan da cxrilSi naCvenebi sxva qvejgufebidan gamomdinare. me-4 Tavis daskvnis saxiT SeiZleba iTqvas, rom saqarTveloSi 1990-ian da adreul 2000ian wlebSi aRricxul Sobadobaze ekonomikuri da sociologiuri zegavlena iqonia postkomunisturma gardamavalma periodma. 2010 wlis kvlevaSi dafiqsirebuli Sobadobis bolodroindeli aRmavloba daemTxva am bolo periodis ekonomikur zrdas da qveynis politikur stabilurobas. amJamad axalgazrdebSi Sobadobis koeficienti Semcirda, magram SedarebiT ufrosi asakis qalebSi SeiniSneba Svilebis kidev gaCenis survilis zrda da savaraudoa, rom maTSi naklebad eqneba adgili daugegmav orsulobas, vidre xuTi wlis win qalebs Soris. aqedan gamomdinare, qalebis sul ufro mzard raodenobas hyavs maTTvis sasurveli raodenobis Svilebi, roca maT isini undaT, da mxolod mcire nawili acxadebs, rom aRar surT Svilebis yola. Sesabamisad, saqarTveloSi ojaxis dagegmvis sferoSi mimdinare mcdelobebisTvis aucilebelia kontracepciasTan dakavSirebiT iseTi konsultaciebis uzrunvelyofa, romlebic saTanadod gaiTvaliswinebs adamianebis prioritetebs bavSvebis gaCenis TvalsazrisiT da maT samomavlo gegmebs, bavSvebis raodenobas da Svilosnobis Sewyvetas.


saboloo angariSi

cxrili 4.1.1 cxrili Sobadobis koeficientebi (samwliani 4.1.1 asakobrivi samwliani Sobadobis asakobrivi asakobrivi koeficientebiintervalebi) da da Sobadobis jamobrivi koeficientebi drois sam periodSi15-44 wlis Sobadobis jamobrivi koeficientebi 15-44 wlis yvela yvela qalisTvis. qalisTvis - reproduqciuli janmrTelobis kvleva qalTa reproduqciuli janmrTelobiskvleva - saqarTvelo, 1999, saqarTvelo, 1999, 2005 da 2010 wlebi 2005 da 2010 wlebi ASobadobis asakobrivi koeficienti (1,000 qalze)* asakobrivi jgufi (wlebi)

2007–2010 GERHS‐101

2002–2005  GERHS‐052

1996–1999 GERHS‐993

15–19 20–24 25–29 30–34 35–39 40–44

39 142 115 62 30 (11)

47 109 85 47 18 (7)

65 113 92 48 21 (7)

Sobadobis jamobrivi koeficienti (erT qalze)

2.0

1.6

1.7

GSobadobis saerTo koeficienti (1,000 qalze/weliwadSi)

72

55

66

* Aasaki mSobiarobisas 1. gamomJRavnebuli Sobadoba 2007 wlis oqtombersa da 2010 wlis seqtembers Soris. 2. gamomJRavnebuli Sobadoba 2002 wlis martsa da 2005 wlis Tebervals Soris. 3. gamomJRavnebuli Sobadoba 1996 wlis dekembersa da 1999 wlis noebmers Soris. ( ) miTiTebuli dro nawilobriv Sekvecilia, radgan SerCevaSi ar Sedis mocemul periodSi gamomJRavnebuli yvela qali

59


respodentebis mier axlandel asakSi gaCenili cocxalSobili bavSvebis raodenoba 15-44 wlis yvela da qorwinebaSi myofi qalebi, cxrili 4.1.2 cocxladSobilTa raodenoba respondentTa amJamindeli asakis mixedviT reproduqciuli janmrTelobis kvleva, 15-44 wlis yvela qalsa da amJamad qorwinebaSi myof qalebs Soris saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo 2010 cxrili 4.1.2

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

yvela qali cocxalSobilTa raodenoba

0 1 2 3 4 an meti SemTxvevebis mTliani raodenoba

sul

asakobrivi jgufi 15–19

20–24

25–29

30–34

35–39

40–44

41.1 18.4 28.5 9.3 2.7

94.8 4.6 0.5 0.1 0.0

59.3 27.3 12.0 1.3 0.0

31.2 27.5 33.5 7.3 0.5

19.1 18.0 45.7 13.4 3.8

15.2 16.8 44.8 16.9 6.2

15.3 15.4 42.0 20.6 6.7

100.0 6,292

100.0 861

100.0 1,099

100.0 1,191

100.0 1,168

100.0 1,051

100.0 922

qorwinebaSi myofi qalebi cocxalSobilTa raodenoba

0 1 2 3 4 an meti SemTxvevebis mTliani raodenoba

60

asakobrivi jgufi

sul 15 19 15–19

20 24 20–24

25 25–29 29

30 30–34 34

35 35–39 39

40 40–44 44

9.7 26.0 45.4 14.8 4.1

55.5 39.6 4.2 0.7 0.0

20.6 52.5 24.1 2.6 0.1

8.0 35.5 46.0 9.8 0.7

5.7 18.0 55.7 16.3 4.3

5.0 15.5 52.5 19.6 7.5

4.7 12.4 49.5 25.5 7.9

100.0 4,098

100.0 124

100.0 610

100.0 863

100.0 948

100.0 836

100.0 717


saboloo angariSi

* cxrili 4.2 samwliani ASobadobis asakobrivi(sam-wliani koeficientebiintervali*) da cxrili 4.2 Sobadobis asakobrivi koeficientebi da Sobadobis Sobadobis jamobrivi koeficientebi SerCeuli jamobrivi koeficientebi15-44 wlis yvela qali, SerCeuli maxasiaTeblebis maxasiaTeblebis mixedviT 15-44 wlis yvela qals Soris mixedviT. reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo,

ASobadobis asakobrivi koeficienti (1,000 qalze) maxasiaTeblebi

sul

40–44

Sobadobis jamobrivi koeficienti (mSobiaroba erT qalze

15–19

20–24

25–29

30–34

35–39

39

142

115

62

30

11

2.0

25 57

134 151

108 123

70 54

29 31

8 13

1.9 2.1

77 21 33 64 55 19 45 23 53 39 65

168 127 133 129 132 166 138 171 135 167 198

85 121 131 118 131 142 86 86 105 148 96

40 73 59 50 61 58 53 80 62 57 67

21 32 30 22 15 31 20 20 46 26 35

24 13 0 6 30 26 0 0 0 26 5

2.1 1.9 1.9 1.9 2.1 2.2 1.7 1.9 2.0 20 2.3 2.3

44 48 36 16

162 166 160 118

88 118 100 126

37 54 66 75

32 25 37 28

26 7 14 5

1.9 2.1 2.1 1.8

53 57 47 20 27

148 182 132 118 133

112 111 117 100 130

47 62 68 61 69

27 25 37 35 25

12 15 12 3 11

2.0 2.3 2.1 1.7 2.0

30 143 59 66

141 184 118 144

117 96 101 111

65 18 70 60

30 29 22 40

9 0 0 73

2.0 2.4 1.9 2.5

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi m r mcxeTa-mTianeTi raWa-svaneTi ganaTlebis done arasruli saSualo da naklebi sruli saSualo teqnikumi universit./aspirantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azeri somexi sxva

* BSobadoba 2007 wlis oqtombersa da 2010 wlis seqtembers Soris. † BSobadoba 1000 qalze weliwadSi, mSobiarobisas asakis mixedvis

61


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

4.3 wlis 15-44 wlis qorwinebis qalebis qorwinebis amJamindeli statusiSerCeuli cxrilicxrili 4.3 15-44 qalebis amJamindeli statusi SerCeuli mixedviT maxasiaTeblebis mixedviT maxasiaTeblebis reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 qorwinebis amJamindeli statusi maxasiaTeblebi

sul

registrireb aragegistrir uli ebuli qorwineba qorwineba

adgre gaTxovili

arasdros yofila gaTxovili

sul

SemTxvevaTa raodenoba

57.9

1.2

6.5

34.4

100.0

6,292

53.6 62.8

1.3 1.2

8.0 4.8

37.1 31.2

100.0 100.0

2,975 3,317

62.8 50.2 60.0 61.9 58.5 63.6 63.6 55.5 61.2 60.6 57.2

0.6 1.4 1.2 1.6 2.6 0.9 . 1.2 1.0 2.7 0.5

6.5 8.7 5.5 7.6 3.9 5.5 3.2 5.0 5.6 5.1 4.3

30.1 39.8 33.3 29.0 34.9 30.0 33.2 38.3 32.2 31.6 38.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

498 1,426 392 546 481 419 401 477 805 393 454

10.3 47.1 69.5 77.0 77.4 75.0

0.3 1.6 1.5 1.0 1.8 1.4

0.8 3.2 4.2 8.8 10.8 13.2

88.5 48.2 24.8 13.1 10.1 10.5

100.0 100.0 100.0 100.0 100.0 100.0

861 1,099 1,191 1,168 1,051 922

45.5

0.7

5.7

48.2

100.0

1,330

63.5 68.7 58.0

1.5 2.0 1.2

4.9 7.2 7.6

30.0 22.1 33.2

100.0 100.0 100.0

1,568 903 2,491

62.1 62.8 59.7 52.4 54.3

1.0 1.1 1.9 1.0 1.2

5.7 5.3 4.7 8.3 8.0

31.2 30.8 33.7 38.4 36.5

100.0 100.0 100.0 100.0 100.0

1,093 1,385 1,413 1,037 1,364

57.0 72.3 57.1 60.6

1.3 . 1.7 0.6

6.3 5.9 5.6 14.0

35.3 21.8 35.5 24.8

100.0 100.0 100.0 100.0

5,488 276 364 164

55.6 58.5

1.3 1.2

11.9 5.0

31.2 35.2

100.0 100.0

1,410 4,882

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 ganaTlebis done arasruli saSualo da naklebi sruli saSualo teqnikumi universit./aspirantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azeri somexi sxva dasaqmeba dasaqmebuli dausaqmebeli

62


saboloo angariSi

cxrili 4.4.1 qalebis procentuli ganawileba axlandeli asakis mixedviT, romlebmac pirveli sqesobriviganawileba gamocdileba,axlandel pirveli Tanacxovreba da cxrili 4.4.1 qalebis procentuli asakis mixedviT, romlebic pirveli mSobiaroba ganicades SerCeul asakamde, pirveli sqesobrivi gamocdileba, pirveli Tanacxovreba da pirveli mSobiarobajanmrTelobis ganicades SerCeul asakamde,2010 kvleva: saqarTvelo, reproduqciuli reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 asaki pirveli sqesobrivi gamocdilebisas

hqonda sqesobrivi kavSiri

arasdros hqonia sqesobrivi kavSiri

asakis mediana

SemTxvevebi s raodenoba

axlandeli asaki

<15

<18

<20

<22

<25

15–19 20–24 25–29 30–34 35–39 40–44

0.5 1.2 0.9 2.0 0.7 0.7

(8.4) 14.4 14.6 24.4 21.6 11.2

(11.5) 29.5 30.0 40.9 43.2 32.8

NA (46.1) 45.5 52.3 55.9 51.4

NA (52.2) 65.9 67.7 69.6 67.5

11.5 52.2 75.3 86.9 90.1 89.5

88.5 47.8 24.7 13.1 9.9 10.5

† † 22.4 21.1 20.6 21.6

861 1,099 1,191 1,166 1,051 922

sul

1.0

15.7

30.8

43.1

54.6

65.7

34.3

21.8

6,290

arasdros hqonia sqesobrivi kavSiri

asakis mediana

asaki pirveli Tanacxovrebisas <15

<18

<20

<22

<25

15–19 20–24 25–29 30–34 35–39 40–44

0.4 1.1 1.2 2.2 0.9 0.6

(8.3) 14.0 14.7 24.9 22.1 11.0

(11.5) 28.8 29.6 41.0 42.9 32.4

NA (45.6) 45.6 52.7 55.6 51.2

NA (51.8) 65.8 66.7 69.3 66.7

11.5 51.8 75.2 86.9 89.9 89.5

88.5 48.2 24.8 13.1 10.1 10.5

† † 22.6 21.4 21.0 21.9

861 1,099 1,191 1,168 1,051 922

sul

1.0

15.7

30.6

43.0

54.3

65.6

34.4

21.9

6,292

asaki pirveli mSobiarobisas

kvlavac kavSirSia

SemTxvevebi s raodenoba

axlandeli asaki

arasdros Sva gauCenia cocxalSob cocxalSobi ili bavSvi li bavSvi

SemTxvevebi s raodenoba

axlandeli asaki

<15

<18

<20

<22

<25

15–19 20–24 25–29 30–34 35–39 40–44

0.2 0.0 0.1 0.2 0.2 0.2

(3.0) 6.1 6.9 11.8 9.5 4.7

(5.2) 17.7 20.2 29.0 26.3 17.3

NA (32.3) 35.1 42.2 44.3 36.7

NA (40.7) 55.8 57.4 60.9 58.4

5.2 40.7 68.8 80.9 84.8 84.7

94.8 59.3 31.2 19.1 15.2 15.3

† † 24.1 23.4 22.8 23.4

861 1,099 1,191 1,168 1,051 922

sul

0.1

6.9

19.0

32.0

45.3

58.9

41.1

23.6

6,292

asakis mediana

* Egarda 2 qalisa, romlebmac ar daasaxeles pirveli sqesobrivi kavSiris asaki. † Ogamotovebulia, radgan am asakobriv jgufSi 50%-ze naklebi iyo daqorwinebuli periodis dasawyisSi mocemul asakSi. ( ) Aasaki jer ar aris miRweuli 15-19 wlis qalebis mier ar moiTxoveba: miTiTebuli dro nawilobriv Sekvecilia, radgan yvela SemTxvevaSi ar aris miRweuli es asaki

63


asakis mediana pirveli sqesobrivi gamocdilebisas, pirveli Tanacxovrebisa da pirveli mSobiarobisas maxasiaTeblebis mixedviT 15-44 wlis yvela qals Soris cxrili 4.4.2 pirveli sqesobrivi gamocdilebisa, piveli Tanacxovrebisa da pirveli qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 4.4.2

mSobiarobisa saSualo asakijanmrTelobis maxasiaTeblebis mixedviT 15-44 wlis yvela reproduqciuli kvleva: qals Soris saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

maxasiaTblebi

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe javaxeTi samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi universit./aspirantura SemTxvevaTa raodenoba

64

asakis mediana pirveli asakis mediana pirveli sqesobrivi Tanacxovrebisas gamocdilebis miRebisas

asakis mediana pirveli mSobiarobisas

21.8

21.9

23.6

22.6 20.9

22.8 21.1

24.6 22.6

20.7 23.5 20.6 20.8 20.3 21.0 21.4 22.8 21.7 20.9 23.3

20.7 23.7 20.9 21.1 20.5 21.2 21.6 23.1 22.0 21.3 23.6

22.2 25.3 22.3 22.6 21.9 22.8 23.2 24.4 23.6 23.1 25.2

19.3

19.5

20.9

20.1 21.8 24.1

20.2 21.9 24.4

21.7 23.5 25.9

6,290

6,292

6,292


sqesobrivi aqtivobis mdgomareoba qorwinebis saboloo angariSi axlandeli statusis da axlandeli asakis mixedviT 15-44 wlis yvela qals Soris sqesobrivi aqtivobis mdgomareoba qorwinebis statusisa da asakis reproduqciuli janmrTelobis kvleva: mixedviT 15-44 wlis yvela qals Soris. saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

cxrili 4.5

cxrili 4.5

qorwinebis statusi sqesobrivi aqtivobis mdgomareoba

arasdros hqonia sqesobrivi kavSiri

sul

qorwinebaSi myofi

adre qorwinebaSi arasdros yofila myofi qorwinebaSi

34.2

0.0

0.0

99.7

amJamad orsuladaa

4.6

7.6

1.3

0.0

aqvs mSobiarobis Semdgomi periodi

3.1

5.2

0.0

0.0

47.6 2.4 1.7

79.8 3.4 1.5

5.9 6.0 11.9

0.1 0.0 0.0

5.8 0.6

2.0 0.4

70.2 4.8

0.0 0.1

sul

100.0

100.0

100.0

100.0

SemTxvevaTa raodenoba

6,292

4,098

389

1,805

bolo TveSi 1-3 Tve 3 da meti Tvis win, magram mimdinare wels erTi an meti wlis win intervali ucnobia

sqesobrivi aqtivobis mdgomareoba

arasdros hqonia sqesobrivi kavSiri

sul

axlandeli asaki 15–24

25–34

35–44

34.2

67.7

19.0

10.2

amJamad orsuladaa

4.6

7.0

4.7

1.5

aqvs mSobiarobis Semdgomi periodi

3.1

3.4

4.7

0.9

47.6 2.4 1.7

18.5 0.8 1.0

61.7 1.8 2.1

67.7 5.1 2.1

5.8 0.6

1.1 0.5

5.7 0.4

11.5 1.0

sul

100.0

100.0

100.0

100.0

SemTxvevaTa raodenoba

6,292

1,960

2,359

1,973

bolo TveSi 1-3 Tve 3 da meti Tvis win, magram mimdinare wels erTi an meti wlis win intervali ucnobia

65


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 4.6

bolo orsulobis dagegmvis statusi SerCeuli mixedviTSerCeuli 15-44 wlismaxasiaTeblebis qalebs Soris bolo orsulobis maxasiaTeblebis dagegmvis statusi mixedviT reproduqciuli janmrTelobis kvleva: G 15-4 wlis qalebs Soris saqarTvelo, 2010 kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis

cxrili 4.6

Pbolo orsulobis dagegmvis mdgomareoba maxasiaTeblebi

sul orsulobis Sedegi mimdinare orsuloba cocxalSobili bavSvi xelovnuli aborti orsulobis sxva Sedegebi* sacxovrebeli adgili qalaqi sofeli

dagegmili

udroo

arasasurv eli

pasuxi ara aqvs

sul

SemTxvevaTa raodenoba

63.1

10.5

25.7

0.6

100.0

2,986

86.7 93.8 3.1 70.6

9.2 3.8 22.4 8.1

3.5 2.1 73.5 19.2

0.5 0.3 0.9 2.1

100.0 100.0 100.0 100.0

294 1,526 953 213

66.5

11.4

21.6

0.5

100.0

1,354

59.7

9.6

29.9

0.8

100.0

1,632

84.5 78.0 63.4 50.6 41.7

9.7 13.6 11.5 10.2 3.6

5.8 8.1 24.3 38.5 53.5

. 0.4 0.8 0.6 1.2

100.0 100.0 100.0 100.0 100.0

193 836 885 633 439

87.2 80.9 54.7 47.8

2.9 12.7 10.7 6.6

5.7 6.1 33.8 45.1

4.2 0.3 0.7 0.5

100.0 100.0 100.0 100.0

72 956 1,484 474

57.2 65.5 68.8

10.8 10.6 10.1

31.3 23.8 20.4

0.7 0.2 0.7

100.0 100.0 100.0

1,373 405 1,208

57.8 61.3 60.6 69.2 65.4

9.5 9.5 10.5 11.0 11.6

31.4 28.6 28.1 19.6 22.5

1.3 0.5 0.8 0.2 0.5

100.0 100.0 100.0 100.0 100.0

497 709 661 475 644

63.9 54.3 57.9 68.3

10.9 6.7 8.9 11.2

24.7 36.3 31.6 20.5

0.4 2.7 1.6 0.0

100.0 100.0 100.0 100.0

2,541 166 193 86

Mdedis asaki orsulobis †

bolos 15–19 20–24 20 24 25–29 30–34 35–44 cocxalSobili bavsvebis raodenoba 0 1 2 3 an meti ganaTlebis done sruli saSualo an naklebi teqnikurmi universit./aspirantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azeri somexi sxva

* Sedis orsulobebi, romlebic dasrulda mkvdarSobili bavSvis SeZeniT, abortiT an saSvilosnos gare orsulobiT. † Aqalis asaki orsulobis dasrulebisas, garda 294 orsuli qalisa, romlis asaki emTxveva interviuSi motanil asaks.

66


saboloo angariSi

cxrili 4.7.1

Sobadobis upiratesoba cocxalSobili bavSvebis raodenobis da asakobrivi jgufis mixedviT 15-44 wlis qorwinebaSi myof qalebs cxrili 4.7.1 reproduqciuli Sorisprioritetebi cocxali Svilebis ricxvisa da asakobrivi jgufis mixedviT15-44 wlisjanmrTelobis qalebs Soris reproduqciuli kvleva: saqarTvelo, 2010

reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

upiratesoba bavSvebs unda meti Svili axlave unda orsulad yofna unda Svili erTi wlis ganmavlobaSi unda Svili 1-2 wlis ganmavlobaSi unda Svili 2 wlis ganmavlobaSi

NcocxalSobili bavSvebis raodenoba*

sul

0

1

2

3 da meti

35.3

69.6

70.8

20.5

7.9

9.5

54.7

14.2

3.6

1.9

4.0

8.1

7.0

2.3

2.3

7.3

3.2

16.1

5.1

1.0

14.5

3.6

33.5

9.5

2.7

6.3

0.4

3.9

9.0

4.7

49.7

0.8

16.6

63.7

80.8

8.7

29.2

8.7

6.7

6.7

sul

100.0 100 0

1 100.0

100.0 100 0

100.0 100 0

100.0 1

SemTxvevaTa raodenoba

4,098

281

1,110

2,053

654

ara aqvs gadawyvetili ar unda (meti aRar unda) Svili Svilosnobis dabali donis mqone, nawilobriv uSvilo wyvilebi

upiratesoba bavSvebs

asakobrivi jgufi

sul 15–19

20–24

25–29

30–34

35–39

35.3

88.9

72.8

47.0

31.1

17.4

7.2

9.5

29.9

14.1

11.5

9.0

7.1

3.2

4.0

3.6

6.4

3.3

4.5

3.9

2.2

7.3

11.2

17.5

8.3

7.1

3.8

1.1

14.5

44.2

34.8

23.9

10.5

2.6

0.7

6.3

3.7

8.1

9.0

8.3

4.9

1.8

49.7

7.4

17.6

38.7

53.2

66.4

72.6

8.7

0.0

1.5

5.3

7.4

11.4

18.5

sul

100.0

100.0

100.0

100.0

100.0

100.0

100.0

SemTxvevaTa raodenoba

4,098

124

610

863

948

836

717

unda meti Svili axlave unda orsulad yofna unda Svili erTi wlis ganmavlobaSi unda Svili 1-2 wlis ganmavlobaSi unda Svili 2 wlis ganmavlobaSi ara aqvs gadawyvetili ar unda (meti aRar unda) Svili Svilosnobis dabali donis mqone, nawilobriv uSvilo wyvilebi

40–44

* qalebi, romlebic orsulad iyvnen interviuebis Catarebis dros, CaiTvalnen, rom hyavdaT faqtiur raodenobaze erTiT meti Svili.

67


qalTa wlis reproduqciuli janmrTelobis saqarTveloSi, 2010 mqone 15-44 qorwinebaSi myofi kvleva mSobiarobis unaris qalebis procentuli ganawileba, romlebsac meti aRar undaT Svili, cxrili 4.7.2 15-44 wlis fertilur qalTa procentuli koeficienti visac ar surs meti cocxali Svilebis raodenobis da SerCeuli maxasiaTeblebis Svilis mixedviT yola, cocxali Svilebisa raodenobisada SerCeuli maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

cxrili 4.7.2

maxasiaTeblebi

sul

sul

Ncocxali Svilebis raodenoba* 0

1

2

3 +

54.4

1.1

18.2

68.3

86.6

3,728

192

1,007

1,920

609

qalaqi

50.2

1.0

20.9

66.9

81.2

sofeli

58.6

1.4

14.5

69.6

89.5

15–24

16.1

0.0

6.2

39.1

52.9

25–34

49.4

1.7

15.0

59.2

82.6

35–44

81.2

3.2

52.6

86.9

90.7

SemTxvevaTa raodenoba

sacxovrebeli adgili

asakobrivi jgufi

ganaTlebis done sruli saSualo an naklebi teqnikumi

59.1

1.5

16.0

72.1

90.2

58.3

0.0

18.4

72.5

89.4

universit./aspirantura

47.7

1.3

20.1

62.4

77.9

* qalebi, romlebic orsulad iyvnen interviuebis Catarebis dros, CaiTvalnen, rom hyavdaT faqtiur raodenobaze erTiT meti Svili.

68


saboloo angariSi

cxrili 4.8.1

15-44 wlis sqesobrivi gamocdilebis mqone qalebis procentuli ganawileba, romlebmac ganacxades cxrili 4.8.1 15-44 wlis sqesobrivi mqone qalebis procentuli nawilobrivigamocdilebis uSvilobis Sesaxeb da miRebuli aqvT

ganawileba, romlebmac ganacxades nawilobrivi uSvilobis Sesaxeb damiRebuli aqvT sxvadasxva momsaxureba, SerCeuli maxasiaTeblebis sxvadasxva momsaxureba, SerCeuli maxasiaTeblebis mixedviT mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, reporduqciuli janmrTelobis kvleva: saqarTvelo,2010 2010 Svilosnobis unaris daqveiTeba (%)

erTxel mainc hqonda adgili Svilosnobis unaris daqveiTebas (%)

SemTxvevebis raodenoba

5.1

10.5

4493

5.8 7.5 8.9

12.9 10.6 9.3

943 1105 2445

9 5.8 8 6.4 7.2 7.4 10 8 10.8 8.2 10.4 8.3 12.3

9 12.9 10.1 9 8.1 10.4 75 7.5 5.4 13 10.2 9.7

380 943 285 420 350 317 290 326 586 292 304

8 6.2

10.8 8.6

3859 634

15-19 20-24 25-29 30-34 35-39 40-44 hqonda pelvioperitoniti

-1.5 5.6 7.5 10.8 12.9

10.3 9.6 10 10.9 10.3 11.7

130 642 910 1036 946 829

erTxel mainc arasdros Svilebis raodenoba

11.9 6

21.1 6.1

1292 3201

0 1 2 3 4 an meti

18.7 7.9 6.2 4.5 4.2

33.1 12.6 5.6 5.9 2.9

477 1286 2069 539 122

sul sacxovrebeli adgili Tbilisi sxva qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria r a samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi erovneba qarTvelebi sxva asakobrivi jgufi

69


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 4.8.2 15-44 wlis sqesobrivi gamocdilebis mqone im qalebis procentuli ganawileba,

cxrili 4.8.2 romlebsac 15-44 wlis sqesobrivi gamocdilebis mqone im qalebis procentuli dasmuli hqondaT unayofobis diagnozi, SerCeuli maxasiaTeblebis ganawileba, romlebsac dasmuli hqondaT unayofobis diagnozi, SerCeuli mixedviT maxasiaTebelbis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, reproduqciuli janmrTelobis kvleva: 2010 saqarTvelo, 2010 Povulacias Bdaxuruli Eendometrio zi, milebi, Tan % % dakavSirebu li problema (hormonalu ri disfunqciis CaTvliT) %

Aunayofobi s sxva SemTxveva Ta problemebi , raodenoba %

spermis problemebi (viwro arxi, susti moZraoba, varikocele), %

anTeba, %

kista, %

virusuli infeqcia, %

15.3

7.1

3.9

4.7

14.7

sul

36.2

14.8

sacxovrebeli adgili Tbilisi

29.9

10.4

15.3

12.5

4.9

3.5

4.9

10.4

117

sxva qalaqi

45.1

16.3

10.4

24.2

7.0

4.5

5.4

8.1

122

sofeli

35.4

17.0

7.0

11.9

8.8

3.9

4.2

21.4

229

50.0

15.0

15.0

17.5

5.0

5.0

2.5

22.5

38

29.9

10.4

15.3

12.5

4.9

3.5

4.9

10.4

117

10.4

468

regioni

kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi

41.2

8.8

.

5.9

2.9

8.8

5.9

29.4

31

33.3

13.3

4.4

13.3

8.9

4.4

8.9

31.1

37

23.5

26.5

14.7

11.8

2.9

.

2.9

23.5

30

aWara guria samegrelo imereTi mcxeTa-mTianeTi

43.9

26.8

2.4

19.5

19.5

2.4

.

12.2

35

36.0

20.0

20.0

16.0

.

.

8.0

16.0

22

55.0

10.0

.

20.0

15.0

10.0

.

.

18

34.5

16.1

9.2

21.8

4.6

2.3

5.7

8.0

78

40.5

10.8

29.7

2.7

10.8

8.1

10.8

8.1

32

raWa-svaneTi erovneba qarTvelebi sxva asakobrivi jgufi

26.5

23.5

14.7

14.7

8.8

5.9

.

11.8

30

37.0

14.4

9.9

16.2

6.3

4.0

4.1

13.9

406

30.4

17.8

13.9

8.5

13.6

3.5

9.4

19.7

62

15-19

49.8

6.9

7.7

.

.

.

11.5

12.4

12

20-24

39.8

15.1

11.4

18.6

8.1

3.0

6.9

12.5

53

25-29

42.0

12.1

6.5

10.7

8.4

1.5

5.1

9.6

94

30-34

30.2

16.6

12.2

18.6

5.8

5.8

4.3

16.2

110

35-39

34.1

14.9

9.6

19.3

2.5

6.7

4.1

16.4

103

40-44

35.3

16.0

12.4

11.8

12.3

2.4

3.1

16.9

96

Svilebis raodnoba arc erTi

34.4

15.3

6.6

28.1

4.6

2.6

6.4

12.8

166

erTi an meti

37.1

14.5

12.3

8.7

8.4

4.6

3.8

15.5

302

70


xelovnuri aborti

Tavi

5

saqarTveloSi Catarebuli reproduqciuli janmrTelobis kvlevebi moicavda detalur kiTxvebs abortebis Sesaxeb. abortis moduli, romelic aSS-is daavadebaTa kontrolisa da prevenciis centrebis reproduqciuli janmrTelobis ganyofilebam miznobrivad SeimuSava aRmosavleT evropaSi daugegmavi orsulobisa da orsulobis Sewyvetis Sesaxeb informaciis misaRebad, ikvlevs rogorc qalebis cxovrebis ganmavlobaSi, aseve bolo dros gakeTebuli abortebis gamocdilebas. moduli moicavs iseT kiTxvebs, rom respondentma aRweros cxovrebis manZilze yvela orsulobis istoria, TiToeuli orsulobis Sedegis CaTvliT (anu, cocxladSobili, mkvdradSobili, muclis moSla an aborti), qronologiurad ukuTanmimdevrobiT. abortTan dakavSirebiT, TiToeul respondents ekiTxebian orsulobis Sewyvetis TariRs, orsulobis xangrZlivobas da dagegmili iyo Tu ara orsuloba Casaxvis dros (im abortebTan dakavSirebiT, romlebic gamokiTxvamde 5 wlian periodSi gakeTda). yovel xelovnur abortze, romelic bolo 5 wlis ganmavlobaSi gakeTda, Semdegi damatebiTi informacia grovdeba: abortis mizezi, partnioris damokidebuleba abortis mimarT, kontraceptivebis gamoyeneba Casaxvis dros, abortis proceduris detalebi da gaweuli samedicino momsaxureba, adreuli da gviandeli postabortuli garTulebebi, abortisSemdgomi konsultaciis da kontracepciis meTodebis miReba. abortTan dakavSirebul kiTxvebs moicavs kontracepciis modulic, raTa respondentebs mieces kidev erTi SesaZlebloba, aRweron TavianTi gamocdileba. miuxedavad imisa, rom aRricxulia orsulobis sruli istoriebi, respondentebi kidev erTxel aRweren bolo orsulobebis Sedegebs orsulobebis istoriis da kontraceptivebis gamoyenebis yovelTviur kalendarSi, romelic kvlevis wina 5 wlis periods faravs. es kalendari moicavs kiTxvebs kontracepciis, orsulobis statusis da sxva SemTxvevebis Sesaxeb kvlevis wina fiqsirebuli periodis (Cveulebriv 5 weli) ganmavlobaSi. am kalendarSi erTad aRiricxeba orsulobebis da kontracepciis gamoyenebis SemTxvevebi da exmareba respondentebs, gaixsenon reproduqciuli janmrTelobis movlenebi da am movlenebis dro. kalendari aseve informaciis sizus-

71


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

tis Sida gadamowmebis saSualebas iZleva da aris vizualuri instrumenti, romelic uadvilebs interviuerebs, aRmoaCinon da Seasworon Seusabamobebi. Seusabamobebis gadamowmebis Semdeg, orsulobis istoriebze Segrovili monacemebi gamoyenebuli iqna abortebis asakobrivi da jamobrivi koeficientebis gamosaangariSeblad ise, rogorc Sobadobis asakobrivi da jamobrivi koeficientebis SemTxvevaSi. unda aRiniSnos, rom kvlevebiT miRebul statistikas abortebze xSirad upiratesobas aniWeben aRmosavleT evropis bevr qveyanaSi (ixileT qvemoT). uSualod respondentebis mier dasaxelebuli monacemebi saSualebas iZleva, Sefasdes abortis doneebi qalebis yvela qvejgufSi (maT Soris, im qalebs Soris, romlebic samedicino dawesebulebis miRma ikeTeben aborts). es monacemebi asaxavs im qalTa geografiul, demografiul da socialur-ekonomikur maxasiaTeblebs, romlebmac abortebi gaikeTes da Sesabamisad, SesaZleblobas iZleva, ganisazRvros is qejgufebi, romlebsac ojaxis dagegmvis momsaxureba esaWiroebaT. isini aseve aadvilebs analizs, vinaidan advilad izomeba da SesaZleblobas iZleva, aborti Seswavlili iqnes seqsualuri da reproduqciuli janmrTelobis sxva monacemebis konteqstSi. kvlevis monacemebis upiratesoba aseve aris is, rom SesaZlebelia abortis Seswavla iseTi socialuri da reproduqciuli janmrTelobis qcevis ufro farTo konteqstSi, rogoricaa Sobadoba da seqsualuri urTierTobis dinamika, kontracepciis meTodebze moTxovna da ojaxis dagegmvis momsaxurebis saWiroeba.

5.1 abortebis maCveneblebi da tendenciebi 1991 wlamde aRmosavleT evropis qveynebisTvis damaxasiaTebeli iyo Sobadobis kontroli abortebis meSveobiT. am qveynebSi aborti xangrZlivi periodis manZilze advilad xelmisawvdomi iyo, xolo efeqtiani kontracepciuli saSualebebi naklebad moipoveboda. yofili sabWoTa kavSiris mibaZviT, am qveynebSi aborti 1950-iani wlebis Sua xanebSi dakanonda, dasavleT evropis qveynebze bevrad adre, da maT msoflioSi erT-erTi yvelaze liberaluri kanonmdebloba hqondaT abortTan dakavSirebiT. yvela am qveyanaSi, ori qveynis garda, sakuTari surviliT abortis gakeTeba kanonieri iyo fexmZimobis pirveli 12-14 kviris ganmavlobaSi, xolo socialur-ekonomikuri 72

da samedicino mizezebiT â&#x20AC;&#x201C; 22-25 kviramde. aborti mkacrad ikrZaleboda mxolod rumineTSi (sadac sakuTari surviliT aborti aikrZala 1966 wels, magram isev dakanonda 1989 wels) da albaneTSi, sadac pirveli liberaluri kanoni abortis Sesaxeb 1995 wels miiRes (Rahman A et al. 1998). amJamad, centraluri da aRmosavleT evropis yvela qveyanas, poloneTis garda, abortTan dakavSirebiT liberaluri kanonebi aqvT. vinaidan aborti didi xnis ganmavlobaSi iyo dakanonebuli da farTod gamoiyeneboda am regionSi, socialuri stigma ar aris iseTi Zlieri, rogorc dasavleT evropaSi. Tumca, am bolo dros, zog qveyanaSi abortis winaaRmdeg sul ufro imaRleben xmas religiuri liderebi, yofili komunistebi da nacionalisturi organizaciebi, ramac SesaZloa sazogadoebis damokidebuleba abortis mimarT Secvalos. maRalxarisxiani kontracepciuli meTodebis naklebobis pirobebSi, abortebis maCveneblebi sabWoTa kavSirSi xSirad Sobadobis maCveneblebs aWarbebda. magaliTad, mTel sabWoTa kavSirSi 1989 wels yovel cocxladSobilze 1.3 aborti modioda, abortis koeficienti Seadgenda 96 SemTxvevas weliwadSi 15-49 wlis 1,000 qalze, xolo sicocxlis ganmavlobaSi xelovnuli abortebis koeficienti Seadgenda 3.3 aborts erT qalze. ruseTSi, belarussa da ukrainas abortebis stabilurad maRali maCvenebeli hqonda maSin, roca Sua aziis respublikebSi igi gacilebiT dabali iyo (goskomstati, ssrk, 1990). gasuli saukunis 90-ini wlebidan moyolebuli, izrdeboda Tanamedrove efeqtiani kontracepciuli meTodebis gamoyeneba, ramac Sesabamisad gamoiwvia abortebis maCveneblebis Semcireba (Popov and David, 1999). miuxedavad amisa, Sobadobis kontrolis saSualebad abortis gamoyenebis maCvenebeli bevr qveyanaSi kvlav maRalia (suraTi 5.1.1). kvlevebis Tanaxmad, abortebis yvelaze maRali maCvenebeli kavkasiis regionSia, sadac TiToeul qals azerbaijansa da somxeTSi, cxovrebis manZilze Cveulebriv 2-ze meti aborti aqvs gakeTebuli. saqarTveloSi abortebis saerTo raodenoba mniSvnelovnad Semcirda bolo 10 wlis ganmavlobaSi â&#x20AC;&#x201C; erT qalze 3.7 abortidan 1999 wels (rac maSin yvelaze maRali aRricxuli maCvenebeli iyo msoflioSi) 3.1 abortamde 2005 wels da 1.6 abortamde 2010 wels. Tumca, aRmosavleT evropaSi reproduqciuli da demografiuli janmrTelobis kvlevis


saboloo angariSi

bolo drois monacemebi ar arsebobs da amitom saqarTveloSi abortebis am bolo monacemis Sedareba sxva qveynebis imave periodis (2007-2010) monacemebTan ver xerxdeba. abortis SemTxvevebis Sesaxeb zusti monacemebis mopoveba rTulia nebismier qveyanaSi. monacemebis sizuste damokidebulia samedicino informaciis infrastruqturis arsebobasa da xarisxze, aseve samedicino dawesebulebebSi da qveynis masStabiT abortis aRricxvis meTodebze, proceduris iuridiul statussa da sazogadoebriv-kulturul normebze (Alan Guttmacher Institute, 1999; Rossier, 2003). qveynebSi, sadac aborti kanoniT daSvebulia, informacias Cveulebriv saxelmwifo struqturebi agroveben samedicino dawesebulebebisgan.

oficialuri statistika abortis Sesaxeb yvela yofili sabWoTa blokis qveyanaSi arsebobs, magram postsabWoTa periodSi mdgomareoba, abortebis aRricxvis mxriv, gauaresda. sabWoTa reJimis dros, abortis Sesaxeb monacemebs samTavrobo uwyebebi agrovebdnen im informaciidan, romelsac maT saxelmwifo samedicino dawesebulebebi awvdida. es dawesebulebebi zogjer malavdnen arasaxarbielo jandacvis statistikas. post-sabWoTa ekonomikis gardamaval periodSi statistikasTan dakavSirebiT sxva problemebi warmoiSva, magaliTad, saxelmwifo samedicino dawesebulebebSi, romlebsac aRar hqonda sakmarisi dafinanseba, abortebi ar aRiricxeboda, aseve, kerZo samedicino seqtoris monacemebi oficialur statistikaSi ar aisaxeboda; 73


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ar aisaxeboda samedicino dawesebulebebis gareT abortebis gakeTebis SemTxvevebiT (Serbanescu and Morris 2003). mosaxleobis gazrdili monacemebis gamoyeneba abortebis maCveneblebis gamosaangariSeblad kidev erTi faqtori iyo, romelmac, savaraudod, abortis monacemebis Semcireba gamoiwvia, gansakuTrebiT, kavkasiis regionSi. aRmosavleT evropaSi Catarebuli reproduqciuli janmrTelobis kvlevebi ufro srulyofil monacemebs iZleva abortze, vidre jandacvis sainformacio sistemebiT Segrovebuli regularuli monacemebi. miuxedavad SerCevis cdomilebisa da zogi SezRudvisa, romelic kvlevas axasiaTebs (gamotoveba, ukanonod gakeTebuli abortebis araswori klasifikacia, da im SemTxvevebis gaxsenebaSi Secdomebi, romlebic kvlevis Catarebamde didi xniT adre moxda), aRmosavleT evropaSi Catarebul kvlevebiT miRebuli Sefasebebi, zogadad, abortebis ukeTes maCveneblebsa da koeficientebs gvaZlevs, vidre oficialuri statistika. suraTSi 5.1.2 Sedarebulia oficialuri da kvlevebis monacemebi abortebis Sesaxeb, kerZod, abortis zogadi koeficienti, romelic miuTiTebs abortebis raodenobaze reproduqciuli asakis 1000 qalze gaangariSebiT. moldaveTis gamoklebiT, sadac monacemebi orive wyarodan erTmaneTs emTxveva, yvela sxva qveyanaSi kvlevis monacemebi sul mcire 20%-iT aRemateba oficialur statistikur monacemebs. kavkasiis regionSi, kvlevis monacemebi ramdenjerme aRemateba oficialur monacemebs, rac abortis Sesaxeb oficialuri statistikis mogrovebis sis74

temis xarvezebze miuTiTebs. mTlianobaSi, gamokvleuli qveynebis umetesobaSi oficialuri statistika arasrulad asaxavs monacemebs abortis Sesaxeb. kvlevis monacemebi aseve saSualebas iZleva, gamoanagriSdes abortis jamobrivi koeficienti, rac gviCvenebs abortebis ricxvs, romlebic cxovrebis ganmavlobaSi SeiZleba gadaitanos qalma arsebuli abortis asakobrivi koeficientis gaTvaliswinebiT. oficialuri statistika, Cveulebriv, ar axdens cxovrebis ganmavlobaSi gakeTebuli abortebis maCveneblebis sistematur Sefasebas. saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros monacemebiT, romelic eyrdnoba saxelmwifo samedicino dawesebulebebSi gakeTebuli abortebis safuZvelze gamoTvlil abortebis asakobriv maCvenebels, abortis jamobrivi koeficienti 2007-2010 wlebSi 0.9 aborts Seadgenda erT qalze, rac kvlevaSi aRricxul koeficientze 44%-iT naklebia, magram metia wina kvlevebSi aRricxul arasrul maCvenebelTan SedarebiT (abortis jamobrivi koeficientis 80%-iani arasruli aRricxva 1999 da 2005 wels). rogorc suraTidan 5.1.3 Cans, saqarTveloSi abortis tendenciebi Zalian gansxvavdeba oficialuri statistikisa da kvlevis monacemebis mixedviT da ar iZleva informacias kontracepciis meTodebze realuri moTxovnisa da ojaxis dagegmvis momsaxurebis saWiroebis Sesaxeb. mniSvnelovani statistikuri monacemebi miuTiTebs abortis jamobrivi koeficientis mkveTr klebaze sabWoTa kavSiris daS-


saboloo angariSi

75


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

lis Semdeg (erT qalze 1989 wlis 1.8 abortidan, 0.6 abortamde 1997-1999 wlebSi da 0.3 abortamde 2002-2004 wlebSi) da bolodroindel matebaze - erT qalze TiTqmis erT abortamde 2008-2010 wlebSi. Tumca, es tendencia kvlevis monacemebiT ar dasturdeba. reproduqciuli janmrTelobis wina kvlevebma abortis jamobrivi koeficientis mkveTri mateba aCvena 1990 wlis Semdeg, romelmac piks â&#x20AC;&#x201C; erT qalze 3.7 aborti 1996-1999 wlebSi miaRwia. 2002-2005 wlebSi abortis koeficienti TandaTan erT qalze 3.1 abortamde Semcirda (95%CI = 2.9-3.4 aborti erT qalze). 2005 da 2010 wlebSi Catarebul kvlevebs Soris periodSi, abortis koeficienti mniSvnelovnad Semcirda â&#x20AC;&#x201C; erT qalze 1.6 abortamde (95%CI = 1.5-1.8 aborti erT qalze), rac 3.1-Tan SedarebiT 48%-iani klebaa (cxrili 5.1 da suraTi 5.1.4). kvlevaSi dafiqsirebuli abortebis maCveneblis kleba Seesabameba Sobadobis, 76

Sobadobis survilisa da Tanamedrove kontracepciis meTodebis gamoyenebis matebas (suraTi 5.1.4). Tumca, rom gvenaxa, xom ar imoqmeda mniSvnelovnad abortis daRmaval tendenciaze qalTa mzadyofnam, daufaravad esaubraT gakeTebul abortebze, abortis monacemebi, romlebic kvlevaze dayrdnobiT iqna miRebulim Semdegnairad Semowmda. sando erovnuli monacemebis ararsebobis dros, sul ramdenime SesaZlebloba arsebobs, rom Sefasdes, Tu ramdenad srulyofilad asaxavs mosaxleobis kvlevebi abortis Sesaxeb monacemebs. Tumca, abortis Sesaxeb monacemebis Sesabamisobis Semowmeba SesaZlebelia qalTa imave jgufSi da drois imave periodSi Catarebuli momdevno kvlevebiT miRebuli abortebis maCveneblebis Sedarebis gziT. 15-39 wlis asakis qalebSi (5-wliani bijis jgufebiT) abortis asakobrivi maCveneblebi 2010 wlis kvlevis wina 6-8 wlian periodSi imave kalen-


saboloo angariSi

daruli periodis (2002-2005) abortis Sesabamisi maCveneblebis ndobis intervalis farglebSi aRmoCnda 2005 wels Catarebuli kvlevis monacemebis gamoyenebiT (suraTi 5.1.5). cxrilSi 5.1. aseve naCvenebia abortis asakobrivi maCveneblebi 15-44 wlis asakis qalebisaTvis drois sam periodSi. asakis Sekvecis Tavidan asacileblad, gamoyenebulia TiToeuli kvlevis wina 3-wliani periodi. maCveneblebi gamoiTvala TiToeuli abortis Tvisa da wlis da orsulobis Sewyvetis momentisTvis qalis asakis gaTvaliswinebiT. kvlevis monacemebi aseve gamoyenebuli iqna abortis saerTo koeficientis gamosaTvlelad (erT weliwadSi abortebis raodenoba 15-44 wlis 1000 qalze), romelic gasaSualovda yoveli kvlevis wina 3-wlian periodze. koeficienti Semcirda 125-dan 1996-199 wlebSi 104-mde 2002-2005 wlebSi da 56-mde 2007-2010 wlebSi. (oficialuri statistikis Sesabamisi cifrebi iyo 18, 15 da 31 aborti 1000 qalze (ixileT suraTi 5.1.2)) kvlevis monacemebze dayrdnobiT miRebuli Sefardeba abortsa da cocxladSobils Soris Semcirda erT cocxladSobilze 2.1 xelovnuri abortidan (2.1:1) 1999 wlis kvlevaSi, 1.5:1-mde 2005 wlis kvlevaSi da 0.8:1-mde 2010 wlis kvlevaSi. amrigad, mas Semdeg, rac kvlevebi tardeba, Sobadobis SemTxvevebma abortis SemTxvevebs pirvelad 2010 wels gadaaWarba. es umTavresad miRweuli iqna Sobadobis zrdisa da 20-24, 25-29 da 30-34 wlis asakis qalebs Soris abortebis klebis erTobliobiT, romlebic yvelaze metad aisaxeba Sobadobis jamobriv FsuraTi 5.2.2

da abortis jamobriv maCveneblebze (suraTi 5.1.6). Sobadobisgan gansxvavebiT, romelic ZiriTadad 20-24 wlis asakSia koncentrirebuli, abortebis maCveneblebi umetesad koncentrirebulia 25-29 (102 xelovnuri aborti 1000 qalze erT weliwadSi) da 3034 asakSi (83 aborti 1000 qalze) â&#x20AC;&#x201C; es is ori asakobrivi jgufia, romelic abortis jamobrivi koeficientis naxevarze mets (56%) Seadgens. abortis mesame yvelaze maRali asakobrivi maCvenebeli (57 aborti 1000 qalze weliwadSi), romelic abortis jamobrivi koeficientis 25%-s Seadgens, 35-39 wlis asakis qalebze modis. abortis asakobrivi maCveneblebi gacilebiT aRemateboda Sobadobis asakobriv maCveneblebs mxolod 30-ze meti wlis asakis qalebs Soris, rac imis maCvenebelia, rom qarTvel qalTa umravlesobas maTTvis sasurveli raodenobis Svilebis 30 wlis asakamde aCenen, ris Semdegac daugegmavi orsulobas isini ufro xelovnur aborts iyeneben. asakobrivi ganawilebaSi cvlilebebi wina kvlevebSic aRiricxa (cxrili 5.1 da suraTi 5.1.7). maCveneblebis Zalian didi kleba aRiniSna 20-39 wlis asakSi, zomieri cvlilebiT eqvswlian periodSi pirvel da meore kvlevebs Soris da Semdeg Zalian mkveTri kleba xuTwlian periodSi meore da mesame kvlevebs Soris. saerTod, abortebis maCvenebeli 20-24 wlis qalebs Soris 65%-iT Semcirda. ufro maRal asakobriv jgufebSi (25-29, 30-34 da 35-39) klebam Seadgina 47%, 46% da 53%, Sesabamisad. cifri aCvenebs koeficientebs. absolutur ricxvebSi abortebma yvelaze metad

xelovnuri abortebis jamobrivi koeficientebi samwlian periodSi (2002â&#x20AC;&#x201C;2005) regionebis mixedviT Total Induced Abortion Rate (Abortions per Woman) 2.3+ 1.9-2.2

*

1.5-1.8 <1.5

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

77


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

daiklo 20-29 wlis qalebs Soris, vinaidan gaTxovili qalebis ricxvi am kategoriaSi yvelaze metia.

5.2 xelovnuri abortis koeficientebi cxrilSi 5.2.1 naCvenebia abortebis jamobrivi da asakobrivi maCveneblebi qalebis maxasiaTeblebis mixedviT. soflad mcxovreb qalebs Soris abortebis asakobrivi maCveneblebi kvlav ufro maRalia, vidre qalaqad mcxovreb qalebs Soris (suraTi 5.2.1). abortebis maCvenebeli ufro maRali iyo soflad, vidre qalaqad yvela asakis qalebs Soris, magram yvelaze didi sxvaoba (2.4-jer meti) 25-29 wlis asakis qalebs Soris aRiniSna, anu im jgufSi, romelzec abortebis jamobrivi maCveneblis 78

yvelaze didi wili modis. abortebis jamobrivi maCveneblebi yvelaze maRali qvemo qarTlis mosaxleobaSi iyo (2.4 aborti erT qalze) da aseve, Sida qarTlSi, samegreloSi, guriaSi, mcxeTamTianeTsa da kaxeTSi (1.9 â&#x20AC;&#x201C; 2.2 aborti erT qalze) (suraTi 5.2.2). abortebis jamobrivi maCveneblebi yvelaze dabali iyo TbilisSi, raWa-svaneTsa da aWaraSi (1.1 â&#x20AC;&#x201C; 1.2 aborti erT qalze). abortebis jamobrivi maCveneblebi yvelaze maRali arasruli saSualo ganaTlebis mqone qalebs Soris iyo; maT, saSualod, 1.7 abortze meti hqondaT gakeTebuli, vidre umaRlesi ganaTlebis mqone qalebs (Sesabamisad, 2.7 aborti da 1.0 aborti erT qalze). abortebis jamobrivi maCveneblebi mcirdeboda SinameurneobaTa qonebrivi


saboloo angariSi

FsuraTi 5.3.2

miniabortebis procentuli wili bolo 5 wels Catarebul abortebs Soris regionebis mixedviT % of Mini-Abortions 80+ 65-79

*

55-64 <55

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

kvintilebis matebasTan erTad - daaxloebiT ori abortidan erT qalze yvelaze dabal kvintilSi erT abortamde yvelaze maRal kvintilSi. abortis yvelaze maRali maCvenebeli eTnikuri azerbaijaneli qalebis jgufSi iyo (3.3 aborti erT qalze), xolo yvelaze dabali maCvenebeli qarTvel qalebs Soris (1.5 aborti erT qalze). azerbaijanel qalebs Soris abortis maRali maCvenebeli yvela asakobriv jgufSi aRiniSna, magram yvelaze didi sxvaoba qarTvel qalebis jgufTan SedarebiT, 25-29 da 30-39 wlis qalebSi iyo. es is jgufebia, romlebic abortebis jamobrivi koeficientis 75%-s Seadgenen (suraTi 5.2.3). abortebi garkveulwilad koncentrirebulia konkretul qvejgufSi, vinaidan gamokiTxul qalTa 37%-s aborti arasdros gaukeTebia (cxrili 5.2.2). es cifri asaxavs abortebis TiTqmis ararsebobas gauTxovar qalebs Soris an im qalebs Soris, romlebic axali gaTxovilebi iyvnen, romelTagan umetesoba pirvel Svils elodeboda. maT Soris, visac aborti gakeTebuli hqonda, qalebi dajgufda gakeTebuli abortebis mcire raodenobis mixedviT: 55%-ma aRniSna mxolod erTi an ori abortis SemTxveva; 70%ma - erTidan samamde abortis SemTxveva. da mainc, meore mxriv, 11%-s 7-dan 10-mde da meti aborti hqonda gakeTebuli. abortis SemTxvevebi metia soflad vidre qalaqad, Tumca naklebia ganaTlebis dabalis donis mqoneTa Soris. qveda sam kvintilSi abortis meti SemTxvevaa, vidre zeda orSi; es SeiZleba aixsnas soflad cxovrebiTa da ufro mozrdili asakiT. eTnikuri azerbaijanelebis jgufi, sxva jgufebTan Sedar-

ebiT, cxovrebis ganmavlobaSi ufro meti abortis gakeTebis SemTxveviT gamoirCeva. yvelaze meti aborti (59%) gakeTebuli iyo fexmZimobis me-7 â&#x20AC;&#x201C; me-9 kviris dros (cxrili 5.2.3). fexmZimobis me-10 kviris Semdeg abortis gakeTebis gadawyvetileba ukavSirdeba sam an meti bavSvis yolas. respondentTa im jgufSi, romlebsac Svilebi ar hyavdaT, mxolod 5%-s hqonda aborti gakeTebuli, samSviliani qalebis jgufSi â&#x20AC;&#x201C; 16%-s, xolo oTxi da metSvilian qalebs Soris - 29%-s.

5.3 momsaxureba abortebis sferoSi saqarTveloSi, rogorc yofil sabWoTa respublikaSi, abortebisadmi liberaluri kanonmdebloba ssrk umaRlesi sabWos 1955 wlis noembris brZanebulebiT amoqmedda. garda ramdenime umniSvnelo cvlilebisa da Sesworebisa, es kanoni ZalaSi mravali wlis manZilze darCa. kanonSi Setanili aRniSnuli cvlilebebiT nebadarTuli iqna adreuli abortebi vakuum aspiraciiT, ambulatoriul dawesebulebebSi abortebis Catareba orsulobis pirveli 7 kviris ganmavlobaSi (mini-abortebi); samedicino an socialuri garemoebebis safuZvelze orsulobis xelovnuri Sewyveta pirveli 28 kviris ganmavlobaSi; kerZo klinikebsa da saxelmwifo saavadmyofoebis fasian ganyofilebebSi `komerciuli~ abortebis Catareba (ssrk jandacvis saminstro, 1982 wlis martis brZanebuleba #234 da 1987 wlis ivnisis brZanebuleba # 757 da dekembris brZanebuleba # 1342).

79


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

es sakanonmdeblo aqtebi warmoadgenda saqarTveloSi legaluri abortebis Catarebis safuZvels 1997 wlamde, rodesac qveyanam miiRo axali kanoni jandacvis Sesaxeb, romelic Seicavs detalur debulebebs abortisa da kontracepciis praqtikis Sesaxeb (saqarTvelos mTavroba, 1997 w.). amJamad moqmedi kanonis Tanaxmad, aborti SeuzRudavad aris nebadarTuli orsulobis pirveli 12 kviris ganmavlobaSi, xolo samedicino an socialuri garemoebebis safuZvelze, 12 kviris Semdegac (IPPF, 2007). abortis Catarebamde saWiroa qalis werilobiTi Tanxmoba da abortiswina konsultacia. mSoblebis Tanxmoba saWiroa 16 wlamde asakis gogonebis SemTxvevaSi. xelovnur aborts atarebs mxolod ginekologi vakuum 80

aspiraciis an kuretaJis meTodiT; abortis procedurebis Catareba nebadarTulia mxolod samedicino dawesebulebaSi, romelsac aqvs saxelmwifo licenzia abortebis Catarebaze. abortis Semdeg pacientebi Cveulebriv ewerebian imave dRes saavadmyofodan, Tu ar gamovlinda abortisSemdgomi garTulebebi. ambulatoriul samedicino dawesebulebebSi (magaliTad, qalTa konsultaciebSi da kerZo klinikebSi) abortis Catareba mxolod vakuum aspiraciis meTodiT aris nebadarTuli. abortis procedurebis xarjs samedicino dazRveva ar anazRaurebs, Tumca is SedarebiT mcirea. araoficialuri gadasaxadebi anda `damatebiTi~ momsaxurebis safasuri, rogoric aris anesTezia, abor-


saboloo angariSi

tis xarjs mniSvnelovnad zrdis. reproduqciuli janmrTelobis kvlevis standartuli abortis moduli moicavs informacias respondentebis bolo oTxi abortis Sesaxeb, romelic kvleviswina 5-wliani periodis ganmavlobaSi hqoniaT. TiToeuli abortze, respondents ekiTxebian abortis mizezis, abortis Catarebis adgilis, registraciisa da fasis, adgilobrivi Tu zogadi anesTeziis gamoyenebis da gamowerili antibiotikebis Sesaxeb; agreTve proceduris Semdeg saavadmyofoSi gatarebuli Rameebis raodenobis (Tu amas adgili hqonda), abortisSemdgomi adreuli an gviani garTulebebis da abortamde da/an mis Semdeg miRebuli konsultaciis Sesaxeb. maxsovrobiT gamowveuli cTomilebis maqsimalurad Semcirebis mizniT, monacemebi Segrovda yvelaze bolos Catarebuli abortis proceduris Sesaxeb. 2010 wlis wina 5 wlis ganmavlobaSi ganxorcielebuli abortebis umetesoba (71%) mini-aborti iyo (cxrili 5.3.1 da suraTi 5.3.1). mini abortebis wili gacilebiT aRemateba 1999 da 2005 wlebSi aRricxul mniSvnelobebs, rodesac mini abortebze modioda abortebis, Sesabamisad, 40% da 56%. mini abortebi Warbobda TbilisSi, Sida qarTlsa da aWaraSi mcxovreb respondentebs Soris (80%-ze meti) (suraTi 5.3.2). qalaqad mcxovrebni ufro xSirad sargeblobdnen mini abortis proceduriT (81%), vidre soflad mcxovrebni (63%). mini abortebis ricxvi mcirdeboda qalis asakTan erTad da izrdeboda ganaTlebis donis da qonebrivi

kvintilis matebis mixedviT. rogorc naCvenebia cxrilSi 5.3.2, 2005 wels da Semdgom periodSi xelovnuri abortebis umetesoba Catarda ginekologiur ganyofilebebSi (56%), abortebis 42% â&#x20AC;&#x201C; ambulatoriul dawesebulebebSi, rogoricaa qalTa konsultaciebi, da mxolod 2% â&#x20AC;&#x201C; samedicino dawesebulebis miRma. ambulatoriul dawesebulebebSi abortebis Catarebis prevalentoba ufro maRali iyo Tbilissa da sxva qalaqebSi (70% da 51%), vidre soflebSi (30%). wina kvlevebTan SedarebiT, qalaqebSi abortis proceduris Catarebam saavadmyofoebidan TandaTan ambulatoriul dawesebulebebSi gadainacvla da am ukanasknelSi Catarebuli abortebis wili gaizarda 1999 wlis 38%-dan 42%-mde 2005 wels da 60%-mde 2010-Si. Tumca, soflad es procedura kvlav umeteswilad saavadmyofoebSi tardeba (monacemi ar aris naCvenebi). ambulatoriul dawesebulebebSi abortebis Catareba izrdeboda qalebis ganaTlebis donis da qonebrivi kvintilis matebis mixedviT. orsulobebis Sewyvetis procedurebis TiTqmis 2% jandacvis sistemis farglebs gareT Catarda. ramdenadac samedicino dawesebulebis gareT abortebis Catareba (TviTaborti, araprofesionali Tu profesionali eqimis mier) ukanonoa, savaraudoa, rom qalebs ar surdaT msgavsi faqtebis aRiareba, miuxedavad intervius anonimurobisa; Sesabamisad, miRebuli procenti, savaraudod, srulad ar asaxavs samedicino dawesebulebebis gareT Catarebul abort-

81


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

Ta realur wils. rogorc cxrilidan 5.3.3 Cans, 2005 wlis ianvridan intervius TariRamde, anu TiTqmis 5 wlis ganmavlobaSi, respondentebs 2054 aborti hqondaT gakeTebuli (zog respondents erTze meti aborti hqonda gakeTebuli). mxolod 548 SemTxvevaSi (26.4%) respondentebi iyenebdnen kontracepciis meTods dafexmZimebamde (Casaxvis dros). (am SemTxvevaSic, zog respondents erTze meti aborti hqonda gakeTebuli kontraceptivebis gamoyenebis fonze). amrigad, TiTqmis yoveli meoTxe aborti (26%) gamowveuli iyo kontracepciuli meTodebis araefeqtianobiT, maTgan umetesoba (76%) ki - tradiciuli meTodis (seqsualuri aqtis Sewyveta an aqtisgan perioduli TavSekaveba) araefeqtianobiT. sxvaoba kontracepciuli meTodis araefeqtianobis gamo abortis proceduris Catarebis maCveneblebSi mcire iyo, garda samegrelosa da Sida qarTlisa, sadac SedarebiT dabali maCveneblebi iyo, da samcxe-javaxeTisa, sadac es maCvenebeli maRali iyo. eTnikuri umciresobebis warmomadgenel qalebs Soris Tanamedrove meTodebi umniSvnelo rols TamaSobs. Tumca, tradiciuli meTodebis araefeqtianoba ufro meti iyo soflad mcxovreb, SedarebiT ufrosi asakis, yvelaze dabali qonebriv kvintils mikuTvnebul da aseve, azerbaijaneli Tu somexi erovnebis qalebSi. saqarTveloSi abortebis umravlesoba fasiania da fasi dawesebulebebis mixedviT gansxvavdeba. kvlevis Catarebis droisTvis, abortis saSualo safasuri Seadgenda 48 lars (daaxloebiT 29 aSS dolars), rac

82

65%-iT metia 2005 wlis saSualo RirebulebasTan SedarebiT. abortis proceduris safasuri meryeobda nuli TeTridan 100 laramde. abortebis mxolod 12.3% ganxorcielda ufasod, 29%-is safasuri Seadgenda 34 lars an naklebs, 23%-is fasi 35-dan 49 laramde meryeobda, xolo 45%-sa 50 lari da meti iyo, maT Soris abortebis 6%,-is romlis Rirebulebac 100 lars aRemateboda (cxrili 5.3.4 da suraTi 5.3.4). soflad mcxovrebi qalebi ufro naklebs ixdidnen, vidre qalaqad mcxovrebi da gadaxdis maCvenebeli izrdeboda respondentTa qonebrivi kvintilis matebasTan erTad. xelovnuri aborti, saSualod, 10 lariT meti Rirs mini abortTan SedarebiT; aseve, orsulobis me-10 an met kviraze xelovnuri Sewyveta meti Rirda, vidre orsulobis pirveli 9 kviris ganmavlobaSi (Sesabamisad, 64.8 lari da 45.8 lari). abortis saSualo safasuri didad ar icvleboda samedicino dawesebulebis tipis mixedviT. qalebi, romlebic orsulobas xelovnuri abortiT wyveten da Semdeg kontracepciis meTods ar iyeneben, didi albaTobiT maleve dafexmZimdebian abortisSemdgom periodSi. saqarTvelos jandacvis kanonmdeblobis Tanaxmad, abortis gakeTebis periodSi aucilebelia ojaxis dagegmvis sakiTxebze konsultaciis gaweva. saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrom 2000 wels gamosca brZanebuleba qalTa konsultaciebSi abortebis Semdeg ojaxis dagegmvis sakiTxebze konsultaciis Catarebaze (Sromis, janmrTelobisa da socialuri dacvis saministros brZaneba #136, 2000


saboloo angariSi

weli). brZanebulebis me-11 punqtSi weria, rom yovel qals, vinc fexmZimoba vakuum aspiraciiT Sewyvita, unda miewodos informacia kontracepciis Tanamedrove meTodebis Sesaxeb (eqims moeTxoveba, rom pacientisaTvis konsultaciis Catareba pacientma xelmoweriT daudasturos), xolo konsultaciis Semdeg kontracepciis meTodi SeirCes. amJamad, ojaxis dagegmvaze konsultirebasa da am momsaxurebis gawevis sakiTxebze treningi mean-gimekologebis licenzirebis programebis nawilia. miuxedavad sakanonmdeblo regulaciebisa da sakmaod didi resursebis da teqnikuri daxmarebisa, romelic donorebis mier ojaxis dagegmvis konsultirebaSia investirebuli, ojaxis dagegmvis mosmaxureba Zalze SezRudulad miewodeba pacientebs abortis gakeTebis periodSi. wina kvlevebis msgavsad, 2010 wlis kvlevis farglebSi yvela respondents, romelsac aborti hqonda gakeTebuli bolo 5 wlis ganmavlobaSi, hkiTxes 1) gaewia Tu ara konsultacia ojaxis dagegmvaSi abortis proceduris win an misi dasrulebis Semdeg; 2) SeurCies Tu ara kontracepciis meTodi anda raime meTodi Tu dauniSnes; da 3) gaagzavnes Tu ara ojaxis dagegmvis romelime dawesebulebSi abortis proceduris Semdeg. rogorc cxrilidan 5.3.5 Cans, mxolod yovel mesame respondents (33%), romelsac bolo xuTi wlis manZilze erTi aborti mainc hqonda gakeTebuli, gaewia konsultacia kontracepciis meTodis Taobaze (10%-s abortamde da 13%-s abortis Semdeg, danarCens ki rogorc abortamde, aseve mis Semdeg).

kontracepciaze gaweuli konsultaciebis yvelaze maRali maCvenebeli iyo imereTSi (46%), xolo yvelaze dabali â&#x20AC;&#x201C; samcxe-javaxeTSi (14%). es maCvenebeli odnav izrdeboda ganaTlebis donisa da qonebrivi kvintilis matebasTan erTad da sxva eTnikuri warmomavlobis qalebTan SedarebiT, yvelaze maRali qarTvel qalebs Soris iyo. samwuxarod, kontracepciaze konsultaciebis maCvenebeli mniSvnelovnad ar gansxvavdeba abortebis rigiTobis mixedviT (suraTi 5.3.5). marTalia, konsultirebis yvelaze maRali maCvenebeli im qalebs Soris aRiniSna, romlebsac oTxi an xuTi aborti hqondaT gakeTebuli, magram im qalebs, romlebsac eqvsi da meti aborti hqondaT gakeTebuli, imave albaTobiT miewodeboda informacia kontracepciis Sesaxeb, kontraceptivebi, an kontraceptivze recepti, rogorc im qalebs, romlebsac mxolod erTi aborti hqondaT gakeTebuli bolo 5 wlis ganmavlobaSi. im qalTa Soris, romlebsac hqondaT abortebis istoria bolo 5 wlis ganmavlobaSi (20% im qalebisa, romlebsac gaewiaT konsultacia), mxolod 6.6%-s SeurCies kontracepciis meTodi momavalSi daugegmavi fexmZimobisgan Tavis dasacavad. qalebis kidev 7.4%-s gamoewera recepti kontraceptivebisTvis (22% im qalebisa, romlebsac gaewiaT konsultacia). rogorc kontraceptivebis, aseve kontraceptivebis receptis miwodebis maCveneblebi dabali iyo yvela qvejgufSi, garda imereTSi mcxovrebi qalebisa (Sesabamisad, 16% da 10%). kontraceptivebis Sesaxeb informirebis done 2010

83


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

wels orjer aRemateboda 1999 wlis kvlevaSi aRricxul maCvenebels (Sesabamisad, 33% da 15%); rac ufro mniSvnelovania, kontracepciis meTodis anda kontraceptivze receptis miReba TiTqmis gasammagda â&#x20AC;&#x201C; 5%-dan 14%-mde (suraTi 5.3.6). es Sedegebi konsultirebis gaumjobeseba/gafarToebis da abortis proceduris periodSi kontraceptivebis miwodebis gadaudebel saWiroebaze miuTiTebs. es moiTxovs ufro mkacr kontrols im moqmedi regulaciebis Sesrulebaze, romlebic abortis Semdeg pacientisaTvis ojaxis dagegmvaSi konsultaciebisa da momsaxurebis gawevas iTvaliswinebs. garda amisa, unda muSaobdes sistemebi, romlebic xels Seuwyobs ojaxis dagegmvis momsaxurebis srul integracias im samedicino dawesebulebebSi, sadac abortis procedurebi tar84

deba. saganmanaTleblo RonisZiebebi aseve aamaRlebs pacientebis informirebis dones abortis momsaxurebis Sesaxeb, ramac, SesaZloa, gazardos moTxovna konsultaciebsa da kontracepciis meTodebze. erT-erTi sakiTxi exeba ultrabgeriTi gamokvlevis gamoyenebas fexmZimobis dros, orsulobis asakis anda nayofis sqesis dadgenis mizniT. cxrilSi 5.3.6 mocemulia monacemebi mxolod im qalebis Sesaxeb, romlebmac aborti gaikeTes. maTgan daaxloebiT naxevarma (51.8%) Caitara ultrabgeriTi gamokvleva orsulobis asakis dasadgenad. nayofis sqesis dasadgenad es gamokvleva mxolod 3%-ma Caitara. es maCvenebeli 5%mde gaizarda asakis matebasTan erTad da mkveTrad gaizarda Svilebis raodenobis matebasTan erTad da 20%-s miaRwia im qalebs Soris, romlebsac oTxi da meti Svili


saboloo angariSi

hyavdaT. es monacemi maRali iyo (16%) im qalebs Sorisac, vinc aborti orsulobis me-10 kviraze an ufro gvian gaikeTa. amis sapirispirod, es monacemi dabali iyo (1.1%) im qalebSi, vinc mini aborti gaikeTa.

5.4 abortis garTulebebi miuxedavad imisa, rom standartuli qirurgiuli CareviT mimdinare aborti absoluturad usafrTxoa mSobiarobasTan an sxva qirurgiul procedurebTan SedarebiT, arsebobs garTulebebis garkveuli riski (Cates W. Jr., 1982). legalurad Catarebul abortebs operaciisSemdgomi garTulebebis riski axlavs, romelTa SemTxvevebi da simwvave damokidebulia orsulobis asakze, mSobiarobebis raodenobaze, qalis asakze, qirurgiul proceduraze, operatoris kvalifikaciaze, anesTeziis tipze da adre arsebul paTologiebze (Tietze and Henshaw, 1986). 7-9 kviris fexmZimobis vadaSi gakeTebuli abortebis SemTxvevaSi garTulebebi gacilebiT iSviaTia, vidre 10-dan 14 kviramde orsulobis asakSi gakeTebuli abortebis dros. aseve, vakuumaspiraciis meTodiT Catarebul abortebs ufro naklebi garTulebebi axasiaTebs, vidre klasikuri, saSvilosnos yelis gafarToebisa da kuretaJis meTodi Catarebuls. garda amisa, mxolod abortis kanoniereba am proceduris usafrTxoebas ver uzrunvelyofs. aRWurvilobis simwire, gadatvirTuli saavadmyofoebi, aradamakmayofilebeli higienuri pirobebi da arasaTanado samedicino momsaxureba abortisSemdgomi garTulebebis risks zrdis. aRniSnulma faqtorebma SeiZleba aiZulos qali, uari Tqvas saavadmyofoebis momsaxurebaze an gaaxangrZlivos lodinis dro sawyis konsultaciasa da mimarTvas Soris. im SemTxvevaSi, roca hospitalizacia gviandeba da 12 kviris asakis daSvebul zRvars scdeba, qalebi mimarTaven ukanono abortebs licenzirebuli dawesebulebebis miRma. daucveli abortebi sikvdilianobisa da avadobis maRali riskiT xasiaTdeba.

regionSi Catarebuli reproduqciuli janmrTelobis kvlevebis farglebSi, abortebis gamocdilebis mqone yvela respondenti gamoikiTxa orsulobis xelovnuri Sewyvetis Semdeg im samedicino garTulebebis Sesaxeb, romelic kvlevamde ukanaskneli 5 wlis ganmavlobaSi hqondaT. magram am kvlevebiT ar xdeba abortiT gamowveuli sikvdilianobis aRricxva. kvlevis Sedegebi abortebisSemdgomi garTulebebis Sesaxeb, Ceulebriv, emyareba respondentTa mier aRweril simptomebs an mdgomareobebs da amitom SesaZloa na-

kleb sando iyos, vidre saavadmyofoebis mier warmoebuli statistika. rogorc mocemulia suraTSi 5.4.1, adreuli (6 Tvis ganmavlobaSi) garTulebebi da gviani garTulebebi (6 Tvis Semdeg da ufro gvian), meryeobda, Sesabamisad, 5%-dan 16%-mde da 1%-dan 6%-mde. aRniSnuli maCveneblebi maRalia aSS-Si orsulobis pirvel trimestrSi ganxorcielebuli abortebis monacemebTan SedarebiT (0.3%) (Finer and Zolna, 2011). saqarTveloSi 2010 wels Catarebuli kvlevis Sedegebi gviCvenebs, rom 2005 wlis Semdgom Catarebuli abortebis 10%-s mohyva adreuli (6.4%), an gviani garTulebebi (3.6%). (cxrili 5.4.1). adreuli da gviani garTulebebis Sesaxeb respondentebis mier miwodebuli informacia ar gansxvavdeboda respondentTa maxasiaTeblebis mixedviT. Tumca adreuli garTulebebis sixSire TiTqmis mesamediT gaizarda (8.2%mde) 10 kviris Semdeg fexmZimobis dros gakeTebuli abortebis da TiTqmis 50%-iT saSvilosnos yelis gaxsniTa da kuretaJiT Catarebuli abortebis SemTxvevebSi, vidre mini-abortebis Semdeg. abortisSemdgomi garTulebebis sixSire ifro maRali iyo 2010 wels, vidre 2005 wels; 2005-2010 wlebSi xelovnurad Sewyvetili orsulobebis mxolod 10%-s mohyva adreuli an gviani garTulebebi, maSin rodesac es maCvenebeli 2000-2004 wlebSi 6.4%-s Seadgenda (suraTi 5.4.1). abortebis Sedegad gamowveuli avadobis zrda aRiniSneba yvela kategoriaSi da 6.3%-ze metia yvela SemTxvevaSi (cxrili 5.4.1). legaluri abortis Sedegad gamowveul avadobasTan dakavSirebuli erT-erTi risk-faqtori abortis dros orsulobis asakia. 2005-dan 2010 wlamde periodSi gviani abortebis ricxvi (fexmZimobis 12 kviris Semdgom), 1%-iT gaizarda da 11%-s gadaaWarba. am arasaxarbielo Sedegma sxva dadebiTi tendencia daCrdila. magaliTad, cvlilebebi aRiniSneboda klinikur praqtikaSi â&#x20AC;&#x201C; 2010 wels abortebis 41.5%-is Semdeg dainiSna antibiotikebiT mkurnalobis kursi, maSin, rodesac 2005 wels es wili mxolod 32%-s Seadgenda. miuxedavad amisa, abortisSemdgomi garTulebebis SemTxvevebma imata. anesTeziis gamoyeneba odnav Semcirda 58.0%-dan 56.6%-mde. im pacientebis wili, vinc abortisSemdgomi garTulebebis gamo hospitalizebuli iqna, Semcirda (12%-dan 2005 wels 0.6%-mde 2010Si), nawilobriv mini abortebis ricxvis zrdis Sedegad. 85


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

abortisSemdgomi garTulebebis 51% gamoixateboda gaxangrZlivebuli tkiviliT sasqeso organoebis midamoSi. sxva garTulebebs Soris iyo maRali sicxe (37%), mZime sisxlisdena (34%), infeqciuri gamonadeni (22%) da perforacia (1.7%) (cxrili 5.4.2). saSvilosnos perforaciisa da Zlieri sisxldenis garda, Znelia imis gansazRvra, Tu ramdenad seriozul xasiaTs atarebda abortisSemdgomi sxva adreuli garTulebebi. rogorc zemoT aRiniSna, adreul garTulebaTa mxolod 0.6% moiTxovda hospitalizacias erTi an meti dRiT.

5.5 abortis gamomwvevi mizezebi garemoebebi, romlebic ganapirobebs qalis gadawyvetilebas orsulobis xelovnurad Sewyvetis Sesaxeb, uSualod dakavSirebulia ojaxis dagegmvis samsaxurebis xelmisawvdomobis problemasTan da aSkarad miuTiTebs imaze, Tu rogor SeiZleba imoqmedos am momsaxurebis xelmiuwvdomlobam qalis cxovrebaze. 1996 wlidan Catarebuli kvlevebis Sedarebam, romlebic qalTa janmrTelobis sakiTxebis farTo speqtrs moicavda, gviCvena, rom qalebis mier dasaxelebuli mizezebi orsulobis Sewyvetis Taobaze ar Secvlila regionSi (suraTi 5.5.1). abortebis umravlesoba kvlevamde 5 wlis intervalSi gamowveuli iyo qalis surviliT, ar hyoloda meti Svili, an ojaxis socialur-ekonomikuri mdgomareobiT, romelic ar iZleoda kidev erTi Svilis gazrdis saSualebas. sul abortebis 66% da 95% gamowveuli iyo aRniSnuli ori mizeziT (CDC and Macro, 2003). saqarTveloSic, 2010 wlis kvlevis monacemebmac daadastura, rom abortebis umravlesoba (51%) ganpirobebuli iyo qalebis Svilosnobis SezRudvis surviliT (cxrili 5.5.) anda ojaxis socialur-ekonomikuri mdgomareobiT (20%) - dabali Semosavlis, umuSevrobis, samuSaos dakargvis SiSis an binis siviwrovis gamo. TiTqmis yoveli mexuTe aborti (18%) Catarda mSobiarobebs Soris intervalis gaxangrZlivebis mizniT. abortebis 8%-is mizezi janmrTelobis mdgomareoba iyo: 5% - dedis janmrTeloba (mag. orsuloba safrTxes uqmnida qalis fizikur an sulier janmrTelobas) da 3% - nayofis defeqtebi an Cvilis janmrTelobisTvis Seqmnili potenciuri safrTxe. abortebis 1.5% gakeTda partniorTan dakavSirebuli mizezebiT (partniori iyo orsulobis winaaRmdegi). 86

da bolos, aRsaniSnavia, rom qalTa 1.4%ma Tqva, rom aborti nayofis sqesis gamo gaikeTes, romelic maT abortze gadawyvetilebis miRebamde gaiges. rac Seexeba tendenciebs, 1999 welTan SedarebiT, 2010 wels qalebi ufro naklebad ikeTebdnen abortebs mSobiarobis Sesamcireblad da ufro metad mSobiarobebs Soris intervalis gazrdisa da janmrTelobis mdgomareobis gamo. abortis gamoyeneba Svilosnobis SezRudvis mizniT ufro xSirad saxeldeboda soflad mcxovrebi qalebis (visac ukve saSualod ufro meti Svili hyavda, vidre qalaqSi mcxovreb qalebs) da 34 welze meti asakis qalebis mier (62%), romlebsac aseve meti Svili hyavdaT. abortis mizezad meti Svilis aryolis survilis dasaxeleba mWidrod iyo dakavSirebuli orsulobis rigiTobasTan: es mizezi daasaxela meore orsulobis mqone qalebis 18%-ma, ori winamorbedi orsulobis mqone qalebis 40%-ma, da oTxi an meti winamorbedi orsulobis mqone qalebis 62%-ma. abortebis gamoyeneba Semdeg mSobiarobamde intervalis gasazrdelad ufro xSiri iyo Tbilisis garda sxva qalaqebSi mcxovreb qalebs, 1524 wlis qalebs, meore qonebriv kvintils mikuTvnebul qalebsa da erTi winamorbedi orsulobis mqone qalebs Soris. socialurekonomikuri mizezebi ufro xSirad saxeldeboda TbilisSi da qveda kvintilSi. amrigad, qalebis umravlesobis mier orsulobis xelovnuri Sewyveta ganpirobebulia ojaxis sididiTa da ojaxis wevrebze, gansakuTrebiT, Svilebze SesaZlo socialur-ekonomikuri gavleniT. abortebis ZiriTad mizezad saxeldeboda `meti Svilis aryolis survili~, rac imis maCvenebelia, rom orsulobebi dagegmili ar iyo da metyvelebs qveyanaSi ojaxis dagegmvis momsaxurebis naklebobaze. 1999 welTan SedarebiT (suraTi 5.5.2), axla proporciulad meti aborti keTdeba mSobiarobebs Soris intervalis gasazrdelad anda janmrTelobis mdgomareobis gamo. sabednierod, parntiorTan dakavSirebuli mizeziT abortebis raodenoba Zalze cotaa, rac imis maCvenebelia, rom qalebi gadawyvetilebas abortis Sesaxeb iReben damoukideblad an partniorTan SeTanxmebulad. da bolos, saqarTveloSi kvlevis monacemebze dayrdnobiT miRebuli maCveneblebi oficialur statistikur monacemebs mniSvnelovnad aWarbebs; savaraudod, es imiTaa ganpirobebuli, rom oficialuri statistika, romelic saxelmwifo registraci-


saboloo angariSi

is sistemebzea dafuZnebuli, abortebis arasruli aRricxvianobiT xasiaTdeba. vinaidan kvlevis Sedegebic SeiZleba srulad ar asaxavdes abortebis raodenobas, kvlevis monacemebi abortebis Sesaxeb aseve warmoadgens mosaxleobaSi orsulobis xelovnurad Sewyvetis realuri suraTis mxolod konservatiul Sefasebas. abortebis raodenobisa da tendenciebis Sesaxeb ufro zusti informaciis dokumentirebis garda, kvlevis Sedegebi ufro farTo speqtris analizis saSualebas iZleva arasasurveli orsulobisa da kontracepciuli momsaxurebiT sargeblobisa da masze xelmisawvdomobis gazrdis aucileblobis TvalsazrisiT. 2010 wlis kvlevam aCvena, rom 2005 wlis Semdeg kontracepciis xelmisawvdomobis gazrdam ukve gamoiwvia arasasurveli orsulobebis ricxvisa da abortebis erovnuli maCveneblebis Semcireba. is faqti, rom im qalTa mzardi wili, romlebmac abortebi gaikeTes, cxovroben soflad, arian Raribebi da aqvT naklebi donis ganaTleba, xazs usvams ojaxis dagegmvis samsaxurebis subsidirebis da maTi saqmianobis arealis gafarToebis saWiroebas, rogorc arasasurveli orsulobisa da abortebis SemTxvevebis Semcirebis efeqtian saSualebas. mosaxleobisa da ganviTarebis saerTaSoriso konferenciis samoqmedo gegma mouwodebs qveynebs, Seamciron abortebis gamoyeneba, abortis Semdgomi konsultaciebis, ganaTlebis da ojaxis dagegmvis saSualebiT. 1999 wlis Semdeg saqarTvelom mniSvnelovan progress miaRwia: abortebis maCveneblebi mcirdeba, xolo kontracxrili 5.1

cxrili 5.1

cepciis Tanamedrove meTodis moxmareba qalebs Soris matulobs da sul ufro naklebi qalis moTxovna Tanamedrove kontracepciaze aris daukmayofilebeli. da mainc, meti Zalisxmevaa saWiro abortebis maCveneblebis Sesamcireblad, gansakuTrebiT maSin, roca abortebis naxevarze meti mxolod imitom keTdeba, rom qalebs meti Svilis yola ar surT. Tumca, mxolod ojaxis dagegmviT arasasurveli orsulobebis Tavidan acileba ver moxerxdeba, vinaidan verc erTi kontracepciuli meTodi ver uzrunvelyofs absolutur dacvas. tradiciuli meTodebi, romlis imedadac gansakuTrebiT soflad mcxovrebi, Raribi da naklebi ganaTlebis mqone qalebi arian, xSirad araefeqtiania, rasac es qalebi abortamde mihyavs. sanam arsebobs ojaxis dagegmvis xelSewyobis gaZlierebisa da tradiciuli meTodebis mimdevrebis kontracepciis Tanamedrove meTodebis Sesaxeb informirebis saWiroeba, usafrTxo abortebis momsaxureba qveyanaSi xelmisawvdomi unda iyos. msoflioSi, usafrTxo pirobebSi ganxorcielebuli abortebi sikvdilianobisa da avadobis dabal maCveneblebTan asocirdeba. abortis kontracepciiT Canacvlebaze orientirebuli saqmianoba koncentrirebuli unda iyos maRalxarisxovani, xelmisawvdomi kontracepciuli meTodebis farTo speqtris uzrunvelyofaze da ara usafrTxo abortis momsaxurebis xelmisawvdomobis SezRudvaze.

abortebis asakobrivi da jamobrivi koeficientebi

samwlian periodSi 15-44 wlis asakis qalebSi; xelovnuri abortebis asakobrivi koeficientida jamobrivi abortis sami samwliani periodisTvis, maCvenebeli* samwlian intervalSi* 15-44 wlis asakis qalebSi reproduqciuli janmrTelobis kvleva: reproduqciuli janmrTelobiskvleva: saqarTvelo, 1999, 2005, 2010 saqarTvelo, 1999, 2005, 2010

xelovnuri abortebis asakobrivi koeficienti (1,000 qalze)* asakobrivi jgufi

2007–2010 2002–2005 2010 wlis kvleva† 2005 wlis kvleva‡

1996–1999 1999 wlis kvleva¶

15–19 20–24 25–29 30–34 35–39 40–44 abortebis jamobrivi koeficienti (erT qalze)

10 56 102 83 57 (21) 1.6

13 126 164 167 110 (54) 3.1

29 162 191 179 122 (49) 3.7

abortebis saerTo maCvenebeli (1,000 qali/weli)

56

104

125

* asaki xelovnuri abortis momentisTvis. † 2007 wlis oqtombridan 2010 wlis seqtembramde gakeTebuli abortebi. ‡ 2002 wlis martidan 2005 wlis Tebervlamde gakeTebuli abortebi. ¶ 1996 wlis dekembridan 1999 wlis noembramde gakeTebulil abortebi. ( ) naCvenebi dro nawilobriv Sekvecilia, eadgan SerCeva ar moicavs yvela im qals, vinc saanagriSo periodSi aborti gaikeTa.

87


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

abortebis asakobrivi da jamobrivi koeficientebi cxrili 5.2.1 cxrili 5.2.1 abortebis asakobrivi da jamobrivi koeficientebi samwlian periodSi samwlian periodSi 15-44 wlis asakis qalebSi, 15-44 wlis asakis qalebSi, SerCeuli maxasiaTeblebis mixedviT, SerCeuli maxasiaTeblebis mixedviT, reproduqciuli janmrTelobis kvleva: saqarTvelo, 1999, 2005, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 maxasiaTeblebi

xelovnuri abortebis asakobrivi koeficienti (1,000 qalze)† 15–19

20–24

25–29

30–34

40–44

sul

10

56

102

83

57

21

1.6

sacxovrebeli adgili qalaqi sofeli regioni

6 14

42 71

62 150

74 93

41 74

16 26

1.2 2.1

kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi

30 9 7 11 3 0 12 6 10 8 13

58 44 133 53 40 51 59 77 47 77 21

100 53 144 170 77 87 156 169 101 113 43

46 73 72 111 95 49 144 92 96 127 81

135 36 61 106 70 20 44 48 40 58 60

18 13 22 19 37 32 7 18 32 13 0

1.9 1.1 2.2 2.4 1.6 1.2 2.1 2.1 1.6 2.0 1.1

14 10 4 4

125 76 54 26

186 151 68 62

85 107 85 70

89 110 40 29

32 19 28 11

2.7 2.4 1.4 1.0

12 13 10 11 3

72 61 71 55 32

179 139 113 71 52

79 86 101 62 82

70 73 59 57 38

33 24 22 14 14

2.2 2.0 1.9 1.4 1.1

7 45 12 30

51 92 27 212

90 207 146 168

82 132 80 17

52 144 82 41

20 46 0 25

1.5 3.3 1.7 2.5

ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi umaRlesi/aspirantura qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi erovneba qarTveli azerbaijaneli somexi sxva

* 2007 wlis oqtombridan 2010 wlis seqtembramde gakeTebuli abortebi. † asaki abortis momentisaTvis.

88

35–39

sul abortis maCvenebeli (abortebis


saboloo angariSi

cxrili 5.2.2

minimum erTi abortis mqone qalebi da sicocxlis

cxrili 5.2.2 minimum erTiabortebis abortisraodenoba mqone qalebi daqalebs sicocxlis manZilze 15-44 wlis Soris, manZilze abortebis raodenoba 15-44 wlis qalebs Soris, SerCeuli maxasiaTeblebis mixedviT. SerCeuli maxasiaTeblebis mixedviT. reproduqciuli kvleva: saqarTvelo, 2010 reproduqciulijanmrTelobis janmrTelobis kvleva: saqarTvelo, 2010

maxasiaTebeli

sul regioni Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali Svilebis raodenoba arcerTi erTi ori sami oTxi an meti ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/ universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi erovneba qarTveli azerbaijaneli somexi sxva

odesme SemTxveveb is gaukeTebi a aborti raodenoba

sicocxlis manZilze xelovnuri abortebis sruli raodenoba im qalebs Soris, romlebsac odesme gaukeTebiaT aborti

1

2

3

sul

4

5–6

7–9

10+

SemTxveveb is raodenoba

37.1

6,292

31.4

23.5

15.4

9.1

10.0

4.3

6.3

100.0

2,568

31.8 35.4 41.2

1,426 1,549 3,317

38.8 30.2 28.6

22.0 26.0 23.1

15.2 16.9 14.8

8.3 8.1 9.8

7.0 9.7 11.5

3.2 5.1 4.4

5.5 3.9 7.8

100.0 100.0 100.0

490 594 1,484

2.2 13.8 35.5 54.6 60.6 67.6

861 1,099 1,191 1,168 1,051 922

85.6 55.3 44.4 30.9 23.1 23.5

14.4 29.3 23.7 24.0 25.3 20.1

0.0 6.4 15.9 14.9 16.2 17.7

0.0 6.7 5.8 9.0 11.2 10.0

0.0 2.3 6.1 11.5 11.4 12.1

0.0 0.0 2.2 4.8 5.2 5.7

0.0 0.0 1.8 4.9 7.6 10.8

100.0 100.0 100.0 100.0 100.0 100.0

25 186 436 663 637 621

3.4 39.4 69.5 77.5 68.5

2,276 1,286 2,069 539 122

68.9 53.4 24.8 18.8 30.2

17.0 21.6 24.4 23.4 28.2

6.2 11.5 17.9 15.8 6.7

7.9 4.6 10.3 11.7 3.6

0.0 4.6 11.0 15.4 9.5

0.0 3.3 4.6 4.7 8.9

0.0 1.0 7.0 10.2 12.8

100.0 100.0 100.0 100.0 100.0

96 518 1,456 417 81

32.0

1,330

24.5

21.3

15.4

10.1

12.6

4.6

11.6

100.0

486

39.1 38.4

1,568 3,394

33.7 32.8

24.6 23.8

12.7 16.7

8.2 9.1

10.2 9.0

5.8 3.5

4.8 5.0

100.0 100.0

691 1,391

40.8 39.4 40.2 31.4 34.8

1,093 1,385 1,413 1,037 1,364

28.9 27.9 29.0 35.8 35.5

25.1 25.3 21.7 23.8 22.6

13.6 16.2 14.6 15.1 16.9

8.9 7.9 11.8 8.1 8.1

11.1 10.6 11.4 8.8 8.3

3.7 4.4 5.4 3.7 4.1

8.8 7.8 6.1 4.7 4.5

100.0 100.0 100.0 100.0 100.0

469 602 620 369 508

36.5 47.2 35.4 42.3

5,488 276 364 164

32.0 20.0 38.7 26.2

23.8 18.4 26.5 23.2

15.6 18.4 8.9 15.0

9.3 7.6 9.8 3.4

10.0 13.8 3.5 12.9

4.0 4.9 5.7 9.2

5.3 16.9 6.9 10.2

100.0 100.0 100.0 100.0

2,197 143 150 78

89


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 5.2.3 gestaciuri asaki fexmZimobis xelovnuri Sewyvetis momentisTvis cxrili 5.2.3 gestaciuri asaki fexmZimobis xelovnurad Sewyvetis momentisTvis SerCeuli maxasiaTeblebis mixedviTwlebSi 2005-2010 wlebSi SerCeuli maxasiaTeblebis mixedviT 2005-2010 abortiT abortiT dasrulebul fexmZimobebs Soris; dasrulebul fexZimobebs Soris; reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

< 7

7–9

10–12

13+

sul

27.9

59.2

11.9

1.1

100.0

SemTxvev ebis raodeno 2,054

sacxovrebeli adgili Tbilisi sxva qalaqi sofeli asakobrivi jgufi

30.7 29.8 26.1

60.4 60.7 58.2

7.9 8.0 14.8

1.0 1.5 0.9

100.0 100.0 100.0

333 435 1,286

17.9 21.5 32.7 25.2 29.9 26.8

70.3 63.8 56.4 62.6 57.1 55.2

11.9 13.4 9.9 11.2 12.5 15.7

0.0 1.2 1.0 1.1 0.5 2.2

100.0 100.0 100.0 100.0 100.0 100.0

18 208 540 648 424 216

46.2 27.6 29.9 24.7 9.5

48.4 58.6 59.5 58.2 61.6

5.4 10.7 9.8 16.5 28.9

0.0 3.1 0.7 0.6 0.0

100.0 100.0 100.0 100.0 100.0

9 334 1,280 350 81

26.1

56.0

17.0

1.0

100.0

456

23.8 31.6

63.5 57.8

12.4 8.9

0.3 1.7

100.0 100.0

668 930

17.6 29.8 27.4 26.8 36.0

61.9 58.3 59.3 66.1 52.6

19.8 11.1 12.4 5.3 10.2

0.7 0.8 0.9 1.8 1.3

100.0 100.0 100.0 100.0 100.0

419 504 506 282 343

29.8 25.8 18.8 8.2

58.9 59.1 59.1 63.9

10.0 14.6 21.1 27.9

1.2 0.5 1.0 0.0

100.0 100.0 100.0 100.0

1,661 181 141 71

2.6 38.3

53.6 61.5

40.2 0.2

3.6 0.0

100.0 100.0

645 1,409

maxasiaTebeli

15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis arcerTi erTi ori sami oTxi an meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi/ universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva fexmZimobis dasasruli xelovnuri aborti mini aborti

90

gestaciuri asaki (kvireebSi)

sul


cxrili 5.3.1

orsulobis Sewyvetis tipi SerCeuli maxasiaTeblebis mixedviT saboloo angariSi 2005–2010 wlebSi abortiT dasrulebul orsulobebs Soris; cxrili 5.3.1 orsulobis Sewyvetis tipi SerCeuli maxasiaTeblebis mixedviT 2005-2010 janmrTelobis kvleva: reproduqciuli wlebSi abortiT dasrulebul orsulebebs Soris; 2010 saqarTvelo, reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 orsulobis Sewyvetis tipi maxasiaTebeli xelovnuri aborti sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi 15–24 25–34 35–44 abortis rigiToba pirveli meore mesame meoTxe mexuTe meeqvse da meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi/ universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri qarTveli azerbaijaneli somexi sxva

miniaborti

sul

SemTxvevaT a

29.3

70.7

100.0

2,054

19.3 36.6

80.7 63.4

100.0 100.0

768 1,286

43.4 18.7 17.1 31.4 50.8 19.6 47.4 40.5 27.0 22.2 45.8

56.6 81.3 82.9 68.6 49.2 80.4 52.6 59.5 73.0 77.8 54.2

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

185 333 183 253 160 90 163 169 265 152 101

28.6 27.9 34.3

71.4 72.1 65.7

100.0 100.0 100.0

501 1,196 357

28.8 26.5 27.2 31.8 32.3 31.8

71.2 73.5 72.8 68.2 67.7 68.2

100.0 100.0 100.0 100.0 100.0 100.0

576 417 291 185 135 450

34.6 33.1

65.4 66.9

100.0 100.0

1,124 286

18.7

81.3

100.0

644

46.8 31.8 29.1 13.8 22.6

53.2 68.2 70.9 86.2 77.4

100.0 100.0 100.0 100.0 100.0

419 504 506 282 343

27.4 37.2 38.1

72.6 62.8 61.9

100.0 100.0 100.0

1,661 181 141

34.0

66.0

100.0

71

91


Table 5.3.2

orsulobis Sewyvetis adgili SerCeuli maxasiaTeblebis mixedviT 2005–2010 wlebSi dasrulebul orsulobebs Soris; abortiT cxrili 5.3.2 orsulobis Sewyvetis adgili SerCeuli maxasiaTeblebis mixedviT 2005-2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 wlebSi abortiT dasrulebul orsulobebs Soris; reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

orsulobis Sewyvetis adgili

55.8

42.2

1.9

100.0

SemTxveva Ta raodenob a 2,054

38.6 68.4

59.6 29.6

1.8 2.0

100.0 100.0

768 1,286

29.4 46.9 68.4

69.6 50.7 29.6

1.0 2.4 2.0

100.0 100.0 100.0

333 435 1,286

71.2 29.4 59.0 60.1 72.4 47.3 75.5 51.6 69.3 54.0 88.8

23.2 69.6 40.5 37.5 27.1 46.4 21.9 47.9 30.0 44.9 10.3

5.6 1.0 0.5 2.4 0.6 6.3 2.6 0.5 0.7 1.1 0.9

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

185 333 183 253 160 90 163 169 265 152 101

62.2 53.4 55.3

36.9 44.2 43.1

0.9 2.4 1.6

100.0 100.0 100.0

501 1,196 357

58.1 52.4 51.9 53.1 61.2 58.1

40.5 46.3 45.6 44.7 37.2 39.3

1.4 1.3 2.4 2.3 1.5 2.7

100.0 100.0 100.0 100.0 100.0 100.0

576 417 291 185 135 450

60.4 58.4

37.1 40.6

2.5 1.0

100.0 100.0

1,124 286

47.0

51.8

1.2

100.0

644

76.0 68.4 55.0 43.3 34.3

22.7 29.6 41.0 55.7 65.2

1.3 2.0 4.0 1.1 0.5

100.0 100.0 100.0 100.0 100.0

419 504 506 282 343

54.0 77.4 59.0 33.4

44.0 20.5 39.5 66.7

2.0 2.1 1.4 0.0

100.0 100.0 100.0 100.0

1,661 181 141 71

maxasiatebeli saavadmyofo/sam Sobiaro saxli sul sacxovrebeli qalaqi sofeli sacxovrebeli Tbilisi sxva qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi 15–24 25–34 35–44 abortis rigiToba pirveli meore mesame meoTxe mexuTe meeqvse da meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi/ universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri qarTveli azerbaijaneli somexi sxva abortis tipi xelovnuri aborti mini aborti

92

ambulatoriuli klinika

samedicino dawesebuleb is gareT

sul

65.9

30.5

3.5

100.0

645

51.7

47.1

1.2

100.0

1,409


cxrili 5.3.3

Casaxvis droisaTvis kontracepciuli meTodis saboloo angariSi gamoyeneba SerCeuli maxasiaTeblebis mixedviT, abortiT dasrulebul fexmZimobebs 2005-2010 wlebSi cxrili 5.3.3 Casaxvis droisaTvis kontraceptiuli meTodis gamoyeneba SerCeuli Soris; mixedviT, 2005-2010 wlebSi abortiT dasrulebul maxasiaTeblebis fexZimobebs Soris; reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

kontracepciuli meTodis gamoyeneba maxasiaTebeli

sul sacxovrebeli dgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli c ej v e samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asaki abortis 15–24 25–34 35–44 ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva abortis tipi xelovnuri aborti mini aborti

nebismieri meTodi %

SemTxvevaT nebismieri nebismieri a tradiciuli meTodi Tanamedrove meTodi raodenoba % %

26.4

20.1

15.6

2,054

26.6 26.2

17.4 22.1

18.9 13.2

768 1,286

20.2 26.1 16.1 34.1 49.2 25.0 19.8 11.1 32.3 26.1 34.6

15.2 14.3 13.7 28.7 41.4 20.5 15.1 7.9 26.0 22.7 29.9

12.1 21.7 13.2 14.3 12.7 5.4 9.9 6.8 24.3 15.3 15.0

185 333 183 253 160 90 163 169 265 152 101

23.9 25.2 33.2

16.1 18.9 29.0

15.1 15.6 16.1

501 1,196 357

24.3 26.2 30.0

20.5 21.0 19.2

10.3 19.5 23.2

1,124 286 644

28.7 23.4 23.8 23.4 32.9

24.9 20.6 20.0 14.7 19.4

14.7 9.8 11.7 18.8 25.1

419 504 506 282 343

26.5 28.5 35.0 7.2

19.4 27.5 28.5 4.9

18.5 2.5 8.7 4.0

1,661 181 141 71

22.5 28.0

18.8 20.7

11.7 17.2

645 1,409

93


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

5.3.4 fexmZimobis Sewyvetis proceduris Rirebuleba cxrilicxrili 5.3.4 fexmZimobis xelovnuri Sewyvetis proceduris Rirebuleba SerCeuli maxasiaTeblebis mixedviT wlebSi SerCeuli maxasiaTeblebis mixedviT 2005-2010 wlebSi2005–2010 abortiT dasrulebul abortiT dasrulebul fexmZimobebs Soris; fexZimobebs Soris; reproduqciuli janmrTelobis kvleva, saqarTvelo, reproduqciuli janmrTelobis kvleva, saqarTvelo, 20102010

maxasiaTeblebi sul sacxovrebeli adgili Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 abortis rigiToba pirveli meore mesame meoTxe mexuTe meeqvse da meti ganaTlebis done arasruli saSualo an n naklebi b sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva abortis tipi xelovnuri aborti mini aborti abortis Catarebis adgili saavadmyofo/samSobiaro ambulatoriuli samedicino gestaciuri asaki 10 kvira da meti <10 kvira antibiotikebi abortis diax ara

abortis Rirebuleba (larebSi)*

saSual

48.2

2.3

12.6

16.0

22.6

39.4

5.9

1.3

100.0

SemTxv evaTa raoden oba

61.5 46.0 44.5

3.1 1.9 2.2

4.1 12.2 15.7

7.4 18.2 18.1

18.9 23.3 23.6

49.1 39.3 36.0

15.3 4.4 3.2

2.0 0.7 1.3

100.0 100.0 100.0

333 435 1,286

50.8 46.2 51.2

1.6 2.7 1.9

9.7 15.1 8.7

14.1 15.5 19.6

23.7 22.1 22.9

43.5 38.5 37.0

6.3 4.8 8.5

1.1 1.3 1.4

100.0 100.0 100.0

501 1,196 357

53.2 50.6 49.5 45.6 43.6 41.8

3.1 1.1 1.9 2.0 2.3 2.7

8.3 11.2 13.9 12.5 15.4 17.3

12.3 14.5 14.8 19.5 17.1 20.6

19.0 24.4 21.1 26.8 26.4 23.6

46.5 40.5 41.8 34.1 37.2 31.2

9.1 6.7 5.5 4.4 1.6 3.3

1.7 1.6 1.1 0.7 0.0 1.4

100.0 100.0 100.0 100.0 100.0 100.0

576 417 291 185 135 450

47.1

2.2

11.2

22.6

22.6

33.8

6.4

1.3

45.6 50.7

1.9 2.6

14.7 11.9

15.1 13.1

24.4 21.4

38.5 42.9

3.9 7.0

1.5 1.2

100.0 100.0 100.0

456 668 930

40.6 42.6 49.2 49.5 59.3

2.5 2.0 2.0 2.9 2.3

20.7 12.2 16.1 6.0 6.8

20.8 21.0 14.5 11.0 11.3

22.8 22.7 23.9 27.0 17.6

30.7 39.8 35.1 47.0 45.8

2.4 1.0 5.9 5.0 15.0

0.2 1.3 2.5 1.0 1.2

100.0 100.0 100.0 100.0 100.0

419 504 506 282 343

48.5 40.2 49.0 62.3

2.2 3.6 3.7 0.0

12.0 22.1 9.0 4.8

16.0 21.8 9.9 9.7

22.9 14.5 23.9 35.5

40.6 32.7 47.2 23.2

5.5 2.5 4.9 21.5

0.9 2.8 1.5 5.2

100.0 100.0 100.0 100.0

1,661 181 141 71

54.8 45.5

3.3 1.9

12.4 12.7

15.3 16.2

16.7 25.0

39.5 39.3

11.4 3.6

1.4 1.3

100.0 100.0

645 1,409

48.2 49.2 26.6

1.4 1.2 53.3

14.2 10.4 14.0

17.6 14.1 10.1

22.0 24.1 7.5

36.8 43.9 13.1

6.8 4.8 2.0

1.2 1.5 0.0

100.0 100.0 100.0

1,207 810 37

64.8 45.8

1.4 2.4

7.1 13.4

13.4 16.3

17.5 23.4

39.9 39.3

18.5 4.0

2.2 1.2

100.0 100.0

291 1,763

53.5 44.5

1.8 2.6

11.1 13.7

13.9 17.4

18.7 25.3

43.9 36.1

9.2 3.5

1.3 1.3

100.0 100.0

845 1,209

o fasi

ufaso

< 30

30–34

35–49

50–99

* kvlevis Catarebis dros daaxloebiT 1.65 lari =1.00 aSS dolars † erTi proceduris saSualo fasi ar moicavs gadaxdil daudgenel Tanxebs.

94

100 da meti

ar axsovs

sul


saboloo angariSi

cxrili 5.3.5

kanonieri abortis gakeTebis dros ojaxis dagegmvis momsaxurebis SeTavazebuli saxeobebi SerCeuli SeTavazebuli cxrili 5.3.5 kanonieri abortis gakeTebis dros ojaxis dagegmvis maxasiaTeblebis mixedviT,maxasiaTeblebis 2005-2010 wlebSi abortiT servisebis saxeobebi SerCeuli mixedviT, 2005-2010 wlebSi abortiT dasrulebul fexZimobebs Soris; dasrulebul fexmZimobebs Soris; reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 konsultacia kontracepciis meTodze

kontracepciis saSualebebis darigeba, saSualebebis gamowera an miTiTeba

maxasiaTebeli nebismieri receptis abortis darigebuli konsulta ortis win SeTavazeb Semdeg saSualeba cia a sul

SemTxvevaT a raodenoba

miTiTeba

33.1

9.9

13.2

6.6

7.4

2.7

2,054

35.6 31.3

10.5 9.4

13.6 12.8

6.1 6.9

9.2 6.1

3.3 2.3

768 1,286

25.8 36.3 40.0 25.6 13.8 33.0 29 2 29.2 30.0 45.7

4.5 9.7 13.2 7.8 5.5 17.0 89 8.9 4.2 15.0

10.6 11.8 19.0 14.7 5.0 9.8 99 9.9 15.8 15.7

7.6 4.1 4.4 4.4 4.4 5.4 52 5.2 5.3 15.7

4.5 9.7 9.8 9.2 2.8 7.1 16 1.6 1.6 10.0

1.5 1.5 1.0 2.4 0.0 5.4 42 4.2 4.7 4.7

185 333 183 253 160 90 163 169 265

31.8 29.9

10.8 2.8

8.5 13.1

2.3 5.6

3.4 12.1

0.0 3.7

152 101

33.7 34.0 29.7

11.3 8.8 11.3

13.5 13.9 10.4

7.9 6.2 6.1

8.1 8.2 4.2

3.4 2.3 3.0

501 1,196 357

32.3

9.3

13.6

6.3

7.2

2.1

1,124

27.1 36.8

7.7 11.7

8.1 14.5

3.7 8.2

7.5 7.7

0.9 4.3

286 644

25.2 35.5 32.0 37.1 35.6

9.9 9.4 8.4 10.3 11.7

8.9 14.7 16.5 12.5 12.0

4.9 11.1 5.1 5.6 5.4

5.0 6.3 7.5 8.1 10.3

1.8 4.1 1.1 6.2 1.0

419 504 506 282 343

34.9 28.4 26.3 21.2

10.5 7.7 9.0 4.2

13.4 13.7 13.7 7.2

7.6 3.7 1.9 1.1

6.9 9.7 8.9 8.6

3.2 0.0 1.9 1.1

1,661 181 141 71

30.5 34.4 30.6 38.2

10.5 12.4 9.0 11.4

12.1 12.7 11.9 14.7

7.4 7.5 5.6 8.8

7.0 9.6 5.2 7.7

3.7 2.9 1.2 3.1

576 417 291 320

33.2

6.4

14.6

4.1

7.3

1.9

450

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asaki abortis 15–24 25–34 35–44 ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva abortis rigiToba pirveli meore mesame meoTxe-mexuTe meeqvse da meti

95


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 5.3.6

ultrabgeriTi gamokvlevis Catareba fexmZimobis

cxrili 5.3.6 ultrabgeriTi gamokvlevis CAatareba fexmZimobis Sewyvetamde SerCeuli Sewyvetamde SerCeuli maxasiaTeblebis mixedviT, maxasiaTeblebis mixedviT, 2005-2010 wlebSi abortiT dasrulebul 2005-2010 wlebSi abortiT dasrulebul fexmZimobis Soris; fexmZimobebs Soris; reproduqciuli reproduqciuli janmrTelobis saqarTvelo, 2010 janmrTelobis kvleva,kvleva, saqarTvelo, 2010 Caitara gestaciuri asakis ultrabgeriTi Sefaseba

Caitara nayofis sqesis ultrabgeriTi Sefaseba

SemTxvevebis raodenoba

51.8

3.3

2,054

qalaqi sofeli sacxovrebeli adgili

67.1 40.5

4.6 2.4

768 1,286

Tbilisi sxva qalaqi sofeli asaki abortis droisTvis

82.4 53.4 40.5

4.9 4.3 2.4

333 435 1,286

52.1 51.4 52.7

2.7 2.9 5.1

501 1,196 357

* 64.2 52.3 43.1 32.9

* 1.8 2.9 2.6 20.0

9 334 1,280 350 81

44.2

5.0

456

43.0 61.9

4.1 1.9

668 930

33.3 36.8 49.9 70.1 73.4

2.2 1.8 4.8 3.0 4.5

419 504 506 282 343

55.9 25.1 30.6 68.6

2.8 3.5 3.9 10.8

1,661 181 141 71

43.9 55.0

8.5 1.1

645 1,409

47.8 58.2 26.9

3.4 3.0 6.5

1,207 810 37

50.7 58.7

1.3 16.8

1,763 291

maxasiaTebeli sul sacxovrebeli adgili

15–24 25–34 35–44 cocxali bavSvebis 0 1 2 3 4 an meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva abortis tipi xelovnuri aborti mini aborti abortis Catarebis adgili saavadmyofo/samSobiaro ambulatoriuli klinika samedicino dawesebulebis gareT gestaciuri asaki <10 kvira 10+ * 25-ze naklebi SemTxveva am kategoriaSi.

96


saboloo angariSi

cxrili 5.4.1

cxrili 5.4.1

abortebTan dakavSirebuli klinikuri praqtika da adreuli da gviani

abortebTan dakavSirebuli klinikuri praqtika da adreuli da gviani garTulebebis prevalentoba SerCeuli maxasiaTeblebis garTulebebis prevalentoba SerCeuli maxasiaTeblebis mixedviT, 2005-2010 mixedviT, 2005-2010 wlebSi abortiT dasrulebul wlebSifexmZimobebs abortiT dasrulebul fexmZimobis Soris; Soris; reproduqciuli janmrTelobis kvleva: saqarTvelo, reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 2010 klinikuri praqtika

maxasiaTebeli

sul sacxovrebeli adgili Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 abortis rigiToba pirveli meore mesame meoTxe mexuTe meeqvse da meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva abortis tipi xelovnuri aborti mini aborti abortis Catarebis saavadmyofo/samSobiaro ambulatoriuli samedicino gestaciuri asaki <10 kvira 10+ adreuli garTulebebi ara ki

abortisSemdgomi garTulebebi

antibioti SemTxvev SemTxvev hospitalizacia adreuli gviani SemTxvevebi kuri ebis ebis anesTezia s erTi an meti garTulebeb garTulebeb mkurnalo raodeno raodeno i i dRiT raodenoba ba ba ba 56.6

41.5

0.6

2,054

6.4

2,054

3.6

2,020

59.1 58.2 55.1

50.1 44.3 37.5

0.5 0.8 0.6

333 435 1,286

6.9 5.4 6.6

333 435 1,286

2.6 3.0 4.2

328 430 1,262

59.7 56.0 54.6

43.3 40.6 42.2

0.1 0.9 0.6

501 1,196 357

5.3 6.6 7.0

501 1,196 357

2.9 3.1 5.9

493 1,176 351

62.4 58.0 52.8 57.6 53.9 51.1

43.6 41.6 43.8 47.7 46.0 34.1

0.5 1.1 0.8 0.0 0.0 0.6

576 417 291 185 135 450

5.8 6.8 6.6 6.3 5.2 6.9

576 417 291 185 135 450

2.8 3.8 4.3 4.6 2.3 3.9

560 414 290 181 135 440

58.3

33.4

0.0

456

4.1

456

3.4

448

54.5 57.2

41.9 45.5

0.9 0.8

668 930

8.6 6.0

668 930

4.1 3.4

653 919

51.6 46.8 64.8 56.0 63.0

35.6 33.4 39.4 45.6 55.2

0.6 0.6 0.3 1.0 0.8

419 504 506 282 343

5.0 7.1 6.4 3.8 8.7

419 504 506 282 343

3.2 3.8 4.5 2.8 3.4

407 496 503 275 339

58.3 40.9 60.4 58.5

45.0 20.4 24.7 51.3

0.6 0.5 0.5 1.1

1,661 181 141 71

6.6 5.8 6.5 3.2

1,661 181 141 71

3.5 5.5 2.1 3.2

1,636 177 136 71

68.1 51.8

40.7 41.9

1.0 0.5

645 1,409

9.5 5.1

645 1,409

6.6 2.3

638 1,382

58.3 55.3 35.1

41.3 42.9 18.4

0.4 0.9 0.0

1,207 810 37

6.6 6.1 7.5

1,207 810 37

4.2 2.7 5.3

1,185 799 36

53.3 79.0

40.7 47.0

0.6 0.9

1,763 291

6.1 8.2

1,763 291

2.6 10.1

1,734 286

56.2 62.2

39.9 65.1

0.0 9.8

1,928 126

0.0 100.0

1,928 126

1.4 36.4

1,897 123

* gulisxmobs garTulebebs abortidan eqvsi Tvis Semdeg (96 SemTxveva eqvs Tveze nakleb droSi momxdari garTulebebiT, gamoiricxa) respodentebs, visac ramdenime garTuleba aReniSnebodaT, sTxoves daesaxelebinaT yvelaze mwvave maTgani

97


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 5.4.2 2005–2010 wlebSi xelovnuri abortebis tipisa da gestaciuri cxrili 5.4.2 2005-2010 wlebSiadreuli abortiTgarTulebebi dasrulebuli fexmZimobebi garTulebebis tipisa da gestaciuri mixedviT; asakisasakis mixedviT; reproduqciuli reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 janmrTelobis kvleva: saqarTvelo, 2010 maxasiaTebeli

gestaciuri asaki (kvirebSi)

sul

xangrZlivi tkivili sasqeso organoebis areSi maRali sicxe (38° da uxvi sisxldena infeqciuri vaginaluri perforacia sxva Pproblema abortebis SemTxvevebi adreuli garTulebebiT

< 7 kvira

7 an meti

58.6 36.7 34.5 22.3 1.7 4.1

50.4 27.3 32.7 36.1 0.0 2.6

62.0 40.6 35.2 16.7 2.4 4.7

126

30

96

cxrili 5.5 2005-2010 wlebSi gakeTebuli abortebis mTavari mizezi calkeuli cxrili 5.5 2005-2010 wlebSi gakeTebuli abortebis mTavari mizezi calkeuli maxasiaTeblebis mixedviT; mixedviT; reproduqciuli janmrTelobis kvleva: 2010 maxasiaTeblebis reproduqciuli janmrTelobis kvleva, saqarTvelo, saqarTvelo, 2010

abortis mizezi maxasiaTebeli

socialurar minda ekonomikuri (meti) bavSvi mizezebi

minda mSobiarobis gadavadeba

dedis an partniori iyo nayofis fexmZimobis janmrTelobi winaaRmdegi sTvis riski 7.8 1.5

51.1

20.2

18.1

Tbilisi sxva qalaqi sofeli asakobrivi jgufi (abortis momentisTvis)

46.3 46.6 54.5

24.0 17.1 20.0

14.3 21.7 18.0

9.7 12.1 5.4

15–24 25–34 35–44 qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi yvela fexmZimobis rigiToba pirveli meore mesame mroTxr mexuTe da meti

33.9 54.7 61.7

17.1 21.5 20.0

38.3 13.8 5.7

54.9 53.5 53.3 45.2 46.9

25.1 19.1 18.3 23.3 16.9

* 18.0 40.0 50.0 61.7

* 12.9 18.1 20.5 22.3

sul

sqesis SerCeva

SemTxveve bis aborti raodenob a

1.4

100.0

2,054

2.8 1.1 1.1

2.8 1.5 0.9

100.0 100.0 100.0

333 435 1,286

9.3 6.8 8.7

0.1 2.2 0.9

1.3 1.0 3.0

100.0 100.0 100.0

501 1,196 357

13.0 22.5 19.4 19.4 15.2

5.5 3.8 5.0 11.4 14.6

0.5 0.6 2.1 0.0 3.6

1.0 0.5 1.9 0.7 2.7

100.0 100.0 100.0 100.0 100.0

419 504 506 282 343

* 55.2 28.0 16.5 8.5

* 10.9 12.0 9.8 4.5

* 2.9 0.4 1.1 1.6

* 0.0 1.5 2.1 1.4

100.0 100.0 100.0 100.0 100.0

20 240 329 328 1,137

sacxovrebeli adgili

* 25-ze naklebi SemTxveva am kategoriaSi.

98


Tavi

6

dedaTa da bavSvTa janmrTeloba ganviTarebad qveynebSi orsulobisa da mSobiarobisSemdgomi garTulebebi reproduqciuli asakis qalTa dainvalidebisa da sikvilianobis ZiriTadi mizezia. jandacvis msoflio organizaciis monacemebiT, dedaTa da bavSvTa sikvdilianobis msoflio maCvenebeli Zalian maRalia. 2008 wels dedaTa sikvdilianobis 358 000 SemTxveva orsulobis, mSobiarobis an postnatalur periodSi moxda, rac naklebia 1990 wlis Sesabamis maCvenebelze, romelic 546,000 iyo (WHO, 2010). yovelwliurad daaxloebiT 8.8 milioni bavSvi iRupeba 5 wlis asakamde, maT Soris 3.8 axalSobili dabadebidan pirveli 28 dRis ganmavlobaSi, xolo 3.2 milioni bavSvi 1-dan 5 wlamde asakSi (You et al., 2010; UNICEF, 2009). axalSobilTa janmrTeloba da sicocxlisunarianoba mWidrodaa dakavSirebuli dedis janmrTelobasTan. Sesabamisi samedicino an adekvaturi momsaxurebisadmi SezRuduli xelmisawvdomoba orsulobis, mSobiarobisa da mSobiarobisSemdgom periodSi axalSobilTa momsaxurebis nakleb xelmisawvdomobasac gulisxmobs. orsulobis periodSi ganviTarebuli mizezebiT gardacvlili dedebis Cvilebs Soris sikvdilianoba ufro maRalia, vidre im dedebis Cvilebs Soris, romlebic cocxlebi arian (UNICEF, 2005). dedis da bavSvis janmrTelobasa da orsulobis Sedegze gavlenas ramdenime faqtori axdens, maT Soris orsulTaTvis samedicino momsaxureba, mSobiarobis adgili da mSobiarobis dros gaweuli daxmareba da postnataluri qceva, ZuZuTi kvebis CaTvliT. saqarTveloSi Catarebuli wina kvlevebis msgavsad, 2010 wlis kvlevis farglebSi Segrovda informacia respondentebis orsulobis, mSobiarobis da postnataluri periodis Sesaxeb. es sakiTxebi iseve, rogorc CvilTa da bavSvTa sikvdilianoba, ganxilulia winamdebare TavSi. yvela aq warmodgenili monacemi efuZneba respondentebis mier mowodebul informacias cxovrebis ganmavlobaSi orsulobis SemTxvevebis Sesaxeb da detalur monacemebs 2005 wlis ianvris Semdeg kvlevis Catarebamde mSobiarobis yvela SemTxvevis Sesaxeb. respondentTa SerCevis SezRuduli zomisa da mSobiarobis da sikvdilianobis maCveneblebis (romlebic ar iyo Zalian maRali) gamo, dedaTa sikvdilianobis pirdapir gamoTvla kvlevaze dayrdnobiT ver xerxdeba (e.w. dis meTodi - the sisterhood meth99


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 6.1

dedaTa sikvdilianoba saqarTveloSi oficialuri maCveneblebi da RAMOS-is maCveneblebi 1995–2009 wlebisaTvis

SDS

gardacvlilTa raodenoba 100,000 cocxladSobilze

MoLHSA RAMOS

80 70 65.6

60 50

52.0 55.1 50.5

40 30 20 10 0 1995

1997

1999

2001

2003

2005

2007

2009

წყარო: სტატისტიკის დეპარტამენტის მონაცემები: http://statistics.ge; საქართველოს ჯანდაცვის სამინისტროს მონაცემები: ლ. საყვარელიძე, 2010; RAMOS-ის მონაცემები: Serbanescu et al., 2009.

od). aq warmodgenili cifrebi efuZneba oficialur angariSebs da 2006 wels Catarebul reproduqciuli asakis qalTa sikvdilianobis kvlevas, romelSic Seswavlili iyo 15-49 wlis asakis qalTa sikvdilianoba erovnuli masStabiT (Serbanescu et al., 2009).

6.1 dedaTa sikvdilianobis statistika `aTaswleulis ganviTarebis miznebis~ vadis dasrulebamde 5 welia darCenili da dedaTa sikvdilianobis sami-meoTxediT da 5 wlamde asakis bavSvTa sikvdilianobis orimesamediT Semcireba 1990-dan 2015 wlamde periodSi kvlav rTul Sesasrulebel amocanad rCeba bevri qveynisaTvis. magaliTad, saqarTveloSi, dedaTa sikvdilianobis oficialuri maCvenebeli TiTqmis 20%-iT gaizarda 1990-dan 2000 wlamde (41 dedidan 49 dedamde 100,000 cocxladSobilze), xolo piks 1997 wels miaRwia (70.6 dedaTa sikvdilianobis SemTxveva 100,000 cocxladSobilze). 2000-dan 2008 wlamde maCvenebeli mniSvnelovnad Semcirda, Tumca 2009 wels kvlav gaizarda da 100,000 cocxladSobilze 51 SemTxveva gamovlinda, rac 1990 wlis maCvenebels aRemateboda (suraTi 6.1). dedaTa sikvdilianobis doneebisa da tendenciebis oficialuri wyaro samoqalaqo registraciis sistemaa, romelic aRricxavs sikvdilianobis SemTxvevebs sikvdilis gamomwvevi mizezebis mixedviT. saqarTvelos Sromis, janmrTelobisa da socialuri uzrunvelyofis saministros, romelic aRricxavs dedaTa sikvdilianobis SemTxvevebs jandacvis marTvis sainformacio sistemaSi, igive monacemebi gaaCnia. 20082009 wlebSi Catarebulma reproduqciuli 100

asakis qalTa sikvdilianobis kvlevam aCvena, rom sikvdilianobis SemTxvevebis arasrulad asaxva da sikvdilis mizezebis araswori klasifikacia mniSvnelovan cdomilebas iwvevs dedaTa sikvdilianobis SefasebaSi. aRniSnul kvlevaSi dedaTa gardacvalebis SemTxvevebi mravali wyaros gamoyenebis gziT dadginda da es SemTxvevebi Seswavlili iyo gardacvlili qalebis naTesavebTan intervius CatarebiT da detaluri kiTxvarebis SevsebiT da im samedicino dawesebulebebSi Canawerebis SemowmebiT, sadac gardacvlil qalebs sikvdilamde gaewiaT momsaxureba. kvlevis Sedegebis mixedviT dadginda 2006 wels dedaTa sikvdilis 2.8jer meti SemTxveva, vidre oficialuri monacemi iyo (MMR=66/100,000); 68% gardaicvala mSobiarobis Semdeg, 16% - fexmZimobis sxva garTulebebis gamo, xolo 16%-Si gardacvalebis mizezi ver dadginda. orsulobis pirdapiri mizeziT gamowveuli dedaTa sikvdilianoba yvelaze xSirad dakavSirebuli iyo sisxldenasTan, mSobiarobisSemdgom infeqciasTan da orsulobiT gamowveul hipertenziasTan; dedaTa sikvdilianobis daaaxloebiT 40% arapirdapiri mizezebiT iyo gamowveuli, romelTa umetesoba asaxulia oficialur statistikaSi (Serbanescu et al., 2009).

6.2 prenataluri samedicino momsaxureba prenataluri momsaxureba mniSvnelovania iseTi mdgomareobebis prevenciis, gamovlenisa da mkurnalobisTvis, romlebic gavlenas axdens orsulis an Cvilis janmrTelobaze. eqspertebis rekomendaciiT, dedisa da bavSvis janmrTelobis opti-


saboloo angariSi

qalTa procentuli maCvenebeli, visac ar miuRia prenataluri momsaxureba - bolo 5 wlis manZilze cocxladSobiT dasrulebuli orsulobebi: aRmosavleT evropa da evrazia

suraTi 6.2.1

aRmosavleTi evropa

30

kavkasia

centraluri azia

25 22

20

15

10 7 6

5

5

4 3

AL

2

1

1

0

RO

MD

RU

5 3

UA

AM

AZ

GE

2

KG

KZ

TM

UZ

წყარო: რეპროდუქციული ჯანმრთელობის (RHS) და დემოგრაფიული და ჯანმრთელობის მდგომარეობის (DHS) უახლესი კვლევები შემდეგ ქვეყნებში: AL=ალბანეთი, 2008; MD=მოლდოვა, 2005; RO=რუმინეთი ,2004; RU=რუსეთი 1999; UA=უკრაინა 2007; AM=სომხეთი 2005; AZ=აზერბაიჯანი 2006; GE=საქართველო 2010; KZ=ყაზახეთი, 1999; KG=ყირგიზეთის რესპ., 1997 TM=Turkmenistan, 2000; UZ=Uzbekistan., 1996

qalTa procentuli maCvenebeli, visac ar miuRia prenataluri momsaxureba SerCeuli maxasiaTeblebis mixedviT - cocxladSobiT dasrulebuli orsulobebi 2005–2010 wlebSi

suraTi 6.2.2

2

სულ მცხოვრები

1

ქალაქში

3

სოფლად განათლება (წლ)

6

<11

2

11 სრული

0.3

>11 ასაკობრივი ჯგუფი

4

<20

1

20-34

3

35-44 ეთნიკური ჯგუფი

1

ქართველი

6

აზერბაიჯანელი

4

სომეხი

12

სხვა 0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

მშობიარობების პროცენტული მაჩვენებელი

maluri mdgomareobis uzrunvelsayofad, prenataluri momsaxureba orsulobis pirveli trimestridan unda daiwyos da gagrZeldes mTeli orsulobis ganmavlobaSi da moicavdes momsaxurebis srul speqtrs (maT Soris riskis Sefaseba, riskis Semcireba an mkurnalobis kursis gavla da konsultacia). srulyofili prenataluri momsaxurebiT SesaZlebelia perinataluri avadobisa da sikvdilianobis Semcireba potenciuri risk-faqtorebis gamovlenisa da mkurnalobis gziT. sabWoTa kavSiris daSlis Semdeg, yofili sabWoTa kavSiris qveynebSi Catarebulma mosaxleobis kvlevebma gamoavlina regionSi prenataluri momsaxurebis farTo qselis arseboba; mxolod azerbaijanSi dafiqsirda im fexmZime qalTa SedarebiT maRali wili, romlebsac

prenataluri momsaxureba ar miuRiaT (suraTi 6.2.1) (CDC and Macro, 2003). 1995 wlamde rekomendaciebi prenataluri momsaxurebis Sesaxeb saqarTveloSi sabWoTa kavSiris dros dadgenil standartebs emyareboda, romlebic ganviTarebuli qveynebis standartebs Seesabameboda. standartuli prenataluri momsaxureba (garTulebis gareSe mimdinare orsulobis SemTxvevaSi) moicavda regularul vizitebs fexmZimobis asakis Sesabamisad: orsulobis pirveli 12 kvira – TveSi erTxel, 12-dan 30 kviramde – or TveSi erTxel; da orsulobis dasrulebamde darCenil periodSi – yovelkvireulad an TveSi orjer. saqarTveloSi jandacvis sferos saxelmwifo dafinansebis sistemidan xelfase101


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

suraTi 6.2.3

qalTa procentuli maCvenebeli, visac ar miuRia prenataluri momsaxureba sacxovrebeli adgilis mixedviT - cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi

mSobiarobebis procentuli maCvenebli 15 1999

2005

2010

10

5

0

suraTi 6.2.5

soflad

qalaqSi

sul

prenataluri momsaxurebiT sargeblobis dawyeba pirvel trimestrSi SerCeuli maxasiaTeblebis mixedviT â&#x20AC;&#x201C; cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi 2010

2005

1999

sul mcxovrebi qalaqSi soflad ganaTleba <11 11 Sesruleb. >11 eTnikuri jgufi qarTveli azerbaijaneli somexi 0%

20%

40%

bze dawesebul gadasaxadebze dafuZnebul sistemaze gadasvlam gamoiwvia axali, oTxvizitiani prenataluri momsaxurebis modelis SemoReba 1996 wels, romelic mogvianebiT, 2000 wels, jandacvis msoflio organizaciis rekomendaciebis Sesabamisad Seicvala (WHO, 2002). jandacvis msoflio organizaciis axali prenataluri modelis mixedviT, rekomendebulia pirveli prenataluri vizitis dros janmrTelobis safuZvliani gamokvleva da potenciuri risk-faqtorebis Sefaseba, orsulTa or jgufad dayofisTvis: orsulebi, romlebic gaivlian prenataluri momsaxurebis ZiriTad programas (orsulTa 75%), da orsulebi, visac dasWirdeba damatebiTi momsaxurebis gaweva. prenataluri momsaxurebis ZiriTadi programis farglebSi tardeba 102

60%

80%

100%

endemur daavadebebze gamokvleva da maTi mkurnaloba saxelmwifo doneze arsebuli protokolis Sesabamisad (mag. sifilisis skriningi); orsulisa da ojaxis wevrebis informireba orsulobis SesaZlo garTulebis simptomebis Sesaxeb, romelic eqimis Carevas moiTxovs; konsultaciebi kvebis racionis, mSobiarobisTvis momzadebis, ZuZuTi kvebisa da postnatalur etapze ojaxis dagegmvis Sesaxeb. jandacvis Sesaxeb saqarTvelos 1997 wlis kanonis 132-e muxlis Tanaxmad, dedobas amJamad savaldebulo samedicino dazRveva faravs (saqarTvelos mTavroba, 1997). jandacvis msoflio organizaciis axali protokolis Sesabamisad, sameano momsaxurebis ZiriTadi paketi faravs oTx ufaso prenatalur vizits erT orsulze (orsu-


saboloo angariSi

suraTi 6.2.5

prenataluri momsaxurebiT sargeblobis dawyeba pirvel trimestrSi SerCeuli maxasiaTeblebis mixedviT – cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi 2010

2005

1999

sul mcxovrebi qalaqSi soflad ganaTleba <11 11 Sesruleb. >11 eTnikuri jgufi qarTveli azerbaijaneli somexi 0%

suraTi 6.2.6

20%

40%

60%

80%

100%

sul mcire 4 prenataluri vizitis Sesruleba regionebis mixedviT. cocxladSobiT dasrulebuli orsulobebi 2000-2005 wlebSi Infant Mortality Rate (Per 1.000 Live Births) 30+ 25-29

*

20-24 15-19 <15

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

lobis 13, 20–22, 30–32 da 36 kvirebze). TiToeuli viziti, protokolis mixedviT, moicavs zepir konsultacias, klinikur gasinjvas, laboratoriuli analizebis Catarebas, ultrabgeriT gamokvlevas (20–22 kviraze), skrinings (sifilisze, aiv infeqciaze da Rh izoimunizaciaze) da konsultacias. pirveli vizitis dros risk-faqtorebis gamovlenis SemTxvevaSi, aseTi pacientebi igzavnebian specializebul dawesebulebaSi an/da damatebiT gamokvlevaze. 400 laris (daaxloebiT 228 aSS dolari) Rirebulebis ufaso mSobiarobis vauCeri gaicema socialurad daucvel mosaxleobaze; danarCeni orsuli qalebisTvis gaTval-

iswinebulia mxolod 200 lariani vauCeri (daaxloebiT 114 aSS dolari) mSobiarobis xarjebis dasafarad (CoReform Project, 2005). vauCerebis misaRebad qalebi unda daregistrirdnen qalTa konsultaciis centrebSi da Caitaron minimum oTxi prenataluri gamokvleva. miuxedavad jandacvis msoflio organizaciis rekomendaciisa, saxelmwifo programa ar iTvaliswinebs postnatalur momsaxurebas. jandacvis reformis dasrulebis Semdeg, postnataluri momsaxurebis gaweva, savaraudod, ojaxis eqimebis funqcia iqneba, romlebic nebismieri garTulebis SemTxvevaSi gadaagzavnian dedebs specializebul klinikebSi. 103


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

suraTi 6.2.7

sul mcire 4+ prenataluri vizitis Sesruleba sacxovrebeli adgilisa da ganaTlebis mixedviT â&#x20AC;&#x201C; cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi 2010

2005

1999 90%

sul

76% 76%

mcxovrebi 95%

qalaqSi

88% 86% 86%

soflad

65% 67%

ganaTleba (w)

<11

52% 55% 87%

11 Sesrulebuli

71% 67%

>11

85% 86%

0%

suraTi 6.2.8

20%

40%

60%

80%

95%

100%

sul mcire 4 prenataluri vizitis Sesruleba regionebis mixedviT - cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi 2010

2005

1999

sul

Tbilisi

imereTi

Crdilo-aRm.

samxreTi

dasavleTi 0%

20%

40%

cxrilSi 6.2.1 naCvenebia 2005 wlis ianvridan intervius Catarebis dRemde im respondentTa mSobiarobebis xvedriTi wili (cocxlad da mkvdradSobadobis), romlebsac gaewia prenataluri samedicino momsaxureba. marTalia, mkvdradSobili da cocxladSobili Cvilebis dedebisTvis gaweul prenatalur samedicino momsaxurebas Soris gansxvaveba SeiZleba arsebobdes, magram saangariSo periodSi mkvdradSobadobis mcire raodenoba am SemTxvevebis dawvrilebiT Seswavlis saSualebas ar iZleva. prenataluri samedicino momsaxurebiT TiTqmis yvelam isargebla - orsulebis 98%s gavlili hqonda minimum erTi prenataluri gamokvleva. procentuli maCvenebeli qalebisa, visac ar gauvlia prenataluri

104

60%

80%

100%

momsaxureba meryeobda daaxloebiT 1%-dan imereTis da Tbilisis regionebSi 7%-mde kaxeTis regionSi. prenataluri momsaxurebiT sargeblobis albaToba yvelaze dabali iyo soflad mcxovreb qalebs, mSobiarobis droisTvis 20 welze naklebi asakis qalebs (4%), arasruli saSualo ganaTlebis mqone qalebs (6%), yvelaze dabal qonebriv kvintils mikuTvnebul SinamuerneobebSi mcxovreb qalebsa (6%) da im qalebs Soris, romelTaTvisac es mSobiaroba rigiT mesame an momdevno iyo (5%). xvedriTi wili im qalebisa, romelTac prenataluri momsaxurebiT ar usargebliaT, ufro maRali iyo eTnikuri umciresobebis warmomadgenelTa Soris, vidre qarTvel qalebs Soris (suraTi 6.2.2).


saboloo angariSi

prenataluri vizitebis raodenoba â&#x20AC;&#x201C; cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi

suraTi 6.2.9

54% 1999

39%

2005

2010

38%

24% 20%

19%

18%

15%

19% 12%

9% 4%

16%

7% 2%

1% 1% 1%

1-3

0

suraTi 6.2.10

4-6

7-9

10 an meti

ucnobia

dawesebulebebi, romlebzec modis prenataluri vizitebis umravlesoba â&#x20AC;&#x201C; cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 2010 qalTa konsultacia regionuli saavadmyofo qalaqis saavadmyofo pirveladi jandacvis centri sxva

17% 49%

27%

1%

1999 wlis Semdeg, prenataluri momsaxurebiT sargebloba mniSvnelovnad gaumjobesda. 1999 wlis reproduqciuli janmrTelobis kvlevis Tanaxmad, dedebis 9%-s, vinc imSobiara kvlevamde bolo 5 wlis ganmavlobaSi, ar usargeblia prenataluri momsaxurebiT; 2005 wels maTi ricxvi 5%mde, xolo 2010 wels 2%-mde Semcirda (suraTi 6.2.3). 1999 welTan SedarebiT, yvelaze didi kleba im qalTa maCveneblebSi, romlebsac prenataluri momsaxurebiT ar usargebliaT, aRiniSna soflad mcxovreb (14%-dan 3%mde), arasruli saSualo ganaTlebis mqone (30%-dan 6%-mde) da eTnikurad azerbaijanel (28%-dan 4%-mde) qalebs Soris (suraTebi 6.2.3 da 6.2.4).

7%

respondentTa umravlesobam (90%) prenataluri momsaxurebiT sargebloba orsulobis pirvel trimestrSi daiwyo (cxrili 6.2.1). pirveli trimestris ganmavlobaSi prenataluri momsaxurebiT sargeblobas qalaqad mcxovrebi ufro meti qali iwyebs, vidre soflad mcxovrebi (Sesabamisad, 93% da 86%) da aseve, Tbilissa (94%) da aWaris regionSi (93%) mcxovrebi qalebi, vidre qveynis sxva regionebSi mcxovrebni. orsulobis pirvel trimestrSi prenataluri momsaxurebis dawyebis maCvenebeli izrdeba dedaTa ganaTlebis da qonebrivi kvintilis donis matebis Sesabamisad. pirvel trimestrSi prenataluri momsxurebis miRebis dawyeba gaizarda 1999 wlis 63%-dan 2005 wlis 71%-mde da 2010 wlis 90%-mde da es 105


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

gaumjobeseba Tanamimdevruli iyo yvela qve-jgufSi (suraTi 6.2.5). mTlianobaSi, orsulTa umetesobam (90%) Caitara oTxi an meti prenataluri gamokvleva, maT Soris 12%-ma aTi da meti (cxrili 6.2.1); saSualod, erT orsul qalze 6.5 viziti modioda prenataluri momsaxurebis misaRebad. oTxi an meti viziti ufro xSiri iyo qalaqebSi, vidre soflebSi (Sesabamisad, 95% da 86%) da Sida qarTlis (98%), Tbilisis (96%) da imereTis (96%) regionebSi, xolo yvelaze iSviaTi – raWa-svaneTsa (78%) da qvemo qarTlSi (80%) (suraTi 6.2.6). prenataluri momsaxurebis miRebis saSualo maCvenebeli regionebis mixedviTac gansxvavdeba (erT qalze saSualod 7 vizitidan Tbilissa da imereTSi 5 vizitamde samcxejavaxeTsa da guriaSi, magram saSualod 5 vizitze naklebi arc erT regionSi ar dafiqsirebula). rogorc mosalodneli iyo, oTxi an meti prenataluri vizitis SemTxvevebi izrdeba orsulTa ganaTlebisa da socialurekonomikuri statusis matebasTan erTad – arasruli saSualo ganaTlebis mqone qalebis 79%-dan umaRlesi ganaTlebis mqone qalebis 95%-mde da yvelaze dabal qonebriv kvintils mikuTvnebuli qalebis 78%-dan yvelaze maRali qonebrivi kvintilis qalebis 97%-mde. oTxi an meti prenataluri gamokvlevis Catarebis procentuli maCvenebeli dedebis asakis zrdasTan erTad mniSvnelovan cvlilebebs ar asaxavs, magram es maCvenebeli mcirdeba orsulobis rigiTobasTan erTad - 94%-dan pirveli mSobiarobis SemTxvevaSi 80%-mde mesame da Semdgomi mSobiarobisas. qarTvel qalebTsuraTi 6.3.1

an SedarebiT, oTxi an meti prenataluri gamokvlevis Catarebis albaToba naklebia eTnikuri umciresobebis warmomadgenel qalebs Soris. procentuli maCvenebeli orsulebisa, vinc Caitara 10 an meti prenataluri gamokvleva, yvelaze maRali iyo Tbilissa da imereTSi da izrdeboda fexmZime qalebis ganaTlebis donisa da socialur-ekonomikuri statusis matebasTan erTad. 1999 wlidan 2010 wlamde periodSi prenataluri momsaxurebiT sargeblobis yvela maCvenebeli gaumjobesda. prenataluri momsaxurebiT sargeblobis saerTo da orsulobis pirveli trimestridan am momsaxurebiT sargeblobis dawyebis maCveneblebi gaizarda, Sesabamisad, 91%dan 98%-mde da 63%-dan 90%-mde, xolo oTxi an meti gamoklvevis mqone orsulobebis procentuli maCvenebeli gaizarda 76%-dan 90%-mde. wina kvlevebisagan gansxvavebiT, am gaumjobesebaSi moxvda socialurad yvelaze daucveli qalebis zogierTi jgufi, soflad mcxovrebi, arasruli saSualo ganaTlebis mqone da samxreTis regionSi mcxovrebi qalebi (suraTebi 6.2.7 da 6.2.8). prenataluri momsaxurebiT sargeblobis maCveneblis gaumjobeseba, savaraudod, gamoiwvia im jgufis fexmZime qalTa proporciiis gadanacvlebam 4-6 da 7-9 ganxorcielebuli vizitis kategoriebSi, romlebic 1999 da 2005 wlebSi an saerTod ar sargeblobdnen am momsaxurebiT anda Zalian cota raodenobis viziti hqondaT. pirveli trimestris wili 2010 wels Semcirda vizitebis raodenobis zrdis sasargeblod (suraTi 6.2.9).

saxlSi mSobiarobis procentuli maCvenebeli – cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 2005 da 2010 wlebi 2005

30%

2010

15% 12% 9%

9%

8% 4%

3%

KkaxeTi

106

2%

0% 0%

0%

Tbilisi

Sida KqarTli

1% Kqvemo KqarTli

0% samcxejavaxeTi

0% aWara

Gguria

0%

1%

samegrelo

3%

2% 0%

0%

imereTi

mcxeTamTianeTi

0% raWasvaneTi


saboloo angariSi

rogorc naCvenebia suraTze 6.2.10, yovelma meore qalma, vinc imSobiara 2005-2010 wlebis periodSi, prenataluri momsaxureba miiRo qalTa konsultaciis klinikebSi (49%) an regionul an qalaqis samSobiaro saxlebSi (44%). qalebis mxolod 7%-ma mimarTa momsaxurebisTvis pirveladi jandacvis an saojaxo medicinis centrebs, xolo 1%-ma sxva dawesebulebebs. wina kvlevebis msgavsad, 2010 wlis kvleva moicavda kiTxvebs gaweuli prenataluri momsaxurebis adeqvaturobis Sesafaseblad. kerZod, respondentebs ekiTxebodnen, ra tipis konsultacia miiRes da ra gamokvlevebi CautardaT prenataluri vizitebis dros. janmrTelobasTan dakavSirebuli rCevebis micema prenataluri vizitebis mniSvnelovani nawilia. Casaxvamdeli regularuli momsaxurebis ararsebobis pirobebSi, pirveli prenataluri viziti saukeTeso SesaZleblobaa qalis qceviT gamowveuli risk-faqtorebis (mag. Tambaqosa da alkoholis moxmareba), samedicino, genetikuri da profesiuli riskebis Sesafaseblad da mravalmxrivi konsultaciis gasawevad. konsultacia unda moicavdes informacias orsulTa qcevis Sesaxeb, ramac SesaZloa, imoqmedos nayofis janmrTelobaze, aseve kvebis racionis, dasvenebis da orsulobis garTulebebis pirveli niSnebis Sesaxeb. garda amisa, mSobiarobis moaxloebasTan erTad, konstultaciis dros eqimma unda Seamzados orsuli mSobiarobisTvis, miawodos swori informacia WinTvebisa da mSobiarobis Sesaxeb, da tkivilisa da nerviulobis Sesamcirebeli meTodebis Taobaze. garda amisa, konsultacia unda Seexos ZuZuTi kvebisa da ojaxis dagegmvis sakiTxebs prenatalur periodSi, romelic gagrZeldeba postnataluri momsaxurebis farglebSi. suraTi 6.3.1

rogorc mocemulia cxrilSi 6.2.2, qalebis 89%-ma, vinc prenataluri momsaxurebis klinikebs mimarTa, miiRo konsultacia orsulTa kvebis racionis Sesaxeb, 81%-ma â&#x20AC;&#x201C; mSobiarobis, xolo 79%-ma ZuZuTi kvebis Sesaxeb. samidan orma qalma miiRo informacia orsulobis dros SesaZlo garTulebebis da maTi adreuli niSnebis Sesaxeb, fexmZime qalebis 63% da 60%-s miewoda informacia, Sesabamisad, orsulobis dros Tambaqosa da alkoholis moxmarebis uaryofiTi gavlenis Sesaxeb; qalebis 59%-ma miiRo informacia postnataluri momsaxurebis Sesaxeb da qalebis mxolod 39%ma - informacia ojaxis dagegmvis Sesaxeb bavSvis dabadebis Semdeg. am sakiTxebze konsultaciis miRebis albaToba naklebi iyo Semdegi maxsiaTeblebis mixedviT: soflad cxovreba, samcxe-javaxeTsa da samegreloSi cxovreba, arasruli saSualo ganaTleba da yvelaze dabali qonebrivi kvintilis wevroba. prenataluri vizitebis dros miRebuli informaciis moculoba pirdapirproporciuli iyo prenataluri vizitebis ricxvTan (ixileT cxrili 6.2.2-is qveda xazi). 1999 da 2005 wlebTan SedarebiT, 2010 wels zogadi situacia konsultaciebis gawevis TvalsazrisiT yvela sakiTxze gaumjobesda (suraTi 6.2.11). yvelaze didi gaumjobeseba im qalTa wilSi aRiniSna, romlebsac konsultacia gaewia ojaxis dagegmvaze bavSvis gaCenis Semdeg (TiTqmis gaormagda 1990 wlis 20%-dan 2010 wlis 39%-mde) da qalTa im wilSi, romlebmac miiRes informacia postnataluri samedicino momsaxurebis Sesaxeb (37%-dan 59%-mde gaizarda). orsulobis adreuli niSnebis Sesaxeb konsultaciis miRebis monacemic 48%-dan 66%mde gaizarda. aseve gaumjobesda Tambaqosa

saxlSi mSobiarobis procentuli maCvenebeli â&#x20AC;&#x201C; cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 2005 da 2010 wlebi 2005

30%

2010

15% 12% 9%

9%

8% 4%

3%

KkaxeTi

2%

0% 0%

0%

Tbilisi

Sida KqarTli

1% Kqvemo KqarTli

0% samcxejavaxeTi

0% aWara

Gguria

0%

1%

samegrelo

3%

2% 0%

0%

imereTi

mcxeTamTianeTi

0% raWasvaneTi

107


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

suraTi 6.3.2

saxlSi mSobiarobis procentuli maCvenebeli eTnikuri jgufis mixedviT – cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi

sul 1999 2005

qarTveli

2010

somexi

azerbaijaneli

sxva

0%

suraTi 6.3.3

10%

20%

30%

40%

50%

sakeisro kveTiT mimdinare mSobiarobebi regionebis mixedviT – cocxladSobiT dasrulebuli orsulobebi 2000–2005 wlebSi % Births with Caesarean Delivery <15 15-19

*

20-24 25-29 30+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

da alkoholuri sasmelis moxmarebis Sesaxeb konsultaciebis wili. Tumca, miuxedavad am mniSvnelovani winsvlisa, 2010 wels es sakiTxebi kvlav CamorCeba sxva im sam sakiTxSi gaumjobesebis maCveneblebs, romlebic naCvenebia suraTze 6.2.11. konsultaciis garda, prenatalur momsaxurebaSi unda Sediodes detaluri samedicino istoriis Sedgena qalisa da misi ojaxis Sesaxeb, maT Soris, informacia genetikuri daavadebebisa da risk-faqtorebis Sesaxeb; detaluri sameano istoria; klinikuri da sameano gamokvleva; wonis, simaRlisa da arteriuli wnevis monacemebis aReba; Sardis analizi, sisxlis saerTo analizi; ultrabgeriTi gamokvleva (meore vizitis dros); da analizebi sxvadasxva infeqciebze 108

(mag. sifilisi da aiv-infeqcia). cxrilebi 6.2.3 da 6.2.4 uCvenebs im qalTa xvedriT wils, romlebmac Caitares SerCeuli gamokvlevebi da gazomvebi. mTlianobaSi, TiTqmis yvela qali (92%-99%) awones, gauzomes simaRle, arteriuli wneva, Cautares sisxlis da Sardis analizebi; TiTqmis 65%-s Cautares testi aiv infeqciaze prenatalur periodSi, rac 19%-iani zrdaa 2005 wlis 46%-ian monacemTan SedarebiT; da 97%-s Cautarda minimum erTi ultrabgeriTi gamokvleva. wina kvlevebTan SedarebiT, 2010 wlis kvlevam daadgina, rom zogadad, orsulobis dros gazomvis praqtika da laboratoriuli samuSao ki ar gaumjobesda mxolod, aramed es gaumjobeseba socialurad yvelaze daucvel jgufebSic aRiniSna. wina kvleveb-


saboloo angariSi

isagan gansxvavebiT, 2010 wels prenatalur periodSi gazomvebis da testebis Catarebis maCveneblebi umniSvnelod gansxvavdeboda qalTa maxasiaTeblebis mixedviT. erTaderTi TvalSisacem gamonaklisad kvlav rCeboda skriningi aiv infeqciaze orsulobis dros, romelic ufro metad qalaqebSi xorcieldeboda, vidre soflad (Seasabamisad, 75% da 55%). es maCvenebeli gansxvavdeboda regionebis mixedviTac (yvelaze dabali samcxe-javaxeTsa da aWaraSi) da pirdapir kavSirSi iyo ganaTlebis donesa da socialur-ekonomikur statusTan da yvelaze naklebad tardeboda im SemTxvevebSi, rodesac qalebs prenataluri momsaxureba eweodaT pirveladi jandacvis an saojaxo medicinis centrebSi. qalTa sam-meoTxedze mets (77%) Cautarda pirveli ultrabgeriTi gamokvleva orsulobis pirveli trimestris ganmavlobaSi, rac mniSvnelovani zrdaa 2005 welTan SedarebiT, rodesac es maCvenebeli mxolod 44%-s Seadgenda. es Sedegi imaze metyvelebs, rom ultrabgeriTi gamokvleva sul

ufro da ufro gamoiyeneba orsulobis pirveladi SefasebisTvis – anu, orsulobis dadasturebisTvis, raTa darwmundnen, rom arc buStnamqeria da arc saSvilosnos gare orsuloba, daadginon gestaciis asakis da mSobiarobis mosalodneli TariRi.

6.3 intranataluri samedicino momsaxureba 2005 wlis ianvris Semdeg qalebis didma umravlesobam samedicino dawesebulebebSi imSobiara; mxolod 2%-ma imSobiara saxlSi (cxrili 6.3.1). urbanul dasaxlebebSi yvela mSobiaroba saavadmyofoSi mimdinareobda. saxlSi mSobiarobis SemTxvevebi, qveynis maStabiT, Zalian cota iyo, garda kaxeTSi mcxovreb (8%), arasruli ganaTlebis mqone (6%) da yvelaze dabal kvintils mikuTvnebul SinameurneobebSi mcxovreb qalebs Soris (4%) da aseve, azerbaijanel da sxva eTnikuri warmomavlobis qalebs Soris (Sesabamisad, 5% da 9%).

sakeisro kveTis gamomwvevi ZiriTadi mizezebi cocxladSobiT dasrulebuli orsulobebi 2005–2010 wlebSi

suraTi 6.3.4

ძალზე დიდი ბავშვი (CPD) 10%

გახანგრძლივებული მშობიარობა 11%

სისხლდენა მშობიარობისას 2% ადრე გაკეთებული საკეისრო კვეთა 20%

სხვა11%

ნაყოფის ანომალიური მდგომარეობა 13%

suraTi 6.3.5

ნაყოფის არასწორი მდებარეობა 17%

მოთხოვნით 16%

sakeisro kveTiT mimdinare mSobiarobebi regionebis mixedviT – cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi 33%

1999 24%

2005

30%

2010

23% 20%

14%

13%

9%

8% 8%

sul

12%

11% 7%

6%

14%

14%

13%

Tbilisi

imereTi

Crdilo-aRm.

4%

samxreTi

dasavleTi

109


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

suraTi 6.4.1

100

80

dedebis procentuli maCvenebeli, vinc sargeblobs postnataluri momsaxurebiT. cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: aRmosavleT evropis da kavkasiis SerCeuli qveynebi

aRmosavleT evropa

kavkasia

74 58

60

38

40

25

20

0

22

23

11

Mmoldova

suraTi 6.4.2

rumineTi

ukraina

Aazerbaijani GsaqarTvelo saqarTvelo G G saqarTvelo 2005 2010 1999

dedebis procentuli maCvenebeli, vinc sargeblobs postnataluri momsaxurebiT regionebis mixedviT cocxladSobiT dasrulebuli orsulobebi 2005 -2010 wlebSi

% Mothers who Received Postpartum Care <20

*

20-24 25-29 30+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

mTlianobaSi, 2005 wlisa da 2010 wlis kvlevebs Soris monakveTSi, saxlSi mSobiarobis procentuli maCvenebeli mkveTrad Semcirda (TiTqmis 8%-dan 2%-mde). yvelaze didi kleba im regionebSi aRiniSna, romlebic saxlSi mSobiarobis maRali maCveneblebiT xasiaTdeboda (suraTebi 6.3.1 da 6.3.2). binaze mSobiarobaTa maCvenebeli kaxeTSi 22%-iT Semcirda (30%-dan 8%-mde), xolo qvemo qarTlsa da guriaSi, sadac 2005 wlis monacemebiT saxlSi mSobiare qalTa, Sesabamisad, 15% da 12% mSobiarobda, TiTqmis nulamde daeca. mkveTri kleba aRiniSna aseve eTnikuri umciresobebis warmomadgenlebs Soris. azerbaijanel qalebSi saxlSi mSobiarobis maCvenebeli mniSvnelovnad Semcirda â&#x20AC;&#x201C; 2005 wlis 40%-dan 5%-mde 2010 wels. 110

cxrilSi 6.3.2 mocemulia informacia samedicino dawesebulebaSi uSualod mSobiarobamde da mis Semdeg gatarebuli drois Sesaxeb. samedicino dawesebulebaSi mSobiarobis dawyebamde qalebi saSualod 4 saaTs atarebdnen. es monacemi odnav icvleba dedis maxasiaTeblebisa da mSobiarobis tipis mixedviT. Tu gaviTvaliswinebT, rom mSobiarobis saSualo xangrZlioba meryeobs 10 saaTidan pirveli mSobiarobisas, 6 saaTamde meore an momdevno mSobiarobisas, yvela qali mivida saadmyofoSi samSobiaro WinTvebis dawyebis dros. saqarTveloSi, samedicino momsaxurebis standartebiT postnataluri hospitaluri momsaxurebisTvis dadgenilia 4 dRe garTulebis gareSe mimdinare mSobiarobis SemTxvevaSi, 5 dRe garTulebuli


saboloo angariSi

suraTi 6.4.3

postnataluri konsultaciis saxeebi qalebSi, vinc sargeblobs postnataluri momsaxurebiT cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi 1999

88% 79% 79%

90%

89%

88% 79%

75%

76%

2005

2010

89%

78%

76%

72%

73%

65%

43% 31% 20%

ZuZuTi kveba

ZuZus movla

suraTi 6.4.4

bavSvis movla

imunizacia

kveba

ojaxis dagegmva

CvilTa profilaqtikuri gasinjvebis Sesruleba regionebis mixedviT - cocxladSobiT dasrulebuli orsulobebi 2005â&#x20AC;&#x201C;2010 wlebSi % Babies with Well-Baby Visits <75 75-84

*

85-89 90+

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

fexmZimobis an mSobiarobis SemTxvevaSi da 6 dRe sakeisro kveTis SemTxvevaSi. 2010 wlis kvlevam aCvena, rom qalebis 56%, vinc samedicino dawesebulebaSi imSobiara, saavadyofodan 4 dReSi gaewera, 25% ki _ 5 dRis Semdeg da 15% - 6 an 7 dRis Semdeg. Zalze mcire wili (4%) qalebisa gaewera mSobiarobidan me-8 an momdevno dReebSi. 6 an meti dRiT saamSobiaroSi darCena yoveli oridan erT qals mouxda (48%), romlebmac sakeisro kveTiT imSobiares da 29%-s, romlebsac garTulebuli fexmZimoba hqondaT. samedicino dawesebulebaSi dabadebul bavSvTa 24% sakeisro kveTiT gaCnda. sakeisro kveTis yvelaze maRali maCvenebeli iyo samegreloSi - 33%, xolo yvelaze dabali samcxe-javaxeTSi â&#x20AC;&#x201C; 9% (cxrili 6.3.3 da suraTi 6.3.3). bevri qveynis msgavsad, saqarTveloSi sakeisro kveTis maCvenebeli izrdeba dedis asakis, ganaTlebisa da so-

cialur-ekonomikuri statusis matebasTan erTad. sakeisro kevTis SemTxvevebi garTulebuli fexmZimobis mqone qalebs Soris meti iyo, vidre garTulebebis gareSe fexmZimobis mqone qalebs Soris, Sesabamisad, 36% da 22%. sakeisro kveTiT imSobiara im qalTa 41%-ma, romelTa mSobiarobac 12 saaTze met xans gagrZelda da im qalTa mxolod 8%-ma, romelTa mSobiarobac nakleb xans gagrZelda. respondentebs sTxoves, daesaxelebinaT sakeisro kveTis yvelaze mniSvnelovani mizezi (suraTi 6.3.4). respondentebis mier yvelaze xSirad dasaxelebuli mizezebi iyo: adre gakeTebuli sakeisro kveTa (20%), nayofis anomaliuri mdgomareoba (17%), sakeisro kveTis gakeTeba moTxovniT (16%), nayofis paTologiuri mdgomareoba (13%), gaxangrZlivebuli mSobiaroba (11%), nayofisa da dedis menjis zomebis Seusabamoba 111


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

(10%), uxvi sisxldena (2%); 11%-ma sakeisro kveTis Catarebis mizezad `sxva~ faqtorebi daasaxela. saqarTvelos mean-ginekologTa asociaciis Tanaxmad, fexmZimis Txovnis safuZvelze sakeisro kveTis gakeTeba ar Aganixileba rogorc samedicino indikatori. 1999 wlis kvlevasTan SedarebiT, yvela regionSi sakeisro kveTiT Sesrulebuli mSobiarobebis ricxvi samjer gaizarda; yvelaze maRali maCvenebliT CrdiloaRmosavleTis regioni (2010 wels 5-jer maRali prevalentobiT 1999 welTan SedarebiT) da imereTis regioni (2010 wels 4-jer maRali prevalentobiT 1999 welTan SedarebiT) gamoirCeoda (suraTi 6.3.5). maCveneblis aseT zrdas xeli Seuwyo samedicino praqtikaSi sakeisro kveTis Catarebis Cvenebis ufro meti indikatorebis SemoRebam. saqarTveloSi, kvalificiuri personalis daxmarebiT Catarebuli TiTqmis yvela mSobiaroba (88%) fasiania da meryeobs samedicino dawesebulebis da mSobiarobis tipis mixedviT (cxrili 6.3.4). kvlevis Catarebis dros, mSobiarobis saSualo fasi 453 lari (daaxloebiT 260 aSS dolari) iyo. mSobiaroba SedarebiT iafi iyo soflad, vidre qalaqad iseve, rogorc abortebis fasi Tbilisis gareT. fasebi izrdeboda ganaTlebis donisa da qonebrivi kvintilis matebasTan erTad. mSobiarobis fasi meryeobda nulidan 600 laramde. mSobiarobebis mxolod 12% iyo ufaso, xolo 28%-is fasi 600 lari da meti iyo; sakeisro kveTiT Catarebuli mSobiarobebis fasi 1.7-jer aRemateboda bunebrivi gziT mSobiarobebis fass da naxevarze meti 600 lari da meti dajda.

suraTi 6.8.1

6.4 postnataluri samedicino momsaxureba mSobiarobis Semdeg mniSvnelovania rogorc dedis, aseve Cvilis janmrTelobis mdgomareobis Sefaseba, da safuZvliani konsultaciis gaweva. namSobiarebi qalis movla aucilebelia, raTa fizikuri janmrTelobis mdgomareobam saSualeba misces mas, mouaros Cvils. postnataluri periodi mniSvnelovani momentia imisaTvis, rom Sefasdes dedisa da axalSobilis fizikuri da fsiqologiuri janmrTeloba, gamovlindes mSobiarobisSemdgomi garTulebebi da moxdes maTi mkurnaloba da aseve gaewios dedas konsultacia Cvilis movlasTan dakavSirebuli nebismieri konkretuli problemis Sesaxeb (WHO, 2002). rogorc zemoT aRvniSneT, saxelmwifo programa jerjerobiT ar iTvaliswinebs jandacvis msoflio organizaciis models, romelic postnatalur periodSi oTx vizits moiTxovs. Tumca, ramdenadac qalebis umravlesoba samSobiaro saxlebSi mSobiarobs, gadaudebel postnatalur samedicino momsaxurebas maT iqve uweven eqimebi da eqTnebi, mSobiarobis Semdeg samSobiaroSi gatarebuli drois monakveTSi (4-6 dRe). maSinac ki, roca postnataluri momsaxureba gaweulia saavadmyofodan gaweris Semdeg, ZiriTadi yuradReba gadatanilia bavSvis janmrTelobasa da ganviTarebaze, xolo dedis janmrTelobas naklebi yuradReba eTmoba (CoReform Project, 2005). rogorc mocemulia cxrilSi 6.4.1, qalebis mxolod 23%-s gaewia postnataluri samedicino momsaxureba samSobiarodan gaweris Semdeg. miuxedavad imisa, rom es monacemi 1999 wlis kvlevis Sedegebze uke-

bavSvebis procentuli maCvenebeli, visac ZuZuTi vebavdnen â&#x20AC;&#x201C; kvlevamde 5 wlis ganmavlobaSi dabadebuli bavSvebi: 1999, 2005, 2010 wlebi 87%

1999

88%

sul

87%

2005 2010

89% 89%

sofeli

88%

84% 87%

qalaqi

87% 60%

112

70%

80%

90%

100%


saboloo angariSi

suraTi 6.8.2

ZuZuTi kvebis dawyeba dabadebis Semdeg (saaTebSi) kvlevamde 5 wlis ganmavlobaSi dabadebuli bavSvebi: 1999, 2005, 2010 wlebi

<1 saaTi

1999

5

2005

2010

1-23 saaTi

24-47 saaTi

37

28

30

48

10

26

20%

suraTi 6.8.3

Tveebi

15

55

20

0%

48 saaTi an meti

13

40%

60%

80%

11

100%

ZuZuTi kvebis saSualo xangrZlivoba (TveebSi) ZuZuTi kvebis saxeebis mixedviT cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi

14 1999

12

2005

12.2

2010

10.6

10.1

10

8

6

4

2

3.0 1.5

3.7

3.7

4.1

1.8

0

mxolod ZuZuTi kveba

ZuZuTi kveba

Tesia, 2005 welTan SedarebiT TiTqmis ar gaumjobesebula. saqarTvelo bolo adgilzea regionSi qalebis procentuli maCvenebliT, visac gaewia postnataluri samedicino momsaxureba, rac imaze metyvelebs, rom aucilebelia dedisa da bavSvis dacvis saxelmwifo programaSi postnataluri momsaxurebis CarTva (suraTi 6.4.1). postnataluri samedicino momsaxurebiT sargeblobis maCvenebeli meryeobda yvelaze dabali 16%-dan guriaSi, samegrelosa da Sida qarTlSi, yvelaze maRal 32%mde mcxeTa-mTianeTis regionSi (suraTi 6.4.2). maCvenebeli izrdeboda respondentTa ganaTlebisa da qonebrivi kvintilis matebasTan erTad da gansakuTrebiT maRali iyo postnataluri garTulebebis mqone qalebs Soris im qalebTan SedarebiT, romlebsac aseTi garTulebebi ar hqoniaT

ZuZuTi kveba racionSi

â&#x20AC;&#x201C; Sesabamisad, 44% da 21%. 2010 wels, oTxidan TiTqmis sam qals, vinc postnataluri samedicino momsaxureba miiRo (73%-79%), minimum erTxel gaewia konsultacia ZuZuTi kvebis, sarZeve jirkvlis movlis, bavSvis movlis, imunizaciisa da kvebis racionis Taobaze (suraTi 6.4.3). unda aRiniSnos, rom qalebis 43%-s gaewia konsultacia ojaxis dagegmvis Sesaxeb. 1999 welTan SedarebiT, konsultaciis maCveneblebi nebismier sakiTxze Semcirda rogorc 2005, aseve 2010 wels. gaizarda mxolod konsultaciebis ricxvi ojaxis dagegmvis Taobaze â&#x20AC;&#x201C; 1999 wlis 20%-dan 31%-mde 2005 wels da 43%-mde 2010-Si. Tumca es 43%-ic ki im dedaTa 23%is naxevarze naklebia, romlebmac saerTod raime postnataluri momsaxureba miiRes. jandacvis msoflio organizaciis rekomendaciiT, pirveli postnataluri viziti 113


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

bavSvis dabadebidan erTi kviris ganmavlobaSi tardeba (WHO, 2002). rogorc mocemulia cxrilSi 6.4.2, im qalTa qvejgufidan, romlebsac gaewia postnataluri momsaxureba, 31%-ma mSobiarobidan pirveli eqvsi dRis ganmavlobaSi ganaxorciela pirveli postnataluri viziti, 42%-ma ki mSobiarobidan erTi-or kviramde periodSi, xolo 27%-ma _ or kviris Semdeg. TiToeuli deda gamoikiTxa imis Sesaxeb, akontrolebda Tu ara bavSvis janmrTelobas jandacvis muSaki da dadebiTi pasuxis SemTxvevaSi, dabadebidan ramden xanSi moxda pirveli gasinjva. rogorc cxrilidan 6.4.3 Cans, CvilTa 84% samedicino daxmarebas iRebda bavSvis profilaqtikuri gasinjvebis saxiT. Cvilis gasinjvis SemTxvevebi meti iyo qalaqad, vidre soflad (Sesabamisad, 90% da 79%). CvilTa janmrTelobis Semowmebis yvelaze dabali maCvenebeli (72-75%) aRiniSna raWa-svaneTis, samcxejavaxeTisa da qvemo qarTlis regionebSi, xolo yvelaze maRali (92%) â&#x20AC;&#x201C; Tbilisis regionSi (suraTi 6.4.4). am TavSi ganxiluli sxva indikatorebis msgavsad, bavSvebis profilaqtikuri gasinjvebis albaToba izrdeboda dedaTa ganaTlebis donisa da socialur-ekonomikuri statusis matebasTan erTad. im respondentTagan, vinc bavSvi miiyvana profilaqtikur gasinjvaze jandacvis muSakTan, 22%-ma Cvili dabadebidan eqvsi dRis ganmavlobaSi miiyvana, 53%-ma _ erTidan or kviramde intervalSi, xolo 24%-ma mSobiarobidan or kviraze meti xnis Semdeg. rogorc naCvenebia cxrilSi 6.4.4, dedebis informaciis Tanaxmad, 2005-10 wlebSi cocxladSobilebis 97% registrirebuli iyo. qalebis umravlesobam bavSvebi regsuraTi 6.9.1

istraciaSi gaatara mSobiarobidan eqvsi dRis ganmavlobaSi (81%), xolo 16%-ma _ erTidan oTxi kviris ganmavlobaSi. qalaqad mcxovrebi qalebi mSobiarobidan ufro mokle intervalSi axorcielebdnen Cvilebis registrirebas, vidre soflad mcxovrebi qalebi.

6.5 Tambaqosa da alkoholis moxmareba orsulobis dros

orsulobis dros Tambaqosa da alkoholis moxmareba fexmZimobis garTulebis seriozul risk-faqtorebs warmoadgens. orsulobis dros Tambaqos moxmareba iwvevs mcirewoniani baSvebis dabadebas, naadrev mSobiarobebs, Cvil bavSvebSi uecari sikvdilis sindroms da respiratorul problemebs (DiFranza JR and Lew RA, 1996). kvlevebiT aseve dasturdeba, rom alkoholis moxmareba orsulebSi xSirad iwvevs spontanur abortebs, mkvdradSobadobas da naadrev mSobiarobas (Wilsnack SC et al., 1984; Kesmodel U et al., 2002). ar arsebobs alkoholis raodenoba, romelic usafrTxo iqneba orsulTaTvis; rac ufro metia alkoholis moxmareba, miT ufro izrdeba Tandayolili anomaliebis (nayofis alkoholuri sindromi) an fizikuri da gonebrivi ganviTarebis problemebis warmoSobis safrTxe. qalebs, vinc imSobiara 2010 wlis kvlevamde ukanaskneli xuTi wlis ganmavlobaSi, dausves Semdegi kiTxvebi: `saSualod, dReSi ramden sigarets eweodiT, mas Semdeg, rac dafexmZimdiT?~ da `kviraSi ramdenjer miirTmevdiT alkoholur sasmelebs orsulobis periodSi?~. rogorc naCvenebia cxrilSi 6.5, qalebis mxolod 4.2% eweoda sigarets, vidre Seityobdnen orsulobis

CvilTa sikvdilianoba saqarTveloSi oficialuri monacemebi da kvlevis monacemebi 1995â&#x20AC;&#x201C;2009 wlebisaTvis statistikis sax. deparatmenti

gardacvlili Cvili 1,000 cocxladSobilze

jandacvis saministro

50

40

30

20

28.2 24.6 14.9

10

14.1 0 1995

1997

1999

2001

2003

2005

2007

2009

weli statistikis departamentis Sesworebuli monacemebi, ganTavsebulia: http://statistics.ge; saqarTvelos Sromis, janmrTelobis da socialur sakiTxTa saministros monacemebi ix.: L. Sakvarelidze, 2010

114


saboloo angariSi

suraTi 6.9.2

CvilTa sikvdilianobis maCveneblebi cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi

gardacvlil CvilTa raodenoba 1000 cocxladSobilze 60

50

40

30

20

10

0

1995-1999 GERHS99

2000-2004 GERHS05

2005-2009 GERHS10

kvlevis periodi

Sesaxeb da maTgan TiTqmis naxevarze naklebi agrZelebda Tambaqos moxmarebas mas Semdeg, rac gaiges, rom fexmZimed iyvnen (1.8%). orsulobis dros sigaretis moxmarebis yvelaze maRali maCvenebeli iyo TbilisSi (4.6%), im qalebs Soris, romlebic yvelaze maRal qonebriv kvintils ganekuTvnebodnen (3.4%), da sxva eTnikuri warmomavlobis qalebs Soris (5.4%). mweveli orsulebis umravlesoba eweoda 1-4 sigarets dReSi. qalebis mxolod 1.1%-ma Tqva, rom ganagrZobda alkoholis moxmarebas orsulobis dros da maTi umravlesoba (61%) svamda ufro iSviaTad, vidre kviraSi erTxel (monacemebi ar aris naCvenebi).

bis dros hqonda garTulebebi, romlebic moTxovda samedicino meTvalyureobas (cxrili 6.6.2). yvelaze xSirad dasaxelebul garTulebebs Soris iyo: vadamdeli mSobiarobis riski (8%), orsulobiT gamowveuli anemia (4%), SeSupeba (3%), maRali arteriuli wneva (3%) da naadrevi an gviani sisxldena (4%). orsulobis garTulebebi, romlebic samedicino meTvalyureobas moiTxovda, SedarebiT xSiri iyo im qalebSi, romlebic cxovrobdnen mcxeTa-mTianeTis (24%), Sida qarTlis (22%) da imereTis (21%) regionebSi da im qalebs Soris, romlebic mSobiarobisas 35-44 wlisa iyvnen (20%). msgavsi garTulebebis mqone samidan TiTqmis erTi qali iqna moTavsebuli saavadmyofoSi (monace6.6 orsulobis da mSobiarobis Semdgomi mebi araa naCvenebi). mSobiarobisSemdgomi garTulebebi ingarTulebebi tervius Catarebamde bolo xuTi wlis ganrogorc adre iyo naCvenebi cxrilSi 5.2.3, mavlobaSi namSobiareb qalebs Soris mocesisxlis arteriuli wnevis regularuli mulia cxrilSi 6.6.3. mTlianobaSi, qalebis gazomva TiTqmis yovelTvis (96%) prenata- 11%-ma daasaxela sul mcire erTi mSobiluri vizitebis aucilebeli Semadgeneli arobisSemdegomi garTuleba. yvelaze xSirnawili iyo. maT Soris, visac regularu- ad dasaxelda uxvi sisxldena, tkivilebi lad umowmebdnen arteriul wnevas, qalebis saSvilosnos areSi, maRali sicxe, ZuZus in10%-s maRali arteriuli wneva daudginda feqcia, infeqciebisTvis damaxasiaTebeli (cxrili 6.6.1). fexmZimobis dros maRali ar- gamonadeni saSodan, tkivili Sardvis dros teriuli wneva ufro xSiri iyo im qalebSi, da qirurgiuli Wrilobis infeqcia. romlebic bavSvis dabadebisas 35-44 wlisa iyvnen (21%). mTlianobaSi, qalebis 1% iqna 6.7 mSobiarobis mZime Sedegebi hospitalizebuli maRali wnevis gamo. hoswina kvlevebis msgavsad, 2010 wlis kvpitalizebis SedarebiT maRali maCvenebeli aRiniSna kaxeTSi mcxovreb qalebsa (2%) da levis farglebSi, cxovrebis ganmavlobaSi im qalebs Soris, romelTac prenataluri fexmZimobebis, maT Soris mkvdradSobiT vizitebis umetesoba qalaqis samSobiaro dasrulebuli fexmZimobebis Sesaxeb respondentTa gamokiTxvis gziT Segrovda saavadmyofoebSi hqondaT (2%). kvlevamde xuTi wlis ganmavlobaSi nam- dasrulebuli orsulobebis istoriebi. Sobiarebi qalebis TiTqmis 16%-s fexmZimo- sxvadasxva qveyanaSi gamoiyeneba mravali 115


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

suraTi 6.9.3

neonataluri sikvdilianobis maCveneblebi cocxladSobiT dasrulebuli orsulobebi kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010 wlebi

gardacvlil CvilTa raodenoba 1000 cocxladSobilze 60

50

40

30

20

10

0

1995-1999 GERHS99

2000-2004 GERHS05

2005-2009 GERHS10

kvlevis periodi

suraTi 6.9.4

5 wlamde asakis bavSvTa sikvdilianobis maCvenebeli cocxladSobiT dasrulebuli orsulobebi: 1999, 2005, 2010 wlebi

gardacvlil 5 wlamde bavSvTa raodenoba 1000 cocxladSobilze 60

50

40

30

20

10

0

1995-1999 GERHS99

2000-2004 GERHS05 kvlevis periodi

gansazRvreba sxvadasxva parametrze (anu, gestaciis asaki an axalSobilis wona) da sicocxlisunarianobis standartze dayrdnobiT. saerTaSoriso SedarebisTvis, 2010 wlis kvlevaSi gamoyenebuli iyo msoflio jandacvis organizaciis rekomendaciebi da mkvradSobadobis maCveneblis gasaangariSeblad Seyvanil iqna yvela is Cvili, romelic mkvdari daibada fexmZimobis 28 sruli kviris Semdeg (romlebic dabadebisas iwonidnen daaxloebiT 1,000 grams an mets). amrigad, aq warmodgenili mkvdradSobis maCvenebeli gviani sikvdilianobis maCvenebelia, anu aCvenebs fexmZimobis 28 kviris Semdeg mkvradSobili Cvilebis raodenobas 1,000 mSobiarobaze. gamokiTxvamde drois xuTwlian monakveTSi yovel 1000 dabadebul Cvilze 8 mkvdradSobili (95%CI=3.1-13 1,000-ze) modioda (cxrili 6.7). es maCvenebe116

2005-2009 GERHS10

li naklebia 2005-2010 wlebis oficialur statistikaze, romelic Seadgens 13.4-s yovel 1,000 dabadebulze (WHO 2011a, 2011b). mkvdradSobadobis maCvenebeli qalaqad orjer aRemateboda amave maCvenebels soflad da yvelaze maRali iyo mcxeTamTianeTSi (21.8 yovel 1,000-ze), romelsac mosdevda kaxeTi, Tbilisi da raWa-svaneTi. mkvdradSobis SemTxvevebi yvelaze xSiri iyo im qalebs Soris, visac ar miuRia prenataluri samedicino momsaxureba (50.0), aseve, garTulebuli orsulobis mqone qalebsa (33.5) da xangrZlivi mSobiarobis mqone qalebs Soris (29.6). dabali wonis mqone axalSobilTa proporcia, romelic cocxladSobilTa Soris 2,500 gramze naklebi wonis axalSobilTa procentul maCvenebels warmoadgens, Seadgenda cocxladSobilTa 4.2%-s. es


saboloo angariSi

maCvenebeli odnav maRali iyo mcxeTa-mTianeTSi mcxovreb qalTa Soris (7.6%), aseve, qalTa Soris, romlebic mSobiarobis dros 35-44 wlis iyvnen (11.1%), qalebSi, romlebmac sakeisro kveTiT imSobiares (7.7%) da fexmZimobis dros garTulebebis mqone qalebSi (10.9%). vadamdeli mSobiarobis maCvenebeli (im cocxladSobilTa procentuli maCvenebeli, romlebic gestaciis 37 kviraze adre gaCndnen) imave periodSi Seadgenda 3.8%. vadamdeli mSobiarobebi ufro xSirad dakavSirebuli iyo dedaTa da orsulobis imave maxasiaTeblebTan, romlebsac axalSobilTa dabali wona ukavSirdeboda.

6.8 ZuZuTi kveba jandacvis msoflio organizaciis rekomendaciiT, Cvili unda ikvebebodes eqskluziurad dedis rZiT dabadebidan 6 Tvis asakamde, xolo Semdeg ZuZuTi kveba unda

gagrZeldes, saTanado damatebiT kvebasTan erTad, bavSvis 2 wlamde asakis Sesrulebamde an Semdom periodSic (WHO, 2002). Cvilis `eqskluziurad~ ZuZuTi kveba niSnavs imas, rom Cvili ikvebeba mxolod da mxolod dedis rZiT, xolo `TiTqmis eqskluziurad~ ZuZuTi kveba niSnavs, rom dedis rZis garda Cvili iRebs wyals, wyalze damzadebul sxva sasmels, xilis wvens an sxva siTxes (garda siTxeebisa, romlebic damzadebulia cxoveluri rZisa da sakvebis safuZvelze) (WHO, 1991). miCneulia, rom eqskluziurad an TiTqmis eqskluziurad ZuZuTi kevbis dros, Cvilebi mxolod dedis rZiT ikvebebian. rogorc naCvenebia cxrilSi 6.8.1 da suraTze 6.8.1, 2005 wlis ianvridan cocxladSobilTa 87% ZuZuTi ikvebeboda. es maCvenebeli TiTqmis ar Secvlila 1999 da 2005 wlebis kvlevebTan SedarebiT. gansxvavebebi umniSvnelo iyo sacxovrebeli adgilis, regionis, dedis asakis, ganaTlebis

5 wlamde asakis bavSvTa sikvdilianoba – kvlevamde 5 wlis ganmavlobaSi: 1999, 2005, 2010

suraTi 6.9.5

neonataluri

25.4

1995-1999

2000-2004

2005-2009

9.5

suraTi 6.9.6

1-4 wlis bavSvebi

3.8

5 wlamde asakis bavSvTa sikvdilianobis maCvenebeli 45.3 / 1,000

16.2

4.3

16.8

postneonataluri

5 wlamde asakis bavSvTa sikvdilianobis maCvenebeli 25.0 / 1,000

4.0

5 wlamde asakis bavSvTa sikvdilianobis maCvenebeli 16.4 / 1,000

4.5 2.3

5 wlamde asakis bavSvTa sikvdilianobis maCveneblebi erovnebis mixedviT kvlevamde 10 wlis ganmavlobaSi: 1999 da 2010

სიკვდილიანობის მაჩვენებლები

sxva

qarTveli

60

57

IMR U5MR

50

50

42 40

38

30 24

26

24

26

20

10

0

1990-1999

2000-2009

1990-1999

2000-2009

117


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 6.9.7

CvilTa sikvdilianobis maCvenebeli (1000 cocxladSobilze) regionebis mixedviT -kvlevamde 10 wliT adre cocxladSobiT dasrulebuli orsulobebi Infant Mortality Rate (per 1.000 Live Births) 30+

*

25-29 20-24 15-19 <15

* afxazeTi: avtonomiuri regioni, romelzec ar vrceldeba centraluri xelisuflebis kontroli

donisa da mSobiarobis rigiTobis mixedviT; Tumca, qarTvel qalebs Soris ZuZuTi kvebis maCvenebeli naklebia sxva eTnikuri warmomavlobis qalebTan SedarebiT. 2,500 gramze naklebi wonis axalSobilebis mxolod 64% ikvebeboda dedis rZiT (ixileT, cxrilis 6.8.1 qveda xazi). jandacvis msoflio organizaciis Tanaxmad, rekomendebulia axalSobilisTvis ZuZus adreuli micema (mSobiarobis pirveli saaTis ganmavlobaSi) spontanuri mSobiarobis Semdeg. miuxedavad amisa, dabadebidan pirveli saaTis ganmavlobaSi ZuZuTi gamoikveba axalSobilebis mxolod 20%. dabadebidan pirveli saaTis ganmavlobaSi axalSobilTa ZuZuTi kvebis maCvenebeli yvelaze maRali iyo samcxe-javaxeTsa da mcxeTa-mTianeTSi - 33%, xolo yvelaze dabali aWaraSi – 9%. axalSobilTa 55% ZuZuTi gamoikveba dabadebidan 1-23 saaTis ganmavlobaSi. mTlianobaSi, axalSobilebis 75%-ma dedis rZiT kveba daiwyo dabadebidan pirveli dRis ganmavlobaSi. unda aRiniSnos, rom sakeisro kveTiT gaCenili bavSvebis mxolod 50% iqna miyvanili ZuZuze mSobiarobidan pirvelsave dRes, 25% mxolod 48 saaTis Semdeg, xolo 25% ufro gvian. 1999 wlis kvlevebis SedegebTan SedarebiT, dabadebidan pirvel saaTSi ZuZuTi gamokvebili axalSobilebis raodenoba oTxjer gaizarda (1999 wels 5%-dan 2005 wles 10%-mde da 2011 wels 20%-mde), xolo dabadebidan 1-23 saaTis ganmavlobaSi ZuZuTi gamokvebili axalSobilebis raodenoba 28%-dan 55%-mde gaizada (suraTi 6.8.2). xuT wlamde asakis bavSvebis xvedriTi wili, romlebic isev iRebdnen dedis rZes kvlevis Catarebis momentisTvis, gamoTv118

lil iqna bavSvTa asakis Tveebis mixedviT (0-59 Tve), sadac mniSvneli moicavda yvela cocxladSobils kvlevamde 5 wlis ganmavlobaSi, miuxedavad maTi gadarCenis statusisa. miRebuli proporciebi dajamda ZuZuTi kvebis saSualo xangrZlivobis gamosaTvlelad. es meTodi cnobilia, rogorc `amJamindeli statusis saSualo arTmetikuli~ (WHO 1991). amis msgavsad gamoiTvala eqskluziuri da TiTqmis eqskluziuri kvebis xangrZlivobac. cxrilSi 6.8.2 da suraTze 6.8.5 naCvenebia ZuZuTi kvebis saSualo xangrZlivobis monacemebi. nebismieri saxis ZuZuTi kvebis saSualo xangrZlivoba Seadgenda 12.2 Tves, rac 2 TviT aRemateba 2005 wlis kvlevis maCvenebels, romelic 10.1 Tves Seadgenda. mxolod ZuZuTi kvebis (eqskluziurad an TiTqmis eqskluziurad) maCvenebeli Seadgenda 4.1 Tves, rac aRemateba 1999 welsa da 2005 wels dafiqsirebul maCvenebels – 3.7 Tve. yvelaze mniSvnelovani gaumjobeseba, albaT, eqskluziuri ZuZuTi kvebis xangrZlivobis zrda iyo, romelic gaormagda 1999 wlis kvlevis monacemTan SedarebiT (1.5 Tvidan 3.0 Tvemde). ZuZuTi kvebis xangrZlivoba gansakuTrebiT matulobs mSobiarobis rigiTobis zrdasTan erTad: rogorc cxrilidan 6.8.2 Cans, ZuZuTi kvebis nebismieri maCveneblebi erTnairi iyo yvela kategoriis mixedviT, garda erTi – mSobiarobis rigiTobis kategoriisa. mcire sxvaobebia sacxovrebeli adgilisa da qonebrivi kvintilis mixedviT.


saboloo angariSi

6.9 CvilTa da bavSvTa sikvdilianoba aTaswleulis ganviTarebis meoTxe mizani iTvaliswinebs xuT wlamde asakis bavSvTa sikvdilianobis ori mesamediT Semcirebas 1990 wlidan 2015 wlamde. am miznis misaRwevad darCenili mcire drois gaTvaliswinebiT, msoflioSi unda gaZlierdes Zalisxmeva bavSvebis sicocxlis gadasarCenad pirveli 5 wlis ganmavlobaSi; amitom, izrdeba moTxovna 5 wlamde asakis bavSvTa sikvdilianobis doneebisa da tendenciebis amsaxvel sando erovnul monacemebze, romelTa mixedviTac ganisazRvreba samoqmedo prioritetebi da moxdeba Semdgomi kvleva. msoflioSi aRiniSneba CvilTa sikvdilianobis stabiluri kleba yovel 1000 cocxladSobilze 65 SemTxvevidan 1990 wels, 62 SemTxvevamde 2000 wels da 42 SemTxvevamde 2009 wels (UNICEF, 2001 da 2011). Sesabamisad, iklo 5 wlamde asakis bavSvTa sikvdilianobamac, romelic 1000 cocxladSobilze 1990 wels Seadgenda 95-s, 2000 wels â&#x20AC;&#x201C; 84s, xolo 2004 wels â&#x20AC;&#x201C; 79 SemTxvevas da 60 SemTxvevas 2009 wels (UNICEF, 2001 da 2011). miuxedavad amisa, yovelwliurad 8,88 milioni bavSvi iRupeba, maT Soris 5,6 milioni Cvili erTi wlis asakamde; SemTxvevebis 99% modis dabali da saSualo Semosavlis mqone qveynebze. CvilTa da bavSvTa sikvdilianobis ZiriTadi nawili modis axalSobilTa sikvdilianobaze; 2009 wels neonataluri sikvdilianobis maCvenebeli iyo 24 SemTxveva 1000 cocxladdabadebulze, rac 5 wlamde asakis bavSvTa sikvdilianobis 39%-s da CvilTa sikvdilianobis naxevarze mets Seadgens. globalurad, neonataluri sikvdilianobis ZiTadi mizezebia: infeqciebi (36%), vadamdeli mSobiaroba (28%) da asfiqsia (23%) (Lawn et al., 2005). xuT wlamde asakis bavSvebSi sikvdilis SemTxvevaTa 68%-is mizezi infeqciuri daavadebebia, maT Soris pnevmonia (18%), faRaraTi (15%), malaria (8%), neonataluri sefsisi (6%), Sidsi (2%). aseve, mTavar mizezTa Sorisaa vadamdeli mSobiaroba (12%) da asfiqsia dabadebis dros (9%) (Black et al., 2010). wina kvlevebis msgavsad, 2010 wlis kvlevis monacemebi gamoyenebuli iqna respondentTa Svilebs Soris sikvdilianobis gamosaTvlelad, kerZod, CvilTa sikvdilianobis (anu, 1 wlamde asakis), bavSvTa sikvdilianobis (anu, 12-dan 59 Tvemde asakis bavSvTa sikvdilianoba) da 5 wlamde asakis bavSvTa sikvdilianobis (anu 5 wlis Sesrulebamde gardacvalebis) doneebis

gamosaTvlelad. CvilTa sikvdilianoba, Tavis mxriv, daiyo or periodad: neonataluri (0-dan 28 dRemde) da post-neonataluri (29 dRidan 11 Tvis CaTvliT). kvlevaSi Sefasda CvilTa da bavSvTa sikvdilianobis tendenciebi da doneebi mSobiarobebisa da CvilTa gadarCenis Sesaxeb mowodebuli informaciis safuZvelze. kvlevaSi gamoyenebuli kiTxvari moicavda SekiTxvebis jgufs TiToeuli cocxladSobilis Sesaxeb: dabadebis TariRi, bavSvis sqesi, gadarCenis statusi da gardacvlili bavSvebis SemTxvevaSi, asaki gardacvalebis dros. miRebuli informacia saSualebas iZleva pirdapiri wesiT gamovTvaloT CvilTa da bavSvTa sikvdilianobis maCvenebeli drois gansazRvrul monakevTSi, sicocxlis xangrZlivobis maCvenebeli cxrilebis saSualebiT. kvlevis Sedegad miRebuli sikvdilianobis maCvenebeli iTvleba minimalur maCveneblad, ramdenadac monacemebi SesaZloa arasruli iyos. magaliTad, SeuZlebeli iqneba informaciis mopoveba gardacvlil bavSvze, visi dedac aseve gardacvlilia; zogierTi deda Svilad ar miiCnevs uSualod mSobiarobis Semdeg gardacvlil Cvils; zogierTma SesaZloa ver gaixsenos dabadebis zusti TariRi an ar moisurvos an ver SeZlos gardacvlili bavSvis asakis gaxseneba. yvela am naklovanebis miuxedavad, mosaxleobaze dafuZnebuli kvlevebis monacemebi CvilTa da bavSvTa sikvdilianobis Sesaxeb sakamod sandoa da maT sakmaod xSirad mimarTaven qveynebSi, sadac bavSvTa dabadebisa da gardacvalebis Sesaxeb informacia mwiri an arasrulia. ramdenadac kvlevebi asaxavs im movlenebs, romlebsac kvlevisTvis randomulad SerCeuli nawili ganicdis da ara mTeli mosaxleoba, miRebul SedegebSi arsebobs kvlevisTvis damasaxiaTebeli SerCevis cdomilebebis garkveuli albaToba (ixileT, danarTi B). SerCevis cdomilebebis koreqtirebisTvis gamoangariSebul iqna 95%-iani sarwmunoobis intervali kvlevis monacemebis mixedviT; Sesabamisad, SeiZleba iTqvas, rom statistikuri monacemebis WeSmariti maCvenebeli meryeobs 95%-iani sarwmunoobis intervalSi. saqarTveloSi dabadebisa da gardacvalebis Sesaxeb monacemTa ori gansxvavebuli wyaro arsebobs. statistikis saxelmwifo departamenti agrovebs informacias samoqalaqo reestris samsaxurebidan, romlebic ojaxis wevrebs aZleven dabadebisa da gardacvalebis oficialur sertifikats samedicino dawesebulebidan

119


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

warmodgenili dabadebis an gardacvalebis cnobis safuZvelze. samedicino statistikisa da informaciis centri ki agrovebs agregirebul informacias saavadmyofoebidan, samSobiaro saxlebidan da poliklinikebidan. am informacias ZiriTadad iyenebs Sromis, janmrTelobisa da socialuri dacvis saministro da isini ar aisaxeba oficialur samTavrobo angariSebSi, magram maTSi mudmivad fiqsirdeba dabadebisa da gardacvalebis ufro meti SemTxveva, vidre statistikis saxelmwifo departmentis angariSebSi. suraTze 6.9.1 naCvenebia saqarTveloSi CvilTa sikvdilianobis dinamika im informaciaze dayrdnobiT, romlebic aRebulia yvela xelmisawvdomi kvlevisa da oficialuri statistikidan. 2009 wlis yvelaze bolo xelmisawvdomi monacemebi msgavsia yvela wyaros mixedviT (14.1â&#x20AC;&#x201C;14.9 sikvdilis SemTxveva 1,000 cocxladSobilze). es mniSvneloba, romelic suraTze samkuTxediTaa aRniSnuli, reproduqciuli janmrTelobis sami kvlevis Sedegebs aerTianebs. 2009 wlis bolo monacemi yvelaze dabali maCvenebelia 1990 wlis Semdeg. cvlilebis Sefaseba Znelia oficialuri demografiuli statistikis monacemebis mixedviT, vinaidan 2002 wlamde is Zalze arasruli iyo, es gansakuTrebiT exeba statistikis saxelmwifo departamentis mier gamoqveynebul angariSebs. 2002 wlidan, saqarTvelos mTavrobam, gaeros mosaxleobis fondTan da sxva donorebTan TanamSromlobiT, daiwyo reforma demografiuli statistikis saregistracio sistemebis gasaumjobeseblad (WHO da CMSI, 2003). Sromis, janmrTelobisa da socialuri dacvis saministrom miiRo axali rekomendacia bavSvTa janmrTelobis indikatorebis gamoTvlisa da danergvis Sesaxeb da SemoiRo axali instruqciebi gardacvalebis Sesaxeb sertifikatis Sevsebis da gacemis Taobaze (2000 wlis oqtombris brZaneba #141 da 2000 wlis dekemberis brZaneba #94/0). 2002 wlis 10 dekembris prezidentis #31 gankargulebiT SemoRebul iqna dabadebisa da gardacvalebis registraciis axali wesebi (saqarTvelos mTavroba, 2002). amrigad, CvilTa sikvdilianobis tendenciebis gansazRvra oficialuri statistikis mixedviT rTulia, vinaidan miuxedavad imisa, rom 2002 wlis Semdeg dabadebisa da gardacvalebis registrirebaSi cvlilebebis Sedegad oficialuri monacemebi, savaraudod, ufro zusti da srulyofili gaxda, 2002 wlamde arsebuli naklovanebebi

120

realuri suraTis miRebis saSualebas ar iZleva. cxrilSi 6.9.1 warmodgenilia sikvdilianobis maCveneblebi 2010, 2005 da 1999 wlebis kvlevebis wina 5-wliani periodebisaTvis. magaliTad, CvilTa sikvdilianobis maCvenebeli 2005 wlis ianvridan 2009 wlis dekembris CaTvliT Seadgenda 14.1 SemTxvevas 1,000 cocxladSobilze, xolo bavSvTa sikvdilianobis maCvenebeli (1-4 wlis asakis) 2.3 iyo. amrigad, 5 wlamde asakis sikvdilianobis maCvenebeli 1,000 cocxladSobilze 16.4 iyo. neonataluri sikvdilianobis maCvenebeli yovel 1,000 cocxladSobilze iyo 9.5, maSin roca postneonataluri sikvdilianobis maCvenebeli Seadgenda 4.5. ase rom, neonataluri sikvdilianobis maCvenebeli orjer maRalia vidre postneonataluri sikvdilianobis maCvenebeli da Seadgens CvilTa sikvdilianobis 67%-sa da 5 wlamde asakis bavSvTa sikvdilianobis 58%s. es Sedegi ar aris moulodneli: bavSvTa sikvdilianobis maCvenebeli dabadebidan erTi Tvis Semdeg ufro swrafad mcirdeba, vidre neonataluri sikvdilianobis maCvenebeli; amrigad, dabadebidan pirveli oTxi kviris ganmavlobaSi (neonataluri periodi) da gansakuTrebiT, pirveli Svidi dRis ganmavlobaSi (adreuli neonataluri periodi) CvilTa sikvdilianobis realuri wili droTa ganmavlobaSi izrdeba (Lawn et al., 2005). wina kvlevebis SedegebTan SedarebiT mniSvnelovani kleba vlindeba rogorc neonataluri, ise post-neonataluri sikvdilianobis maCvenebelSi, ramac, Tavis mxriv, mniSvnelovnad Seamcira CvilTa da 5 wlamde asakis bavSvTa sikvdilianobis maCvenebeli bolo 15 wlis ganmavlobaSi (cxrili 6.9.1 da suraTebi 6.9.2 da 6.9.4). neonataluri sikvdilianoba Semcirda 25-dan 1995-1999 wlebSi, 16.8-mde 2000-2004 wlebSi da 9.5-mde 2005-2009 wlebSi. CvilTa sikvdilianoba Semcirda 41.6-dan 1995-1999 wlebSi, 21.1-mde 2000-2004 wlebSi da 14.1-mde 2005-2009 wlebSi. 5 wlamde asakis bavSvTa sikvdilianoba ki Semcirda 45.3-dan 1995-1999 wlebSi, 25.0-mde 2000-2004 wlebSi da 16.4-mde 2005-2009 wlebSi, rac 64%-iani klebaa. amrigad, kvlevebis Sedegebis Tanaxmad, saqarTvelom, 2010 wlisTvis, marTlac Seasrula aTaswleulis ganviTarebis meoTxe mizani (suraTi 6.9.5). 2000-2009 wlebSi dabadebuli bavSvebis sikvdilianobis Sesaxeb 2010 wlis kvlevis monacemebi, romlebic warmodgenilia cxrilSi 6.9.2, gviCvenebs, rom CvilTa da 5 wlamde asakis bavSvTa sikvdilianobis


saboloo angariSi

yvelaze maRali maCvenebeli gamovlinda soflad da yvelaze dabali socialur-ekonomikuri statusis mqone jgufebSi mcxovreb bavSvebSi. wina kvlevebma aCvenes, rom azerbaijaneli da somexi dedebis Cvilebs Soris sikvdilianoba orjer aRemateboda qarTveli dedebis Cvilebisas, Tumca 2010 wlis monacemebSi aseT didi sxvaoba aRar Cans. erTi SexedviT, suraTis 6.9.6 Tanaxmad, 1999 wlidan 2010 wlamde CvilTa da 5 wlamde asakis bavSvTa sikvdilianobis maCvenebeli aSkarad ufro mkveTrad Semcirda eTnikuri umciresobebis bavSvebs Soris, vidre eTnikurad qarTvel bavSvebs Soris - Sesabamisad, 1,000 cocxladSobilze 50.0 [95%CI=30.771.2] da 57.0 [95%CI=33.6-74.2] sikvdilianobis maCveneblidan, 23.5 [95%CI=8.7-38.3] da 26.3 maCveneblamde [95%CI=10.5-42.1]. Tumca, vinaidan mcirericxovan eTnikur jgufebSi gardacvalebis SemTxvevebi naklebia qarTvelebTan SedarebiT, es kleba statistikurad sarwmunos ar warmoadgens; xolo sikvdilianobis maCveneblis kleba qarTvel Cvilebsa da 5 wlamde asakis bavSvebs Soris statistikurad sarwmuno iyo: Sesabamisad, 1,000 cocxladSobilze 38.3 [95%CI=31.645.0] da 42.4 sikvdilianobis [95%CI=35.9-49.8] maCveneblidan, 23.8 [95%CI=17.8-29.9] da 25.9 [95%CI=19.5-32.1] maCveneblamde, Sesabamisad. CvilTa sikvdilianobis yvelaze dabali maCvenebeli aRiniSna raWa-svaneTSi, Tbilissa da imereTSi, xolo yvelaze maRali â&#x20AC;&#x201C; samegrelosa da mcxeTa-mTianeTSi. am or regions, aseve kaxeTsa da Sida qarTls 5 wlamde asakis bavSvTa sikvdilianobis yvelaze maRali maCvenebeli hqonda (suraTi 6.9.7). CvilTa da 5 wlamde asakis bavSvTa sikvdilianobis maCvenebeli izrdeboda mSobiarobis rigiTobis mixedviT. gardacvalebis yvelaze didi riski hqondaT im dedebis Cvilebs, visac ukve minimum ori wina mSobiaroba hqondaT. moulodneloba iyo is, rom 5 wlamde asakis bavSvebis sikvdilianobis maCvenebeli sakmaod maRali iyo mSobiarobebs Soris 2427 Tviani intervaliT dabadebul bavSvebs Soris maSin, rodesac es intervali, Cveulebriv, naklebriskianad iTvleba. sikvdilianobis maCveneblis sqesobrivi Taviseburebebi (ixileT, cxrilis 6.9.2 bolo xazi) gansxvavdeboda neonatalur da post-neonatalur periodebSi, rac, SesaZloa ganpirobebulia gogonaTa kargad gamoxatuli biologiuri upiratesobebiT uSualod dabadebis Semdgom periodSi (Ulizzi and Zonta, 2002).

dasasruls, bavSvTa sicocxlisunarianoba saqarTveloSi gacilebiT gaizarda ukanaskneli 15 wlis ganmavlobaSi, ZiriTadad, neonataluri da postneonataluri sikvdilianobis mniSvnelovani Semcirebis xarjze. ramdenadac saqarTveloSi neonataluri sikvdilianoba CvilTa sikvdilianobis ZiriTad wils da 5 wlamde asakis bavSvebis sikvdilianobis 58%-s Seadgenda, bavSvTa sikvdilianobis Semcireba momavalSi didad iqneba damokidebuli neonatalur periodSi bavSvTa sicocxlisunarianobis gazrdaze. neonataluri, gansakuTrebiT, adreuli neonataluri sikvdilianobis Semcireba damokidebuli iqneba dedisa da bavSvisTvis individualuri samedicino daxmarebis uzrunvelyofaze. adreuli neonataluri sikvdilianobis Semcireba, rac dabadebidan pirveli Svidi dRis ganmavlobaSi vlindeba da razec neonataluri sikvdilianobis udidesi wili modis, SesaZlebelia samSobiaro asfiqsiis, dRenaklulobis da dedaTa avadobis SemcirebiT mSobiarobisa da postnatalur periodSi. gviani neonataluri sikvdilianobis prevencia, romelic ZiriTadad infeqciebiTaa gamowveuli, SesaZlebelia neonataluri infeqciebis swori marTviT, rac gamoixateba gadaudebeli sameano da neonataluri momsaxurebis xelmisawvdomobis gaumjobesebiT. zogadad, neonataluri sikvdilianobis SemTxvevebis Semcireba SeiZleba qalebis informirebiT orsulobebs Soris intervalebis dacvis mniSvnelobaze, ojaxis dagegmvis momsaxurebis ukeTesi xelmisawvdomobiT da sakvebi racionis da ZuZuTi kvebis gaumjobesebis gziT.

121


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.2.1 prenataluri momsaxurebis miRebis dawyeba orsulobis trimestris prenataluri momsaxurebis miRebis dawyeba orsulobis trimestris mixedviT cxrili 6.2.1 mixedviT prenataluri raodenoba SerCeuli maxasiaTeblebis da da prenataluri vizitebis vizitebis raodenoba SerCeuli maxasiaTeblebis mixedviT, orsulobebi 2005-2010 wlebSi; mixedviT, orsulobebi 2005-2010 wlebSi; reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 maxasiaTebeli

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi (dabadebisas) < 20 20 24 20–24 25–34 35–44 ganaTleba arasruli saSualo an naklebi

pirveli prenataluri vizitis trimestri arc ar 11-li li me-2 me 2 me-22 me erTi icis s z t 1.6 89.8 7.5 0.3 0.7

arc erTi z t 1.6

SemTxvev ebis sul raoden oba

11–33

4–6 4 6

77–99

10+

ar icis s

7.3

54.3

23.9

12.0

0.9

100.0

2,617

0.6 2.7

93.1 86.4

5.8 9.2

0.2 0.5

0.2 1.2

0.6 2.7

4.2 10.5

52.3 56.4

26.2 21.5

16.1 7.8

0.7 1.1

100.0 100.0

1,193 1,424

7.1 0.6 0.0 47 4.7 0.0 0.5 0.0 1.4 0.3 2.6 1.5

79.6 93.6 91.4 86 4 86.4 89.8 93.2 86.2 91.9 90.0 84.3 87.2

7.8 5.4 8.6 85 8.5 8.1 5.4 13.2 5.7 9.5 12.2 10.7

1.2 0.2 0.0 00 0.0 1.2 0.0 0.0 0.5 0.3 0.9 0.5

4.3 0.3 0.0 04 0.4 0.8 1.0 0.6 0.5 0.0 0.0 0.0

7.1 0.6 0.0 47 4.7 0.0 0.5 0.0 1.4 0.3 2.6 1.5

6.7 3.7 2.2 14 0 14.0 18.7 7.8 9.4 12.0 3.3 10.0 20.4

60.8 50.8 62.7 50 8 50.8 63.8 65.9 76.1 50.7 45.0 52.4 43.9

17.3 27.1 23.8 21 7 21.7 10.6 17.1 8.8 26.8 32.2 26.6 26.0

5.5 17.6 11.4 70 7.0 6.1 8.3 3.8 7.7 18.7 7.9 8.2

2.7 0.2 0.0 19 1.9 0.8 0.5 1.9 1.4 0.5 0.4 0.0

100.0 100.0 100.0 100 0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

224 567 168 234 214 176 140 184 349 200 161

3.8 1.1 11 1.3 2.9

88.3 89.2 89 2 90.9 88.9

5.7 8.7 87 7.0 7.2

0.0 0.4 04 0.3 1.0

2.2 0.6 06 0.5 0.0

3.8 1.1 11 1.3 2.9

6.0 7.5 75 7.0 10.8

57.5 58.8 58 8 51.1 45.2

24.0 22.6 22 6 24.2 28.3

8.3 9.3 93 15.5 10.3

0.4 0.7 07 0.9 2.4

100.0 100.0 100 0 100.0 100.0

313 956 1,164 184

5.8

79.6

11.3

0.2

3.1

5.8

13.9

56.0

18.4

4.9

0.9

100.0

422

sruli saSualo teqnikumi/universiteti qonebrivi kvintili

2.0 0.3

89.2 93.0

8.1 6.1

0.5 0.3

0.2 0.3

2.0 0.3

9.7 4.3

55.4 53.3

20.8 26.9

11.2 14.4

0.9 0.8

100.0 100.0

738 1,457

yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis rigiToba

5.9 1.4 1.5 1.2 0.0

82.5 87.6 89.4 89.9 96.0

11.2 8.6 7.8 7.9 4.0

0.3 0.7 0.4 0.2 0.1

0.1 1.8 0.9 0.7 0.0

5.9 1.4 1.5 1.2 0.0

15.1 10.9 6.9 3.9 2.6

53.2 56.0 61.2 52.4 49.1

17.0 23.0 20.8 26.6 29.1

8.2 7.5 8.5 14.6 19.0

0.6 1.3 1.1 1.2 0.2

100.0 100.0 100.0 100.0 100.0

428 628 587 413 561

pirveli mSobiaroba meore mSobiaroba mesame an momdevno erovneba q r qarTveli azerbaijaneli somexi sxva Cvilis wona < 2500 grami >= 2500 grami

0.9 1.5 4.6

93.3 87.3 83.6

5.0 9.8 10.7

0.1 0.7 0.2

0.7 0.7 0.8

0.9 1.5 4.6

4.5 8.9 13.3

54.0 55.7 52.3

26.0 22.7 19.3

14.0 10.5 8.5

0.7 0.7 1.9

100.0 100.0 100.0

1,293 937 387

0.7 6.0 3.6 12.2

91.5 81.7 80.7 77.1

7.1 7.8 11.5 10.1

0.3 0.0 0.9 0.6

0.3 4.5 3.3 0.0

0.7 6.0 3.6 12.2

5.7 15.9 23.7 9.0

54.5 55.6 53.9 48.9

25.3 15.8 11.1 22.3

13.0 4.5 7.3 7.6

0.8 2.2 0.5 0.0

100.0 100.0 100.0 100.0

2,248 145 145 79

2.8 1.4

87.8 90.1

8.2 7.4

0.0 0.4

1.2 0.7

2.8 1.4

13.8 7.0

40.2 55.2

18.0 24.2

20.5 11.6

4.7 0.7

100.0 100.0

125 2,481

* ar moicavs 11 Cvils, რომლის წონაციყო ცნობილი

122

prenataluri vizitebis raodenoba


saboloo angariSi

cxrili 6.2.2 orsulebi, vinc specifikuri informacia miiRo prenataluri vizitebis cxrili 6.2.2 orsulebi, vinc miiRo specifikuri informacia prenataluri dros SerCeuli maxasiaTeblebis mixedviT vizitebisdros SerCeuli maxasiaTeblebis mixedviTorsuloba 2005-2010 ww orsuloba 2005–2010 ww im qalebSi, visac gaewia prenataluri momsaxureba im qalebs Soris, visac gaewia prenataluri momsaxureba reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 postnata garTulebu Tambaqos alkoholi luri li gavlena s gavlena mmomsaxur ms x r orsuloba b 66.0 62.6 59.6 58.6

maxasiaTebeli

kveba

mSobiarob a

ZuZuTi kveba

sul

89.4

81.2

78.6

qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis rigiToba

92.1 86.6

84.7 77.6

83.1 73.8

70.6 61.2

67.9 57.1

63.8 55.1

85.7 91.2 93.5 81.7 78.9 94.6 87.4 93.7 90.5 89.2 88.1

80.2 84.3 74.1 79.3 59.3 82.8 84.9 80.1 86.4 83.0 83.4

74.7 83.7 68.6 74.8 61.0 78.9 83.0 79.1 83.6 78.0 78.2

66.7 68.4 64.3 54.9 42.7 57.4 71.1 67.0 80.0 68.6 72.0

64.6 66.1 57.3 56.1 50.8 62.7 62.9 49.0 72.6 63.7 55.4

82.5

73.5

69.0

60.3

89.3 91.4

80.6 83.5

80.6 80.2

83.6 86.3 90 0 90.0 92.7 92.5

72.2 78.4 81 7 81.7 86.4 84.3

pirveli mSobiaroba meore mSobiaroba mesame an momdevno prenataluri vizitebis raodenoba*

89.8 90.5 85.7

1–3 4–6 7–9 10+ prenataluri momsaxurebis mirebis adgili†

ojaxis dagegmva

SemTxveveb is raodenoba

39.2

2,575

63.1 53.8

42.1 36.1

1,184 1,391

64.1 62.4 50.8 54.1 49.6 57.4 61.6 44.2 71.3 60.5 55.4

59.1 60.9 54.6 50.0 42.3 52.0 62.3 55.3 71.8 57.0 64.8

44.7 37.3 20.0 33.7 22.4 40.2 22.6 31.6 60.0 42.2 43.0

211 563 168 223 214 175 140 181 348 194 158

50.8

50.0

50.6

30.9

400

62.8 69.0

62.8 65.7

59.9 62.0

57.6 61.2

36.2 42.8

724 1,451

72.5 72.2 77 7 77.7 84.9 83.6

58.4 62.6 65 6 65.6 69.6 70.7

53.2 58.8 60 3 60.3 70.7 67.2

52.4 54.3 58 9 58.9 66.7 63.6

49.3 53.9 59 4 59.4 60.8 65.1

28.1 39.4 39 0 39.0 41.9 43.0

410 619 579 406 561

81.3 82.5 77.5

79.8 78.4 74.6

67.1 66.0 61.9

64.6 61.9 57.1

60.9 59.3 55.4

58.6 59.4 56.4

39.2 38.5 40.5

1,285 924 366

81.6 87.7 93.2 95.0

68.0 79.2 86.0 89.5

67.6 76.2 83.2 87.4

56.7 63.5 70.6 75.1

53.7 58.5 68.7 75.1

49.9 54.6 67.7 72.0

52.1 55.1 63.8 68.6

26.3 36.1 45.2 49.3

223 1,445 604 279

pirveladi momsaxurebis centri/ojaxis samedicino centri

91.2

81.2

73.1

58.0

56.0

57.1

56.1

43.0

172

qalTa konsultacia raionuli samSobiaro qalaqis samSobiaro saxli/saavadmyofo

90.9 83.4 90.5

82.8 76.4 81.4

79.5 74.9 80.7

68.7 56.0 69.6

67.2 51.8 62.9

62.4 50.5 61.0

60.3 52.2 60.2

38.9 35.5 41.3

1,206 471 715

sacxovrebeli adgili

* ar Sedis d 24 orsuli, l romelTa l prenataluri l vizitebis raodenoba d ucnobia . † ar Sedis 11 orsuli, vinc prenataluri momsaxureba sxvagan miiRo.

123


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.2.3

prenataluri vizitebis dros gakeTebuli gamokvlevebi SerCeuli maxasiaTeblebis mixedviT, cxrili 6.2.3 prenataluri vizitebis dros gakeTebuli gamokvlevebi SerCeuli orsuloba 2005-2010 wlebSi qalebs Soris, visac maxasiaTeblebis mixedviT, orsuloba 2005-2010 wlebSi qalebs Soris, gaewia prenataluri momsaxureba visac gaewia prenataluri momsaxureba reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

maxasiaTebeli

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi < 25 25–34 35–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis rigiToba pirveli mSobiaroba meore mSobiaroba mesame an momdevno prenataluri vizitebis raodenoba* 1–3 4–6 7–9 10+ prenataluri momsaxurebis mirebis † pirveladi momsaxurebis

sisxlis saerTo analizi

Sardis analizi

wonis simaRlis gazomva gazomva

arteriuli wnevis gazomva

aiv SemTxveveb testireb is a raodenoba

99.2

99.3

99.0

98.1

96.2

65.1

2,575

99.3 99.2

99.2 99.3

99.2 98.8

98.6 97.7

96.5 95.8

74.5 55.4

1,184 1,391

97.5 99.4 100.0 99.6 98.8 99.5 99.4 99.5 99.2 100.0 97.4

98.3 99.4 100.0 99.2 98.8 99.5 99.4 99.5 99.2 100.0 97.9

98.7 99.2 100.0 99.2 95.5 99.5 98.7 99.5 98.7 99.1 97.4

96.6 98.5 98.4 97.6 96.3 97.1 99.4 99.5 99.0 99.1 95.3

96.2 97.5 94.1 97.6 92.3 92.2 93.7 97.1 97.4 96.4 95.9

58.6 78.9 74.6 54.9 43.9 46.6 56.0 68.9 70.0 53.4 49.2

211 563 168 223 214 175 140 181 348 194 158

98.8 99.6 99.9

99.0 99.5 99.9

98.8 99.2 98.3

97.7 98.5 99.0

95.7 96.3 98.0

61.4 69.0 66.4

1,251 1,145 179

98.2

98.7

98.5

95.5

94.7

46.6

400

99.6 99.4

99.6 99.3

99.2 99.0

99.0 98.4

96.5 96.4

60.0 72.5

724 1,451

98.4 99.0 99.4 99.5 99.5

98.4 99.4 99.4 99.5 99.4

98.4 99.3 98.4 99.1 99.4

97.2 97.5 98.2 97.9 99.2

95.6 95.2 95.9 98.2 96.1

54.0 56.2 60.1 67.5 80.7

410 619 579 406 561

99.1 99.4 99.5

99.2 99.3 99.5

98.9 99.3 98.3

98.4 98.6 96.1

95.7 96.6 96.7

65.8 65.2 62.3

1,285 924 366

98.4 99.0 99.8 99.7

97.8 99.1 99.8 99.7

97.2 98.7 99.8 99.3

96.0 97.7 99.4 98.9

95.5 95.3 97.4 97.9

47.2 63.3 68.1 79.6

223 1,445 604 279

96.5

97.1

97.1

94.7

91.4

49.3

172

99.5 99.6 99.3

99.5 99.6 99.3

99.0 99.1 99.3

98.7 96.7 98.8

95.5 97.3 97.7

68.6 50.6 71.7

1,206 471 715

centri/ojaxis samedicino ce t j ed c centri qalTa konsultacia raionuli samSobiaro qalaqis samSobiaro saxli/saavadmyofo

* ar Sedis 24 orsuli, romelTa prenataluri vizitebis raodenoba ucnobia . † ar Sedis 11 orsuli, vinc prenataluri momsaxureba sxvagan miiRo.

124


saboloo angariSi

cxrili 6.2.4 ultrabgeriTi gamokvlevis Catareba orsulobis dros da pirveli aseTi gamokvlevis Catarebis dro, SerCeuli maxasiaTeblebis mixedviT cxrili 6.2.4 ultrabgeriTi gamokvlevis Catareba orsulobis dros da pirveli orsuloba 2005-2010 wlebSi qalebs Soris, visac gaewia aseTi gamokvlevis Catarebis dro, SerCeuli maxasiaTeblebis mixedviT A prenataluri momsaxureba orsuloba 2005-2010 wlebSi qalebs Soris, visac gaewia prenataluri momsaxureba reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 pirveli ultrabgeriTi gamokvlevis Catarebis dro (kvirebSis) ar 14 19 14–19 20 26 20–26 27+ ≤ 13 axsovs

maxasiaTebeli

Cautarda ultrabgeriTi arc c eerTi % SemTxveva

sul

97.4

2,575

77.2

11.4

8.3

2.2

0.9

100.0

2,489

98.9 95.7

1,184 1,391

84.4 69.5

9.1 13.8

5.3 11.4

1.1 3.4

0.1 1.8

100.0 100.0

1,167 1,322

92.0 99.2 99 5 99.5 96.7 96.3 98.5 98.1 97.6 96.9 96.4 87.6

211 563 168 223 214 175 140 181 348 194 158

77.1 88.5 73 4 73.4 73.9 67.9 63.2 63.5 84.6 73.8 74.0 63.9

7.3 8.5 15 2 15.2 8.4 17.3 16.4 22.4 7.5 13.8 11.2 12.4

12.4 2.5 10 9 10.9 12.6 11.4 10.4 10.9 6.5 8.5 12.6 20.7

1.4 0.5 05 0.5 4.2 3.0 4.0 3.2 1.5 3.7 2.3 3.0

1.8 0.0 00 0.0 0.8 0.4 6.0 0.0 0.0 0.3 0.0 0.0

100.0 100.0 100 0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

194 558 167 215 206 172 137 176 337 188 139

96.8 98.2 95.6

1,251 1,145 179

74.7 80.2 76.2

12.3 10.3 11.9

9.2 7.3 7.4

2.4 1.7 3.8

1.4 0.4 0.6

100.0 100.0 100.0

1,205 1,115 169

92.5

400

68.7

9.7

13.5

2.6

5.5

100.0

367

97.7 98.5

724 1,451

69.5 83.0

15.1 10.1

11.9 5.2

3.3 1.6

0.2 0.1

100.0 100.0

702 1,420

95.6 96.1 96.6 98.8 99.0

410 619 579 406 561

68.0 71.1 73.8 76.8 89.6

14.3 11.6 13.9 13.4 6.5

14.2 11.0 7.7 8.2 3.6

3.5 4.4 2.2 1.5 0.2

0.0 2.0 2.3 0.0 0.0

100.0 100.0 100.0 100.0 100.0

386 591 557 400 555

97.6 97.1 97.0

1,285 924 366

81.8 73.6 69.6

9.4 13.9 12.3

6.5 9.0 12.9

1.8 2.6 2.7

0.5 1.0 2.4

100.0 100.0 100.0

1,246 891 352

92.2 97.6 98.2 99.3

223 1,445 604 279

47.6 75.9 82.5 89.5

24.0 11.8 9.0 6.9

18.2 9.5 5.9 2.0

9.6 1.5 2.0 1.6

0.6 1.2 0.6 0.0

100.0 100.0 100.0 100.0

200 1,410 586 276

92.0

172

77.5

11.5

7.3

2.4

1.2

100.0

159

98.0 96.8 97.8

1,206 471 715

77.2 69.2 81.9

11.4 11.2 11.7

8.6 13.8 4.4

1.4 5.0 1.8

1.4 0.7 0.2

100.0 100.0 100.0

1,171 452 696

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi < 25 25–34 35–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelazee d dabali yvel l meore saSualo meoTxe umaRlesi mSobiarobis rigiToba pirveli mSobiaroba meore mSobiaroba mesame an momdevno prenataluri vizitebis raodenoba raodenoba* 1–3 4–6 7–9 10+ prenataluri momsaxurebis mirebis † pirveladi momsaxurebis

sul

SemTxvevebis de raodenoba

centri/ojaxis samedicino centri qalTa konsultacia raionuli samSobiaro qalaqis samSobiaro saxli/saavadmyofo

* r Sedis 17 orsuli, romelTa prenataluri vizitebis raodenoba ucnobia. † ar Sedis 11 orsuli, vinc prenataluri momsaxureba sxvagan miiRo.

125


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.3.1

mSobiarobis adgili 2005-2010 wlebSi mSobiareebs Soris,

cxrili 6.3.1 mSobiarobis adgili 2005-2010 wlebSi mSoabiarobebs Soris, SerCeuli SerCeuli mixedviT, maxasiaTeblebis mixedviT maxasiaTeblebis reproduqciuli janmrTelobis kvleva, saqarTvelo,2010 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, mSobiarobis adgili m x s maxasiaTebeli b

qalaqis samSobiaro

regionuli samSobiaro

sxva

saxli

s sul

SemTxvevebis raodenoba

54.7

43.6

0.5

1.2

100.0

2,617

56.8 52.66 52

42.6 44.66 44

0.6 05 0.5

0.0 24 2.4

100.0 100.00 100

1,193 1 424 1,424

47.1 55.9 74.0 37.6 30.1 45.3 53.5 78.5 62.4 51.9 68.9

44.7 44.0 25.9 60.9 69.9 52.2 46.5 18.7 36.3 47.6 28.1

0.8 0.2 0.0 0.8 0.0 0.0 0.0 1.4 1.3 0.0 2.0

7.5 0.0 0.0 0.8 0.0 2.4 0.0 1.4 0.0 0.4 1.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

224 567 168 234 214 176 140 184 349 200 161

50.7 57 57.11 55.2 46.4

45.8 41.4 41 4 43.6 50.6

0.3 0.7 07 0.3 1.7

3.2 0.8 08 0.9 1.1

100.0 100.0 100 0 100.0 100.0

313 956 1,164 184

41.8

51.4

1.2

5.6

100.0

422

sruli saSualo teqnikumi/universiteti qonebrivi kvintili

54.4 58.66 58

44.3 41.00 41

0.5 04 0.4

0.8 01 0.1

100.0 100.00 100

738 11,457 457

yvelaze dabali meore saSualo meoTxe umaRlesi erovneba qarTveli azerbaijaneli somexi sxva mSobiarobis rigiToba

49.9 54.7 53.1 57.4 56 9 56.9

45.8 41.7 46.1 42.4 42 7 42.7

0.3 1.2 0.5 0.3 03 0.3

4.1 2.4 0.3 0.0 00 0.0

100.0 100.0 100.0 100.0 100 0 100.0

428 628 587 413 561

59.1 24.0 20.1 51.8

39.8 70.1 78.3 39.2

0.5 1.3 0.0 0.0

0.5 4.6 1.6 9.1

100.0 100.0 100.0 100.0

2,248 145 145 79

pirveli mSobiaroba meore mSobiaroba mesame an momdevno Cvilis wona

57.6 54.1 46.1

41.5 44.0 50.0

0.5 0.6 0.6

0.4 1.4 3.3

100.0 100.0 100.0

1,293 937 387

55.1 54.8

43.0 43.7

0.0 0.6

1.9 0.9

100.0 100.0

125 2,481

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi W aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi < 20 20 24 20–24 25–34 35–44 ganaTleba arasruli saSualo an naklebi

dabadebisas * < 2500 grami >= 2500 g grami

* ar moicavs 11 Cvils, romsli wonas dabadebisas ar iyo cnobili.

126


saboloo angariSi

cxrili 6.3.2 drois intervali saavadmyofoSi misvlidan mSobiarobamde cxrili 6.3.2 drois intervali saavadmyofoSi misvlidan mSobiarobamde da samedicino da samedicino dawesebulebaSi gatarebuli Rameebis dawesebulebaSi gatarebuli Rameebis raodenoba SerCeuli raodenoba, SerCeuli maxasiaTeblebis mixedviT; maxasiaTeblebis mixedviT dabadebaTa monacemebi 2005-2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 2010 saSualo dro (saaTebSi)

Rameebis raodenoba, gatarebuli samedicino dawesebulebaSi d g gaweramde we de mSobiarobidan sul

SemTxve vebis raoden oba

4.0

100.0

2,589

13.8 15.5

3.4 4.5

100.0 100.0

1,193 1,396

17.4 26.0 28.1 21.9 23.2 24.5 23.9 28.6 28.6 20.2 34.0

14.0 10.7 12.4 10.9 7.3 26.5 24.5 15.5 17.4 17.5 17.5

3.4 2.9 1.6 2.3 1.6 8.5 4.4 3.9 5.9 4.4 5.2

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

209 567 168 232 214 171 140 181 349 199 159

59.9 57.9 54 1 54.1 55.0

27.0 26.2 25 4 25.4 14.5

11.4 13.6 15 1 15.1 22.5

1.6 2.3 54 5.4 8.0

100.0 100.0 100 0 100.0 100.0

307 948 1 152 1,152 182

326

63.3

23.5

10.4

2.8

100.0

401

3.9 3.9

599 1,152

56.5 54.2

25.0 25.6

14.2 16.0

4.3 4.2

100.0 100.0

733 1,455

yvelaze dabali meore saSualo e e meoTxe umaRlesi mSobiarobis rigiToba

3.8 3.7 3.7 4.2 3.9

340 489 472 329 447

55.1 56.2 58.8 54.6 55.9

22.4 23.5 24.6 25.4 28.2

18.5 16.0 13.0 15.3 12.5

4.0 4.3 3.6 4.7 3.4

100.0 100.0 100.0 100.0 100.0

416 614 585 413 561

pirveli mSobiaroba meore mSobiaroba mesame an momdevno Cvilis wona

4.5 3.2 3.1

1,028 745 304

54.1 59.0 57.3

26.3 24.4 22.6

16.1 12.5 14.8

3.5 4.1 5.4

100.0 100.0 100.0

1,289 927 373

3.5 3.9 †

79 1,994 4

38.4 57.1 †

16.1 25.6 †

23.5 14.2 †

21.9 3.1 †

100.0 100.0 100.0

123 2,461 5

3.8 4.8

1,911 166

65.8 25.9

24.7 26.3

7.9 36.3

1.6 11.5

100.0 100.0

2,001 588

4.2 3.8 †

278 1,796 3

39.5 59.3 †

31.7 23.9 †

20.6 13.6 †

8.2 3.2 †

100.0 100.0 100.0

379 2,207 3

maxasiaTebeli

SemTxvev ebis raodeno ba*

≤ 4

5

6–7

3.8

2,077

56.3

25.1

14.7

3.9 3.8

946 1,131

55.9 56.6

26.9 23.3

4.0 4.0 3.3 4.0 3.4 3.1 4.1 3.8 4.5 3.0 3.6

159 469 141 189 194 136 109 133 250 169 128

65.3 60.3 57.8 64.8 67.9 40.5 47.2 51.9 48.1 57.9 43.3

4.5 3.9 38 3.8 2.7

254 797 902 124

3.6

sruli saSualo teqnikumi/universiteti qonebrivi kvintili

%

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi < 20 20–24 25–34 35–44 ganaTleba arasruli saSualo an naklebi

8+

dabadebisas * < 2500 grami >= 2500 grami ucnobia tipi mSobiarobis t vaginaluri sakeisro kveTiT garTulebuli orsuloba diax ara ar axsovs

* ar moicavs 406 qals, romelsac Cautarda sakeisro kveTa mSobiarobis dawyebamde da 106 qals, r omlis mSobiarobis xangrZlivoba ucnobia. † 25-ze naklebi SemTxveva aRniSnul kategoriaSi.

127


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.3.3 sakeisro kveTiT sakeisro kveTiT mimdinare mSobiarobaTa procentuli cxrili 6.3.3 mimdinare mSobiarobaTa procentuli maCvenebeli, maCvenebeli, SerCeuli maxasiaTeblebis mixedviT SerCeuli maxasiaTeblebis mixedviT mSoabirobebi samedicino mSobiarobebi samedicino dawesebulebebSi 2005-2010 wlebi dawesebulebebSi 2005-2010 wlebi reproduqciuli janmrTelobis saqarTvelo, reproduqciuli janmrTelobis kvleva,kvleva, saqarTvelo, 2010 2010 maxasiaTebeli sul sacxovrebeli adgili qalaqi sofeli r regioni n kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi < 20 20–24 25–34 35–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis rigiToba pirveli mSobiaroba meore mSobiaroba mesame an momdevno garTulebuli orsuloba diax ara ar axsovs

sakeisro kveTiT mSobiaroba %

SemTxvevebis raodenoba

23.9

2,589

26.0 21.7

1,193 1,396

19.5 22.8 19.5 16.4 8.9 28.5 23.3 33 0 33.0 32.5 21.5 25.3

209 567 168 232 214 171 140 181 349 199 159

15.5 19.3 27.2 40.4

307 948 1,152 182

16.4

401

20.5 27.5

733 1,455

20.0 22.5 22.6 26.9 26.1

416 614 585 413 561

25.7 23.9 17.2

1,289 927 373

35.7 21.7 *

379 2,207 3

37.5 23.2 *

123 2,461 5

8.0 41.1 19.4

2,045 32 106

Cvilis wona dabadebisas * < 2500 grami >= 2500 grami ucnobia xangrZlivi mSobiaroba Prolonged Labor†

ara diax ar axsovs

* 25-ze naklebi SemTxveva aRniSnul kategoriaSi. † ar Sedis 406 sakeisro kveTa , romelic mSobiarobis dawyebamde gakeTda.

128


saboloo angariSi

cxrili 6.3.4 mSobiarobis proceduris Rirebuleba SerCeuli maxasiaTeblebis cxrili 6.3.4 mSobiarobis proceduris Rirebuleba mixedviT, mSobiarobebi 2005-2010 wlebiSerCeuli mixedviT, mSobiarobebi 2005-2010 wlebi 2010 maxasiaTeblebis reproduqciuli janmrTelobis kvleva, saqarTvelo, reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 mSobiarobis Rirebuleba maxasiaTebeli

saSualo ufaso < 200 200–299 300–399 400–499 500–599 600 + fasi

ar axsovs

sul

SemTxveve bis raodenob a

452.7

11.8

10.0

10.8

11.4

15.0

11.8

28.0

1.2

100.0

2,583

589.9 454.8 377.6

8.9 9.5 14.6

5.4 8.9 13.1

6.7 11.0 12.9

6.4 13.8 12.8

11.5 16.4 16.2

16.2 10.8 9.8

43.6 28.2 19.3

1.2 1.4 1.2

100.0 100.0 100.0

567 621 1,395

442.0 456.6 501.4

10.7 12.3 16.3

10.8 9.6 8.0

11.9 10.3 6.9

12.1 10.6 10.9

15.5 14.8 12.8

12.5 11.4 8.6

25.8 29.1 35.5

0.7 1.9 1.0

100.0 100.0 100.0

1,253 1,149 181

pirveli mSobiaroba meore mSobiaroba mesame an momdevno mesoTxe an momdevno ganaTleba

481.6 439.2 375.4 399.0

10.3 12.0 15.2 21.6

8.8 11.1 13.4 7.8

10.3 10.5 11.5 18.0

10.7 11.7 12.7 14.1

16.1 15.6 11.9 4.0

12.1 11.5 11.9 8.3

30.7 26.3 21.0 24.7

1.0 1.2 2.4 1.4

100.0 100.0 100.0 100.0

1,286 924 282 91

arasruli saSualo an naklebi

341.3

15.0

14.6

13.5

16.3

12.3

10.4

15.3

2.7

sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi erovneba qarTveli azerbaijaneli somexi sxva mSobiarobis adgili

405.8 505.1

9.9 11.9

12.8 7.5

12.3 9.4

13.9 8.8

17.8 14.4

12.1 12.0

20.7 34.9

0.6 1.2

100.0 100.0 100.0

400 732 1,451

312.7 365.2 431.0 498.8 585.8

17.9 12.9 12.3 9.9 8.7

14.4 12.9 13.4 7.0 4.6

14.2 13.3 11.8 10.6 6.3

13.7 14.4 13.0 9.5 7.5

15.0 15.8 16.1 16.1 12.7

10.5 10.4 9.4 12.7 14.9

12.5 19.1 23.0 33.0 44.2

1.7 1.3 1.0 1.3 1.2

100.0 100.0 100.0 100.0 100.0

416 611 584 412 560

460.7 377.4 356.6 522.4

11.7 12.8 10.8 13.2

10.1 10.2 11.1 6.3

10.0 17.3 19.8 5.8

10.5 16.2 20.5 11.3

15.7 9.4 10.9 13.6

12.1 11.5 7.0 10.6

28.8 18.6 18.6 38.0

1.0 4.1 1.2 1.3

100.0 100.0 100.0 100.0

2,230 136 143 74

413.5 484.5 454.5 †

13.7 9.7 19.0 †

10.2 10.0 10.2 †

11.1 10.7 8.6 †

12.9 10.0 10.7 †

14.4 16.1 7.3 †

13.4 10.5 10.5 †

22.8 32.1 31.1 †

1.5 1.0 2.6 †

100.0 100.0 100.0 100.0

1,156 1,345 73 9

385.2 667.2

12.5 9.6

12.7 1.5

12.8 4.4

13.0 6.1

15.6 13.0

12.3 9.9

19.5 55.1

1.5 0.3

100.0 100.0

2,000 583

sul sacxovrebeli adgili Tbilisi sxva qalaqi sofeli dedis asaki 15–24 25–34 35–44 cocxladSobadobis rigiToba

regionuli samSobiaro qalaqis saavadmyofo referaluri sxva samedicino mSobiarobis tipi vaginaluri sakeisro kveTiT

* ar Sedis 6 qali, romlebsac ar axsovT, gadaixades Tu ara mSobiarobis safasuri. † 25-ze naklebi SemTxveva aRniSnul kategoriaSi.

129


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.4.1 mSobiarobisSemdgomi momsaxurebiT sargebloba da mSobiarobisSemdgom cxrili 6.4.1 mSobiarobis Semdgomi momsaxurebiT sargebloba da mSobiarobis Semdgom vizitebze miRebuli informacia vizitebze miRebuli informacia SerCeuli maxasiaTeblebis mixedviT, SerCeuli2005-2010 maxasiaTeblebis mixedviT, mSobiarobebi 2005–2010 mSobiarobebi reproduqciuli janmrTelobiskvleva, kvleva, saqarTvelo, 20102010 reproduqciuli janmrTelobis saqarTvelo, mSobiarobisSemdgomi m ms x r b momsaxureba maxasiaTebeli

mSobiarobisSemdgom vizitebze miRebuli informacia

%

SemTxvevebi s raodenoba

ZuZuTi kveba %

mkerdis movla %

kveba %

ojaxis dagegmva %

SemTxvevebi s raodenoba

sul sacxovrebeli adgili

23.0

2,617

78.6

74.9

77.9

75.6

73.2

43.0

611

Tbilisi sxva qalaqi sofeli asakobrivi kategoria (mSobiarobisas)

27.6 28 6 28.6 17.9

567 626 1,424

85.0 77 4 77.4 74.4

81.7 74 6 74.6 69.6

84.4 75 5 75.5 74.4

85.6 72 7 72.7 69.6

82.8 72 5 72.5 66.1

46.1 47 7 47.7 37.0

160 172 279

< 20 20–24 25–34 35–44 ganaTleba ul saSualo u l an arasruli naklebi

20.1 21.8 24.9 23.1

313 956 1,164 184

81.1 77.9 75.8 96.2

75.6 72.9 73.3 93.2

80.4 73.7 78.0 93.3

81.4 71.0 75.2 90.9

74.8 71.2 72.1 87.8

39.1 39.2 43.9 61.7

65 212 290 44

16.6

422

77.7

68.9

74.3

74.5

72.9

32.2

76

sruli saSualo teqnikumi/universiteti qonebrivi kvintili

18.0 27.3

738 1,457

78.1 78.9

72.3 76.7

79.2 78.1

71.2 77.1

67.5 75.1

33.7 47.9

134 401

yvelaze dabali meore saSualo e e meoTxe umaRlesi mSobiarobis rigiToba

12.3 16.3 23.3 30.7 29.4

428 628 587 413 561

73.7 81.7 76.7 74.6 82.3

67.0 77.5 70.8 70.2 81.3

73.7 81.4 74.0 73.5 82.7

67.9 77.2 67.5 72.3 84.0

65.3 72.8 65.3 71.9 81.4

36.2 35.9 41.8 41.4 49.9

69 110 143 118 171

pirveli mSobiaroba meore mSobiaroba mesame an momdevno garTulebuli orsuloba*

25.4 22.1 17.3

1,293 937 387

74.2 83.8 85.1

69.8 80.3 84.3

72.5 83.3 88.6

73.1 76.3 85.8

70.3 75.9 79.9

38.6 46.0 56.8

335 206 70

diax ara r mSobiarobis Semdgomi garTulebebi

27.6 22 2 22.2

380 2 234 2,234

71.6 80 2 80.2

71.9 75 5 75.5

68.9 79 9 79.9

68.6 77 1 77.1

62.3 75 7 75.7

36.3 44 5 44.5

112 498

nebismieri saxis garTulebis gareSe

43.6 20.5

296 2,321

64.1 82.5

64.6 77.6

65.5 81.2

62.3 79.1

56.4 77.7

26.3 47.5

132 479

bavSvis movla %

imunizacia %

* ar Sedis 3 SemTxveva, romelzec ar aris informacia orsulobis garTulebis Sesaxeb.

130


cxrili 6.4.2

drois intervali mSobiarobasa da pirvel saboloo angariSi postnatalur vizits Soris, SerCeuli maxasiaTeblebis mixedviT cxrili 6.4.2 drois intervali mSobiarobisa da pirvel postnatalur vizits Soris, visac gaewia postnataluri momsaxureba SerCeuli dedebi, maxasiaTebelbis mixedviT dedebi, visac gaewia postnataluri cocxladSobiT dasrulebuli orsulobis Semdeg Semdeg momsaxureba cocxladSobiT dasrulebuli orsulobis 2005–2010 wlebSi 2005-2010 wlebSi reproduqciuli janmrTelobis saqarTvelo, reproduqciuli janmrTelobis kvleva,kvleva, saqarTvelo, 20102010

maxasiaTebeli

drois intervali mSobiarobasa da pirvel postnatalur vizits Soris (kvirebSi)

sul

SemTxvevebis raodenoba

< 1

1–2

> 2

ar axsovs

30.8

42.0

26.6

0.6

100.0

611

Tbilisi sxva qalaqi sofeli asakobrivi kategoria (mSobiarobisas)

27.8 29.2 34.4

39.4 44.9 41.9

32.2 25.3 23.1

0.6 0.5 0.6

100.0 100.0 100.0

160 172 279

< 20 20 24 20–24 25–34 35–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis adgili regionis samSobiaro saxli qalaqis samSobiaro saxli sxva samedicino dawesebuleba

31.8 33.8 28.1 31.5

37.7 37.4 44.6 54.3

30.6 28.4 26.4 14.1

0.0 0.5 0.8 0.0

100.0 100.0 100.0 100.0

65 212 290 44

53.5

33.2

13.3

0.0

100.0

76

24.8 28.7

45.3 42.5

28.8 28.3

1.0 0.5

100.0 100.0

134 401

35.5 39.7 32.9 26.6 26.9

44.4 38.1 40.7 46.2 41.4

15.0 22.1 26.4 27.1 31.2

5.1 0.0 0.0 0.0 0.5

100.0 100.0 100.0 100.0 100.0

69 110 143 118 171

35.1

45.8

18.7

0.5

100.0

287

26 1 26.1

39 4 39.4

34 2 34.2

03 0.3

100 0 100.0

314

*

*

*

*

100.0

3

*

*

*

*

100.0

7

29.1 29.1 44.3

41.5 45.8 33.2

29.0 24.1 22.5

0.4 1.0 0.0

100.0 100.0 100.0

335 206 70

sul sacxovrebeli adgili

saxlSi mSobiarobis rigiToba pirveli mSobiaroba meore mSobiaroba mesame an momvdevno

* 25-ze naklebi SemTxveva aRniSnul kategoriaSi

131


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.4.3 profilaqtikuri gasinjvebis momsaxurebiT cxrili 6.4.3 CvilTa CvilTa profilaqtikuri gasinjvebis momsxurebiT sargeblobasargebloba da drois intervali mSobiarobasa da Cvilis pirvel gasinjvas da drois intervali mSobiarobasa da Cvilis pirvel gasinjvasSoris, SerCeuli maxasiaTeblebis saavadmyofoSi cocxladSobiT Soris, SerCeulimixedviT maxasiaTeblebis mixedviT dasrulebuli mSobiarobebi, 2005-2010 wlebi saavadmyofoSi cocxladSobiT dasrulebuli mSobiarobebi, 2005-2010 wlebi reproduqciuli janmrTelobis janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli kvleva, saqarTvelo, 2010 C CvilTa a profilaqtikuri Semowmeba maxasiaTebeli %

sul

SemTxveve bis raodenob a*

drois r s intervali nt r a mS b ar basa daa mSobiarobasa Cvilis pirvel gasinjvas Soris (kvirebSi) sul < 1

1–2

> 2

SemTxvevebis raodenoba

ar axsovs

84.1

2,624

21.7

53.4

23.7

1.2

100.0

2,369

89.5 78.7

1,199 1,425

26.0 16.8

56.2 50.2

17.3 30.9

0.5 2.1

100.0 100.0

1,131 1,238

79.6 91.9 87.0 74.7 72.6 81.7 86.2 82.5 85.7 83.5 72.4

223 572 168 233 215 179 141 186 349 197 161

19.8 28.6 7.0 19.3 7.6 28.8 11.4 20.9 19.5 26.5 15.5

53.7 56.7 46.5 55.0 41.1 59.9 60.4 42.9 56.3 41.7 36.6

24.2 14.0 44.2 24.3 49.7 11.3 27.5 32.5 23.4 31.8 47.8

2.2 0.8 2.3 1.4 1.5 0.0 0.7 3.7 0.8 0.0 0.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

200 553 157 196 173 150 132 167 325 185 131

84.3 84.7 79 6 79.6

1,266 1,170 188

20.0 24.0 19 0 19.0

53.5 52.9 55 2 55.2

24.7 22.3 25 8 25.8

1.8 0.8 00 0.0

100.0 100.0 100 0 100.0

1,143 1,062 164

78.8

420

21.8

46.6

29.1

2.6

100.0

354

79.3 88.0

743 1,461

16.4 24.0

53.7 55.0

27.4 20.7

2.5 0.3

100.0 100.0

639 1,376

75.4 79.9 82 1 82.1 86.6 92.4

430 627 588 414 565

16.7 17.2 17 4 17.4 27.0 27.3

46.4 51.5 51 9 51.9 53.2 59.2

35.1 28.2 30 1 30.1 18.8 13.3

1.8 3.1 06 0.6 1.0 0.2

100.0 100.0 100 0 100.0 100.0 100.0

353 549 532 383 552

82.2 87.4 65.5 † 53.9 †

1,160 1,346 76 9 27 6

20.5 22.8 20.5 † 14.9 †

56.5 51.1 51.2 † 49.8 †

21.7 25.0 28.3 † 21.1 †

1.4 1.0 0.0 † 14.3 †

100.0 100.0 100.0 100.0 100.0 100.0

1,018 1,255 63 9 18 6

85.9 84.3 77.3

1,305 943 376

21.4 21.6 23.0

54.1 54.8 46.7

23.2 22.5 29.1

1.4 1.0 1.2

100.0 100.0 100.0

1,207 846 316

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi < 24 25–34 35 44 35–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis adgili regionuli samSobiaro qalaqis saavadmyofo referaluri hospitali sxva samedicino saxlSi v sxva mSobiarobis rigiToba pirveli mSobiaroba meore mSobiaroba mesame an momdevno

* moicavs 29 tyups. kategoriaSi 25 SemTxvevaze naklebi † am Fewer than 25 cases inaris this category.

132


saboloo angariSi

cxrili 6.4.4 cxrili 6.4.4

dabadebis mowmobebis mqone CvilTa procentuli maCvenebeli da drois dabadebis mowmobebis mqone CvilTa procentuli maCvenebeli da drois intervali mSobiarobasa intervali mSobiarobasa da sertifikatis gacemas Soris SerCeuli da sertifikatis gacemasmixedviT Soris SerCeuli maxasiaTeblebis mixedviT maxasiaTeblebis cocxladSobil Cvilebi 2005-2010 wlebi cocxladSobili CvilebijanmrTelobis 2005-2010 wlebSi reproduqciuli kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 registrirebuli bavSvi

drois intervali mSobiarobasa da dabadebis mowmobis gacemas Soris (kvirebSi) sul

SemTxvevebis r raodenoba n b

1.4

100.0

2,558

0.7 1.4

1.0 1.9

100.0 100.0

1,176 1,382

3.0 1.9 4.4 4.1 2.0 1.5 0.7 1.9 2.1 28 2.8 3.7

1.3 0.6 0.0 1.6 2.4 0.0 4.6 1.9 0.8 14 1.4 3.7

5.1 0.5 0.0 0.8 4.1 0.5 1.3 1.4 1.8 09 0.9 0.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100 0 100.0 100.0

210 562 165 223 212 175 137 181 344 193 156

14.6 12.2 20.2

2.5 2.2 3.2

1.5 0.6 0.6

1.4 1.1 3.7

100.0 100.0 100.0

1,240 1,137 181

77.8

15.2

2.8

2.0

2.1

100.0

394

743 1,461

81.9 81.7

12.5 14.3

2.3 2.3

1.1 0.8

2.2 0.9

100.0 100.0

724 1,440

93.8 97.4 98.1 96.4 99.0

430 627 588 414 565

77.9 76.5 80.1 81.4 87.4

16.0 17.9 12.7 15.4 9.8

3.4 2.0 2.8 2.5 1.8

1.8 1.0 2.1 0.3 0.5

1.0 2.6 2.4 0.5 0.5

100.0 100.0 100.0 100.0 100.0

412 612 574 401 559

regionuli qalaqis saavadmyofo referaluri sxva samedicino saxlSi sxva mSobiarobis rigiToba

97.6 97.7 96.2 † 67.3 †

1,160 1,346 76 9 27 6

82.0 82.5 65.5 † 14.2 †

13.2 13.6 28.0 † 20.7 †

2.0 2.5 1.5 † 25.3 †

1.2 0.9 0.0 † 10.0 †

1.7 0.6 5.0 † 29.8 †

100.0 100.0 100.0 100.0 100.0 100.0

1,131 1,317 74 9 21 6

pirveli mSobiaroba meore mSobiaroba mesame an momdevno

97.2 97.8 96.3

1,305 943 376

80.3 82.5 80.9

14.9 13.3 12.4

2.6 2.4 1.7

1.2 0.6 1.6

1.0 1.2 3.4

100.0 100.0 100.0

1,274 923 361

maxasiaTebeli %

SemTxvevebis raodenoba*

< 1

1–2

3–4

> 4

ar axsovs

97.3

2,624

81.2

14.0

2.4

1.1

98.1 96.5

1,199 1,425

84.0 78.2

12.5 15.4

1.8 3.0

92.5 98.2 98.4 95.7 98.8 98.1 94.4 97.6 98.5 97 3 97.3 96.9

223 572 168 233 215 179 141 186 349 197 161

72.0 83.9 76.4 82.9 88.6 78.4 82.1 75.4 85.0 78 4 78.4 82.1

18.6 13.2 19.2 10.6 2.9 19.6 11.3 19.3 10.4 16 5 16.5 10.5

< 24 25–34 35–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili

97.4 97.3 96.3

1,266 1,170 188

80.0 84.0 72.3

92.2

420

97.5 98.7

yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis adgili

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa mTianeTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi (dabadebisas)

* moicavs 29 tyups. † 25-ze naklebi SemTxveva aRniSnul kategoriaSi.

133


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.6.1 sisxlis arteriuli wnevis regularuli gazomva orsulobis dros, maRali cxrili 6.6.1 sisxlis arteriuli wnevis regularuli gazomva orsulobis dros, maRali wnevis mqone orsulebis raodenoba da hospitalizaciis maCveneblebi, wnevis mqone orsulebis raodenoba da hospitalizaciis maCvenebeli, SerCeuli maxasiaTeblebis mixedviT; mSobiarobebi 2005-2010 ww. qalebs SerCeuli maxasiaTeblebis mixedviT; mSobiarobebi 2005 - 2010 ww. Soris, visac usargeblia prenataluri momsaxurebiT qalebs Soris, visc usargeblia prenataluri momsaxurebiT reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

sisxlis arteriuli wneva

hqonda maRali wneva

maxasiaTebeli

maRali wnevis Sedegad hospitalizebuli orsulebi (eqskluziurad)

maRali wnevis Sedegad hospitalizebuli orsulebi (ara eqskluziurad)

SemTxveve bis raodenob a

%

SemTxvevebis raodenoba

%

SemTxvevebi s raodenoba

%

%

96.2

2,575

9.7

2,468

0.3

1.0

2,575

96.5 95.8

1,184 1,391

9.7 9.7

1,140 1,328

0.3 0.2

0.7 1.2

1,184 1,391

96.2 97.5 94.1 94 1 97.6 92.3 92.2 93.7 97.1 97.4 96.4 95.9

211 563 168 223 214 175 140 181 348 194 158

9.6 10.1 9.8 98 8.3 8.8 12.8 6.7 10.5 8.7 9.8 8.1

203 548 160 217 200 159 130 175 338 186 152

0.0 0.3 0.0 00 0.4 0.0 0.0 0.0 0.0 0.8 0.0 0.0

2.1 0.8 1.1 11 1.2 0.0 0.5 0.0 1.5 1.0 0.9 0.0

211 563 168 223 214 175 140 181 348 194 158

95.7 96.3 98.0

1,251 1,145 179

8.2 9.5 21.4

1,194 1,099 175

0.3 0.2 0.6

0.5 1.5 1.0

1,251 1,145 179

94.7 96.5 96.4

400 724 1,451

7.7 9.9 10.2

377 694 1,397

0.0 0.6 0.1

0.7 1.0 1.0

400 724 1,451

95.6 95.2 95.9 98.2 96.1

410 619 579 406 561

8.2 10.1 11.3 9.4 9.1

389 589 557 399 534

0.3 0.2 0.0 0.0 0.6

1.5 0.9 1.1 1.2 0.5

410 619 579 406 561

pirveladi momsaxurebis qalTa konsultacia regionuli samSobiaro qalaqis samSobiaro sxva mSobiarobis rigiToba

91.4 95.5 97.3 97.7 *

172 1,206 471 715 11

6.9 9.9 11.2 9.1 *

157 1,151 457 692 11

0.0 0.2 0.3 0.5 *

0.6 0.3 1.0 1.9 *

172 1,206 471 715 11

pirveli mSobiaroba meore e e mSobiaroba mesame an momdevno

95.7 96.6 96.7

1,285 924 366

10.2 8.6 11.0

1,227 890 351

0.4 0.1 0.0

1.1 0.8 0.8

1,285 924 366

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi S Sida qqarTli r qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi raWa svaneTi asakobrivi jgufi < 24 25â&#x20AC;&#x201C;34 35â&#x20AC;&#x201C;44 ganaTleba arasruli saSualo an sruli saSualo teqnikumi/universiteti q n br qonebrivi kvintili nt yvelaze dabali meore saSualo meoTxe umaRlesi prenataluri momsaxurebis miRebis adgili

* 25-ze naklebi SemTxveva aRniSnul kategoriaSi.

134


pirveli mSobiaroba meore mSobiaroba mesame an momdevno

yvelaze dabali e e meore saSualo meoTxe umaRlesi mSobiarobis rigiToba

sruli saSualo teqnikumi/universitet qonebrivi kvintili

< 24 25â&#x20AC;&#x201C;34 35â&#x20AC;&#x201C;44 ganaTleba arasruli saSualo an naklebi

qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi c e e mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi (dabadebisas)

sacxovrebeli adgili

sul

maxasiaTebeli

7.4 7.9 11.0

71 7.1

7.3 8.4

6.4 8.2 7.4 10.6 7.0

9.1 6.4 6.9

13 2 13.2

15.9 16.2

15.0 15.8 15.8 17.7 14.5

17.1 13.7 15.3

6.8 6.8 92 9.2 8.5 6.5 10.3 0.6 7.8 9.2 9.4 3.1

12.7 13.6 22 2 22.2 14.2 14.2 17.2 4.4 11.7 20.8 23.8 7.3

14.2 16.6 19.8

7.1 8.6

7.9

15.0 16.3

15.7

minimum vadamdeli erTi orsulobi mSobiarobis s riski % garTuleb a %

3.7 3.3 4.4

3.2 3.0 4.1 4.7 3.3

4.1 4.0

16 1.6

3.1 4.2 4.1

5.9 3.5 38 3.8 3.3 0.8 0.5 1.3 2.4 6.2 5.8 2.6

3.7 3.6

3.6

orsulTa anemia %

3.2 3.4 3.7

3.6 2.7 4.7 4.7 1.8

2.9 3.3

42 4.2

2.3 4.2 4.8

2.5 2.0 27 2.7 4.9 2.4 4.4 1.3 2.9 4.9 5.8 1.6

3.1 3.6

3.3

wylis Sekaveba an edema %

3.3 2.8 2.7

3.1 2.5 4.1 2.3 3.0

2.8 3.4

20 2.0

2.2 3.2 8.2

2.5 3.1 43 4.3 2.4 3.7 3.9 0.6 2.4 3.3 2.2 0.0

2.7 3.4

3.0

orsulTa hipertonia %

2.5 1.6 1.9

1.4 1.5 1.8 4.4 1.7

2.1 2.0

24 2.4

2.2 1.9 3.0

1.7 2.6 27 2.7 1.6 2.0 1.0 0.6 2.4 1.5 6.3 2.1

2.6 1.6

2.1

2.3 1.5 1.4

1.0 1.9 1.6 2.8 1.9

2.1 2.3

00 0.0

1.4 2.7 0.0

1.3 2.2 59 5.9 1.6 2.0 1.5 1.3 0.5 1.3 1.8 2.1

2.1 1.6

1.9

sisxldena saSvilosn pirveli 6 os yelis Tvis sisuste ganmavlobaSi % %

garTulebuli orsulobebi

reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

1.8 1.2 1.3

1.5 1.9 1.5 0.8

2.2 1.3

12 1.2

1.3 2.0 0.2

0.4 0.6 22 2.2 1.2 1.2 2.9 0.6 1.0 3.1 0.9 4.1

1.4 1.7

1.5

saSarde gzebis infeqcia %

1.4 0.9 0.5

0.8 1.3 0.9 2.8 0.2

1.2 1.1

06 0.6

0.8 1.4 0.7

1.3 1.5 11 1.1 0.4 0.4 1.5 0.0 1.0 1.0 0.4 0.0

1.4 0.8

1.1

0.7 0.9 2.4

2.4 0.5 1.1 0.5 1.0

1.2 1.0

07 0.7

0.8 1.0 2.6

2.1 0.6 32 3.2 0.4 1.2 0.5 0.0 1.0 1.0 0.4 0.0

0.9 1.1

1.0

sisxldena Rh orsulobis izoimunizaci 6 Tvis a Semdeg % %

1.6 1.3 2.1

1.8 1.5 2.1 1.7 1.0

1.5 1.6

19 1.9

1.2 2.3 0.0

0.8 0.9 22 2.2 1.2 0.4 2.0 0.0 1.0 3.6 2.7 0.0

1.6 1.5

1.6

sxva %

1,285 924 366

410 619 579 406 561

724 1,451

400

1,251 1,145 179

211 563 168 223 214 175 140 181 348 194 158

1,184 1,391

2,575

SemTxveve bis raodeno ba

cxrili 6.6.2 garTulebuli orsulobebi, romlebic moiTxovda samedicino meTvalyureobas, SerCeuli maxasiaTeblebis mixedviT cxrili mSobiarobebi 2005-2010 ww. qalebs Soris, visac usargeblia prenataluri momsaxurebiT garTulebuli orsulobebi, romlebic moiTxovda samedicino meTvalyureobas, SerCeuli maxasiaTeblebis mixedviT 6.6.2 mSobiarobebi 2005 - 2010 ww. Qqalebs Soris, visc usargeblia prenataluri momsaxurebiT reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

saboloo angariSi

135


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.6.3 mSobiarobisSemdgomi garTulebebi SerCeuli maxasiaTeblebi mixedvvvviT mSobiarobebi 2005-2010 ww. cxrili 6.6.3 mSobiarobisSemdgomi garTulebebi SerCeuli maxasiaTeblebis mixedviT —mSobiarobebi 2005–2010 ww reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 PmSobiarobisSemdgomi garTuleba

maxasiaTebeli

sul

minimum usiamovno saSvilo uxvi erTi ZuZus sunis mqone maRali snos postnatalu sisxlde sicxe infeqcia vaginaluri na tkivili ri % gamonadeni % % % garTuleba % %

gulis tkivili qirurgiuli Wrilobis wasvla/ko Sardvis ma infeqcia dros % % %

sxva %

SemTxvevebi s raodenoba

11.2

3.5

3.5

3.3

2.5

2.0

1.9

1.7

0.7

0.6

2,617 ,

12.6 9.7

4.6 2.4

3.8 3.1

3.8 2.7

3.2 1.8

2.2 1.8

2.2 1.7

1.9 1.5

0.8 0.6

0.8 0.3

1,193 1,424

13.3 13.0 10 8 10.8 9.3 6.1 10.2 5.0 5.7 12.8 16.2 15.8

3.5 3.5 05 0.5 3.5 3.7 2.9 0.6 0.5 6.1 6.1 5.6

4.3 4.1 38 3.8 5.0 1.6 2.0 0.6 1.9 2.8 6.6 3.6

3.5 4.0 32 3.2 3.1 0.4 4.4 3.1 1.9 3.1 3.5 2.6

2.7 4.3 32 3.2 1.2 0.4 1.5 0.6 1.0 2.3 2.2 5.1

2.0 2.5 38 3.8 1.2 0.4 2.0 0.6 1.0 1.5 6.6 4.1

2.7 2.5 05 0.5 2.3 0.4 2.0 0.6 0.5 2.0 3.5 1.5

1.6 2.6 11 1.1 0.8 1.2 2.4 1.3 1.9 1.0 0.4 2.0

0.0 0.8 11 1.1 0.8 0.4 1.5 0.0 0.5 0.5 1.7 0.0

0.0 0.9 00 0.0 0.8 0.4 0.5 0.6 0.0 0.8 0.9 0.0

224 567 168 234 214 176 140 184 349 200 161

10.2 12.8 8.1

2.5 4.4 4.9

3.4 4.0 1.2

2.6 4.3 1.6

2.2 3.1 0.8

1.8 2.3 1.6

1.4 2.5 1.7

1.2 2.2 1.8

0.4 1.0 0.6

0.6 0.6 0.2

1,269 1,164 184

8.4

2.9

2.2

2.4

1.6

1.5

0.5

1.3

0.7

0.3

422

10 2 10.2 12.4

26 2.6 4.1

27 2.7 4.2

27 2.7 3.8

14 1.4 3.3

19 1.9 2.3

15 1.5 2.5

11 1.1 2.1

05 0.5 0.8

04 0.4 0.7

738 1,457

yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis rigiToba

9.2 8.0 11.7 14.4 12.4

3.4 2.7 3.6 3.8 4.0

2.4 2.8 3.9 3.9 4.0

2.1 1.8 3.8 4.9 3.7

0.7 1.3 2.3 4.0 3.6

1.2 1.2 2.7 2.0 2.6

0.7 1.2 2.6 1.9 2.7

1.7 1.3 1.7 1.2 2.3

0.5 0.7 1.1 0.5 0.7

0.8 0.0 0.4 0.7 1.0

428 628 587 413 561

pirveli mSobiaroba meore mSobiaroba mesame an momdevno mSobiarobis tipi vaginaluri v g lu sakeisro kveTa bavSvis wona dabadebisas < 2500 gramze >= 2500 grams ucnobia

11.4 10.3 12.2

2.9 3.3 6.0

3.5 3.2 3.9

3.9 2.8 2.3

2.9 2.0 2.1

2.0 1.7 2.8

2.1 1.7 2.1

2.1 1.1 1.7

0.8 0.5 1.1

0.7 0.6 0.3

1,293 937 387

9.8 15.5

3.2 4.3

3.5 3.4

2.7 5.1

2.0 4.2

1.7 3.0

1.8 2.4

1.0 4.0

0.5 1.4

0.6 0.6

2,029 588

37.3 9.9 *

24.9 2.5 *

8.9 3.2 *

7.8 3.0 *

2.0 2.5 *

8.5 1.7

3.0 1.9 *

2.8 1.6

2.2 0.6 *

1.5 0.5 *

125 2,481 11

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi raWa-svaneTi asakobrivi jgufi (dabadebisas) < 24 25–34 35–44 ganaTleba arasruli saSualo an naklebi sr sruli s saSualo S teqnikumi/universiteti qonebrivi kvintili

* ar Sedis 11 mSobiaroba, sadac bavSvis wona dabadebisas ucnobia

136

*

*


saboloo angariSi

cxrili 6.7 cxrili orsulobis mZime Sedegebi SerCeuli mixedviT; 6.7 orsulobis mZime Sedegebi SerCeulimaxasiaTeblebis maxasiaTeblebis mixedviT; mSobiarobebi 2005-2010 2005-2010 mSobiarobebi reproduqciuli janmrTelobis kvleva, saqarTvelo, reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 2010 mkvdradSobilTa koeficienti (1,000 mSobiarobaze)

vadamdeli cocxlad mSobiarobebis Sobil-Ta maCvenebeli raode(%cocxladSobil noba ebi< 37kvira)

mSobiarobebis raodenoba

mwirewoniani Cvilebis maCvenebeli (%cocxladSobilebi< 2,500 grami)

7.8

2,617

4.2

3.8

2,595

10.3 5.2

1,193 1,424

3.9 4.4

4.2 3.5

1,181 1,414

11.8 10.7 5.4 7.8 8.1 0.0 6.3 4.8 5.1 21.8 10.2

224 567 168 234 214 176 140 184 349 200 161

3.6 3.4 4.9 5.1 4.9 5.9 5.1 2.4 3.6 7.6 4.1

5.6 4.3 4.9 3.5 3.7 2.9 4.4 2.4 3.3 3.1 1.0

221 562 167 232 212 176 139 183 347 197 159

9.2 3.6 10 4 10.4 10.8

313 956 1 164 1,164 184

3.8 2.8 42 4.2 11.1

4.1 2.5 45 4.5 5.8

310 951 1 152 1,152 182

2.8

422

4.5

2.6

420

8.7 8.8

738 1,457

4.2 4.0

4.5 3.9

730 1,445

yvelaze dabali meore saSualo meoTxe umaRlesi erovneba

6.3 5.3 8.9 16.9 3.8

428 628 587 413 561

4.4 5.5 3.4 3.5 3.9

3.9 3.2 3.7 4.6 3.8

425 623 582 407 558

qarTveli azerbaijaneli somexi sxva mSobiarobis rigiToba

8.7 0.0 0.0 10.8

2,248 145 145 79

4.1 4.9 4.6 4.4

4.1 3.1 1.4 2.1

2,227 145 145 78

pirveli mSobiaroba meore mSobiaroba mesame an momdevno prenataluri vizitebi

5.3 8.8 13.9

1,293 937 387

3.5 4.4 5.8

4.0 3.3 4.7

1,285 929 381

diax ara garTulebuli orsuloba ara diax xangrZlivi mSobiaroba

7.1 50.0

2,575 42

4.1 5.6

3.8 5.5

2,555 40

3.1 33.5

2,237 380

3.0 10.9

2.9 9.2

2,229 366

ara diax sakeisro kveTa ar axsovs

5.3 29.6 9.7 34.4

2,064 32 406 115

3.2 1.7 7.7 8.3

2.8 1.7 7.2 9.5

2,052 31 402 110

maxasiaTebeli

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi < 20 20–24 25–34 35–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti qonebrivi kvintili

137


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 6.8.1 2005-2010 wlebSi dabadebul bavSvTa procentuli maCvenebeli, vinc cxrili 6.8.1 2005–2010 wlebSi dabadebul bavSvTa procentuli maCvenebeli, vinc ikvebeboda ikvebeboda dedis rZiT da ZuZuTi kvebis dawyebis dro, SerCeuli dedis rZiT da ZuZuTi kvebis dawyebis dro, SerCeuli maxasiaTeblebis mixedviT maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

maxasiaTebeli

sul

Cvilebi, vinc ZuZuTi kvebis dawyebis dro ikvebebodnen s rZ SemTxvev 48 saaTi ebis % <1 saaTi 1–23 saaTi 24–47 saaTi an meti raodeno ba*

sul ucnobia

SemTxvevebis raodenoba

87.4

2,624

19.7

54.5

13.3

11.3

1.2

100.0

2,278

87.1 87.7

1,199 1,425

19.6 19.9

53.7 55.4

13.2 13.4

12.9 9.6

0.7 1.7

100.0 100.0

1,040 1,238

90.6 88.3 85.9 88.3 90.3 83.7 82.5 82.5 88.8 86.2 85.7

223 572 168 233 215 179 141 186 349 197 161

14.7 22.1 13.8 21.6 33.0 8.6 18.9 18.9 19.8 32.6 24.4

69.3 54.5 41.5 57.3 54.0 56.3 45.5 65.7 47.4 42.0 38.7

8.7 11.9 24.5 8.8 6.3 23.6 18.9 9.1 14.1 13.5 22.6

3.9 11.0 20.1 9.7 6.3 11.5 16.7 5.1 17.2 10.4 13.1

3.5 0.5 0.0 2.6 0.4 0.0 0.0 1.1 1.4 1.6 1.2

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

201 503 144 204 195 146 117 151 311 168 138

89.6 86.0 81.0

1,266 1,170 188

19.6 20.1 18.8

55.7 53.8 50.6

14.2 12.0 15.1

9.1 13.4 13.3

1.5 0.7 2.2

100.0 100.0 100.0

1,129 997 152

88.1

420

16.2

64.6

11.6

5.1

2.6

100.0

366

84.9 88.4

743 1,461

20.1 20.6

55.7 51.1

13.2 13.9

10.4 13.4

0.6 1.1

100.0 100.0

626 1,286

86.5 92.0 93.9 91.1

2,250 145 148 81

19.1 18.5 36.1 13.4

53.0 65.9 49.2 73.3

14.8 7.7 4.2 4.3

12.3 4.1 6.1 7.9

0.8 3.8 4.4 1.1

100.0 100.0 100.0 100.0

1,933 133 139 73

87.2 88.6 85.0

1,305 943 376

17.4 22.3 21.9

54.1 53.3 58.9

14.0 13.4 10.6

13.6 9.8 6.5

1.0 1.1 2.1

100.0 100.0 100.0

1,129 827 322

88.6 83.6

2,022 602

23.8 6.1

57.8 43.5

9.9 24.6

7.2 24.8

1.2 1.0

100.0 100.0

1,787 491

64.2 88.7 64.2

113 2,474 37

11.0 20.1 †

40.4 55.2 †

18.8 13.2 †

28.3 10.4 †

1.5 1.2 †

100.0 100.0 100.0

68 2,187 23

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa mTianeTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi < 24 25–34 35–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti erovneba qarTveli azerbaijaneli somexi sxva mSobiarobis rigiToba pirveli mSobiaroba meore mSobiaroba mesame an momdevno mSobiarobis tipi vaginaluri sakeisro kveTa Cvilis wona < 2500 gramze ≥ 2500 gramze ucnobia

* moicavs 29 tyups. † 25-ze naklebi SemTxveva aRniSnul kategoriaSi.

138


saboloo angariSi

cxrili 6.8.2

ZuZuTi kvebis xangrZlivobis saSualo maCvenebeli TveebSi, ZuZuTi SerCeuli maxasiaTeblebis mixedviT cxrili 6.8.2 ZuZuYTi kvebis xangrZlivobis saSualo maCvenebeli TveebSi, ZuZuTi kvebis 0-59 Tvis bavSvebs Soris tipebisa da SerCeuli maxasiaTeblebis mixedviT 0-59 Tvis bavSvebs Soris reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

maxasiaTebeli sul sacxovrebeli adgili Tbilisi sxva qalaqi sofeli bavSvis sqesi vaJi gogona asakobrivi jgufi (dabadebisas) <30 30-44 ganaTleba naklebi teqnikumi/universiteti erovneba qarTveli sxva qonebrivi kvintili yvelaze dabali meore saSualo meoTxe umaRlesi mSobiarobis rigiToba pirveli mSobiaroba meore mSobiaroba mesame an momdevno

eqskluziurad ZuZuTi kveba *

ZuZuTi kveba

nebismieri saxis ZuZuTi kveba

3.0

4.1

12.2

2.9 2.8 3.1

3.8 3.4 4.5

10.3 12.1 13.2

2.5 3.4

3.7 4.4

12.8 11.2

3.2 2.9

4.2 4.0

12.1 12.4

3.3 2.7

4.5 3.8

12.8 11.6

2.9 3.3

4.0 4.7

11.9 12.5

4.1 1.8 2.7 3.1 2.7

5.2 3.2 3.8 4.3 3.2

13.9 11.5 12.4 11.8 10.2

3.1 2.9 3.3

4.3 4.1 4.2

11.2 13.0 15.2

* eqskluziurad ZuZuTi kveba; bavSvi ikvebeba mxolod dedis rZiT †

ZuZuTi kveba: moicavs eqskluziur da TiTqmis eqskluziur kvebas (dedis rZe, wyali da sxva siTxeebi, sxva saxis rZis garda) ‡ nebismieri tipis ZuZuTi kveba: moicavs ZuZuTi eqskluziur da TiTqmis eqskluziur kvebas da ZuZuTi kvebas danamatebiT (dedis rZe da nebismieri sxva sakvebi an siTxe)

139


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili Cvilebisa da bavSvebis sikvdilianobismaCvenebeli maCvenebeli (gardacvlil CvilTa cxrili 6.9.1 6.9.1 Cvilebisa da bavSvebis sikvdilianobis (gardacvlil CvilTa bavSvTa raodenoba 1000 cocxladSobilze) da bavSvTa raodenoba 1000dacocxladSobilze) kvlevamde 5 wlis periodSi 5 wlis periodSi dabadebul bavSvebs Soris kvlevamde dabadebul bavSvebs Soris reproduqciuli janmrTelobiskvleva, kvleva, saqarTvelo, saqarTvelo, 2010 reproduqciuli janmrTelobis 2010

sikvdilianobis maCvenebeli CvilTa sikvdilianoba neonataluri postnataluri bavSvTa

140

2010 wlis kvleva: ianvari 2005 – dekemberi 2009

2005 wlis kvleva: ianvari 2000 – dekemberi 2004

1999 kvleva: ianvari 1995 – dekemberi 1999

maCvenebeli

CI

maCvenebeli

CI

maCvenebeli

CI

14.1

(7.8–20.4)

21.1

(13.5–28.7)

41.6

(31.0–52.2)

9.5 4.5

(5.4–13.4) (0.0–9.1)

16.8 4.3

(10.7–22.9) (1.2–7.4)

25.4 16.2

(17.0–33.8) (9.1–23.3)

sikvdilianoba (1–4) 5 wlamde bavSvTa sikvdilianoba

2.3

(0.0–4.6)

4.0

(0.5–8.5)

3.8

(0.9–6.7)

16.4

(9.6–23.2)

25.0

(16.4–33.6)

45.3

(34.5–56.1)

SemTxvevebis raodenoba

2,170

1,909

2,507


saboloo angariSi

cxrili 6.9.2 Cvilebisa da bavSvebis sikvdilianobis maCvenebeli cxrili (gardacvlil CvilTa da bavSvTa raodenoba 1000 cocxladSobilze) 6.9.2 Cvilebisa da bavSvebis sikvdilianobis maCvenebeli SerCeuli(gardacvlil maxasiaTeblebis mixedviT 2000 wlis ianvridan 2009de wlis CvilTa da bavSvTa e eul e le edv raodenoba wl 1000 cocxladSobilze) v d wl deke d de dekembramde dabadebul bavSvebs Soris bavSvebs Soris reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 bavSvTa CvilTa sikvdilianoba

sul saangariSo drois monakveTi ianvari 2000/dekemberi 2004 ianvari 2005/dekemberi 2009 sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufi dabadebisas < 25 25–44 ganaTleba arasruli saSualo an naklebi sruli saSualo teqnikumi/universiteti erovneba qarTveli sxva socialur-ekonomikuri statusi dabali sasualo/maRali mSobiarobis rigiToba pirveli meore mesame an meti mSobiarobebs Soris intervali pirveli mSobiaroba <24 Tve 24–47 Tve 48 Tve an meti bavSvis sqesi vaJi gogona

SemTxvevebis

bavSvTa

maxasiaTebeli sul

5 wlamde asakis

ul

neonatalu postneonata ri luri

sikvdilianoba

sikvdilianoba

1–4 weli

0–4 weli

raodenoba

23.8

17.5

6.3

2.2

26.0

4,015

35.7

27.2

8.5

2.2

37.9

1,845

14.1

9.5

4.5

2.3

16.4

2,170

21.8 25.7

16.3 18.6

5.6 7.0

0.5 3.9

22.4 29.4

1,772 2,243

27.0 16.9 28.2 28.1 21.8 26.6 21.3 34.1 19.7 38.0 6.8

16.0 14.7 21.2 16.5 13.6 19.8 14.2 31.0 12.4 34.8 3.4

10.9 2.1 7.0 11.6 8.3 6.8 7.1 3.1 7.2 3.2 3.3

5.9 0.0 7.5 2.4 3.1 3.7 0.0 0.0 1.9 0.0 0.0

32.8 16.9 35.5 30.4 24.9 30.3 21.3 34.1 21.6 38.0 6.8

345 839 257 384 329 261 251 293 515 281 260

18.2 30.1

12.9 22.6

5.3 7.5

1.5 3.2

19.7 33.2

2,118 1,897

22.8

16.6

6.3

1.6

24.4

730

28.4 21.8

22.1 15.4

6.3 6.4

2.8 2.2

31.2 23.9

1,132 2,153

23.8 23.5

17.5 17.3

6.4 6.2

2.1 2.9

25.9 26.3

3,395 620

26.0 22.4

19.9 16.0

6.1 6.4

1.6 2.6

27.5 25.0

1,685 2,330

20.4 23.1 36.7

14.9 16.1 29.3

5.5 7.0 7.4

0.7 3.5 3.9

21.2 26.5 40.4

1,978 1,464 573

20.4 22.4 34.8 24.0

14.9 20.0 29.5 11.5

5.5 2.4 5.3 12.5

0.7 3.0 6.2 1.7

21.2 25.4 40.7 25.6

1,978 637 689 711

26.6 20.5

18.5 16.2

8.1 4.3

1.6 3.0

28.1 23.5

2,142 1,873

141


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

142


Tavi

7

informirebulobis done kontraceptivebis Sesaxeb kontraceptivebis gamoyeneba Sobadobisa da abortebis maCveneblebis cvalebadobis mniSvnelovani da pirdapiri ganmsazRvrelia. saqarTveloSi kontracepciis xarisxiani meTodebis misawvdomoba SezRuduli iyo. amJamad qveyanaSi ar arsebobs ojaxis dagegmvis damoukidebeli erovnuli programa da janmrTelobis dazRvevis arc saxelmwifo da arc kerZo paketebi ar moicavs ojaxis dagegmvas. Tumca ojaxis dagegmvasTan dakavSirebuli amocanebi CarTulia reproduqciuli janmrTelobis erovnul strategiaSi da dasaxulia konkretuli miznebi kontracepciis Tanamedrove meTodebis gamoyenebis gasazrdelad da ojaxis dagegmvis daukmayofilebeli moTxovnis Sesamcireblad (jandacvis saministro, 2007). ojaxis dagegmvis sferoSi yvelanairi saqmianoba xdeba donorebis mxardaWeriT. ZiriTadi donorebi arian gaeros mosaxleobis fondi (UNFPA) da aSS-is saerTaSoriso ganviTarebis saagento (USAID). 1996-1999 wlebidan orive organizaciam didi wvlili Seitana sxvadasxva siaxlis dafinansebaSi. es siaxleebi iyo SesaZleblobaTa gazrda; saxelmwifo klinikebSi ufaso kontracepciuli saSualebebis miwodeba; kontracepciuli momsaxurebis CarTva pirvelad jandacvaSi; ojaxis dagegmvis momsaxurebis mimwodebelTa profesiuli momzadeba; momsaxurebis miwodeba moSorebul adgilebSi mcxovrebi mosaxleobisTvis, umciresobebisa da iZulebiT gadaadgilebuli ojaxebisaTvis; da informirebis, ganaTlebisa da komunikaciis iniciativebis dafinanseba. kontracepciis meTodebi xelmisawvdomia an ufasod, anu subsidirebulia socialuri marketingis programebis meSveobiT, an sabazro fasebSi afTiaqebSi da komerciul seqtorSi. jandacvis umetesi dawesebulebebi, sadac arsebobs ojaxis dagegmvis momsaxureba â&#x20AC;&#x201C; saavadmyofoebi, poliklinikebi da pirveladi jandacvis centrebi â&#x20AC;&#x201C; ufasod urigeben pacientebs oraluri kontracepciis saSualebebs, prezervativebs da spermicidebs; ufaso kontraceptivebs aseve arigeben mobiluri jgufebi. milebis ligireba da saSvilosnos Sida saSualebebis Casma fasiania im dawesebulebebSi, romlebSic muSaoben momzadebuli meanebi/ ginekologebi. kvlevis farglebSi gamoyenebul kiTxvarSi ojaxis dagegmvis bevri sakiTxia gaT143


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

valiswinebuli. magaliTad, kontracepciis meTodebis Sesaxeb codna, kontracepciis meTodebis gamoyeneba warsulSi da amJamad, mowodebis wyaroebi, kontracepciasTan dakavSirebuli konsultaciebi, kontracepciis meTodebis gamoyenebis Sewyvetisa da araefeqturi gamoyenebis maCveneblebi, gamouyeneblobis mizezebi, momavalSi gamoyenebis survili, ojaxis dagegmvasTan dakavSirebuli gzavnilebis miReba da maTi zegavlena, aseve damokidebuleba ojaxis dagegmvisadmi. winamdebare TavSi Setanilia SerCeuli Temebi.

7.1 informirebulobis done kontracep- tivebisa da maTi gamoyenebis Sesaxeb reproduqciuli asakis qalebSi kontracepciis Tanamedrove meTodebis Sesaxeb codnis nakleboba mniSvnelovnad aferxebs ojaxis dagegmvis momsaxurebiT sargeblobas. am problemis aRmofxvris mizniT 2010 wlis reproduqciuli janmrTelobis kvleva moicavda kiTxvebs konkretul kontracepciul saSualebebze zogadi warmodgenis, miwodebis wyaroebis, saimedoobis Sefasebis (kontraceptivebis efeqturobis Sesaxeb codna) da gamoyenebis wesebis Sesaxeb. erTi SexedviT, saqarTveloSi reproduqciuli asakis qalebi kontracepciis Sesaxeb kargad arian informirebulebi. arsebiTad, yvela maTgans (97%) gagonili hqonda kontracepciis sul mcire erTi Tanamedrove saSualebis Sesaxeb, Tumca erTi romelime tradiciuli meTodis Sesaxeb warmodgena SedarebiT naklebia (64%) (cxrili 7.1.1). nebismieri meTodis Sesaxeb

144

codnis done yvelaze dabali qvemo qarTlis regionSi, xolo yvelaze maRali – Tbilissa da imereTis regionSi aRmoCnda. saSualod, qalebisTvis cnobili iyo 3.4 Tanamedrove meTodi – es maCvenebeli meryeobda 3.8 Tanamedrove meTodis codnidan gaTxovil qalebSi 2.7 Tanamedrove meTodis codnamde im qalebs Soris, vinc arasdros yofila gaTxovili. rogorc mosalodneli iyo, informirebuloba izrdeboda uSualod respondentis asakTan erTad; axalgazrda qalebma icodnen 2.6 Tanamedrove meTodis Sesaxeb, maSin, roca 35 an ufrosi asakis qalebma – TiTqmis 4 Tanamedrove meTodis Sesaxeb (cxrili 7.1.2). kontracepciis Tanamedrove saSualebebis Sesaxeb codnis done aseve izrdeboda ganaTlebis donis mixedviT – saSualod 2.4 meTodis codnidan arasruli saSualo ganaTlebis qalebs Soris 4.0 meTodamde umaRlesi ganaTlebis mqone qalebSi (cxrili 7.1.3). kondomi (94%), saSvilosnos Sida saSualeba (sSs) (87%) da oraluri kontraceptivebi (81%) – es is saSualebebia, romelTa Sesaxeb codna yvelaze metad aris gavrcelebuli, miuxedavad ojaxuri mdgomareobis, asakis Tu ganaTlebisa. yvela qvejgufSi aRiniSna milebis ligirebis, vazeqtomiisa da saineqcio saSualebebis Sesaxeb codnis dabali done. qalebis mxolod 39%-s smenoda milebis ligirebis da kidev ufro naklebs (4%-s) vazeqtomiis Sesaxeb. informirebulobis es dabali done yofili sabWoTa blokis yvela qveyanaSi dafiqsirda (suraTi 7.1.1), rac xSirad zRudavda milebis ligirebis, rogorc kontracepciis saSualebis, misawvdomobas. aRmosavleT evropis saxelmwifo-


saboloo angariSi

Ta umetesobaSi, maT Soris saqarTveloSi, milebis ligireba an sagangebod aris daSvebuli kanoniT, an ar aris sagangebod akrZaluli (da, Sesabamisad, igulisxmeba, rom daSvebulia). Tumca qveynebis umravlesobas dawesebuli aqvs garkveuli pirobebi an SezRudvebi qirurgiul kontracepciaze (magaliTad, asaki da/an ojaxSi bavSvebis raodenobis mimarT moTxovnebi, samedicino komitetis mier damtkiceba, meuRlis Tanxmoba), romelTa Sesaxeb informacia yovelTvis ar aris cnobili arc momsaxurebis mimwodebelTaTvis da arc momxmarebelTaTvis (EngenderHealth, 2002). magaliTad, sabWoTa kavSirSi milebis ligirebis legalizeba 1990 wels moxda, akrZalvis xangrZlivi periodis Semdeg (ssrk-is jandacvis saministro, 1990 wlis 14 dekembris #484 brZanebuleba), da am meTodis gamoyenebis neba daerToT mxolod 3 an met Svilian qalebis

an 30 welze ufrosi asakis qalebisTvis, romelTac ukve hyavT 2 Svili (es SezRudvebi 1993 wels Semsubuqda). 1991 wels sabWoTa kavSiris daSlis Semdeg mis yofil wevr saxelmwifoTa umetesobam gaagrZela milebis ligirebis regulireba ssrk-is sakanonmdeblo normebze dayrdnobiT, Tumca ar iyo cxadi, rom zemoxsenebuli SezRudvebi kvlavac imoqmedebda. milebis ligirebis misawvdomoba saqarTveloSi regulirdeba janmrTelobis dacvis Sesaxeb saqarTvelos kanoniT (saqarTvelos mTavroba, 1997w.). am kanonis 145-e muxli iTvaliswinebs, rom milebis ligireba nebadarTulia mxolod licenzirebul samedicino dawesebulebaSi licenzirebuli eqimis mier, Tu arsebobs pacientis werilobiTi Tanxmoba da Tu pacientisTvis eqimis mier Catarebuli winaswari gasaubrebis Semdeg gasulia erTi Tvis 145


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 7.1.5

kontracepciis Tanamedrove meTodebis, maTi gamoyenebisa gzebisa da wyaros codnis tendenciebi 15-44 wlis qalebSi; 1999, 2005 da 2010 wlebi 1999

120

100

95

97

2005

2010

96

80

74

75

77

78

80

84

60

40

20

0

kontracepciis Tanamedrove meTodebis Sesaxeb codna

Tanamedrove meTodebis gamoyenebis codna

mosafiqrebeli vada. marTalia, milebis ligireba kanonmdeblobiT daSvebulia, magram cota qals Tu aqvs sakmarisi codna am meTodis Sesaxeb, raTa miiRos gadawyvetileba imasTan dakavSirebiT, unda Tu ara misi gamoyeneba. rogorc Cans, ojaxis dagegmvis meTodis saxiT milebis ligirebis gamoyenebis Sesaxeb codnis nakleboba saqarTveloSi am meTodis gamoyenebis yvelaze mniSvnelovani Semaferxebeli faqtoria. 2010 wels gamokiTxul im qalebs Soris, visac aRar undoda Svilis yola, TiTqmis or mesameds mxolod SezRuduli codna hqonda proceduris Sesaxeb. proceduris Sesaxeb codnis nakleboba, imis arcodna, Tu sad SeiZleba misi Catareba, qirurgiuli Carevis an operaciis Semdgomi garTulebebis SiSi â&#x20AC;&#x201C; es aris yvelaze mniSvnelovani mizezebi milebis ligirebiT dainteresebis naklebobaSi (monacemebi ar aris naCvenebi). codnis nakleboba da araswori Sexedulebebi oraluri kontraceptivebis Sesax146

Tanamedrove kontraceptiuli saSualebebis wyaros codna

eb yofili sabWoTa reJimis kidev erTi memkvidreobaa, gansakuTrebiT SedarebiT ufrosi asakis qalebSi. sabWoTa periodSi hormonaluri meTodebi aqtiurad ar gamoiyeneboda ojaxis dagegmvis mizniT da, Cveulebriv, samedicino CvenebiT iniSneboda. garda amisa, hormonaluri saSualebebis gamoyenebis potenciuri safrTxe janmrTelobisaTvis da SesaZlo gverdiTi movlenebi gazviadebuli iyo. Sedegad, yofili sabWoTa blokis qveynebSi qalebi kvlavac ar arian informirebulni oraluri kontraceptivebis Sesaxeb (suraTi 7.1.2). imis codna, rom kontracepcia arsebobs, ar gulisxmobs codnas kontracepciis meTodebis gamoyenebis Sesaxeb. miuxedavad imisa, rom kontracepciis Sesaxeb codna saqarTveloSi Zalian maRalia, codna imisa, Tu rogor unda iqnes gamoyenebuli esa Tu is Tanamedrove an tradiciuli meTodi, gacilebiT naklebi iyo (96% da 76%; 64% da 51%, Sesabamisad). kontracepciis yvelaze


saboloo angariSi

farTod cnobili Tanamedrove meTodebis Sesaxeb informirebulobasa da meTodisa Tu produqtis gamoyenebis codnas Soris seriozuli sxvaoba aRiniSna (SedarebisTvis ix. cxrilebi 7.1.2 da 7.1.4 da suraTi 7.1.3). miuxedavad imisa, rom TiTqmis yvelasTvis cnobili iyo informacia kondomisa da saSvilosnos Sida saSualebebis Sesaxeb, kondomis gamoyeneba mxolod qalebis orma mesamedma icoda da mxolod 59%-ma ganacxada, rom icis, rogor unda saSvilosnos Sida saSualebebis gamoyeneba. oraluri kontracepciis gamoyenebis codnac gacilebiT dabali iyo, vidre informirebuloba meTodis Sesaxeb: qalebis 81%-s smenoda oraluri kontracepciis Sesaxeb, magram 50%-ze naklebma icoda, Tu rogor gamoiyeneba aRniSnuli meTodi. kontracepciis meTodebis Sesaxeb informirebulobasa da procedurebisa da produqtebis gamoyenebis codnas Soris mniSvnelovani sxvaobaa. saSualod, qalebisTvis cnobili iyo kontracepciis daaxloebiT ori Tanamedrove meTodis moxmarebis gzebi. kontracepciis meTodebis Sesaxeb informirebulobasa da maTi gamoyenebis codnas Soris sxvaoba gansakuTrebiT gauTxovar (93% da 58% Sesabamisad) da axalgazrda qalebs (94% da 63% Sesabamisad) Soris gamoikveTa; sxvaoba

TiTqmis waiSala gaTxovili qalebis (99% da 92% Sesabamisad) da 25-44 wlis qalebis (98-99% da 88-92% Sesabamisad) SemTxvevaSi. gauTxovarma da axalgazrda zrdasrulma qalebma saSualod 1.4-1.5 Tanamedrove meTodis moqmedebis Sesaxeb icodnen, maSin, rodesac gaTxovilma an SedarebiT ufrosi asakis qalebma _ saSualod 3 meTodis Sesaxeb. gauTxovar axalgazrda qalebSi, zogjer skolis moswavleebSic, codnis dabali done cxadyofs imis saWiroebas, rom sqesobrivi janmrTelobis Sesaxeb asakobriv jgufebze orientirebul saganmanaTleblo programebSi CairTos informacia kontraceptiuli meTodebis Sesaxeb. reproduqciuli asakis qalebis umetesobas (84%) Tanamedrove kontracepciuli saSualebebis erTi wyaros dasaxeleba mainc SeeZlo (cxrili 7.1.5). saSualod, qalebs SeeZloT kontracepciis daaxloebiT ori meTodis wyaros dasaxeleba. respondentebisTvis upiratesad yvelaze farTo moxmarebis Tanamedrove kontracepciuli saSualebebis miwodebis wyaro iyo cnobili. magaliTad, qalebis 77%-ma icoda, sad eSova kondomi, 67%-ma - sSs, 65%-ma â&#x20AC;&#x201C; abebi (suraTi 7.1.4). Tumca mxolod 31%-ma Tu icoda, sad tardeba milebis ligireba da Zalian cotam 147


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

- sad SeiZleba vazeqtomiis gakeTeba an sad moipoveba saineqcio saSualebebi, spermicidebi an gadaudebeli kontraceptivebi. kontracepciuli saSualebebis wyaros Sesaxeb codna ufro maRali iyo TbilisSi (90%) da sxva qalaqebSi (87%), vidre soflad mcxovreb qalebs Soris (79%) (cxrili 7.1.5). iseve, rogorc kontracepciis meTodebis Sesaxeb codnis sxva aspeqtebSi, kontracepciuli saSualebebis wyaros Sesaxeb codna asakTan erTad matulobda. 2010 wlisTvis aRiniSna yvelaze gavrcelebuli kontracepciuli saSualebebis Sesaxeb codnis samive aspeqtis (informirebuloba, gamoyenebis gzebi da wyaroebis codna) zrda (cxrili 7.1.6 da suraTi 7.1.5). aRniSnuli gaumjobeseba SesaZloa Sedegia bolodroindeli saqmianobisa, romelic xorcieldeba jandacvis pirveladi samsaxurebisa Tu mobiluri jgufebis mier da mimarTulia qveynis izolirebul raionebSi ojaxis dagegmvis Sesaxeb informaciis xelmisawvdomobis zrdisken. Tumca aRiniSna gansxvavebebi individualur meTodebTan dakavSirebul tendenciebSi. saSvilosnos Sida saSualebebisa da milebis ligirebis Sesaxeb codnis done 1999 welTan SedarebiT Semcirda, xolo abebTan da kondomebTan dakavSirebiT gaiz148

arda (cxrili 7.1.6 da suraTi 7.1.6). aRsaniSnavia, rom gansxvaveba qalaqSi da soflad mcxovrebTa informirebulobas Soris TerTmeti wlis ganmavlobaSi Semcirda, magram mainc mniSvnelovani darCa konkretuli meTodebis codnasTan dakavSirebiT. aseve gansxvaveba iyo meTodebis gamoyenebis Sesaxeb gaTviTcnobierebulobaSi. codna ase Tu ise myar (dabal) doneze rCeboda milebis ligirebasTan dakavSirebiT, xolo saSvilosnos Sida saSualebebTan dakavSirebiT es done daeca. 1999 wlis Semdeg abebis da kondomis Sesaxeb codnis done gaizarda (cxrili 7.1.6 da suraTi 7.1.7). am SemTxvevaSic droTa ganmavlobaSi gansxvaveba qalaqSi da soflad mcxovrebTa informirebulobas Soris Semcirda. dabolos, meTodis gamoyenebis wyarosTan dakavSirebuli codna analogiuria Tavad meTodis Sesaxeb codnisa. milebis ligirebis wyarosTan dakavSirebiT es codna erTgvarovnad dabali iyo, saSvilosnos Sida saSualebebTan dakavSirebiT â&#x20AC;&#x201C; daeca, xolo abebis da kondomebis wyaros Sesaxeb gaizarda (cxrili 7.1.6 da suraTi 7.1.8). qalaqSi da soflad mcxovrebTa informirebulobas Soris arsebobda gansxvaveba, romelic 1999 wlis Semdeg Semcirda. aRniSnuli gaumjobeseba SesaZloa Se-


saboloo angariSi

degia im saqmianobisa, romelic xorcieldeba jandacvis pirveladi samsaxurebisa Tu mobiluri jgufebis mier da mimarTulia saqarTvelos mosaxleobisTvis ojaxis dagegmvis Sesaxeb informaciis da Tanamedrove kontraceptivebis, gansakuTrebiT ki abebisa da kondomebis, xelmisawvdomobis zrdisken.

7.2 kontracepciis Sesaxeb informaciis yvelaze mniSvnelovani wyaro reproduqciuli janmrTelobis 2010 wlis kvlevis Sedegebis mixedviT, saqarTveloSi qalTa umravlesobisTvis kontracepciis meTodebis Sesaxeb informaciis pirveladi wyaro iyo: nacnobi an megobari vaJi (32%), Semdeg â&#x20AC;&#x201C; eqimi (17%), naTesavi, oRond ara mSobeli (15%), patniori an qmari (12%), da televizia, radio da interneti (9%) (cxrili 7.2.1 da suraTi 7.2.1). informaciis mniSvnelovan wyarod iSviaTad saxeldebodnen mSoblebi an skola (Sesabamisad 2% da 1%). axalgazrda qalebma (15-24 wlis asakobrivi jgufi) asakiT ufrosi qalebisgan gansxvavebuli informaciis wyaro daasaxeles: axalgazrda qalebis 38%-ma kontracepciis Sesaxeb informacia megobarTan an megobar vaJTan saubrisas miiRo, 16%-ma - naTesavTan an mSobelTan saubrisas, xolo 15%-ma â&#x20AC;&#x201C; masobrivi informaciis audiovizualuri saSualebebidan. aRniSnuli asakis qalebSi jandacvis muSakis mier informaciis miwodebis maCvenebeli gacilebiT dabalia, vidre 25-34 an 35-44 asakobriv jgufSi (Sesabamisad 9%, 19% da 21%), maSin, roca televiziis an radios kontracepciis Sesaxeb informaciis pirvelad wyarod dasaxelebis SemTxvevebi orjer me-

tia (Sesabamisad, 15%, 7% da 7%). igive gansxvavebebi dafiqsirda dauqorwinebel qalebsa da odesme qorwinebaSi myof qalebs Soris, vinaidan es ori jgufi Zalze gansxvavebulia saSualo asakiT. kontracepciis Sesaxeb informaciis wyaro gansxvavebulia meTodebis mixedviTac (cxrili 7.2.2). kondomebTan dakavSirebuli informaciis ZiriTad wyarod dasaxeldnen megobrebi, naTesavebi da media, da ara jandacvis muSakebi. Tumca informaciis wyaros saxiT jandacvis muSaki uSualod mohyveboda megobrebs/megobar vaJebs abebTan da saSvilosnos Sida saSualebebTan, aseve milebis ligirebasTan da spermicidebTan mimarTebaSi. rac Seexeba kontracepciis naklebad gavrcelebul saSualebebs, rogoric aris vazeqtomia, saineqcio saSualebebi da gadaudebeli kontracepciuli saSualebebi, upirveles wyarod jandacvis muSakebi da wignebi dasaxelda. Sewyvetili sqesobrivi aqtis Sesaxeb partnioris/qmris (39%) Semdeg rigiT meore mniSvnelovan wyarod megobari an megobari vaJi (37%) dasaxelda (suraTi 7.2.2). aRniSnuli monacemebi garkveulwilad miuTiTebis kontracepciis Sesaxeb informaciis mdare xarisxsa da sazogadoebrivi jandacvis saqmianobis gaaqtiurebis aucileblobaze, romelic mimarTuli iqneba kontracepciis sargeblobis Sesaxeb qalTa codnis asamaRleblad ufro saimedo arxebis meSveobiT, rogoricaa skolebi, informaciis masobrivi saSualebebi da jandacvis samsaxurebi.

149


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

7.3 codna kontraceptivebis efeqturobis Sesaxeb reproduqciuli janmrTelo