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ქალთა რეპროდუქციული ჯანმრთელობის კვლევა საქართველოში, 2010


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        , 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)

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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


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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


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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.

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qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

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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

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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

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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

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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

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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.

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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

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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

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

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

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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

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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.

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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.

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qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

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meTodologia

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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

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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

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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).

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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

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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 janmrTelobis 2010 wlis kvlevaSi aisaxa ara mxolod kontracepciis meTodebisa da maTi wyaroebis Sesaxeb codna, aramed kontraceptivebis efeqturobis Sesaxeb informirebulobac. kontraceptivebis efeqturobis Sesaxeb swori informacia wyvilebs didad Seuwyobda xels daugegmavi orsulobebis Tavidan acilebaSi. mosaxleobis codnis done kontracepciis ama Tu im meTodis efeqturobis Sesaxeb SeiZleba CaiTvalos kontracepciuli saSualebebis Sesaxeb gavrcelebuli informaciis, saganmanaTleblo programebisa da konsultaciebis adekvaturobis indikatorad. 2010 wlis kvlevis monacemebis mixedviT, qalTa umetesobas miaCnia, rom arc erTi Tanamedrove meTodi ar aris saTandod efeqturi (cxrili 7.3 da suraTi 7.3.1). qalebis 29%-ma marTebulad miiCnia saSvilosnos Sida saSualebebi efeqtur saSualebad orsulobis Tavidan acilebisTvis, maSin, roca igive maCvenebeli mxolod 16%-ia qirurgiul sterilizaciasTan mimarTebaSi. qalebis didi nawili abebs efeqtur saSualebad ar miiCnevs, rac arasworia. faqtobrivad, qalTa wili, vinc upiratesobas abebs aniWebs (marTebulad), naklebi aRmoCnda im qalTa wilze, visac Zalian efeqtur saSualebad aramarTebulad miaCnia kondomi (10% da 19% Sesabamisad), Tumca kondomis dokumenturad dadasturebuli efeqturoba gacilebiT naklebia, vidre oraluri kontraceptivebisa (Hatcher et al., 2004). kontracepciis tradiciuli meTodebis mimdevarTa Soris gavrcelebuli mcdari Sexedulebebi naTeli magaliTia imisa, Tu rogori gavlena SeiZleba iqonios kontracepciuli saSualebebis efeqturobis Sesaxeb codnis naklebobam meTodis Segnebul arCevanze da gazardos naklebad efeqturi meTodisTvis mimarTvis SemTxvevebi. kalendaruli meTodi da Sewyvetili sqesobrivi aqti qalebis Sesabamisad 38%-ma da 27%-ma daasaxela Zalian efeqturad an efeqturad. marTalia, im qalebis procentuli raodenoba, visac smenia am meTodebis Sesaxeb, 2005-2010 wlebis periodSi Semcirda (68%-dan 59%-mde kalendarul meTodTan da 55%-dan 43%-mde Sewyvetili sqesobrivi aqtis meTodTan mimarTebaSi) (cxrili 7.1.6), rwmena tradiciuli meTodebis maRal efeqturobis Sesaxebii dominanturi Sexedulebaa im qalebSi, visac smenia am me-

150

Todebis Sesaxeb. cxrilSi 7.3 42% da 56%s arasodes smenia am ori meTodis Sesaxeb da, Sesabamisad, rodesac isini amoRebuli iqneba, danarCeni meTodebis umetesoba moxvdeba Zalian efeqturis an efeqturis kategoriaSi. ufro vrceli informacia tendenciebis Sesaxeb naCvenebia cxrilSi 7.3.1. tendenciebi cvalebadia da amis mizezebi ar aris naTeli. 1999-2005 wlebSi saSvilosnos Sida saSualebebisa da oraluri kontraceptivebis efeqtianobis aRqma gaizarda (Sesabamisad, 31%-dan 40%-mde da 9%-dan 13%-mde). magram SemdgomSi, 2010 wels, am maCvenebelTa doneebma daiwia TiTqmis 1999 wlis doneebamde da miaRwia, Sesabamisad, 29%-s da 10%s. milebis ligirebis maRali efeqturobis Sesaxeb Sexedulebis maCvenebeli ganaxevrda 1999 da 2005 wlebis periodSi (28%-idan 14%-mde) da TiTqmis ucvleli iyo 2005-2010 wlebSi. rom SevajamoT, sazogadoebaSi ama Tu im meTodebis, aseve maTi gamoyenebisa da wyaros Sesaxeb codnis didi deficiti aRiniSneba. meTodebis saimedoobis Sesaxeb Sexedulebebi ar aris erTgvarovani da SeiniSneba seriozuli araswori Sexedulebebi, rac savaraudod gazrdis daugegmavi orsulobebisa da abortebis raodenobas. cxadia, rom saWiroa programebi am farTod gavrcelebuli problemebis mosagvareblad da rogorc sazogadoebis, ise jadacvis dawesebulebaTa personalisTvis Tanamedrove kontracepciis Sesaxeb codnis miwodeba amJamindeli mcdelobebis xelSesawyobad.


62.2 57.4 37.0 498

58.5 43.2

6,292

kalendaruli meTodi Sewyvetili sqesobrivi aqti

SemTxvevaTa raodenoba

3.2

63.7

3.4

93.8 85.1 79.1 36.4 19.3 3.2 2.8 2.8

94.5 87.5 81.1 39.3 20.7 5.2 4.8 4.2

odesme smenia tradiciuli meTodebis Sesaxeb

Tanamedrove meTodebis saSualo raodenoba

95.3

95.7

kaxeTi

96.2

96.6

odesme smenia romelime meTodis Sesaxeb

odesme smenia Tanamedrove meTodis Sesaxeb kondomi sSs abebi milebis ligireba spermicidebi gadaudebeli kontracepcia saineqcio saSualebebi vazeqtomia

sul

codna kontracepciis Sesaxeb

1,426

64.7 42.8

67.9

3.8

98.4 90.9 89.5 44.3 28.4 10.2 9.3 8.4

98.9

98.9

Tbilisi

392

60.4 40.6

63.1

3.3

95.7 85.0 80.9 47.1 16.8 2.4 3.4 1.6

97.0

97.0

Sida qarTli

546

48.1 46.6

60.4

3.0

83.1 81.3 74.9 30.1 18.7 3.6 3.4 1.7

88.7

90.6

qvemo qarTli

481

55.6 50.9

66.6

2.9

92.7 88.2 73.9 24.7 9.6 1.2 1.7 0.9

94.4

95.0

samcxejavaxeTi

reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

419

51.3 49.4

59.0

2.9

90.8 84.7 72.8 19.2 16.3 3.9 3.2 2.5

95.0

95.4

aWara

regioni

401

51.6 45.8

61.2

3.4

98.2 90.4 79.2 46.2 18.6 1.6 4.6 2.6

98.6

99.2

guria

477

51.6 32.1

55.6

3.2

97.6 84.7 73.8 41.2 12.9 0.8 2.5 2.2

98.3

98.3

samegrelo

805

64.4 44.6

67.0

3.6

95.9 91.1 83.6 51.0 23.1 4.8 3.2 4.2

96.5

96.8

imereTi

393

62.4 46.4

65.6

3.4

94.9 88.4 84.6 37.8 18.8 5.7 4.9 2.3

97.5

97.5

mcxeTamTianeTi

454

54.9 40.0

59.5

3.1

95.4 84.2 76.7 36.6 13.0 3.0 3.6 2.0

96.1

96.3

raWasvaneTi

cxrili 7.1.1 15-44 wlis im qalTa procentuli ganawileba, visac odesme smenia konkretuli kontraceptuli meTodis Sesaxeb, 15-44 wlis im qalTa procentuli ganawileba, visac odesme smenia konkretuli kontracepciuli meTodis Sesaxeb, regionebis regionebis mixedviT cxrili 7.1.1 reproduqciulimixedviT janmrTelobis kvleva: saqarTvelo, 2010

saboloo angariSi

151


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 7.1.2 15-44 wlis qalTa procentuli ganawileba, visac odesme smenia 7.1.2 cxrilikonkretuli kontraceptuli meTodis Sesaxeb, da wlis im qalTa procentuli ganawileba, visac ojaxuri odesme smenia mdgomareobisa konkretuli kontracepciuli 15-44 asakobrivi jgufis mixedviTda asakobrivi jgufis mixedviT ojaxuri mdgomareobisa reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 ojaxuri mdgomareoba codna kontracepciis Sesaxeb

sul

asakobrivi jgufi

qorwinebaSi myofi

adre qorwinebaSi myofi

gauTxovari

15–24

25–34

35–44

odesme smenia romelime meTodis Sesaxeb

96.6

98.6

96.8

93.0

93.8

97.9

98.6

odesme smenia Tanamedrove meTodis Sesaxeb kondomi sSs abebi milebis ligireba spermicidebi gadaudebeli kontracepcia saineqcio saSualebebi vazeqtomia

96.2

98.1

96.3

93.0

93.7

97.7

97.7

94.5 87.5 81.1 39.3 20.7 5.2 4.8 4.2

96.1 95.9 89.7 48.6 27.2 6.2 5.6 4.5

95.0 94.7 89.7 50.8 29.9 9.5 7.3 7.8

91.5 71.8 64.7 21.0 7.8 2.6 3.0 2.8

91.6 73.7 65.8 19.1 8.1 1.8 2.1 1.3

96.7 95.2 90.4 46.5 26.1 6.6 5.2 4.8

95.5 96.0 89.6 55.9 30.2 7.7 7.8 7.0

3.4

3.7

3.8

2.7

2.6

3.7

3.9

odesme smenia tradiciuli meTodebis Sesaxeb kalendaruli meTodi Sewyvetili sqesobrivi aqti

63.7

83.0

74.9

28.5

34.0

77.4

85.1

58.5 43.2

75.3 62.0

71.6 56.7

27.0 8.2

30.3 15.9

70.6 53.8

79.5 64.8

SemTxvevaTa raodenoba

6,292

4,098

389

1,805

1,960

2,359

1,973

Tanamedrove meTodebis saSualo raodenoba

15-44procentuli wlis im qalTa ganawileba procentuli ganawileba visac odesme cxrili 7.1.3 im qalTa cxrili 7.1.3 15-44 wlis (%), visac(%) odesme smeniasmenia kontracepciis konkretuli meTodis Sesaxeb, ganaTlebis mixedviT kontracepciis konkretuli meTodis Sesaxeb, ganaTlebis mixedviT janmrTelobis kvleva, saqarTvelo, reproduqciuli reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 2010 ganaTleba codna kontracepciis Sesaxeb

odesme smenia romelime meTodis Sesaxeb

152

sul

arasruli saSualo an naklebi

sruli saSualo

teqnikumi

umaRlesi/ aspirantura

96.6

91.2

96.1

99.1

99.1

odesme smenia Tanamedrove meTodis Sesaxeb kondomi sSs abebi milebis ligireba spermicidebi gadaudebeli kontracepcia saineqcio saSualebebi vazeqtomia

96.2

90.0

95.8

99.0

99.1

94.5 87.55 87 81.1 39.3 20.7 5.2 4.8 4.2

87.4 69 5 69.5 59.2 19.9 6.7 0.5 0.9 0.2

93.2 86 7 86.7 77.5 30.6 12.5 2.1 1.7 1.2

97.2 97 4 97.4 90.8 51.6 28.0 7.1 4.3 5.5

98.5 95 1 95.1 92.7 51.6 31.5 9.1 9.2 7.9

Tanamedrove meTodebis saSualo raodenoba

3.4

2.4

3.1

3.8

4.0

odesme smenia tradiciuli meTodis Sesaxeb kalendaruli meTodi Sewyvetili sqesobrivi aqti

63.7

40.3

59.3

79.5

74.7

58.5 43.2

33.2 27.9

51.3 41.1

76.7 51.1

71.4 50.6

SemTxvevaTa raodenoba

6,292

1,330

1,568

903

2,491

meTodis Sesaxeb,


sul mcire romelime erTi meTodi sul mcire erTi Tanamedrove meTodi kondomi sSs abebi b b milebis ligireba spermicidebi gadaudebeli kontracepcia saineqcio saSualebebi vazeqtomia Tanamedrove meTodebis saSualo raodenoba sul mcire erTi tradiciuli kalendaruli meTodi Sewyvetili sqesobrivi aqti SemTxvevaTa raodenoba

kontraceptiuli meTodis gamoyenebis codna

92.0 87.3 76.4 72.1 61.1 61 1 37.2 21.2 4.8 3.9 3.6 2.8 69.3 56.2 50.7 4,098

76.5 67.5 58.5 49.77 49 29.0 16.0 4.0 3.5 3.4 2.3 50.5 41.9 34.8 6,292

qorwinebaSi myofi

79.9

sul

62.0 55.2 45.4 389

3.0

77.9 69.3 61.9 61 9 39.7 25.3 7.9 6.8 7.3

85.5

87.9

adre qorwinebaSi myofi

15.9 14.8 5.4 1,805

1.4

50.3 33.1 27.8 27 8 12.9 5.2 2.1 2.2 2.2

56.2

57.5

gauTxovari

ojaxuri mdgomareoba

22.5 18.2 12.3 1,960

1.5

54.7 37.2 32.2 32 2 11.9 5.8 1.3 1.3 1.1

61.1

62.9

15–24

61.9 50.4 43.4 2,359

2.7

75.0 67.5 58.9 58 9 34.6 20.0 5.0 3.5 3.9

84.3

87.9

25–34

72.0 61.4 52.8 1,973

3.0

74.8 74.7 61.1 61 1 43.8 24.0 6.4 6.3 5.6

86.8

91.8

35–44

asakobrivi jgufi

cxrili 7.1.4 15-44 wlis im qalTa procentuli ganawileba (%), vinc acxadebs, rom icis cxrili 7.1.4 15-44 wlis qalTa procentuli ganawileba (%), vinc acxadebs, rom icis konkretuli konkretuli kontraceptiuli meTodis gamoyeneba, ojaxurikontraceptiuli mdgomareobisa dameTodis gamoyeneba, ojaxuri mdgomareobasa da asakobrivi jgufis mixedviT asakobrivi jgufis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

saboloo angariSi

153


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 7.1.5

cxrili 7.1.5

15-44 wlis asakis im qalTa procentuli ganawileba (%), vinc acxadebs, rom

icis,procentuli sad SeiZleba iSovos konkretuli kontracepciuli saSualeba 15-44 wlis im qalTa ganawileba (%), vinc acxadebs, rom icis, sad SeiZleba iSovos konkretuli kontraceptiuli saSualeba asakobrivi asakobrivi jgufisa da sacxovrebeli adgilis mixedviT jgufisa da sacxovrebeli adgilis mixedviT janmrTelobis kvleva, saqarTvelo, 2010 reproduqciulireproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 sacxovrebeli adgili

kontraceptiuli meTodis wyaros codna

sul

icis sad iSovos sul mcire erTi saSualeba

84.1

kondomi sSs e abebi milebis ligireba spermicidebi gadaudebeli kontracepcia saineqcio saSualebebi vazeqtomia Tanamedrove meTodebis saSualo raodenoba SemTxvevaTa raodenoba

154

asakobrivi jgufi

sxva qalaqi

sofeli

15–24

25–34

35–44

90.1

86.9

79.0

75.6

88.8

89.2

77.4 66.5 664.7 30.6 17.1 4.1 3.7 3.4

85.1 68.9 33 73.3 33.9 21.8 8.0 6.3 6.7

80.2 69.8 6 6 67.6 32.7 20.6 3.3 3.2 2.7

71.4 63.2 58 58.2 27.5 12.5 2.3 2.5 2.0

70.5 48.0 50 50.2 13.0 6.4 1.3 1.5 1.1

82.0 75.2 36 73.6 36.8 21.1 5.2 3.7 3.9

80.9 79.4 72.88 45.2 25.7 6.5 6.4 5.8

2.3

2.7

2.5

2.0

1.5

2.7

3.0

6,292

1,426

1,549

3,317

1,960

2,359

1,973

Tbilisi


saboloo angariSi

cxrili 7.1.6 cxrili 7.1.6

ZiriTadi tendenciebi kontracepciuli meTedobis Sesaxeb codnis, maTi gamoyenebisa da Tanamedrove meTodebis wyaroebis Sesaxeb, sacxovrebeli ZiriTadi mixedviT, tendenciebi kontracepciuli meTodebis Sesaxeb codnis, maTi gamoyenebisa da Tanamedrove adgilis 15-44 wlis yvela qals Soris Sesaxeb, sacxovrebeli adgilis mixedviT,kvlevebi, 15â&#x20AC;&#x201C;44 wlis yvela qals Soris meTodebis wyaroebis saqarTveloSi reproduqciuli janmrTelobis saqarTveloSi reproduqciuli janmrTelobis kvlevebi, 1999, 2005 da 2010 wlebi 1999, 2005 da 2010 wlebi

kontracepciis meTodi

sul

1999

2005

sacxovrebeli adgili

sacxovrebeli adgili

qalaqi

sul

sofeli

qalaqi

2010 sul

sofeli

sacxovrebeli adgili qalaqi

sofeli

kontracepciuli meTodebis Sesaxeb gaTviTcnobierebuloba nebismieri meTodi nebismieri Tanamedrove meTodi kondomi sSs abebi milebis ligireba spermicidebi vazeqtomia gadaudebeli kontracepcia saineqcio saSualebebi nebismieri tradiciuli meTodi kalendaruli Sewyvetili sqesobrivi aqti

95.1

98.2

91.3

96.9

99.5

93.8

96.6

98.4

94.6

94.9

98.0

90.8

96.7

99.4

93.4

96.2

98.3

93.9

88.5 92.6 67.5 43.5 11.3 12.4

95.5 95.9 77.7 48.5 14.6 16.9 6.0

79.3 88.3 54.4 37.0 6.9 6.6 1.6

95.2 93.9 81.3 38.5 18.4 5.1

99.2 96.8 88.4 47.7 23.6 7.6 6.2

90.3 90.3 72.7 27.4 12.1 2.1 1.8

94.5 87.5 81.1 39.3 20.7 4.2

97.3 90.0 87.2 42.6 25.8 5.9 7.4

91.3 84.8 74.2 35.5 15.0 2.2 2.7

5.8

2.5

5.2

1.1

6.6

2.8

4.1

4.2

4.3

5.2

3.3

4.8

69.4

74.0

63.5

72.5

77.1

67.0

63.7

66.2

61.0

64.9 50.3

71.0 53.6

57.0 46.1

68.2 54.9

74.2 58.0

60.8 51.0

58.5 43.2

62.7 42.6

53.6 43.9

meTodebis gamoyenebis Sesaxeb gaTviTcnobierebuloba nebismieri meTodi nebismieri Tanamedrove meTodi kondomi sSs abebi milebis ligireba spermicidebi vazeqtomia gadaudebeli kontracepcia saineqcio saSualebebi nebismieri tradiciuli meTodi kalendaruli mSewyvetili sqesobrivi aqti

77.9

83.3

70.9

79.4

83.2

74.7

79.9

83.4

75.9

73.5

80.4

64.7

75.1

79.9

69.4

76.5

81.5

70.9

62.2 61.8 30.1 30.1 7.0 8.9

71.3 67.0 36.9 35.2 9.6 12.0 4.1

50.4 55.2 21.4 23.6 3.6 4.9 1.0

66.6 64.0 45.9 28.3 11.5 3.5

72.8 67.6 50.2 35.4 14.8 5.3 3.9

59.2 59.6 40.6 19.5 7.6 1.3 0.8

67.5 58.5 49.7 29.0 16.0 3.4

73.7 62.1 54.7 32.5 20.3 4.7 5.7

60.4 54.5 44.2 25.1 11.0 1.9 2.2

3.8

1.0

2.5

0.7

4.8

2.1

52.1

56.4

46.5

55.5

58.9

51.3

50.5

51.4

49.4

43.0

49.0

35.3

46.7

52.3

39.9

41.9

45.6

37.7

37.9

40.0

35.1

41.3

43.0

39.2

34.8

33.0

36.8

2.7 2.6

2.5 1.7

4.0 3.5

sad SeiZleba kontracepciuli saSualebis miReba nebismieri Tanamedrove meTodi kondomi sSs abebi milebis ligireba spermicidebi vazeqtomia gadaudebeli kontracepcia saineqcio saSualebebi SemTxvevaTa raodenoba

77.5

83.8

69.4

80.4

84.2

75.7

84.1

88.5

79.0

65.8 67.9 45.8 34.0 8.4 9.4

75.7 73.5 55.3 38.7 11.3 12.7 4.5

53.1 60.7 33.5 27.9 4.6 5.2 0.8

74.2 70.6 61.4 30.1 13.6 4.1

79.6 74.0 67.6 37.2 17.6 5.8 4.6

67.6 66.4 54.0 21.5 8.8 1.9 1.1

77.4 66.5 64.7 30.6 17.1 3.4

82.8 69.3 70.6 33.3 21.2 4.7 5.8

71.4 63.2 58.2 27.5 12.5 2.0 2.3

3.7

1.1

3.0

0.7

4.8

2.5

4,759

3,039

3,196

3,180

2,975

3,317

2.9 2.6 7,798

3.0 2.0 6,376

4.1 3.7 6,292

155


156

8.9 16.5 6.2 14.5

17.0 15.3 12.2 9.1 3.3 4.8 2.1 1.6 1.6 0.1 1.7 1.2 100.0 1,854

4.2 2.5 2.2 1.8 0.8 0.2 1.5 1.0 100.0 6,123

sxva ar axsovs

sul SemTxvevaTa raodenoba

TanamSromeli, kolega, Tanatolebi deda an mama wignebi gazeTebi, Jurnalebi, maswavlebeli eqTani, bebiaqali, feldSeri, sazogadoebrivi jandacvis muSaki

37.6

32.1

megobrebi, megobari vaJi eqimi naTesavi partniori/qmari televizia/ radio/interneti

15–24

sul

wyaro

2,319

100.0

1.4 1.1

0.2

1.9 1.8 1.5 0.6

4.4

7.0

19.5 15.3 14.6

30.6

25–34

1,950

100.0

1.4 0.9

0.3

1.0 2.8 2.2 0.5

4.8

6.7

21.2 14.4 14.8

29.0

35–44

asakobrivi jgufi

4,050

100.0

1.4 1.0

0.3

1.7 1.8 1.6 0.4

3.8

6.0

22.3 14.7 16.3

28.7

qorwinebaSi myofi

378

100.0

0.8 0.5

0.0

1.9 3.6 1.2 0.5

6.1

7.3

17.2 14.0 16.0

30.9

adre qorwinebaSi myofi

1,695

100.0

2.1 1.2

0.1

4.6 3.0 2.5 2.1

4.9

17.9

2.6 17.4 0.0

41.6

gauTxovari

ojaxuri mdgomareoba

reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis

kontracepciis Sesaxeb informaciis yvelaze mniSvnelovani wyaro asaobrivi jgufis da ojaxuri mdgomareobis mixedviT, 15 - 44 wlis qalebi cxrili 7.2.1 kontracepciis Sesaxeb informaciis yvelaze mniSvnelovani wyaro asakobrivi jgufis da ojaxuri mdgomareobis mixedviT, romelTac kontracepciis sul erTi meTodis Sesaxeb 15-44 wlis qalebi, romelTac smeniaTsmeniaT kontracepciis sul mcire erTimcire meTodis Sesaxeb

cxrili 7.2.1

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


sul SemTxvevaTa raodenoba

megobrebi, megobari vaJi eqimi naTesavi partniori/qmari televizia/radio/in terneti TanamSromeli, kolega, Tanatolebi deda an mama wignebi gazeTebi, Jurnalebi, broSurebi, bukletebi maswavlebeli eqTani, bebiaqali, feldSeri, sazogadoebrivi jandacvis muSaki sxva ar axsovs

wyaro

39.8 25.3 12.2 0.1 8.7

3.5

1.4 2.8 1.7

1.2 0.2

2.3 0.7

100.0 5,237

4.2

2.5 2.2 1.8

0.8 0.2

1.5 1.0

100.0 6,123

abebi

32.1 17.0 15.3 12.2 9.1

sul

100.0 5,652

0.9 0.6

1.0 0.1

2.6 1.9 0.9

3.8

37.8 32.2 15.6 0.2 2.5

sSs

100.0 6,006

1.6 0.8

0.8 0.0

0.8 1.3 1.5

4.1

41.9 8.7 6.9 17.1 14.6

kondomi

100.0 1,346

4.2 0.3

2.2 0.1

0.2 5.4 2.9

6.3

35.2 28.8 9.0 0.6 4.7

spermicidi

100.0 2,614

0.4 1.0

2.4 0.2

1.2 6.1 2.6

4.0

33.8 25.1 17.4 0.3 5.5

milebis ligireba

100.0 259

1.1 0.4

8.4 0.0

0.4 28.0 7.4

6.8

11.6 22.6 3.2 0.4 10.0

vazeqtomia

100.0 306

1.9 2.0

6.5 0.3

0.6 15.4 7.5

8.9

15.1 25.3 5.0 0.3 11.1

saineqcio saSualebebi

kontracepciis meTodi

100.0 326

3.2 1.3

4.5 0.3

0.0 13.0 4.3

9.0

27.9 25.2 4.5 0.3 6.4

gadaudebeli kontracepcia

100.0 3,906

0.7 0.9

1.0 0.3

3.2 2.5 0.9

4.5

46.4 13.2 25.2 0.6 0.6

kalendaruli meTodi

100.0 2,958

0.2 1.5

0.4 0.1

0.2 1.5 0.4

4.0

37.4 3.6 11.3 39.3 0.3

Sewyvetili sqesobrivi aqti

informaciis yvelaze mniSvnelovani mniSvnelovani wyaro kontracepciis meTodebis Sesaxeb Sesaxeb 15-44 wlis qalebi, romelTac smeniaT cxrili 7.2.2informaciis cxrili 7.2.2 yvelaze wyaro kontracepciis meTodebis 15-44 wlis qalebi, smeniaT kontracepciis, kontracepciis, sulromelTac mcire, erTi meTodis Sesaxebsul mcire, erTi meTodis Sesaxeb reproduqciuli kvleva: saqarTvelo, reproduqciulijanmrTelobis janmrTelobis kvleva, saqarTvelo, 2010 2010

saboloo angariSi

157


158 33.5 23.9

10.1 19 2 19.2 4.7 3.4

abebi

kondomi

kalendaruli meTodi Sewyvetili sqesobrivi aqti 8.6

10.0

15 1.5

2.3

1.7

0.4

uefeqto

7.2

10.2

14 7 14.7

15.5

13.2

4.6

ar icis

56.8

41.5

55 5.5

18.9

12.5

60.7

arasodes smenia

da Tanmimdevrulad gamoyenebis SemTxvevaSi ( Hatcher et al., 1998).

* CamoTvlilia kontraceptiuli meTodis efeqtianobis klebadi rigiT kontraceptivebis sworad

59 1 59.1

53.3

43.1

29.5

sSs

17.9

efeqturi

16.3

Zalian efeqturi

kontraceptivebis efeqtianoba

milebis ligireba

meTodi *

kontracepciis

100.0

100.0

100 0 100.0

100.0

100.0

100.0

sul

6,292

6,292

6 292 6,292

6,292

6,292

6,292

SemTxvevaTa raodenoba

kontracepciis ama Tu im meTodis efeqturobis Sesaxeb Sexedulebebi 15-44 wlis yvela qalis procentuli ganawileba kontraceptivebis efeqturobis Sesaxeb maTi 15-44 wlis yvela qali mosazrebebis mixedviT reproduqciuli janmrTelobis saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: kvleva, saqarTvelo, 2010

cxrili 7.3

cxrili 7.3

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


Tavi

8

kontracepciuli saSualebebis gamoyeneba winamdebare Tavi iwyeba yvela qalis, daqorwinebulis Tu dauqorwineblis, mier kontraceptiuli saSualebebis odesme gamoyenebis SeswavliT. umetesad kontraceptivebs iyeneben qorwinebaSi myofi qalebi da, garkveulwilad, qorwinebaSi adre myofi qalebi; Zalian iSviaTia maTi moxmareba im qalebis mier, romlebic arasodes yofilan gaTxovili. aqedan gamomdinare, kontraceptivebis odesme gamoyenebis procentuli maCvenebeli yvela qals Soris gacilebiT naklebia, vidre procentuli maCvenebeli amJamad qorwinebaSi myof qalebs Soris.

8.1 kontracepciuli saSualebebis odesme gamoyeneba saqarTveloSi kontracepciuli saSualebebis odesme gamoyenebis procentuli maCvenebeli ar aris maRali, rac imaze miuTiTebs, rom kontraceptivebis, kerZod, maRali efeqtis mqone meTodebis, gamoyeneba jer sul axali dawyebulia. garda amisa, procentuli maCvenebeli yvela qalisTvis Semcirebulia qorwinebaSi armyofi qalebis CarTvis gamo. miuxedavad amisa, 1999 wlidan dawyebuli tendencia sainteresoa (ix. suraTi 8.1.1; da cxrili 8.1.1). Tanamedrove meTodebis gamoyeneba mudmivad izrdeba da aseve mudmivad klebulobs tradiciuli meTodebis gamoyenebis SemTxvevaTa raodenoba. saerTo Sedegia mTliani procentuli maCveneblis mateba im qalebisa, romlebsac odesme gamouyenebiaT es meTodebi. miaqcieT yuradReba, rom arsebobs zeddeba Tanamedrove da tradiciul meTodebs Soris, vinaidan zogierT qals orive gamouyenebia. aqedan gamomdinare, es ori monacemi ver Seikribeba. xazebi marjvniv gviCvenebs, rom 2010 wels yvela qalis 46%s odesme hqonda gamoyenebuli es meTodi, rac mxolod 38%-s Seadgenda 1999 wels. es procentuli maCvenebeli gacilebiT maRalia qorwinebaSi myof qalebSi, rogorc es naCvenebia cxrilSi 8.1.2. kontracepciuli saSualebebis odesme gamoyenebis maCvenebeli yvelaze maRalia 30 da meti wlis qalebSi (67%-70%), gansakuTrebiT ki maSin, roca ojaxSi ori an sami bavSvia (82%-86%), umaRlesi ganaTlebis mqone (51%-56%) da maRali socialurekonomikuri statusis mqone qalebSi (52%). ragind gasakviric ar unda iyos, Zalian 159


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

kontracepciis gamoyenebis statusis cvlileba saqarTveloSi

FsuraTi 8.1.1 15-44 wlis yvela qals Soris1999, 2005 da 2010 wlebSi

62 1999

2005

58

2010

54

36

25

29

29

nebismieri gamoyenebuli Tanamedrove meTodi

suraTi 8.1.2

27

25

nebismieri gamoyenebuli tradiciuli meTodi

arasdros gamouyenebia

kontraceptivebis odesme gamoyeneba 15-44 wlis qalebSi regionebis mixedviT

49 48 47

47 46

46

46

46

45

Sida KqarTli

Tbilisi

F 8.1.3 suraTi

kaxeTi

samcxejavaxeTi

Kqvemo KqarTli

mcxeTamTianeTi

Gguria

samegrelo

imereTi

41

41

AaWara

raWasvaneTi

kontraceptivebis odesme gamoyeneba meTodis mixedviT 15-44 wlis yvela qalis mier, asakobrivi jgufebis mixedviT tradiciuli

Tanamedrove

70

nebismieri meTodi

69

51

30

4

1

11

53

40

23

3

25

44

51

42

15-19 20-24 25-29 35-39 40-44

cotaa gansxvaveba erovnebebis mixedviT, Tumca qarTveli qalebi ufro xSirad mimarTaven Tanamedrove meTodebs da ufro iSviaTad - tradiciul meTodebs, vidre azerbaijaneli Tu somexi qalebi. suraTze 8.1.2 naCvenebia, rom romelime Tanamedrove meTodis odesme gamoyeneba yvelaze maRali iyo Sida qarTlSi (49%) da yvelaze dabali 160

raWa-svaneTSi (41%). sainteresoa, rom Tanamedrove meTodebis odesme gamoyenebis maCvenebeli ufro maRalia, vidre tradiciuli meTodebisa suraT 8.1.2-ze naCveneb TiTqmis yvela kategoriaSi. modeli erTnairia yvela asakobrivi jgufisTvis, rogorc es naCvenebia suraTze 8.1.3.


saboloo angariSi

FsuraTi 8.1.4

kontracepciis calkeuli meTodebis odesme gamoyeneba (%) 15-44 wlis yvela qals Soris: 1999, 2005 da 2010 wlebi 1999

2005

2010

20 17

18

17

17

15

16 14 14

13

12

10

10 8 6

1 kalendaruli meTodi

Sewyvetili aqti

sSs

8.1.3 cxrilis Tanaxmad, yvelaze gavrcelebul meTods warmoadgens kondomi (20%), kalendaruli meTodi (17%), saSvilosnos Sida saSualebebi (16%) da Sewyvetili sqesobrivi aqti (15%). rac Seexeba tendenciebs (suraTi 8.1.4), 1999 da 2010 wlebs Soris gaormagda im qalebis procentuli maCveneblebi, romlebmac ganacxades, rom maT partniors erTxel mainc aqvs gamoyenebuli kondomi (10%-dan 13%-20%-mde). Sedegad kondomi yvelaze gavrcelebuli meTodi iyo 2010 wels, rasac mohyveboda kalendaruli meTodi, romelic wamyvani meTodi aRmoCnda 1999 da 2005 wlebis kvlevebis Tanaxmad. odnav gaizarda im qalebis raodenoba, romlebsac odesme gamouyenebiaT saSvilosnos Sida saSualebebi (14%-dan 16%-mde). kalendaruli meTodis odesme gamoyeneba erT doneze darCa 1999-2010 wlebSi (17%-18%). im qalebis raodenoba, romlebmac ganacxades, rom maT FsuraTi 8.2.1

kondomi

abebi

1

2

qalis sterilizacia

partniors odesme miumarTavs Sewyvetili sqesobrivi aqtis meTodisTvis, Semcirda 2005 wlis 17%-dan 2010 wels 15%-mde, Tumca mainc ufro maRali iyo, vidre 1999 wels (12%). oraluri kontraceptivebis odesme gamoyeneba odnav gaizarda, magram umniSvnelod â&#x20AC;&#x201C; 1999 wlis 6%-dan 2010 wels 10%mde. procentuli maCvenebeli im qalebisa, romlebsac odesme gamouyenebiaT spermiciduli produqtebi, saineqcio saSualebebi, gadaudebeli kontracepcia da milebis ligireba, ar gazrdila an 2005-2010 wlebSi mcire mateba iyo registrirebuli. mxolod erTma qalma ganacxada, rom mis partniors Catarebuli hqonda vazeqtomia.

8.2 kontracepciuli saSualebebis amJamad moxmareba kvlevis dros 15-44 wlis yvela qalis 32% (anu 317,000 qali) im periodSi iyen-

calkeuli kontraceptiuli meTodebis amJamindeli moxmareba qorwinebis statusis mixedviT Tanamedrove meTodi tradiciuli meTodi ar iyenebs

6 21 35 11 18 100 64 68 47

sul

daqorwinebuli

adre daqorwinebuli

arasodes yofila gaTxovili

161


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 8.2.2

kontraceptivebis amJamindeli gamoyeneba 15-44 wlis qorwinebSi myof qalebs Soris; aRmosavleTi evropis da evraziis SerCeuli qveynebi Modern

Traditional

procentuloba 80

aRmosavleT evropa

kavkasia

centraluri azia

70 60

11

50

43 53

44 40 30

34

48

20

14

58

20

20 26

10

24

24

34 20

26

35

CZ

MD

RO

RU

21

19

UA

AM

50

47

53

37 21

19

0

AL

55

AZ

GE99 Ge05 Ge10

8

9

8

KZ

KG

TM

4

UZ

wyaro: Most recent RHS or DHS survey in AL=Albania, 2008; CZ=Czech Rep., 1993; MD=Moldova, 2005; RO=Romania, 2004; RU=Russia, 1999; UA=Ukraine, 2007; AM=Armenia 2005; AZ=Azerbaijan 2006; GE=Georgia, 1999, 2005, 2010; KZ=Kazakhstan, 1999; KG=Kyrgyz Republic, 1997 TM=Turkmenistan, 2000; UZ=Uzbekistan., 1996.

FsuraTi 8.2.3

nebismieri kontracepciuli meTodis amJamindeli gamoyeneba regionebis mixedviT Current Contraceptive Use (% Married Women) <45 45-49

*

50-54 55-59 60+

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

ebda kontracepciis meTods, maT Soris iyo im qalebis 21% (daaxloebiT 207,000 qali), romlebic iyenebdnen Tanamedrove meTodebs (kondomi, saSvilosnos Sida saSualebebi, abebi, milebis ligireba da spermicidebi) (cxrili 8.2.1 da suraTi 8.2.1). zogadad, yvelaze xSirad mimarTavdnen kondoms , mas mohyveba saSvilosnos Sida saSualebebi, Sewyvetili sqesobrivi aqti da kalendaruli meTodi. oralur kontraceptivebs moixmarda qalebis 2.4%, xolo milebis ligirebis meTods mimarTa qalebis 1.8%-ma. registrirebul Tu araregistrirebul qorwinebaSi myofi qalebis mier kontraceptivebis moxmarebis maCvenebeli gacilebiT maRalia, vidre maTi gamoyeneba sxvebis mier, radgan isini warmoadgenen sqesobrivad aqtiuri qalebis umravlesobas, maT 162

ufro xSirad aqvT sqesobrivi kavSiri, aqvT ufro maRali Sobadoba da daugegmavi orsulobis riski. saqarTveloSi, faqtobrivad, kontraceptivebis yvela momxmarebeli daqorwinebulia. amJamad qorwinebaSi myofi qalebis 53% iyenebs kontraceptivebs, maT Sorisaa is 35%-ic, romlebic iyenebdnen Tanamedrove meTodebs. gansxvavebiT am qalebisgan, adre qorwinebaSi myofi qalebis mxolod 6% mimarTavs kontracepciis meTodebs da isini TiTqmis sul ar gamoiyeneba dauqorwinebeli qalebis mier. faqtobrivad, adre qorwinebaSi myofi yvela qali iyenebs Tanamedrove meTodebs (4% kondoms, xolo 2% - saSvilosnos Sida saSualebebs da milebis ligirebis grZelvadian an mudmiv meTodebs).


saboloo angariSi

FsuraTi 8.2.4

Tanamedrove kontracepciuli meTodebis amJamindeli gamoyeneba regionebis mixedviT Current Modern Contraceptive Use (% Married Women) <25 25-29

*

30-34 35-39 40+

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

F suraTi 8.2.5

Tanamedrove da tradiciuli kontracepciuli meTodebis amJamindeli gamoyeneba SerCeuli maxasiaTeblebis mixedviT 15-44 wlis qorwinebaSi myof qalebs Soris Tanamedrove meTodebi tradiciuli meTodebi 35

sul

19

sacx. adgili 42

UqalaqSi soflad

15

28

22

EganaTleba <12

28

12 sruli teqnikuri

21

32

16

26

22 17

44

UumaRlesi Aasakobrivi jgufi 15-24

28

35-44

11 39

25-34 34

es Sedegebi SeiZleba aixsnas sxvadasxva faqtoriT. pirveli, qorwinebis gareSe kavSirebi iSviaTia saqarTveloSi anu isini uaryofilia qalebis umravlesobis mier, vinaidan es ar aris misaRebi sazogadoebisTvis. amgvarad, qorwinebaSi armyofma qalebma SeiZleba uari Tqvan ara marto kontraceptivebis gamoyenebaze, aramed saerTod sqesobriv cxovrebaze (amis arapirdapir mtkicebas warmoadgens mamakacebSi Catarebuli kvleva ). garda amisa, bevri qali, qvecnobieradac ki, ar miiCnevs, rom mamakacebis mier prezervativebis gamoyeneba iseve efeqturia, rogorc Tavad maT mier kontraceptivebis moxmareba. dabolos, qalebTan SedarebiT mamakacebis mier dasaxelebuli kondomis moxmarebis ufro maRali maCvenebeli SesaZloa nawilobriv

19 26

imiTac aixsnas, rom am meTodis gamoyeneba mamakacebSi SeiZleba ufro Zlier fizikur mogonebas tovebdes. yvela es faqtori SesaZloa dagvexmaros im gansxvavebebis axsnaSi, romlebic arsebobs mamakacebTan da qalebTan TiTqmis erTdroulad (2005) Catarebuli kvlevebis SedegebSi: Tanamedrove meTodebis amJamindeli moxmareba, rogorc es mamakacebma daasaxeles, 39.5%-s Seadgens, xolo qalebSi es maCvenebeli mxolod 27%-ia. amis ZiriTadi mizezia gansxvavebebi kondomis moxmarebaSi: mamakacebSi – 29%, xolo qalebSi – 5%. sxva meTodebs mamakacebis mxolod 10% mimarTavs. miuxedavad bolo periodSi kontraceptivebis moxmarebis zrdisa – 1999 wlis 41%dan 2010 wels 53%-me, kontraceptivebis gavrcelebis saqarTveloSi arsebuli koe163


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 8.2.6

tendenciebi kontracepciis amJamindel gamoyenebaSi 15-44 wlis qorwinebaSi myof qalebs Soris: 1999, 2005 da 2010 wlebi Anebismieri meTodi traditiciuli meTodi Tanamedrove meTodi

60 53 50 40

47 41 35

30

26 21

20

21

20

19

10 0

2005

1999

F suraTi 8.2.7

2010

saqarTveloSi Tanamedrove kontraceptivebis amJamad gamoyenebis tendenciebis Sedareba aRmosavleT evropis da msoflios saSualo maCveneblebTan

saqarTvelo

aRmosavleT evropa

msoflio 56

56

55

48

36

35 26

41

1999

ficienti yvelaze dabalia aRmosavleT evropasa da evraziaSi (suraTi 8.2.2). aRmosavleT evropis bevr qveyanaSi (magaliTad, albaneTSi, moldovaSi, ruseTsa da ukrainaSi) wyvilebis TiTqmis ori mesamedi iyenebs kontraceptivebs, xolo saqarTveloSi es maCvenebeli ukanasknelad 53% iyo. kontraceptivebis gavrcelebis koeficienti saqarTveloSi SeiZleba Sedardes somxeTis 2005 wlis maCveneblebs (qorwinebaSi myofi qalebis 54%) da azerbaijanis 2006 wlis maCveneblebs (qorwinebaSi myofi qalebis 51%), Tumca saqarTveloSi orjer ufro maRalia Tanamedrove meTodebis gamoyeneba. 2010 wels Tanamedrove meTodebis gamoyeneba SeiZleba Sedardes rumineTis 2004 wlis Sesabamis koeficients (34%), magram ufro dabalia, vidre moldovis, ukrainis, ruseTisa da Sua aziis bolodroindeli xelmisawvdomi maCveneblebi. tradiciuli meTodebis gamoyeneba saqarTveloSi (19%) ufro maRa164

2005

2010

li iyo 2010 wels, vidre Sua aziis qveynebSi (4%-9%) da ukrainasa da ruseTSi. cxrili 8.2.2 gviCvenebs 15-44 wlis qorwinebaSi myofi qalebis mier kontracepciis Tanamedrove da tradiciuli meTodebis gamoyenebas sacxovrebeli adgilis da regionis mixedviT. rogorc mosalodneli iyo, qalaqSi mcxovrebi qalebi ufro aqtiurad iyenebdnen kontraceptivebs, vidre soflad mcxovrebni. qalaqebSi prezervativi yvelaze xSirad moixmareboda da 2.5jer aWarbebda mis gamoyenebas soflebSi. meTodebis gamoyeneba mniSvnelovnad gansxvavdeba regionebs Soris â&#x20AC;&#x201C; 44%-45%dan aWaraSi da mcxeTa-mTianeTSi, 61%-mde Tbilissa da Sida qarTlSi (suraTi 8.2.3). Tanamedrove meTodebis gamoyeneba gansakuTrebiT maRali iyo TbilisSi â&#x20AC;&#x201C; 46% (cxrili 8.2.2 da suraTi 8.2.4). garda samcxe-javaxeTisa da aWarisa, sxva regionebSi mcxovrebi wyvilebi ufro metad mimarTavdnen Tanamedrove meTodebs, vidre tradiciuls.


saboloo angariSi

Tanamedrove da tradiciuli kontracepciuli meTodebis amJamindeli gamoyeneba SerCeuli maxasiaTeblebis mixedviT 15-44 wlis qorwinebaSi myof qalebs Soris

F suraTi 8.2.8

kondomi 14

sul

13

4

2

11

sSs

7

Oabebi

sacx. adgili

Osxva Tanamedr. 20

qalaqSi soflad

8

13

3

5 1

12

7

2

15

Sewyv. aqti

8

kalend. meTodi

7

soc.-ekon... dabali

7

saSualo

9

12

4

12

maRali

16 5

19

6

12 13

7 4

9

8

bavSvebis... 0 4 1

16

11

2

15

16

3

13

13

4+ 4

FsuraTi 8.2.9

14

3

4

8

7

5

14

5

15

15

7

9 9

kontraceptivebis gamoyenebis tendenciebi calkeuli meTodis mixedviT 15-44 wlis qorwinebaSi myof qaleb Soris:1990, 2005 da 2010 wlebi

60

1999

53 50 40

2005

2010

47 40

30 20 10

10 0

12 13

11 11 11

14 10 10

7

6

9 1

sul

sSs

Sewyvetili kalendaruli aqti meTodi

yvela regionSi yvelaze gavrcelebul meTods warmoadgens kondomi da saSvilosnos Sida saSualebebi. kondomis gamoyenebis maCvenebeli yvelaze maRalia TbilisSi (25%), xolo yvelaze dabali â&#x20AC;&#x201C; aWaraSi (5%). saSvilosnos Sida saSualebebis gamoyenebis maCvenebeli yvelaze maRali aRmoCnda Sida qarTlSi, samegrelosa da imereTSi (15%16%). oraluri kontraceptivebis gamoyeneba meryeobs 1%-dan samcxe-javaxeTSi 9%mde samegreloSi. Sewyvetili sqesobrivi aqti yvelaze xSiri iyo samcxe-javaxeTsa da aWaris regionebSi (27% da 20% Sesabamisad). rogorc es naCvenebia cxrilSi 8.2.3 da suraTze 8.2.5, qorwinebaSi myof qalebs Soris kontraceptivebis gamoyenebis yvelaze maRali maCvenebeli iyo 30-34 wlis qalebSi, ori Svilis dedebSi, umaRlesi ganaTlebis da maRali socialur-ekonomikuri statusis mqone qalebSi. aRsaniSnavia, rom TiToeuli am jgufis qalebi ufro Tanamed-

kondomi

3

4

oraluri kontr.

2

2

3

milebis ligireba

rove kontracepciis meTodebs iyenebdnen, vidre tradiciuls. Svilebis ar yola da axalgazrdoba (15-24 wlis asaki) asocirdeboda kontraceptivebis gavrcelebis da qorwinebaSi myof qalebs Soris Tanamedrove meTodebis gamoyenebis yvelaze dabal donesTan. nebismieri meTodis gamoyeneba mniSvnelovnad gaizarda cocxali Svilebis raodenobis zrdasTan erTad â&#x20AC;&#x201C; 6%-dan Svilebis armyol qalebSi 60%-mde metad ori an meti Svilis dedebSi. kontracepciis meTodis gamoyeneba odnav maRali iyo qarTvel qalebs Soris, vidre sxva eTnikuri jgufebis warmomadgenlebSi. kontracepciis Tanamedrove meTodebis gamoyeneba, sul mcire, 50%-iT ufro maRali iyo qarTvel, vidre azerbaijanel da somex qalebSi (37% da 23% da 20% Sesabamisad). procentuli maCvenebeli 15-44 wlis daqorwinebuli qalebisa, romlebic iyenebdnen kontraceptivebs, gaizarda 1999 165


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

Tanamedrove kontraceptivebis miwodebis wyaro 15-44 wlis qorwinebaSi myof qalebSi, vinc amJamad mimarTavs kontracepcias

FsuraTi 8.3.1

jandacvis dawes. afTiaqi partniori

1

3

8

21

57

45 99

87

100

64

50 38

nebismieri meTodi

3 kondomi

UsSs

abebi

kontracepciis Tanamedrove meTodebis miwodebis wyaroebi

FsuraTi 8.3.2 15-44 wlis qorwinebaSi myofi qalebisTvis: 1999, 2005 da 2010 wlebi 55

1999

2005

2010

53 50 45 39

37

8

8 5

jandacvis seqtori

afTiaqebi

wlis 41%-dan 2010 wels 45%-mde (cxrili 8.2.4 da suraTi 8.2.6). kontracepciis Tanamedrove meTodebis gamoyeneba gaizarda 20%-dan 35%-mde (75%-iani zrda). 1999 wlis Semdeg Tanamedrove meTodebis gavrceleba aWarbebda tradiciuli meTodebis gamoyenebas. rogorc es dokumenturad aris dadasturebuli gaero-s mier, kontracepciis axali meTodebis miReba saqarTveloSi ufro swrafad moxda, vidre romelime sxva qveyanaSi. suraTze 8.2.7 naCvenebi kontracepciis Tanamedrove meTodebis gamoyenebis 75%-iani zrda saqarTveloSi (15-iani zrda 20%-ian safuZvelze) SeiZleba Sedardes mxolod 33%-s (12%-iani zrda 36%-ian safuZvelze) aRmosavleT evropis regionSi. amave dros, saSualo maCvenebeli ucvleli darCa msoflioSi. mosaxleobis asakisa da sqesis mixedviT ganawilebis oficialuri cifrebis Tanax166

sxva

mad, saqarTveloSi Tanamedrove kontraceptivebis momxmareblebis zrda 1999 wlis Semdeg niSnavs imas, rom TiTqmis 67,000-iT meti qali iyenebs kontracepciis Tanamedrove meTodebs, vidre 1999 wels. am zrdas yovelwliuri xasiaTi eqneba, risTvisac aucilebelia kargi prognozireba, raTa Tavidan iqnes acilebuli kontraceptivebis maragis nakleboba, kerZod, maSin, roca saCuqrad gadmocemuli kontraceptivebis maragebi iklebs. cxrilebSi 8.2.2 da 8.2.3 da suraTze 8.2.9 mocemul informaciaze dayrdnobiT, gansxvaveba gamoyenebaSi SeiZleba aRiweros meTodis mixedviT, mosaxleobis sxvadasxva qvejgufebisTvis. arsebobs kondomis (14%), saSvilosnos Sida saSualebebis (13%) da Sewyvetili sqesobrivi aqtis meTodebis (11%) gamoyenebis zogadi upiratesoba. kondomis upiratesoba gacilebiT maRali iyo


saboloo angariSi

kontracepciis sxva meTodze gadasvlis msurveli qalebis

F suraTi 8.4.1 procentuli odenoba amJamindeli meTodebis mixedviT,

15-44 wlis qorwinebaSi myofi im qalebis mixedviT, romlebic amJamad iyeneben kontraceptivebs 31

19 17

3

abebi

FsuraTi 8.4.2

sSs

kondomi

spermicidebi

kontracepciis amJamad gamouyeneblobis yvelaze xSirad dasaxelebuli mizezebi asakobrivi jgufebis mixedviT, 15-44 wlis qorwinebaSi myof qalebs Soris

55

amJamad orsuladaa

29 7 24 23

surs daorsuelba

15-24 25-34

13

35-44

6

amJamad ar aris seqsualurad aqtiuri

12 16 2

qalTa uanyofoba

11 37 4 7

iyenebs gamorecxvas

12 5 7 6

daudevroba 2 5 5

partnioris winaaRmdegoba 0%

10%

20%

qalaqis macxovreblebs Soris, vidre soflad mcxovreb wyvilebSi (20% da 8%) da igi pirdapirproporciulad gaizarda ganaTlebis donis matebasTan erTad (7%-dan arasruli saSualo ganaTlebis mqone qalebSi 21%-mde umaRlesi ganaTlebis mqone qalebSi) da ojaxebis socialur-ekonomiur statusTan erTad (dabali qonebrivi statusis mqone qalebis 7%-dan maRali socialur-ekonomiuri statusis mqone ojaxebidan gamosuli qalebis 20%-mde). erTaderT sxva Tanamedrove meTods, romelic xSirad gamoiyeneboda, warmoadgenda saSvilosnos Sida saSualebebi. maTi gamoyenebis yvelaze maRali maCvenebeli, 16%, dafiqsirda Sida qarTlSi, xolo 15% - samegrelosa da imereTSi. am meTodis gamoyenebis SemTxvevebi, Tumca araregularulad, izrdeba asakis matebasTan erTad

30%

40%

50%

60%

70%

da Svilebis raodenobidan gamomdinare. Sewyvetili sqesobrivi aqti, kontracepciis mesame yvelaze gavrcelebuli meTodi, asocirdeba soflad cxovrebasTan (15%), arasrul saSualo ganaTlebasTan (17%), dabal qonebriv statusTan (18%), ori an sami bavSvis yolasTan (14-15%) da somxur an azerbaijanul warmoSobasTan (26% da 20% Sesabamisad). Sewyvetili sqesobrivi aqtis popularoba somxebs Soris aRmoCenili iqna aseve axalgazrdebis kvlevis dros, romelic dafinansebuli iyo evrokavSiris da gaeros mosaxleobis fondis (RHIYC Project) mier 2009 wels . somxeTSi, azerbaijansa da saqarTveloSi Catarebuli axalgazrdebis reproduqciuli janmrTelobis kvlevis Sedegebis SedarebiTma analizma gviCvena, rom informirebuloba da codna Sewyvetili sqesobrivi aqtis meTodTan dakavSirebiT 167


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

yvelaze maRalia somex axalgazrdebs Soris (96% da 95% Sesabamisad). igive maCvenebeli gacilebiT dabalia azerbaijanSi (14% da 12%) da saqarTveloSi (35% da 10%). hormonaluri kontraceptivebis moxmarebis done kvlavac dabali rCeba yvela qvejgufSi. yvelaze met upiratesobas amgvar preparatebs aniWeben samegreloSi da kaxeTSi, savaraudod, gamomdinare regionSi bolo dros donorebis daxmarebiT ganxorcielebul ojaxis dagegmvasTan dakavSirebuli sxvadasxva saqmianobidan, romlebic fokusirebuli iyo hormonaluri meTodis ufro metad gamoyenebaze. gansakuTrebiT dabalia interesi milebis ligirebis mimarT (3%), miuxedavad imisa, rom qorwinebaSi myofi da Svilosnobis unaris mqone respondentebis didma umravlesobam ganacxada, rom aRar surdaT meti Svilis yola. es mdgomareoba albaT gamomdinareobs am meTodze informaciis naklebobidan, aseve xalxSi arsebuli uaryofiTi damokidebulebidan da momsaxurebis mimwodebelTa SezRuduli codnidan sterilizaciis Tanamedrove teqnikis Sesaxeb (rogoricaa minilaparatomia qalebis sterilizaciisTvis da ufri martivi vazeqtomia) (cercvaZe da sxvebi, 2010). iSviaTad gamoiyeneboda sxva Tanamedrove meTodebi (magaliTad, saineqcio saSualebebi, spermicidebi da diafragma). saqarTveloSi adre Catarebuli kvlevebis dros Segrovebulma monacemebma gviCvena udidesi damokidebuleba tradiciul meTodebze, gansakuTrebiT, Sewyvetili sqesobrivi aqtis meTodze. Tumca 2010 wlis kvlevam cxadyo SesamCnevi zrda axali meTodebis gamoyenebaSi da Zveli meTodebis

moxmarebis kleba. marTalia, Sewyvetili sqesobrivi aqti da kalendaruli meTodebi wamyvan meTodebs warmoadgenda 1999 wels, maT 2005 wels meore da mesame adgilebze gadainacvles, xolo 2010 wels â&#x20AC;&#x201C; mesame da meoTxe adgilebze (suraTi 8.2.9). 1999-2010 wlebSi kondomis gamoyenebam wyvilebis mier 2.5-jer (6%-dan 14%-mde) moimata, xolo saSvilosnos Sida saSualebis gamoyenebis maCvenebeli gaizarda 10%dan 13%-mde. Sedegad am orma meTodma, Sesabamisad, pirveli da meore adgili daikaves yvelaze xSirad gamoyenebul meTodebs Soris. bolo periodSi sqesobrivi gziT gadamdebi infeqciebis da aiv-iT inficirebis riskis Sesaxeb gamoqveynebulma masalebma Sedegad moitana kondomis moxmarebis maCveneblis zrda. saSvilosnos Sida saSualebis gamoyenebis zrda, savaraudod, gamowveulia misi misaRebi fasiT da ojaxis zomis SezRudvis surviliT mas Semdeg, rac ojaxSi iqneba Svilebis sasurveli raodenoba. abebis gamoyeneba, rac kvlav dabal donezea, Seicvala mxolod 2005 wlis 3%dan 2010 wels 4%-mde. kontraceptivebis moxmarebis mTliani zrda 2005-2010 wlebSi Sedegia mxolod kondomis, saSvilosnos Sida saSualebebis da oraluri kontraceptivebis moxmarebis zrdisa. kontracepciis sxva Tanamedrove meTodebis gamoyenebaSi ar yofila raime mniSvnelovani cvlileba.

8.3 kontracepciuli saSualebebiT momaragebis wyaro saqarTveloSi kontracepciis saSualebebi ar aris subsidirebuli mTavrobis an janmrTelobis dazRvevis programe-

Tanamedrove kontraceptivebis gamoyenebaze uaris Tqmis yvelaze mniSvnelovani mizezebi 15-44 wlis im qalebs Soris, romlebic amJamad iyeneben tradiciul meTodebs: 1999, 2005 da 2010 wlebi

suraTi F 8.5.1

religiuri Sexedelubebi

50

23

53

32 40

sxva piris rCeva

39

mopovebis sirTule

43

42

partnioris survili

2005 1999

45

eqimis rekomendacia

2010

53

51 50

64

49

Rirebuleba

67

75 75

67 67

codnis nakleboba

70

78 90

gverdiTi movlenebis SiSi

87 0%

168

20%

40%

60%

80%

93 100%


saboloo angariSi

biT. mosaxleobis uRaribesi segmentic ki (800,000 adamiani mTavrobis mier Catarebuli Sefasebis Tanaxmad) ar sargeblobs kontracepciis subsidirebuli momsaxurebiT, maSin, roca samedicino daxmarebis sxva sferoebis udides nawils mTavroba daxmarebas uwevs kerZo sadazRvevo SenatanebiT. donorebis, upirveles yovlisa, gaeros mosaxleobis fondisa da aSS-is saerTaSoriso ganviTarebis saagentos, SeTanxmebuli ZalisxmeviT samedicino dawesebulebebSi, romlebic uzrunvelyofs ojaxis dagegmvis momsaxurebas, xelmisawvdomia (an ufasod, an simbolur fasad) kontracepciuli saSualebebi. cxrilSi 8.3.1 mocemulia kontracepciis wyaroebi qorwinebaSi myofi momxmareblebisTvis, romlebic iyeneben Tanamedrove meTodebs. Tanamedrove kontraceptivebis ZiriTad wyaros jandacvis dawesebulebebi warmoadgendnen (50%). meore udidesi wyaro iyo komerciuli gayidvebi, gansakuTrebiT afTiaqebis meSveobiT (45%), xolo `sxvaâ&#x20AC;? wyaroebis wilad rCeba 5%. qalTa sakonsultacio klinikebi momxmareblebs amaragebdnen kontraceptivebis 25%-iT, xolo saavadmyofos kategoriis dawesebulebebi 21%-iT. `sxvaâ&#x20AC;? kategoriebSi Sedis iseTi wyaroebi, rogorebicaa partniorebi, megobrebi, naTesavebi da savaWro qseli. wyaroebi mniSvnelovnad icvleboda kontracepciis gamoyenebuli meTodebis mixedviT. rogorc naCvenebia cxrilis qveda rigSi, saSvilosnos Sida saSualebebis (99%) da milebis ligirebis (97%) erTaderTi wyaroa samedicino seqtori. afTiaqebi warmoadgenda im dominintur wyaros, romelsac periodulad sWirdeboda maragis Sevseba. F suraTi 8.6.1

afTiaqebi kondomiT uzrunvelyofdnen im qalebis oTx mexuTedze mets, romlebmac gancxades, rom maTi partniorebi iyenebdnen kondoms. afTiaqebi aseve warmoadgendnen wamyvan wyaros spermicidebisTvis (89%), sxva Tanamedrove meTodebisTvis (73%) da abebisTvis (56%) (suraTi 8.3.2). suraTi 8.3.2 gviCvenebs cvlilebebs Tanamedrove kontraceptiuli meTodebis wyaroebSi 1999, 2005 da 2010 wlebs Soris. zogadad, cvlilebebi umniSvneloa. samedicino seqtoris monawileobam iklo 55%-dan (1999) 53%-mde (2005) da 50%-mde (2010), maSin, roca kerZo afTiaqebis monawileobis wili gaizarda 36%-dan (1999) 39%-mde (2005) da 45%-mde (2010). unda aRiniSnos, rom kontracepciis meTodebis wyaroebi srulad ar dardeba wina ori kvlevis dros Segrovil monacemebs. 2007 wels saqarTvelos mTavrobam wamoiwyo jandacvis sferos yovlismomcveli reforma, romelic miznad isaxavda sistemis privatizebas. saavadmyofoebis privatizebas regulirebas uwevda saavadmyofoebis ganviTarebis generaluri gegma (saqarTvelos janmrTelobis, Sromisa da socialur sakiTxTa saministros 2007 wlis 26 ianvris gadawyvetileba # 11), romelic mimarTuli iyo saavadmyofoebis arsebuli infrastruqturis mTlianad Secvlisken mflobelobis sruli gadacemiT kerZo seqtorisTvis. pirveladi jandacvis samsaxurebi aseve imyofebian privatizebis sxvadasxva safexurze. privatizebis mTliani procesis dasruleba dagegmilia 2012 wlis bolosTvis (WanturiZe da sxvebi, 2009).

kontracepciis amJamad gamouyeneblobis yvelaze xSirad dasaxelebuli mizezebi asakobrivi jgufebis mixedviT, 15-44 wlis qorwinebaSi myof qalebs Soris

55 29

amJamad orsuladaa

7 24 23

Dsurs daorsulebaa

15-24 25-34

13

35-44

6

Nar aris amJamad seqsualurad...

12 16 2 11

qalTa uanyofoba

37 4 7

iyenebs gamorecxvas

12 5 7 6

daudevroba 2 5 5

partnioris wanaaRmdegoba 0%

10%

20%

30%

40%

50%

60%

70%

169


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

8.4 kontracepciis meTodis Secvlis survili

ebiT ufrosi asakis qalebSi, magram iyo araerTgvarovani da damokidebuli Svilebis raodenobaze. amave dros, qalis sterilizaciis survili izrdeboda ojaxSi bavSvebis raodenobasTan erTad, rac asaxavda Sobadobis SeCerebis sando meTodis mwvave aucileblobas. sterilizacias soflad mcxovrebi qalebi ufro isurvebdnen, vidre qalaqelebi. qorwinebaSi myofi im qalebis daaxloebiT 77%-ma, romlebic ar iyenebdnen kontraceptiul saSualebebs kvlevis Catarebis periodSi, daasaxela orsulobasTan, SobadobasTan Tu sqesobriv aqtivobasTan dakavSirebuli mizezebi. maTi umravlesoba im periodSi orsulad iyo (27%), aqedan sasurveli orsuloba iyo 20%; im qalebis nawili, vinc ar iyenebda kontraceptiul saSualebebs, iyo unayofo samedicino mizezebis gamo (ara kontraceptivebis Sedegad) an menopauzis (19%) Sedegad an bolo dros ar hqonia sqesobrivi kavSiri (12%). garda amisa, qalebis 18%-ma kontraceptivebisgan Tavis Sekavebis `sxvaâ&#x20AC;? mizezebic daasaxela. qalebis daaxloebiT 8%-ma ganacxada, rom isini orsulobis Tavidan acilebis mizniT iyenebdnen vaginalur Sxaps, xolo 6%-ma Tqva, rom maT ubralod arc ufiqriaT kontracepciis meTodis gamoyenebaze. qalebis mxolod 4%-ma ganacxada, rom maTi qmari an partniori winaaRmdegia kontracepciisa. saSualo monacemebi asakis mixedviT naCvenebia suraTze 8.4.2. (1999-2010 wlebSi qorwinebaSi myofi im qalebis procentuli maCvenebeli, romlebsac undodaT male daorsuleba, gaizarda 50%-iT, 13%-dan 20%-mde). kontracepciis meTodebis gamouyeneblobis mizezebi mkveTrad gansxvavdeboda asakobrivi jgufebis mixedviT. axalgazrda

rogorc naCvenebia cxrilSi8.4.1 , qorwinebaSi myofi qalebis mxolod 16% isurvebda kontracepciis sxva meTodis gamoyenebas, rac imas niSnavs, rom 84% upiratesobas aniWebda amJamad gamoyenebul meTods xelmisawvdom alternativebTan SedarebiT. meTodebis mixedviT SeimCneoda mniSvnelovani gansxvavebebi: saSvilosnos Sida saSualebebis momxmareblebis mxolod 3%-s surda meTodis gamocvla, roca es maCvenebeli 31%-s aRwevda kondomis momxmareblebSi. abebis momxmareblebSi aseTi mxolod 17% iyo, xolo spermicidebis momxmareblebSi â&#x20AC;&#x201C; 19% (suraTi 8.4.1). yvelaze xSirad qalebi mizezad asaxelebdnen ukmayofilebas maT mier amJamad moxmarebuli meTodiT, maT Soris, isini uCiodnen am meTodebis mouxerxeblobas, dabal efeqturobas/meTodis gamousadegobas, rac orsulobiT mTavrdeboda; qalebs aseve xSirad aviwydebodaT maTi gamoyeneba. saSvilosnos Sida saSualebebis popularoba asaxulia cxrilis 8.4.1 saSvilosnos Sida saSualebebisadmi miZRvnil svetSi, saidanac Cans, rom es yvelaze sasurveli meTodia im qalebs Soris, romlebsac surT raime axali meTodis moxmarebis dawyeba (68%). qalebis nakleb raodenobas surda milebis ligirebaze (13%), abebis (10%) an kondomis gamoyenebaze (3%) gadasvla. aravis undoda saineqcio saSualebebze gadarTva, rac naklebadaa cnobili da xelmisawvdomi saqarTveloSi. saSvilosnos Sida saSualebebze gadasvlis survili gansakuTrebiT maRali iyo dabal socialur-ekonomikur safexurze mdgom qalebSi. es survili iklebda SedarF 8.7.1 suraTi

kontraceptivebis momavali 12 Tvis ganmavlobaSi gamoyenebis ganzraxva qorwinebaSi myof Svilosnobis unaris mqone qalebs Soris, romlebic amJamad ar iyeneben raime meTods regionebis mixedviT

raWasvaneTi

24

mcxeTamTianeTi

32 33

imereTi 27

samegrelo guria

26

aWara

41

samcxejavaxeTi

22

qvemo qarTli

22

Sida qarTli

29

kaxeTi Tbilisi

170

32 30


saboloo angariSi

suraTi 8.7.2

kontracepciis sasurveli meTodi 15-44 wlis qorwinebaSi myof Svilosnobis unaris mqone qalebs Soris, romlebic amJamad ar iyeneben kontraceptivebs da surT maTi gamoyeneba momavalSi

47

14

13

13

3

sSs

abebi

kondomi

zrdasruli qalebis umravlesoba orsulad iyo an hqonda daorsulebis survili (79%) maSin, roca 35-44 wlis qalebisTvis SeuZlebeli iyo daorsuleba an unayofobis (37%), an bolo dros sqesobrivi aqtivobis naklebobis (15%) gamo. unda aRiniSnos, rom 35-44 wlis qalebis 13%-s undoda daorsuleba, rac warmoadgens samjer gazrdil Sedegs wina kvlevebTan SedarebiT, roca mxolod 4% da 5%, Sesabamisad, gamoxatavda amgvar survils.

8.5 tradiciuli meTodebis gamoyeneba kontracepciis meTodebis yvela momxmareblis TiTqmis erTi mesamedi (34%) upiratesobas aniWebs tradiciul meTodebs, rogoricaa kalendaruli meTodi da/an Sewyvetili sqesobrivi aqti, romlebic mesame da meoTxe adgilzea kontracepciis meTodebs Soris saqarTveloSi. sxvadasxva mizezs Soris, romlebiTac qalebs surdaT tradiciuli meTodebis upiratesobis dasabuTeba, bevrma daasaxela janmrTelobisTvis problemebis Seqmnis da gverdiTi movlenebis gaCenis SiSi. sxvebma mizezad moitanes axal meTodebTan dakavSirebuli informaciis simwire; fasebi an axali meTodebis SezRuduli xelmisawvdomoba; partnioris survilebi; jandacvis muSakebis an sxva adamianebis mier axali meTodebis mimarT gamoTqmuli uaryofiTi damokidebuleba da religiuri Sexedulebebi. respondentTa TiTqmis 90%-ma aRniSna, rom axali meTodebiT gamowveuli gverdiTi movlenebis mimarT SiSi mniSvnelovan an sakmaod mniSvnelovan faqtors warmoadgenda (cxrili 8.5.1). daaxloebiT 67%-ma aRniSna, rom isini naklebad icnobdnen Tanamedrove meTodebs da rom saWiro iyo raime in-

qalis sterilizacia

tradiciuli meTodi

formaciis an saganmanaTleblo programis ganxorcieleba kontracepciis axali meTodebis gamoyenebis dadebiT da uaryofiT mxareebTan dakavSirebiT (sayuradReboa, rom respondentebma SeZles uamravi mizezis dasaxeleba, ise, rom cxrilSi maT 100%-s gadaaWarbes). fasi axali meTodebis gamouyeneblobis faqtors warmoadgenda respondentTa 75%-isTvis, rac miuTiTebs imaze, rom kontraceptivebis subsidirebis SemTxvevaSi SesaZlebeli gaxdeboda axali meTodebis gamoyenebisaTvis arsebuli barierebis moxsna. axali meTodebis misawvdomobis sirTule daasaxela tradiciuli meTodebis momxmarebelTa naxevarma (51%). aRniSnuli miuTiTebs, rom Tanamedrove meTodebi geografiulad ar aris Tanabrad ganawilebuli saqarTveloSi. qalebis 45%-ma imis mizezad, rom isini tradiciul meTodebs iyenebdnen, eqimis rekomendacia daasaxela. es metyvelebs imaze, rom eqimi yovelTvis ver awvdis pacientis saTanado informacias kontracepciis axali meTodebis Sesaxeb da rom saWiroa eqimebis kvalifikaciis amaRleba kontracepciis Tanamedrove meTodebTan dakavSirebiT. respondentTa 67%-ma ganacxada, rom iyenebda tradiciul meTodebs, radgan es qmris an partnioris arCevani iyo, rac imas niSnavs, rom saWiroa sainformacio da saganmanaTleblo programebis ganxorcieleba ara marto qalebisTvis, aramed mamakacebisTvisac. religiuri Sexedulebebi mniSvnelovani an sakmaod mniSvnelovani aRmoCnda tradiciuli meTodebis momxmarebelTa 53%-isaTvis. rac Seexeba gansxvavebebs qvejgufebSi, Tanamedrove meTodebis Sesaxeb codnis nakleboba ufro xSirad tradiciuli meTodeb171


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

is gamoyenebis mizezad daasaxela soflad mcxovrebma qalebma, 15-24 wlis, orSvilianma, saSualo da naklebi ganaTlebis mqone qalebma da somexma qalebma. msgavsad amisa, Tanamedrove meTodebis fasi ufro xSirad saxeldeboda mizezad soflad mcxovrebi qalebis mier. es aseve mizezs warmoadgenda naklebi ganaTlebis da dabal socialurekonomikur safexurze mdgomi qalebisTvis. Tanamedrove meTodis xelmisawvdomobis sirTules ufro xSirad asaxelebdnen qalebi, romlebsac zogadad Zalian SezRuduli hqondaT momsaxurebebis xelmisawvdomoba: eseni iyvnen soflad mcxovrebi, ganaTlebis dabali donis, dabal socialur-ekonomikur safexurze mdgomi qalebi da somexi da azerbaijaneli qalebi. sayuradReboa, rom 15-24 wlis qalebis TiTqmis 50% tradiciul meTodebs mimarTavda eqimis rCeviT; es igive jgufia, romelmac Tanamedrove meTodebis Sesaxeb informaciis nakleboba daasaxela tradiciuli meTodebisTvis upiratesobis miniWebis mizezad. es metyvelebs imaze, rom eqimebi unda awvdidnen axalgazrda qalebs informacias kontracepciis yvela xelmisawvdomi saSualebis Sesaxeb. msgavs mizezebs asaxelebdnen tradiciuli meTodebis momxmareblebi 1999 da 2005 wlebis kvlevebSi (suraTi 8.5.1), 1999 wlidan 2010 wlamde periodSi Tanamedrove meTodebis gamouyeneblobis mniSvnelovan mizezad ufro metma qalma daasaxela Rirebuleba (67%-75%), partnioris arCevani (49%-67%), religiuri Sexedulebebi (23%53%), eqimis rekomendacia (32%-45%) da Tanamedrove meTodebis rTulad xelmisawvdomoba (42%-51%). tradiciuli meTodebis momxmareblebi Tvlidnen, rom maT mier gamoyenebuli meTodi ufro efeqturi (29%) an iseTive efeqturia (46%), rogorc Tanamedrove meTodebi (cxrili 8.5.2). proporciebi igivea, rac 1999 da 2005 wlebSi. Sexeduleba, rom maTi tradiciuli meTodi ufro efeqturia, vidre Tanamedrove saSualeba, yvelaze gavrcelebuli iyo 35-44 wlis, saSualo an naklebi ganaTlebis qalebSi, erovnebiT qarTvel da socialur-ekonomikuri statusis meoTxe, umaRlesi kvintilis qalebSi. procentuli raodenoba qalebisa, vinc miiCnevda, rom amJamindeli meTodi naklebad efeqturi iyo TanamedrovesTan SedarebiT (16%) ar icvleboda cxrilSi 8.5.2 mocemuli zogadi maxasiaTeblebis mixedviT, garda dabali cifrebisa jgufisTvis `sxva qalaqi” da socialur-ekonomiuri statusis ori umaRlesi kvintilisa da maRali cifrebisa

172

orSviliani da azerbaijaneli qalebisTvis. respondentebis TiTqmis 9%-ma ar icoda an ar iyo darwmunebuli, iyo Tu ara mis mier gamoyenebuli meTodi ufro efeqturi, vidre Tanamedrove meTodi; es gansakuTrebulad aRiniSneboda ganaTlebis dabali donis mqone jgufSi da azerbaijanel da somex qalebs Soris, da SeiniSneboda maCveneblis zrdis tendencia dabali socialurekonomiuri statusis qalebSi.

8.6 kontracepciuli meTodebis gamouyeneblobis mizezebi rogorc naCvenebia cxrilSi 8.6.1, qorwinebaSi myofi qalebis TiTqmis 77% ar mimarTavda kontracepcias kvlevis periodSi da mizezad asaxelebdnen orsulobas, unayofobas an sqesobrivi aqtivobis naklebobas. umravlesoba orsulad iyo (27%), hqonda daorsulebis survili (20%), iyo unayofo samedicino (ara kontracepciis) mizeziT an menopauzis (19%) gamo an ar hqonia sqesobrivi kavSiri bolo periodSi (12%) (ar aris naCvenebi). garda amisa, qalebis TiTqmis 23%-ma daasaxela kontracepciaze uaris `sxva” mizezebi. TiTqmis 8%-ma ganacxada, rom isini mimarTavdnen vaginalur Sxaps orsulobis Tavidan acilebis mizniT, xolo 6%-ma Tqva, rom ubralod arc ufiqriaT kontracepciis meTodze. mxolod 4%-ma daasaxela mizezad is, rom maT qmrebs Tu partniorebs ar surdaT kontraceptivebis gamoyeneba. cxrili 8.6.1 gviCvenebs gansxvavebas piradi maxasiaTeblebis mixedviT. procentuli maCvenebeli im mizezebisa, romlebic dakavSirebuli iyo orsulobasTan, unayofobasTan an sqesobriv aqtivobasTan, ufro maRali iyo qalaqebSi, vidre soflad, klebulobda asakTan da Svilebis raodenobasTan erTad, magram izrdeboda ganaTlebasa da socialur-ekonomiur mdgomareobasTan erTad. es maCvenebeli Zalian dabali iyo azerbaijanelTa jgufSi. yvela aseTi magaliTi gadatanili iqna jgufSi `sxva mizezebi”, vinaidan orive TiTqmis 100%-s udrida TiToeuli jgufisTvis. 1999 da 2010 wlebs Soris periodSi im qalebis procentuli raodenoba, romlebic ar iyenebdnen kontraceptivebs daorsulebis survilis gamo, gaizarda TiTqmis naxevarjer – 13%-dan 20%-mde. meTodebis gamouyeneblobis mizezebi mkveTrad gansxvavdeboda asakobrivi jgufebis mixedviT (suraTi 8.6.1). axal-


saboloo angariSi

gazrda zrdasruli qalebis umravlesoba iyo orsulad an surda daorsuleba (79%), roca 35-44 wlis qalebs aRar SeeZloT bavSvis gaCena an unayofobis (37%), an sqesobrivi aqtivobis naklebobis gamo (16%). unda aRiniSnos, rom 35-44 wlis qalebis 13%-s surda daorsuleba, rac warmoadgens TiTqmis samjer zrdas 1999 da 2005 wlebTan SedarebiT, roca mxolod 4% da 5%, Sesabamisad, gamoxatavda Svilis yolis survils.

8.7 gegmebi kontracepciuli meTodebis gamoyenebis Sesaxeb maT Soris, vinc ar mimarTavs kontracepcias rogorc naCvenebia cxrilSi8.7.1 , qorwinebaSi myofi 15-44 wlis respondentebis 30%-ma, romelic ar iyenebda kontracepciis arc erT meTods kvlevis periodSi, ganacxada, rom ganzraxuli hqonda romelime meTodis gamoyeneba uaxloes 12 TveSi, xolo 17%-ma Tqva, rom ufro mogvianebiT apirebda amis gakeTebas. amgvarad, 47% gegmavs meTodebis gamoyenebas, rac 9%-iT metia 1999 welTan SedarebiT. rogorc es naCvenebia suraTze8.7.1 , momaval 12 TveSi meTodis gamoyenebis ganzraxvis mqone qalTa raodenoba icvleba regionebis mixedviT. es maCvenebeli yvelaze maRali aWaraSi, xolo yvelaze dabali â&#x20AC;&#x201C; qvemo qarTlsa da samcxe-javaxeTSi iyo. sainteresoa, rom respondentebis 22%s ar hqonda gadawyvetili, gamoiyenebda Tu ara kontraceptivebs momavalSi, maSin, roca erTma mesamedma (32%) ganacxada, rom isini arasdros ar apireben am meTodebis gamoyenebas. es maCvenebeli yvelaze maRalia 35-44 wlis qalebSi da sam da metSvilian qalebSi (romelTa Soris metia unayofo da sqesobrivi aqtivobis armqone qalebi) da azerbaijanel qalebSi. momdevno 12 Tvis ganmavlobaSi an momavalSi meTodis gamoyenebis survili ukuproporciul damokidebulebaSia asakTan da cocxali Svilebis raodenobasTan. 15-24 wlis respodentTa samjer meti raodenoba (72%) gegmavda meTodis gamoyenebas momaval 12 TveSi an ufro gvian, vidre 35-44 (21%) wlis qalebi. gamoyenebis ganzraxvis mqone qalTa procentuli raodenoba pirdapir proporciuli iyo bavSvebis raodenobisa: 50-51% 0-1 bavSvis SemTxvevaSi, 44% ori bavSvis SemTxvevaSi da 37% sami da meti bavSvis SemTxvevaSi. garda amisa, asakisa da bavSvebis raodenobis zrdasTan erTad gadawyvetileba ixreboda kontracepciis

meTodis gamoyenebisken 12 TveSi da ara ufro gvian periodSi. es monacemebi metyvelebs, rom ojaxis dagegmvis programam saqarTveloSi yuradReba unda gaamaxvilos SedarebiT axalgazrda qalebze da or da naklebSvilian qalebze. fertilur daqorwinebul qalTa Soris, vinc momavalSi apirebs kontracepciuli saSualebebis gamoyenebas, umravlesobas surs Tanamedrove meTodebis gamoyenebis dawyeba (cxrili 8.7.2). yvelaze sasurvel meTods warmoadgenda saSvilosnos Sida saSualeba (47%), mas mohyveboda kondomi (14%) da abebi (13%). danarCeni 3% upiratesobas aniWebda qalebis sterilizacias. rac Seexeba tradiciul meTodebs, respondentTa 6% gegmavda kalendaruli meTodis, xolo 6.5% - Sewyvetili sqesobrivi aqtis gamoyenebas. maTgan, vinc amJamad ar iyenebs kontracepcias, magram gegmavs Tanamedrove meTodis gamoyenebas momdevno 12 Tvis ganmavlobaSi an momavalSi, 33%-ma momaragebis wyarod daasaxela qalTa konsultacia, xolo 37%-ma _ afTiaqi (cxrili 8.7.3). qalTa konsultacia iTvleba saukeTeso adgilad saSvilosnos Sida saSualebis miRebisTvis (50%), xolo afTiaqi â&#x20AC;&#x201C; abebis (78%) da kondomi /spermicidebis (92%) miRebisTvis.

8.8 kontracepciuli saSualebebis araefeqturoba da maTi gamoyenebis Sewyveta kontracepciuli saSualebebis araefeqturobis (anu daorsulebis albaToba kontracepciis gamoyenebis dros) da maTi moxmarebis Sewyvetis (anu kontracepciis meTodis moxmarebis Sewyveta nebismieri, maT Soris orsulobis mizeziT) maCveneblebis gamoTvlisas gamoyenebul iqna informacia, romelic orsulobis detaluri yovelTviuri istoriebisa da kontracepciuli saSualebebis gamoyenebis istoriebis safuZvelze Segrovda (cxrili 8.8.1). es konservatiuli Sefasebebia, radgan zogierTma qalma, SesaZloa, ar isaubra orsulobebze, romlebic abortebiT dasrulda, da imaze, kontracepciul saSualebebs iyenebda Tu ara Casaxvis momentisTvis; SesaZloa, meTodis araefeqturobis SemTxveva ar iyo asaxuli maT istoriebSi; amrigad, realuri maCveneblebi ufro maRalia, vidre cxrilSia mocemuli. kontracepciis uSedego gamoyenebis an Sewyvetis yovelTviuri albaTobebi yvela qalisaTvis, vinc sargeblobda kontra-

173


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cepciiT dakvirvebis periodSi, gamoTvili iqna sqesobrivi cxovrebis kalendris (life table) analizis safuZvelze. maTi SeerTebiT SesaZlebelia 12, 24 da 36 Tviani maCveneblebis gamoTvla kontracepciuli meTodebis araefeqturobisa da maTi gamoyenebis Sewyvetis Sesaxeb. aRniSnuli maCveneblebi warmoadgens im momxmarebelTa ganawilebas, vinc Sewyvita meTodiT sargebloba dawyebidan pirvel, meore da mesame wels sxvadasxva mizezis gamo (e.i. kontracepciuli meTodis gamoyenebis Sewyvetis maCvenebeli), an vinaidan daorsulda meTodis gamoyenebis periodSi (e.i. meTodis araefeqturobis SemTxvevaTa koeficienti). 12, 24 da 36 Tviani intervalebi gulisxmobs kontracepciuli meTodebis uwyvet moxmarebas; axali intervali iwyeba, roca qali pirvelad iwyebs meTodis gamoyenebas an ganaaxlebs meTodis moxmarebas im periodis Semdeg, roca igi iyenebda raime sxva meTods an saerTod arafers ar iyenebda. vinaidan erTi Tvis ganmavlobaSi SesaZlebelia mxolod erTi romelime meTodis gamoyenebis Sefaseba, Tvis ganmavlobaSi gamoyenebuli ori meTodidan SerCeuli iyo ufro efeqturi meTodi. respondentTa daaxloebiT 10% daorsulda meTodis gamoyenebis pirvel wels, 17% - ori wlis ganmavlobaSi da 22% - 3 wlis ganmavlobaSi. araefeqturobis maCveneblebi icvleboda kontracepciis meTodebis mixedviT – saSvilosnos Sida saSualebis gamoyenebisas uefeqtobis SemTxvevebi yvelaze mcire iyo pirvel, meore da mesame wels: daorsulda am meTodis momxmarebelTa 0.9%-2.9%. kondomebis momxmareblebs Soris pirvel wels araefeqturobis maCvenebeli Seadgenda 5%-s, meore wels – 10%-s, xolo mesame wels – 14%-s. meTodis araefeqturobis yvelaze maRali maCveneblebi moxmarebis 12, 14 da 36 TveebSi gamoavlina kalendarulma meTodma (21%, 33% da 41% Sesabamisad) da Sewyvetili aqtis meTodma (18%, 30% da 37% Sesabamisad), rac migviTiTebs sainformacio, saganmanaTleblo da sakonsultacio programebis gaZlierebis aucileblobaze kontracepciuli meTodebis sworad da efeqturad gamoyenebis popularizaciis mizniT. mTlianobaSi qalebis 35%-ma Sewyvita meTodis gamoyeneba erTi wlis ganmavlobaSi, 53%-ma – ori wlis, xolo 64%-ma – sami wlis ganmavlobaSi. saSvilosnos Sida saSualeba erTaderTi iyo pirvel wels moxmarebis Sewyvetis dabali maCvenebliT (9%), Tumca aRniSnuli meTodis gamoyeneba sami wlis

174

ganmavlobaSi respondentTa 30%-ma Sewyvita (yvelaze dabali maCvenebeli yvela meTods Soris). saSvilosnos Sida saSualebis momxmarebelTa mxolod 11%-ma (0.9/8.6 pirvel weliwadSi) Sewyvita misi gamoyeneba araefeqturobis gamo. gansxvavebiT amisgan, abebis momxmarebelTa 52%-ma pirvelive wels Sewyvita am meTodis gamoyeneba, xolo 81%-ma – sami wlis ganmavlobaSi, miuxedavad misi araefeqturobis dabali maCveneblisa. kondomze uaris Tqmac imave sqemiT viTardeba: 40% moixmarda erT weliwadze naklebi drois ganmavlobaSi, xolo 69% - sam weliwadze naklebs. meTodis araefeqturobis kondomiT sargeblobis Sewyvetis mizezTa 13%-s (5.2/40.) Seadgenda. Sewyvetili sqesobrivi aqti da kalendaruli meTodebi xasiaTdeboda gamoyenebis Sewyvetis maRali maCvenebliT pirvel wels (35%-37%), or weliwadSi (54%-61%) da sam weliwadSi (66%73%). meTodze uaris Tqmis mizezad SemTxvevaTa naxevarze metSi mis araefeqturobis asaxelebdnen (50%-57%). maT Soris, vinc Sewyvita meTodis gamoyeneba, ucnobi nawili daorsulda an gadavida alternatiul meTodze. meTodebis araefeqturobis garda (13%), respodentebma kidev bevri sxva mizezis gamo Sewyvites maTi gamoyeneba (cxrili 8.8.2): yvelaze gavrcelebuli mizezi iyo daorsulebis survili (10%), Semdeg partnioris winaaRmdegoba an misi aryofna (8%), ukve gamocdili gverdiTi movlenebi an SiSi maT mimarT (6%), uyuradReboba (4%) da sxva meTodze gadasvla (4%). miaqcieT yuradReba, rom cxrili iZleva `wminda” maCveneblebs rigSi `sul” da `saerTo” maCveneblebs – yvela sxva rigisTvis, individualuri mizezebiT. kontracepciis gamoyenebis Sewyvetis mizezebi Zalian gansxvavdeboda meTodis mixedviT. pirvel wels saSvilosnos Sida saSualebis gamoyenebis Sewyveta, romelic yvelaze dabali maCvenebliT xasiaTdeboda, gamowveuli iyo meTodis gamoyenebis Sedegad gauaresebuli janmrTelobis mdgomareobiT an gverdiTi movlenebiT. gverdiTi movlenebis SiSi iyo abebze uaris Tqmis mizezic. qalebma, visi partniorebic kondoms iyenebdnen, Sewyvites maTi moxmareba partnioris winaaRmdegobis an misi aryofnis gamo. Sewyvetili sqesobrivi aqtisa da kalendaruli meTodis SemTxvevaSi am meTodTa araefeqturobis yvelaze mniSvnelovani mizezi iyo maTi gamoyenebis Sewyvetisa.


saboloo angariSi

cxrili 8.1.1

15-44 wlis yvela qalis mier kontraceptivebis gamoyenebis statusi SerCeuli

cxrili 8.1.1 kontracepciis gamoyenebis statusi 15-44 wlis yvela qals Soris SerCeuli maxasiaTeblebis mixedviT maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 kontracepciis gamoyenebis statusi maxasiaTeblebi

sul

arasdros gamouyenebia

adre iyenebda amJamad iyenebs

sul

SemTxvevaTa raodenoba

53.5

14.5

32.0

100.0

6,292

53.3 53.7

14.9 14.1

31.8 32.2

100.0 100.0

2,975 3,317

52.4 51.9 50.3 55.3 53.1 55.8 54.8 54.5 54.5 53.6 58.3

15.2 16.2 11.6 13.1 12.9 15.3 11.2 12.4 14.7 17.9 11.5

32.4 31.9 38.1 31.6 34.0 29.0 34.0 33.1 30.7 28.5 30.2

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

27.1

19.4

53.5

100.0

4,011

41.8

10.3

47.9

100.0

87

45.6 99.9

48.1 0.1

6.3 0.0

100.0 100.0

389 1,805

96.5 71.1 49.1 32.5 30.1 31.3

1.4 8.0 12.2 19.0 21.6 29.3

2.2 20.9 38.7 48.5 48.2 39.4

100.0 100.0 100.0 100.0 100.0 100.0

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

97.0 36.0 17.3 14.3

1.9 23.4 22.1 27.2

1.1 40.6 60.6 58.5

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

66.4

10.0

23.6

100.0

1,330

54.1 44.3 48.8

14.5 21.0 15.0

31.4 34.7 36.2

100.0 100.0 100.0

1,568 903 2,491

55.6 53.8 53.2 59.2 48.2

14.8 13.6 13.2 13.3 17.0

29.6 32.6 33.5 27.5 34.8

100.0 100.0 100.0 100.0 100.0

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

53.3 54.0 55.2 54.5

14.6 13.6 14.7 14.7

32.1 32.4 30.1 30.9

100.0 100.0 100.0 100.0

5,488 276 364 164

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi qorwinebis statusi registrirebul qorwinebaSia araregistrirebul qorwinebaSia adre iyo qorwinebaSi arasdros yofila qorwinebaSi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva

175


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrilikontracepciis 8.1.2 kontracepciis meTodebis odesme gamoyeneba15-44 15-44wlis wlis qalebis mier, cxrili 8.1.2 meTodebis odesme gamoyeneba mier, gamoyenebuli meTodebis mixedviT qalebis gamoyenebuli meTodebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, kontracepciis gamoyenebis statusi maxasiaTeblebi nebismieri meTodi sul

nebismieri Tanamedrove meTodi

nebismieri tradiciuli meTodi

SemTxvevaTa raodenoba

46.5

36.3

25.5

6,292

qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi qorwinebis statusi registrirebul qorwinebaSia araregistrirebul qorwinebaSia adre iyo qorwinebaSi arasdros yofila qorwinebaSi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali Svilebis 0 1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi

46.9 46.1

39.7 32.6

22.9 28.4

2,975 3,317

47.3 48.2 49.3 44.7 46.7 44.2 45.6 45.9 45.7 46.0 41.0

38.6 42.2 37.5 30.3 26.9 26.5 31.8 40.0 37.1 37.6 28.8

26.4 23.9 27.2 28.4 39.3 25.6 27.4 19.2 23.3 26.2 26.8

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

72.7

56.5

40.3

4,011

57.1

44.7

30.8

87

53.8 0.6

44.5 0.5

26.8 0.1

389 1,805

3.6 29.3 51.0 67.4 69.6 68.5

3.1 23.5 39.7 55.1 53.5 50.7

0.7 11.4 25.2 37.0 43.8 41.9

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

3.3 63.8 82.5 85.7

3.0 50.6 64.7 62.6

0.8 29.0 48.3 53.0

2,276 1,286 2,069 661

33.7

23.3

18.3

1,330

45.9 55.6 51.2

32.7 43.0 43.9

26.5 32.5 26.6

1,568 903 2,491

yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva

44.4 45.8 46.8 41.3 51.7

27.2 32.7 37.5 32.7 45.8

30.1 26.7 25.3 21.4 25.0

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

46.7 45.8 44.8 45.5

37.5 26.3 25.6 37.5

24.7 29.1 35.3 24.2

5,488 276 364 164

sacxovrebeli adgili

176


saboloo angariSi

cxrili 8.1.3 kontraceptivebis erTxel mainc gamoyeneba meTodebis da asakobrivi cxrili kontraceptivebis erTxelmixedviT mainc gamoyeneba meTodebis da asakobrivi jgufebis mixedviT jgufebis 15-44 wlis yvela qalSi 8.1.3 15-44 wlis yvela qalSi reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

kontracepciis meTodi

asakobrivi jgufi

kondomi

kalendaruli meTodi

sSs

Sewyvetili aqti

abebi

spermicidi

milebis ligireba

gadaudebeli kontracefcia

15–19

2.0

0.3

0.7

0.5

0.8

0.2

0.0

20–24

13.9

5.9

7.0

7.3

6.1

1.7

0.3

0.2

0.0

ineqciuri saSualebebi

vazeqtomia

SemTxvevaTa raodenoba

0.0

0.0

861

0.1

0.0

1,099

25–29

21.3

14.9

15.6

15.8

11.1

3.6

0.9

0.0

0.0

0.1

30–34

30.6

24.1

23.0

19.9

17.5

6.9

2.5

0.6

0.4

0.0

1,191 1,168

35–39

29.3

30.6

25.4

26.1

15.7

4.8

3.4

0.3

0.5

0.0

1,051

40–44

23.4

30.5

30.2

23.6

12.7

4.5

4.9

0.6

0.1

0.0

922

sul

19.5

16.8

16.2

14.9

10.3

3.5

1.9

0.3

0.2

0.0

6,292

177


cxrili 8.2.1

15-44 wlis yvela qalis mier kontraceptivebis gamoyenebis procentuli odenoba qorwinebis statusisa da meTodebis mixedviT cxrili 8.2.1 15-44 wlis yvelareproduqciuli qalis mier kontraceptivebis gamoyenebis procentuli janmrTelobis kvleva: G odenoba qorwinebis statusisa da meTodebis mixedviT saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

qorwinebis statusi kontracepciis gamoyenebis statusi

yvela qali

qorwinebaSi myofi

adre qorwinebaSi myofi

arasdros yofila qorwinebaSi

nebismieri meTodi

32.0

53.4

6.3

0.0

Tanamedrove meTodebi abebi saSvilosnos Sida saSualeba kondomi spermicidebi milebis ligireba sxva Tanamedrove meTodebi

20.9 2.4 7.5 8.3 0.9 1.8 0.0

34.7 4.1 12.5 13.6 1.5 2.9 0.1

6.1 0.3 0.9 3.8 0.0 1.1 0.0

0.0 0.0 0.0 0.0 0.0 0.0 0.0

tradiciuli r mmeTodebi b kalendaruli meTodi Sewyvetili aqtis meTodi

11 0 11.0 4.4 6.6

18 5 18.5 7.4 11.1

02 0.2 0.2 0.0

00 0.0 0.0 0.0

amJamad ar iyeneben

68.0

46.6

93.7

100.0

sul

100.0

100.0

100.0

100.0

SemTxvevebis raodenoba

6,292

4,098

389

1,805

178


53.4

56.9

50.0

50.6

60.9

61.3

48.9

55.6

44.4

53.5

57.0

49.0

44.7

52.3

sul

sacxovrebeli adgili qalaqi

sofeli

regioni kaxeTi

Tbilisi

Sida qarTli

qvemo qarTli

samcxe-javaxeTi

aWara

guria

samegrelo

imereTi

mcxeTa-mTianeTi

raWa-svaneTi

maxasiaTeblebi

nebismieri meTodi

13.5

12.0

9.1

12.2

9.4

5.0

11.4

9.5

13.2

25.4

11.5

7.9

19.5

13.6

kondomi

10.5

7.2

14.8

14.8

9.7

9.4

7.6

10.1

15.8

13.3

14.5

11.8

13.3

12.5

sSs

1.5

7.2

4.7

8.6

6.0

3.6

1.3

2.5

1.9

2.5

7.5

4.7

3.4

4.1

abebi

2.5

1.8

4.4

6.5

2.8

3.6

1.0

2.3

3.2

2.0

1.0

2.8

3.0

2.9

milebis ligireba

Tanamedrove meTodebi

0.3

2.4

1.5

1.2

1.9

0.3

0.8

1.1

1.9

2.7

3.0

1.1

2.4

1.7

sxva

28.3

30.6

34.4

43.3

29.9

21.8

22.1

25.5

36.1

46.0

36.2

28.2

41.5

34.8

nebismieri Tanamedrove meTodi

14.8

7.5

8.3

9.5

17.0

19.8

26.6

15.1

10.6

5.9

6.2

15.0

7.1

11.1

Sewyvetili aqti

9.2

6.6

6.3

4.2

6.6

2.8

6.9

8.3

14.5

9.0

7.0

6.6

8.1

7.4

kalendaruli meTodi

24.0

14.1

14.6

13.6

23.6

22.6

33.5

23.4

25.2

14.9

14.5

21.7

15.3

18.6

nebismieri trandiciuli meTodi

tradiciuli meTodebi

283

270

540

302

276

292

331

375

266

815

348

2,292

1,806

4,098

SemTxvevaTa raodenoba

cxrili 8.2.2 qalebis kontracefciisTanamedrove Tanamedrove da meTodebis cxrili 8.2.2 15-4415-44 wliswlis qalebis miermier kontarcepciis da tradiciuli tradiciuli meTodebis moxmarebis procentuli odenoba moxmarebis procentuli sacxovrebeli sacxovrebeli adgilis da odenoba regionebis mixedviTadgilis da regionebis mixedviT reproduqciuli janmrTelobis kvleva,saqarTvelo, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: 2010

saboloo angariSi

179


180

asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva

sul

maxasiaTeblebi

79.6 57.3 46.1 39.0 40.2 48.7

94.2 52.6 36.0 38.3

49.3

52.3 51.6 39.5

53.3 49.6 46.2 49.0 38.6

45.7 55.1 49.3 52.0

5.8 47.4 64.0 61.7

50.7

47.7 48.4 60.5

46.7 50.4 53.8 51.0 61.4

54.3 44.9 50.7 48.0

46.6

ar gamoiyeneba

20.4 42.7 53.9 61.0 59.8 51.3

53.4

nebismieri meTodi

14.6 0.8 11.4 15.4

5.6 7.8 11.3 14.5 25.3

9.3 12.7 20.9

4.7

3.5 15.8 15.4 11.0

6.5 13.0 16.9 15.8 12.5 10.6

13.6

kondomi

13.1 14.0 4.5 7.7

10.5 13.3 12.4 10.7 14.5

10.0 9.6 14.2

15.4

0.3 11.2 15.8 12.8

5.3 11.1 12.7 12.9 14.5 12.1

12.5

sSs

4.0 6.5 1.0 8.0

4.4 4.4 5.5 3.7 2.6

4.9 2.8 3.7

5.0

0.4 4.2 4.6 4.6

3.7 4.3 5.3 5.2 3.8 1.7

4.1

abebi

3.2 1.7 1.6 0.9

1.9 2.4 4.4 2.6 2.9

2.8 4.9 2.5

2.2

0.0 0.3 3.4 7.8

0.0 0.5 1.3 3.0 3.8 6.2

2.9

milebis ligireba

1.7

sxva

1.8 0.0 2.0 3.8

0.4 1.0 2.1 3.0 2.0

0.9 2.4 2.4

1.1

0.5 1.5 2.1 1.8

0.7 1.3 1.7 2.7 1.6 1.5

Tanamedrove meTodebi

36.5 23.0 20.4 35.9

23.0 28.6 35.6 34.4 47.3

27.8 32.2 43.5

28.4

4.7 33.0 41.1 37.9

16.2 30.2 37.9 39.4 36.0 31.8

34.8

9.8 19.8 25.8 6.8

17.5 14.1 11.5 8.4 6.0

13.5 7.7 8.3

17.0

0.3 7.6 14.0 15.4

2.6 8.6 10.2 11.9 14.5 11.0

11.1

Tanamedrove Sewyvetili meTodebis qveaqti jami

8.0 2.1 4.4 5.3

6.2 7.5 6.6 8.1 8.1

6.3 8.4 8.5

5.3

0.8 6.8 8.7 8.3

1.5 4.0 5.8 9.5 9.2 8.3

7.4

kalendaruli meTodi

17.9 21.8 30.2 12.1

23.7 21.9 18.3 16.6 14.1

19.9 16.2 17.0

22.3

1.1 14.5 22.9 23.7

4.2 12.5 16.0 21.6 23.8 19.4

18.6

tradiciuli meTodebis qvejami

tradiciuli meTodebi

8.2.3 wlis P15-44 wlismier qalebis mier kontracefciis Tanamedrove da tradiciuli meTodebismeTodebis gamoyeneba SerCeuli cxrilicxrili 8.2.3 15-44 qalebis kontraceptivebis Tanamedrove da tradiciuli moxmarebismixedviT procentuli odenoba meTodebis da SerCeuli maxasiaTeblebis mixedviT maxasiaTebelbis reproduqciuli janmrTelobiskvleva, kvleva: saqarTvelo, 20102010 reproduqciuli janmrTelobis saqarTvelo,

3,521 219 249 109

727 966 952 623 830

1,119 673 1,580

726

409 1,106 1,956 627

124 610 863 948 836 717

4,098

SemTxvevaTa raodenoba

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


cxrili 8.2.4

15-44 wlis qorwinebaSi myofi qalebis mier kontraceptivebis gamoyenebis procentuli odenoba saboloo angariSi wlebis da meTodebis mixedviT

reproduqciuli janmrTelobis kvleva: G cxrili 8.2.4 15-44 wlis qorwinebaSi myofi qalebis mier kontraceptivebis gamoyenebis procentuli odenoba wlebis1999, da meTodebis saqarTvelo, 2005 da mixedviT 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 kvlevis weli

kontracepciis gamoyenebis statusi

1999

2005

2010

nebismieri meTodi

40.5

47.3

53.4

Tanamedrove meTodebi abebi sSs kondomi spermicidebi milebis ligireba sxva Tanamedrove meTodebi

19.8 1.0 9.7 6.3 0.1 1.6 0.0 1.0

26.6 3.2 11.6 8.7 0.9 2.2 0.0 0.0

34.7 4.1 12.5 13.6 1.5 2.9 0.0 0.1

tradiciuli meTodebi kalendaruli meTodi Sewyvetili aqtis meTodi

20.7 10.2 10.5

20.7 9.5 11.2

18.5 7.4 11.1

amJamad ar iyeneben

59.5

52.7

46.6

5,177

4,119

4,098

SemTxvevaTa raodenoba

181


182

37.5 99.0 3.2 9.1 97.0

15.9 60.0 1.4 6.9 1.9

25.0 28.6 15.4 14.5

24.5 18.7 24.4

52.6 49.2 43.2

49.6 82.9 29.9 34.0

31.1

70.0

22.0 23.8 22.2 28.5 25.4

24.2 22.6 27.1

43.8 46.2 56.8

58.7 62.4 56.3 45.8 38.4

23.5 32.1 20.4

24.6

34.7 51.9 60.4

50.0

qvejami, jandacvis seqtori

5.1 14.5 0.2 2.2 65.9

11.6 15.9 9.3 7.4

9.8 12.5 15.8 10.2 9.3

12.9 15.4 10.5

9.2

12.3 9.1 14.2

6.8 11.5 15.2

11.6

* ხუთი ქალის გამოკლებით, რომლებიც იყენებდნენ სხვა თანამედროვე მეთოდებს.

abebi sSs kondomi spermicidebi milebis ligireba

yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva gamoyenebuli Tanamedrove meTodi*

Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi umaRlesi/asporantura socialur-ekonomikuri statusi

sacxovrebeli adgili

sul

maxasiaTeblebi

5.7 18.2 0.0 0.0 21.7

8.6 23.4 5.2 6.8

22.0 19.8 12.5 2.7 0.2

9.7 11.8 4.0

22.5

4.5 7.8 12.4

0.5 5.2 18.2

9.1

10.7 5.2 1.1 0.0 4.8

3.6 15.0 0.0 3.5

5.0 5.9 5.7 3.8 1.5

3.9 3.3 3.3

6.8

2.8 5.5 2.6

1.8 2.8 6.4

4.0

pirveladi regionuli qalaqis qalTa jandacvis konsultac saavadmyofo saavadmyofoeb klinikebi/ce i ebi iebi ntrebi

jandacvis seqtori

reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

0.0 1.1 0.0 0.0 2.8

0.7 0.0 0.0 0.0

0.0 0.0 0.0 0.5 1.6

1.3 0.0 0.7

0.0

0.0 1.0 0.4

1.6 0.2 0.1

0.6

referaluri hospitlebi

0.0 0.0 0.5 0.0 0.0

0.2 0.0 0.0 1.7

0.0 0.3 0.0 0.0 0.4

0.3 0.0 0.1

0.4

0.0 0.3 0.1

0.5 0.0 0.1

0.2

mobiluri klinikebi

56.3 0.4 86.7 89.4 0.0

45.5 10.2 58.8 58.8

30.8 32.8 39.3 50.5 56.4

40.6 46.0 51.7

26.2

48.3 49.8 37.5

59.8 44.2 33.7

44.8

afTiaqi

6.2 0.6 10.1 1.4 3.0

4.9 6.8 11.3 7.2

10.4 4.9 4.5 3.7 5.1

6.8 4.8 5.1

3.8

8.0 3.9 5.7

5.5 3.9 6.0

5.2

qvejami, sul

0.0 0.0 8.4 0.0 0.0

3.1 0.0 10.0 4.8

1.9 3.4 3.0 2.4 4.3

3.6 3.9 3.6

1.1

5.6 3.1 2.6

4.6 2.9 2.6

3.3

partniori/qm ari

0.6 0.0 0.6 1.4 0.0

0.3 0.0 0.0 2.4

0.6 0.2 0.3 0.0 0.7

0.0 0.4 0.6

0.0

0.0 0.3 0.6

0.7 0.2 0.3

0.4

megobari

1.2 0.2 0.3 0.0 0.0

0.4 0.0 0.0 0.0

1.8 0.4 0.0 0.4 0.0

0.2 0.4 0.3

0.5

0.9 0.3 0.1

0.0 0.2 0.6

0.3

naTesavi

sxva

0.0 0.0 0.6 0.0 0.0

0.3 0.0 0.0 0.0

2.2 0.0 0.0 0.0 0.0

1.0 0.0 0.0

0.0

0.0 0.0 0.6

0.0 0.0 0.6

0.2

Ria bazari

4.4 0.4 0.2 0.0 3.0

0.8 6.8 0.0 0.0

3.8 1.0 0.9 0.9 0.2

1.7 0.0 0.6

2.3

1.3 0.3 1.8

0.2 0.5 1.9

1.0

sxva

0.0 0.0 0.1 0.0 0.0

0.0 0.0 1.3 0.0

0.0 0.0 0.2 0.0 0.0

0.2 0.0 0.0

0.0

0.3 0.0 0.0

0.0 0.0 0.1

0.0

ar icis

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

100.0 100.0 100.0

100.0

sul

176 498 565 66 103

1,274 52 45 42

168 284 336 227 398

324 208 682

199

211 687 515

379 373 661

1,413

SemTxvevaTa raodenoba

cxrili 8.3.1 Tanamedrove meTodebis mowodebis wyaro SerCeuli maxasiaTeblebis mixedviT 15-44 wlis qorwinebaSi myofi qalebisTvis, romlebic amJamad iyeneben Tanamedrove meTodebs cxrili 8.3.1 Tanamedrove meTodebis mowodebis wyaro SerCeuli maxasiaTeblebis mixedviT 15-44 wlis qorwinebaSi amJamad iyeneben Tanamedrove meTodebs saqarTvelo, 2010 myofi qalebisTvis, romlebicjanmrTelobis reproduqciuli kvleva,

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010


saboloo angariSi

cxrili 8.4.1 cxrili 8.4.1

kontracepciis gansxvavebuli da upiratesi meTodis gamoyenebis kontrace SerCeuli პciis gansxvavebuli da upiratesi meTodis SerCeuli maxasiaTeblebis survili maxasiaTeblebis mixedviT 15-44 wlis qorwinebaSi mixedviT gamoyenebis survili 15-44 wlis qorwinebaSi myof qalebSi, romlebic amJamad moixmaren myof qalebSi, romlebic amJamad moixmaren Tanamedrove meTodebs Tanamedrove meTodebs reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

maxasiaTeblebi

gansxvavebuli meTodis gamoyenebis survili

kontracefciis sasurveli meTodebi

procenti

yvela momxmarebeli

sSs

milebis ligireba

abebi

kondomi

spermicidi

kalendaruli meTodi

sxva/ar icis

sul

SemTxvevaTa raodenoba

15.8

1,413

68.3

12.5

10.4

2.5

2.2

2.3

1.8

100.0

230

19.6 13.6 14.4

379 373 661

68.6 72.1 65.6

11.6 5.7 17.6

9.3 12.1 10.4

2.3 4.1 1.7

1.2 2.1 3.4

4.7 1.7 0.3

2.3 2.1 1.0

100.0 100.0 100.0

77 56 97

17.6 17.9 12.6

211 687 515

84.2 68.7 59.0

2.7 13.1 16.7

6.5 10.5 12.3

2.9 2.0 3.1

0.0 2.6 2.7

0.0 1.8 4.4

3.7 1.2 1.7

100.0 100.0 100.0

42 126 62

0–1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi

15.7 16.7 13.3

388 799 226

70.4 65.3 76.1

7.1 13.5 18.3

18.0 8.5 4.5

1.8 3.5 0.0

0.0 3.8 0.0

2.1 3.0 0.0

0.6 2.5 1.1

100.0 100.0 100.0

69 134 27

7.5

199

*

*

*

*

*

*

*

100.0

16

sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali kontraceptivebis amJamindeli moxmareba abebi sSs kondomi spermicidebi milebis ligireba sxva Tanamedrove meTodebi pretenzia amJamad moxmarebuli meTodebis mimarT diax ara

13.0 18.2 18.8

324 208 682

70.5 84.1 66.4

13.5 7.7 11.7

2.8 5.2 13.3

8.0 0.3 1.1

5.3 0.0 1.5

0.0 0.0 4.0

0.0 2.7 2.0

100.0 100.0 100.0

43 38 133

17.3 11.8 14.7 17.6 17.4

168 284 336 227 398

87.8 67.2 58.5 70.8 67.1

7.4 16.5 21.2 5.2 11.3

3.3 1.7 13.3 10.3 14.0

0.0 3.7 0.8 5.2 2.6

0.0 10.1 1.9 2.7 0.0

0.0 0.8 1.9 5.0 2.5

1.5 0.0 2.4 0.9 2.6

100.0 100.0 100.0 100.0 100.0

27 36 55 37 75

17.4 2.6 30.6 18.8 0.0 21.6

176 498 565 66 103 5

78.2 A 71.5 75.6 * *

0.0 * 11.4 8.7 * *

A * 11.5 15.7 * *

11.0 * A 0.0 * *

7.3 * 1.1 A * *

3.1 * 1.8 0.0 * *

0.4 * 2.1 0.0 * *

100.0 100.0 100.0 100.0 100.0 100.0

29 13 173 13 0 2

66.3 11.0

128 1,285

62.0 71.9

18.8 8.8

11.4 9.8

3.8 1.8

2.3 2.1

0.0 3.7

1.7 1.8

100.0 100.0

85 145

sul sacxovrebeli adgili Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 cocxali Svilebis raodenoba

* L25 SemTxvevaze naklebi N ar ganixileba: igive meTodebi, rac amJamad gamoiyeneba.

183


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 8.5.1 SerCeuli faqtorebi, romlebic mniSvnelovani an sakmaod mniSvnelovani cxrili 8.5.1 SerCeuli faqtorebi, romlebic mniSnvelovani an sakmaodtradiciuli mniSvnelovani iyo meTodis gamoyenebis iyo Tanamedrove meTodis nacvlad Tanamedrove meTodis nacvlad tradiciuli meTodis gamoyenebis gadawyvetilebis gadawyvetilebis miRebisas, SerCeuli maxasiaTeblebis mixedviT, 15-44 wlis miRebisas, SerCeuli maxasiaTeblebis mixedviT, 15-44 wlis daqorwinebuli qalebisTvis, romlebic daqorwinebuli qalebisTvis, romlebic amJamad iyeneben tradiciul amJamad iyeneben tradiciul meTodebs meTodebs reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 SerCeuli faqtorebi

maxasiaTeblebi

sul

gverdiTi movlenebis SiSi an amis ukve miRebuli gamocdileba

Tanamedrove meTodebis naklebi codna

fasi

qmris/part nioris arCevani

eqimis rekomendacia

religiuri Sexeduleba

Tanamedrove meTodis rTuli xelmisawvdomoba

sxva adamianis rCeva

SemTxvevebis raodenoba

89.8

66.6

74.8

66.7

45.3

52.9

50.8

40.1

797

90.1 88.5 90.1

65.5 57.2 70.3

66.9 66.6 80.4

66.9 65.7 67.0

41.5 45.3 46.6

59.9 56.2 49.5

35.2 38.4 60.3

46.5 41.1 37.7

123 159 515

86.0 89.3 91.1

70.8 65.9 66.2

68.2 76.8 74.7

70.4 65.5 66.9

50.1 45.6 44.0

58.8 50.1 54.1

48.3 51.5 50.7

43.0 40.2 39.3

88 358 351

84.1 91.0 92.3

61.6 68.5 66.5

66.7 76.8 77.7

64.6 63.3 78.1

42.3 44.1 52.0

47.5 52.7 59.1

44.3 52.5 52.6

39.1 40.7 39.7

166 472 159

88.8

69.2

80.4

72.5

50.0

51.1

59.3

44.0

169

sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi

87.7 89.6 92.1

73.1 59.3 62.6

74.0 75.5 71.9

70.7 52.9 65.3

41.3 35.1 49.8

48.5 42.8 61.4

56.8 48.0 42.0

34.7 41.0 41.9

238 128 262

yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva

88.1 88.1 93.2 89.0 90.3

69.9 66.9 69.3 61.5 63.5

86.6 77.3 76.7 71.2 59.5

63.4 65.6 68.2 67.9 68.7

47.8 42.6 46.7 45.5 44.7

47.6 51.6 48.8 57.9 61.4

59.4 61.8 52.2 45.6 29.0

33.1 43.8 36.6 40.0 47.1

179 211 191 105 111

91.4 66.3 92.9 *

65.5 66.3 77.5 *

74.3 70.2 82.3 *

65.7 58.9 80.0 *

46.9 32.3 36.8 *

57.0 43.8 27.2 *

48.4 62.5 65.0 *

40.6 41.9 30.8 *

651 46 86 14

sacxovrebeli adgili Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 cocxali Svilebis raodenoba 0–1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi

* L25 SemTxvevaze naklebi

184


cxrili 8.5.2

tradiciuli meTodissaboloo aRqmuliangariSi efeqturoba Tanamedrove meTodebTan SedarebiT SerCeuli maxasiaTeblebis mixedviT 15-44 wlis qorwinebaSi cxrili 8.5.2 mosazrebebi tradiciuli meTodebis upiratesobis Sesaxeb Tanamedrove myof qalebs Soris, romlebic amJamad iyeneben meTodebTan SedarebiT, SerCeuli maxasiaTeblebis mixedviT 15-44 wlis meTods amJamadtradiciul qorwinebaSi myof qalebs Soris, vinc amJamad tradiciul reproduqciuli meTodebs mimarTavs janmrTelobis kvleva: saqarTvelo 2010 reproduqciulijanmrTelobiskvleva, saqarTvelo, 2010 aRqmuli efeqtianoba amJamindeli meTodi ufro efeqturia

TiTqmis erTnairad efeqturia

amJamindeli meTodi naklebad efeqturia

ar icis/ar aris darwmunebuli

sul

SemTxvevaTa raodenoba

28.9

46.1

16.2

8.8

100.0

797

32.4 31.6 26.8

43.7 51.2 45.0

16.9 9.9 18.3

7.0 7.3 10.0

100.0 100.0 100.0

123 159 515

24.2 26.2 32.5

50.7 46.4 44.6

14.2 18.4 14.8

10.9 9.0 8.2

100.0 100.0 100.0

88 358 351

31.5 28.1 28.2

48.7 43.8 49.5

12.6 19.1 12.0

7.2 8.9 10.2

100.0 100.0 100.0

166 472 159

30.8

38.0

16.5

14.7

100.0

169

sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi

30.1 23.4 28.8

42.2 52.6 51.5

17.8 16.5 14.7

9.9 7.5 5.0

100.0 100.0 100.0

238 128 262

yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva

26.9 26.6 26.7 37.9 29.4

43.9 45.6 45.0 47.6 49.0

18.7 16.3 18.5 12.0 14.2

10.5 11.5 9.8 2.5 7.4

100.0 100.0 100.0 100.0 100.0

179 211 191 105 111

30.4 18.2 21.6 *

46.8 32.8 46.3 *

16.5 20.8 12.6 *

6.2 28.1 19.5 *

100.0 100.0 100.0 100.0

651 46 86 14

maxasiaTeblebi

sul sacxovrebeli adgili Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 cocxali Svilebis raodenoba 0–1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi

* L25 SemTxvevaze naklebi

185


cxrili 8.6.1

amJamad kontraceptivebis gamouyeneblobis mizezi SerCeuli maxasiaTeblebis mixedviT 15-44 wlis qorwinebaSi myof qalebSi cxrili 8.6.1 amJamad kontraceptivebis gamouyeneblobis mizezi SerCeuli reproduqciuli janmrTelobis kvleva: maxasiaTeblebis mixedviT 15-44 wlis qorwinebaSi myof qalebSi 2010 saqarTvelo, reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

mizezis tipi orsulobasTan, SobadobasTan an sqesobriv aqtivobasTan dakavSirebuli mizezebi

sxva

ar icis

76.8

22.3

81.0 73.2

sul

SemTxvevebis raodenoba

0.9

100.0

1,888

18.7 25.3

0.2 1.5

100.0 100.0

772 1,116

74.2 81.2 80.8 74.0 84.0 72.3 70.9 70.3 78.7 76.6 78.7

21.7 18.5 19.2 23.8 16.0 27.7 28.4 29.0 20.7 23.4 21.3

4.0 0.3 0.0 2.2 0.0 0.0 0.7 0.7 0.6 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

166 313 103 189 146 159 128 130 279 143 132

86.3 74.9 72.3

12.6 24.3 26.7

1.1 0.8 1.0

100.0 100.0 100.0

435 766 687

0–1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi

90.6 63.7 59.9

9.1 34.8 38.5

0.3 1.5 1.6

100.0 100.0 100.0

961 685 242

100.0

358

68.8 75.6 76.3 82.4

28.0 24.0 23.7 16.9

3.1 0.4 0.0 0.6

100.0 100.0 100.0

557 337 636

yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva

67.2 74.9 77.3 82.4 81.8

29.5 24.1 22.7 17.3 17.9

3.3 1.0 0.0 0.3 0.3

100.0 100.0 100.0 100.0 100.0

380 471 425 291 321

77.8 64.9 81.2 70.8

21.9 30.0 18.8 21.5

0.3 5.1 0.0 7.7

100.0 100.0 100.0 100.0

1,596 121 118 53

maxasiaTeblebi

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 cocxali Svilebis raodenoba

186


saboloo angariSi

cxrili 8.7.1

kontraceptivebis DmomavalSi gamoyenebis survili SerCeuli maxasiaTeblebis mixedviT 15-44 wlis daqorwinebul qalebSi, cxrili 8.7.1 kontraceptivebis momavalSi gamoyenebis survili SerCeuli romlebic mixedviT amJamad ar 15-44 iyeneben kontraceptivebs maxasiaTeblebis wlis fertilur qalebSi, romlebic reproduqciuli janmrTelobis kvleva: amJamad ar iyeneben kontraceptivebs saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 Dkontraceptivebis DmomavalSi gamoyenebis survili maxasiaTeblebi

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 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva

surs maTi gamoyeneba 12 Tvis ganmavlobasi

gamoiyenebs mogvianebiT

ar surs gamoyeneba

ara aqvs gadawyvetili

sul

SemTxvevaTa raodenoba

30.2

16.5

31.8

21.5

100.0

2,046

29.8 30.5

18.4 14.7

29.5 34.1

22.2 20.7

100.0 100.0

910 1,136

31.9 29.9 28.9 22.4 21.7 41.0 26.1 26.5 32.7 32.5 23.5

14.0 19.1 16.4 18.0 18.5 12.4 17.4 17.2 15.6 15.2 15.4

28.5 25.6 41.4 35.7 27.0 36.7 39.9 31.1 32.7 33.5 37.0

25.6 25.4 13.3 23.9 32.8 10.0 16.7 25.2 19.0 18.8 24.1

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

174 403 105 211 155 165 119 131 291 154 138

42.3 36.7 15.7

29.7 18.7 5.7

9.1 19.2 59.3

18.9 25.3 19.3

100.0 100.0 100.0

468 829 749

20.8 31.7 32.5 34.7

29.1 19.4 11.2 2.7

22.8 24.5 39.5 45.7

27.4 24.3 16.7 16.8

100.0 100.0 100.0 100.0

409 693 697 247

25.9

12.3

35.5

26.4

100.0

390

36.5 22.9 30.8

18.6 18.0 16.4

27.8 39.7 29.6

17.1 19.4 23.2

100.0 100.0 100.0

573 349 734

28.9 29.6 31.4 29.2 31.5

11.5 15.7 16.0 19.3 19.2

39.0 31.9 32.8 30.4 26.7

20.6 22.9 19.7 21.1 22.6

100.0 100.0 100.0 100.0 100.0

393 485 430 343 395

30.7 27.0 26.6 29.1

16.3 17.7 19.0 16.6

32.6 35.5 20.9 25.1

20.4 19.9 33.6 29.2

100.0 100.0 100.0 100.0

1,726 120 131 69

187


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 8.7.2

kontracepciis sasurveli meTodi SerCeuli maxasiaTeblebis mixedviT 15-44 wliskontracepciuli qorwinebaSi myofi qalebisTvis, romlebic amJamad ar iyeneben cxrili 8.7.2 upiratesi meTodi SerCeuli maxasiaTeblebis mixedviT meTods, magram apireben gamoyenebis dawyebas momavalSi 15-44 wlis amJamad qorwinebaSi myofi fertiluri qalebi, vinc ar reproduqciuli janmrTelobis kvleva: mimarTavs kontracepcias da surs momavalSi gamoiyenos saqarTvelo, 2010 reproduqciulijanmrTelobiskvleva, saqarTvelo, 2010 kontracepciis sasurveli meTodebi maxasiaTeblebi

ineqciuri saSualebebi

Sewyvetili aqti

kalendaruli meTodi

ar icis

sul

SemTxvevaTa raodenoba

sSs

kondomi

abebi

milebis ligireba

46.7

14.3

13.5

2.5

0.1

6.5

6.2

8.4

100.0

940

36.8 46.6 51.8

26.8 14.9 7.6

15.5 13.5 12.5

0.8 2.7 3.2

0.0 0.0 0.2

2.9 3.4 10.0

6.7 7.7 5.3

9.2 9.2 7.5

100.0 100.0 100.0

191 243 506

45.2 55.6 26.9

14.3 13.3 17.0

15.4 12.6 11.6

2.6 2.6 1.8

0.3 0.0 0.0

1.9 4.9 20.6

4.5 3.6 17.0

15.1 5.5 0.9

100.0 100.0 100.0

331 456 153

40.3 47.1 51.6 43.2

22.1 12.1 13.5 8.9

12.0 17.4 11.9 7.2

0.0 3.9 1.8 4.2

0.0 0.0 0.4 0.0

0.5 5.1 8.5 18.0

3.2 5.0 7.7 12.7

21.9 8.2 1.8 0.7

100.0 100.0 100.0 100.0

184 356 312 88

53.9

7.3

12.9

3.4

0.0

12.1

2.6

6.8

100.0

148

sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi

46.3 42.4 45.6

11.3 11.1 21.4

13.3 19.8 11.6

1.9 4.9 1.6

0.3 0.0 0.0

7.4 6.3 3.2

5.4 7.2 8.2

11.3 8.2 6.3

100.0 100.0 100.0

300 137 355

yvelaze dabali meore saSualo meoTxe yvelaze maRali

50.4 53.7 43.3 48.1 40.3

6.7 6.9 15.3 11.6 26.4

11.7 13.7 12.6 14.1 14.7

5.4 3.4 2.4 0.7 1.3

0.0 0.5 0.0 0.0 0.0

13.1 8.7 5.4 5.1 2.7

2.4 5.3 9.2 7.5 5.9

7.5 7.4 9.0 9.4 8.3

100.0 100.0 100.0 100.0 100.0

155 216 208 165 196

sul sacxovrebeli adgili Tbilisi qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi

188


sruli saSualo teqnikumi universit./asporantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali sasurveli meTodi abebi sSs kondomi/spermicidi sxva

sacxovrebeli adgili Tbilisi qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi

sul

maxasiaTeblebi

16.1 19.0 9.2 11.2 10.8

3.1 18.8 0.0 40.9

9.8 49.7 3.9 20.9

11.3

31.2

22.6 29.5 35.6 40.6 32.1

13.9 13.4 14.0 5.3

27.7 33.2 35.1 31.1

14.0 13.1 12.7

13.5 14.3 6.7

30.0 36.0 27.3

28.5 29.1 37.8

7.7 11.5 16.6

13.0

saqalaqo saavadmyofoebi

32.0 37.1 30.3

32.5

qalTa konsultaciebi

2.5 13.7 0.0 11.4

23.8 12.6 11.5 2.3 0.6

13.3 9.6 2.0

15.8

8.3 6.1 9.9 19.3

7.6 10.8 5.8

0.0 6.0 15.3

8.9

regionuli saavadmyofoebi

3.1 5.1 0.0 9.0

3.8 8.9 1.9 3.7 1.5

2.8 5.9 3.1

5.9

1.8 5.3 4.0 1.3

4.6 3.0 4.6

2.6 2.8 5.1

3.8

pirveladi jandacvis klinika/cen tri

1.2 2.9 0.9 0.0

1.9 3.2 1.6 0.7 2.8

1.1 0.3 2.6

4.6

0.9 3.1 2.0 0.6

1.7 2.8 1.0

2.1 1.7 2.4

2.1

poliklinika

jandacvis seqtori

1.5 0.4 0.7 5.8

0.3 0.7 1.3 0.7 1.0

0.0 1.8 1.2

0.8

0.7 0.8 0.9 1.3

0.7 0.6 1.9

1.0 1.0 0.7

0.8

saojaxo samedicino centri

0.0 0.3 0.0 4.3

0.0 0.9 0.0 0.0 0.5

0.1 1.0 0.4

0.0

0.0 0.4 0.1 1.6

0.7 0.1 0.0

0.0 1.1 0.1

0.3

referaluri hospitlebi

qalebisTvis, romlebic amJamad ar iyeneben kontraceptivebs da aqvT maTi momavalSi gamoyenebis survili reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

0.0 0.0 0.0 4.0

0.9 0.0 0.0 0.0 0.0

0.0 0.9 0.0

0.0

0.0 0.3 0.0 0.0

0.3 0.0 0.0

0.0 0.0 0.3

0.1

mobiluri klinika

77.9 7.2 91.8 3.8

28.5 22.4 36.8 39.5 49.6

37.9 37.1 38.7

27.7

46.1 34.4 32.5 39.5

38.7 30.7 51.7

53.6 37.5 26.8

36.5

afTiaqi

0.0 0.0 1.3 0.0

0.0 0.0 1.4 0.0 0.0

0.0 0.0 0.4

0.9

0.0 0.7 0.0 0.0

0.4 0.0 1.0

0.5 0.0 0.3

0.3

partniori/qm ari

0.0 0.2 0.0 0.0

0.0 0.0 0.7 0.0 0.0

0.4 0.0 0.0

0.0

0.0 0.4 0.0 0.0

0.4 0.0 0.0

0.0 0.0 0.3

0.1

naTesavi

sxva

0.1 0.0 0.0 0.0

0.0 0.1 0.0 0.0 0.0

0.0 0.0 0.0

0.0

0.0 0.0 0.0 0.0

0.0 0.0 0.0

0.0 0.0 0.0

0.0

sxva

0.7 1.7 1.4 0.0

2.2 2.8 0.0 1.3 1.1

1.8 1.0 1.1

1.8

0.7 2.1 1.4 0.0

1.4 1.8 0.0

0.5 1.5 1.9

1.4

ar icis

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

100.0

sul

127 448 150 31

124 175 161 132 164

236 109 297

114

139 295 258 64

262 393 101

156 194 406

756

SemTxvevaTa raodenoba

cxrili 8.7.3 kontraceptiuli meTodebis upiratesi wyaro SerCeuli maxasiaTeblebis mixedviT 15-44 wlis amJamad qorwinebaSi myofi fertiluri qalebisTvis, romlebic amJamad ar iyeneben kontraceptivebs da aqvT survili maTi momavalSi gamoyenebis cxrili 8.7.3 reproduqciuli kontracepciis meTodebis upiratesi wyaro SerCeuli maxasiaTeblebis mixedviT2010 15-44 wlis qorwinebaSi myofi Svilosnobis unaris mqone janmrTelobis kvleva, saqarTvelo,

saboloo angariSi

189


cxrili 8.8.1

kontraceptivebis araefeqturobis da maTi moxmarebis qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010 maCvenebeli erTi, ori da sami wlis manZilze Sewyvetis SerCeuli meTodebis mixedviT 2005 wlis seqtembridan SemoRebuli kontraceptivebis gamoyenebis yvela cxrili 8.8.1 kontraceptivebis araefeqturobis da maTi moxmarebis Sewyvetis maCvenebeli erTi, ori da sami wlis manZilze SerCeuli meTodebis mixedviT segmentisTvis 2005 wlis seqtembridan SemoRebuli reproduqciuli janmrTelobis kvleva: kontraceptivebis gamoyenebis yvela segmentisTvis saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 uefeqtobis maCvenebeli kontracepciis meTodi xangrZlivoba

yvela meTodi

sSs

kondomi

abebi

sxva Tanamedrove meTodebi

kalendaruli meTodi

Sewyvetili aqti

erTi weli

10.3

0.9

5.2

7.3

8.5

20.9

17.7

ori weli

17.2

1.7

10.0

10.0

13.1

33.2

30.2

sami weli

21.9

2.9

14.3

16.4

15.0

40.6

37.2

3,981

545

1,183

542

255

663

793

segmentebis raodenoba

Sewyvetis maCvenebeli

xangrZlivoba

kontracepciis meTodi yvela meTodi

sSs

prezervati vi

abebi

sxva Tanamedrove meTodebi

kalendaruli meTodi

Sewyvetili aqti

erTi weli

35.4

8.6

40.4

52.1

33.7

36.8

35.4

ori weli

53.4

18.7

59.3

69.3

48.8

61.1

53.8

sami weli

64.0

30.2

69.1

80.5

56.0

72.6

65.6

segmentebis raodenoba

3,981

545

1,183

542

255

663

793

Sewyvetis % meTodis araefeqturobis Sedegad (12 Tve)

29.2

10.6

12.9

14.0

25.1

57.0

50.0

190


saboloo angariSi

cxrili 8.8.2 pirvel wels kontraceptivebis gamoyenebis Sewyvetis maCveneblebi cxrili 8.8.2 erTi wlis ganmavlobaSi kontracepciis SerCeuli gamoyenebis Sewyvetis mTavari mizeziT; kontraceptivebis maCveneblebi mTavari mizezis mixedviT; kontracepciis SerCeuli meTodebisTvis; 2005 wlis seqtembridan SemoRebuli kontraceptivebis meTodebisTvis; SerCeuli kontraceftiuli meTodebikontracefciis gamoyenebis yvela segmentisTvis gamoyenebis yvela segmenti dawyebuli 2005 wlis ianvridan reproduqciuli janmrTelobis kvleva:saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 kontracepciis meTodi kontraceptivebis moxmarebis Sewyvetis mTavari mizezi

yvela meTodi

sSs

kondomi

abebi

sxva Tanamedrove meTodebi

kalendaruli meTodi

aqtis Sewyveta

35.4

8.6

40.4

52.1

33.7

36.8

35.4

GmTliani koeficientebi* daorsulda kontraceptivebis gamoyenebisas partnioris ukmayofileba an aryofna

13.1

2.1

6.7

6.9

9.9

27.3

24.7

8.0

0.2

14.3

2.5

5.0

4.2

12.4

uyuradReboba

4.3

0.0

4.7

2.9

1.8

11.2

2.4

surs daorsuleba gverdiTi movlenebis SiSi an ukve miRebuli gamocdileba

9.6

6.4

12.4

9.9

8.7

7.1

9.7

6.1

11.2

0.6

29.8

5.5

0.2

0.1

gadarTulia sxva meTodze

4.1

0.2

4.9

1.6

4.8

7.5

4.2

fasi/xelmisawvdomoba daaneba Tavi organizmis dasvenebis mizniT/eqimis rCeviT rTulia an mouxerxebeli gamoyeneba

3.2

0.0

6.3

6.1

6.8

0.2

0.1

3.5

7.9

2.2

9.6

2.3

1.2

0.2

1.8

0.2

3.4

0.6

1.7

1.8

1.2

sxva

2.1

1.7

2.8

0.8

3.0

2.3

1.6

3,981

545

1,183

542

255

663

793

sul, wminda koeficientebi

â&#x20AC;

SemTxvevebis raodenoba â&#x20AC; NSewyvetis wminda koeficienti am rigSi

* GSewyvetis mTliani koeficienti danarCen cxrilSi; isini Sekrebisas ufro metia, vidre wminda koeficienti rigSi `sul". ix. sqolio teqstSi.

191


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

192


Tavi

9

kontracepciuli momsaxurebis saWiroeba kontracepciul saSualebebze potenciuri moTxovnis da daukmayofilebeli saWiroebis koncefcia 1960-ian wlebSi gaxda aqtualuri, rodesac mkvlevarebma pirvelad dagvanaxes gansxvaveba qalebis Svilosnobis prioritetebsa da maT mier kontraceptivebis gamoyenebas Soris ganviTarebad samyaroSi. jamuri potenciuri moTxovna kontracepciaze zogadad ganisazRvreba rogorc jami kontraceptivebis amJamindeli moxmarebis (dakmayofilebuli saWiroebis) da kontracepciis damatebiTi gamoyenebisa, romelic saWiro iqneba arasasurveli an arasasurvel dros damdgari orsulobebis Tavidan asacileblad (daukmayofilebeli saWiroeba). kontracepciaze daukmayofilebeli saWiroeba warmoadgens sakmaod zust maCvenebels, romelic asaxavs sxvaobas sasurvel Sobadobasa da kontracepciuli meTodebis moxmarebis amJamindel dones Soris. kontraceptivebis saWiroebas sul ufro meti yuradReba eqceva ojaxis dagegmvis saqmeSi. faqtebi da monacemebi im qalebis Sesaxeb, romelTa moTxovna kontraceptivebze ar aris srulad dakmayofilebuli, cxadyofs im samuSaos, romelic Casatarebelia qalebisa da wyvilebis dasaxmareblad daugegmavi orsulobis Tavidan acilebis mizniT. garda amisa, amgvari monacemebi gviCvenebs, sakmarisia TuU ara saxelmwifo finansuri da politikuri mxardaWera am problemis gamosasworeblad. aTaswleulis ganviTarebis miznebis Sesrulebis mimdinareobis Sefasebis xelSewyobis mizniT 2006 wels daisaxa axali mizani - reproduqciuli janmrTelobis momsaxurebebis sayovelTao xelmisawvdomoba (aTaswleulis ganviTarebis miznebi, mizani 5b). amasTan erTad, gaeros komisiebis rekomendaciaa, rom `daukmayofilebeli kontracepciaâ&#x20AC;? Sevides im indikatorTa ricxvSi, romlebzec msoflio masStabiT monitoringi unda dawesdes. garda daukmayofilebeli saWiroebisa kontracepciaze, meore sayuradRebo cnebaa daukmayofilebeli saWiroeba kontracepciis Tanamedrove meTodebze, romelic gamoricxavs naklebad efeqtur tradiciul meTodebs, rogoricaa perioduli TavSekaveba sqesobrivi aqtivobisgan da Sewyvetili sqesobrivi aqti. es yvelaferi efuZneba saxelmwifo doneze ganxorcielebuli im farTomasStabiani kvlevebis monacemebs, romlebic periodu193


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

lad tardeba rogorc ganviTarebad, aseve ganviTarebul qveynebSi. zemoT aRniSnul kvlevebs Soris aris reproduqciuli janmrTelobis kvlevac saqarTveloSi, romelic didi rols TamaSobs kontracepciuli saSualebebiT momsaxurebis dRevandeli saWiroebis da momavalSi masze potenciuri moTxovnis aRweraSi, risTvisac fasdeba respondentTa Sobadobis arCevani da reproduqciuli upiratesobebi. kvlevebis Sedegad Camoyalibda daukmayofilebeli saWiroebis gansazRvreba (Bongaarts J, 1991; Westoff, 2006), romelic moicavs amJamad qorwinebaSi an urTierTTanxmobiT kavSirSi myof qalebs, vinc amJamad (bolo erTi Tvis ganmavlobaSi) sqesobrivad aqtiuria; imyofeba daorsulebis riskis winaSe (maT ricxvSi ar Sedian qalebi, vinc ar aris sqesobrivad aqtiuri, amJamad orsuladaa, axlad namSobiarebia an aqvs amenorea); nayofieria (arc qals da arc mis partniors ara aqvs Svilosnobis daqveiTebuli unari); ar surs daorFsuraTi 9.1.1

suleba (intervius aRebis droisTvis); da ar iRebs raime zomebs kontracepciis mizniT. garda amisa, daukmayofilebeli saWiroebis gansazRvreba gavrcelda yvela qalze, raTa ufro zustad dadgeniliyo kontracepciis daukmayofilebeli saWiroebis mqone qalTa raodenoba. kvlevebma, romelTa farglebSi moxda saqarTveloSi daugegmavi orsulobis riskis Semcirebis mizniT saWiro kontraceptivebis damatebiTi gamoyenebis perioduli dokumenturi asaxva, didi daxmareba gawies ojaxis dagegmvis sakiTxebze yuradRebis gamaxvilebaSi da mimdinare programebis efeqturis monitoringsa da SefasebaSi, maT Soris kontraceptivebis lojistikis marTvis SemoRebaSi da reproduqciuli janmrTelobis samsaxurebis sayovelTao xelmisawvdomobis miznis miRwevaSi progresis SefasebaSi. gansakuTrebiT mniSvnelovania 1999-2010 wlebis periodSi aRricxuli tendenciebi.

nebismier kontraceptiul meTodze potenciuri moTxovna da daukmayofilebeli saWiroeba, qorwinebis statusis mixedviT, 15â&#x20AC;&#x201C;44 wlis qalebSi

60.8

yvela qali

20.6

10.8 7.7

kontraceptivi ar sWirdeba sargeblobs Tanamedrove meTodiT

gaTxovili

35.3

ganaTxovari

34.2

18.2

88.5

12.3

5.8 5.4

sargeblobs tradiciuli meTodiT kontracepciis daukmayofilebeli saWiroeba

99.7

gauTxovari

0%

FsuraTi 9.1.2

20%

40%

60%

80%

100%

daukmayofilebeli saWiroeba nebismier kontracepciul meTodze, saqarTvelos regionebis mixedviT, qorwinebaSi myof 15-44 wlis qalebSi Unmet Need for contraception (% Married Women)

*

15+ 10-14 <10

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

194


saboloo angariSi

FsuraTi 9.1.3

daukmayofilebeli saWiroeba kontracepciis Tanamedrove meTodebze, saqarTvelos regionebis mixedviT, qorwinebaSi myof 15-44 wlis qalebSi Unmet Need of Modern Contraception (% Married Women) <25

*

25-29 30-34 35+

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

FsuraTi 9.1.4

amJamindeli daukmayofilebeli saWiroeba Tanamedrove kontracepciaze, cocxali Svilebis raodenobis mixedviT, qorwinebaSi myof 15-44 wlis qalebSi

Tanamedrove kontracepciaze daukmayofilebeli moTxovnis mqone gaTxovil qalTa procentuli maCvenebeli 50 45 40

40

37

38

35 30

31

25

23

20 15 10

6

5 0 sul

arc erTi

erTi

9.1 potenciuri moTxovna da daukmayofilebeli saWiroeba kontracepciaze 2010 wels Catarebuli kvlevis Sedegad aRmoCnda, rom yvela qalis 39%-s aqvs potenciuri moTxovna kontracepciis saSualebebze. qorwinebaSi myof qalebs Soris, romlebic sqesobrivad gacilebiT aqtiurni arian da daugegmavi orsulobebis ufro didi riskis winaSe dganan, kontraceptivebze potenciuri moTxovna gacilebiT maRali aRmoCnda (65%), amJamad kontracepciis Tanamedrove meTodebis momxmarebeli 34%is, tradiciuli meTodebis mimdevari 18%is da im 12%-is CaTvliT, romelic saerTod ar iyenebs kontracepciis arc erT meTods (cxrili 9.1.1 da suraTi 9.1.1). 9.1.1 cxrilSi qorwinebaSi myofi qalebis 18.2% iyenebs tradiciul meTodebs da im 12.3%-Tan er-

ori

sami

oTxi an meti

Tad, romelic araviTar meTods ar iyenebs, isini CaTvlilni arian daukmayofilebel saWiroebaTa mqone mTlian 30.5%-Si. qorwinebaSi myof daaxloebiT samidan erT qals (35.3%) ar sWirdeboda kontracepcia, radgan im momentisTvis isini iyvnen orsulad, cdilobdnen daorsulebas, unayofoni iyvnen an ar hqoniaT sqesobrivi kavSiri bolo drois ganmavlobaSi. garda nebismier kontraceptivze daukmayofilebeli saWiroebisa (12.3%), aRsaniSnavia kontracepciis Tanamedrove meTodebis saWoroeba (30.5%). es jgufi yovelTvis ufro farToa, vinaidan igi agreTve moicavs tradiciuli meTodebis mimdevrebsac. aseTi kvlevebi gansakuTrebiT aucilebelia iseT qveynebSi, sadac maRalia arasando tradiciuli meTodebis moxmareba. (unda aRiniSnos, rom es procentuli odenoba konservatiulia, vinaidan zogi-

195


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 9.1.5

daukmayofilebeli saWiroeba Tanamedrove kontracepciul meTodebze ojaxuri mdgomareobis mixedviT 15-44 wlis qalebs Soris: 1999, 2005 da 2010 wlebi 1999

44%

2005

2010

37% 31% 27% 22% 18%

4%

7% 6% 0%

sul

gaTxovili

erT orsul qals ar unda arc es orsuloba da arc sxva odesme momavalSi da amitom samoqmedo programebi unda uzrunvelyofdes mSobiarobis Semdgom kontracepcias amgvari saWiroebis dakmayofilebis mizniT). qorwinebaSi myofi qalebis zogierTma qvejgufma gamoavlina daukmayofilebeli saWiroebis gacilebiT maRali done sxva jgufebTan SedarebiT (cxrili 9.1.2). kontraceptivebze daukmayofilebeli saWiroeba regionebis mixedviT gamoiyureba ase: 15%-16% aWaraSi, guriasa da mcxeTa-mTianeTSi da 8%-9% TbilisSi, samcxe-javaxeTsa da Sida qarTlSi (suraTi 9.1.2). Tanamedrove kontracepciul saSualebebze daukmayofilebeli saWiroeba gacilebiT maRalia: 38%-40% samcxe-javaxeTSi, aWaraSi, guriaSi, raWa-svaneTsa da qvemo qarTlSi da 23%-27% TbilisSi, samegrelosa da imereTSi (suraTi 9.1.3). zogadad, daukmayofilebeli saWiroebis doneebi, gansakuTrebiT daukmayofilebeli saWiroeba kontracepciis Tanamedrove saSualebebze, ufro maRali iyo soflad, vidre qalaqSi mcxovreb qalebSi da izrdeboda cocxali Svilebis raodenobasTan erTad (suraTi 9.1.4). saSualo an naklebi ganaTlebis mqone respondentebs hqondaT daukmayofilebeli saWiroebis ufro maRali done, vidre saSualoze maRali ganaTlebis mqone qalebs (cxrili 9.1.2). saqarTveloSi kontracepciis Tanamedrove meTodebze daukmayofilebeli saWiroeba qorwinebaSi myof qalebSi Seadgenda 30%-s, roca es maCvenebeli 1999 wels iyo 44%, xolo 2005 wels â&#x20AC;&#x201C; 37%. es warmoadgens daaxloebiT erTi mesamediT klebas 1999 wlidan (suraTi 9.1.5). kontracepciis Tanamedrove meTodebze daukmayofilebelma 196

ganaTxovari

0%

0%

gauTxovari

saWiroebam yvela qals Soris daiklo 27%dan 18%-mde, rac aseve Seadgens klebas erTi mesamediT. praqtikulad, aRniSnuli kleba warmoadgens wyvilebs Soris Tanamedrove meTodebis moxmarebis zrdis Sedegs, maSin, roca daukmayofilebeli saWiroebis maCvenebeli dauqorwinebel da adre qorwinebaSi myof qalebs Soris darCa igive, anu Zalian dabali. absolutur cifrebSi es warmoadgens aSkara klebas - 15-44 wlis daaxloebiT 75,000 qals kontracepciis Tanamedrove saSualebebze daukmayofilebeli saWiroebiT 2005-2010 wlebSi, da am faqtors SeiZleba mieweros daugegmavi orsulobebisa da xelovnuri abortebis mniSvnelovani kleba. Tumca 9.2.1 cxrilSi Tanamedrove meTodebTan mimarTebaSi kvlav SeimCneva 18%iani daukmayofilebeli saWiroeba 15-44 wlis yvela qarTvel qalSi (qorwinebaSi myofi qalebis 31%). maT aqvT Svilebis raodenobis dagegmvis, maT Soris intervalis dacvis da daugegmavi orsulobis riskis moxsnis ganuxorcielebeli survili. es exeba TiTqmis 180,000 wyvils, romelTa saWiroeba kontracepciis Tanamedrove meTodebze ar aris dakmayofilebuli. am cifris Semcirebis mizniT, politikur gadawyvetilebaTa mimRebma pirebma da programebma yuradReba unda gaamaxvilon im qvejgufebze, sadac daukmayofilebeli saWiroeba ufro koncentrirebulia, da gaiTvaliswinon iseTi maxasiaTeblebi, rogoricaa asaki, Semosavali, ganaTleba da erovneba.


saboloo angariSi

daukmayofilebeli saWiroeba nebismier kontracepciul saSualebebze da daukmayofilebeli saWiroeba Tanamedrove kontracepciul saSualebebze qorwinebaSi myof qalebs Soris aRmosavleT evropisa da evraziis SerCeul qveynebSi

FsuraTi 9.2.1

aRmosavleTi evropa

60

kavkasia 53

52

50

Sua azia

47

39

39

40

33

31

29

30

27 22

20

19

18 15

14

15

12

12

10

0

22

6

CZ

12

18 14

13

6

MD

RO

RU

UA

AM

AZ

Ge10

KG

KZ

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.

FsuraTi 9.2.2

Tanamedrove meTodebze daukmayofilebeli saWiroeba qorwinebaSi myof qalebs Soris, Sobadobis momavali arCevanis mixedviT, 1999, 2005 da 2010 wlebi orsulobis SezRudvis daukmayofilebeli saWiroeba

orsulobis gadavadebis daukmayofilebeli saWiroeba

10 9 10 34

1999

28

2005

9.2 potenciuri moTxovnileba ojaxis dagegmvaze Sobadobis arCevanis mixedviT Tu SevadarebT bolo periodSi aRmosavleT evropis qveynebsa da kavkasiis regionSi Catarebuli mosaxleobis kvlevebis Sedegebs, kontracepciis Tanamedrove meTodebze daukmayofilebeli saWiroebis maCvenebeli yvelaze maRalia somxeTSi (52%, 2000) da azerbaijanSi (53%, 2001). maT mohyveba ukraina (47%, 1999), CexeTis respublika (39%, 1993), rumineTi (39%, 1999) da saqarTvelo (31%, 2010) (CDC and ORC Macro, 2003). 9.2.1 cxrilsa da 9.2.1 suraTze mocemulia detaluri monacemebi; isini daukmayofilebel saWiroebas aseve ganasxvaveben imis mixedviT, Tu rasTan aris igi dakavSirebuli - orsulobis `gadavadebasTan” Tu `SezRudvasTan”. es niSnavs, rom garda ojaxis dagegmvis momsaxurebaze mTliani

20

2010

moTxovnis gazomvisa, kvlevis monacemebi aseve iZleva respondentebis Sobadobis arCevanze dafuZnebuli dakmayofilebuli da daukmayofilebeli saWiroebebis Sefasebis saSualebas (cxrili 9.2.2). kontracepciis raime an Tanamedrove meTodebze potenciuri moTxovnis mqone respondentebs Soris is qalebi, romlebsac ar surdaT male daorsuleba, magram hqondaT bavSvis momavalSi gaCenis survili (im qalebis CaTvliT, romlebsac ver gadaewyvitaT, undodaT Tu ara Svili), klasificirebulni iqnen rogorc orsulobis gadavadebis daukmayofilebeli saWiroebis mqoneni. respondentebi, romlebsac ar surdaT (saerTod) meti Svilis yola, magram arafers akeTebdnen orsulobis Tavidan asacileblad (an iyenebdnen naklebad efeqtur tradiciul meTodebs), CaiTvalnen orsulobis SezRudvis daukmayofilebeli saWiroebis mqoneebad. msgavsad amisa, respondentebi, romelTa kontracepciis meTodebze saWiroeba dak197


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

mayofilebuli iyo (nebismieri meTodis an Tanamedrove meTodebis momxmareblebi), klasificirebulni iqnen dakmayofilebul saWiroebaTa mqoneebad rogorc orsulobis gadavadebis, aseve SezRudvis TvalsazrisiT. 9.2.1 cxrilis bolo ori sveti gviCvenebs SezRudvasTan dakavSirebuli mTeli daukmayofilebeli saWiroebis procentul odenobas. magaliTad, saqarTvelos SemTxvevaSi 2010 wels `nebismier kontracefciaze” mTeli daukmayofilebeli saWiroebis 68% dakavSirebuli iyo SezRudvasTan (8.4/12.3), `Tanamedrove kontracepciaze” daukmayofilebeli saWiroebis 67% aseve dakavSirebuli iyo SezRudvasTan (20.5/30.4). orsulobis SezRudvasTan dakavSirebuli saWiroebebi aSkarad dominirebs TiTqmis yvela qveyanaSi. orsulobis SezRudvasTan dakavSirebuli saWiroebis procentuli odenoba – 50% an naklebi – dabalia mxolod TurqmeneTsa da uzbekeTSi. Zogadad, 9.2.2 cxrilsa da 9.2.2 suraTze mocemuli orsulobis SezRudvis daukmayofilebeli saWiroebebi ufro maRalia, vidre orsulobis gadavadebis daukmayofilebeli saWiroebebi, miuxedavad regionisa da standartuli Tu farTo gansazRvrebis gamoyenebisa. amJamad qorwinebiT kavSirSi myof qalebs Soris orsulobis SezRudvis daukmayofilebeli saWiroeba orjer da samjer metia, vidre orsulobis gadavadebis daukmayofilebeli saWiroeba, rac Seesabameba am regionisTvis tipur, mcire zomis idealuri ojaxis xedvas da momaval reproduqciul ganzraxvebs. orsulobis SezRudvis daukmayofilebeli saWiroeba saqarTveloSi 1999-2010 wlebSi 14%-iT Semcirda, maSin, roca orsulobis gadavadebis daukmayofilebeli saWiroeba imave doneze rCeba (10%). daukmayofilebeli saWiroebis yvelaze gavrcelebul mizezs saqarTveloSi warmoadgens informaciis nakleboba, SiSi kontraceptivebiT gamowveuli gverdiTi movlenebis mimarT da momsaxurebis miRebis mouxerxebloba. daukmayofilebeli saWiroebis mqone qalebs, Cveulebriv, kontraceptivebTan dakavSirebiT codnis dabali done aqvT, ar ician maTi gamoyeneba da ar sjeraT, rom ojaxis dagegmvis momsaxureba maTTvis advilad xelmisawvdomia. am qalTa saWiroebebis dasakmayofileblad aucilebelia gacilebiT meti Zalisxmeva, raTa amaRldes maTi codna kontraceptivebTan dakavSirebiT. es SeiZleba gakeTdes programebis `informacia,

198

ganaTleba da komunikacia” da `komunikacia qcevis Sesacvlelad” meSveobiT, aseve efeqturi, maRali xarisxis da misaRebi fasis kontracepciuli meTodebis, maT Soris grZelvadiani da mudmivi meTodebis, farTo arCevanis xelmisawvdomobis gafarToebis gziT. da bolos, politikuri gadawyvetilebebis mimReb pirebs da donorebs unda hqondeT informacia imis Sesaxeb, Tu ra raodenobis masalebia saWiro ojaxis dagegmvis sferoSi imisaTvis, rom dakmayofildes saqarTvelos yvela im qalis saWiroeba, romelic amJamad moixmars kontracepciis Tanamedrove meTodebs (21% 9.1.1 cxrilis mixedviT, anu daaxloebiT 207,000 momxmarebeli); aseve, maT unda gaiTvaliswinon kontracepciis saSualebaTa raodenobis potenciuri zrda, roca tradiciuli meTodebis momxmareblebi da isini, vinc dRes ar mimarTavs raime meTods, daiwyeben axali meTodebis gamoyenebas. mxolod daukmayofilebeli saWiroebis dasakmayofileblad mowodebaze moTxovna SeiZleba Zalian gaizardos maSinac ki, roca mosaxleobis mateba isev Zvel doneze iqneba. garda amisa, Sobadobis arCevanSi cvlilebebma da Svilis gaCenis drois gansazRvram aseve SeiZleba gazardos kontracepciis sxvadasxva meTodis momxmarebelTa raodenoba. amJamad ojaxis dagegmvasTan dakavSirebuli yvela saqmianoba organizebulia donorebis (ZiriTadad gaero-s mosaxleobis fondis da aSS-is saerTaSoriso ganviTarebis saagentos) daxmarebiT da xorcieldeba adgilobrivi samTavrobo dawesebulebebis da saerTaSoriso an adgilobrivi arasamTavrobo organizaciebis mier. donorebi mxardaWeras uweven sam ZiriTad funqcias, romlebic miznad isaxavs ojaxis dagegmvis momsaxurebis gafarToebas: 1) sxvadasxva saxis efeqturi da misaRebi kontracepciis meTodebis xelmisawvdomoba ojaxis dagegmvis momsaxurebis mimwodebel dawesebulebebSi; 2) ojaxis dagegmvis momsaxurebis mimwodebeli samedicino muSakebis profesiuli momzadeba zogadi treningis programebis meSveobiT; da 3) informaciis gavrceleba, Temis monawileobaze damyarebuli ganaTleba da sazogadoebasTan urTierToba. Tanamedrove kontraceptivebze daukmayofilebeli saWiroebis dakmayofilebas saqarTveloSi dasWirdeba programuli da finansuri daxmarebis mniSvnelovani gafarToeba. amJamad kontracepciasTan dakavSirebuli momsaxurebis umetesi nawili


saboloo angariSi

finansdeba donorebis SenatanebiT da momxmareblebis mier gadaxdili TanxebiT, maSin, roca ojaxis dagegmvasTan dakavSirebuli samTavrobo subsidiebi kvlavac SezRudulia. ojaxis dagegmvis momsaxurebis moTxovnis ukeT dakmayofilebis mizniT mTavrobam unda gazardos TanamSromloba donorebTan da uzrunvelyos momsaxurebis xelmisawvdomoba yvela wyvilisTvis, visac es momsaxureba sWirdeba. reproduqciuli janmrTelobis erovnuli strategia unda uzrunvelyofdes ufaso an dabali Rire-

bulebis kontraceptivebs, awvdides qalebs informacias, Tu ra meTodebi da momsaxurebaa xelmisawvdomi, aseve avrcelebdes zust informacias, romelic daexmareba qalebs Tanamedrove kontraceptivebis Sesaxeb araswori Sexedulebebis daZlevaSi. erovnuli strategiisTvis gansakuTrebul prioritets unda warmoadgendes kontracepciis gamoyenebis gafarToeba, aTaswleulis ganviTarebis miznis – reproduqciuli janmrTelobis momsaxurebis sayovelTao xelmisawvdomobis – Sesabamisad.

cxrili 9.1.1 moTxovna ojaxis dagegmvis momsaxurebaze qorwinebis statusis cxrili 9.1.1 moTxovna ojaxis dagegmvis momsaxurebaze ojaxuri mdgomareobisa da asakobrivi 15-44 jgufiswlis mixedviT 15-44 wlis yvela qals Soris da asakobrivi jgufis mixedviT yvela qals Soris reproduqciuli janmrTelobis kvleva: saqarTvelo, reproduqciulijanmrTelobiskvleva, saqarTvelo, 2010 2010 qorwinebis statusi adre arasdros qowinebaS qorwinebaSi daqorwineb i myofi uli myofi

moTxovna ojaxis dagegmvaze

sul

araviTari moTxovna arasdros hqonia sqesobrivi kavSiri amJamad ar aris sqesobrivad aqtiuri* amjamad orsuladaa an mSobiarobis Semdgom periodSi surs orsuloba† unayofo/nawilobriv unayofo ‡ potenciuri moTxovna dakmayofilebuli saWiroeba amJamad Tanamedrove meTodebis momxmarebeli amJamad tradiciuli meTodebis momxmarebeli nebismier kontracepciaze daukmayofilebeli saWiroeba (daugegmavi orsulobis riski im adamianebSi, romlebic ar mimarTaven kontracepcias)

60.8 34.2 8.7 7.6

35.3 0.0 5.6 12.8

88.5 0.0 82.2 1.3

4.9 5.4 39.1 31.4 20.6

8.2 8.7 64.7 52.4 34.2

10.8

15–24

25–34

35–44

99.7 99.7 0.0 0.0

85.3 67.7 2.7 10.4

49.1 19.0 9.0 9.4

44.1 10.2 15.6 2.3

1.1 3.9 11.4 6.0 5.8

0.0 0.0 0.2 0.0 0.0

4.1 0.4 14.8 11.5 8.3

6.8 4.9 51.0 42.7 28.9

3.8 12.2 55.8 43.5 26.7

18.2

0.2

0.0

3.2

13.8

16.8

7.7 18.5

12.3 30.5

5.4 5.6

0.2 0.2

3.3 6.5

8.3 22.1

12.3 29.1

sul

100.0

100.0

100.0

100.0

100.0

100.0

100.0

SemTxvevaTa raodenoba

6,292

4,098

389

1,805

1,960

2,359

1,973

daukmayofilebeli saWiroeba kontracepciis Tanamedrove meTodebze

* † ‡ §

asakobrivi jgufi

§

gasuli Tvis ganmavlobaSi. surs male daorsuleba; 115 respondenti, romlebmac pasuxad Tqves: `roca RmerTi isurvebs." sterilizacia ara kontracepciis mizniT, janmrTelobis mdgomareoba, romelic xels uSlis orsulobas, unayofo partniorebi da menopauza. moicavs daugegmavi orsulobis riskis qveS myof adamianebs, romlebic ar mimarTaven kontracepcias, da maT, vinc amJamad iyenebs aratradiciul meTodebs

199


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 9.1.2 ojaxis dagegmvis momsaxurebis daukmayofilebeli saWiroeba cxrili 9.1.2 daukmayofilebeli saWiroeba ojaxis dagegmvis samsaxurebis servisebze qorwinebis statusis da asakobrivi jgufismixedviT mixedviT 15-44 wlis qorwinebis statusisK O da asakobrivi jgufis 15-44 wlis yvela qals Soris yvela qals Soris reproduqciauli janmrTelobis kvleva: saqarTvelo, 2010 2010 reproduqciulijanmrTelobiskvleva, saqarTvelo, yvela qali maxasiaTeblebi

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi asakobrivi jgufebi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi universit./aspirantura socialur-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali erovneba qarTveli azerbaijaneli somexi sxva

200

SemTxvevaTa raodenoba

qorwinebaSi myofi qalebi nebismieri meTodi

Tanamedrove meTodi

SemTxvevaT a raodenoba

nebismieri meTodi

Tanamedrove meTodi

7.7

18.5

6,292

12.3

30.5

4,098

6.1 9.5

14.2 23.2

2,975 3,317

10.1 14.5

24.8 36.0

1,806 2,292

9.5 5.3 5.7 9.7 5.0 10.5 10.2 7.4 8.5 10.8 8.2

18.2 12.7 21.1 24.6 24.7 25.0 25.0 15.1 17.4 19.4 21.8

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

14.2 8.9 9.0 14.4 7.6 15.7 15.1 13.1 13.5 16.2 14.2

27.9 23.2 34.2 37.6 39.8 38.3 38.4 26.7 27.8 29.7 37.8

348 815 266 375 331 292 276 302 540 270 283

1.0 5.5 7.7 9.0 11.1 13.7

1.4 11.3 18.8 25.5 29.6 28.5

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

9.0 10.7 10.7 10.7 13.1 16.8

13.1 22.6 26.4 31.9 36.3 36.2

124 610 863 948 836 717

0.9 8.2 14.0 16.0

1.0 19.9 34.9 38.5

2,276 1,286 2,069 661

4.6 8.9 14.6 15.8

5.8 23.0 36.9 39.5

409 1,106 1,956 627

8.4

18.7

1,330

17.6

39.9

726

9.2 11.2 5.2

21.9 22.4 14.9

1,568 903 2,491

13.9 14.7 7.8

33.4 30.5 24.2

1,119 673 1,580

12.4 9.0 6.4 6.9 5.6

27.2 22.9 17.4 15.5 13.2

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

18.6 13.9 10.4 11.3 9.3

42.1 35.7 28.1 27.3 22.9

727 966 952 623 830

7.0 16.3 7.5 12.1

17.2 32.1 24.9 20.1

5,488 276 364 164

11.4 22.5 11.8 18.0

28.8 44.4 41.3 30.1

3,521 219 249 109


saboloo angariSi

cxrili 9.2.1

kontracepciis daukmayofilebeli saWiroebis mqone amJamad qorwinebaSi myofi reproduqciuli asakis qalebis* cxrili 9.2.1 daukmayofilebeli moTxovna kontracepciaze momavali Sobadobis procenti Sobadobis samomavlo arCevanis mixedviT arCevanis mixedviT reproduqciuli asakis amJamad qorwinebaSi evropis da da evraziis SerCeul qveynebSi angariSi myofi qalebiaRmosavleT aRmosavleT evropa evrazia: SedarebiTi Ukontracepciis nebismier meTodze daukmayofilebeli saWiroeba †

kontracepciis Tanamedrove meTodebze daukmayofilebeli saWiroeba

regioni da qveyana sul

aRmosavleTi evropa CexeTis resp., 1993 moldova, 1997 rumineTi, 1999 ruseTi, 1999‡ ukraina, 1999 kavkasia somxeTi, 2000 azerbaijani, 2001 saqarTvelo, 1999 saqarTvelo, 2005 saqarTvelo, 2010 Sua azia yazaxeTi, 1999 yirgizeTis resp., 1997 TurqmeneTi, 2000 uzbekeTi, 1996

gadavadebi SezRudvi sTvis sTvis

sul

SezRudvasTan mimarTebaSi daukmayofilebeli saWiroebi %

gadavadebi SezRudvi nebismier Tanamedrove meTodi sTvis sTvis i meTodi

14.6

3.9

10.7

38.9

11.9

27.0

73

69

5.9 5.6

2.5 1.7

3.4 3.9

28.9 39.2

9.3 9.4

19.6 29.8

58 70

68 76

11.5 17.5

2.4 3.4

9.1 14.1

32.5 47.2

7.0 8.1

25.5 39.1

79 81

78 83

15.0 11.5 23.8 16.3 12.3

4.0 1.8 5.7 4.3 3.9

11.0 9.7 18.1 12.0 8.4

52.0 53.3 44.1 36.9 30.4

10.0 8.2 9.9 8.6 9.9

42.0 45.1 34.2 28.3 20.5

73 84 76 74 68

81 85 78 77 67

15.0

6.0

9.0

22.0

9.0

13.0

60

59

13.0 19.0 14.0

5.0 11.0 7.0

8.0 8.0 7.0

22.0 27.0 18.0

9.0 14.0 8.0

13.0 13.0 10.0

62 42 50

59 48 56

* igulisxmeba 15–44 wlis asakis reproduqciuli janmrTelobis kvlevebSi da 15–49 wlis asaki demografiul da janmrTelobis kvlevebSi. † qalebi, romlebic iyeneben xalxur meTodebs an laqtaciisas amenoreis meTods klasificirebul iqnen, rogorc kontracepciis daukmayofilebeli saWiroebis mqoneni ‡ DruseTTan dakavSirebuli monacemebi exeba sam qalaqs (ivanovos olqis, permis da ekaterinbugis raionebis qalaqebs. wyaro: Serbanescu et al. in Reproductive, Maternal and Child Health in Eastern Europe and Eurasia: A Comparative Report. CDC and ORC/Macro, 2003.

201


cxrili 9.2.2

ojaxis dagegmvis momsaxurebis dakmayofilebuli da daukmayofilebeli saWiroeba yvela qals da cxrili 9.2.2 dakmayofilebuli da daukmayofilebeli moTxovnilebebi qorwinebiT kavSirSi myof 15-44 wlis qalebs ojaxis Soris dagegmvis momsaxurebaze 15-44 wlis yvela qalsa da qorwinebaSi myof Sobadobis maTi samomavlo arCevanis mixedviT yvela qals Soris maTi momavali Sobadobis arCevanis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, reproduqciulijanmrTelobiskvleva, saqarTvelo, 2010 2012 qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

yvela qali maxasiaTeblebi

mTliani moTxovna ojaxis dagegmvaze moTxovna gadavadebaze moTxovna SezRudvaze ojaxis dagegmvis dakmayofilebuli saWiroeba (momxmareblebi) gadavadebaze

qorwinebiT kavSirSi myofi

Anebismieri meTodi %

Anebismieri Tanamedrove meTodi %

Anebismieri meTodi %

Anebismieri Tanamedrove meTodi %

39.1 13.6

39.1 13.6

64.7 22.3

64.6 22.3

25.5

25.5

42.4

42.3

31.4

20.6

34.2 12.4

11.1

7.5

52.4 18.4

SezRudvaze

20.3

13.1

34.0

21.8

ojaxis dagegmvis daukmayofilebuli saWiroeba (ara-momxmareblebi) gadavadebaze SezRudvaze

7.7 2.5 5.2

18.5 6.1 12.4

12.3 3.9 8.4

30.4 9.9 20.5

80.3 81.6 79.6 6,292

52.7 55.1 51.4 6,292

81.0 82.5 80.2 4,098

52.9 55.6 51.5 4,098

dakmayofilebuli moTxovnis % gadavadebaze SezRudvaze SemTxvevaTa raodenoba

202


Tavi

10

konsultacia kontracepciis Sesaxeb

kontracepciis meTodis arCevisas mxedvelobaSi unda iqnes miRebuli pacientis piradi istoria, misi mdgomareoba, anu xanmokled Tu xangrZlivad gamoadgeba mas mocemuli meTodi, romelime konkretuli meTodis sawinaaRmdego Cvenebebi da misi warsuli gamocdileba kontraceptivebis moxmarebasTan dakavSirebiT (Tu hqonia saerTod amgvari). gverdiTi movlenebis Sesaxeb saTanado informaciis gareSe, magaliTad, menstrualuri ciklis savaraudo darRvevasTan dakavSirebiT, pacientebma SeiZleba Zalian swrafad daanebon Tavi kontraceptivebs da isev aRmoCndnen daugegmavi orsulobis safrTxis winaSe. instruqciebi unda iyos martivad Camoyalibebuli pacientisTvis gasageb enaze. dRemde naklebad aris cnobili, Tu ra moqmedebs momxmareblebis dasaxmareblad im meTodis arCevisas, romelsac isini gaigeben da gamoiyeneben. magaliTad, maRali efeqturobis miuxedavad, hormonaluri kontraceptivebis gamoyeneba xasiaTdeba maTi gamoyenebisTvis aucilebeli mkacri reJimis dabali damyolobiTa da xangrZlivi moxmarebis dabali maCvenebliT. miuxedavad amisa, meTodTa umravlesobisTvis SeimCneva kontraceptivebis moxmarebis gamokveTili zrda, roca qalebs awvdian sainformacio masalebs da utareben konsultaciebs. aseT SemTxvevebSi isini, ra Tqma unda, amjobineben ufro sando Tanamedrove meTodebs. garda amisa, konsultaciebis xarisxis gasaumjobeseblad aucilebelia treningebis Catareba, rac Tavidan agvacilebs rekomendaciebis ugulisyurod gacemas ise, rom isini sruliad sapirispiro Sedegs iZleodnen, kontracepciis swrafad Sewyvetis maCveneblebis zrdas da, zogadad, daukmayofileblobas (Moreau et al., 2007).

10.1 ojaxis dagegmarebis samsaxurebis warmomadgenelTa urTierToba klientebTan saqarTveloSi ojaxis dagegmvis momsaxurebas, ZiriTadad, mean-ginekologebi da `reproduqtologebiâ&#x20AC;? (unikaluri koncefcia saqarTveloSi, romelic moicavs sxva eqimebs, romlebmac gaiares specialuri momzadeba reproduqciuli janmrTelobis sferoSi) axorcieleben. saqarTvelos kanoni `saeqimo saqmianobis Sesaxeb~ (saqarTvelos mTavroba, 2001 w.) adgens, rom eqimebs, romlebsac ukve miRebuli 203


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

aqvT licenzia mWidrod dakavSirebul sferoSi, SeuZliaT `reproduqtologis” licenziis miReba aspiranturis Semdgomi mcire kursis gavliT; sxva sferos eqimebma unda daamTavron aspiranturis sruli kursi da rezidentura reproduqtologis licenziis misaRebad. axlad danergili reproduqciuli janmrTelobis strategiis mniSnvelovan komponents warmoadgens jandacvis sferos muSakebisTvis treningebis Catareba, raTa maT SeZlon ojaxis dagegmvis sakiTxebSi konsultaciebis gaweva janmrTelobis dacvis sferos yvela doneze, maT Soris pirveladi jandacvis sferoSi. gaeros mosaxleobis fondmac da aSS-is saerTaSoriso ganviTarebis saagentomac daxmareba gauwies eqimebis momzadebas aspiranturaSi, sadac isini Seiswavlidnen kontracepciis teqnologias. saqarTvelos Sromis, janmrTelobisa da socialur sakiTxTa saministros specialuri nebarTvis mqone da aSS-is saerTaSoriso ganviTarebis saagentos mier dafinansebulma proeqtma `janmrTeli qalebi saqarTveloSi” pirvelad misca pirveladi jandacvis eqimebs, pediatrebs da eqTnebs ojaxis dagegmvis konsultaciebis sakiTxebSo momzadebis saSualeba (JSI, 2009). gaeros mosaxleobis fondis da aSS-is saerTaSoriso ganviTarebis saagentos daxmarebiT ojaxis dagegmvis specialistebis raodenoba saqarTveloSi mniSvnelovnad gaizarda, gansakuTrebiT, bolo xuTi wlis ganmavlobaSi. reproduqtologebis da zogadi Terapevtebis bolodroindelma kvlevam oTx regionSi, romelic Catarda gaeros mosaxleobis fondis daxmarebiT, gviCvena, rom respondentTa umravlesobas (77%) gavlili hqonda treningi ojaxis dagegmarebaSi, ZiriTadad, 2005 wlis Semdeg. momsaxurebis mimwodebelTa TiTqmis or mesameds swori codna hqonda ojaxis dagegmvis meTodebis Sesaxeb, ufro naklebma raodenobam gasca sworad pasuxi FsuraTi 10.1.1

55

kiTxvebs sSs-sTan da oralur kontraceptivebTan dakavSirebul gverdiT movlenebze (cercvaZe da sxvebi, 2010). iseve, rogorc wina kvlevebi, 2010 wlis kvleva moicavda mTel rig kiTxvebs ojaxis dagegmvis samsaxuris warmomadgenelsa da klientebs Soris urTierTobis Sesafaseblad. kerZod, kvlevaSi dasmuli iyo kiTxva, Tu ra moculobiT miawodes jandacvis sferos specialistebma informacia ojaxis dagegmvis Taobaze qalebs, romlebic iyenebdnen kontracepciis Tanamedrove meTodebs, gakeTebuli hqondaT aborti an gaCenili hyavdaT bavSvi interviumde xuTi wlis ganmavlobaSi. qalebs, romlebsac erTi Tanamedrove meTodi mainc hqondaT moxmarebuli wina xuTi wlis ganmavlobaSi, ekiTxebodnen, Tu vin urCia maT konkretuli meTodis gamoyeneba da ra Sinaarsis rCeva miecaT ojaxis dagegmvis konsultaciis dros, im SemTxvevaSi, Tu rCevis wyaros warmoadgenda jandacvis muSaki (magaliTad, eqimi, eqTani an bebiaqali). respondentTa umravlesobam (55%) daadastura, rom Tanamedrove meTodi, romelsac isini amJamad mimarTaven, urCia ginekologma, xolo 1%-s rCeva miRebuli hqonda eqTnebisgan, bebiaqalebisgan an saerTo profilis Terapevtisgan (cxrili 10.1 da suraTi 10.1.1). im qalebis umravlesoba, romlebsac aranairi rCeva ar hqondaT miRebuli, gverds uvlida ojaxis dagegmvis Sesaxeb nebismier potenciur konsultacias da bolo xanebSi gamoyenebul meTods partnioris rCeviT (24%), sakuTari SexedulebiT (9%), megobris (6%) an naTesavis (4%) rCeviT mimarTavda. SemTxvevebis mxolod 1%-Si iyo rCevis wyaro farmakologi/afTiaqari. rCevebis wyaroebi Zalian gansxvavdeboda bolo Tanamedrove meTodis gamoyenebasTan dakavSirebiT (suraTi 10.1.2). sSs-s TiTqmis yvela momxmarebelma da qalebma, romelTac

rCevis wyaro ukanasknelad gamoyenebuli kontracepciuli meTodis Sesaxeb, 15 –44 wlamde qalebs Soris, visac bolo 5 wlis ganmavlobaSi miumarTavs kontracepciis Tanamedrove meTodisaTvis

24

9 6

4 1

mean-ginekologi

204

partniori

aravin

megobari

naTesavi

farmacevti


saboloo angariSi

FsuraTi 10.1.2

94

kontraceptivebTan dakavSirebuli rCevis wyaro kontracepciis Tanamedrove meTodebis tipebis mixedviT 15-44 wlis qalebSi, visac bolo xuTi wlis ganmavlobaSi miumarTavs kontracepciis Tanamedrove meTodisTvis

90

78

abebi

sSs

kondomi

qalTa sterilizacia

sxva

57

51

36 20

15

12 2

0 0 mean-ginekologi

1

0

partniori

1

5

5

5

aravin

7

2

megobari/naTesavi

ZiriTadi mimarTulebebi konsultaciis tipebis mixedviT

FsuraTi 10.1.3 15-44 wlis qalebs Soris, visac bolo 5 wlis ganmavlobaSi miumarTavs kontracepciis Tanamedrove meTodisTvis: 1999, 2005 da 2010 wlebi 1999

2005

2010 80

62

70

64

34

zogadi informacia sxva meTodebis Sesaxeb

82

59

59

31

informacia efeqtianobis Sesaxeb

milebis ligireba hqondaT Catarebuli, es meTodebi airCies jandacvis muSakis rCeviT (94% da 90% Sesabamisad), maSin, roca igive maCvenebeli oraluri kontracepciis momxmarebelTa Soris 78% da sxva Tanamedrove meTodebis momxmarebelTa Soris mxolod 51% iyo. kondomis momxmarebelTa mxolod 12%-s hqonda rCeva miRebuli eqimisgan, eqTnisgan an bebiaqalisgan. kondomis momxmarebel qalTa umetesoba mas partnioris winadadebiT (57%), sakuTari gadawyvetilebiT (20%) an megobris rCeviT (7%) iyenebda. `sxvaâ&#x20AC;? momxmareblebis udides nawils arasamedicino rCevebi megobrebisa da naTesavebisgan hqondaT miRebuli (36%). jandacvis muSakis da klientis urTierTobisas qalebis 64%-ma miiRo zogadi informacia kontracefciis sxva saSualebebis Sesaxeb (suraTi 10.1.3); 59%-s Cautarda konsultacia arCeuli saSualebis efeqturobis Sesaxeb sxva saSualebebTan SedarebiT; 82%-ma ganacxada, rom jandacvis muSaki esaubra arCeuli meTodis SesaZlo gverdiTi movlenebis Sesaxeb, xolo 77%-s auxsnes, Tu rogor unda emoqmedaT gver-

informacia SesaZlo gverdiTi movlenebis Sesaxeb

diTi movlenebis ganviTarebis SemTxvevaSi (cxrili 10.1). mTlianobaSi, qalebis 52%-ma gaiara sruli konsultacia. es maCvenebeli odnav ufro maRalia soflad (53%), vidre qalaqebSi (51%). konsultaciis Sinaarsi Zalian mniSvnelovania, radgan urTierTobas jandacvis muSakebsa da maT klientebs Soris da am urTierTobisas erTmaneTisTvis gadacemul Temebs didi zegavlenis moxdena SeuZliaT meTodis xangrZliv da swor moxmarebaze da aseve klientis kmayofilebaze. rac Seexeba tendencias, 1999 da 2010 wlebs Soris Zalian cota ram Seicvala im qalebis procentul maCvenebelSi, romlebmac rCeva uaxlesi meTodebis Sesaxeb jandacvis muSakebisgan miiRes. miuxedavad amisa, am urTierTobaTa Sinaarsi sagrZnoblad gaumjobesda. 2010 wlisTvis, rogorc zemoT aRiniSna, jandacvis muSakisa da klientis urTierTobisas qalebis 64% iRebda zogad informacias kontracepciis sxva meTodebis Sesaxeb. es ricxvi gaormagebulia 1999 welTan SedarebiT (34%); 2010 wels SerCeuli meTodis efeqturobaze konsul205


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

15-44 wlis qalebis procentuli maCvenebeli, vinc kmayofili

FsuraTi 10.2.1 an Zalian kmayofilia sxvadasxva tipis konsultaciiT, im qalebs Soris, visac bolo 5 wlis manZilze miumarTavs kontracepciis Tanamedrove meTodisTvis 1999

2005

2010 90

90

89

89

88

88

82

82 81

zogadi informacia sxva meTodebis Sesaxeb

FsuraTi 10.2.2

informacia meTodis efeqtianobis Sesaxeb

kmayofileba ojaxis dagegmvis momsaxurebiT 15-44 wlis qalebs Soris, visac bolo xuTi wlis ganmavlobaSi miRebuli aqvs konsultacia kontraceptivebTan dakavSirebiT Zalian kamoyofili/kmayofili

kaxeTi

76

met-naklebad kmayofili/ukmayofilo 24

Sida KqarTli

82

18

samegrelo

83

17

Kqvemo qKarTli

84

15

Gguria

85

14

mcxeTa-mtianeTi

86

14

Tbilisi

88

12

raWa-svaneTi

89

11

imereTi

89

11

AaWara samcxe-javaxeTi

tacia miiRo qalebis 59%-ma. Tu am monacems SevadarebT 1999 wels aRricxul 31%-s, vnaxavT, rom maCvenebeli aqac gaormagebulia. 82%-ma ganacxada, rom jandacvis muSakma mas auxsna SerCeuli meTodis SesaZlo gverdiTi efeqtebi. igive momsaxureba 1999 wels miiRo qalebis 70%-ma. kontracepciasTan dakavSirebuli konsultaciebis Sinaarsi gansxvavdeboda sxvadasxva meTodis, aseve SerCeuli meTodebis mixedviT. magaliTad, saSvilosnos Sida saSualebis momxmareblebs konsultaciisas ufro metad esaubrebodnen SesaZlo gverdiT movlenebze (91%) da risi gakeTeba iyo saWiro maTi gamovlenisas (86%), vidre sxva kontraceptivebis momxmareblebs (cxrili 10.1). qalebs, romlebsac sterilizacia hqondaT Catarebuli, yvelaze naklebad sWirdebodaT konsultacia, gansakuTrebiT ki informacia sxva meTodebis (49%) da kontracepciis efeqturobis (48%) Sesaxeb. kondomebis da `sxvaâ&#x20AC;? momxmareblebi

206

informacia SesaZlo gverdiTi movlenebis Sesaxeb

91

9 98

2

yvelaze naklebad iRebdnen yovlismomcvel konsultacias (41% da 39% Sesabamisad), maSin, roca abebis momxmarebelTa didi raodenoba iTxovda konsultacias (60%). kargi komunikacia klientebsa da ojaxis dagegmvis samsaxuris muSakebs Soris konsultaciis dros gadamwyvetia informirebuli arCevanis gakeTebaSi. roca konsultacias partniorobis saxe aqvs, roca klientebi da jandacvis muSakebi gulaxdilad saubroben, uziareben erTmaneTs informacias, gamoxataven emocias da Tavisuflad svamen kiTxvebs da iReben pasuxebs, klientebi ufro kmayofilebi rCebian, ukeT igeben da imaxsovreben miRebul informacias, ufro efeqturad iyeneben kontraceptivebs da cxovroben janmrTeli cxovrebiT. ojaxis informirebuli dagegmvis procesi iwyeba didi xniT adre jandacvis dawesebulebaSi vizitamde, xolo bevri amgvar arCevans saerTod samedicino muSakTan Sex-


saboloo angariSi

vedris gareSe akeTebs. magram roca klientebi eZeben momsaxurebas, Cndeba mravali magaliTi imisa, Tu risi gakeTeba SeuZliaT klientebsa da jandacvis muSakebs erTad imis uzrunvelsayofad, rom ojaxis dagegmvasTan dakavSirebuli gadawyvetilebebi dafuZnebuli iyos informirebuli arCevanis principze. ojaxis dagegmvis samsaxurSi dakavebul jandacvis muSakebsa da klientebs Soris urTierToba iZleva SesaniSnav SesaZleblobas risk-faqtorebis Sesaxeb konsultaciis gawevisaTvis. amitom ojaxis dagegmvasTan dakavSirebuli konsultaciebis da momsaxurebebis danergva pirveladi jandacvis momsaxurebaSi prioritetul strategiad aris aRiarebuli saqarTvelos Sromis, jandacvisa da socialur sakiTxTa saministos, sxva Sesabamisi samTavrobo uwyebebisa da partniori organizaciebis mier. integracia warmoadgens sxvadasxva tipis momsaxurebebis an samoqmedo programebis kombinacias reproduqciuli janmrTelobis Sedegebis maqsimumamde ayvanis mizniT, maT Soris referalur mimarTvas erTi samsaxuris mier meoresTvis, iseve, rogorc erT sferoSi an jandacvis erTi muSakis mier gaweul momsaxurebas. samTavrobo uwyebebisa da donorebisTvis prioritets warmoadgens ojaxis dagegmvasTan dakavSirebuli konsultaciebis misawvdomobis gaumjobeseba da iafi an ufaso kontraceptivebi pirveladi jandacvis doneze da Znelad misadgom geografiul adgilebSi (mobiluri klinikebis daxmarebiT). am prioritetis Sesasruleblad saWiroa ufro meti pirveladi jandacvis eqimebis, pediatrebis da eqTnebis momzadeba ojaxis dagegmvasTan dakavSirebuli konsultaciis da momsaxurebis miwodebis teqnikaSi. FsuraTi 10.3.1

garda treningebisa unda Seicvalos maregulirebeli normebi, raTa pirveladi jandacvis eqimebs da eqTnebs mieceT am momsaxurebebis miwodebis ufleba, savaraudod, saSvilosnos Sida saSualebebTan dakavSirebuli momsaxurebis garda.

10.2 sakonsultacio momsaxurebiT kmayofileba ojaxis dagegmvis klientebic da momsaxurebis mimwodeblebic pasuxismgebelni arian, uzrunvelyon, rom sakonsultacio procesi asaxavdes informirebuli arCevanis princips da ganapirobebdes klientebis mier ojaxis dagegmvasTan dakavSirebul gadawyvetilebaTa damoukideblad miRebas. zogjer klientsa da jandacvis muSaks Soris saTanado urTierTobis damyarebas xels uSlis sxvadasxva winaaRmdegoba: yovlad arasaWiro samedicino barierebi da sxva SezRudvebi, romlebsac momsaxurebis mimwodeblebi adeben momsaxurebebs, jandacvis muSakis piradi Sexedulebebi kontracepciaze da dadebiTi an uaryofiTi ganwyoba zogierTi meTodis mimarT, jandacvis muSaksa da klients Soris sqesobriv sakiTxebze saubris uxerxuloba, maTi statusisa da codnis donis gansxvaveba da genderuli TvalsazrisiT winaswari ganwyoba. zemoT CamoTvlili winaaRmdegobebis moxsna xels Seuwyobs informirebuli arCevanis gakeTebas. respondentebs, romlebic Tanamedrove meTodebs iyenebdnen bolo xuTi wlis ganmavlobaSi, hkiTxes, ramdenad kmayofilebi iyvnen momsaxurebis mimwodeblebiT (cxrili 10.2). mxolod 41% iyo `Zalian kmayofili” da 45% `kmayofili”; 11% iyo `met-naklebad kmayofili”, xolo 3% - `uk-

oficialuri abortis dros miRebuli ojaxis dagegmvis SerCeuli momsaxureba, abortebis Tanmimdevrobis mixedviT, 15-44 wlis qalebSi, visac bolo xuTi wlis ganmavlobaSi erTi aborti mainc hqonda gakeTebuli

kontracepciasTan dakavSirebuli konsultacia

kontracepciis meTodebi

42 36

34

33

31

31

19

17 15

14

11

11

pirveli

meore

mesame

meoTxe

mexuTe

meeqvse an meti

207


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

mayofiloâ&#x20AC;?. kmayofileba odnav icvleboda respondentebis maxasiaTeblebis mixedviT. Tumca gansxvaveba mkveTrad icvleboda meTodebis mixedviT: maCveneblebi umaRlesi iyo saSvilosnos Sida saSualebebis da milebis ligirebis SemTxvevaSi, magram yvela danarCeni meTodisTvis es maCveneblebi iyo erTmaneTis msgavsi, gacilebiT ufro dabali. qalebi, romlebsac kontraceptivebTan dakavSirebiT gadawyvetilebis miRebis dros konsultacia Sobadobis kontrolis yvela meTodze hqondaT miRebuli, albaT ufro iqnebodnen `Zalianâ&#x20AC;? kmayofilni miRebuli konsultaciiT, vidre isini, visac ar miuRia sruli informacia (44% vs. 36%). msgavsad amisa, qalebi, romlebsac miRebuli hqondaT konsultacia meTodis efeqturobis Sesaxeb, savaraudod, ufro kmayofilebi darCebodnen, vidre isini, visac ar miuRia amgvari konsultacia (46% vs. 34%), iseve, rogorc qalebi, romlebsac

miRebuli hqondaT konsultacia gverdiTi movlenebis Sesaxeb (45% vs. 23%), msgavsad konslutaciisa imis Taobaze, Tu ra unda gakeTdes gverdiTi movlenebis warmoqmnisas (43% vs. 32%) da yovlismomcveli konsultaciis misaRebad (47% vs. 34%). 1999 welTan SedarebiT im qalebis procentuli raodenoba, romlebic Zalian kmayofilebi an kmayofilebi iyvnen konsultaciebis Sedegad miRebuli informaciiT, gaizarda sam kategoriaSi, rogorc es naCvenebia suraTze 10.2.2. konsultaciis garkveuli tipiT kmayofileba meryeobda yvelaze maRali 98%-dan samcxe-javaxeTSi yvelaze dabal 76%-mde kaxeTis regionSi (suraTi 10.2.2).

10.3 abortis Semdgomi da mSobiarobis Semdgomi konsultacia klientebis kontraceptivebTan dakavSirebuli saWiroebebis dakmayofileba

kontracepciis Sesaxeb konsultaciis miReba nebayoflobiTi abortis dros: 1999, 2005 da 2010 wlebi

FsuraTi 10.3.2

kontracepciasTan

kontracepciis

dakavSirebuli

meTodebi

33

konsultacia

22

15

14

6

5

2005

1999

2010

kontracepciis Sesaxeb konsultacia prenatalur an

FsuraTi 10.3.3 postnatalur periodSi: 1999, 2005 da 2010 wlebi 1999

2005

43 39

31

prenataluri movla

26 20

konsultacia prenatalur periodSi

208

postnataluri movla

20

konsultacia postnatalur periodSi

2010


saboloo angariSi

maTi reproduqciuli cxovrebis yvela safexurze warmoadgens reproduqciuli janmrTelobis xarisxianad dacvis umniSvnelovanes aspeqts. mSobiarobis Semdgom da abortis Semdgom periodebSi qalebze zrunvisas sagangebo sakiTxebia gasaTvaliswinebeli. mSobiarobis Semdgomi kontracepcia warmoadgens kontracepciis meTodis gamoyenebis dawyebas mSobiarobis Semdeg pirveli eqvsi Tvis ganmavlobaSi daugegmavi orsulobis Tavidan acilebis mizniT, kerZod, orsulobis Tavidan asacileblad pirveli 1-2 wlis ganmavlobaSi bavSvis gaCenidan, roca axali mSobiaroba SeiZleba mavne aRmoCndes dedisTvis an ZuZuze myofi bavSvisTvis. abortis Semdgomi kontracepcia warmoadgens meTods, romelic ufro xSirad iwyeba dauyovnebliv abortis Semdeg: 48 saaTSi an nayofierebis dabrunebamde (2 kviraSi abortis Semdeg). mizans warmoadgens daugegmavi orsulobis Tavidan acileba, gansakuTrebiT im qalebisTvis, romlebsac ar surT orsuloba da SeiZleba wavidnen saxifaTo abortzec ki, Tu kontracepcia ar iqneba maTTvis xelmisawvdomi am mokle intervalis ganmavlobaSi. im qalebis umravlesobas, romlebic iRebdnen abortis Semdgom momsaxurebas, ar surT kvlav orsuloba uaxloes momavalSi, da am kritikuli periodis ganmavlobaSi didi mniSvneloba eniWeba qalebis kontracepciaze moTxovnis dakmayofilebas. samwuxarod, im qalebis didi raodenoba, romlebsac surT momavali orsulobebis gadavadeba an Tavidan acileba, iReben arasakmaris an araviTar informacias usafrTxo, xelmisawvdomi, efeqturi kontracepciis Sesaxeb mSobiarobis an abortis Semdgom periodSi gamosayeneblad, maT Soris imis Sesaxeb, Tu sad an rogor SeiZleba meTodis miReba da ra dros unda daiwyos misi moxmareba abortis an mSobiarobis Semdeg. kargi konsultacia aseve unda iTvaliswinebdes qalebis SiSs, radgan zogjer qalebi sakamod safuZvlian SiSs gamoTqvamen garkveul meTodebTan dakavSirebiT, romlebsac SeuZliaT zemoqmedeba ZuZuTi kvebaze, dedis rZis raodenobis Semcireba an zianis miyeneba axalSobilis zrdisa da ganviTarebisTvis. yvela respondents, romelsac bolo xuTi wlis ganmavlobaSi gakeTebuli hqonda aborti, hkiTxes, miRebuli hqondaT Tu ara rCeva ojaxis dagegmvis Taobaze abortamde an Semdeg; miRebuli hqondaT Tu ara rCeva romelime meTodTan dakavSirebiT, misces

an dauniSnes Tu ara romelime meTodi; da gaagzavnes Tu ara ojaxis dagegmvis romelime samsaxurSi am proceduris Semdeg. marTalia, im respondentTa 33%-ma, romelTac sul mcire bolo xuTi wlis ganmavlobaSi gakeTebuli hqondaT aborti, ganacxada, rom konsultaciebi kontraceptivebTan dakavSirebiT miRebuli hqonda abortis gakeTebis droisaTvis, magram mxolod 7%ma miiRo rCeva kontraceptiul meTodTan dakavSirebiT, daniSnuleba an mimarTva ojaxis dagegmvis samsaxurSi. abortis wina da Semdgom periodSi kontracepciis Sesaxeb informaciis miwodebis albaToba ufro metia qalaqad (36%), vidre sofelSi (31%). (cxrili 10.3.1; rigebis jamma SeiZleba gadaacilos mTlian cifrs, vinaidan gamoiyeneboda sxvadasxva momsaxureba). kontracepciis sakiTxebze konsultireba an kontracepciis meTodebiaraTanabrad gansxvavdeboda abortis rigiTobis mixedviT (suraTi 10.3.1); `meTodebis” zoli gviCvenebs `ganawilebuli meTodebis” da `micemuli daniSnulebis” jams 10.3.1 cxrilSi). 1999 welTan SedarebiT 2010 wels ufro metma qalma aRniSna, rom miRebuli hqonda kontraceptivebTan dakavSirebuli informacia (33%), xolo ufro met qals miRebuli hqonda kontracepciis meTodebi an daniSnuleba (14%) (suraTi 10.3.2). momsaxurebis done sakmaod dabalia. es gviCvenebs, rom miuxedavad konsultaciebis, referaluri mimarTvebis da kontraceptivebis miwodebis zrdisa, mainc saxezea abortebisa da mSobiarobis momsaxurebaTa gafarToebis didi saWiroeba. aseve arasrulfasovania kontraceptivebTan dakavSirebuli konsultacia perinataluri jandacvis doneze (cxrili 10.3.2). mxolod 39%-ma im qalebisa, romlebsac gaCenili hyavdaT Svili bolo xuTi wlis ganmavlobaSi da gavlili hqondaT, sul mcire, erTi perinataluri konsultacia, ganacxada, rom miiRo informacia ojaxis dagegmvis Taobaze prenataluri konsultaciis farglebSi. msgavsad amisa, mxolod 43%-ma procentma qalebisa, romlebsac gavlili aqvT mSobiarobis Semdgomi movla bolo xuTi wlis ganmavlobaSi, ganacxada, rom maT miiRes konsultacia. es maCveneblebi ar iyo erTgvarovani qvejgufebSi: konsultireba uSualo kavSirSi iyo sacxovrebel adgilTan, asakTan, ganaTlebis da socialur-ekonomikuri donesTan da, Sesabamisad, ufro meti konsultacia miiRes qalaqebSi mcxovrebma, SedarebiT ufrosi asakis, ufro ganaTlebulma da SeZlebulma qalebma. 209


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

konsultirebis saSualo maCveneblebi dabalia, Tumca isini mniSvnelovnad gaumjobesda 1999 da 2005 wlebs da aseve 2005 da 2010 wlebs Soris periodebSi. 1999 welTan SedarebiT sakonsultacio momsaxureba prenatalur periodSi gaizarda 20%-dan 39%-mde, xolo konsultireba postnataluri periodSi â&#x20AC;&#x201C; 20%-dan 43%-mde (suraTi 10.3.3). abortis da mSobiarobis Semdgomi ojaxis dagegmvis momsaxurebis erT-erT didi upiratesobas warmoadgens is, rom isini ar moiTxoven calke klinikur infrastruqturas an TanamSromlebs. kontracepciis dauyovneblad dawyebas abortis da mSobiarobis Semdgom periodSi mivyavarT finansebis moklevadian da grZelvadian dazogvasTan rogorc klientisTvis, aseve momsaxurebis mimwodeblisTvis. rodesac ojaxis dagegmvis sakiTxebSi ganaTleba da abortis da mSobiarobis Semdgomi momsax-

210

urebebi gaxdeba samSobiaro centrebis saqmianobaTa Cveulebrivi nawili, maSin advilad moxdeba maTi institucionalizacia da mdgradi ganviTareba. gadawyvetilebebi reproduqciuli janmrTelobis da kontraceptivebis gamoyenebis Sesaxeb im umniSvnelovanes gadawyvetilebebs ganekuTvneba, romlebsac adamianebi reproduqciul asakSi iReben. roca farTod iqneba danergili ojaxis dagegmvasTan dakavSirebuli informirebuli arCevanis gakeTebis saSualeba, adamianebs eqnebaT meti informacia, didi arCevani da meti daxmareba imisaTvis, rom damoukideblad miiRon Sesabamisi gadawyvetileba. ojaxis dagegmvaSi informirebuli arCevanis uzrunvelyofa unda warmoadgendes donori organizaciebis, mTavrobebis, ojaxis dagegmvis programebis da momsaxurebis mimwodeblebis mizans.


saboloo angariSi

cxrilicxrili 10.1 10.1 15-44 wlis kontraceptivebis qalTa procentuli maCvenebeli, romelTac 5 wlis ] Sesaxeb rCevis da konsultaciis tipis wyaro bolo sacxovrebeli ganmavlobaSi gamouyenebiaT Tanamedrove adgilis da kontracepciis kontracepciis gamoyenebuli Tanamedrove meTodis tipis meTodi mixedviT meTodis Sesaxeb rCevis wyaros, jandacvis muSakis miermeTodebs gaweuli 15-44 wlis yvela qalSi, romlebic kontracepciis Tanamedrove konsultaciis tipis, sacxovrebeli adgilisa da kontracepciis mimarTaven bolo xuTi wlis ganmavlobaSi meTodis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 sacxovrebeli adgili

adamiani, romelmac pirvelad urCia momxmarebels kontracepciis meTodis gamoyeneba

sul

mean/ginekologi partniori/qmari aravin amxanagi naTesavi farmakologi eqTani/bebiaqali sxva

kontracepciis Tanamedrove meTodebi

qalaqi

sofeli

abebi

sSs

kondomi

qalis sterilizacia

sxva

54.6 24.2 9.4 5.6 4.2

48.4 28.0 12.6 5.6 3.8

63.6 18.6 4.9 5.7 4.9

78.3 0.0 1.3 8.7 6.6

93.6 0.0 1.1 0.9 4.0

11.6 56.6 19.6 7.3 3.1

90.1 1.7 5.1 0.0 1.6

51.4 0.4 5.0 22.8 13.5

1.1 0.5 0.4

1.2 0.2 0.3

0.8 0.9 0.6

2.7 1.6 0.8

0.0 0.4 0.0

1.1 0.3 0.4

0.0 0.0 1.5

5.3 1.1 0.4

sul

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

SemTxvevaTa raodenoba

1,871

1,010

861

271

612

792

107

89

konsultaciis tipi

sul

qalaqi

sofeli

abebi

sSs

kondomi

qalis sterilizacia

sxva

59.1

59.2

58.9

67.4

58.0

56.4

47.6

68.6

81.9

81.7

82.2

78.2

91.1

53.2

70.7

67.9

77.3 52.0 1,015

75.9 51.2 480

78.8 52.9 535

78.9 60.2 212

85.9 52.9 572

47.5 40.7 88

60.9 57.9 95

61.1 39.3 48

informacia meTodis efeqturobis Sesaxeb informacia SesaZlo gverdiTi movlenebis Sesaxeb ra unda gakeTdes gverdiTi movlenebis warmoqmnisas sruli SemTxvevaTa raodenoba

211


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 10.2

kmayofileba ojaxis dagegmvis momsaxurebiT im 15-44 wlis

cxrili 10.2 dagegmvis samsaxurebis servisiT kmayofilebis maCvenebeli im 15-44 qalebs Soris, romlebsac konsultacia kontraceptivebTan wlis qalebs Soris romlebsac kontraceptivebTan dakavSirebiT dakavSirebiT miRebuli aqvT bolo xuTi wlis ganmavlobaSi konsultacia miRebuli aqvT bolo xuTi wlis ganmavlobaSi reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 sul

SemTxvevaTa raodenoba

kmayofilebis done maxasiaTeblebi

Zalian kmayofili

kmayofili

met-naklebad kmayofili

ukmayofilo

40.7

45.3

10.7

3.3

100.0

1,015

42.7 38.6

43.9 46.8

10.7 10.6

2.6 4.0

100.0 100.0

480 535

34.2 40.9 42.8

47.6 45.3 44.5

13.0 10.2 10.4

5.3 3.5 2.3

100.0 100.0 100.0

135 499 381

29.4 45.5 34.9 41.6 28.3 46.3 32.4 47.5 38.7 40.3 41.5

47.1 42.2 47.0 42.7 69.6 45.1 52.9 35.6 50.3 45.8 47.7

19.3 8.6 16.9 12.4 0.0 6.1 10.3 14.4 6.8 12.5 7.7

4.2 3.7 1.2 3.4 2.2 2.4 4.4 2.5 4.2 1.4 3.1

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

110 207 70 79 37 66 62 104 164 58 58

36.9 34.4 48.3 43.3

44.0 51.6 41.7 43.5

16.1 10.1 6.2 10.4

3.0 3.9 3.8 2.9

100.0 100.0 100.0 100.0

180 259 152 424

43.6 39.5 35.8 37.9 46.5

44.8 46.8 45.5 49.6 41.6

8.2 10.1 14.2 11.3 8.6

3.5 3.5 4.5 1.1 3.3

100.0 100.0 100.0 100.0 100.0

141 226 250 169 229

28.7 44.5 26.4 28.5 59.9

48.8 45.6 48.3 44.8 35.4

17.0 7.5 19.7 19.9 4.7

5.5 2.5 5.6 6.8 0.0

100.0 100.0 100.0 100.0 100.0

212 572 88 48 95

35.8 43.5

46.6 44.6

12.9 9.4

4.7 2.5

100.0 100.0

371 644

miRebuli aqvs konsultacia meTodis efeqturobis Sesaxeb ara diax

33.8 45.5

46.9 44.2

14.2 8.3

5.1 2.1

100.0 100.0

420 595

miRebuli aqvs konsultacia SesaZlo gverdiTi movlenebis Sesaxeb ara diax

22.5 44.7

46.0 45.2

23.6 7.8

7.9 2.3

100.0 100.0

187 828

31.8 43.3

44.9 45.4

18.1 8.5

5.2 2.8

100.0 100.0

238 777

sul sacxovrebeli adgili qalaqi sofeli asakobrvivi jgufi 15–24 25–34 35–44 regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe-javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa-svaneTi ganaTlebis done arasruli saSualo an naklebi sruli saSualo teqnikumi universit./aspirantura socialur-ekonomikuri done yvelaze dabali meore saSualo meoTxe yvelaze maRali gamoyenebuli meTodi abebi sSs kondomi sxva qalis sterilizacia miRebuli aqvs konsultacia yvela meTodis Sesaxeb ara diax

212

miRebuli aqvs konsultacia imis Taobaze, Tu ra unda gakeTdes gverdiTi movlenebis warmoqmnisas ara diax mTlianad konsultacia ara

34.4

46.5

14.2

5.0

100.0

499

diax

46.5

44.2

7.5

1.8

100.0

516


saboloo angariSi

Table 10.3.1

legalurad gakeTebuli abortis dros miRebuli ojaxis dagegmvis

cxrili 10.3.1 legalurad gakeTebuli abortis dros miRebuli ojaxis momsaxureba SerCeuli maxasiaTeblebis mixedviT im 15-44 wlis dagegmvis momsaxureba SerCeuli maxasiaTeblebis mixedviT im qalebs Soris, romlebsac bolo xuTi wlis ganmavlobaSi 15-44 wlis qalebs Soris,erTxel romlebsac bolo xuTi wlis mainc aqvT gakeTebuli abortiganmavlobaSi erTxel mainc aqvT gakeTebuli aborti reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 konsultacia kontraceptivebTan dakavSirebiT

kontracepciis meTodebis, meTodebis daniSvnis an mimarTvis ganawileba SemTxvevaTa raodenoba

maxasiaTeblebi ganawilebu micemuli li daniSnuleba meTodebi

sul

abortamde

abortis Semdeg

33.1*

9.9

13.2

6.6

7.4

1.0

2,054

qalaqi sofeli sacxovrebeli adgili

35.6 31.3

10.5 9.4

13.6 12.8

6.1 6.9

9.2 6.1

1.2 0.9

768 1,286

Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15–24 25–34 35–44 ganaTlebis done arasruli saSualo an naklebi

36.3 35.0 31.3

9.7 11.2 9.4

11.8 15.3 12.8

4.1 8.0 6.9

9.7 8.6 6.1

1.8 0.7 0.9

333 435 1,286

31.0 36.1 28.8

10.8 9.2 10.5

10.1 15.4 10.5

9.3 7.4 4.4

7.1 8.1 6.3

1.0 0.8 1.4

226 1,188 640

30.6

6.5

14.7

6.1

6.5

1.9

456

sruli saSualo teqnikumi universit./aspirantura socialur-ekonomikuri done

33.5 27.1 36.8

11.4 7.7 11.7

12.8 8.1 14.5

6.6 3.7 8.2

7.8 7.5 7.7

0.6 0.4 1.1

668 286 644

dabali saSualo maRali erovneba qarTveli azerbaijaneli somexi sxva abortebis Tanmimdevroba

28.7 33.3 34.3

14.7 8.6 9.6

9.1 14.4 13.2

3.9 7.5 6.6

9.2 6.5 7.8

0.0 1.3 1.1

286 982 786

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

0.7 0.0 6.1 3.6

1,661 181 141 71

30.5 34.4 30.6 35.6 41.8 33.2

10.5 12.4 9.0 12.2 10.4 6.4

12.1 12.7 11.9 12.8 17.4 14.6

7.4 7.5 5.6 7.3 10.8 4.1

7.0 9.6 5.2 7.3 8.1 7.3

0.6 1.2 0.4 1.2 1.3 1.7

576 417 291 185 135 450

sul

mimarTva

sacxovrebeli adgili

pirveli meore mesame meoTxe mexuTe meeqvse an ufro meti

amJamindelikonsultaciis konsultaciis an momsaxurebis procentuli odenoba. jamSi SeiZleba mogvces saerTo **Praime Praime amJamindeli an momsaxurebis procentuli odenoba. rigebmaRigebma jamSi SeiZleba mogvces saerTocifrze meti, vinaidan gamoiyeneba mravali momsaxureba cifrze meti, vinaidan gamoiyeneba mravali momsaxureba

213


cxrili 10.3.2

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

prenatalur da postnatalur periodSi miRebuli ojaxis dagegmvis momsaxureba im 15-44 wlis qalebSi, romlebsac bolo xuTi cxrili 10.3.2 prenatalur da postnatalur periodSi miRebuli ojaxis wlis ganmavlobaSi miRebuli aqvT prenataluri momsaxureba dagegmvis momsaxureba im 15-44 wlis qalebSi, romlebsac bolo xuTi wlis ganmavlobaSi miRebuli aqvT prenataluri SerCeuli maxasiaTeblebis mixedviT momsaxureba SerCeuli maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

kontracepciasTan dakavSirebuli konsultaciebi prenatalur periodSi

kontracepciasTan dakavSirebuli konsultaciebi postnatalur periodSi

maxasiaTeblebi %

SemTxvevaTa raodenoba

%

SemTxvevaTa raodenoba

39.2

2,575

43.0

611

qalaqi

42.1

1,184

46.9

332

sofeli sacxovrebeli adgili

36.1

1,391

37.0

279

Tbilisi

37.3

563

46.1

160

sxva qalaqi

47.3

621

47.7

172

sofeli

36.1

1,391

37.0

279

15–24

36.2

722

36.0

147

25–34

39.0

1,473

43.1

375

35–44 ganaTlebis done

45.7

380

55.5

89

30.9

400

32.2

76

36.2

724

33.7

134

sul sacxovrebeli adgili

asakobrivi jgufi

arasruli saSualo an naklebi sruli saSualo teqnikumi

41.5

332

43.1

69

universit./aspirantura

43.2

1,119

48.8

332

socialur-ekonomikuri done yvelaze dabali

28.1

410

36.2

69

meore

39.4

619

35.9

110

saSualo

39.0

579

41.8

143

meoTxe

41.9

406

41.4

118

yvelaze maRali mSobiarobaTa Tanmimdevroba

43.0

561

49.9

171

pirveli

39.2

1,285

38.6

335

meore mesame da meti

38.5 40.5

924 366

46.0 56.8

206 70

214


Tavi

11

Sexedulebebi kontracepciis Sesaxeb saqarTveloSi kontraceptivebis gamoyeneba arc Tu ise farTodaa gavrcelebuli. qalTa naxevarze odnav meti (53%) mimarTavs kontracepcias.. radgan kontracepctivebis gamoyeneba srul SesabamisobaSia masze informaciis flobasTan, meTodebis farTod gamoyeneba,, gansakuTrebiT ki Tanamedrove meTodebisa, saWiroebs saimedo monacemebs imaze, Tu reproduqciuli asakis qalebi ras fiqroben konkretul detalebze. 2010 wels saqarTveloSi Catarebuli reproduqciuli janmrTelobis kvlevis Sedegebis mixedviT TiTqmis yvela qarTvel qals smenia kontracepciis sul cota erTi meTodis Sesaxeb. Tumca, kontracepciis sxvadasxva meTodis konkretuli maxasiaTeblebis codna, mag. imisa, Tu ra upiratesobebi, ra naklovanebebi an rogori efeqturoba axasiaTebT maT, dabalia. samwuxarod, kontracepciasTan mimarTebaSi cnobierebisa da damokidebulebis zogierTi indikatori, romelic gaumjobesda 1995 - 2005 wlebSi, aRar gaumjobesebula 2010 wlis kvlevis Sedegebis mixedviT.

11.1 Sexedulebebi meTodis efeqturobis Sesaxeb kontraceptuli meTodebis efeqturobasTan dakavSirebiT gaTviTcnobierebis Sesafaseblad yvela respondents uCvenebdnen 12 sxvadasxva meTodis CamonaTvals da sTxovdnen ganesazRvraT, fexmZimobis Tavidan asacileblad yvelaze efeqturi meTodi (cxrili 11.1 da suraTi 11.1). sinamdvileSi, qalTa sterilizacias yvelaze maRali efeqturoba gaaCnia, xolo Sewyvetil aqts - yvelaze dabali, Tumca mxolod 7%-ma axsena sterilizacia. respodentebi ufro xSiard sam sxva meTods asaxelebdnen, maT Soris prezervativsac, romlis gamoyenebac praqtikaSi xSirad warumateblobiT mTavrdeba. adre qorwinebaSi myofi qalebi, ufrosi asakis qalebi, ori an meti Svilis dedebi da umaRlesi ganaTlebis mqone qalebi, respondentTa sxva jgufebTan SedarebiT yvelaze xSirad asaxelebdnen qalis sterilizacias pirvel adgilze, Tumca procentuli maCvenebeli dabali iyo yvela qvejgufSi â&#x20AC;&#x201C; saSualod, daaxloebiT 7 procenti. 11.1 cxrilSi kontracepciis meTodebi ganlagebulia marcxnidan marjvniv imis mixedviT, Tu ramdenad Sedegiania TiToeuli maTgani orsulobis 215


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 11.1

Sexedulebebi kontracepciis yvelaze efeqturi meTodis Sesaxeb, sacxovrebeli adgilis mixedviT, 15-44 wlis qalebs Soris

100

Tbilisi

80

sxva qalaqi

60 40

sofeli 33

33

37 26 21

20

17

12

10

10

9

6

9

8

8

7

0 sSs

abebi

kondomi

qalTa sterilizacia

trad. meTodi

kontracepciis meTodebi

Sexedulebebi abebis gamoyenebis upiratesobis Sesaxeb 15-44 wlis im qalebs Soris, visac smenia oraluri kontracepciis Sesaxeb: 1999, 2005 da 2010 wlebi

FsuraTi 11.2.1

1999

100

2005

80 60

72

71

64

69

2010

54

55

40

31 23

17

20

11

17

14

0 advilad iSoveba

advilia gamoyeneba

aregulirebs cikls

amcirebs sisxldenas

Sexedulebebi abebis gamoyenebis uaryofiTi mxareebis Sesaxeb 15-44 wlis im qalebs Soris, visac smenia oraluri kontracepciis Sesaxeb: 1999, 2005 da 2010 wlebi

FsuraTi 11.2.2

100

1999

80

2005

60 40

52

2010

54

31

40

42

46

24 20

14

16

10

15

14

0 wonis momateba

SeiZleba dagaviwydes miReba

Zalian Zviria

cudia sisxlis mimoqcevisTvis

uaryofiTi mxareebi

Tavidan acilebis TvalsazrisiT, Tumca rogorc Sedegebi miuTiTeben, respondentebis mosazrebebi am Tanmimdevrobas ar emTxveva. spirali (sSs), romelic efeqturobis TvalsazrisiT meore adgilzea, respondentebis 35^% yvelaze efeqtur meTodad miiCnevs. prezervativebi, romlebic realuri efeqturobis TvalsazrisiT meoTxe adgilzea, respondentTa 20%-is mier miCneulia yvelaze efeqtur meTodad spiralis Semdeg. abebi mesame adgilzea rogorc realuri efeqturobis, aseve respondentTa SefasebiT. mas meoTxe adgilze mohyve216

boda qalTa sterilizacia, rogorc zemoT aRvniSneT. realurad dabali efeqturobis mqone riTmuli (kalendaruli) meTodi aRmoCnda mexuTe adgilze. rac Seexeba kategorias â&#x20AC;&#x153;sxvaâ&#x20AC;?, romelSic gaerTianebuli yvela meTodi maRalefeqturia _ norplanti, gadaudebeli kontraceptivebi, ineqciuri kontraceptivebi da vazeqtomia, respondentebis mxolod 1.3% miiCnia isini yvelaze efeqturad. sterilizacia da sSs pirvel adgilze saxeldeboda ufro xSirad ufrosi asakis qalebisa da im qalebis mier, romelTac hyavT meti Svili, sakmaod sistematiurad,


saboloo angariSi

prezervativebis xarjze. sxva mxriv, sxvadasxva meTodebis ranJirebis siswore mniSvnelovnad ar umjobesdeboda respondentTa ganaTlebisa da socio-ekonomikuri statusis zrdasTan erTad. samwuxarod, yvelaze ufro Sedegiani meTodebi naklebad popularulia saqarTveloSi, rogorc es daamtkica 1999 da 2005 wlebis kvlevebma, iseve rogorc saqarTveloSi Catarebulma reproduqciuli janmrTelobis sxva kvlevebma. (xomasuriZe, qristesaSvili da wulaZe, 2004; qristesaSvili da wulaZe, 2002 da sxv. 2009) mTlianobaSi, qalebis 16%-s ar hqonda Camoyalibebuli azri meTodebis efeqturobasTan dakavSirebiT. procentuli maCvenebeli pasuxisa – “ar gagvaCnia azri”sxvadasxva jgufebSi didad gansxvavdeboda da iyo Zalian maRali 15-19 wlis (42%), gauTxovar qalebsa (34%) da im qalebs Soris, romlebsac jer kidev ar hyoliaT Svilebi (32%). sxva jgufebis umetesobaSi ufro dabali procentuli maCveneblebi gamovlinda, rac imaze miuTiTebs, rom kontracepciis mimarT interesi radikalurad izrdeba mxolod im SemTxvevaSi, roca is SesabamisobaSia saWiroebasTan. aRniSnuli procentuli maCvenebeli aseve maRali iyo azerbaijanel qalebSi (38%) da ganaTlebis dabali donis mqone qalebSi (29%). 2005 wlis SedegebTan SedarebiT, im qalTa procentuli maCvenebeli, romlebmac airCies qalTa sterilizacia, rogorc yvelaze ufro efeqturi meTodi, TiTqmis ar gazrdila (6%-dan 7%-mde), maSin roca proporcia im qalebisa, romlebic yvelaze efeqtur meTodad sSs-s asaxeleben, faqtiurad Semcirda (45%-dan 35%mde); da kidev, im qalebis procentuli maCvenebeli, romlebsac ar gaaCniaT azri meTodebis efeqturobasTan dakavSirebiT, gaizarda (11%-dan 16%-mde).

FsuraTi 11.2.3

mTlianobaSi, kontracepciis sxvadasxva meTodebze informaciis nakleboba, araswor informaciasTan erTad, rogorc Cans, sakmaod farTodaa gavrcelebuli reproduqciuli asakis qalebs Soris, rac mianiSnebs gaumjobesebuli informirebisa da saganmanaTleblo programebis saWiroebaze qveyanaSi.

11.2 Sexedulebebi abebisa da sSs-s gamoyenebis dadebiTi da tuaryofiTi mxareebis Sesaxeb kontracepciis zogierTi meTodis upiratesobasa da naklovanebaze qalTa informirebulobis Sesafaseblad, respondentebs, romlebsac smeniaT oralur kontraceptivebze da spiralze, unda gamoexataT TavianTi azri ramdenime gamonaTqvamis Sesaxeb, romlebic abebisa da sSs-s gamoyenebis SesaZlo uaryofiT da dadebiT mxareebs exeboda. respondentebis 71% daeTanxma mosazrebas, rom abebis “Sovna iolia”, xolo 69% - rom “gamoyeneba advilia”. qalebi naklebad eTanxmebodnen azrs, rom abebi aregulirebs menstrualur cikls (23%) da amcirebs menstrualur sisxldenas (14%) (suraTi 11.2.1.). 1999 wlidan 2010 wlamde periodSi “Sovna iolia” da “gamoyeneba advilia”-s momxreTa xvedriTma wilma mkveTrad imata. mTlianobaSi, abebis upiratesobis aRiareba qalebSi izrdeba respondentis qalaqSi cxovrebis, ganaTlebisa da socialur-ekonomikuri mdgomareobis zrdasTan erTad (cxrili 11.2.1). qalebis 54% daeTanxma gamonaTqvams, rom abebma SesaZloa gamoiwvios wonis momateba, xolo 42%-is azriT yoveldRe abis miRebis gaxseneba Znelia. qalebis mxolod 15.8% daeTanxma azrs, rom abebi Zalian Zviria, xolo 15% - rom abebi “cudia sisxlis mimoqcevisTvis” (suraTi 11.2.2.). sainteresoa, rom upiratesobebze iseve rogorc nak-

Sexedulebebi sSs-s gamoyenebis dadebiTi da uaryofiTi mxareebis Sesaxeb 15-44 wlis im qalebs Soris, visac smenia sSs-s Sesaxeb 1999, 2005 da 2010 wlebSi

100 dadebiTi mxareebi

80

56

60

61

44

uaryofiTi mxareebi

54 43

51 39

40

38

32

27

25

23

20 0

advilia gamoyeneba

iafia

1999

anTebiTi daavadebebis riskiP

2005

sisxlis dakargva

2010

217


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

abortTan dakavSirebiT aRqmuli riskebis doneebi, ganaTlebis doneebis mixedviT, pasuxi `ar vici” amoRebulia. wina gradienti TiTqmis gamqralia, da aRqmuli riskebis done ufro maRalia

FsuraTi 11.3.1

procenti

saSualo riski

dabali riski

100

85

80

79

78

80

maRali riski

60 40 21

20

20

1

0

18

arasruli saSualo

FsuraTi 11.3.2

14

0

1 sruli saSualo

1

teqnikuri

umaRlesi

Sexedulebebi SerCeuli kontraceptuli meTodebis gamoyenebis SemTxvevaSi janmrTelobisTvis Seqmnili SesaZlo riskis Sesaxeb 15-44 wlis qalebs Soris

procenti 100

abebi

sSs

kondomi

qalTa sterilizacia

80

72

68 60 38

40 20

19 9

6

41

34 12 14

27 19

13

10 1

0 dabali riski

19

saSualo riski

maRali riski

ar icis

janmrTelobisTvis riskis done

lovanebebze, mosazrebis mqone qalTa xvedriTi wili gaizarda 1999 welTan SedarebiT, rac imaze miuTiTebs, rom sazogadoeba ukeT aTviTcnobierebs abebis mniSvnelobas. Tumca, roca im qalebis daaxloebiT naxevari, romlebsac smeniaT abebze, ambobs rom isini iwveven wonaSi matebas da rom Znelia yoveldRe gaixseno maTi miReba, xolo meoTxedi fiqrobs, rom isini Zalian Zviria, gasakviri araa, rom maTi gamoyeneba dabalia qveyanaSi. abebis dadebiT da uaryofiT mxareebze zusti informacia pirvel rigSi eqimebisagan unda modiodes; es kidev erTxel miuTiTebs eqimebis mier TavianTi codnis gaRrmavebis aucileblobaze raTa ufro metad Seasrulon mrCevlisa da ganmanaTleblis roli. sami mexuTedi (61%) im qalebisa, romlebsac odesme smeniaT sSs-s Sesaxeb, daeTanxma mosazrebas, rom sSs “gamoyeneba advilia”, xolo 51% - azrs, rom “SedarebiT iafia”. rac Seexeba uaryofiT mxareebs, erTma mesamedma (32%) aRniSna, rom sSs-s gamoyeneba zrdis anTebiTi daavadebebis risks, xolo yoveli meoTxe (23%) qali daeTanxma azrs, rom sSs zrdis menstrualur sisxldenas. gaizarda xvedriTi wili im qalebisa, romlebic Tvlian, rom sSs “gamosayeneblad advilia”, amasTan, Semcirda im qalebis 218

proporcia, romlebic sSs-s anTebiT procesebs da sisxldenas ukavSireben rac meTodis mzard dadebiT imijze miuTiTebs da SeiZleba xeli Seuwyos am meTodis farTod danergvas. yvela es procentuli maCvenebeli ufro maRali iyo qorwinebaSi myof qalebs da 25-44 wlis qalebs Soris, rac kidev erTxel adasturebs, rom qalis cxovrebis stadia pirdapir kavSirSia imasTan, Tu ra mniSvnelobas aniWebs is kontracepcias da ra azrisaa igi konkretul meTodebze. xvedriTi wili izrdeboda ganaTlebis donisa da zogadad socio-ekonomikuri indeqsis matebasTan erTad (cxrili 11.2.2. suraTi 11.2.3). mTlianobaSi, qalebis codna kontraceptivebis dadebiT da uaryofiT mxareebze da maT efeqturobaze mwiria da savaraudod ar modis iseTi saimedo wyarodan, rogorcaa magaliTad, eqimebi. Tumca, Cven SegviZlia vivaraudoT, rom eqimebis mier Catarebuli konsultaciebis dabali sixSire mniSvnelovan uaryofiT rols TamaSobs da mianiSnebs maTi saganmanaTleblo rolis gazrdis aucileblobaze.


saboloo angariSi

FsuraTi 11.3.3

Sexedulebebi nebayoflobiTi abortis SemTxvevaSi qalis janmrTelobisTvis Seqmnili riskis Sesaxeb, ganaTlebis donis mixedviT 15-44 wlis qalebs Soris

procenti 100

arasruli saSualo an naklebi

80

76

sruli saSualo

70

teqnikuri 60

61

umarlesi/aspirantura

53

40

33 24

20 0

14 15 15 1

1

15

12

11

1

0.4

riski dabalia

riski saSualoa

riski maRalia

ar icis

janmrTelobisTvis Seqmnili riski

FsuraTi 11.3.4 100

Osexedulebebi SerCeuli kontracepciuli meTodebis gamoyenebis SemTxvevaSi qalis janmrTelobisTvis Seqmnili riskis Sesaxeb 15-44 wlis qalebs Soris 1999, 2005 da 2010 wlebSi

80 60 40 20 0

1999

2005

2010

1999

2005

abebi

2010

ar vici

maRali

11.3 Sexedulebebi kontraceptivebis gamoyenebasTan dakavSirebuli riskis Sesaxeb kontracepciis Tanamedrove meTodebis gamoyenebis erT-erTi ganmsazRvreli determinanti SeiZleba iyos maTi moxmarebiT gamowveuli qalis janmrTelobis SesaZlo riski. yvela respondents unda Seefasebina kontracepciis xuTi Tanamedrove meTodis gamoyenebasTan da sasicocxlo CvenebiT Catarebul abortTan asocirebuli qalis janmrTelobis riskis done (cxrili 11.3.1 da suraTebi 11.3.1 da 11.3.5). cxrilebi 11.3.2-dan 11.3.6-mde iZleva ufro detalur informacias TiToeul am meTodze, garda ineqciis meTodisa, romelic Zalian naklebadaa cnobili saqarTveloSi. kontracepciis meTodebis gamoyenebasTan dakavSirebuli riskis Sefaseba mocemulia cxrilSi 11.3.1 da yvelaze dabalia prezervativebTan, xolo yvelaze maRali –abortTan dakavSirebiT. zogadad, qalebis naxevarze mets miaCnia, rom abebsa da sSs-sTan dakavSirebuli riski saSualo an maRalia, Tumca respondentebis 9% Tvlis, rom oraluri kontraceptivebis gamoyenebis riski dabalia, xolo 19% ase

1999

2005

2010

kondomi

sSs

saSualo

dabali riski

fiqrobs sSs-ze. qalebis didma nawilma “ar icoda” kontracepciis gansazRvruli meTodi raime safrTxes uqmnis Tu ara qalis janmrTelobas (cxrili 11.3.1 ). es maCvenebeli yvelaze dabali iyo prezervativebTan da abortTan dakavSirebiT - 19% TviToeul SemTxvevaSi da yvelaze maRali ineqciebTan mimarTebaSi (97%), rac qveyanaSi ineqciebis SezRuduli xelmisawvdomobiT aixsneba. agreTve Zalian maRali iyo (70%) proporcia qalebisa vinc “ar icoda” qalTa sterilizaciasTan dakavSirebuli riskis Sesaxeb.. abortTan dakavSirebiT “ar vici”-s dabali maCvenebeli SeiZleba aixsnas misi farTo gamoyenebiT. cxrilebSi 11.3.2-dan 11.3.6-is CaTvliT TiToeuli meTodi ganixileba calcalke, garda ineqciebisa, romelic naklebadaa cnobili. yvela es cxrili uCvenebs riskebis aRqmas mosaxleobis sxvadasxva qvejgufebis mier. upirveles yovlisa, ganxilulia oraluri kontraceptivebi, xolo yvelaze bolos – aborti. qvejgufebis maxasiaTeblebi gansxvavdeba meTodis mixedviT, magram riskis maCveneblebis interpretacia ar SeiZleba “ar vici”-s procentuli maCveneblebis gaTvaliswinebis gareSe.

219


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

Sexedebulebebi nebayoflobiTi abortis SemTxvevaSi Seqmnili riskis Sesaxeb 15-44 wlis qalebs Soris 1999, 2005 da 2010 wlebSi

FsuraTi 11.3.5 procenti 100

1999 2005

80

2010

66 60

50

40

57

33 25

20 8 0

19

14 1

19 9

1

riski dabalia

riski saSualoa

riski maRalia

ar icis

riskis donea

arsebiTi problema is gaxlavT, rom pasuxi “ar vici” bevr qals gamoricxavs sami svetidan (sadac riskis doneebis Sefasebaa warmodgenili) yovel cxrilSi. cxrilSi 11.3.2 mag. soflad mcxovrebi respondentebis 41%-ma miuTiTa, rom maT ar ician oralur kontraceptivebTan dakavSirebuli riskis Sesaxeb aqedan gamomdinare, proporcia qalebisa, romelTac daafiqsires sakuTari Sexeduleba riskis sxvadasxva doneebTan dakavSirebiT, dabalia. meores mxriv, Tbiliseli respondentebis mxolod 24%-ma aRniSna, rom “ar icis” oralur kontraceptivTan asocirebuli riskis Sesaxeb,, ase rom xvedriTi wili qalebisa, romelTac riskis sxvadasxva doneebis Sesaxeb miuTiTes, maRalia. aman SeiZleba SecdomaSi Segviyvanos; aqedan gamomdinare, riskis aRqma frTxilad unda iyos gaanalizebuli. soflad mcxovreb qalTagan daaxloebiT 60%-s gaaCnda garkveuli mosazreba da aqedan 32% Tvlis, rom riski saSualoa, Tanafardoba daaxloebiT Seadgens 1:2 (32%/60%). magram Tbilisel qalebTan mimarTebaSi igive SefasebiT miRebuli Tanafardobaa 47%/76%, romelTa 62% mxars uWers saSualo risks. amrigad, im qalTagan, romlebsac gaaCniaT sakuTari azri, gacilebiT ufro meti Tbiliseli qali xedavs abebSi risks, vidre soflad mcxovrebi qali. igive problemasTan gvaqvs saqme sxva jgufebis interpretaciisas. proporcia im qalebisa, romlebic arasodes yofilan gaTxovili da riskis sxvadasxva doneebis Sesaxeb uTiTeben, dabalia, radgan maTma umetesobam saerTod ar icoda riskis Sesaxeb. ganaTlebasTan dakavSirebuli suraTi, msgavsi koreqciiT diametralurad sapirispiroa. abortTan dakavSirebiT cxrili 11.3.6 uCvenebs mkveTr cvlilebas, roca ganaTlebis donis matebasTan erTad maRali riskis aRqma izrdeba 53%-dan 76%-mde; amasTan, “ar vici”-s procentuli maCven-

220

ebeli 33%-dan 11%-mde klebulobs. “ar vici” pasuxis amoRebis koreqciiT, rogorc 11.3.1. suraTi uCvenebs, maRali riskis aRqmis procentuli maCveneblis zrdis nacvlad, is daaxloebiT Tanabaria da 79-85%-is farglebSi meryeobs TiTqmis yvela jgufSi. realurad, 11.3.2-dan 11.3.6-mde cxrilebSi respodentebi or jgufadaa dayofili: erTi, romlTac Zalian mwiri informacia gaaCniaT meTodis Sesaxeb, rac TavisTavad sainteresoa, da meore jgufi, romlebic uTiTeben riskis garkveul doneze meTodTan mimarTebaSi. informaciis kuTxiT, pirveli ZiriTadi gzavnilia, rom kontraceptivebis riskTan dakavSirebiT garkveuli mosazrebis qona izrdeba ganaTlebis donis proporciulad, xolo meore – maTTvis, visac mosazreba gaaCnia, ganaTlebis yvela donis jgufebi SesaZlebelia SeTanxmdes riskis xarisxTan dakavSirebiT. suraTebi 11.3.2-dan 11.3.5-mde srulad asaxaven cxrilebSi arsebul informacias, maT Soris, “ar vici”-s procentul maCveneblebs, radgan maTi mizania sazogadoebrivi informaciis simwiris gamovlena da situaciis gasaumjobeseblad programuli saqmianobis ganxorcieleba. rogorc cxrili 11.3.1 uCvenebs, respodenti qalebis erTma mexuTedma (19%) miuTiTa, rom maT ar aqvT gaazrebuli abortTan da prezervativebTan dakavSirebuli riskis doneebi. Tumca, imisaTvis rom SevafasoT aRqmuli riskebi imaT Soris, visac mosazreba gaaCnia, unda moxdes yvela monacemis Sesworeba “ar vici” jgufis amoRebiT, rogorc es naCvenebia zemoT. sxva SemTxvevaSi, adgili eqneba aRqmuli riskebis suraTis damaxinjebas maT Soris, visac amaze ufiqria.


saboloo angariSi

11.4 kontracepciis meTodebis Sesaxeb damatebiTi informaciis miRebis survili

upiratesobas aniWebda informaciis arasamedicino wyaroebs. Aam jgufis qalebis daaxloebiT 20%-is azriT televizia an radio, xolo 10%-is azriT Jurnal-gazeTebi yvelaze Sesaferisi informaciis wyaro iqneboda (cxrili 11.4.2 da suraTi 11.4.2). es ori wyaro (televizia/radio da gazeTebi) warmoadgens erTi kategoriis informaciis wyaros – masmedias; ase rom, respondentTa TiTqmis erTma mesamedma airCia masmedia, rogorc kontracepciaze informaciis saukeTeso wyaro. damatebiT, cxra procentma daasaxela wignebi, samma procentma – megobrebi da kidev samma – interneti. Nnamdvilad araa gasakviri, rom internetis roli gaizarda kontracepciaze informaciis mopovebaSi. axalgazrda qalebis, umaRlesi ganaTlebis mqone qalebis, ufro maRali socio-ekonomikuri statusis mqone qalebis da TbilisSi mcxovrebi qalebis daaxloebiT 4-6%-s sjera, rom interneti informaciis saukeTeso wyaroa. sainteresoa, rom respondentTa mxolod orma procentma daasaxela sakuTari deda, rogorc saukeTeso wyaro. Ees procentuli maCvenebeli iyo cotaTi ufro maRali, daaxloebiT eqvsi procenti, gauTxovar, axalgazrda da naklebad ganaTlebul qalebSi. 2010 wlis kvlevis monacemebiT, reproduqciuli asakis qalebis naxevrisaTvis (52%) informaciis miRebis saukeTeso wyaro ginekologia. mozard gogonebTan SedarebiT, reproduqciuli asakis qalebi ufro xSirad masmedias endobian. Aaqedan naTelia, rom ginekologebma ufro meti dro unda dauTmon pacientTa ganaTlebas xolo masmediis warmomadgenlebma unda gaiTvaliswinon, rom qalTa 30% maT informaciis miRebis saukeTeso wyarod miiCnevs da swored amitom, garkveuli sazogadoebrivi movaleoba gaaCniaT.

2010 wlis kvlevis monacemebi adasturebs, rom qalebs surT ufro meti icodnen kontracepciis Sesaxeb. respondentTa naxevarze mets (53%) surs meti informacia miiRos. es procentuli maCvenebeli ufro maRalia jgufebSi, romlebic floben yvelaze mwir informacias - axalgazrda qalebSi, gauTxovar qalebSi, qalebSi, romlebsac ar hyavT cocxali Svilebi,. xvedriTi wili maRali iyo maRali socio-ekonomikuri statusis mqone jgufebSi. Qqalebi, romlebsac arasdros ar gamouyenebiaT oraluri kontraceptivebi, ufro metad iyvnen dainteresebuli kontracepciaze damatebiTi informaciis miRebiT, vidre isini, romlebic yovelTvis iyenebdnen mas. sainteresoa, rom asakisa da Svilebis raodenobis matebasTan erTad meti informaciis miRebis survili mcirdeboda, albaT imitom, rom es jgufebi ukve flobdnen sasurvel informacias (cxrili 11.4.1. da suraTi 11.4.1). respondentebs ekiTxebodnen kontracepciaze « saukeTeso » informaciis wyaros Sesaxeb. aRniSnuli wyaroebi SeiZleba dajgufdes or kategoriad: samedicino wyaroebi (mag., ginekologebi) da arasamedicino wyaroebi (mag., radio/televizia, megobrebi, kolegebi, deda). qalebi, romlebic odesme iyvnen qorwinebaSi, asakovani qalebi, ganaTlebis maRali donis mqone qalebi da qalaqSi mcxovrebni ufro xSirad asaxelebdnen ginekologebs, rogorc informaciis saukeTeso wyaros. mTlianobaSi, im qalebis 52%-ma daasaxela ginekologi, rogorc informaciis miRebis saukeTeso wyaro , romlebic meti informaciis miRebis survils gamoTqvamdnen.; danarCeni 48%

FsuraTi 11.4.1

kontraceptuli meTodebis Sesaxeb damatebiTi informaciis miRebis survili 15-44 wlis qalebs Soris ganaTlebis mixedviT: 199, 2005 da 2010 wlebi

procenti 100

1999

2005

2010

80 60

53

55

53

51 43

40

47

53 54

56

61 61 52

47

53

55

20 0

sul

arasruli saSualo

sruli saSualo

teqnikumi

umaRlesi

221


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 11.4.2

Sexedulebebi kontraceptivebTan dakavSirebuli informaciis saukeTeso wyaroebze 15-44 wlis qalebs Soris 1999, 2005 da 2010 wlebSi

procenti 60 53 50

52

1999

46

40

36

2005

2010

34 29

30 20

9

10 0

ginekologi

media

5

3

wignebi

2010 wlis kvlevis Sedegebi uCvenebs rom meti informaciis miRebis survilis done igivea, rogorc 1999 wels (53%) da cotaTi ufro dabali (55%) 2005 welTan SedarebiT (suraTi 11.4.1). 2005 da 2010 wlis kvlevis Sedegebis mixedviT 35 wlamde asakis qalTa ufro didma procentulma raodenobam gamoTqva kontraceptivebze meti informaciis miRebis survili vidre 30 da ufrosi asakis qalebma . Tumca, 2010 wels 2005 welTan SedarebiT, 15-34 wlis asakis qalebis daintereseba kontraceptivebze informaciis miRebiT ufro naklebi iyo, , maSin roca, ufrosi asakis qalebis (35-44 wlebi) interesi aTi procentiT gaizarda. sazogadoebrivi interesi kontraceptuli meTodebis masmediaSi gaSuqebis Sesaxeb Sefasebulia cxrilSi 11.4.3. Sedegebi cota araerTgvanovania: qalTa ori mesamedisaTvis misaRebi iyo es, magram erTi meoTxedisaTvis - ara. ufro konservatiul midgomas hqonda adgili soflad macxovrebelsa da

222

9 3

3

megobrebi

7

6

8

sxva

naklebad ganaTlebul, iseve rogorc naklebi SeZlebis mqone jgufebSi. sakmaod ucnauri suraTi iyo azerbaijanel qalebSi, romelTa 29%-ma ar icoda, saWiroa Tu ara informaciis miwodeba masmediiT, xolo danarCenebi Tanabrad iyvnen gayofilebi « ki « -sa da « ara »-s Soris. zogadad, sapirispirod sazogadoebis ufro naklebad SeZlebuli jgufebis mosazrebisa, kvlevis monacemebi naTlad miuTiTebs reproduqciuli asakis qalebis umravlesobis mier kontracepciis Sesaxeb informaciis miRebis saWiroebaze, maT Soris masmediidanac. amasTanave naTelia, rom mean-ginekologebi unda ganixilebodnen rogorc swori informaciis upirvelesi wyaro. am kvlevis Sedegad miRebuli monacemebi mxedvelobaSi unda iqnas miRebuli reproduqciuli janmrTelobis programebSi sazogadoebis informirebis dagegmvisaTvis .


saboloo angariSi

cxrili 11.1 mosazreba, Tu romeli kontracepciuli meTodia yvelaze efeqturi cxrili 11.1. Sexeduleba ყველაზე efeqt ური kontracepciuli meTodi ს შესახებ SerCeuli maxasiaTeblebiT SerCeuli mixedviT 15-44 wlis asakis qalTa Soris 15-44 wlis asakis maxasiaTeblebis qa ლთა Soris reproduqciuli janmrTelobis saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo kvleva: 2010 Casaxvis meTodi qalis sterili zacia

spirali

abebi

prezerva tivi

spermici debi

7.3

34.9

10.6

20.4

1.3

0.2

7.6 7.6 7.0

33.4 33.2 36.6

11.5 10.2 10.3

26.0 21.2 16.6

1.9 1.5 0.8

8.9 9.1 4.3

41.7 38.5 22.3

11.3 8.0 9.9

16.5 22.0 26.7

15–19 20–24 25–34 35–44 cocxal bavSvTa raodenoba

1.7 4.3 8.1 11.7

17.4 32.6 40.5 40.5

8.5 13.5 11.9 8.5

0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi universiteti/aspirantu socio/ekonom. statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaujaneli somexi sxva

4.8 7.4 9.2 12.0

24.4 40.1 43.2 43.2

3.0 6.3 11.1 9.2

maxasiaTeblebi

sul sacxovrebeli adgili Tbilisi sxva qalaqi sofeli qorwinebis statusi gaTxovili winaTgaTxovili arasodes gaTxovili asakobrivi jgufi

sxva kalendar Tanamedr uli ove

sul

evaTa raod

16.3

100.0

6,292

1.0 0.6 1.2

12.2 16.4 18.6

100.0 100.0 100.0

1,426 1,549 3,317

5.5 1.1 0.1

1.1 1.6 0.7

6.3 11.3 34.4

100.0 100.0 100.0

4,098 389 1,805

0.3 3.2 4.6 8.7

0.1 1.8 4.6 5.1

0.7 0.6 0.8 1.5

42.0 20.8 8.7 6.4

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

0.2 0.2 0.1 0.1

1.4 6.2 7.8 7.3

0.2 4.0 5.5 9.1

0.7 0.7 1.3 1.7

31.9 6.6 4.5 5.2

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

0.6 0.8 1.9 1.8

0.0 0.0 0.1 0.4

2.7 4.1 7.2 5.7

4.6 4.4 3.2 2.1

1.3 1.0 0.5 0.9

28.6 19.5 10.1 9.3

100.0 100.0 100.0 100.0

1,330 1,568 903 2,491

16.6 15.8 20.0 21.4 25.4

0.4 0.5 1.6 1.3 2.1

0.1 0.0 0.1 0.1 0.3

3.7 4.7 4.9 6.0 4.6

6.4 4.7 3.5 2.7 1.1

1.4 1.0 0.9 1.4 0.5

19.3 19.1 18.3 14.6 12.0

100.0 100.0 100.0 100.0 100.0

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

21.5 5.3 15.2 23.0

1.4 0.3 0.3 2.3

0.2 0.0 0.0 0.0

5.1 3.0 2.3 2.7

2.7 10.7 8.3 2.9

0.9 1.2 1.3 2.5

14.4 37.7 29.0 11.6

100.0 100.0 100.0 100.0

5,488 276 364 164

Sewyveti li aqti

arc erTi

ar vici

4.8

3.4

1.0

0.2 0.2 0.1

5.1 6.0 4.0

1.0 3.1 5.0

1.8 1.4 0.3

0.1 0.6 0.1

6.7 6.4 1.3

29.3 22.1 18.6 15.9

0.0 0.8 2.0 1.5

0.0 0.2 0.1 0.3

10.1 12.6 10.9 7.7

26.0 20.6 15.1 12.2

0.4 1.5 2.3 1.6

29.5 35.7 40.8 35.4

8.5 10.4 10.5 11.9

21.1 17.7 14.7 23.5

6.6 7.0 7.2 6.8 8.5

35.5 37.4 32.8 35.4 33.9

10.0 9.8 10.6 10.3 11.6

8.0 1.8 3.1 5.9

34.9 34.2 35.4 34.3

11.1 5.8 5.1 14.8

sxva Tanamedrove meTodebia: norplanti, saswrafo kontracepcia, ineqciebi da vaseqtomia

223


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 11 .2.1. შეხედულებები ორალური კონტრაცეპტივების მოხმარების უპირატესობებსა cxrili 11.2.1 Sexedulebebi oraluri kontraceptivebis momxmarebis upiratesobebsa და ნაკლოვანებებზე იმ 15-44 წლის ქალებში, რომელთაც სმენიათ ორალურ da naklovanebebze im 15-44 wlis qalebSi, romelTac smeniaT oralur კონტრაცეპტივებზე, შერჩეული მახასიათებლების მიხედვით kontraceptivebze, SerCeuli maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva, saqarTvelo 2010. 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, უპირატესობები

მახასიათებელი

სულ

ნაკლოვანებები

SeiZleSesaZlo regular Semcireb ba a uli uli gamoiwvi gamogrCe interva sisxlde os wonis s miReba lebi na momateba

Zalian Zviri

cudi sisxlis mimoqcevis aTvis.

sul SemTxvevebi

46.0

24.0

13.5

5,237

57.9 53.3 51.3

46.7 45.5 45.8

24.1 23.4 24.4

14.7 11.9 13.7

1,304 1,352 2,581

17.2 16.5 7.3

58.0 57.2 43.0

49.8 48.9 36.1

27.6 26.3 15.0

15.7 15.4 7.9

3,686 347 1,204

7.6 18.8 27.3 26.5

4.8 12.2 16.2 17.0

33.7 46.6 56.7 61.6

29.6 37.1 49.4 52.8

10.1 18.8 27.1 28.3

5.5 9.8 15.4 16.3

449 884 2,125 1,779

60.9 65.8 71.2

14.6 21.1 26.0

7.4 13.9 15.2

40.3 49.7 59.7

37.4 44.4 49.7

19.4 28.4 25.5

7.2 10.9 19.4

833 1,257 827

76.7

73.1

26.6

17.0

59.1

48.8

23.0

15.3

2,320

63.7 66.4 69.5 71.7 78.2

63.2 64.6 68.7 69.6 74.5

20.2 20.6 22.1 22.4 27.5

11.9 12.5 12.4 15.4 17.5

49.6 49.7 54.3 52.8 58.6

44.5 45.7 46.6 46.8 45.8

28.4 24.6 23.3 23.1 22.9

11.0 14.8 13.0 10.0 16.6

824 1,077 1,160 925 1,251

72.7 54.2 51.5 71.0

70.2 53.2 53.6 75.7

23.8 16.4 12.6 28.2

14.9 10.8 8.8 12.1

56.2 27.8 29.9 43.8

47.3 37.3 31.5 33.6

24.4 15.2 25.5 20.2

14.3 6.0 7.0 7.4

4,709 160 237 131

advili saSov-nad

advili xmarebaSi

71.1

69.1

23.2

14.4

53.8

76.3 71.5 67.3

73.5 70.0 65.5

26.6 22.3 21.4

17.8 11.8 13.6

74.6 74.3 62.0

73.3 71.1 58.6

26.8 29.7 13.0

56.7 68.1 75.0 73.5

55.6 63.7 72.4 73.1

58.2 67.6 74.4

საცხოვრებელი ადგილი

Tbilisi sxva qalaqi sofeli qorwinebis statusi gaTxovili winaT gaTxovili gauTxovari asakobrivi jgufi 15–19 20–24 25–34 35–44 ganaTlebis done saSualo arasruli saSualo sruli teqnikumi universiteti/ aspirantura socio-ekonom statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva

224


saboloo angariSi

cxrili 11.2.2

Sexedulebebi sSs-s gamoyenebis upiratesobebsa da naklovanebeb cxrili 11.2.2 Sexedulebebi sSs-s maxasiaTeblebiT gamoyenebis upiratesobebsa naklovanebebze SerCeuli 15-44 wlis da qal თა Soris, SerCeuli maxasiaTeblebis mixedviT 15-44 wlis qalTa Soris, visac odesme visaც odesme smenia sSs-ze smenia sSs-ze, reproduqciuli janmrTelobis kvleva, saqarTvelo 2010. reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 უპირატესობები

ნაკლოვანებები

ადვილიხმარე ბაში

შედარებით იაფი

ზრდის მენჯის ღრუს ანთების რისკს

60.6

50.8

32.2

23.0

5,652

64.4 62.4 57.1

51.4 52.8 49.2

35.5 29.6 31.7

25.3 20.6 22.9

1,328 1,415 2,909

68.6 63.1 41.6

59.3 52.3 30.8

36.5 41.9 20.1

27.0 29.0 12.2

3,938 369 1,345

38.2 54.0 65.7 66.9

26.4 41.1 56.4 59.1

13.0 23.8 32.8 43.4

9.2 16.4 23.7 31.1

513 986 2,251 1,902

saSualo arasruli saSualo sruli teqnikumi universiteti/aspirantu socio-ekonom statusi

52.6 56.9 64.1 64.8

41.6 48.5 59.1 53.1

20.7 30.0 38.6 36.2

15.2 20.1 29.1 25.8

982 1,401 884 2,385

yvelaze dabali meore

55.5 56.3

48.7 46.4

26.8 30.9

19.6 20.9

935 1,221

saSualo meoTxe umaRlesi eTnikuri warmomavloba

59.5 62.5 65.6

52.5 50.2 53.9

33.7 29.7 36.6

22.5 23.2 26.5

1,261 952 1,283

qarTveli azerbaijaneli somexi sxva

61.3 50.0 53.3 63.7

51.7 45.7 41.1 46.0

33.4 17.4 22.7 32.0

24.1 15.2 10.3 21.1

5,005 191 308 148

მახასიათებელი

სულ საცხოვრებელი ადგილი ტბილისი სხვა ქალაქი სოფელი ქორწინების სტატუსი გათხოვილი წინათ გათხოვილი გაუთხოვარი ასაკობრივი სგუფი 15–19 20–24 25–34 35–44 ganaTlebis done

შეიძლება ულ შემთხვევებ გამოიწვიოს სისხლდენა

225


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

სურათი11.3.1

შეხედულებები ჯანმრთელობის რისკის დონეზე

cxrili 11.3.1 Sexedulebebi ojaxis dagegmvis meTodebis gamoyenebis SemTxvevaSi ოჯახის დაგეგმვის შერჩეული მეთოდების გამოყენების გამო qalis janmrTelobisTvis Seqmnili SesaZlo safrTxis Sesaxeb15-44 wlis qalebs 15-44 წლის ასაკის ქალთა შორის Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 რისკის ხარისხი მახასიათებელი

სულ

სულ შემთხვევები

დაბალი რისკი

საშუალო რისკი

მაღალი რისკი

აბი

9.3

38.3

18.6

33.7

100.0

6,292

სშს

19.0

40.8

13.2

27.0

100.0

6,292

კონდომი

68.1

11.9

0.7

19.3

100.0

6,292

ქალის სტერილიზაცია

6.1

13.7

10.0

70.2

100.0

6,292

ინექციები

0.4

1.8

1.1

96.8

100.0

6,292

აბორტი

1.0

13.5

66.2

19.4

100.0

6,292

226

არ ვიცი


saboloo angariSi

ცხრილი 11.3.2

შეხედულებები ჯანმრთლობის რისკის დონეზე

cxrili 11.3.2 Sexedulebebi kontracepciuli abebis gamoyenebis qalis ორალური კონტრაცეპტივების მოხმარებისSemTxvevaSi გამო შერჩეული janrmTelobisTvis Seqmnili SesaZlo safrTxis Sesaxeb 15-44 wlis qalebs მახასიათებლების მიხედვით 15-44 წლის ქალთა შორის Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

მახასიათებელი სულ

ჯანმრთელობისათვი რისკის დონე

სულ

შემთხვევებ ი

დაბალი

საშუალო

მაღალი

არ ვიცი

9.3

38.3

18.6

33.7

100.0

6,292

საცხოვრებელი ადგილი თბილისი სხვა ქალაქი სოფელი

8.5

47.4

20.5

23.6

100.0

1,426

10.4

39.8

18.0

31.8

100.0

1,549

9.3

32.2

17.9

40.6

100.0

3,317 4,098

ქორწინების სტატუსი 10.7

44.4

22.6

22.3

100.0

წინათ გათხოვილი

9.6

43.3

23.3

23.8

100.0

389

გაუთხოვარი

7.0

27.0

10.8

55.2

100.0

1,805

გათხოვილი

ასაკობრივი სგუფი 15–19

5.8

17.9

6.3

69.9

100.0

861

20–24

10.1

36.6

14.4

38.9

100.0

1,099

25–34

11.1

43.5

22.6

22.8

100.0

2,359

35–44

9.1

45.9

24.2

20.8

100.0

1,973

ganaTlebis done saSualo arasruli

6.1

24.4

10.2

59.3

100.0

1,330

saSualo sruli

9.9

32.9

16.6

40.6

100.0

1,568

9.9

45.9

23.9

20.3

100.0

903

10.7

47.2

23.0

19.2

100.0

2,491

teqnikumi universiteti/aspirantura socio-ekonom statusi yvelaze dabali meore

10.5

28.8

15.5

45.1

100.0

1,093

9.4

31.6

17.7

41.3

100.0

1,385

saSualo

8.1

35.4

19.6

36.9

100.0

1,413

meoTxe

9.9

44.3

18.6

27.3

100.0

1,037

umaRlesi

9.3

46.9

20.3

23.4

100.0

1,364

eTnikuri warmomavloba 10.0

40.6

19.4

30.0

100.0

5,488

azerbaijaneli

5.0

19.8

7.1

68.1

100.0

276

somexi sxva

2.4

23.9

16.7

57.1

100.0

364

10.1

28.0

19.3

42.5

100.0

164

25.8 7.5

44.1 37.7

26.8 17.7

3.3 37.2

100.0 100.0

716 5,576

qarTveli

ოდესმე გამოუყენებია კონტრაცეპტივები კი არა

227


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

შეხედულებები ჯანმრთელობის რისკზე სშს-ს გამოყენებასთან დაკავშირებით ცხრილი 11.3.3. cxrili 11.3.3 Sexedulebebi sSs-s gamoyenebis SemTxvevaSi qalis janrmTelobisTvis შერჩეული მახასიათებლების მიხედვით 15-44 წლის ქალებში Seqmnili SesaZlo safrTxis Sesaxeb15-44 wlis qalebs Soris რეპროდუქციული ჯანმრთელობი კვლევა, საქართველო reproduqciuli janmrTelobis kvleva, saqarTvelo, 20102010 ჯანმრთელობისათვის რისკის დონე მახასიათებელი

სულ

შემთხვევები

27.0

100.0

6,292

14.0

20.5

100.0

1,426

12.5

25.9

100.0

1,549

36.9

13.0

31.4

100.0

3,317

23.3

47.0

15.2

14.4

100.0

4,098

19.5

46.7

17.0

16.9

100.0

389

11.6

28.9

8.9

50.6

100.0

1,805

15–19

10.5

18.7

5.7

65.0

100.0

861

20–24

18.8

37.9

10.2

33.1

100.0

1,099

25–34

22.9

46.5

15.1

15.5

100.0

2,359

35–44

20.0

49.4

17.4

13.2

100.0

1,973

15.2

27.2

8.4

49.2

100.0

1,330

დაბალი

საშუალო

მაღალი

არ ვიცი

19.0

40.8

13.2

თბილისი

20.7

44.8

სხვა ქალაქი

18.1

43.5

სოფელი

18.6

გათხოვილი წინათ გათხოვილი გაუთხოვარი

სულ საცხოვრებელი ადგილი

ქორწინების სტატუსი

ასაკობრივი სგუფი

ganaTlebis done saSualo arasruli saSualo sruli

18.9

36.8

12.3

32.1

100.0

1,568

teqnikumi universiteti/aspira ntura socio-ekonom statusi

21.1

50.2

15.5

13.2

100.0

903

20.7

47.9

15.7

15.8

100.0

2,491

yvelaze dabali

19.3

33.8

10.8

36.1

100.0

1,093

meore

19.3

36.3

13.1

31.3

100.0

1,385

saSualo

16.7

41.2

14.2

27.9

100.0

1,413

meoTxe

19.4

42.8

14.5

23.3

100.0

1,037

umaRlesi eTnikuri warmomavloba

20.3

46.2

12.7

20.7

100.0

1,364

qarTveli

19.6

42.3

13.7

24.4

100.0

5,488

azerbaijaneli

19.2

19.5

3.6

57.7

100.0

276

somexi sxva

10.0

34.6

14.8

40.6

100.0

364

18.2

43.3

10.4

28.1

100.0

164

45.1 14.0

41.7 40.6

11.5 13.5

1.7 31.9

100.0 100.0

1,048 5,244

ოდესმე გამოუყენებია კონტრაცეპტივები კი არა

228


saboloo angariSi

ცხრილი11.3.4

შეხედულებები ჯანმრთელობის რისკზე

cxrili 11.3.4 Sexedulebebi prezervativis gamoyenebis SemTxvevaSi qalis პრეზერვატივების მოხმარების გამო შერჩეული მახასიათებლის მიედ janrmTelobisTvis Seqmnili SesaZlo safrTxis Sesaxeb 15-44 wlis qalebs 15-44 წლის ასაკის ქალებში Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 ჯანმრთელობისათვის რისკი დონე მახასიათებელი

შემთხვევები

საშუალო

მაღალი

სულ

68.1

11.9

0.7

19.3

100.0

6,292

საცხოვრებელი ადგილი თბილისი სხვა ქალაქი სოფელი

76.5 69.0 62.7

11.4 12.2 12.1

0.3 1.3 0.6

11.8 17.6 24.6

100.0 100.0 100.0

1,426 1,549 3,317

73.4 74.5 57.7

12.3 12.8 11.1

0.8 1.1 0.5

13.5 11.6 30.7

100.0 100.0 100.0

4,098 389 1,805

51.6 65.5 73.7 73.4

9.4 12.0 12.3 13.0

0.6 0.3 0.8 0.9

38.4 22.2 13.1 12.8

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

saSualo arasruli

51.9

12.8

0.6

34.7

100.0

1,330

saSualo sruli

64.7

10.8

0.6

23.9

100.0

1,568

teqnikumi universiteti/aspirant ura socio-ekonom statusi

76.3

9.7

1.2

12.8

100.0

903

76.8

12.9

0.6

9.7

100.0

2,491

yvelaze dabali

59.4

11.9

0.5

28.1

100.0

1,093

meore

62.1

12.0

0.7

25.2

100.0

1,385

saSualo

67.4

11.6

0.6

20.4

100.0

1,413

meoTxe

69.4

14.5

1.4

14.7

100.0

1,037

umaRlesi eTnikuri warmomavloba

77.1

10.2

0.4

12.2

100.0

1,364

qarTveli

71.3

12.2

0.7

15.8

100.0

5,488

azerbaijaneli

36.1

8.4

1.1

54.4

100.0

276

somexi sxva

49.6

10.4

0.4

39.5

100.0

364

61.4

13.0

1.5

24.1

100.0

164

90.5 62.6

5.9 13.4

0.8 0.7

2.8 23.3

100.0 100.0

1,316 4,976

ქორწინების სტატუსი გათხოვილი წინათ გათხოვილი გაუთხოვარი ასაკობრივი სგუფი 15–19 20–24 25–34 35–44 ganaTlebis done

არ ვიცი

სულ

დაბალი

ოდესმე გამოუყენებია კონტრაცეპტივები

კი არა

229


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 11.3.5

შეხედულებები ჯანმრთელობის რისკზე ქალის

cxrili 11.3.5 Sexedulebebiსტერილიზაციის milebis ligirebis qalis გამო,Catarebis შერჩეული SemTxvevaSi მახასიათებლებით, janrmTelobisTvis Seqmnili SesaZlo safrTxis Sesaxeb 15-44 wlis qalebs 15-44 წლის ქალებში Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010. reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 ჯანმრთელობისათვის რიკის დონე სულ

შემთხვევები

70.2

100.0

6,292

11.9 10.0 8.9

64.8 69.4 73.7

100.0 100.0 100.0

1,426 1,549 3,317

17.2 18.7 6.7

12.6 12.5 5.0

62.4 62.9 85.0

100.0 100.0 100.0

4,098 389 1,805

1.1 4.3 6.3 10.0

2.4 9.8 15.6 20.8

2.1 6.6 12.7 13.8

94.3 79.3 65.4 55.3

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

saSualo arasruli

2.0

6.9

5.1

86.0

100.0

1,330

saSualo sruli

5.5

9.7

7.7

77.1

100.0

1,568

teqnikumi

8.8

18.6

11.0

61.5

100.0

903

universiteti/aspirantura

8.0

18.5

13.9

59.6

100.0

2,491

მახასიათებლები სულ საცხოვრებელი ადგილი თბილისი სხვა ქალაქი სოფელი ქორწინების სტატუსი გათხოვილი წინათ გათხოვილი გაუთხოვარი ასაკობრივი სგუფი 15–19 20–24 25–34 35–44 ganaTlebis done

დაბალი

საშუალო

მაღალი

არ ვიცი

6.1

13.7

10.0

8.1 5.4 5.3

15.2 15.1 12.1

7.8 6.0 3.3

socio-ekonom statusi yvelaze dabali

6.0

9.1

8.6

76.3

100.0

1,093

meore

4.7

11.4

9.0

74.9

100.0

1,385

saSualo

5.3

14.6

9.7

70.4

100.0

1,413

meoTxe

5.9

12.9

8.5

72.7

100.0

1,037

umaRlesi

8.2

17.9

12.8

61.1

100.0

1,364

qarTveli

6.6

14.9

10.8

67.7

100.0

5,488

azerbaijaneli

2.1

4.3

2.8

90.8

100.0

276

somexi sxva

3.3

3.4

4.1

89.2

100.0

364

2.6

14.6

9.2

73.7

100.0

164

51.8 5.3

42.4 13.2

1.7 10.2

4.2 71.4

100.0 100.0

112 6,180

eTnikuri warmomavloba

ოდესმე გამოუყენებია კონტრაცეპტივები კი არა

230


saboloo angariSi

ცხრილი 11.3.6

შეხედულებები ჯანმრთელობის რისკზე აბორტის cxrili 11.3.6 Sexedulebebi nebayoflobiTi abortis Catarebis SemTxvevaSi qalis გამო, შერჩეული მახასიათებლებით janrmTelobisTvis Seqmnili SesaZlo safrTxis Sesaxeb15-44 wlis 15-44 წლის ქალებში qalebs Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 ჯანმრთელობისათვის რისკი დონე

სულ

შემთხვევ ები

19.4

100.0

6,292

70.8 69.5 61.7

15.5 19.1 21.8

100.0 100.0 100.0

1,426 1,549 3,317

15.5 14.9 9.7

70.8 68.3 57.8

12.4 15.4 32.0

100.0 100.0 100.0

4,098 389 1,805

0.5 0.8 1.1 1.2

10.4 11.9 14.2 15.5

49.1 64.6 71.1 71.9

40.0 22.7 13.6 11.4

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

saSualo arasruli

0.9

13.8

52.6

32.7

100.0

1,330

saSualo sruli

0.7

14.5

61.2

23.5

100.0

1,568

teqnikumi universiteti/aspirantur a socio-ekonomiuri statusi

0.4

14.8

70.0

14.7

100.0

903

1.4

12.2

75.8

10.6

100.0

2,491

yvelaze dabali

1.2

18.5

56.5

23.9

100.0

1,093

meore

0.8

14.3

63.0

21.8

100.0

1,385

saSualo

1.0

14.1

65.9

19.0

100.0

1,413

meoTxe

1.3

11.4

69.1

18.2

100.0

1,037

umaRlesi

0.8

11.0

72.1

16.1

100.0

1,364

qarTveli

0.9

12.9

69.2

17.0

100.0

5,488

azerbaijaneli

2.4

17.7

37.3

42.6

100.0

276

somexi sxva

0.8

17.1

51.7

30.4

100.0

364

0.2

16.6

52.7

30.5

100.0

164

1.1 0.9

17.1 10.3

73.5 59.8

8.3 29.0

100.0 100.0

3,170 3,122

მახასიათებელი

დაბალი

საშუალო

მაღალი

არ ვიცი

1.0

13.5

66.2

1.2 0.7 1.0

12.5 10.7 15.6

გათხოვილი წინათ გათხოვილი გაუთხოვარი ასაკობრივი სგუფი 15–19 20–24 25–34 35–44 ganaTlebis done

1.2 1.4 0.6

სულ საცხოვრებელი ადგილი

თბილისი სხვა ქალაქი სოფელი ქორწინების სტატუსი

eTnikuri warmomavloba

ოდესმე გამოუყენებია კონტრაცეპტივები

კი არა

231


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 11. 4. 1 კონტრაცეპციის მეთოდებზე მეტი ინფორმაციის სურვილი cxrili 11.4.1 damatebiTi informaciis miRebis survili kontracepciuli meTodebis შერჩეული მახასიათებლების მიხედვით 15-44 წლისqalebs ქალებსSoris შორის Sesaxeb, SerCeuli maxasiaTeblebis mixedviT15-44 wlis რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 მახასიათებელი სულ საცხოვრებელი ადგილი თბილისი სხვა ქალაქი სოფელი ქორწინების სტატუსი გათხოვილი წინათ გათხოვილი გაუთხოვარი ასაკობრივი სგუფი 15–19 20–24 25–34 35–44

სასურველი მეტი ინფორმაცია კი

არა

არ იცის

სულ

შემთხვევათა რ-ა

53.2

42.9

3.9

100.0

6,292

54.2 55.9 51.2

43.2 41.3 43.5

2.5 2.8 5.3

100.0 100.0 100.0

1,426 1,549 3,317

53.9 28.9 56.7

43.4 67.6 37.2

2.7 3.5 6.1

100.0 100.0 100.0

4,098 389 1,805

62.0 66.8 56.7 35.6

29.8 28.8 40.2 62.4

8.2 4.4 3.1 2.0

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

56.8 58.2 48.7 42.7

37.5 39.4 48.8 54.2

5.8 2.4 2.6 3.1

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

46.6 56.0 52.8 55.4

45.2 39.7 45.6 42.6

8.2 4.3 1.6 1.9

100.0 100.0 100.0 100.0

1,330 1,568 903 2,491

48.6 51.5 53.1 52.4 57.8

46.2 42.8 42.5 45.2 39.8

5.2 5.8 4.4 2.4 2.4

100.0 100.0 100.0 100.0 100.0

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

54.2 33.3 60.1 47.0

42.7 51.2 33.5 49.8

3.1 15.5 6.4 3.2

100.0 100.0 100.0 100.0

5,488 276 364 164

58.7 52.6

39.3 43.3

1.9 4.1

100.0 100.0

716 5,576

ცოცხალი შვილების რაოდენობა

0 1 2 3 ან მეტი ganaTlebis done saSualo arasruli saSualo sruli teqnikumi universiteti/aspirantura socio-ekonom statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva

ოდესმე გამოუყენებია კონტრაცეპტივები

კი არა

232


saboloo angariSi

cxrili 11.4.2 ცხრილი 11.4.2

Sexeduleba kontracepciuli saSualebebis Sesaxeb informaciis saukeTeso wyaros Taobaze, SerCeuli maxasiaTeblebis mixedviT damatebiTi მოსაზრებები კონტრაცეპციის მეთოდებზე ინფორმაციის საუკეთესო წყაროების შესახებ informaciis miRebis msurvel 15-44 wlis qalebs Soris შერჩეული მახასიათებლების მიედვით 15-44 წლის ქალებში, ვისაც სურს მეტი ინფორმაცია reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 კონტრაცეპციაზე ინფორმაციის საუკეთესო ქყარო

მახასიიათებელი

სულ საცხოვრებელი ადგილი თბილისი სხვა ქალაქი სოფელი ქორწინების სტატუსი გათხოვილი წინათ გათხოვილი გაუთხოვარი ასაკობრივი სგუფი 15–19 20–24 25–34 35–44 ganaTlebis done saSualo arasruli saSualo sruli teqnikumi universiteti/aspiran tura socio-ekonom yvelaze dabali meore saSualo meoTxe umaRlesi დასაქმება დასაქმებულია არაა დასაქმებული eTnikuri qarTveli azerbaijaneli somexi sxva ოდესმე გამოუყენებია კონტრაცეპტივები კი არა

სხვა წყარო

სულ

შემთხვე ვათა #

1.9

3.2

100.0

3,441

4.6 3.6 0.7

2.1 1.7 1.8

2.3 2.5 4.2

100.0 100.0 100.0

776 893 1,772

1.7 5.0 3.7

1.4 3.2 4.3

0.1 0.0 5.0

2.6 1.6 4.4

100.0 100.0 100.0

2,277 108 1,056

9.8 8.6 6.8 11.9

4.8 2.1 1.6 2.5

4.1 3.8 1.7 1.1

6.4 1.4 0.6 0.2

5.4 2.9 2.4 2.7

100.0 100.0 100.0 100.0

549 767 1,383 742

7.5 11.0 8.9

9.5 6.6 10.8

4.0 3.6 2.1

2.7 1.3 0.2

5.0 1.3 0.6

6.8 1.9 1.7

100.0 100.0 100.0

620 895 496

16.3

9.9

9.4

1.3

4.1

1.2

2.7

100.0

1,430

43.4 51.2 54.0 53.6 52.4

23.2 22.8 20.8 19.5 15.7

11.5 7.4 10.4 10.7 8.7

8.9 9.2 8.3 7.2 10.2

3.7 3.0 2.4 1.8 2.4

0.1 1.2 0.9 2.6 5.9

2.7 1.8 0.6 2.2 2.4

6.4 3.6 2.7 2.5 2.3

100.0 100.0 100.0 100.0 100.0

542 747 792 572 788

49.3 52.1

18.7 20.1

11.1 9.2

13.0 7.8

2.3 2.6

3.2 2.4

0.4 2.3

2.1 3.5

100.0 100.0

763 2,678

51.5 56.1 51.1

19.4 24.6 22.4

9.9 4.4 7.6

9.1 0.9 10.4

2.4 2.6 3.7

2.8 0.0 0.5

2.0 0.9 1.9

3.0 10.4 2.5

100.0 100.0 100.0

3,036 93 235

48.3

21.7

9.9

7.6

6.4

3.4

0.0

2.7

100.0

77

60.9 43.6

17.2 22.1

9.0 10.0

7.1 10.4

1.8 3.2

1.8 3.2

0.1 3.4

2.1 4.1

100.0 100.0

1,736 1,705

გინეკოლოგი

რადიო ტელევიზია

ჟურნალ გაზეთები

წიგნები

მეგობრები კოლეგები

51.5

19.8

9.6

8.9

2.6

2.6

54.6 51.0 49.9

15.9 20.5 21.8

7.7 11.8 9.4

10.5 6.6 9.2

2.4 2.1 2.9

61.1 59.0 35.1

17.6 14.0 24.1

8.4 4.9 11.9

7.0 12.3 11.7

36.6 51.5 60.4 51.6

22.6 20.3 18.1 19.4

10.4 9.5 8.5 10.6

41.0 52.8 53.6

23.6 21.4 22.0

55.1

ინტერნე დედა ტი

233


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 11.4.3

cxrili 11.4.3

შეხედულება კონტრაცეპციაზე ინფორმაციის

ASexedulebebi radioTi an televiziiT kontracepciuli meTodebis Sesaxeb რადიოთი და ტელევიზიით გაშუქების შესახებ, შერჩეული informaciis gavrcelebis Taobaze SerCeuli maxasiaTeblebis mixedviT მახასიათებლების მიხედვით 15-44 წლის ქალებში 15-44 wlis qalebs Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

მახასიათებელი

”უნდა იყოს თუ არა კონტრაცეპციული მეთოდების შესახებ ინფორმაცია გადაცემული რადიოთი ან ტვიზიით?”

კი სულ

არა

სულ

შემთხვ. #

არ იცის

67.1

26.7

6.1

100.0

6,292

71.9 72.3 61.6

24.6 23.5 29.7

3.5 4.2 8.7

100.0 100.0 100.0

1,426 1,549 3,317

68.5 59.5 66.3

25.1 34.6 27.9

6.4 5.9 5.8

100.0 100.0 100.0

4,098 389 1,805

65.2 71.8 69.2 63.2

27.0 21.9 24.8 31.7

7.8 6.3 6.1 5.1

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

55.9 67.3 69.4

32.0 26.7 26.6

12.1 6.0 4.0

100.0 100.0 100.0

1,330 1,568 903

72.8

23.8

3.5

100.0

2,491

56.1 61.6 69.2 68.9 74.5

31.7 30.4 25.4 26.7 22.3

12.2 8.0 5.4 4.4 3.2

100.0 100.0 100.0 100.0 100.0

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

72.1 65.8

24.8 27.2

3.0 7.0

100.0 100.0

1,410 4,882

69.0 34.5 72.0

26.7 36.6 16.2

4.3 29.0 11.9

100.0 100.0 100.0

5,488 276 364

59.9

29.4

10.7

100.0

164

71.7 66.6

24.7 26.9

3.6 6.4

100.0 100.0

716 5,576

საცხოვრებელი ადგ.

თბილისი სხვა ქალაქი სოფელი ქორწინების სტატ.

გათხოვილი წინათ გათხოვილი გაუთხოვარი ასაკობრივი ჯგუფი

15–19 20–24 25–34 35–44 ganaTlebis done saSualo arasruli saSualo sruli teqnikumi universiteti/aspirantur a socio-ekonomiuri statusi yvelaze dabali meore saSualo meoTxe umaRlesi დასაქმება დასაქმებულია არაა დასაქმებული eTnikuri warmomavloba qarTveli azerbaijaneli somexi sxva ოდესმე გამოუყენებია ორალური კონტრაცეპცია

კი არა

234


12

Tavi

mosazrebebi da codna reproduqciuli janmrTelobis Sesaxeb reproduqciuli janmrTelobis kvleva saqarTveloSi moicavda kiTxvebs, romlebic aRwers qalis codnas, damokidebulebas da mosazrebas reproduqciuli janmrTelobis zogierT sakiTxebze. kvlevis Sedegebis mixedviT qalTa mosazreba bavSvebis idealur raodenobaze 11 wlis ganmavlobaSi (1999 – 2010) stabiluri rCeba da is samis tolia. swori codna ZuZuTi kvebis kontraceptul efeqtze gaizarda 1999 wlidan, maSin roca proporcia qalebisa, romlebmac sworad ician, Tu rodis aris daorsulebis yvelaze didi albaToba menstrualuri ciklis periodSi, odnav Semcirda. qalebis Sexedulebebi xelovnur abortze Zalze mniSvnelovania, radgan xangrZlivi drois manZilze saqarTveloSi aborti ganixileboda arasasurvli fexmZimobis Sewyvetis mTavar saSualebad. saqarTveloSi, iseve rogorc sxva yofil sabWoTa qveynebSi, kvlavac farTodaa aRiarebuli, rom qalis uflebaa, TviTon gadawyvitos sakuTari fexmZimobis gamosavali abortis CaTvliT. saqarTvelos kanonmdeblobis Sesabamisad xelovnuri aborti nebadarTulia Tu fexmZimoba ar scdeba 12 kviras. 2011 wlis ianvarSi axali kanoni iyo SemaRebuli, romlis mixedviTac gineklogebma abortze saubari unda Cautaron im fexmZime qalebs, romlebsac surT abortis gakeTeba; xolo sami dRis Semdeg, Tu qalma mainc ar gadaifiqra, mas SeuZlia abortis gakeTeba. es wesebi krZalavs aborts 12 kviris Semdeg, iseve rogorc abortis reklamirebas.

12.1 ojaxis sasurveli sidide yvela respondentma aRniSna sakuTari mosazreba saqarTveloSi axalgazrda ojaxisaTvis Svilebis idealuri raodenobis Sesaxeb. gamokiTxuli qalebis TiTqmis orma mesamedma (67%) aRniSna, rom axalgazrda wyvils unda yavdes ori an sami Svili, 47%ma ki upiratesoba sam Svils mianiWa. gamokiTxul qalTa 10%-ma miuTiTa, rom axalgazrda wyvils unda hyavdes rac SeiZleba meti Svili, xolo 6%-is azriT, axalgazrda wyvils unda hyavdes imdeni Svili, ramdensac RmerTi miscems (cxrili 12.1). miRebuli Sedegebi didad ar gansxvavdeboda sxvadasxva qvejgufebs Soris, garda imisa, rom azerbaijaneli qalebis 17%-ma upasuxa, rom “rac SeiZleba meti”, maSin roca somexi qalebi iS235


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

viaTad pasuxobdnen ase da maTi 30% mxars uWerda ori Svilis yolas. da kidev, idealuri zomis mniSvneloba kidev ufro maRali iyo im qalebis pasuxebSi, romlebsac ukve hyavdaT sami an meti Svili, rac albaT, maT cxovrebiseul gamocdilebas asaxavs. mxolod 7% miemxro ori bavSvis ideals, maSin rodesac 77%-ma upiratesoba mianiWa sam, xuT an met Svils, xolo kidev 14%-ma airCia pasuxebi “imdeni, ramdensac RmerTi mogvcems” an “rac SeiZleba meti”. es monacemebi Seadgenda 64% da 13% Sesabamisad im qalebs Soris romlebsac kvlevis periodisTvis ori cocxali Svili hyavdaT.

roca orsulad darCenis albaToba yvelaze maRalia. respondentebis mxolod 41%-ma miuTiTa sworad, rom daorsulebis riski yvelaze maRalia or menstrualur cikls Soris, Sua periodSi. gaTviTcnobierebuloba yvelaze maRali iyo qalaqad da odesme qorwinebaSi myof qalebs Soris da izrdeboda asakis, ganaTlebisa da socialur-ekonomikuri statusis zrdasTan erTad. is SesamCnevad dabali iyo sam jgufSi: axalgazrda, uSvilo da gauTxovari qalebis jgufSi; yvela maTgans ukve hqonda menstrualuri cikli wlebis ganmavlobaSi, magram riTmuli meTodi jer kidev ar yofila mniSvnelovani maTTvis. aRsaniSnavia, rom umaRlesi ganaTlebis mqone qalebis mxolod naxevarma upasuxa kiTxvaze sworad. mTlianobaSi, qalebis 27%-ma ar icoda, daorsulebis riski rodisaa maRali, Tumca mniSvnelovani variaciebiT. da isev, yvelaze axalgazrda qalebis, gauTxovari qalebis da uSvilo qalebis, iseve rogorc naklebad ganaTlebuli da azerbaijaneli qalebis naxevarma aRniSnul kiTxvaze gasca pasuxi: “ar vici” (cxrili 12.2); es Sedegebi namdvilad dramatulia da asaxavs sqesobrivi ganaTlebis gaumjobesebis aucileblobas.

12.2 codna menstrualuri ciklis Sesaxeb respondentebs ekiTxebodnen maT mosazrebas - menstrualuri ciklis dros orsulad darCenis albaToba rodis iyo yvelaze maRali. rogorc mocemulia cxrilSi 8.2.1, saqarTveloSi qorwinebaSi myof qalTa daaxloebiT 21% kontracepciis tradiciul meTodebs mimarTavs, rogoricaa Sewyvetili sqesobrivi aqti da ritmuli meTodi. aRniSnuli meTodebis efeqturoba damokidebulia imaze, Tu ramdenad sworad icis qalma menstrualuri ciklis is periodi,

swori codna daorsulebis savaraudo periodze menstrualuri ciklis dros, ganaTlebis donis mixedviT 1999, 2005 da 2010 wlebi

FsuraTi 12.2.1 procenti 100

1999 2005

80

2010 56

60 40

40 20

45

20

14

0

60

59

53

57

52

38

19 7

arasruli saSualo

sruli saSualo

teqnikumi

6

umaRlesi

sxva

ganaTlebis done

FsuraTi 12.2.2

swori codna daorsulebis savaraudo periodze menstrualuri ciklis dros, asakobrivi jgufebis mixedviT 1999 da 2010 wlebi

procenti 100

1999 2010

80

56

60

49 38

40 20 0

59 52

59

59

31 14 9 15-19

20-24

25-29

30-34

Aasakobrivi jgufi

236

57

45

35-39

40-44

8


saboloo angariSi

bolo periodis tendenciebi imis codnis Sesaxeb, Tu rodisaa daorsulebis riski yvelaze maRali, sakmaod imedis gamacruebelia. swori pasuxis procentuli maCvenebeli Semcirda 2005 wlidan 2010 wlamde ganaTlebis nebismieri donis mqone respondentebSi, miuxedavad imisa, rom 1999 wlidan 2005 wlamde periodSi gaTviTcnobiereba am kuTxiT gazrdili iyo (suraTi 12.2.1.). codnis done aseve Semcirda 1999dan 2010 wlamde yvela asakobrivi jgufisaTvis da gansakuTrebiT mkveTrad - 15-19 da 20-24 wlis axalgazrda qalebisaTvis (suraTi 12.2.2). normaluria, rom menstrualuri ciklis Sesaxeb swori codna pozitiur korelaciaSia ganaTlebasTan, asakTan, cocxali bavSvebis raodenobasTan, qorwinebis statusTan, socialur-ekonomikur statusTan, qalaqSi cxovrebasTan, magram doneebi Zalian dabalia da tendencia ki negatiuri. zogierTi es momenti SeiZleba aixsnas imiT, rom saganmanaTleblo saqmianoba, romelic mimarTulia reproduqciuli janmrTelobis Sesaxeb codnis amaRlebisken, dabrkolebebs awydeba sazogadoebis konservatiuli elementebisagan; amasTan, kontracepciis tradiciuli meTodebi icvleba Tanamedrove meTodebiT da am pirobebSi qalebi naklebad fiqroben orsulad darCenis riskze (15-44 wlis gaTxovil qalebSi Tanamedrove meTodebis gamomyenebis proporcia gaizarda 1999-dan 2005mde da Semdeg 2010-mde, 20%-dan 27%-mde da 35%-mde; maSin roca, tradiciuli meTodebis gamomyenebis xvedriTi wili Seadgenda 21%, 21% da 19% Sesabamisad).

12.3 codna ZuZuTi kvebis fertilobaze gavlenis Sesaxeb respondentebi gamokiTxuli iyvnen maTi Sexedulebis Sesaxeb, ZuZuTi kveba zrdis, amcirebs Tu saerTod aranairi gavlena ara aqvs daorsulebaze; qalebis daaxloebiT FsuraTi 12.2.3

orma mesamedma (59%) sworad icoda, rom ZuZuTi kvebis dros daorsulebis riski mcirdeba (cxrili 12.3). Tumca 23%-ma ar icoda, Tu ra gavlena SeiZleba hqondes ZuZuTi kvebas Sobadobaze da aseTi qalebis xvedriTi wili maRali iyo gauTxovar qalebSi, axalgazrda qalebsa da uSvilo qalebSi, dabali ganaTlebisa da azerbaijanuli warmomavlobis qalebSi. Mmeores mxriv, â&#x20AC;&#x153;ar viciâ&#x20AC;?-s procentuli maCvenebeli iyo yvelaze dabali (8%) da swori pasuxebi maRali (73%) im jgufSi, romelTaTvisac ZuZuTi kveba relevanturia - amJamad gaTxovilTa jgufSi. swori pasuxebi SesamCnevad maRali iyo 25 wlis asakis zemoT (suraTi 12.3) da ganaTlebis umaRlesi donis mqone or jgufSi. gansxvavebebi mcire iyo qalebSi sacxovrebeli adgilisa da socialur-ekonomikuri statusiis mixedviT. 1999 welTan SedarebiT, im qalebis procentuli Tanafardoba, romlebic swored uTiTebdnen ZuZuTi kvebis kontracepciuli efeqtis Sesaxeb, 56%-dan 69%-mde gaizarda, magram is sami procentiT Camouvardeba 2005 wlis maCvenebels. amasTan, im qalTa xvedriTi wili, romlebmac ar icodnen ZuZuTi kveba axdens Tu ara gavlenas fertilobaze, Seicvala 25%-dan 1999 wels 19%-mde 2005 wels da 23%-mde 2010 wels. droSi tendenciis Ees iseTive magaliTia, rogoric menstrualuri ciklis dros daorsulebis maRali riskis periodis Sesaxeb codnasTan dakavSirebiT (zemoT) gamovlinda, romelic 1999-dan 2005 wlamde izrdeboda da Semdgom 2010 wlisaTvis Semcirda. amis axsna garkveulwilad SeiZleba ZuZuTi kvebis upiratesobis amsaxveli intensiuri da efeqturi sainformacio kampaniiT, ganxorcielebuli 1995-2004 wlebSi. amJamad, rogorc 12.2 da 12.3 cxrilebi uCveneben, sqesobrivi ganaTlebis TvalsazrisiT Zalisxmeva ufro energiulad unda

swori codna imisa, rom ZuZuTi kveba amcirebs qalis daorsulebis albaTobas asakobrivi jgufis mixedviT: 1999 da 2010 wlebi

procenti 100

1999 2010

80

55 60 40 20 0

55

66

72 63

73 67

73 67

54

28 22

15-19

20-24

25-29

30-34

35-39

40-44

asakobrivi jgufi

237


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 12.4.1

15-44 wlis im qalTa procentuli maCvenebeli, askobrivi jgufebis mixedviT, romlebic Tvlian, rom aborti yovelTvis misaRebia: 1999 da 2010 wlebi

procenti 100

1999 2010

80 69

65

75

72

71

85

82

79

79

82 75

78

60 40

28 22

20 0

15-19

20-24

25-29

30-34

40-44

35-39

asakobrivi jgufi

garemoebebi, rodesac aborti misaRebia im 15-44 wlis qalebisaTvis, romlebic Tvlian, rom aborti yovelTvis ar aris misaRebi: 1999, 2005, da 2010 wlebi

FsuraTi 12.4.2 procenti 100 80 60

1999 80

80 79

76

2005 76

60

2010

70 57 55 40

40

32

28

20 0

nayofis simaxinje

qalis sicocxles safrTxe emuqreba

qalis janmrTel. safrTxe emuqreba

iyos mimarTuli 15-24 wlis asakis qalebis, azerbaijaneli qalebis da ganaTlebis dabali donis mqone qalebis (saSualo, saSualo arasruli an naklebi) mimarT.

12.4 mosazrebebi imis Sesaxeb, Tu ramdenad misaRebia aborti abortis Sesaxeb Sexedulebebis gamosavlenad respondentebs pasuxi unda gaecaT Semdeg kiTxvaze: ”qals yovelTvis aqvs Tu ara ufleba, piradad miiRos gadawyvetileba orsulobis gamosavlis an misi xelovnurad Sewyvetis (abortis) Sesaxeb?” respondentebs, romlebmac Tqves « ara », Semdeg hkiTxes, Tu ra konkretul garemoebaSi iqneboda aborti misaRebi (cxrili 12.4.1). mTlianobaSi, gamokiTxulTa 72%-ma miuTiTa, rom qals yovelTvis unda gaaCndes ufleba, TviTon miiRos gadawyvetileba orsulobis gamosavalze, maT Soris abortis gakeTebaze. qalebis mxolod 3% orsulobis nebismier garemoebaSi xelovnuri Sewyvetis winaaRmdegi iyo. mosazreba - aborti « yovelTvis » misaRebia - izrdeboda asakisa da Svilebis raodenobis Sesabamisad. ganaTlebis donisa da socialur- ekonomikuri statusis, iseve 238

orsuloba gaupatiur. Sedegia

23

18

22 12

ver Seinaxavs bavSvs

15

9

qali ar aris gaTxovili

garemoebebi

rogorc sacxovrebeli adgilis mixedviT pasuxebi sakmaod araregularuli iyo. yvela qvejgufSi gamovlinda maRali maCvenebeli am TvalsazrisiT, magram isini, romlebic naklebad eTanxmeboden mosazrebas - « yovelTvis » - moicavdnen 15-dan 19 wlis asakamde gogonebs (65%), gauTxovar qalebs (66%), TbilisSi mcxovreb qalebs (66%) da uSvilo qalebs (66%). isini, vinc acxadebdnen sapirispiros, rom aborti arasdros iyo misaRebi, oTx procentze naklebi iyo yvela qvejgufSi, xolo « ar vici »-s xvedriTi wili iyo TiTqmis umniSvnelo. im respodentebis xvedriTi wili, romlebic acxadebdnen, rom aborti misaRebia mxolod garkveul garemoebebSi, varirebda 24%-iani saSualo maCveneblis garSemo da iyo maRali imave sam jgufSi, romlebic am kvlevaSi xSirad msgavs pasuxebs iZleodnen: yvelaze axalgazrda qalebi, gauTxovari da uSvilo qalebi. yovel jgufSi daaxloebiT 30% mxars uWerda mxolod garkveul garemoebebSi Catarebul aborts. amave mosazrebas emxroboda Tbilisel qalTa 31%. zogadad, procentuli maCvenebeli izrdeboda socialur ekonomikuri statusis Sesabamisad garda umaRlesi donis wina kvintilisa.


saboloo angariSi

FsuraTi 12.4.3

Sexedulebebi imis Sesaxeb, Tu ra unda gaakeTos qalma, Tu orsuloba arasasurvelia, 15-44 wlis qalebs Soris: 1999, 2005 da 2010 wlebi

procenti 100

1999 2005

80 68 60 40

2010

66 55 42 30

28

20 0

1 gaikeTos aborti

daitovos bavSvi

respondentebs, romlebmac ganacxades, rom aborti mxolod garkveul garemoebebSia misaRebi, eZleodaT SesaZlo garemoebebis CamonaTvali da unda ganesajaT, Tu ramdenad misaRebia TiToeuli maTgani « ki », « ara », « gaaCnia », an « ar vici » pasuxebiT. gamovlinda sami mTavari mizezi, romlis gamoc fexmZime qals SeuZlia gaikeTos aborti (12.4.2) : yvelaze maRali procentuli maCvenebeli (77%) iyo im SemTxvevaSi, roca orsuloba safrTxis qveS ayenebs dedis sicocxles, rasac mosdevda (60%) Canasaxis fizikuri naklis arseboba da mesame adgilze iyo garemoeba, rodesac orsulobam SeiZleba safrTxis qveS daayenos qalis janmrTeloba (55%). erT mesamedze naklebi (29%) miiCnevda aborts misaRebad, Tu orsuloba gaupatiurebis Sedegi iyo. Semwynareblobis yvelaze dabali done dafiqsirda maSin, roca abortis gamoyeneba ganpirobebuli iyo imiT, rom wyvils materialurad ar SeuZlia Seinaxos Svili (11%) an wyvilis surviliT, ar iyolios meti Svili (7%) an roca orsuli ar imyofeba qorwinebaSi (9%). zogadad, am procentebis sapirispiro maCveneblebi aRmoCnda « miuRebelia » kategoriaSi, radgan xvedriTi wili im pirebisa, vinc ganacxada « es damokidebulia » iyo mxolod 5% da 8%, xolo « ar vici »-s proporcia iyo 4%-ze dabla, erTi gamonaklisis garda. amrigad naTelia, rom qalTa umravlesobisaTvis aborti misaRebia, Tu orsuloba safrTxis qveS ayenebs qalis sicocxles, mniSvneloba ara aqvs, qalTa romel qvejgufzea laparaki (cxrili 12.4.3). igive iTqmis fizikuri naklis mqone Canasaxis SemTxvevaSi procentul maCveneblebzec saSualo maCvenebliT 69%; xolo yvelaze dabali procentuli maCveneblebi (56%57%) gamovlinda iseTi jgufebisaTvis rogoricaa yvelaze axalgazrda qalebi,

1

2

gaaSvilos

3

2

3

ar icis

qorwinebaSi ar myofi qalebi da uSvilo an is qalebi, romelTac sami an meti Svili hyavT. qarTvel qalebTan SedarebiT, azerbaijaneli da somexi qalebi orjer ufro xSirad Tvlian aborts misaRebad, Tu qali gaTxovili ar aris. Aaq albaT, am sakiTxTan mimarTebaSi, tradiciuli Sexedulebebis gavlena Cans. yvela respondenti, miuxedavad maTi Sexedulebisa qalis uflebebze Tavisi orsulobis gamosavlis gadawyvetasTan dakavSirebiT, pasuxobda Semdeg kiTxvas: “Tu qali Tavisi survilis sawinaaRmdegod daorsulda, man unda SeinarCunos bavSvi, gaaSvilos igi Tu gaikeTos aborti?” rogorc mocemulia cxrilSi 12.4.4, respondentTa daaxloebiT mesamedma upasuxa, rom unda gaikeTos aborti, xolo ori mesamedi Tvlis, rom qalma unda gaaCinos bavSvi da gazardos igi. respodentTa mxolod 2 %-ma miuTiTa, rom qalma unda gaaCinos bavSvi da gaaSvilos. es adasturebs, rom saqarTveloSi arasasurveli fexmZimobisas, reproduqciuli asakis qalebis didi wili (ori mesamedi) Tvlis, rom orsuloba bavSvis gaCeniT unda dasruldes, xolo danarCenis azriT, arasasurveli orsulobis gamosavali abortia. isini, vinc uaryofiTad iyvnen abortis mimarT ganwyobilni, iyvnen isev da isev respodentTa is nacnobi sameuli, romlebic arasdros yofilan gaTxovilni, 15-dan 19 wlamde axalgazrda qalebi da qalebi, romlebsac ar hyavdaT cocxali Svilebi, anu jgufebi, romlebsac bevri saerTo gaaCniaT. umaRlesi ganaTlebis mqone qalebic naklebad eTanxmebodnen arasasurveli orsulobis abortiT Sewyvetas. metad sayuradRebo Sedegia abortis momxreTa maRali xvedriTi wili azerbaijanel, somex da « sxva » eTnikuri warmomavlobis qalebs Soris - 52%, 39% da 49% Sesabamisad. esec albaT, tradiciuli da

239


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

kulturuli wes-Cveulebebis gavlenis da garkveulwilad siRaribis Sedegia. 2005 wlis Semdgomi tendencia uCvenebs, rom proporcia im qalebisa, romlebsac sjeraT, rom aborti yovelTvis misaRebia, 10%-iT dabalia vidre 2005 wels (72.4% winaaRmdeg 81.7%-sa 2005 wels). Ees Sedegi balansdeba im respodentTa xvedriTi wilis 8%-iT gazrdiT, romlebic amtkicebdnen abortis misaRebobas mxolod garkveul garemoebebSi (24.2% 15.9%-s winaaRmdeg 2005 wels). im respodentTa xvedriTi wilis Semcireba, romlebic miiCnevdnen, rom aborti yovelTvis misaRebia, naCvenebia 12.4.1 suraTze, saidanac Cans, rom 1999 da 2010 wlebis kvlevebis Sedegebis mixedviT Semcirebas adgili hqonda yvela asakobriv jgufSi. aseTi Semcirebis maCvenebeli sxvadasxva asakobriv jgufebSi 4-dan 10%-mde varirebda. procentuli maCveneblebis SesamCnev Semcirebas adgili hqonda im jgufebSi, romlebic miiCnevdnen, rom aborti gamarTlebulia sxvadasxva garemoebebis dros (suraTi 12.4.2). yovel aseT garemoebasTan dakavSirebiT adgili aqvs im respondentTa procentuli maCveneblebis sistematur, mkveTr Semcirebas 1999-dan 2005-mde da 2010 wlamde, romlebic amtkicebdnen rom aborti misaRebia garkveul garemoebebSi. yvelaze ufro mniSvnelovani cvlilebebi mocemulia suraTze 12.4.3. 38%-iT (68%dan 30%-mde) Semcirda im respodentTa xvedriTi wili, romlebic Tvlian, rom arasasurveli orsulobisas qalma unda mimarTos aborts. amasTan, 38 punqtiT (28%-dan 66%-mde) gaizarda proporcia im qalebisa, romlebic amtkiceben, rom orsulma unda SeinarCunos bavSvi. es Sedegebi sazogadoebrivi azrovnebis umniSvnelovanesi Zvrebia da miT ufro sarwmuno, radgan aseT cvlilebebs adgili hqonda yovel 5 wlian pe-

FsuraTi 12.5.1

riodSi. aRniSnuli tendenciebi ueWvelad unda iqnas aRqmuli, rogorc pozitiuri.

12.5 midgomebi da mosazrebebi ojaxisa da reproduqciuli rolis Sesaxeb yvela respondenti pasuxobda kiTxvaze, eTanxmebodnen Tu ara isini im gancxadebebs, romlebic asaxavda qalTa uflebebs, pasuxismgeblobebs da maT reproduqciul rols ojaxSi. mTlianobaSi, respondentTa 74%-s miaCnia, rom “yvela qali unda qorwindebodes” (cxrili 12.5.1). eTnikur jgufebs Soris, azerbaijanelma qalebma am mtkicebulebas yvelaze metad dauWires mxari (89%). adre qorwinebaSi myofi qalebi ufro naklebad uWerdnen mxars sayovelTao col-qmrobis aucileblobas (65%), gaTxovil qalebTan (76%) da im qalebTan SedarebiT, romlebic arasodes yofilan gaTxovili (74%) ; mniSvnelovan gansxvavebas hqonda adgili TbilisSi mcxovreb qalebsa da (65%) da Tbiliss gareT mcxovreb qalebs Soris (74%). Tanxmobis maCvenebeli izrdeboda bavSvebis raodenobis zrdasTan erTad, magram aseve regularulad mcirdebida ganaTlebisa da socialur-ekonomikuri mdgomareobis zrdasTan erTad. respondentTa daaxloebiT oTxi mexuTedi (78%) eTanxmeboda im mosazrebas, rom « qali unda iyos qalwuli gaTxovebisas ». am azrs ufro xSirad iziarebdnen is qalebi, romlebic cxovroben Tbilisis gareT, 1524 wlis axalgazrda qalebi, sami an meti Svilis dedebi, naklebad ganaTlebuli da dabali da saSualo SeZlebis mqone qalebi, iseve rogorc azerbaijaneli da somexi respodentebi. zogadad, qalebis 72%-s miaCnia, rom “bavSvis movla qalis saqmea” (suraTi 12.5.1). qvejgufebis maxasiaTeblebi ZiriTadad msgavsia imaTi, romlebic mxars uWeren qal-

reproduqciul normebTan dakavSirebul sxvadasxva mosazrebaze daTanxmeba 15-44 wlis qalebs Soris: 1999, 2005 da 2010 wlebi

1999

procenti

2005

100 88 80

85 73

72

77

78

84

2010

82 74

74 62

60

51

40 20 0

240

bavSvis movla qalis saqmea

qorwinebisas qali unda iyos qaliSvili

yvela unda qorwindebodes

qalma unda gaaCinos imdeni Svili, ramdensac RmerTi miscems


saboloo angariSi

wulobis instituts. soflad mcxovrebi qalebi, mravalSvilianebi, ganaTlebis dabali donis da dabali socialur-ekonomikuri statusis mqone qalebi, iseve rogorc somexi da azerbaijaneli qalebi ufro xSirad emxrobodnen am mosazrebas. sxva sakiTxTan dakavSirebiT, respondentebis 74% daeTanxma azrs rom « qals unda hyavdes imdeni Svili, ramdensac RmerTi miscems ». am tradiciuli damokidebulebisadmi Tanxmobis xvedriTi wili maRali iyo im qalebSi, romlebic arasodes yofilan gaTxovili, iseve rogorc 15-24 wlis askis qalebSi, uSviloebSi, ganaTlebis umaRlesi donis mqone da socio-ekonomikuri statusis meoTxe doneze myof qalebSi. Aazerbaijaneli, somexi da sxva eTnikuri jgufebis warmomadgenlebi gamoirCeodnen am sakiTxisadmi dabali mxardaWeriT, rac sruliad Tanmimdevrulia maT mier abortis mxardaWeris maRali maCveneblisa, rogorc es vnaxeT zemoT. sxva maxasiaTeblebi metnaklebad araregularulia da maTi axsna cotaTi rTulia. savaraudoa, rom bolo periodSi religiuri qalebi TiTqmis Tanabrad arian warmodgenilni sazogadoebis yvela doneze. respondentebi pasuxobdnen oTx damatebiT kiTxvaze (dafexmZimebis riskze pirveli sqesobrivi kavSirisas, sqesobriv kavSirze uaris Tqmaze, Tu qmars sqesobrivi gziT gadamdebi infeqcia gaaCnia, ramdenad misaRebia sTxovo qmars, ixmaros prezervativi, Tu mas sqesobrivi gziT gadamdebi infeqcia aqvs da unda daemorCilos Tu ara kargi coli qmars). Ddidi umravlesoba (84%) daeTanxma azrs, rom qali SeiZleba daorsuldes pirveli sqesobrivi kavSiris dros. qvejgufebi, romlebic yvelaze naklebad daeTanxmnen am azrs (73% an naklebi), iyvnen 15-24 wlis qalebi, qalebi, romlebic arasdros yofilan gaTxovili, uSvilo qalebi da arasruli saSualo da ganaTlebis ufro dabali donis mqone qalebi (cxrili 12.5.1.). respodentTa umravlesoba (76%) iyo im azrze, rom « qals SeuZlia sqesobriv urTierTobaze uaris Tqma, Tu qmars aqvs sqesobrivi gziT gadamdebi infeqcia » da rom « cols SeuZlia mosTxovos qmars ixmaros prezervativi, Tu mas aqvs sqesobrivi gziT gadamdebi infeqcia » (74%). Qqalebi, romlebic arasdros yofilan gaTxovili, 15-24 wlis qalebi, arasruli saSualo an ganaTlebis ufro dabali donis mqone qalebi, iseve rogorc azerbaijaneli qalebi yvelaze naklebad iziarebdnen am mosazrebebs. TbilisSi mcxovrebi qalebis ume-

tesoba (81%) Tvlida, rom « qals SeuZlia mosTxovos qmars ixmaros prezervativi… », roca soflad mcxovrebi qalebis mxolod 68% daeTanxma am winadadebas. orive kiTxvas naklebad daeTanxmnen gauTxovari, axalgazrda da uSvilo qalTa jgufebi, iseve rogorc azerbaijanuli da somxuri jgufebi. Tanxmobis maCvenebeli mcirdeboda ganaTlebis donis da socialur-ekonomikuri statusis SemcirebasTan erTad. zogadad, sqesobrivi da reproduqciuli janmrTelobis sakiTxebis codna korelaciaSia ganaTlebis donesTan da garkveulwilad cxovrebiseul gamocdilebasTan da amitom ganaTlebis dabali donis mqone pirebi unda ganixilebodes rogorc saganmanaTleblo saqmianobis Catarebis fokusjgufebi. maT agreTve esaWiroebaT specialuri programebi, romlebic mimarTuli iqneba maT sqesobriv partniorebTan komunikaciis gaumjobesebaSi. yvela respondentma gamoxata Tavisi damokidebuleba mtkicebulebisadmi « kargi coli unda daemorCilos sakuTar qmars » ; mxolod 42%^daeTanxma, rac sxva sakiTxebTan SedarebiT yvelaze dabal Tanxmobas warmoadgens cxrilSi 12.5.1. aRniSnul mosazrebas eTanxmeboda Tbiliseli qalebis mxolod 26%, umaRlesi ganaTlebis mqone qalebis 34% da umaRlesi socialurekonomikuri statusis mqone qalebis 28%. agreTve, gamovlinda mosalodneli maxasiaTeblebi asakis da SvilTa raodenobis mixedviT, rac Tanazomieria qalTa ufro meti damoukideblobis TvalsazrisiT saqarTveloSi socialuri cvlilebebis dros. da bolos, kvlevis yvela monawilem upasuxa kiTxvaze, « rogor ggoniaT, vin unda miiRos gadawyvetileba, Tu ramdeni Svili unda hyavdes wyvils? » respondentTa didma umravlesoba (94%) ganacxada, rom mamakacma da qalma es gadawyvetileba erTad unda miiRon. yvela sxva procentuli maCvenebeli dabali iyo (3-dan ^6%-mde) da gansxvavebebi qvejgufebs Soris iyo mcire. qalTa 2%-ze naklebma ganacxada, rom gadawyvetileba kacma unda miiRos, garda azerbaijaneli qalebis 6%-sa (cxrili 12.5.2.) kvlevis Sedegad gamovlinda saintereso tendenciebi, romlebic saqarTveloSi mimdinare socialur cvlilebebs asaxaven (suraTi 12.5.1). 1999-sa da 2010 wlebis kvlevebs Soris procentuli maCvenebeli qalebisa, romlebic fiqrobdnen, rom “bavSvis movla qalis saqmea” da rom “qorwinebisas qali unda iyos qaliSvili” Semcirda, iseve rogorc 241


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

xvedriTi wili im mosazrebisa, rom yvela adamiani unda daqorwindes, Tumca yvela procentuli maCvenebeli mainc maRali iyo. samagierod, im qalebis sakmaod didi procentuli mateba gamovlinda (23%), romlebic amtkicebdnen, rom qalma imdeni Svili unda iyolios, ramdensac RmerTi miscems. es Sedegebi TanafardobaSia abortis momxreTa xvedriTi wilis SemcirebasTan. cxadia, rom saqarTveloSi mimdinareobs qalTa emansipaciis procesi. amavdroulad, adamianis uflebebi ufro myari xdeba, xolo aboritsadmi damokidebuleba negatiuri. am procesebisas religiis pozitiurma gavlenam post-sabWoTa periodSi unda iTamaSos mniSvnelovani roli. kvlev-

ebma aCvena, rom ojaxis Seqmna da Svilebis yola qarTveli qalebisaTvis yvelaze mniSvnelovani Rirebulebebia. maSin, roca janmrTelobasTan dakavSirebuli konstruqciuli sainformacio da saganmanaTleblo programebi, maT Soris reproduqciul janmrTelobasTan dakavSirebiT, televiziiT minimumamdea dayvanili, aRsaniSnavia, rom UNFPA-s mier ganxorcielebul sxvadasxva cnobierebis amaRlebisaken mimarTul da saganmanaTleblo proeqtebs bolo aTi wlis ganmavlobaSi SeeZlo ufro meti Sedegebi moetana, maTTvis xeli rom ar SeeSala reaqcionerTa jgufebs negatiuri tele “toqSouebis” dros.

cxrili saqarTveloSiaxalgazrda axalgazrdaojaxSi ojaxSiSvilebis Svilebisidealuri idealuriraodenoba raodenobaSerCeuli cxrili 12.1 12.1 saqarTveloSi SerCeuli maxasiaTeblebis 15-44 wlis maxasiaTeblebismixedviT mixedviT15-44 wlisqalebs qalebsSoris Sorisreproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 შვილების იდეალური რაოდენობა მახასიათებელი

sul sacxovrebeli Tbilisi sxva qalaqi sofeli qorwinebis statusi gaTxovili winaT gaTxivili gauTxovari asakobrivi jgufi 15–19 20–24 25–34 35–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli ufro dabali saSualo sruli teqnikumi universiteti/aspirant. socio/ekonomikuri statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri kuTvnileba qarTveli azerbaijaneli somexi sxva

242

სულ

შვილების საშუალო# შემთხვევებ ის რაოდენობა საშუალო შემთხვევ ები

0–1

2

3

4

5 ან მეტი

რამდენსაც ღნერთი მოგვცემს

0.7

19.8

47.1

12.3

2.3

5.8

9.9

2.1

100.0

6,292

3.0

5,159

0.8 1.0 0.4

19.5 22.0 18.8

49.0 45.1 47.0

13.1 11.3 12.3

1.8 2.6 2.4

5.6 6.1 5.9

8.8 10.4 10.4

1.4 1.6 2.9

100.0 100.0 100.0

1,426 1,549 3,317

3.0 2.9 3.0

1,203 1,255 2,701

0.6 0.8 0.9

18.6 23.4 21.1

49.5 40.0 44.1

13.0 10.5 11.3

2.2 2.4 2.4

4.4 6.6 8.1

10.1 13.0 9.1

1.5 3.3 2.9

100.0 100.0 100.0

4,098 389 1,805

3.0 2.9 2.9

3,416 304 1,439

0.6 0.8 0.6 0.7

21.8 21.2 19.5 18.1

44.8 49.6 47.0 46.8

10.6 10.1 12.6 14.3

2.2 2.2 2.1 2.6

7.3 4.9 5.4 6.1

8.9 8.4 11.4 9.9

3.8 2.7 1.5 1.5

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

2.9 2.9 3.0 3.0

691 929 1,927 1,612

0.8 0.9 0.3 0.6

20.9 23.0 20.7 6.8

44.4 47.3 48.1 54.2

11.3 9.6 13.7 17.0

2.3 1.2 1.8 5.8

8.6 4.8 2.8 5.3

9.0 11.2 10.8 9.0

2.7 1.9 1.7 1.3

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

2.9 2.8 3.0 3.3

1,805 1,063 1,744 547

0.6 1.1 0.3 0.6

22.2 19.0 20.4 18.8

43.2 46.6 49.4 48.7

11.7 13.0 11.1 12.6

2.4 2.5 1.7 2.2

5.6 5.6 5.2 6.4

9.4 9.8 10.7 10.1

4.9 2.5 1.3 0.6

100.0 100.0 100.0 100.0

1,330 1,568 903 2,491

2.9 3.0 3.0 3.0

1,070 1,284 746 2,059

0.4 0.5 0.7 0.9 0.9

19.2 18.9 19.4 23.7 18.4

41.0 49.5 47.4 43.5 50.9

14.2 10.7 12.5 11.6 12.8

2.9 2.0 2.2 2.5 2.0

5.8 5.1 6.8 6.3 5.4

11.9 10.6 9.6 9.9 8.7

4.7 2.7 1.5 1.7 1.1

100.0 100.0 100.0 100.0 100.0

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

3.0 3.0 3.0 2.9 3.0

839 1,148 1,164 850 1,158

0.7 0.3 1.5 0.0

19.2 19.4 30.1 20.3

47.7 39.0 48.1 38.6

12.7 7.5 9.3 14.8

2.4 1.6 1.4 2.6

6.4 3.0 0.9 4.0

9.9 17.3 3.1 10.7

1.1 11.9 5.7 9.0

100.0 100.0 100.0 100.0

5,488 276 364 164

3.0 2.9 2.8 3.0

4,519 186 328 126

რამდენიც არ ვარ შესაძლებელი დარწმუ ა ნებული


saboloo angariSi

ცხრილი შეხედულებათა პროცენტული განაწილება მენსტრუალური ციკლის yvelaze maRali cxrili 12.2 12.2.mosazrebebi, Tu rodisaa qalis daorsulebis albaToba განმავლობაში დაორსულების სავარაუდო პერიოდის შესახებ menstrualuri ciklis ganmavlobaSi SerCeuli maxasiaTeblebis შერჩეული მახასიათებლების mixedviT15-44 wlis qalebs მიხედვით Soris 15-44 წლის ქალებში რეპროდუქციული ჯანმრთელობის კვლევა, სქართველო 2010. reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 როდისაა ყველაზე უფრო სავარაუდო daorsuldes ქალი მახასიათებელი

sul sacxovrebeli Tbilisi sxva qalaqi sofeli qorwinebis statusi gaTxovili winaT gaTxivili gauTxovari asakobrivi jgufi 15–19 20–24 25–34 35–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli ufro dabali saSualo sruli teqnikumi universiteti/ aspirantura socio/ekonomikuri statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri kuTvnileba qarTveli azerbaijaneli somexi sxva

პერიოდის პერიოდისა პერიოდის პერიოდებს ნებისმიერ დაწყებამდე ს მერე შუა დროს

არ ვიცი

სულ

შემთხვევები

3.1

0.3

18.5

41.1

7.6

29.4

100.0

6,292

3.6 2.1 3.4

0.4 0.4 0.3

19.0 18.3 18.3

46.2 44.7 36.1

6.8 7.8 8.0

24.0 26.7 34.0

100.0 100.0 100.0

1,426 1,549 3,317

3.3 1.6 3.1

0.2 0.9 0.5

21.3 18.5 13.6

54.5 57.1 14.8

6.5 6.8 9.7

14.2 15.0 58.2

100.0 100.0 100.0

4,098 389 1,805

3.0 2.9 3.5 3.0

0.2 0.4 0.3 0.5

9.1 19.9 21.6 19.9

9.3 31.3 48.5 57.9

10.2 9.1 7.2 5.7

68.2 36.5 18.9 13.1

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

3.0 2.6 3.5 3.5

0.5 0.2 0.1 0.7

14.5 21.8 21.7 19.6

19.8 55.2 56.5 55.9

9.3 6.7 5.8 7.6

52.9 13.5 12.4 12.7

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

2.4 5.4 2.5

0.6 0.2 0.4

15.4 16.8 23.4

19.3 37.6 53.0

9.5 8.2 5.6

52.8 31.7 15.0

100.0 100.0 100.0

1,330 1,568 903

2.3

0.2

19.7

51.7

6.8

19.2

100.0

2,491

2.9 4.2 3.1 3.0 2.5

0.4 0.2 0.3 0.6 0.3

17.3 20.1 18.2 17.1 19.2

32.8 35.0 37.6 45.4 50.0

5.8 8.2 9.9 7.2 6.6

40.8 32.3 30.9 26.6 21.4

100.0 100.0 100.0 100.0 100.0

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

3.2 1.7 3.1 3.3

0.4 0.0 0.0 0.0

19.3 11.4 13.7 16.5

42.7 20.8 34.0 40.4

7.0 12.3 11.1 10.5

27.4 53.8 38.1 29.3

100.0 100.0 100.0 100.0

5,488 276 364 164

243


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 12.3. შეხედულებები ძუძუთი კვების განმავლობაში დაორსულების cxrili 12.3 mosazrebebi, Tu ra gavlenas axdens ZuZuTi kveba qalis daorsulebis რისკზე შერჩეული მახასიათებლებით, 15-44 წლის ქალებში albaTobaze (zrdis Tu amcirebs) SerCeuli maxasiaTeblebis mixedviT რეპროდუქციული 15-44 wlis qalebs Soris ჯანმრთელობის კვლევა, საქართველო 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

მახასიათებელი

sul sacxovrebeli Tbilisi sxva qalaqi sofeli qorwinebis statusi gaTxovili winaT gaTxivili gauTxovari asakobrivi jgufi 15–19 20–24 25–34 35–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli ufro dabali saSualo sruli teqnikumi universiteti/ aspirantura socio/ekonomikuri statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri kuTvnileba qarTveli azerbaijaneli somexi sxva

244

რა გავლენას ახდენს ძუძუთი კვება ქალის დაფეხმძიმების შანსზე

სულ

შემთხვევები

23.1

100.0

6,292

20.2 17.8 15.3

19.4 21.0 26.3

100.0 100.0 100.0

1,426 1,549 3,317

73.3 68.1 32.6

18.0 18.7 15.8

8.0 12.9 50.9

100.0 100.0 100.0

4,098 389 1,805

0.5 0.6 0.7 0.6

22.0 54.0 69.3 72.9

14.7 16.8 18.4 18.0

62.7 28.6 11.6 8.5

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

0.7 0.7 0.6 0.5

36.2 74.5 75.2 75.6

16.5 17.8 18.1 17.4

46.7 7.0 6.0 6.5

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

0.6 0.6 0.6

42.6 56.5 70.9

14.8 16.6 19.4

42.0 26.3 9.1

100.0 100.0 100.0

1,330 1,568 903

0.7

66.0

18.4

14.8

100.0

2,491

0.5 0.6 1.0 0.2 0.7

55.2 58.7 57.0 62.3 60.6

15.5 14.6 16.9 17.3 20.7

28.8 26.0 25.1 20.1 18.0

100.0 100.0 100.0 100.0 100.0

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

0.6 0.0 1.6 2.1

60.7 41.5 48.0 59.3

17.6 15.5 14.6 17.8

21.2 43.0 35.8 20.8

100.0 100.0 100.0 100.0

5,488 276 364 164

ზრდის შანსს

ამცირებს შანსს

გავლენა არა აქვს

არ ვიცი

0.6

59.0

17.3

0.9 0.2 0.7

59.5 61.1 57.6

0.7 0.4 0.6


saboloo angariSi

ცხრილი12.4.1

შეხედულებები აბორტის ჩატარების მიმართ

cxrili 12.4.1 mosazrebebi, Tu ramdenad misaRebia aborti SerCeuli maxasiaTeblebis შერჩეული მახასიათებლების მიხედვით 15-44 წლის ქალებში mixedviT 15-44 wlis qalebs Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 რამდენად მისაღებია აბორტი სულ

შემთხვე ვების#

0.5

100.0

6,292

3.2

0.4

100.0

1,426

3.6

0.2

100.0

1,549

22.0

2.2

0.7

100.0

3,317

64.5

31.4

3.0

1.2

100.0

861

71.4

24.1

3.8

0.7

100.0

1,099

ყოველთვის მისაღებია

მისაღებია ზოგიერთ გარემოებაში

არასოდეს არაა მისაღები

არ ვიცი

72.4

24.2

2.9

Tbilisi

65.5

30.9

sxva qalaqi

75.1

21.1

sofeli

75.0

gaTxovili winaT gaTxivili

მახასიათებელი

sul sacxovrebeli

qorwinebis statusi

gauTxovari

73.7

22.8

3.0

0.4

100.0

2,359

asakobrivi jgufi

76.4

21.5

2.0

0.1

100.0

1,973

75.6 77.7 65.9

21.4 19.4 29.9

2.6 2.7 3.3

0.3 0.2 0.9

100.0 100.0 100.0

4,098 389 1,805

0 1 2 3 an meti

65.6 74.9 77.9 79.3

30.3 21.7 19.4 18.3

3.3 3.2 2.4 1.7

0.8 0.2 0.3 0.7

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

ganaTlebis done saSualo arasruli ufro dabali

75.7

21.2

2.0

1.2

100.0

1,330

saSualo sruli

71.8

24.0

3.7

0.5

100.0

1,568

teqnikumi universiteti/ aspirantura socio/ekonomikuri statusi

74.9

22.5

2.1

0.4

100.0

903

70.1

26.7

3.1

0.2

100.0

2,491

yvelaze dabali

76.2

20.6

2.2

1.0

100.0

1,093

meore

76.9

20.6

2.0

0.5

100.0

1,385

saSualo

71.2

25.0

3.1

0.7

100.0

1,413

meoTxe

72.8

23.1

3.7

0.3

100.0

1,037

umaRlesi

67.7

29.1

3.1

0.2

100.0

1,364

qarTveli

71.6

25.0

2.9

0.4

100.0

5,488

azerbaijaneli

77.1

19.3

2.0

1.7

100.0

276

somexi sxva

78.9 75.9

18.1 20.1

1.8 3.5

1.2 0.5

100.0 100.0

364 164

15–19 20–24 25–34 35–44 cocxali Svilebis raodenoba

eTnikuri kuTvnileba

245


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 12.4.2

რამდენად მისაღებია აბორტი გარკვეულ გარემოებებში

15-44 წლის ქალებში, garemoebebSi რომლებსაც სჯერათ, რომ აბორტი cxrili 12.4.2 ramdenad misaRebia aborti garkveul 15-44 wlis qalebSi, არაა მისაღები araa misaRebi romlebsac sjeraT, romყოველთვის aborti yovelTvis კვლევა, საქართველო 2010 რეპროდუქციული ჯანმრთელობის reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 რამდენად მისაღებია აბორტი გარემოება

სულ

შემთხვევე ბი

მისაღებია

არ არის მისაღები

ფეხმძიმობა ქალის სიცოცხლეს საფრთხეს უქმნის

77.2

16.1

4.4

2.4

100.0

1,689

ჩანასახს გააჩნია ნაკლოვანება

60.4

27.6

8.1

4.0

100.0

1,689

ფეხმძიმობა ქალის ჯანმრთელობას საფრთხეს უქმნის

55.2

34.8

6.8

3.1

100.0

1,689

გააჩნია

არ ვიცი

ფეხმძიმობა გაუპატიურების შედეგია

29.4

55.5

7.7

7.4

100.0

1,689

წყვილი ვერ შეინახავს კიდევ ერთ ბავშვს

10.8

80.2

5.4

3.7

100.0

1,689

ქალი არ არის გათხოვილი

8.8

80.1

7.2

4.0

100.0

1,689

წყვილს მეტი შვილი არ უნდა

7.2

84.6

4.9

3.3

100.0

1,689

246


saboloo angariSi

cxrili 12.4.3 garemoebebi, roca misaRebia abortis gakeTeba SerCeuli maxasiaTeblebis mixedviT15-44 wlis qalebs Soris, visac miaCnia, rom aborti ar aris ცხრილი 12.4.3yovelTvis გარემოებები, როცა აბორტი მისაღებია, შერჩეული მახასიათებლების მიხედვით misaRebi 15-44 წლის ქალებში, რომლებსაც სჯერათ რომ აბორტი ყოველთვის არ არის მისაღები reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 რეპროდუქციული ჯანმრთელობის კვლევა,, საქართველო 2010. გარემოება როცა აბორტი მისაღებია მახასიათებელი

sul sacxovrebeli Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15-24 25-34 35-44 qorwinebis statusi გათხოვილი წინათ გათხოვილი გაუთხოვარი cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli ufro dabali saSualo sruli teqnikumi universiteti/ aspirantura socio/ekonomikuri statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri kuTvnileba qarTveli azerbaijaneli somexi sxva

შვილის ქალი არ საფრთხე ფეხმძიმობა ყოლა არის გაუპატიურ ქალის ეკონომიკურა გათხოვილ ების ჯანმრთელ დ არ ი შედეგია ობას შეუძლიათ

აღარ უნდა(თ) მეტი შვილი

შემთხვევ ების #

8.8

7.2

1,689

10.2 9.3 12.0

4.7 10.5 11.1

6.6 3.7 9.6

483 381 825

29.1 28.3 31.1

7.8 11.4 14.7

8.8 10.3 6.8

4.8 7.4 11.0

615 598 476

56.1 49.0 55.0

31.9 24.3 26.9

14.1 12.0 6.5

9.2 6.1 8.5

9.2 8.0 4.6

998 83 608

56.8 64.5 66.5 55.9

54.4 59.0 57.7 45.0

27.3 27.1 34.1 34.1

6.6 14.4 16.7 12.0

7.9 8.0 10.8 9.9

4.6 8.1 11.5 9.2

773 334 446 136

77.4 72.8 80.4

60.5 60.7 69.4

59.4 52.0 60.5

34.9 31.8 35.4

11.8 11.7 16.2

13.6 9.3 11.7

9.7 6.4 10.7

319 409 217

78.7

57.5

53.8

23.6

8.2

5.4

5.5

744

78.6 79.3 75.0 75.7 78.0

62.7 66.7 58.4 60.2 57.5

59.0 59.2 48.0 56.2 56.4

32.7 29.3 29.0 25.0 30.9

15.3 13.2 8.8 5.8 12.1

9.6 15.0 9.2 5.9 6.5

8.3 10.0 6.7 3.9 7.6

260 324 391 282 432

77.7 68.5 73.2 78.2

59.7 67.6 71.2 54.8

55.2 53.9 60.8 49.8

28.6 47.2 30.4 25.1

10.3 16.6 9.3 17.7

8.1 16.8 14.2 10.7

6.5 18.1 9.9 11.5

1,520 60 67 42

საფრთხე ქალის სიცოცხლეს

ჩანასახს დეფექტი აქვს

77.2

60.4

55.2

29.4

10.8

81.2 71.9 76.8

57.7 57.3 64.2

56.3 51.1 56.7

26.6 29.3 31.6

76.9 77.3 77.6

56.4 62.2 64.6

55.5 56.2 53.7

77.4 74.3 77.3

64.2 59.9 55.7

77.1 74.9 80.6 72.3

247


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი შეხედულებები დაკაშირებით cxrili 12.4.4 12.4.4 mosazrebebi, Tu raარასასურველი unda iRonosორსულობის qalma, Tuგამოსავალთან survilis sawinaaRmdegod შერჩეული მახასიათებლების მიხედვით 15-44 წლის ქალებში daorsulda? SerCeuli maxasiaTeblebis mixedviT 15 - 44 wlis qalebs Soris რეპროდუქციული ჯანმრთელობის კვლევა,,saqarTvelo, საქართველო 2010. reproduqciuli janmrTelobis kvleva, 2010 მახასიათებელი sul sacxovrebeli Tbilisi sxva qalaqi sofeli qorwinebis statusi gaTxovili winaT gaTxivili gauTxovari asakobrivi jgufi 15–19 20–24 25–34 35–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli uf saSualo sruli teqnikumi universiteti/ aspirantura socio/ekonomikuri statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri kuTvnileba qarTveli azerbaijaneli somexi sxva

248

რა უნდა ქნას ქალმა თუ მას არასასურველი ფეხმძიმობა აქვს

სულ

შემთხვევ ების#

2.9

100.0

6,292

2.5 1.8 2.0

2.0 2.7 3.6

100.0 100.0 100.0

1,426 1,549 3,317

35.3 32.4 18.9

1.9 1.8 2.5

2.7 1.4 3.7

100.0 100.0 100.0

4,098 389 1,805

72.8 69.2 63.4 61.0

19.7 26.1 32.1 34.6

2.4 1.8 2.0 2.2

5.1 2.8 2.5 2.2

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

75.2 66.2 55.7 53.1

18.9 30.9 38.5 43.6

2.4 1.5 2.3 1.4

3.5 1.5 3.5 1.9

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

61.5 60.5 62.6

32.4 33.8 33.1

1.7 2.3 2.3

4.4 3.4 2.0

100.0 100.0 100.0

1,330 1,568 903

71.8

23.9

2.1

2.1

100.0

2,491

60.3 64.3 64.9 67.2 68.6

34.2 30.7 29.2 28.3 27.1

1.4 1.9 2.2 2.5 2.3

4.1 3.1 3.7 2.0 2.1

100.0 100.0 100.0 100.0 100.0

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

68.3 39.2 55.3 45.6

26.9 52.3 39.2 48.8

2.2 0.9 1.4 2.4

2.6 7.6 4.0 3.1

100.0 100.0 100.0 100.0

5,488 276 364 164

შეინარჩუნოს ბავშვი

გაიკეთოს აბორტი

გააჩინოს და გააშვილოს

არ ვიცი

65.5

29.5

2.1

66.1 70.5 62.4

29.4 25.0 32.0

60.1 64.4 74.9


saboloo angariSi

ცხრილი 12.5.1 genderuli გენდერულda და რეპროდუქციულ ნორმებთან დაკავშირებით გარკვეულ მოსაზრებებზე cxrili 12.5.1 reproduqciuli sakiTxebis Sesaxeb mosazrebebze დათანხმება შერჩეული მახასიათებლების მიხედვითmixedviT 15-44 წლის ქალებში daTanxmeba SerCeuli maxasiaTeblebis 15 - 44 wlis qalebs Soris რეპროდუქციული ჯანმრთელობის კვლევა,, საქართველო 2010. reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 გენდერულ და რეპროდუქციულ ნორმებთან დაკავშირებით გარკვეულ მოსაზრებზე დათანხმება

მახასიათებელი

sul sacxovrebeli Tbilisi sxva qalaqi sofeli asakobrivi jgufi 15-24 25-34 35-44 qorwinebis statusi გათხოვილი წინათ გათხოვილი გაუთხოვარი c c l v le raodenoba 0 1 2 3 an meti done ganaTlebis u l ul ufro dabali saSualo sruli teqnikumi universiteti/aspirantura socio/ekonomikuri statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri kuTvnileba qarTveli azerbaijaneli somexi sxva

ქალს ქალს შეუძლია ქალს შეუძლია იმდენიშვი ქალი უარი სექსზე სთხოვოს ქალი ყველა კარგი ქმარს ლი უნდა შეიძლება თუ ქმარს ქალწული ბავშვს უნდა ცოლი უნდა იყოს ქალმა უნდა ჰყავდეს დაფეხმძიმდე სქესობრივი გაიკეთოს დაქორწინ ემორჩილებ პრეზერვატ ს პირველი გზით გათხოვები მოუაროს რმდენსაც დეს ა ქმარს ივი თუ ღმერთი კავშირისას გადამდები სას ქმარს შთ  მისცემს ინფექცია აქვს აქვს

შემთხვევები #

74.3

77.5

72.2

73.9

84.1

76.5

73.8

42.5

6,292

64.6 74.7 79.8

60.8 80.5 85.7

62.1 71.1 78.6

73.1 76.4 72.9

85.4 86.3 82.1

82.8 78.2 71.8

81.1 76.5 68.1

26.5 41.8 52.1

1,426 1,549 3,317

76.0 73.1 73.6

80.0 75.2 77.0

72.6 71.9 71.9

77.6 70.8 72.6

72.9 89.7 91.6

70.3 80.2 80.1

67.6 78.1 76.7

40.1 43.4 44.3

1,960 2,359 1,973

75.8 64.7 73.5

78.7 59.1 78.8

72.6 68.1 72.2

70.8 70.4 79.8

91.0 91.4 70.7

79.8 86.5 68.9

77.2 84.4 66.1

47.3 28.5 36.7

4,098 389 1,805

73.8 72.3 74.7 79.1

78.3 71.1 77.5 86.0

71.9 69.7 72.2 77.7

80.1 72.3 67.0 71.1

72.8 91.1 92.5 92.2

70.9 83.4 80.5 75.0

68.0 82.0 76.9 73.2

37.9 41.9 44.9 54.9

2,276 1,286 2,069 661

81.1 75.7 75.7 69.1

84.8 83.4 79.8 68.9

80.3 77.1 73.2 64.0

72.8 71.3 72.4 76.6

71.5 83.5 90.9 89.4

65.5 73.6 81.3 83.1

63.3 69.8 78.2 80.9

51.6 49.5 39.1 33.9

1,330 1,568 903 2,491

79.6 80.5 78.5 70.2 66.1

85.8 87.2 82.7 76.5 61.9

79.4 79.0 74.3 73.5 60.2

73.8 71.9 72.0 77.5 74.3

78.3 85.0 84.0 84.9 86.1

73.0 71.4 75.7 77.2 82.5

69.4 67.5 72.4 75.4 81.1

56.4 50.9 46.3 38.2 28.1

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

73.6 88.5 73.0 72.8

76.6 92.4 82.3 67.9

70.7 87.9 81.5 70.1

75.8 60.3 59.4 65.4

85.3 73.4 75.1 83.5

78.8 52.6 60.2 78.2

76.8 44.9 49.5 79.3

38.8 84.9 55.8 51.6

5,488 276 364 164

249


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 12.5.2 mosazrebebi, Tu vin unda gadawyvitos ramdeni Svili iyolos wyvilma cxrili 12.5.2 mosazrebebi, Tu vin unda gadawyvitos ramdeni Svili iyolos wyvilma SerCeuli maxasiaTeblebiT 15-44 wlis qalebs Soris SerCeuli maxasiaTeblebis mixedviT 15-44 wlis qalebSi reproduqciuli janmrTelobis kvleva, saqarTvelo 2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010

sul

SenTxve vaTa raodenoba

vin unda gadawyvitos ramdeni Svili iyolios wyvilma maxasiaTebeli

sul sacxovrebeli Tbilisi sxva qalaqi sofeli qorwinebis statusi gaTxovili winaT gaTxivili gauTxovari asakobrivi jgufi 15–19 20–24 25–34 35–44 cocxali Svilebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli ufro dabali saSualo sruli teqnikumi universiteti/ aspirantura socio/ekonomikuri statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri kuTvnileba qarTveli azerbaijaneli somexi sxva

250

qalma

kacma

orivem

ar vici

4.0

0.8

94.1

1.1

100.0

6,292

4.9 2.9 4.1

0.4 0.4 1.2

94.0 95.9 93.2

0.7 0.8 1.5

100.0 100.0 100.0

1,426 1,549 3,317

3.9 6.3 3.8

1.0 0.2 0.6

94.5 92.5 93.7

0.7 1.0 1.9

100.0 100.0 100.0

4,098 389 1,805

4.1 3.0 4.0 4.6

0.8 0.8 1.0 0.6

93.1 94.4 94.4 94.2

2.0 1.8 0.6 0.6

100.0 100.0 100.0 100.0

861 1,099 2,359 1,973

3.5 4.7 4.3 4.1

0.7 0.5 0.7 2.1

94.3 94.1 94.1 93.2

1.6 0.7 0.9 0.7

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

4.3 5.0 3.5

1.8 0.8 0.5

91.2 93.4 95.5

2.7 0.8 0.5

100.0 100.0 100.0

1,330 1,568 903

3.4

0.3

95.7

0.6

100.0

2,491

3.3 4.4 3.5 3.9 4.6

1.0 1.4 0.9 0.3 0.4

93.9 93.1 93.9 94.9 94.5

1.7 1.1 1.7 0.9 0.5

100.0 100.0 100.0 100.0 100.0

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

3.8 2.9 5.2 8.9

0.4 5.5 2.0 1.9

94.9 89.2 89.5 87.0

0.9 2.5 3.2 2.2

100.0 100.0 100.0 100.0

5,488 276 364 164


Tavi

13

janmrTelobasTan dakavSirebuli qceva janmrTelobis xelSemwyobi qcevebi did gavlenas axdens adamianis janmrTelobaze da srulyofils xdis samedicino momsaxurebas. cxovrebis iseTi wesi, rogoricaa regularuli fizikuri varjiSebi, sigaretze uaris Tqma da alkoholis zomierad miReba, mniSvnelovania janmrTelobis dacvis da qronikuli daavadebebis prevenciis TvalsazrisiT. am TavSi mocemulia saqarTveloSi reproduqciuli asakis qalTa janmrTelobisTvis aucilebeli qcevebi da codna. 2010 wlis kvleva gansakuTrebul yuradRebas uTmobs samedicino momsaxurebis gamoyenebas, sarZeve jirkvlisa da saSvilosnos yelis simsivnis skrinings, tuberkuliozs, sigaretisa da alkoholis moxmarebas. Ees sakiTxebi Seswavlilia qalTa demografiuli maxasiaTeblebis mixedviT, raTa ukeT iqnas axsnili mosaxleobis sxvadasxva qvejgufebis cvalebadi da mravalferovani moTxovnebi jandacvaze. gansakuTrebuli yuradReba daeTmo im prevenciuli RonisZiebebis aRweras, rac xels uwyobs ZuZus da saSvilosnos yelis kibos riskis Semcirebas. miuxedavad garkveuli warmatebebisa prevenciis, diagnositirebisa da mkurnalobis sferoebSi, avTvisebiani ginekologiuri daavadebebi kvlav rCeba reproduqciuli asakis qalTa sikvdilianobis ZiriTad gamomwvev mizezad, rogorc ganviTarebad aseve ganviTarebul qveynebSi. reproduqciuli sistemis simsivneebs Soris yvelaze gavrcelebulia sarZeve jirkvlisa da saSvilosnos yelis kibo. avTvisebiani simsivneebis mkurnalobis efeqturobas ki mniSvnelovanwilad adreuli diagnostika da mkurnalobis droulad dawyeba ganapirobebs. aRmosavleT evropaSi aRniSnul daavadebaTa umetesi nawili Sorswasul da ganukurnebel stadiebze vlindeba, rac ganpirobebulia: qalTa arasakmarisi gaTviTcnobierebulobiT an prevenciuli samsaxurebisadmi mimarTvis survilis arqoniT; samedicino momsaxurebis mimwodebelTa mxridan uyuradRebobiT, gadatvirTuli grafikiT, arasakmarisi kompetenciiT janmrTelobis xelSewyobis dargSi da jandacvis iseTi sistemis arsebobiT, romelic Tavis SezRudul resursebs ufro samkurnalo RonisZiebebs axmars, vidre prevenciuls. saqarTveloSi 2006 wels 15-44 wlis qalebSi sarZeve jirkvlis kiboTi gamowveuli sikvdilianobis xvedriTi wili (14%) yvelaze maRali iyo, xolo 251


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

saSvilosnos yelis kibo meoTxe adgilze iyo, 5%-iani sikvdilianobiT. ZuZus kibos uxeSi mizez-specifikuri sikvdilianobis maCveneblebi saqarTveloSi ufro maRali iyo, vidre saSualo evropuli maCveneblebi (yovel 100,000-ze 7.9 sawinaaRmdegod 5.4-sa 15-44 wlis asaki qalebSi) (sarbanesku da sxvebi, 2009).

13.1 samedicino momsaxurebis gamoyeneba pacientsa da jandacvis samsaxurebs Soris urTierToba janmrTelobis propagandisa da daavadebebis prevenciis xelsayrel SesaZleblobas iZleva. pacientebTan urTierTobisas jandacvis muSakebs SeuZliaT janmrTelobis zogad sakiTxebze konsultaciis gaweva da janmrTelobisTvis mavne Cvevebis Secvlis Sesaxeb rekomendaciebis micema. pacientebis midgomazec bevria damokidebuli _ kerZod, gaiTvaliswineben Tu ara isini eqimis rCevas, da gaivlian Tu ara profilaqtikur Semowmebas, maT Soris, saSvilosnos yelisa da sarZeve jirkvlebis skrinings. Aamitom respondentebs dausves mTeli rigi kiTxvebisa Tu ra zomebs mimarTaven isini janmrTelobis dasacavad da ra uSliT maT xels samedicino momsaxurebis miRebaSi. rodesac adamians gaaCnia â&#x20AC;&#x153;Cveuli adFsuraTi 13.1.1

giliâ&#x20AC;? samedicino momsaxurebis misaRebad, anu dawesebuleba sadac igi mudmivad iRebs samedicino momsaxurebas, pacienti ufro droulad da ukeTesi xarisxis prevenciul da samkurnalo momsaxurebas iRebs. respondentTa umravlesobam (79%) ganacxada, rom maT gaaCniaT Cveuli adgili samedicino momsaxurebis misaRebad (cxrili 13.1.1.). aseT momsaxurebas ufro xSirad is qalebi mimarTavdnen, romlebsac hqondaT janmrTelobis dazRveva (85%) da iyvnen dasaqmebulni (83%). rogorc Cans, arsebobs pirdapiri kavSiri Cveuli samedicino dawesebulebis arsebobasa da ganaTlebis dones Soris. im qalTa proporcia, romlebic dadiodnen maTTvis Cveul samedicino dawesebulebaSi iyo 73% arasruli saSualo ganaTlebis mqone qalTaTvis da 83% umaRlesi da aspirantura damTavrebul qalTaTvis. samedicino momsaxurebis miReba erTi da igive adgilas naklebad gavrcelebuli iyo 15-19 wlis mozardebisTvis (71%), 20-24 wlis axalgazrdebisaTvis (76%), yvelaze dabali social-ekonomikuri statusis mqone SinameurneobebSi mcxovrebi qalebisTvis (74%) da eTnikuri umciresobebisaTvis (70%). qalebma, romlebmac ganacxades, rom isini erTi da imave adgilas dadiodnen samedicino momsaxurebis misaRebad, aseT momsaxurebas metwilad

samedicino daxmarebis miRebis Cveuli adgili sacxovrebeli adgilis mixedviT 15-44 wlis qalebSi

procenti 100

qalaqSi soflad

80 60 46 40

33

31

17

20 0

regionuli/qalaqis saavadmyofo

FsuraTi 13.1.2

16

poliklinika/qalTa] sakonsultacio centri

19

12

pirveladi jandacvis dawesebuleba/ojaxis samedicino centri

22

arc erTi

samedicino momsaxurebis tipi 15-44 wlis qalebs Soris, romlebmac miiRes samedicino momsaxureba bolo 12 Tvis ganmavlobaSi, sacxovrebeli adgilis mixedviT

procenti 100

qalaqSi soflad

80 60 40

43

49

53

39 20

20 0

252

prevenciuli zrunva

gadaudebeli mkurnaloba

20

qronikuli mkurnaloba


saboloo angariSi

FsuraTi 13.1.3

samedicino dazRvevis mTavari wyaro sacxovrebeli adgilis mixedviT 15-44 wlis qalebSi, romlebsac aqvT janmrTelobis dazRveva

procenti 100

qalaqSi soflad

80

70

60 40

42 29

29

23

20 0

7 mTavrobis mier dafinansebuli

kerZo (damsaqmeblis mier dafinansebuli)

kerZo (TviTdafinansebuli)

SeniSvna: maCveneblebi asakobrivad standartizebulia, ase rom isini iZlevian saerTaSoriso Sedarebebis ganxorcielebis saSualebas. miuxedavad sxvadasxva asakobrivi struqturebisa: eF rlay J, et al,. kibos SemTxvevebi da sikvdilianoba msoflios masStabiT: IARC Cancer Base No 10, 2010

iRebdnen saavadmyofoebSi (38%) da ambulatoriul klinikebSi (anu poliklinikebsa da qalTa konsultaciis klinikebSi) (26%). mxolod umciresoba iRebda samedicino momsaxurebas pirveladi samedicino daxmarebis dawesebulebebSi (14%). soflad yvelaze ufro gavrcelebuli adgili aseTi momsaxurebis misaRebad iyo regionaluri/ qalaqis saavadmyofo (46%), maSin roca qalaqad qalTa mniSvnelovani nawili dadioda poliklinikebSi da qalTa konsultaciis klinikebSi an regionalur/qalaqis saavadmyofoebSi (33% da 1% Sesabamisad) (suraTi 13.1.1.). qalebis mesamedze metma (37%) aRniSna, rom maT mimarTes samedicino dawesebulebas (samkurnalod an prevenciis mizniT, maT Soris ojaxis dagegmvis mizniT) interviumde 12 Tvis ganmavlobaSi (cxrili 13.1.2). aSkarad SeimCneva zrda wina 2005 wlis kvlevasTan SedarebiT, romlis drosac qalebis mxolod meoTxedma (25%) mimarTa samedicino dawesebulebas wina erTi wlis ganmavlobaSi (monacemebi ar aris naCvenebi). samedicino momsaxurebisaTvis msgavsi mimarTvebi ufro Cveulebrivi iyo qalaqad mcxovrebi qalebisaTvis (39%), Tbilissa (41%) da imereTSi mcxovrebTa (42%) CaTvliT. maT Soris, romlebmac erTxel mainc mimarTes samedicino momsaxurebisaTvis, TiTqmis naxevarma (51%) mimarTa gadaudebeli samedicino daxmarebisaTvis, 41%-ma – pevenciuli momsaxurebisaTvis, xolo 20%ma - qronikuli daavadebebis samkurnalod (saerTo jamSi 100%-ze meti, mravaljeradi vizitebis gamo). soflad mcxovreb qalebTan SedarebiT, qalaqad mcxovrebi qalebi ufro xSirad mimarTavdnen prevenciuli miznebiT (43%, 39%) da ufro naklebad gadaudebeli momsaxurebisaTvis (49% da 53%)

(suraTi 13.1.2). qronikuli daavadebebis samkurnalod ganxorcielebul vizitebSi ar iyo gansxvaveba qalaqad da soflad mcxovrebTa Soris. roca hkiTxes, mouxdaT Tu ara samedicino daxmarebis miRebis gadadeba bolo 12 Tvis ganmavlobaSi prevenciis an daavadebis mkurnalobis mizniT, respondentTa meoTxedma (25%) ganacxada, rom aseT dayovnebebs adgili hqonda (cxrili 13.1.3). qalTa udidesma umravlesobam, romelTac dagvianebiT miiRes samedicino momsaxureba (82%), aRniSna, rom samedicino momsaxurebis fasi iyo yvelaze metad damabrkolebeli faqtori. es yvelaze metad exeboda mravalSvilian qalebs (84% da meti), dabali ganaTlebis mqone ((91%), yvelaze dabal qonebriv kvintils mikuTvnebul qalebs (90%) da eTnikuri umciresobebis warmomadgenelebs (91%). am konteqstSi, 2010 wels saqarTveloSi Catarebulma reproduqciuli janmrTelobis kvlevam gamoavlina reproduqciuli asakis qalTa janmrTelobis dazRveviT dafarva maTgan intervius aRebis dros. Qqalis statusi iyo gansazRvruli rogorc dazRveuli Tu mas TviTon, an meuRles, an mSobels hqonda janmrTelobis saxelmwifo dazRveva (mag., socialurad daucveli mosaxleobisaTvis gankuTvnili “5 lariani” dazRveva), saxelmwifos mier dafinansebuli sxva jandacvis programebiT sargeblobis ufleba, an damqiraveblis mier gacemuli janmrTelobis kerZo dazRvevis paketi (e.i. samoqalaqo moxeleebisa da mTavrobis TanamSromlebisaTvis gankuTvnili dazRveva, an nawilobrivad dafinansebuli kerZo dazRveva), an TviT-dazRveva. qalebis mxolod 33%-s gaaCnda janmrTelobis raime dazRveva intervius dros

253


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

(cxrili 13.1.4). es Sefardeba odnav gansxvavdeboda qalaqad an soflad mcxovreb qalTa Soris da yvelaze dabali iyo qvemo qarTlis mcxovrebTa Soris (14%). siRaribis zRvars qvemoT mcxovrebi mosaxleobis uTanabro geografiuli gavrcelebis gamo soflad mcxovrebi qalebi ufro xSirad iyvnen dazRveulni janmrTelobis saxelmwifo dazRveviT, vidre qalaqad mcxovrebni (70% da 29%-s) da isini ufro naklebad sargeblobdnen kerZo dazRveviT (suraTi 13.1.3). 35 wlis an ufrosi asakis qalebSi saxelmwifo an kerZo dazRvevis qonis albaToba meti iyo, vidre ufro axalgazrda qalebSi. ganaTlebis dabali donis mqone qalebisagan gansxvavebiT (18-19%), janmrTelobis dazRveviT ufro xSirad sargeblobdnen aspirantura damTavrebuli qalebi (27%), romlebic metwilad janmrTelobis kerZo dazRveviT sargeblobdnen. Yyvelaze dabali social-ekonomikuri donis SinameurneobebSi mcxovrebi qalebi ufro xSirad iyvnen dazRveulni (28%), vidre ufro maRali statusis mqone qalebi; faqtiurad yvela maTgani sargeblobda socialurad daucveli mosaxleobisaTvis gankuTvnili saxelmwifo janmrTelobis dazRveviT. samsaxuris mqone qalebs ufro meti Sansi hqondaT yofiliyvnen dazRveulni, vidre danarCenebs (39% da 18%-s); dazRveviT mosargebleTa naxevarze mets hqonda damqiraveblis mier mTlianad an nawilobriv dafinansebuli sadazRvevo paketi. qarTvel qalTa 24%-s hqonda janmrTelobis dazRveva, maSin roca, eTnikuri umciresobebis warmomadgenel qalTa mxolod 11% iyo dazRveuli; dazRveul qalTa Soris dazRvevis wyaro ar gansxvavdeboda eTnikuri warmomavlobis mixedviT.

13.2 rutinuli ginekologiuri vizitebis sixSire amerikis SeerTebuli Statebis mean-ginekologebis kolejma cota xnis win ganaaxla rekomendaciebi, sadac naTqvamia rom 21 welze ufrosi asakis yvela qalma yovelwliurad unda gaiaros profilaqtikuri ginekologiuri gamokvleva; Tumca msoflioSi gansxvavebuli midgomebi arsebobs. 2010 wels saqarTveloSi Catarebuli kvleva mianiSnebs im qalTa procentuli maCveneblis zrdaze, romlebmac wina wels gaiares rutinuli ginekologiuri gamokvleva (2005 wels 20%-dan 25%-mde); es maCvenebeli dabalia 1999 welTan SedarebiT, roca qalebis 30%ma miuTiTa, rom maT Catarebuli hqondaT

254

gamokvleva wina wels (cxrili 13.2 da suraTi 13.2). bolo 12 Tvis ganmavlobaSi Catarebul ginekologiur gamokvlevasa da asakis matebas Soris iyo garkveuli uaryofiTi korelacia - 15-24 wlis qalebis 32%-dan, 40-44 wlis qalebis 17%-mde. faqtiurad, 40-44 wlis qalebis 38%-ma bolo gineklogiuri Semowmeba gaiara intervviumde sami wliT adre, xolo 19%-s arasodes gauvlia. arsebobs pirdapiri kavSiri socialekonomikur statussa da ginekologiuri gamokvlevis gavlas Soris, radgan dabali social-ekonomikuri statusis mqone qalebSi maRali iyo im qalebis xvedriTi wili (39%), romelTac ar gauvliaT aseTi Semowmeba, SeZlebul qalebTan SedarebiT (21%). vinaidan qalebs utardebaT an eniSnebaT sarZeve jirkvlisa da saSvilosnos yelis kibos skriningi rutinuli ginekologiuri vizitebis dros, ginekologiuri Semowmebebis dabal sixSires gardauvali gavlena aqvs ginekologiuri simsivneebis adreul gamovlenasa da mkurnalobaze. Mmas agreTve sakmaod uaryofiTi gavlena aqvs ojaxis dagegmvis Sesaxeb konsultaciebsa da janmrTelobasTan dakavSirebuli gzavnilebis gavrcelebaze.

13.3 sarZeve jirkvlis kibos skriningi sarZeve jirkvlis kibo msoflioSi 2008 wels daaxloebiT 1.38 milioni axali SemTxvevis diagnoziT (yvela dadgenili kibos 23%), simsivnis yvelaze farTod gavrcelebuli saxeobaa qalebSi da mas mTlianobaSi meore adgili ukavia (yvela dadgenili simsivnis 10.9%). sarZeve jirkvlis kibo gaxda avTvisebiani simsivnis yvelaze ufro gavrcelebuli forma rogorc ganviTarebul aseve ganviTarebad regionebSi daaxloebiT 690 000 axali SemTxveviT yovel regionSi (mosaxleobis Tanafardoba 1:4) (Ferley et al., 2010). saqarTveloSi sarZeve jirkvlis kibos asak-standartizebuli avadobis maCvenebeli (38.5 SemTxveva yovel 100 000 qalze) ufro maRalia vidre dasavleT aziis nebismier qveyanaSi (rogorc es Sefasebuli iyo GLOBCAN 2008 simsivneTa reestrSi), magram is ufro dabalia, vidre centraluri da aRmosavleT evropis, CrdiloeT amerikis da dasavleT evropis saSualo maCveneblebi, romlebic simsivniT avadobis maRali maCveneblebiT gamoirCevian msoflioSi (Ferley at al., 2010) (suraTi 13.3.1). sarZeve jirkvlis kiboTi gamowveuli sikvdilianobis SemTxvevebi 2006 wels saqarTveloSi (kiboTi gamowveuli sikvdilis 7.9 SemTx-


saboloo angariSi

rutinuli ginekologiuri gamokvlevebi bolo wlis ganmavlobaSi 15-44 wlis qalebSi, romlebic cxovroben sqesobrivi cxovrebiT, sacxovrebeli adgilis mixedviT: 1999, 2005 da 2010 wlebi

FsuraTi 13.2

procenti

1999

50

2005 2010

40 30 20

33

30

28

25

26

22

20

18

20

10 0

sul

qalaqSi

veva 15-44 wlis asakis 100,000 qalze) ramdenadme maRali, vidre saSualo evropuli maCvenebeli, rac, savaraudod, gamowveulia gviani gamovleniTa da mkurnalobiT. bolo periodSi, saqarTveloSi didi mondomebiT miudgnen reproduqciuli sistemis simsivneebis skriningis gaumjobesebis sakiTxs. erovnuli skrininguli programisa da saqarTvelos pirveli ledis patronaJiT, sarZeve jirkvlisa da saSvilosnos yelis avTvisebiani simsivnis adreuli gamovlenis popularizacia xdeboda skriningis programebis xelmisawvdomobis gaumjobesebis, klinicistebis ganaTlebisa da sazogadoebrivi cnobierebis amaRlebis gziT. Sromis, jamrTelobisa da socialuri dacvis saministros, Tbilisis municipalitetsa da UNFPA-s Soris TanamSromlobiT 2006 wels gaixsna saqarTvelos erovnuli skriningis centri TbilisSi. Mmiuxedavad imisa rom Tavdapirvelad centri emsaxureboda qalebs mxolod TbilisSi, proeqtis warmatebam ukarnaxa mTavrobas, rom msgavsi centrebi gaexsna qveynis masStabiT. centri dajildovebul iqna “Pearl of Wisdom”-is (“sibrZnis margaliti”) priziT evroparlamentis saSvilosnos yelis kibos prevenciis samitze briuselSi. centrma agreTve xeli Seuwyo sarZeve jirkvlis da saSvilosnos yelis kibos prevenciis Savi zRvis auzis qveynebis koaliciis Seqmnas, gaerTianebuli erebis mosaxleobis fondisa da pirveli ledis daxmarebiT. sarZeve jirkvlis da saSvilosnos yelis simsivnisadmi sazogadoebrivi cnobierebis amaRlebasa da skriningTan dakavSirebuli praqtikis popularizacias aseve mxars uWeren aSS saerTaSoriso ganviTarebis saagentos (USAID) mier dafinansebuli proeqtebi, dawyebuli “janmrTeli qalebi saqarTveloSi” proeqtiT. am proeqtebis saSualebiT, ramdenime cnobierebis amaRlebisaken mimarTuli kampania “Race for the Cure” ganxorcielda saqarTveloSi. erT-erTi mimdinare proeqti, romelic

soflad

xorcieldeba JSI (SUSTAIN)-s mier, moicavs sazogadoebrivi mobilizaciisaken mimarTuli saqmianobis farTo speqtrs da sarZeve jirkvlis kibos winaaRmdeg klinikur treiningebs jandacvis mimwodeblebisaTvis. SeniSvna: maCveneblebi asakobrivad standartizebulia, ase rom isini iZlevian saerTaSoriso Sedarebebis ganxorcielebis saSualebas. miuxedavad sxvadasxva asakobrivi struqturebisa: Ferlay J, et al,. kibos SemTxvevebi da sikvdilianoba msoflios masStabiT: IARC Cancer Base No 10, 2010 sarZeve jirkvlis avTvisebiani simsivnis diagnostirebis Tanamedrove meTodebia sarZeve jirkvlebis TviTgasinjva (sjT), sarZeve jirkvlebis klinikuri gamokvleva da mamografia. rekomendaciebi sarZeve jirkvlis kibos adreuli gamovlenisaTvis saSualo riskis mqone qalebSi moicavs sarZeve jirkvlebis regularul TviTgasinjvas 20 wlis asakidan, romelic kombinirebulia konsultaciebTan sarZeve jirkvlis simsivnis simptomebis mimarT cnobierebis amaRlebis mizniT, da yvelwliur mamografiul Semowmebas, dawyebuli 40 wlis asakidan (American Cancer Society, 2005). yvelaze martivi profilaqtikuri saSualeba sarZeve jirkvlebis avTvisebiani simsivnis adreuli stadiebis gamosavlenad sarZeve jirkvlebis TviTgasinjvaa, romelic mcire instruqtaJis Semdeg SesaZlebelia qalma Tavad Caitaros saxlis pirobebSi. sjT rekomendirebulia rogorc ZuZus kibos gamovlenis damxmare saSualeba romelic gamoyenebul unda iqnas sarZevevlebis klinikur gasinjvasTan da mamogrfiasTan erTad. qalebs unda auxsnan, Tu ra sargeblis motana SeuZlia sjT-s da ra aris misi naklovanebebi, agreTve isic, rom ZuZuSi axali simptomebis gamovlenisas maT dauyovnebliv unda mimarT jandacvis specialists. qalebi, romlebic irCeven sjT-s, unda miiRon instruqtaJi da periodulad gaiaron samedicino gamokvleva sjT-s gada255


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 13.3.1

ZuZus kibos SemTxvevaTa raodenoba da sikvdilianoba regionebis mixedviT, 2008 weli, raodenoba yovel 100,000 qalze

procenti 100

90

avadoba

77

80

sikvdilianoba

60 45 40 18

15

20 0

39

33

CrdiloeT amerika

FsuraTi 13.3.2

3%

dasavleT evropa

17

centraluri da aR. evropa

20

14

dasavleT azia

saqarTvelo

yvelaze xSirad dasaxelebuli mizezebi, Tu ratom ar CautarebiaT mamografiuli gamokvleva 15-44 wlis sqesobrivad gamocdil qalebSi 2%

22% 30%

arasodes smenia mamografiis Sesaxeb eqims arasodes urCevia ar ufiqria, rom aucilebeli iyo Rirebuleba/ar faravs dazRveva sxva

33%

mowmebis mizniT. eqimma saTanado yuradReba unda miaqcios im pacients, romelic ZuZus TviT-gasinjvisas cvlilebebs SeamCnevs. am dros rekomendirebulia sarZeve jirkvlebis klinikuri gamokvleva da saWiroebis SemTxvevaSi, mamografiis Catareba. 2010 wlis reproduqciuli janmrTelobis kvlevis farglebSi Seswavlil iqna ZuZus TviTgasinjvasTan dakavSirebiT gamocdilebis done da amgvari Semowmebebis sixSire. mTlianobaSi, sqesobrivi gamocdilebis mqone qalTa 42%-s odesme Cautarebia sarZeve jirkvlis TviTgasinjava (cxrili 13.3.1), rac 2005 wlis monacemebze maRalia (29%). rac Seexeba klinikuri gasinjvis sixSires, sqesobrivi gamocdilebis mqone qalebis 17%-ma miuTiTa, rom yovelTve itarebs mas, 12%-ma - yovel 2-5 TveSi erTxel, 12%-ma – yovel 6-12 TveSi erTxel an naklebad da 58%-ma aRniSna, rom arasodes Cautarebia. TviTgasinjvis meTods naklebad mimarTavdnen soflad mcxovrebi qalebi, axalgazrda qalebi, ori yvelaze dabali socio-ekonomikur statusis mqone jgufi da eTnikuri umciresobis warmomadgeneli qalebi. CautarebiaT Tu ara odesme ZuZus TviTgasinjva, pirdapir korelaciaSi iyo rutinuli ginekologiuri gamokvlevis gamocdilebasTan. Ees mosalodnelicaa, radgan ginekologiuri Semowmeba xelsaySource: CDC and ORC/MACRO, 2003.

256

reli SesaZleblobaa klinicistisaTvis waaxalisos da instruqtaJi Cautaros qals TviTgasinjvasTan dakavSirebiT. rogorc zemoT aRvniSneT, TviTgasinjva ar aris efeqturi, Tu igi ar tardeba klinikur gasinjvasa da mamografiasTan erTad. klinikuri gasinjva – ZuZus fizikaluri gasinjva Catarebuli profesionalis mier, arsebuli cvlilebebis gamosavlenad – SeiZleba iyos rutinuli samedicino Semowmebis nawili. cxrili 13.3.2 gviCvenebs, rom sqesobrivad gamocdili qalebis mxolod mexuTeds (18%) gauvlia odesme klinikuri gamokvleva da rom qalaqad da soflad mcxovreb qalebs Soris arsebobs gansxvaveba (22% da 13% Sesabamisad). im qalTa xvedriTi wili, romlebsac odesme gauvliaT klinikuri gamokvleva, izrdeba asakis, ganaTlebisa da ekonomikuri statusis zrdasTan erTad rogorc yvela qalisTvis, aseve sqesobrivi gamocdilebis mqone qalebis jgufSi. sqesobrivi gamocdilebis mqone qalTa Soris klinikuri Semowmeba cxovrebaSi erTxel mainc gauvlia orjer ufro met qarTvel qals, vidre sxva eTnikuri warmomavlobis qalebs (19% da 10%-s). radgan ZuZus kibos ganviTarebis riski izrdeba asakTan erTad, mamografiuli skriningi ZiriTadad asakovan qalebs exebaT. amitom yvelaze ufro asakovani jgu-


saboloo angariSi

fis gamokvleuli qalebi (40-44) ufro xSirad miuTiTebdnen, rom maT Catarebuli hqondaT mamografiuli skriningi, vidre ufro axalgazrda respondentebi. TbilisSi, sadac saqarTvelos kibos skriningis programa Tavdapirvelad amuSavda, mamografiis gamoyeneba sul cota orjer ufro xSiri iyo, vidre sxva regionebSi. TbilisSi mcxovrebi sqesobrivi gamocdilebis mqone qalebis 13%-s erTxel mainc Cautarebia mamografia, maSin roca aseTi qalebis raodenoba regionebSi meryeobda 3%-dan samcxe-javaxeTSi, 6%-ze odnav metamde mcxeTa-mTianeTSi. qalebs, romlebsac arasodes CautarebiaT mamografia, hkiTxes amis mizezi. cxrilSi 13.3.3 da suraTze 13.3.2 pasuxebi Tanabrad ganawilda sam kategoriaze: arc erT eqims miucia rekomendacia (33%), maT arasodes smeniaT mamografiis Sesaxeb (32%), da maT ar ufiqriaT, rom es iyo aucilebeli (30%). mamografiasTan dakavSirebuli cnobierebis done ufro maRali iyo TbilisSi, sadac qalebis mxolod 22%-s ar smenia mis Sesaxeb. 35-44 wlis asakis qalebis mexuTeds, jgufs romelic saqarTveloSi mamografiuli skriningis samizne jgufia an male gaxdeba, arasodes smenia skriningis am praqtikaze.

13.4 saSvilosnos yelis kibos skriningi da cnobiereba adamianis papiloma virusTan dakavSirebiT saSvilosnos yelis kibo qalebSi gavrcelebul avTvisebian simsivneebs Soris sixSiriT mesame adgilzea; msoflioSi 2008 wels TiTqmis 530,000 axali SemTxveva gamovlinda (Ferlay et al., 2004). avadobis asak-standartizebuli maCvenebeli (yovel 100,000 qalze 9.4 axali SemTxveva), iseve rogorc sikvdilianobis asak-standartizebuli maCvenebeli (yovel 100,000 qalze 4.7 sikvdilis SemTxveva saSvilosnos yelis kibos Sedegad), rac saqarTveloSi 2008 wels aRiricxa, ufro maRali iyo, vidre ganviTarebuli qveynebisa da dasavleT aziis qveynebis maCveneblebi, Tumca ufro dabali vidre centraluri da aRmosavleT evropis qveynebis maCveneblebi (suraTi 13.4.1). saqarTveloSi Catarebulma kvlevam reproduqciuli asakis qalebs Soris sikvdilianobis gamomwvevi mizezebis Sesaxeb, daadgina, rom saSvilosnos yelis kibo iyo sikvdilianobis gamomwvevi meoTxe mTavari mizezi qalebis am jgufSi 2006 wels (Serbanescu et al., 2009).

papanikolaus meTodiT nacxis analizi (Pap-smear) saSvilosnos yelis kibos skriningis upirvelesi meTodia da maSin, roca rekomendaciebi gansxvavdeba erTmaneTisagan sxvadasxva qveynebSi da xSirad damokidebulia arsebul resursebze, specialistebi rekomendacias iZlevian, rom sqesobrivad aqtiurma qalebma Pap-testi sul mcire sam an xuT weliwadSi erTxel mainc unda Caitaron. ganviTarebul qveynebSi skriningebi rekomendebulia ukve 18 wlis asakidan, magram mwiri resursebis mqone garemoSi ZiriTadi samizne jgufi unda iyos 30-60 wlis asakis qalebi. wina nawilSi naxsenebi saSvilosnos yelis skriningis miznobrivi jgufi saqarTvelos skrining programis farglebSi 25-60 wlis asakis qalebis jgufia da skrining testis Catarebis rekomendirebuli sixSire aris yovel sam weliwadSi erTxel mainc. SeniSvna: maCveneblebi asakobrivad standartizebulia, ase rom isini iZlevian saerTaSoriso Sedarebebis ganxorcielebis saSualebas. miuxedavad sxvadasxva asakobrivi struqturebisa: Ferlay J, et al,. kibos SemTxvevebi da sikvdilianoba msoflios masStabiT: IARC Cancer Base No 10, 2010 kvlevis Sedegad miRebuli monacemebi saSualebas gvaZlevs SevafasoT saSvilosnos yelis skriningiT mosaxleobis mocva. saqarTveloSi Catarebuli reproduqciuli janmrTelobis yvela kvleva Seicavda mTel rig kiTxvebs, romlebic exeboda Pap testis gamoyenebas, imis gasarkvevad CautarebiaT Tu ara respondentebs es testi da Tu pasuxi dadebiTi iyo, rodis Caitares maT bolo testi. mocemul kvlevaSi, 15-44 wlis sqesobrivad aqtiuri qalebis 12%-ma miuTiTa, rom maT odesme Catarebuli hqondaT Pap-testi (cxrili 13.4.1); es Zalian dabali maCvenebelia, magram mainc sagrZnobi zrdaa im 4%-Tan SedarebiT, romelic 1999 da 2005 wlebSi (suraTi 13.4.2) gamovlinda. ukanaskneli 12 Tvis ganmavlobaSi testi Caitara 5%-ma da esec ukeTesi maCvenebelia vidre wina ori kvlevis dros miRebuli Sedegebi. saSvilosnos yelis skriningiT mosaxleobis dabali mocva saSualebas ar iZleva misi qvejgufebad dayofisa, raTa Seswavlil iqnas am prevenciuli praqtikis potenciuri ganmsazRvrelebi. Tumca rogorc es naCvenebia Pap-testebis cxrilSi 13.4.2, 2534 da 35-44 wlis asakobriv jgufebSi (15% da 22% Sesabamisad) TbilisSi Catarebuli testebis masStaburoba miuTiTebs imaze, rom reproduqciuli sistemis simsivneebT-

257


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 13.4.1 procenti

saSvilosnos yelis kibos SemTxvevebis raodenoba da sikvdilianoba regionebis mixedviT, 2008, raodenoba yovel 100,000 qalze. avadoba

20

sikvdilianoba 15

15

9

10 7

6

6

5 2

2 0

CrdiloEeT amerika

5

5 2

dasavleT evropa

centraluri da aRm. evropa

dasavleT azia

saqarTvelo

SeniSvna: maCveneblebi asakobrivad standartizebulia, ase rom isini iZlevian saerTaSoriso Sedarebebis ganxorcielebis saSualebas. miuxedavad sxvadasxva asakobrivi struqturebisa: eF rlay J, et al,. kibos SemTxvevebi da sikvdilianoba msoflios masStabiT: IARC Cancer Base No 10, 2010

FsuraTi 13.4.2

saSvilosnos yelis kibos skriningis Catarebis sixSire 15-44 wlis sqesobrivi gamocdilebis mqone qalebSi

procenti

odesme Cautarebia skriningi

20

Cautarebia skriningi bolo wlis 15 12 10

5

2

1 0

GsaqarTvelo 1999

GsaqarTvelo 2005

an dakavSirebulma miznobrivma skrining kampaniam aq pozitiuri gavlena iqonia. qveyanaSi saSvilosnos yelis skriningis farTo gavrcelebis kvaldakval sxva regionebic ufro metad unda iqnen moculi. saSvilosnos yelis kibos ganviTarebisaTvis erTerTi mTavari riskis faqtori adamianis papilomavirusiT (HPV) dainficirebaa. HPV vaqcinebis ganviTareba bolo aTwleulis manZilze gaxda usafrTxo da efeqturi saSualeba saSvilosnos yelis kibos prevenciisaTvis. pirvelad, 2010 wels saqarTveloSi Catarebulma reproduqciuli janmrTelobis kvlevam Seiswavla HPV vaqcinebis gamoyenebisa da maT mimarT cnobierebis donis faqtori saqarTveloSi. qalebs ekiTxebodnen, Tu ramdenad gaTviTcnobierebulni iyvnen HPVâ&#x20AC;&#x201C;s TvalsazrisiT, icodnen Tu ara saSvilosnos yelis kibos sawinaaRmdego vaqcinis arsebobis Sesaxeb da iyvnen Tu ara dainteresebulni am vaqcinis SeZeniT. 15-44 wlis asakis qalTa Soris mxolod 21%-s smenia HPV infeqciis Sesaxeb da mxolod 18%-s - misi sawinaaRmdego vaqcinis Sesaxeb (cxrili 13.4.3). Seityves ra, am vaqcinis efeqturobis Sesaxeb, saSvilosnos yelis kibos prevenciaSi, 29%-ma gamoTqva misi SeZenis survili. gaTviTcnobierebuloba HPV infeqciaze orjer maRali 258

5

4

4

GsaqarTvelo 2010

iyo TbilisSi (34%), vidre sxva regionebis umetesobaSi. daavadebis sawinaaRmdego vaqcinis arsebobis Sesaxeb agreTve ufro meti codniT gamoirCeodnen Tbiliseli moqalaqeebi. maSin roca, gaTviTcnobierebuloba izrdeboda asakis Sesabamisad, vaqcinis miRebis survili ukuproporciul korelaciaSi iyo asakTan, albaT imitom, rom vaqcinis gamoyeneba ufro metad rekomendirebulia axalgazrda gogonebSi, romlebsac savaraudod aqvT ufro naklebi sqesobrivi gamocdileba da ufro naklebia albaToba, iyvnen inficirebulni. rogorc cnobierebis done, aseve interesi izrdeboda ganaTlebis donesTan erTad. HPV-sa da vaqcinis Sesaxeb codna iyo gacilebiT dabali eTnikur umciresobaTa Soris (7%), rac miuTiTebs imaze, rom unda gaumjobesdes Zalisxmeva mosaxleobis farTo fenebis mocvis TvalsazrisiT. informaciis miRebis Semdeg, am jgufebSi bevrma qalma gamoxata vaqcinaciis Catarebis survili (20%).

13.5 tuberkuliozis zemoqmedeba da gaTviTcnobiereba mis Sesaxeb jandacvis msofilo organizaciis monacemebis Tanaxmad, 2009 wels tuberkulioziT gardaicvala 1,7 milioni adamiani, rac yoveldRiurad 4,700 sikvdi-


saboloo angariSi

lis SemTxvevas gulisxmobs. aqedan 380,000 iyo qali da 380,000 aiv-inficirebuli (jandacvis msoflio organizacia b, 2010). 2009 wels msoflioSi aRiricxa tuberkuliozis 9,4 milioni SemTxveva (137 SemTxveva yovel 100,000 mosaxleze). 1990-iani wlebis dasawyisSi jandacvis sistemebis da maT Soris, tuberkuliozis kontrolis RonisZiebebis Sesustebam, xeli Seuwyo mdgomareobis gauaresebas rogorc konkretulad saqarTveloSi, aseve mTlianad yofil sabWoTa kavSirSi. jandacvis Mmsoflio organizaciis SefasebiT, saqarTveloSi adgili hqonda tuberkuliozis 107 SemTxvevas yovel 100,000 mosaxleze. medikamentebisadmi rezistentuli tuberkuliozi (MDR-TB) gansakuTrebiT problematuria saqarTveloSi da Seadgens axali SemTxvevebis 10%-s, da ganmeorebiTi SemTxvevebis 31%-s. saqarTvelo dasaxelda medikamentebisadmi rezistentuli tuberkuliozis yvelaze maRali tvirTis mqone 27 qveyanas Soris da CarTul iqna EXPAND-TB (tuberkuliozis axleburi diagnostikisadmi xelmisawvdomobis gazrda) proeqtSi “SeaCereT tuberkuliozis” globaluri partniorobis farglebSi. Mmas Semdeg, rac 1990-iani wlebis dasawyisSi tuberkuliozi identificirebul iqna erovnuli sazogadoebrivi jandacvisaTvis erT-erT yvelaze did safrTxed, saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministrom daaarsa tuberkuliozis kontrolis erovnuli programa 1995 wels. 1997 wels Seiqmna “Terapia uSualo meTvalyureobiT mokle kursis” (DOTS) sapilote adgilebi da DOTS strategia TandaTanobiT dainerga qveynis masStabiT. 2003 wlidan aSS saerTaSoriso ganviTarebis saagentos saqarTvelos ganyofileba daexmara tuberkuliozis erovnuli kontro-

FsuraTi 13.5

lis programas DOTS-s programis gafarToebaSi; gaizarda warmatebuli mkurnalobis da Semcirda warumatebeli mkurnalobis SemTxvevebi; tuberkulioziT daavadebuli pacientebisaTvis gaumjobesda klinikuri da laboratoriuli momsaxureba; gaizarda Zalisxmeva tuberkuliozis da aiv/Sidsi-s kombinirebuli SemTxvevebis mkurnalobis TvalsazrisiT (USAID Georgia, 2009). TiTqmis yvela gamokiTxulma qalma icoda tuberkuliozis Sesaxeb (cxrili 13.5.1, marcxena suraTi). Oor mesamedze metma (67%) sworad aRniSna, rom misi gadacema xdeba haerwveTovani gziT xvelebisas. daavadebis gadacemis Sesaxeb swori codna ufro maRali iyo qalaqad mcxovreb qalTa Soris da izrdeboda Sinameurneobebis socio-ekonomikuri statusis (SES) zrdasTan erTad (suraTi 13.5). 15-19 wlis asakis qalebma (53%), arasruli saSualo ganaTlebis mqone qalebma (50%) da erovnuli umciresobis warmomadgenelma qalebma (45%) naklebi albaTobiT icodnen rom tuberkuliozi gadaecema xvelebis gziT. respondentTa naxevarze metma (57%) daasaxela tuberkuliozis gadacemis sxva gzebi. yoveli rva qalidan TiTqmis erTma (12%) ar icoda, Tu rogor vrceldeba tuberkuliozi. qalTa sakmaod didi rodenoba iyo tuberkulioziT daavadebis riskis qveS ojaxSi tuberkulioziT daavadebuli wevris arsebobis gamo (12%), (suraTi 13.5.1). qvemo qarTlsa (17%) da kaxeTSi (15%) mcxovrebni, yvelaze dabali ganaTlebis mqone (17%) da eTnikuri umciresobebis warmomadgeneli qalebi (23%) ufro xSirad uTiTebdnen, rom isini imyofebodnen tuberkulioziT daavadebis riskis qveS maT SinameurneobebSi. kiTxvaze, ra simptomebi axasiaTebs tu-

swori codna tuberkulozis gadacemis Sesaxeb sacxovrebeli adgilisa da socialur-ekonomikuri mdgomareobis mixedviT

procenti 80

74

74

67 59

60

77

67 54

59

40

20

0

sul

qalaqSi soflad

sacxovrebeli adgili

yvelaze dabali

meore

saSualo meoTxe

yvelaze maRali

socialur-ekonomikuri mdgomareoba

259


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

berkuliozs, qalebis umetesobam upasuxa rom es aris Zlieri da xangrZlivi xveleba (71%). Uufro naklebma qalma icoda sicxis (28%), naxvelSi sisxlis arsebobis (27%), wonaSi daklebis (24%) da sxv. Sesaxeb (cxrili 13.5.2). sxvadasxva simptomebis codna ufro dabali iyo soflad, vidre qalaqad. zogadad, codnis done izrdeboda asaksa da ganaTlebasTan erTad. miuxedavad tuberkuliozis Sesaxeb universaluri gaTviTcnobierebulobisa, qalTa mxolod samma meoTxedma (75%) icoda, rom tuberkuliozisagan sruliad gankurneba SesaZlebelia (cxrili 13.5.3). qalebi, romlebmac ufro xSirad icodnen, rom tuberkuliozi gankurnebadia, iyvnen teqnikumi an universiteti/ aspirantura damTavrebuli qalebi (83% da 85% Sesabamisad), 30-44 wlis asakis (83%), dasaqmebuli (87%) da yvelaze ufro SeZlebul SinameurneobebSi mcxovrebi qalebi (85%). kiTxvaze, ra iyo tuberkulioziT dainficirebuli adamianebis mkurnalobis yvelaze Sesaferisi saSualeba, didma umrevlesobam (78%) miuTiTa, rom isini unda yofiliyvnen hospitalizirebulni, 13%-ma - rom Tavidan unda yofiliyvnen hospitalizirebulni da Semdgom mkurnaloba gaegrZelebinaT binaze da mxolod 1%-ma upasuxa, rom maT unda emkurnalaT mxolod saxlSi. aseTi midgoma daaxloebiT erTnairi iyo yvela demografiul jgufSi, magram saWiroa am sakiTxis ufro dawvrilebiT Seswavla tuberkuliozis specializirebuli kvlevis gziT.

13.6 Tambaqos moxmareba Tambaqo Zlieri kancerogenia, romelic mravali saxis kibos iwvevs, maT Soris: respiratoruli da saWmlismomnelebeli traqtis, naRvlis buStis, saSvilosnos yelisa da Tirkmlis kibos. msoflio masStabiT YTambaqos moxmarebiT gamowveuli daaxloebiT 5 milioni sikvdilis SemTxveva aRiricxeba yovelwliurad; 2020 wlisaTvis mosalodnelia am cifris gaormageba (jandacvis msoflio organizacia 2003). Tambaqos moweva yovelwliurad simsivniT gamowveuli sikvdilianobis 22%-is da filtvis kiboTi gamowveuli sikvdilianobis 70%-is mizezia. Tambaqos moweva aseve warmoadgens risk-faqtors aTerosklerozis, asTmis, emfizemis, pnevmoniis da osteoporozisaTvis. Tambaqos moxmareba orsulebSi asocirdeba mcirewoniani an dRenakluli axalSobilebis dabadebasTan,

260

TviTnebur abortebTan, CvilTa uecari sikvdilis sindromTan da respiratorul problemebTan CvilebSi (DiFranza and Lew, 1996) qalebs dausves ramdenime kiTxva raTa SeefasebinaT maTi Tambaqos momxmarebis statusi. 15-dan 44 wlamde asakis qalTa mxolod Zalian dabali procenti eweoda Tambaqos (6%) (cxrili 13..6.1.) maTgan 5% eweoda yoveldRiurad, xolo 1% - drogamoSvebiT. Qqalebis 94%-ma ganacxada, rom isini ar eweodnen, xolo 92%-ma aRniSna, rom arasodes mouweviaT. mTlianobaSi qalebis mxolod 8%-ma miuTiTa, rom isini ewevian an odesme mouweviaT Tambaqo; aqedan 6% iyo mweveli, xolo 2% - warsulSi mweveli. (cxrili 1.6.2). mowevis maRali prevalentoba korelaciaSi iyo askis matebasTan 34 wlis asakis zemoT; Tumca am asakis zemoT Tambaqos moxmarebis gamocdilebis maxasiaTeblebi sakmaod msgavsi iyo (suraTi13.6) qalaqad mcxovrebi qalebi ufro xSirad eweodnen Tambaqos. qalaqSi mcxovrebi qalebis TiTqmis meaTedma (9%) ganacxada, rom amJamad ewevian; aseve eweoda Tbiliseli qalebis 13% da soflad mcxovrebi qalebis 2%. soflad mcxovrebi Qqalebis 98%-s arasodes mouwevia. pirebi, romlebic TviTon ar ewevian, xSirad arian pasiuri mowevis zemoqmedebis qveS. Aar arsebobs pasiuri mowevis usafrTxo done da SeiZleba Tavisuflad gamoiwvios filtvis kibo aramwevlebSi. igi asocirdeba gulis daavdebebTan mozrdil adamianebSi da Cvilis uecari sikvdilis sindromTan, yuris infeqciebTan da bavSvebSi asTmis SetevebTan (US DHHHS, 2006; US DHHS, 2010). Bbolo droindelma gamokvlevebma uCvena, rom msoflioSi yovelwliurad 600,000 sikvdilis SemTxveva dakavSirebulia pasiur mowevasTan, romelTa Sorisac 165,000 bavSvia (Oberg et al,.2011). am gamokvlevebma agreTve uCvena, rom aRmosavleT evropa Tambaqos pasiuri moxmarebis TvalsazrisiT erT-erTi yvelaze maRalriskiani regionia da saqarTvelos reproduqciuli janmrTelobis kvleva 2010 adasturebs am maRal cifrebs. Mmiuxedavad imisa, rom gamokiTxuli qalebis umetesoba ar eweoda, yoveli ori qalidan erTma aRniSna rom isini imyofebodnen pasiuri mowevis maRali riskis qveS (bolo 30 dRis ganmavlobaSi) rogorc saxlSi, aseve samsaxurSi. 15-44 wlis qalebis 52%-ma da aramwevlebis 50%ma ganacxada, rom saxlSi pasiuri mowevis zemoqmedeba maRali iyo (cxrili 13.6.3). saqarTvelom gadadga nabijebi pasiuri


saboloo angariSi

mudmivi, amJamindeli, Tu adrindeli mwevelebi 15-44 wlis qalebs Soris asakobrivi jgufebis mixedviT

FsuraTi 13.6 procenti 15

odesme moewevia amJamad mweveli warsulSi mweveli 10

10.3

9.8

9.5

8.4 7.3

6.9

7.0

6.4

6.3

4.7

5

3.3 2.6

2.6

2.2

3.2

2.9

2.0

0.4 0

15-19

20-24

25-29

mowevis safrTxesTan sabrZolvelad, Tambaqos erovnuli kontrolis kanonmdeblobis SemuSavebiT da misi ganaxlebiT am cota xnis win da agreTve, 2006 wels jandacvis msoflio organizaciis Tambaqos kontrolis CarCo- konvenciaze xelis moweriT (msoflio jandacvis organizacia, 2003). jandacvis msoflio organizaciis Tambaqos kontrolis CarCo- konvencia mouwodebs yvelas, daicvas adamianebi Tambaqos bolisgan da xazs usvams moTxovnisa da miwodebis Semcirebis strategiebis SemuSavebis mniSvnelobas.

13.7 alkoholis gamoyeneba alkoholis aTvisebasa da gadamuSavebaSi genderuli gansxvavebebis gamo, alkoholis ufro didi koncentracia xvdeba qalis sisxlSi da amitom alkoholis Tanabari raodenobis miRebis SemTxvevaSi isini alkoholis ufro Zlieri zemoqmedebis qveS aRmoCndebian xolme, vidre kacebi, rasac maTTvis xangrZliv perspeqtivaSi ufro savalalo Sedegebi moaqvs. alkoholis Warbi moxmareba iwvevs janmrTelobis qronikul garTulebebs, rogoricaa: RviZlis daavadebebi, kibo, gul-sisxlZarRvTa daavadebebi, agreTve nevrologiuri an fsiqiatriuli problemebi. moxmareba iwvevs travmebs, Zaladobas, alkoholiT mowamvlas, maRal arteriul wnevas, miokardiumis infarqts, sqesobrivi gziT gadamdeb daavadebebs, meningits da diabetis kontrolis garTulebas (Naimi et al., 2003b). alkoholis borotad gamoyeneba gansakuTrebiT saSiSia Canasaxis Tu Cvilis janmrTelobaze SesaZlo uaryofiTi gavlenis gamo. ar arsebobs alkoholis odenoba, romlis miRebac usafrTxoa orsulTaTvis da agreTve ar arsebobs alkoholis miRebisaTvis usafrTxo periodi fexmZimobisas. alkoholis miRebam Sei-

30-34

35-39

40-44

Zleba gamoiwvios Tandayolili defeqtebi (Canasaxis alkoholuri speqtris darRvevebi), fizikuri Tu gonebrivi ganviTarebis Seferxebis riski, TviTneburi aborti, mkvdradSoba da naadrevi mSobiaroba (Wilsnack et al., 1984; Kesmodel et al., 2002) saqarTveloSi Catarebuli kvleva afasebs alkoholis moxmarebas respondentebSi maT mier bolo sami Tvis ganmavlobaSi moxmarebuli alkoholis sixSiresa da raodenobaze dasmuli kiTxvebiT. respondentebi, romlebic iRebdnen alkohols yoveldRe, an TiTqmis yoveldRe, CaiTvalnen “amJamad momxmareblebad”; is, vinc dReSi saSualod erTxel da metjer iRebda alkohols - “amJamad xSirad momxmareblebad”; xolo isini, vinc ukanaskneli sami Tvis ganmavlobaSi zedized xuTjer an metjer dalia - “epizodurad Warb momxmareblebad”, anu alkoholis ukontrolod momxmarebelTa kategoriad. ramdenadac monacemebi alkoholis moxmarebis Sesaxeb efuZneba respondentTa mier mowodebul informacias, SesaZloa garkveuli uzustobebi _ gansakuTrebiT orsuli respondentebis pasuxebSi, radganac SesaZloa, maTTvis cnobili iyo is faqti rom alkoholis nebismieri doziT moxmareba maTTvis mizanSewonili ar aris. saSualod, qalebis 31%-s odesme mainc daulevia alkoholi, xolo 17% axlac svams, magram mxolod 2%-ia alkoholis xSiri momxmarebeli (cxrili 13.7). qalTa rva procentma aRiara alkoholis Warbad moxmareba kvlevis wina sami Tvis ganmavlobaSi. rogorc 2005 wlis kvlevisas, sma garkveulwilad korelaciaSi iyo asakTan, garda ukontrolod smis SemTxvevebisa (suraTi 13.7). aRsaniSnavia, amJamad, xSirad da ukontrolod smis sakmaod maRali maCvenebeli (22%, 6% da 14% Sesabamisad) adre qorwinebaSi myof qalTa Soris. 261


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

alkoholuri sasmelebis moxmarebis procentuli maCveneblebi 15-44 wlis qalebs Soris asakobrivi jgufebis mixedviT

FsuraTi 13.7

odesme dauelvia

procenti

amJamad svams 50

amJamad xSirad svams ukontrolod svams

40

30

34 29

29

20

1 15-24

Warbad da ukontrolod sma ufro metad damaxasiaTebelia qalaqeli qalebisaTvis (9%), gansakuTrebiT TbilisSi mcxovrebTaTvis (12%) da umaRlesi socialur-ekonomikuri statusis mqone qalebisaTvis (12%). xSiri da ukontrolo sma iSviaTi iyo azerbaijanel qalebSi (0% da 1% Sesabamisad), rac mianiSnebs imaze, rom am mosaxleobaSi savaraudod, alkoholis winaaRmdeg damcavi faqtorebi arsebobs.

13.8 janmrTelobis SerCeuli problemebis prevalentoba reproduqciuli asakis qalebSi janmrTelobis SerCeuli problemebis gamosakvlevad yvela respondents mimarTes Semdegi SekiTxviT: “odesme uTqvams Tu ara eqims, an jandacvis sxva muSaks, rom gaqvT janmrTelobis problema (CamoTvlilidan romelime)?” janmrTelobis problemebis CamonaTvalSi Sedioda: diabeti, anemia, maRali arteriuli wneva da gulis daavadeba. garda amisa, menjis Rrus anTebiTi daavadebis prevalentobis gansazRvrisaTvis, qalebs mimarTavdnen SekiTxviT “odesme Tu gagivliaT mkurnaloba falopis milebis, saSvilosnos an sakvercxeebis infeqciebTan, anu menjis Rrus infeqciebTan dakavSirebiT?” miRebuli Sedegebi gvaZlevs janmrTelobis aRniSnuli problemebis prevalentobis mxolod zedapiruli Sefasebis saSualebas fertiluri asakis qalebs Soris. realuri prevalentoba albaT gacilebiT maRalia, radgan respondentebis mier mowodebuli informacia sakuTari janmrTelobis Sesaxeb damokidebulia jandacvis momsaxurebis xelmisawvdomobaze, klientsa da samsaxuris muSaks Soris urTierTobasa da qalis unarze, gaixsenos samedicino diagnozi. amrigad, sxvadasxva qvejgufebSi respondentebis mier mowodebul informacias saku262

9

9

10

0

20

16

14

1 25-34

7 3 35-44

Tari janmrTelobis problemebis Sesaxeb, unda movekidoT garkveuli sifrTxiliT, radgan xsenebul winapirobebs SesaZloa gavlena moexdina rogorc samedicino momsaxurebis xelmisawvdomobaze, aseve angariSgebazec. garda amisa, mowodebuli informacia warmoadgens zogad Sefasebebs, romlebic ar asaxavs janmrTelobis mimdinare mdgomareobas da ver iqneba dakavSirebuli sxva droebiT garemoebebTan. yvela zemoTmoyvanili mizezis gamo, kvlevis monacemebi qalebis janmrTelobis problemebis Sesaxeb SeiZleba miCneul iqnas mxolod miaxloebiT parametrebad im pirobebSi, roca ar arsebobs oficialuri statistika dafuZnebuli samedicino Canawerebsa Tu saavadmyofoebidan gawerebis Sesaxeb dafiqsirebul informaciaze. yvelaze gavrcelebuli problema reproduqciuli asakis qalebs Soris aRmoCnda menjis Rrus anTebiTi daavadebebi: gamokiTxul qalTa 19%-s, amJamad qorwinebaSi myof qalTa 29%-s da 35-44 wlis qalTa 32%-s, eqimis diagnoziT, gadautania es anTebiTi daavadebebi. 19-24 wlis qalTa mxolod mcire raodenobam (7%) aRniSna, rom gadautania menjis Rrus anTebiTi daavadebebi da es problema sakmaod iSviaTi iyo qorwinebaSi arasodes myof qalTa Soris (cxrili 13.8). meore yvelaze ufro farTod gavrcelebuli problema iyo maRali arteriuli wneva: respondentebis 6%-ma da 35-44 wlis asakis qalTa 11%-ma miuTiTa, rom awuxebdaT hipertenzia. janmrTelobis sxva problemebi iyo anemia, gulsisxlZarRvTa daavadebebi, diabeti: kvlevis monawileebis 4%-ma miuTiTa anemiis Sesaxeb, 3%-ma - gulsisxlZarRvTa daavadebebis, xolo 1%-ma - diabetis Sesaxeb. zogadad, janmrTelobis SerCeul problemebTan dakavSirebuli kvlevis monace-


saboloo angariSi

mebi arazustia. Aar Catarebula laboratoriuli testireba; yvela monacemi eyrdnoba respondentTa mier mowodebul informacias, xolo bevrma maTganma ar icoda, an ver akonkretebda sakuTar problemebs. amitom, daavadebaTa gavrcelebis realuri suraTi gacilebiT ufro maRalia, vidre miRebuli informacia; da kidev, janmrTelbis mdgomareobaze regionebidan miRebul informaciaze gavlena iqonia samedicino dawesebulebebis simwirem regionebSi. ufro metic, kiTxvariT grovdeboda informacia respodentebSi daavadebaTa gavrcelebaze cxovrebis manZilze da ar Sefasebula axali SemTxvevebi. yvela am mizezTa gamo, kvleva ver uzrunvelyofda zust monacemebs qalTa janmrTelobis problemebTan dakavSirebiT da es Sedegebi miCneul unda iqnas rogorc reproduqciuli asakis qalTa Soris am problemebis prevalentobis minimaluri Sefaseba.

ramdenadac 2005 wlis reproduqciuli janmrTelobis kvlevis farglebSi Seswavlili mravali sakiTxi orsulobas ukavSirdeboda, an savaraudod, yvelaze metad vlindeboda orsulobis periodSi, damatebiTi kiTxvebi ikvlevda _ janmrTelobis TiToeuli problema, garda menjis Rrus anTebiTi daavadebebisa, iyo Tu ara mxolod orsulobis periodisTvis damaxasisaTebeli. suraTi 13.7 uCvenebs qalTa procentul ganawilebas orsulobis periodSi dasmuli diagnozebis mixedviT. orsulobis gamocdilebis mqone qalebis umetesobam sakuTari janmrTelobis problemebis Sesaxeb Seityo mxolod orsulobis periodSi, SesaZloa, imitom, rom daavadeba dakavSirebuli iyo orsulobasTan, anda imitom, rom prevenciuli gamokvlevisTvis qalebi orsulobis periodSi ufro xSirad mimarTaven eqims.

263


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

15-44 qalTa წლის ქალთა პროცენტი,romlebic რომელებიც იღებდნენ სამედიცინო cxriliცხრილი13.1.1 13.1.1 15-44 wlis procenti, iRebdnen samedicino momsaxurebas მომსახურებას ჩვეულ სამედიცინო დაწესებულებებში Cveul samedicino dawesebulebaSi SerCeuli maxasiaTeblebis mixedviT შერჩეული მახასიათბლების მიხედვით reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 რ პრ რეპროდუქციული ქ ჯანმრთელობის ნმრ ს კვლევა, საქართველო ს ქ რ 2010 ჰქონდა მომსახურების

მომსახურების მიღების ჩვეული ადგილი

%

შემთხვ ევების რაოდენ ობა

79.4

6,292

რეგიონალური/ ქალაქის საავადმყოფო 37.9

qalaqi sofeli regioni kaxeTi Tbilisi Sida d qarTli l qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi k v jguf jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba

80.7 77.9

2,975 3,317

30.5 46.3

32.9 17.4

16.2 12.4

1.1 1.7

19.3 22.1

100.0 100.0

2,975 3,317

79.7 78.0 86.8 73.7 78.3 75.8 74.4 89.2 80.2 78.9 84.7

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

39.4 20.2 60.4 40.0 49.4 37.5 40.0 60.0 40.2 34.0 62.9

20.9 34.8 18.7 23.1 17.9 29.3 26.4 23.9 19.3 23.4 9.4

17.1 21.6 7.7 10.1 10.4 8.5 7.8 3.9 17.8 20.5 6.9

2.4 1.3 0.0 0.4 0.6 0.5 0.2 1.5 2.9 1.0 5.5

20.3 22.0 13.2 26.3 21.7 24.2 25.6 10.8 19.8 21.1 15.3

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

71.0 76.0 81.5 82.4 85.0 82.2

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

31.0 35.2 40.1 42.0 40.1 40.7

26.4 26.1 25.6 25.3 25.9 24.0

12.6 13.2 14.5 13.6 17.1 16.2

1.0 1.5 1.2 1.4 1.8 1.2

29.0 24.0 18.5 17.6 15.0 17.8

100.0 100.0 100.0 100.0 100.0 100.0

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

0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi universiteti/aspirant socio-ekonomikuri statusi

75.0 82.6 82.7 81.4

2,276 1,286 2,069 661

33.8 37.5 42.2 42.9

26.3 27.3 25.2 21.3

13.6 16.3 13.9 15.6

1.2 1.5 1.4 1.5

25.0 17.4 17.3 18.6

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

73.1

1,330

37.4

23.7

11.2

0.9

26.9

100.0

1,330

77.6 82.3 83 1 83.1

1,568 903 2 491 2,491

40.1 45.3 34 4 34.4

24.9 24.8 27 5 27.5

11.4 10.8 19 4 19.4

1.2 1.4 18 1.8

22.4 17.7 16 9 16.9

100.0 100.0 100 0 100.0

1,568 903 2 491 2,491

yvelaze dabali meore saSualo meoTxe yvelaze maRali dasaqmebuli m S bs muSaobs ar muSaobs eTnikuri warmom.

73.7 78.9 80.7 79.5 81.7

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

47.8 46.6 44.2 31.1 25.5

17.2 18.4 22.0 32.8 33.8

7.3 12.2 13.0 14.6 21.2

1.5 1.7 1.5 0.9 1.3

26.3 21.1 19.3 20.5 18.3

100.0 100.0 100.0 100.0 100.0

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

82.5 82 5 78.5

1,410 1 410 4,882

36.1 36 1 38.4

25.2 25 2 25.8

19.1 19 1 13.2

2.1 21 1.2

17.5 17 5 21.5

100.0 100 0 100.0

1,410 1 410 4,882

qarTveli sxva aqvs jan. dazRveva ki ara

80.8 69.8

5,488 804

37.7 39.3

26.5 20.1

15.1 9.7

1.5 0.7

19.2 30.2

100.0 100.0

5,488 804

85.1 77.7

1,548 4,744

35.3 38.7

23.2 26.3

24.2 11.7

2.4 1.1

14.9 22.3

100.0 100.0

1,548 4,744

მახასიათებელი

sul

პირველადი პოლიკლინიკა, ფანდაცვა/ოჯახ სხვა ქალთა ური კონსულტაცია მედიცინის ცენტრი 25.6 14.4 1.4

არც ერთი

სულ

შემთხვევათა რაოდენობა

20.6

100.0

6,292

sacxovrebeli adgili

264


saboloo angariSi

cxrili 13.1.2 13.1.2 bolo ბოლო 12 Tvis ganmavlobaSi samedicino daxmareba da daxmarebis ცხრილი 12 თვის განმავლობაში miRebuli მიღებული სამედიცინო დახმარება და დახმარების tipi SerCeuli maxasiaTeblebis mixedviT , 15-44 wlis qalebSi ტიპი შერჩეული მახასიათებლების მიხედვით, 15-44 წლის ქალებში reproduqciuli janmrTelobis kvleva: saqarTvelo, რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 2010 ბოლო 12 თვის განმავლობაში მიღებულისამედიცინო დახმარება მახასიათებელი

სამედიცინო დახმარების ტიპი

%

შემთხვევათა რაოდენობა

პრევენციული მომსახუ-რება

გადაუდებელი მომსახურება

ქრონიკული დაავადებების მკურნალობა

შემთხვე-ვათა რაოდენობა

36.6

6,292

41.1

50.7

20.0

2,353

38.7 34.3

2,975 3,317

42.6 39.1

49.4 52.5

20.1 20.0

1,172 1,181

39.2 40.7 34.9 32.7 30.9 25.9 33.0 35.0 43.0 29.7 38.9

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

46.8 43.1 36.7 43.7 34.7 31.5 57.0 41.3 39.0 39.7 30.6

46.4 51.6 56.5 48.0 58.3 47.9 50.3 51.0 50.9 44.2 53.4

27.0 18.0 19.8 20.1 13.6 26.7 7.9 16.8 20.9 25.6 24.7

205 580 142 187 159 119 139 174 352 124 172

30.6 36.6 40.1 38.6 36.0 38.6

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

27.1 47.8 45.8 44.7 42.4 35.5

61.3 45.7 43.7 51.3 51.1 54.0

16.3 14.3 18.5 17.4 25.5 30.0

273 428 475 454 379 344

32.6 42.1 39.9 33.1

2,276 1,286 2,069 661

32.9 54.5 40.6 44.0

56.0 39.8 53.4 46.6

19.5 16.2 21.2 27.1

776 541 807 229

30.3

1,330

32.9

55.0

19.7

427

saSualo sruli teqnikumi universiteti/aspirant socio-ekonomikuri statusi

35.5 38.8 40 2 40.2

1,568 903 2 491 2,491

43.0 34.6 45 7 45.7

46.8 57.8 48 8 48.8

21.6 23.7 18 1 18.1

563 348 1 015 1,015

yvelaze dabali meore saSualo meoTxe yvelaze maRali dasaqmeba muSaobs ar muSaobs eTnikuri warmomav qarTveli sxva aqvs jan.dazRveva ki ara

31.7 34.0 37.7 39.4 38.5

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

37.6 42.0 37.4 42.7 44.0

54.7 49.5 52.1 44.6 53.1

23.3 18.5 20.1 23.9 16.6

367 483 547 411 545

40 7 40.7 35.5

1 410 1,410 4,882

45 0 45.0 39.9

46 7 46.7 52.0

18 3 18.3 20.5

572 1,781

37.4 31.2

5,488 804

41.5 37.8

50.4 53.9

19.9 20.9

2,092 261

48.7 33.2

1,548 4,744

42.0 40.7

52.2 50.1

19.6 20.2

736 1,617

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi

265


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 13.1.3 dagvianebulisamedicino daxmareba da dagvianebis mTavari mizezi bolo12 Tvis ცხრილი 13.1.3 დაყოვნებული სამედიცინო დახმარება და დაყვნების მთავარი მიზეზი ბოლო 12 თვის ganmavlobaSi,განმავლობაში, SerCeuli maxasiaTeblebis mixedviT,მიხედვით, 15-44 wlisqalebSi, შერჩეული მახასიათებლების 15-44 წლის ქალებში reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010

მახასიათებელი

დაყოვნებული სამედიცინო დახმარება, 12 ს მშემღხვევა ნძ ზ %

sul

25.2

დაყოვნების ძირითადი მიზეზი

თანხასთან თა დაკავშირები რაოდენო თ ბა 6,292 82.0

სულ

შემთხვე ვათა რაოდენ ობა

სხვა მიზეზები

არ ახსოვს

17.8

0.2

100.0

1,672

s x r b sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli qve q l samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15 19 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba

22.3 28.6

2,975 3,317

75.5 87.7

24.2 12.2

0.4 0.1

100.0 100.0

682 990

21.2 23.4 29.6 30.1 25.5 22.6 24.8 26.9 24.0 35.4 31.4

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

84.3 67.6 94.7 85.3 89.0 89.0 87.1 87.5 84.9 82.3 79.1

15.7 31.7 5.3 14.7 10.4 11.0 12.9 12.5 15.1 17.2 20.9

0.0 0.7 0.0 0.0 0.6 0.0 0.0 0.0 0.0 0.5 0.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

109 339 118 168 130 93 100 135 193 140 147

10.1 16.8 22.0 32.1 33.2 42.3

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

80.6 77.1 80.0 82.5 83.3 84.5

19.4 22.9 19.8 17.2 16.0 15.5

0.0 0.0 0.2 0.3 0.7 0.0

100.0 100.0 100.0 100.0 100.0 100.0

88 186 272 383 352 391

0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi universiteti/aspirant socio-ekonomikuri statusi

16.4 23 23.88 33.2 40.8

2,276 11,286 286 2,069 661

76.9 81 81.11 84.0 86.6

23.0 18 18.88 15.6 13.4

0.1 00.11 0.5 .

100.0 100 100.00 100.0 100.0

391 313 701 267

25.4

1,330

91.1

8.9

0.0

100.0

351

26.4 31.7 22.2

1,568 903 2,491

88.1 86.9 69.1

11.8 13.1 30.3

0.1 0.0 0.6

100.0 100.0 100.0

437 294 590

33.0 27.7 26.6 22.4 19.9

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

90.1 88.6 86.9 80.4 63.2

9.9 11.4 12.9 19.2 36.1

0.0 0.0 0.1 0.4 0.7

100.0 100.0 100.0 100.0 100.0

373 400 382 237 280

26 3 26.3 24.9

1 410 1,410 4,882

65.22 65 86.8

34.33 34 13.1

05 0.5 0.1

100 0 100.0 100.0

386 1,286

25.1 25.8

5,488 804

80.6 91.0

19.2 8.7

0.2 0.2

100.0 100.0

1,462 210

29.0 24.2

1,548 4,744

69.3 86.3

30.4 13.5

0.2 0.2

100.0 100.0

462 1,210

yvelaze dabali meore saSualo meoTxe yvelaze maRali dasaqmeba muSaobs ar muSaobs eTnikuri warmomav. qarTveli sxva aqvs jan.dazRveva ki ara

266


saboloo angariSi

ინტერვიუს ცხრილი13.1.4 დროს დაზღვევის 15-44 წლის ქალთა პროპორცია ჯანმრთელობის cxrili 13.1.4 4 intervius dros dazRvevis mqone მქონე 15-44 wlis qalTa procentulimaCvenebeli da და ამ დაზღვევის ძირითადი წყაროები, შერჩეული მაჩვენებლები. რეპროდუქციული janmrTelobis dazRvevis ZiriTadi wyaroebi,SerCeuli maxasiaTeblebis mixedviT, reproduqciuli janmrTelobis kvleva:კვლევ saqarTvelo, 2010 2010 ე დუქც ულ ჯ ელ ქ ველ ჯანმრთელობის კვლევა, საქართველო რეპროდუქციული აქვს ჯანდაზღვევა მახასიათებელი

%

ჯანდაზღვევის წყარო.

მთავრობის კერძო, კერძო, თვით მიერ შემთხვევათა დამქირავებლ დაფინანსებ რაოდენობა დაფინანსებუ ის მიერ ული ლი

სულ

შემთხვევა თა რაოდენობ ა

22.1

6,292

49.1

32.6

18.3

100.0

1,542

21.4 23.0

2,975 3,317

28.8 70.4

42.1 22.7

29.0 6.9

100.0 100.0

659 883

20.1 23.3 24.99 14.1 19.1 25.4 26.6 21.2 21.1 33.7 42.1

498 1,426 392 39 546 481 419 401 477 805 393 454

69.3 19.7 71.4 49.0 34.1 55.9 75.2 66.7 56.0 74.6 81.4

19.7 45.8 19.8 98 22.9 61.8 26.6 18.0 26.2 34.4 16.9 15.7

11.0 34.5 8.7 8 28.1 4.1 17.5 6.8 7.1 9.6 8.5 3.0

100.0 100.0 100.0 00 0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

110 333 101 0 77 98 105 109 98 181 132 198

16.8 18.2 23.2 22.5 24.5 29.7

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

73.8 51.1 47.3 45.9 43.7 39.5

13.1 30.1 34.1 36.1 37.1 40.0

13.1 18.9 18.6 18.0 19.3 20.4

100.0 100.0 100.0 100.0 100.0 100.0

150 212 307 298 298 277

0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi

18.8 23.4 24.0 27.9

2,276 1,286 2,069 661

51.6 40.4 47.3 60.0

27.7 37.9 35.9 29.8

20.7 21.7 16.8 10.3

100.0 100.0 100.0 100.0

472 316 547 207

19.3

1,330

81.9

9.5

8.6

100.0

294

saSualo sruli teqnikumi universiteti/aspirant socio-ekonomikuri yvelaze dabali meore saSualo meoTxe yvelaze z mmaRali dasaqmeba muSaobs ar muSaobs eTnikuri warmomav. qarTveli sxva

18.2 19.8 27.0

1,568 903 2,491

80.6 56.3 20.5

10.4 29.2 52.4

9.0 14.5 27.1

100.0 100.0 100.0

333 204 711

27.7 22.7 20.0 16.7 24.33 24

1,093 1,385 1,413 1,037 11,364 364

91.0 67.2 54.0 36.7 12.0 12 0

5.6 25.5 34.5 37.4 51.5 51 5

3.4 7.2 11.5 25.9 36.6 36 6

100.0 100.0 100.0 100.0 100.0 100 0

345 356 321 186 334

38.6 17.7

1,410 4,882

13.4 70.3

59.2 16.9

27.4 12.8

100.0 100.0

571 971

23.9 10.6

5,488 804

48.5 58.0

32.8 29.7

18.7 12.3

100.0 100.0

1,442 100

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida d qqarTli l qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis r raodenoba n b

267


ცხრილი 13.2

cxrili 13.2

bolo profilaqtikuri ginekologiuri Semowmebis dro, SerCeuli maxasiaTeblebis mixedviT sqesobrivi gamocdilebis mqone 15-44 wlis qalebs Soris reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

mkerdis TviT-gasinjvis sixSire (mTs) SerCeuli maxasiaTeblebis mixedviT, 15-44 wlis qalebSi, romlebsac odesme hqoniaT sqesobrivi kavSiri reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 ბოლო გინეკოლოგიური გამოკვლევის დრო სულ

შემთხვევე ბის #

29.3

100.0

4,473

19.8 20.4

24.5 34.3

100.0 100.0

2,039 2,434

29.6 28.3 24.6 21.9 19.9 30.4 24.4 24.9 24.4 26.7 22 1 22.1

20.7 19.6 26.0 16.8 18.4 16.6 19.0 22.4 22.1 20.0 22 3 22.3

29.8 21.4 26.3 37.7 40.0 32.2 39.8 30.9 26.8 37.8 35 0 35.0

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

377 941 285 416 349 314 288 325 584 290 304

31.8 28.5 25.5 20.7 17.2

19.6 27.4 27.1 29.4 26.0

3.2 10.5 18.5 28.4 37.5

45.3 33.6 29.0 21.5 19.3

100.0 100.0 100.0 100.0 100.0

770 908 1,027 941 827

0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi

38.3 26.0 22.9 17.1

13.2 26.1 28.4 28.1

9.9 15.7 22.5 28.2

38.6 32.1 26.2 26.6

100.0 100.0 100.0 100.0

477 1,283 2,057 656

18.3

25.3

19.6

36.9

100.0

794

saSualo sruli teqnikumi universiteti/aspirantura socio-ekonomikuri yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavlo. qarTveli sxva kontrac. amJ. momxmar. Tanamedrove tradiciuli aranairi meTodi

22 6 22.6 24.9 28.5

23 2 23.2 26.3 28.2

19 3 19.3 23.3 19.6

34 9 34.9 25.4 23.8

100 0 100.0 100.0 100.0

11,192 192 738 1,749

17.6 21.4 23.5 28.4 29.6

24.2 24.1 24.0 27.7 29.4

19.7 21.1 20.7 18.4 20.1

38.5 33.4 31.8 25.5 20.8

100.0 100.0 100.0 100.0 100.0

786 1,025 1,013 706 943

24.9 22.5

26.2 25.3

21.1 14.2

27.8 38.0

100.0 100.0

3,847 626

25.3 20.0 25.6

31.5 26.9 22.4

20.4 21.2 19.5

22.8 31.9 32.4

100.0 100.0 100.0

1,429 797 2,247

მახასიათებელი

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi S Sida q r qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi r W s raWa svaneTi n asakobrivi jgufi 15-24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba

268

ბოლო 12 თვე

1-3 წლის განმავლობაში

3 წელზე მეტი წლის წინ

არასოდეს

24.6

26.1

20.1

28.2 20.8

27.6 24.5

19.8 30.8 23.1 23.7 21.8 20.7 16.9 21.9 26.8 15.6 20 6 20.6


saboloo angariSi

13.3,1jirkvlebis მკერდისTviTSemowmebis თვით-გასინჯვის სიხშირე (მთს) შერჩეული maxasiaTeblebis მახასიათებლების მიხედვით cxrili 13.3.1 ცხრილი sarZeve sixSire, SerCeuli 15-44 წლის ქალებში, რომლებსაც ოდესმე სქესობრივი კავშირი. mixedviT sqesobrivi gamocdilebis mqone 15-44ჰქონიათ wlis qalebs Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 2010 მთს სიხშირე მახასიათებელი

ყოველ თვე

ყოველ 2-5 თვეში ერთხელ 12.4

19.9 14.3

14.1 10.6

17.9 22.8 15.1 13.4 7.4 96 9.6 15.6 15.8 20.4 18.8 11.5

არასოდეს

სულ

შემთხვევათა რაოდენობა

58.1

100.0

4,493

14.4 10.3

51.6 64.9

100.0 100.0

2,048 2,445

13.8 13.4 14.8 8.4 5.7 11 7 11.7 10.2 15.3 13.3 11.9 14.3

12.9 14.8 10.9 12.0 11.7 11 7 11.7 8.1 9.3 11.8 16.0 10.3

55.4 49.0 59.2 66.1 75.2 67 0 67.0 66.2 59.7 54.5 53.3 63.9

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

380 943 285 420 350 317 290 326 586 292 304

10.1 9.4 12 9 12.9 17.7 20.0 24.4

2.2 8.9 11 3 11.3 10.8 15.9 15.5

3.5 8.7 10 7 10.7 13.0 15.7 14.0

84.2 73.0 65 1 65.1 58.5 48.4 46.1

100.0 100.0 100 0 100.0 100.0 100.0 100.0

130 642 910 1,036 946 829

0 1 2 et 3 an meti ganaTlebis done saSualo arasruli an naklebi

12.5 17.3 18.1 17.2

7.9 13.0 13.1 12.4

6.3 11.7 13.8 14.1

73.3 58.1 55.1 56.3

100.0 100.0 100.0 100.0

477 1,286 2,069 661

8.5

7.5

7.6

76.4

100.0

802

saSualo sruli teqnikumi universiteti/aspirantu socio-ekonomikuri statusi

13.4 19.9 22.3

11.7 13.8 14.4

10.9 15.4 14.4

63.9 50.9 49.0

100.0 100.0 100.0

1,196 740 1,755

yvelaze dabali meore saSualo meoTxe yvelaze maRali dasaqmeba muSaobs ar muSaobs eTnikuri warmomav. el qarTveli sxva kontrac. amJ. momxmar. Tanamedrove tradiciuli aranairi meTodi

12.5 11.9 18.6 17.7 22.5

9.6 10.9 11.8 11.9 16.1

9.6 9.9 13.4 12.4 15.3

68.3 67.3 56.2 58.0 46.1

100.0 100.0 100.0 100.0 100.0

788 1,032 1,018 710 945

24.8 14.9

17.4 10.9

14.6 11.8

43.2 62.4

100.0 100.0

1,013 3,480

18.8 7.3

13.3 7.0

13.0 9.1

55.0 76.6

100.0 100.0

3,859 634

19.3 18.9 15.2

14.7 12.8 10.8

14.8 10.2 11.7

51.3 58.2 62.4

100.0 100.0 100.0

1,436 798 2,259

19.5 11.3

14.2 8.0

13.8 9.1

52.5 71.6

100.0 100.0

3,099 1,394

sul

17.1

ყოველ 6-12 თვეში ერთხელ ან ნაკლებად 12.4

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba

გაუვლია გინ.შემოწმება

კი არა

269


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 13.3.2 sarZeve jirkvle TviTgasinjvis (mTg), klinikuri gasinjvis (mkg) da 13.3.2 მკერდის თვითგასინჯვისyvela (მთგ), კლინიკური (მკგ) და მამოგრაფიის ცხრილი mamografiis prevalentoba qalSi daგასინხვის sqesobrivad gamocdili პრევალენტობა ყველა ქალში და სქესობრივად გამოცდილ 15-44 წლის 15-44 wlis qalebSi SerCeuli maxasiaTeblebis mixedviT, ქალებში შერჩეული მახასიათებლების მიხედვით reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 რ პრ რეპროდუქციული ქ ჯანმრ ჯანმრთელობის ბ ს კვლევა, ა საქართველო საქარ 2010 ოდესმე გაუვლიამთგ

ოდესმე გაუვლია მკგ

ოდესმე გაუკეთებია მამოგრაფია

შემთხვევათა #

ყველა ქალი

სქესობრი-ვად გამოცდილი

ყველა ქალი

სქესობრივად გამოცდილი

ყველა ქალი

სქესობრივად გამოცდილი

ყველა ქალი

სქესობრივად გამოცდილი

32.1

41.9

13.1

17.7

4.9

6.8

6,292

4,493

36.2 27.5

48.4 35.1

15.8 10.1

21.9 13.4

6.9 2.8

9.7 3.8

2,975 3,317

2,048 2,445

35.0 37.0 31.8 27.3 17 2 17.2 25.0 29.0 29.9 36.4 34.4 29.3

44.6 51.0 40.8 33.9 24 8 24.8 33.0 33.8 40.3 45.5 46.7 36.1

13.4 19.0 9.9 11.3 65 6.5 9.4 8.4 8.1 13.6 12.4 10.8

18.3 26.7 13.9 14.4 10 0 10.0 13.5 11.4 10.1 17.9 16.9 14.6

4.1 8.8 3.2 4.6 22 2.2 2.8 3.2 2.7 3.6 4.8 2.7

5.9 12.6 4.7 6.0 33 3.3 4.1 4.2 3.8 4.8 6.4 4.0

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

380 943 285 420 350 317 290 326 586 292 304

5.4 19.4 31.6 31 6 40.2 51.0 52.6

15.8 27.0 34.9 34 9 41.5 51.6 53.9

3.0 7.6 10.5 10 5 16.2 22.3 22.4

7.2 11.2 12.7 12 7 17.2 23.3 23.7

0.4 1.7 3.3 33 6.5 9.3 10.2

0.0 2.6 3.8 38 6.9 9.4 11.0

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

130 642 910 1,036 946 829

15.6 41.9 44.9 43.7

26.7 41.9 44.9 43.7

5.8 18.9 18.8 15.3

13.4 18.9 18.8 15.3

1.8 7.1 8.1 4.2

4.3 7.1 8.1 4.2

2,276 1,286 2,069 661

477 1,286 2,069 661

14.2

23.6

5.7

8.7

1.9

3.2

1,330

802

saSualo sruli teqnikumi universiteti/aspirantu ra socio-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba

28.0 41.8 41.7

36.1 49.1 51.0

9.1 17.4 18.4

11.9 20.6 24.4

2.7 6.5 7.5

3.7 7.9 10.0

1,568 903 2,491

1,196 740 1,755

24.5 25.5 33.5 31.0 40.9

31.7 32.7 43.8 42.0 53.9

7.8 9.4 11.6 12.6 20.6

10.5 12.1 15.9 18.0 28.1

1.9 3.1 3.0 4.7 9.8

2.6 4.3 4.4 6.6 13.6

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

788 1,032 1,018 710 945

qarTveli sxva კონტრაც. ამჟ. მომხმ. Tanamedrove tradiciuli aranairi meTodi odesme gagivliaT rutinuli ginekologiuri Semowmeba? ara ki

34.2 18.1

45.0 23.4

14.0 7.3

19.1 9.8

5.4 2.0

7.5 2.7

5,488 804

3,859 634

48 7 48.7 41.8 25.4

48 7 48.7 41.8 37.6

20 0 20.0 14.3 10.8

20 0 20.0 14.3 17.4

83 8.3 6.2 3.7

83 8.3 6.2 6.1

11,436 436 798 4,058

11,436 436 798 2,259

45.9 18.0

47.5 28.4

21.7 4.3

22.0 7.4

8.4 1.4

8.6 2.3

3,322 2,970

3,099 1,394

მახასიათებელი

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcx javaxeTi samcxe ja ax aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25 29 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi

270


saboloo angariSi

cxrili 13.3.3 mamografiis ar Catarebis mizezebi SerCeuli maxasiaTeblebis ცხრილი13.3.3mixedviT, მამოგრაფიის არ ჩატარების ყველაზე ხშირი მიზეზი შერჩეული მახასითებლების მიხედვით 15-44 wlis qalebs Soris, romlebsac arasdros CautarebiaT 15-44 წლის ქალებს შორის რომლებსაც არასდროს ჩაუტარებიათ მამოგრაფია. mamografia. reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 მამოგრაფიის არ გავლის ყველაზე ხშირი მიზეზი მახასიათებელი

sul ul

ექიმს რეკომენდაცია არ მოუცია

არაფერი მსმენია მასზე

არ მეგონა აუცილებელი/ ძალიან ახალგაზრდა

ფასი/ დაუზღვეველი

სხვა

სულ

შემთხვევათა #

33.4

31.7

29.8

3.0

2.1

100.0

5,984

35.0 31.6

24.6 39.5

35.8 23.4

2.9 3.2

1.8 2.4

100.0 100.0

2,768 3,216

37.6 34.5 33.0 31.9 18.7 30.5 23.6 30.1 41.4 28.7 33.6

38.3 21.9 36.7 35.9 56.3 29.6 26.9 45.9 25.8 24.8 44.2

20.5 39.0 25.1 25.6 24.1 29.3 39.0 22.1 29.1 36.3 19.7

0.8 2.2 4.1 3.7 0.5 9.3 6.2 1.0 1.6 5.6 1.3

2.8 2.4 1.2 2.8 0.3 1.3 4.3 0.9 2.1 4.6 1.3

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

475 1,300 381 519 470 404 389 462 772 372 440

19.4 39.0 45.6

45.8 25.1 20.5

33.1 31.4 23.6

0.6 2.4 6.9

1.1 2.1 3.4

100.0 100.0 100.0

1,938 2,256 1,790

19.1 43.6 45.0 41.5

42.5 22.7 22.8 28.1

36.4 28.0 24.7 19.9

0.8 3.7 4.7 6.4

1.2 2.0 2.7 4.1

100.0 100.0 100.0 100.0

, 2,229 1,203 1,919 633

20.4 31.0 39.6 40.7

51.5 36.3 21.8 20.0

23.9 26.8 31.5 34.9

2.5 4.1 5.5 1.7

1.6 1.8 1.6 2.7

100.0 100.0 100.0 100.0

1,303 1,525 847 2,309

28.5 33.2 32.2 35.4 36.0

45.8 38.3 35.9 25.5 18.7

20.0 24.6 25.2 34.8 40.3

3.4 2.3 4.4 2.5 2.5

2.3 1.6 2.3 1.8 2.4

100.0 100.0 100.0 100.0 100.0

1,072 1,342 1,360 983 1,227

34.8 24.1

28.5 52.2

31.5 19.3

3.1 2.3

2.1 2.2

100.0 100.0

5,197 787

48.1 40.0 28.0

18.0 26.8 36.5

27.2 27.6 30.9

3.9 3.7 2.6

2.9 1.9 1.9

100.0 100.0 100.0

1,323 752 3,909

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi l Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi mcxeTa mTianeTi raWa svaneTi asakobrivi jgufi 15-24 25-34 35-44 cocxali bavSvebis raodenoba 0 1 2 3 an meti ganaTlebis done საშუალო არასრული saSualo sruli teqnikumi უნივერსიტ/ასპირანტ. სოციო.ეკონომ. სტატ. yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba qarTveli sxva კონტრაც. ამჟ. მომხმ. Tanamedrove tradiciuli aranairi meTodi

271


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

საშვილოსნოს ყელის სკრინინგის ჩატარება შერჩეული მახასიათებლების

ცხრილი13.4.1 cxrili 13.4.1 saSvilosnos yelis skriningis sixSire SerCeuli maxasiaTeblebis mixedviT 15-44 წლის გამოცდილ ქალებში sqesobrivi მიხედვით gamocdilebis mqoneსქესობრივად 15-44 wlis qalebs Soris რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო ე დუქც ულ ჯ ელ კვლევ , ქ reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 ველ 2010 ბოლოს გავლილი საშვილოსნოს ყელის სკრინინგი მახასიათებელი sul

ბოლო 12თვვე

ბოლო 13წელი

სამ წელზე მეტი

5.0

4.0

3.1

7.1 2.9

5.1 3.0

3.9 10.0 3.0 3.2 19 1.9 4.3 4.8 1.6 3.7 4.4 2.3

სულ

შემთხვევა თა#

87.8

100.0

4,491

3.1 3.2

84.8 91.0

100.0 100.0

2,047 2,444

3.4 7.0 1.5 3.4 14 1.4 4.6 5.4 0.8 3.4 2.5 3.7

3.6 3.3 4.4 3.0 26 2.6 2.8 4.5 0.0 4.2 1.1 2.9

89.1 79.7 91.1 90.4 94 0 94.0 88.3 85.3 97.5 88.7 92.0 91.1

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

379 942 285 420 350 317 290 326 586 292 304

6.5 4.7 3.9 5.4 4.8

3.1 4.4 3.5 4.1 5.0

0.8 2.9 3.2 4.2 4.2

89.5 88.1 89.4 86.2 86.0

100.0 100.0 100.0 100.0 100.0

772 910 1,035 946 828

6.5 6.0 4.8 2.9

3.3 4.3 4.1 3.6

1.9 2.6 3.5 3.8

88.2 87.1 87.6 89.7

100.0 100.0 100.0 100.0

477 1,285 2,069 660

2.0

1.3

1.7

95.0

100.0

802

3.6 5.6 7.1

2.4 4.9 6.0

2.6 3.5 4.0

91.4 86.0 83.0

100.0 100.0 100.0

1,196 739 1,754

1.2 3.7 3.0 5.4 10.0

1.7 2.8 3.4 4.9 6.3

2.8 3.8 2.4 2.1 4.1

94.4 89.6 91.2 87.6 79.6

100.0 100.0 100.0 100.0 100.0

788 1,032 1,017 710 944

5.6 19 1.9

4.1 35 3.5

3.5 08 0.8

86.8 93 9 93.9

100.0 100 0 100.0

3,857 634

5.0 3.4 5.6

4.1 3.9 4.0

3.3 2.8 3.1

87.5 89.9 87.4

100.0 100.0 100.0

1,436 798 2,257

6.3 1.9

4.9 2.0

3.6 1.9

85.2 94.1

100.0 100.0

3,097 1,394

არასოდეს

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 1524 25-29 30–34 35–39 40–44 ცოცხ. ბავშვ რაოდ. 0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi universiteti/aspirantu ra socio-ekonomikuri s statusi s yvelaze dabali meore saSualo meoTxe yvelaze maRali ეთნიკური წარმ. qarTveli sxva კონტრაც. ამჟ. მოხმ. Tanamedrove tradiciuli aranairi meTodi გაუვლია გინ. შემოწ. ara ki

272


saboloo angariSi

cxrili 13.4.2 13.4.2 saSvilosnos yelis skriningis servisiT sargebloba bolo 3 wlis manZilze ცხრილი საშვილოსნოს ყელის სკრინინგის ჩატარება ბოლო 3 წელში შერჩეული მახასიათებლებისა SerCeuli maxasiaTeblebisa da asakis mixedviT 15-44 wlis sqesobrivad და ასაკის მიხედვით15-44 წლის სქესობრივად გამოცდილ ქალებში gamocdil qalebSi ჯანმრთელობის კვლევა, საქართველო 2010 რეპროდუქციული reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 მახასიათებელი sul

გაიარა საშვილოსნოს ყელის სკრინინგი ბოლო სამ წელში

შემთხევათა#

15–24

25–34

35–44

9.6

8.1

9.7

4,491

10.4 8.8

11.0 5.2

14.0 5.1

2,047 2,444

7.7 11.1 7.1 94 9.4 2.3 16.7 15.7 0.0 10.7 6.6 12.8

5.7 14.8 5.2 71 7.1 2.9 4.2 11.2 3.3 7.7 5.5 7.1

8.4 21.6 2.7 49 4.9 4.4 9.3 7.1 2.2 5.1 8.3 3.4

379 942 285 420 350 317 290 326 586 292 304

3.7 8.2 17.9 12.7

1.4 6.1 10.4 11.4

5.0 3.9 8.8 14.8

802 1,196 739 1,754

4.0 12.55 12 3.9 8.5 15.9

3.7 40 4.0 6.9 10.8 13.3

1.7 59 5.9 6.9 10.7 19.2

788 11,032 032 1,017 710 944

10.6 5.7

8.6 5.5

10.3 4.8

3,857 634

11.00 11 4.3 9.9

75 7.5 6.3 9.3

10.44 10 9.0 9.6

11,436 436 798 2,257

12.5 6.2

10.4 3.1

11.4 3.0

3,097 1,394

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi ganaTlebis done საშუალო არსრ. saSualo sruli teqnikumi უნივერსიტ/ასპირანტ. socio-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali ეთნიკური წარმ. qarTveli sxva კონტრაც. ამჟ.მოხმ. Tanamedrove tradiciuli aranairi meTodi გაუვლია გინ. შემოწ. ara ki

273


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 13.4.3 adamianis papiloma virusisa (HPV) da misi vaqcinis Sesaxeb codna cxrili da am 13.4.3. vaqciniTadamianis dainteresebis maxasiaTeblebis papilomamaCvenebeli virusis ( HPV)SerCeuli da misi vaqcinis შესახებ codna da am vaqciniT daintereseba SerCeuli maxasiaTeblebiT 15-44 qalebs Soris mixedviT 15-44da qalebs Soris reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010kvlevaa, saqarTvelo 2010 reproduqciuli janmrTelobis gaTviTcnobierebuloba maxasiaTebeli sul

interesi

SemTxvevaTa raodenoba

virusus vaqcinaze

virusis vaqcinis Sezenaze

20.8

18.3

29.3

6,292

28.3 12.3

24.1 11.8

29.7 28.8

2,975 3,317

19.1 34.3 16.4 15.0 7.6 14.9 13.6 10.3 20.3 18.4 9.8

19.1 28.8 11.4 12.6 8.7 17.4 11.4 6.9 18.2 18.4 11.5

30.9 30.3 29.4 30.4 13.5 34.8 34.6 22.7 30.9 26.6 25.4

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

5.7 15.1 21.5 27.7 28.5 29.9

8.9 14.7 18.2 21.0 25.0 24.6

31.9 30.7 29.7 29.1 28.4 25.0

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

15.0 26.8 24.8 21.2

15.2 22.8 19.9 18.4

29.5 31.9 28.3 26.1

2,276 1,286 2,069 661

4.7

6.7

27.5

1,330

12.0 26.5 33.6

12.1 20.2 28.3

25.3 28.1 33.2

1,568 903 2,491

7.6 13.1 14 1 14.1 21.7 38.9

7.8 11.5 13 9 13.9 19.3 32.5

24.2 28.1 29 8 29.8 31.4 31.1

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

22.8 7.2

20.1 6.9

30.7 19.8

5,488 804

30.4 22.4 17.5

24.5 18.5 16.4

32.3 29.6 28.3

1,436 798 4,058

27.7 13.8

21.7 14.9

30.2 28.3

3,322 2,970

papiloma virusze

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli an n naklebi b saSualo sruli teqnikumi universiteti/aspirantu ra socio-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba qarTveli sxva კონტრაც. ამჟ. მოხმ. Tanamedrove tradiciuli t d c ul aranairi meTodi odesme gagivliaT rutinuli ginekologiuri Semowmeba? ara ki

274


saboloo angariSi

ცხრილი ტუბერკულოზის (ტბ) და მისი გადაცემის გზების შესახებcodna ცოდნა cxrili 13.5.1 13.5.1 tuberkulozis (tb) da misi gadacemis gzebis Sesaxeb შერჩეული მახასიათებლების მიხედვით 15-44wlis წლისyvela ყველა ქალებს SerCeuli maxasiaTeblebis mixedviT 15-44 qalebsშორის Soris reproduqciuliრეპროდუქციული kvleva: ეjanmrTelobis დუქც ულ ჯ ჯანმრთელობის ელsaqarTvelo, კვლევა,, საქართველო კვლევ ქ2010ველ 2010 გაუგია ტბ მახასიათებელი

sul sacxovrebeli adgili qalaqi sofeli regioni kkaxeTi e Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa mTianeTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSve-bis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli saSualo sruli teqnikumi universiteti/aspiran socio-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba qarTveli sxva

%

გაუგია გადაცემის გზებზე ხველებისას ჰაერწვესხვა გზებით თოვანი გზით

ტბ რისკი

არ იცის ოჯახის ტბ გადაცემის ინფიცირებ გზები ული წევრი

ინფიცირებულ ადამიანთან ხშირი კონტაქტი

შენთხვევათა#

94.5

67.3

56.6

12.1

8.7

11.8

6,292

96.9 91.7

74.3 59.4

59.2 53.7

7.9 16.8

6.0 11.7

12.3 11.2

2,975 3,317

87.0 97.1 97.0 86.1 90.2 98.6 97.2 96.0 95.6 97 5 97.5 96.4

61.2 77.3 71.6 57.6 44.9 73.9 72.4 74.3 57.1 65 8 65.8 63.8

46.5 63.3 65.1 45.3 39.3 43.9 62.4 72.6 57.9 58 7 58.7 67.9

22.0 6.9 5.7 24.6 23.6 4.6 7.2 6.1 15.3 10 3 10.3 10.1

15.3 5.8 8.1 17.7 12.1 4.1 6.6 6.7 7.5 76 7.6 6.9

12.2 13.1 7.7 11.4 9.0 14.9 16.0 9.4 10.4 12 9 12.9 12.3

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

89.2 92.4 95.5 96.6 97.4 97.1 92.7

52.9 61.7 70.2 72.4 75.0 75.0 63.4

40.0 51.4 59.1 63.6 64.0 65.3 51.1

23.5 16.1 10.1 6.9 7.3 6.0

13.3 10.7 6.9 6.1 5.9 8.3 9.7

8.3 10.4 13.9 11.6 13.1 14.2 11.1

861 1,099 1,191 1,168 1,051 922 2,276

95.5 96.4 94.3

71.2 69.8 68.6

62.6 60.2 57.4

15.6 9.6 8.9 11.6

8.4 6.7 10.8

12.8 11.9 12.4

1,286 2,069 661

86.3 94 9 94.9 97.6 97.9

49.6 62 2 62.2 75.8 77.9

41.0 54 0 54.0 65.5 64.2

25.1 13 6 13.6 5.6 5.8

17.1 85 8.5 6.4 4.7

7.6 11.77 11 13.0 13.8

1,330 1 568 1,568 903 2,491

90.7 91.4 94.6 97 1 97.1 97.1

54.3 59.0 66.8 73 5 73.5 76.9

55.1 50.0 56.7 55 6 55.6 63.1

17.9 17.2 12.6 83 8.3 7.2

13.6 11.7 8.7 64 6.4 5.3

13.8 9.6 10.0 13 5 13.5 12.5

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

96.7 79.7

70.6 45.2

60.1 33.4

9.0 32.5

6.6 22.6

12.1 9.6

5,488 804

* moicavs 36 women qals,who romlebic ar ifarian darwmunebulni Tua family iyvnen ojaxis wevrisgan tb-s riskis qveS * Includes 36 were not sure they were exposed to TB from member.

275


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 13.5.2 tb simptomebSi gaTviTcnobierebis maCvenebeli SerCeuli maxasiaTeblebis mixedviTT,15-44 wlis qalebSi ცხრილი13 5 2 ცხრილი13.5.2 გათვითცნობიერება ტბ სიმპტომების შესახებ შერჩეული მახასიათებლების მიხედვით, მიხედვით 15-44 წლის ქალებში reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010

სპონტანურად ნახსენები ტუბერკულოზის სიმპტომები სხვა

არ იცის

შემთხვევათა #

15 1.5

12 1.2

11 7 11.7

6 292 6,292

5.4 3.7

1.9 1.1

0.8 1.6

7.4 16.6

2,975 3,317

8.5 15.6 7.9 8.4 5.7 20.8 18.6 10.9 12.7 11.0 12.8

3.3 6.3 5.3 3.1 2.2 8.5 4.6 1.5 3.7 2.9 2.8

1.4 2.7 0.6 1.1 0.3 1.6 1.2 1.7 0.5 0.6 1.6

0.2 0.6 3.0 1.6 2.2 0.7 0.4 1.3 1.7 0.6 1.8

22.9 6.3 6.3 24.7 22.4 3.7 6.6 5.9 15.1 5.9 8.9

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

8.4 11.7 13.2 13.6 17.3 15.8

7.4 10.4 12.5 13.0 16.2 18.7

2.6 3.2 5.6 4.8 5.7 6.6

1.0 0.7 2.3 0.8 1.7 2.7

0.3 1.4 0.9 1.4 1.7 1.5

23.2 15.3 9.7 7.3 7.1 5.0

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

10.1 10 1 16.7 15.6 16.3

11.4 11 4 14.6 13.6 16.2

10.2 10 2 16.0 14.2 13.2

3.4 34 5.6 5.4 5.8

1.3 13 2.2 1.1 2.0

1.0 10 0.5 2.0 1.0

15.6 15 6 9.2 8.6 9.6

2,276 2 276 1,286 2,069 661

11.5

7.0

8.0

7.3

2.4

0.9

0.5

25.3

1,330

22.1 31.5 28.7

15.8 27.7 26.1

11.4 16.8 17.7

12.9 16.2 15.3

11.4 17.5 15.2

4.5 7.4 5.1

1.3 1.5 2.0

1.7 2.2 0.9

13.4 5.2 5.1

1,568 903 2,491

21.7 19.5 23.9 30.6 36.4

17.3 19.1 25.1 25.7 30.5

14.8 16.7 24.0 18.6 24.9

11.0 9.0 13.7 16.4 16.4

10.6 9.2 11.3 17.4 16.1

7.4 9.0 13.3 16.3 15.7

3.2 2.9 4.0 5.7 6.6

1.3 0.6 1.3 1.5 2.4

1.8 2.2 1.2 0.3 0.7

17.2 18.3 12.0 7.7 6.3

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

29.1 14.7

25.7 15.4

21.7 12.1

14.8 5.9

14.4 5.0

13.8 6.1

4.8 3.7

1.7 0.3

1.2 1.2

8.5 32.6

5,488 804

ხანგრძლი-ვი და მძიმე ხველება

სიცხე

sul s sacxovrebeli adgili

70 5 70.5

28 0 28.0

27 2 27.2

24 3 24.3

20 4 20.4

13 6 13.6

13 1 13.1

12 8 12.8

46 4.6

qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba 0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi saSualo sruli teq ku teqnikumi universiteti/aspirant ura socio-ekonomikuri statusi

75.7 64.6

30.4 25.2

32.1 21.7

27.2 21.0

21.6 19.1

15.3 11.7

16.0 9.9

14.7 10.6

57.8 79.7 77.7 58.9 53.9 75.0 79.0 74.1 65.2 72.1 74.2

17.7 32.0 34.1 19.3 17.2 26.5 20.8 42.4 28.2 22.6 37.1

22.3 34.7 17.0 19.4 15.7 30.2 36.8 35.0 23.3 24.0 25.4

15.7 29.4 22.3 20.9 12.4 29.3 32.0 25.9 22.1 24.1 21.8

16.3 23.4 23.7 12.6 21.1 13.0 12.2 22.7 26.0 20.5 27.5

8.9 15.6 13.6 10.9 5.6 16.3 21.8 12.3 15.7 8.6 14.6

8.9 14.8 7.7 11.0 1.7 30.4 7.6 11.4 11.0 13.9 10.8

58.0 65.3 70.8 74.7 76.6 80.9

17.8 22.2 29.7 33.3 33.4 34.3

17.8 23.8 30.7 30.1 33.0 29.6

15.6 21.6 26.8 25.5 27.5 31.0

10.9 18.0 22.0 22.6 24.1 27.3

6.0 10.3 15.3 14.6 17.7 19.8

65.6 65 6 74.5 74.3 71.6

24.9 24 9 32.1 29.5 28.1

24.9 24 9 32.3 28.0 24.7

21.9 21 9 26.1 25.1 28.2

17.9 17 9 23.4 21.6 22.0

55.7

18.7

15.7

14.9

66.0 74.7 80.4

22.7 33.9 34.5

23.1 31.6 34.9

62.3 62.2 69.3 74.4 79.6

25.8 24.4 24.0 28.8 34.6

73.8 48.5

30.3 12.6

მახასიათებელი

yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba qarTveli sxva

სისხლი წონის ნახველშ დაღლა დაკარგვა ი

ოფლიან ტკივიმადის სამ კვირაზე ლეთარლი ობა დაკარგია მეტი ხველება. გვა ღამით მკერდ-ში

* Includes 36 36 women who were not sure if they exposed to TB from a family member. * moicavs qals, romlebic ar were arian darwmunebulni Tu iyvnen ojaxis wevrisgan tb-s riskis qveS

276


saboloo angariSi

cxrili 13.5.3 codna tb-isgan srulad gankurnebis SesaZleblobasada mkurnalobisTvis yvelaze ცხრილი 13.5.3Sesabamisi ცოდნა ტბ-ის შესაძლო Sesaxeb განკურნების და მკურნალობისთვის ყველაზე შესაბამისი15-44 midgomebis SerCeuli maxasiaTeblebis mixedviT wlisმიდგომების qalebSi შესახებ შერჩეული მახასიათებლების მიხედვით 15-44 წლის ქალებში reproduqciuli janmrTelobis kvleva: saqarTvelo, ე დუქც ულ ჯ ელ კვლევ ქ ველ 2010 2010 რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო ცოდნა რომ ტბ განკურნებადია მახასიათებელი %

ცოდნა ყველაზე შესაბამისი მიდგომისა ტბ დაინფიცირებულის განსაკურნად

შემთხვე- ჰოსპიტალიზა მკურნალობაა ვების # ცია სახლში

ჰოსპიტალიზაცია, შემდეგ მკურნალობა სახლში

არ იცის

სულ

შემთხვევების#

75.2

6,292

77.8

1.4

12.8

8.0

100.0

6,292

81.7 67.9

2,975 3,317

80.7 74.5

1.2 1.6

13.6 11.9

4.5 12.0

100.0 100.0

2,975 3,317

60.0 82.3 83.2 83 2 61.7 58.9 74.2 86.6 78.8 79.4 76.0 77.3

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

68.8 81.9 83.0 83 0 71.4 66.6 78.3 78.4 80.7 79.2 78.7 80.8

2.1 1.0 1.6 16 1.4 1.2 2.1 0.4 1.0 1.4 1.5 1.1

10.8 13.1 11.6 11 6 9.7 11.0 17.6 17.0 13.3 12.0 14.8 13.7

18.4 4.0 3.7 37 17.4 21.1 2.0 4.2 5.0 7.4 4.9 4.4

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

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

58.5 69.8 78.8 82.6 82.6 82.7

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

72.5 75.9 78.3 82.2 80.3 78.7

2.0 1.3 1.1 0.8 1.2 1.8

8.9 12.4 13.9 12.5 14.3 15.4

16.6 10.4 6.7 4.5 4.2 4.1

100.0 100.0 100.0 100.0 100.0 100.0

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

0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi q universiteti/ aspirantura socio-ekonomikuri statusi

69.0 80.4 79.6 78.1

2,276 1,286 2,069 661

74.4 80.3 80.1 80.0

1.7 1.2 1.1 1.4

13.4 11.8 13.2 10.7

10.4 6.7 5.6 8.0

100.0 100.0 100.0 100.0

2,276 1,286 2,069 661

56.7

1,330

72.1 83.1 85.3

1,568 903 2,491

72.5 77.2 82.0

1.1 1.9 1.5

7.7 12.3 13.6

18.7 8.6 2.9

100.0 100.0 100.0

1,330 1,568 903

79.8

1.2

15.7

3.3

100.0

2,491

yvelaze dabali meore saSualo meoTxe yvelaze maRali

65.0 67.2 73.7 80 4 80.4 84.7

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

71.7 75.7 77.1 80 3 80.3 81.7

1.9 1.9 1.3 11 1.1 0.9

13.4 10.5 12.5 14 1 14.1 13.4

12.9 11.9 9.1 45 4.5 4.1

100.0 100.0 100.0 100 0 100.0 100.0

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

მუშაობს არ მუშაობს

86.6 72.2

1,410 4,882

77.0 78.0

1.2 1.4

18.6 11.2

3.2 9.4

100.0 100.0

1,410 4,882

79.6 46.4

5,488 804

79.9 63.6

1.4 1.3

13.6 7.6

5.1 27.5

100.0 100.0

5,488 804

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi S Sida qqarTli r qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba

დასაქმება

ეთნიკური წარმომავ.

ქართველი Other

277


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 13.6.1

15-44 წლის ქალების პროცენტული მაჩვენებელი წევის

cxrili 13.6.1 15-44 wlis qalebis procentuli maCvenebeli Tambaqos moxmarebis და საცხოვრებელი ადგილის მიხედვით amJamindeliამჟამინდელი statusisaსტატუსისა da sacxovrebeli adgilis mixedviT რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო ე დუქც ულ ჯ ელ კვლევ , ქ ველ reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 2010 წევის სტატუსი

სულ

ამჟამად მწეველი ყოველდღე მწეველი იშვიათად მწეველი არა-მწეველი რ მწ წინათ ყოველდღე არასოედეს ყოველდღე არასოდეს მწეველი სულ შემთხვევათა რაოდენობა *

5.5 4.6 0.9 94.5 94 5 1.3 1.1 92.2 100.0 6,279

საცხოვრებელი ადგილი თბილისი

სხვა ქალაქი

სოფელი

13.4 11.3 2.1 86.6 86 6 3.5 2.4 80.7 100.0 1,417

4.1 3.5 0.6 95.9 95 9 0.8 0.8 94.3 100.0 1,547

1.7 1.2 0.4 98.3 98 3 0.2 0.5 97.6 100.0 3,315

** არ ar მოიცავს moicavs13 13 qals, vinc uari ganacxada gacemaze ქალს, ვინც უარი განაცხადა პასუხიpasuxis მოცემაზე

278


saboloo angariSi

cxrili 13.6.2 15-44 wlis im qalTa procentuli maCvenebeli romlebsac პროპორცია მოწევის odesme mouwevia da vinc 15-44 წლის ქალების ცხრილი13,6.2 amJamad eweva SerCeuli maxasiaTeblebis mixedviT სტატუსის და შერჩეული მახასიათებლების მიხედვით. reproduqciuli janmrTelobis kvleva: saqarTvelo,კვლევა, 2010 საქართველო 2010 რეპროდუქციული ჯანმრთელობის ამჟამინდელი სტატუსი

ოდესმე მოუწევია

ახლა ეწევა

წინათ ეწეოდა

7.8

5.5

2.3

6,292

12.7 2.4

8.9 1.7

3.8 0.7

2,975 3,317

4.5 19.2 2.8 3.1 1.4 6.1 1.0 2.8 3.0 5.7 2.5

3.6 13.3 1.4 2.1 1.1 4.3 0.6 1.8 2.6 3.2 0.9

0.9 5.9 1.4 1.0 0.3 1.8 0.4 1.0 0.4 2.5 1.6

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

2.6 7.3 8.4 10.3 9.8 9.5

2.2 4.7 6.4 7.0 6.9 6.3

0.4 2.6 2.0 3.3 2.9 3.2

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

0 1 2 3 an meti ganaTlebis done saSualo arasruli an naklebi

7.0 13.0 6.5 5.4

5.6 8.4 4.2 3.2

1.4 4.6 2.3 2.2

2,276 1,286 2,069 661

2.5

2.3

0.2

1,330

saSualo sruli teqnikumi universiteti/aspirantur n rs t t / sp r nt r socio-ekonomikuri statusi

5.7 5.6 13 0 13.0

3.8 3.9 8.9 89

1.9 1.7 4.1 41

1,568 903 2,491 2 491

yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba

2.1 2.5 4.0 9.6 16.9

1.6 1.8 2.5 6.7 12.0

0.5 0.7 1.5 2.9 4.9

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

8.4 4.0

5.8 3.3

2.6 0.8

5,488 804

9.3 4.5 7.9

5.9 3.2 5.7

3.4 1.3 2.2

1,436 798 4,058

მახასიათებელი

sul

შემთხვევათა#

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 cocxali bavSvebis raodenoba

qarTveli sxva ამჟ. გამოყ. კონტრაცეპ.

თანამდედროვე ტრადიციული არც ერთი მეთოდი

279


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი13.6.3 მოწევა სახლში და სამსახურში (ოთახში) შერჩეული მახასიათებლების cxrili 13.6.3 saxlsaპასიური da samsaxurSi (oTaxSi) pasiuri mowevis maCvenebeli SerCeuli მიხედვით 15-44 წლის ქალებში ამჟამად არ ეწევიან amJamad ar ewevian maxasiaTeblebis mixedviT 15-44რომლებიც wlis qalebSi, romlebic reproduqciuli janmrTelobis ეპ დუქც ულ ჯანმრთელობის ჯ ელ kvleva: კვლევა,, saqarTvelo, კვლევ საქართველო ქ ველ 20102010 რეპროდუქციული ყველა ქალი მახასიათებელი

არა-მწეველი

სახლში რისკის ქვეშ

შემთხვევათა#

სამსახურში რისკის ქვეშ

შემთხვევათა #

სახლში რისკის ქვეშ

შემთხვევათა#

სამსახურში რისკის ქვშ

შემთხვევათა#

51.6

6,292

43.6

1,352

49.6

5,823

40.3

1,167

48.9 54.5

2,975 3,317

47.0 35.3

872 480

45.4 53.9

2,588 3,235

43.4 33.9

703 464

51.0 56.0 52.2 49.3 49.7

1,960 1,191 1,168 1,051 922

47.3 40.8 45.9 40.8 44.7

169 250 260 352 321

49.8 54.0 48.9 47.5 47.3

1,871 1,102 1,057 955 838

43.9 36.3 43.2 36.2 42.9

154 217 222 298 276

52.9

1,330

59.4

48

52.1

1,295

56.0

41

55.7 54.4 47.2

1,568 903 2,491

55.7 44.4 41.2

108 199 997

54.3 53.0 43.7

1,493 850 2,185

52.9 42.6 37.4

95 182 849

yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba

52.9 56.3 51.7 51.0 47.5

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

39.3 33.1 39.9 47.9 46.5

87 200 314 280 471

52.1 55.7 50.5 48.6 42.6

1,063 1,353 1,356 936 1,115

37.2 31.0 37.5 46.3 41.9

84 194 296 246 347

qarTveli sxva

51.7 50.4

5,488 804

43.7 41.5

1,252 100

49.7 49.1

5,054 769

40.2 41.6

1,072 95

სულ საცხოვრებელი ადგ. ქალაქი სოფელი ასაკობრივი ჯგუფი 15–24 25–29 30–34 35–39 40–44 ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi universiteti/aspirantu socio ekonomikuri socio-ekonomikuri statusi

280


saboloo angariSi

15-44 წლის ქალთა პროცენტი რომელიც სვამდა 13.7 wlis qalTa cxriliცხრილი 13.7 15-44 procentuli maCvenebeli, romelTac bolo sami Tvis 3 თვის განმავლობაში, შერჩეული მახ. მიხ.ედვით წინა ganmavlobaSi miumarTavT alkoholisTvis SerCeuli maxasiaTeblebis mixedviT რეპროდუქციული ჯანმრთელობის reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 კვლევა, საქართველო 2010 ალკოჰოლის მიღება ბოლო 3 თვეში მახასიათებელი

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi ასაკობრივი ჯგუფი 15–24 25–34 35–44 ქორწინების სტატუსი გათხოვილი წინათ გათხოვილი გაუთხოვარი ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi universiteti/aspirantura socio-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba qarTveli sxva დასაქმება მუშაობს არ მუშაობს

ოდესმე დაულევია

სვამს უკონტროლოდ

შემთხვევათა#

ახლა სვამს

ახლა ხშირად სვამს

30.5

16.6

1.8

8.0

6,292

33.9 26.7

18.5 14.5

2.3 1.2

9.2 6.7

2,975 3,317

32.8 40.9 36.5 19.3 18.6 13.7 19.8 33.4 30.7 34.2 33.2

21.8 23.2 15.8 8.9 7.6 7.3 10.4 19.2 16.8 16.5 16.9

3.2 3.1 1.4 0.7 0.3 0.9 0.4 2.2 0.8 1.9 2.3

8.2 12.3 9.5 5.7 3.1 3.4 6.2 8.6 6.4 6.8 8.5

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

29.0 29.4 33.7

14.4 16.4 19.6

1.0 1.4 3.3

8.6 8.6 6.9

1,960 2,359 1,973

26.9 36.6 35.7

14.8 21.7 18.8

1.4 5.6 1.7

6.3 14.0 9.9

4,098 389 1,805

24.5 26.7 31.1 36.2

12.0 16.2 16.9 19.4

1.0 2.0 1.6 2.2

6.0 8.1 8.8 9.0

1,330 1,568 903 2,491

26.8 24.7 28.5 28.1 40.4

12.9 14.3 16.0 14.8 22.2

0.6 1.0 2.2 1.4 3.0

6.5 5.6 7.3 7.7 11.6

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

32.6 16.7

17.6 9.8

2.0 0.7

8.8 3.1

5,488 804

39.6 28.1

22.5 15.0

2.4 1.6

8.7 7.9

1,410 4,882

281


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

წლის ქალთა პროცენტი რომელთათვისაც უთქვამს, cxriliცხრილი13.8 13.8 15-44 wlis 15-44 qalTa procentuli maCvenebeli, romelTacექიმს odesme miuRiaT informacia მათ აქვთdaavadebebis ჩამოთვლილიSesaxeb, ჯანმრთელობის პრრობლემები eqimisaganრომ garkveuli SerCeuli maxasiaTeblebis mixedviT reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 შერჩეული მახასიათებლების მიხედვით რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010 ჩამოთვლილი ჯანმრთელობის პრობლემები მახასიათებელი

sul

მენჯის ღრუს ანთება 19.4

შემთხვევათა #

მაღალი წნევა

ანემია

5.5

4.2

2.8

0.6

6,292

18.6 20.2

5.1 6.1

4.4 3.9

2.4 3.4

0.7 0.5

2,975 3,317

22.6 18.1 22.3 19.3 17.7 16.2 11.8 19.3 21.7 21.9 22.6

8.5 5.4 7.1 3.6 2.8 5.9 5.2 5.5 5.4 7.2 6.4

5.2 5.2 4.3 4.0 1.1 0.7 3.0 2.5 5.8 5.9 4.3

1.1 2.0 2.6 3.1 2.3 5.5 2.2 3.9 2.8 4.6 3.4

0.2 0.8 0.4 0.3 0.0 0.2 0.4 0.3 1.6 0.8 0.4

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

6.5 22.4 31.6

2.3 4.0 11.2

2.7 5.3 4.7

1.4 1.8 5.8

0.5 0.4 1.0

1,960 2,359 1,973

29.2 31.6 0.1

7.1 9.1 2.2

5.2 5.7 2.2

3.2 6.4 1.6

0.6 1.0 0.6

4,098 389 1,805

13.1 20.8 26.1

4.8 5.1 9.3

2.8 3.5 3.9

3.2 2.7 5.3

0.4 0.8 0.8

1,330 1,568 903

19.8

5.0

5.5

1.9

0.6

2,491

16.6 21.7 20.5 16.8 20.0

7.7 5.1 6.1 4.2 5.2

3.3 2.7 4.8 3.8 5.5

5.5 2.4 2.9 2.1 2.2

0.9 0.7 0.3 0.7 0.6

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

19.5 18.6

5.7 4.6

4.6 1.6

2.9 2.7

0.7 0.2

5,488 804

21.8 18.7

6.2 5.4

5.1 3.9

2.2 3.0

0.7 0.6

1,410 4,882

გულის დაავადება

დიაბეტი

sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi ასაკობრივი ჯგუფი 15–24 25–34 35–44 ქორწინების სტატუსი გათხოვილი წინათ გათხოვილი გაუთხოვარი ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi universiteti/aspirantur a socio-ekonomikuri statusi yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba qarTveli sxva დასაქმება

მუშაობს არ მუშაობს

282


14

Tavi

ganaTleba ojaxuri cxovrebis Sesaxeb msoflioSi bolo dros mniSvnelovnad gaizarda daintereseba mozardTa sqesobrivi cxovrebiTa da maTi orsulobis problemebiT, iseve rogorc sqesobrivi janmrTelobiT. naTeli gaxda, rom saWiroa kompleqsuri midgoma mozardebSi sqesobrivi gziT gadamdebi infeqciebis da naadrevi orsulobis prevenciis mizniT. magaliTad, sqesobrivi ganaTleba skolebSi unda gaxdes farTo Zalisxmevis mniSvnelovani nawili. janmrTelobasTan dakavSirebuli saganmanaTleblo intervenciebi skolaSi, sqesobrivi ganaTlebis sakiTxebSi ojaxis CarTvasTan erTad mniSvnelovan rols iTamaSebs mozardTa sqesobrivi da reproduqciuli janmrTelobis xelSewyobis TvalsazrisiT.. sxvadsxva qveyanaSi Catarebulma kvlevebma uCvena, rom maRali xarisxis sqesobrivi ganaTlebis programebs skolaSi mivyevarT personaluri higienis, janmrTelobis da reproduqciuli problemebis ukeT gagebamde. im qveynebSi, sadac danergilia kargad moqmedi ojaxuri cxovrebis swavlebis saswavlo programebi, pirvelidan me-12 klasebis CaTvliT xorcieldeba asakis Sesaferisi Temebis CarTva, rogorc janmrTelobis da fizikuri kurikulumis komponenti., . Bbolo dros reproduqciuli biologiis elementebi Setanil iqna ufrosi klasebis biologiisa da adamianis anatomiis saxelmZRvaneloebSi, magram kurikulums mainc sWirdeba gaumjobeseba da gaZliereba.

14.1 mosazrebebi skolebSi ojaxuri cxovrebis swavlebis Sesaxeb mozardebis janmrTelobasTan dakavSirebuli codna da qcevebi SesaZlebelia gaumjobesdes skolebSi maRali xarisxis ojaxuri cxovrebis swavlebis danergviT. saqarTvelos reproduqciuli janmrTelobis 2010 wlis kvlevis, iseve rogorc wina kvlevebis erT-erTi mizani iyo, Seeswavla, qveyanaSi reproduqciuli asakis qalebi mxars uWeren Tu ara skolaze dafuZnebul sqesobriv ganaTlebas (saxelwodebiT â&#x20AC;&#x153;ojaxuri cxovrebis swavlebaâ&#x20AC;?) da gamoekvlia sazogadoebrivi azri aseTi swavlebis dawyebis saukeTeso asakis Sesaxeb. kvleviT miRebuli informacia axalgazrda respondentebis mier ojaxuri cxovrebis swavlebis aRqmasTan dakavSirebiT SeiZleba gamoyenebul iqnas skolis kurikulumis Sesadgenad da maswavlebelTa swavlebis kursebis 283


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 14.1.1

skolebSi ojaxuri cxovrebis Sesaxeb swavlebis mxardaWera asakis, ganaTlebis da socialur-ekonomikuri mdgomareobis mixedviT

100 86

85

80

78

71

75

85

78

80

saSualo

81

meore

80

84

67

60 40

asakobrivi jgufi

FsuraTi 14.1.2

yvelaze maRali

yvelaze dabali

umaRlesi

teqnikumi

sruli saSualo

arasruli saSualo

35-44

25-34

15-24

0

meoTxe

20

socialur-ekon. mdgomareoba

ganaTlebis done

saukeTeso asaki ojaxuri cxovrebis konkretul sakiTxebze ganaTlebis dasawyebad 1999, 2005 da 2010 wlebSi

100 80 60 40 20 0

1999

2005

2010

rogor xdeba daorsuleba

1999

2005

13 wl. an nakl.

dasagegmad. 2010 wels respondentTa didma umravlesobam (80%), mxari dauWira sqesobriv swavlebas skolaSi. sqesobriv ganaTlebasTan dakavSirebuli specifikuri Temebis swavlebas, rogorcaa magaliTad, “rogor xdeba daorsuleba”, sqesobrivi gziT gadamdebi infeqciebi da kontracepcia, mxari dauWira respondentebis 80%-ma, 78%-ma da 76%-ma Sesabamisad (cxrili 14.1.1 da suraTi 14.1.1). skolaSi nebismieri tipis sqesobriv ganaTlebas mxari yvelaze metad dauWires dasaqmebulma qalebma (86%), maRali social-ekonomikuri statusis mqone qalebma (84%), qalebma romlebic cxovroben qalaqSi (83%), erTSvilianma an uSvilo qalebma (82%), umaRlesi ganaTlebis mqone qalebma (85%), 15-24 wlis asakis axalgazrdebma (, 81%). mxardaWera yvelaze susti iyo azerbaijanel qalebSi (50%), qalebSi, romelTac hyavdaT sami an meti Svili (69%), da yvelaze dabali social-ekonomikuri statusis mqone qalebSi (67%). respondentebs, romlebic eTanxmebodnen ojaxuri cxovrebis swavlebas skolebSi, dausves konkretuli SekiTxvebi sxvadasxva Temis swavlebisTvis yvelaze 284

2010

1999

13-14 wl.

2005

2010

sggd

kontracepcia

16 wl. an meti

Sesaferisi asakis Sesaxeb (cxrili 14.1.2 da 14.1.3). mxolod 14% daeTanxma, rom swavleba unda daiwyos 14 wlis asakamde; 52%ma miuTiTa 14-15 wlebs Soris periodi, da 35%-ma aRniSna, rom swavleba unda daiwyos 16 wlidan an ufrosi asakidan. zogierTi regionis warmomadgeneli qalebi ufro konservatiulad uyurebdnen sqesobrivi ganaTlebis dawyebisaTvis Sesaferis asaks. respondentebis 40%-ze odnav metma Sida qarTlidan, aWaridan, samcxe-javaxeTidan da mcxeTa-mTianeTidan ganacxada, rom saskolo programaSi iseTi sakiTxebis Sesatanad, rogorcaa “rogor xdeba daorsuleba” an kontracepcia, upriani iqneba davicadoT 16 an meti wlis asakamde. sxva qve-jgufebSic respondentTa 40%-ze meti miemxro mosazrebas, rom amisTvis 16 an meti wlis asaki ufro Sesaferisi iqneboda: sami an meti Svilis dedebi, teqnikum-damTavrebuli qalebi, socialur-ekonomikuri donis meore safexurze myofi qalebi, somexi da sxva eTnikuri jgufebis warmomadgenlebi. zustad aseTive maxasiaTeblebi aisaxa pasuxebSi kontracepciis saswavlo kursis dawyebisaTvis saukeTeso asakTan dakavS-


saboloo angariSi

irebiT. am TemasTan mimarTebaSic konservatiuloba gamovlinda igive regionebSi, romlebic zemoTaa aRniSnuli... konservatiuli azrebi sWarbobda sxva TemebTan dakavSirebiTac. respondentebis mxolod 8% miiCnevda, rom sqesobrivi gziT gadamdebi daavadebebis Tema skolaSi unda ganixilebodes 13 wlis an ufro adreul asakSi; danarCeni pasuxebi TiTqmis Tanabrad gaiyo 14-15 wlisa da 16 an meti wlis asakebs Soris, 44% da 48% TiToeuli. rac Seexeba regionebs, respondentebis naxevarze meti Sida qarTlidan, samcxe-javaxeTidan, aWaridan da mcxeTa-mTianeTidan sqesobrivi gziT gadamdebi infeqciebis kursis skolaSi danergvas mxars uWerda 16 an meti wlis asakidan. aRniSnul sam TemasTan dakavSirebuli tendenciebi mocemulia suraTze 14.1.2, sadac Sedarebulia respondentTa pasuxebi 1999, 2005 da 2010 wlebSi skolebSi ojaxuri cxovrebis swavlebis kursis dawyebisaTvis saukeTeso asakis Sesaxeb. 2010 wels gaizarda proporcia qalebisa, romlebic Tvlidnen, rom swavleba Temaze, “rogor xdeba daorsuleba”, unda daiwyos ufro gvian asakSi, vidre wina ori kvlevisas (diagramis zeda segmentebi suraTze 14.1.2). samive wels respondentebis umetesobam daasaxela 1415, rogorc am Temis swavlebisaTvis saukeTeso asaki, Tumca 2010 wels respondentebis mxolod naxevarze odnav metma gasca aseTi pasuxi, maSin roca 1999 2005 wlebSi - respondentebis 80%-ma.. msgavsi cvlilebebi vlindeba suraTzec 14.1.2 kontracepciisa da sqesobrivi gziT gadamdebi infeqciebis saswavlo kursebTan dakavSirebiT. yvela es cvlileba, zogierT im cvlilebasTan erTad, romlebic zemoT iyo aRwerili, ufro konservatiuli mimarTulebisaa.

14.2 sqesobrivi ganaTlebis sakiTxebis ganxilva mSoblebTan ojaxSi miRebul sqesobriv ganaTlebaze FsuraTi 14.2.1 procenti

informaciis gamosavlenad 15-24 wlis asakis yvela respondents ekiTxebodnen, 18 wlis asakis miRwevamde Tu usaubriaT maT mSobelTan iseT Temebze, rogorcaa menstrualuri cikli, rogor xdeba daorsuleba, kontracepciis meTodebi, aiv/Sidsi da sxva sqesobrivi gziT gadamdebi infeqciebi. monacemebi 15-17 wlis asakis gogonebze “Sekvecilia”, radgan isini jer ar iyvnen 18 wlis, ase rom am jgufis maCveneblebi miCneul unda iqnas rogorc minimalurad Sefasebuli. axalgazrda respondentTa sam meoTxedze odnav mets (77%) ganuxilavs mSobelTan sqesobrivi ganaTlebis sul cota erTi Tema mainc (ix. cxrili 14.2). yvelaze maRali procentuli maCveneblebi gamovlenil iqna qalaqebSi, maT Soris TbilisSi, uSvilo qalebSi, universitet/aspirantura damTavrebul qalebSi, umaRlesi socialur-ekonomikuri statusis mqone jgufSi, sqesobrivi gamocdilebis ar mqone qalebSi da, rac yvelaze sainteresoa, qalebSi, romlebic religiur msaxurebaSi yovelTviurad monawileoben. aRsaniSnavia, rom miuxedavad “Sekvecis” efeqtisa, yvelaze axalgazrda asakis (15-17) respodentebSi, ufro maRali procentuli maCveneblebi gamovlinda, vidre or momdevno asakobriv jgufSi, rac albaT, socialuri cvlilebebis momaswavebelia mozardebTan ufro Ria dialogis TvalsazrisiT. . rodesac mSoblebTan ganixileboda ojaxuri cxovrebis saganmanaTleblo sakiTxebi, , diskusiebi ufro metad menstrualur cikls exeboda (75%) da gacilebiT naklebad iseT Temebs, rogoricaa, Tu rogor xdeba daorsuleba (15%), aiv/Sidsi (7%), sxva sqesobrivi gziT gadamdebi infeqciebi (4%), an ojaxis dagegmva (2%). ze naxseneb asakobriv jgufs saubrebi hqonda menstrualur ciklze, gaTxovebamde seqsis ar qonasTan da aiv/SidsTan dakavSirebiT, roca 20-24 wlis asakobrivma jgufma ganacxada, rom naklebad ganixilavdnen am Temebs mSobelTan.

ojaxur cxovrebasTan dakavSirebuli ganaTlebis sakiTxebze saubari mSobelTan 18 wlis asakamde, 15-24 wlis qalebs Soris

100

1999 80

80 60

2005 75

2010

59

40 19

20 0

2 menstrualuri cikli

13

17 15 5

2

kontracepcia

orsuloba

8

7

aiv/Sidsi

3

2

4

sxva sggd

285


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

im qalTa SerCeuli maxasiaTeblebi, romlebsac miuRiaT FsuraTi 14.3.1 ganaTleba ojaxur cxovrebaze skolaSi 18 wlis asakamde, sacxovrebeli adgilis, bavSvebis raodenobis da procenti socialur-ekonomikuri mdgomareobis mixedviT 100 80 60

57 50

48

44

41

40

38

35

31

47

45

20 0

qalaqSi

soflad

0

sacxovrebeli adgili

FsuraTi 14.3.2

1

2+

yvelaze dabali

saSualo

yvelaze maRali

social.-ekonomikuri mdgomareoba

bavSvebis raodenoba

proporcia qalebisa, romelTac 18 wlis asakamde skolaSi gauvliaT swavleba ojaxuri ganaTlebis konkretul sakiTxebze 1999, 2005 da 2010 wlebSi

100

1999 2005

80

2010

60 40

32 25 17

20 5 0

3

aiv-Sidsi

11 3

2 sxva sggd

aiv infeqcia/Sidsis ganxilva mSoblebTan gansxvavdeboda sxvadasxva qvejgufebSi da Yufro maRali iyo TbilisSi (15%) da mcxeTa-mTianeTSi mcxovrebTa Soris (13%), maRali socialur-ekonomikuri statusis mqone qalebSi (12%), 15-17 wlis axalgazrdebSi da yovelTviurad religiur msaxurebaSi monawile qalebSi. suraTze 14.2.1 Cans tendenciebi, romlebic uCveneben gansxvavebebs 1999, 2005 da 2010 wlebis kvlevebs Soris mSoblebTan am sakiTxebis ganxilvasTan dakavSirebiT. yvelaze didi gaumjobeseba iyo menstrualuri ciklis ganxilvis TvalsazrisiT, romlis maCvenebelic 1999 wlidan 2005 wlamde 21 punqtiT aiwia (59%-dan 80%-mde), xolo 2010 wels mxolod 75%-mde Semcirda. 2005 wlisaTvis kontracepciasTan dakavSirebiTac hqonda matebas adgili, , romelic 2010 wels gaqra. danarCen sam sakiTxTan mimarTebaSi SenarCunda sakmaod dabali done.

14.3 ojaxuri cxovrebis swavleba skolebSi saskolo sistema uzrunvelyofs garemos, sadac axalgazrdebs SeuZliaT isaubron informirebul mozrdil adamianebTan 286

1

2

20

3

kontracepcia

orsuloba

iseT sakiTxebze, romlebic mniSvnelovania maTi reproduqciuli ganviTarebisTvis. es aris dawesebuleba, romelTanac axalgazrdebis umetesobaa dakavSirebuli da igi sqesobrivi janmrTelobis Temaze Tanmimdevruli da zusti informaciis gavrcelebis SesaniSnav SesaZleblobas iZleva. iRebdnen Tu ara 15-24 wlis axalgazrdebi formalur an araformalur sqesobriv ganaTlebas skolaSi 18 wlis asakamde â&#x20AC;&#x201C; aris erT-erTi sakiTxi, romelic 2010 wlis kvlevisas iyo ganxiluli. kiTxvebi exeboda reproduqciul jamrTelobasTan dakavSirebul konkretul Temebs, rogorcaa, magaliTad, qalis da kacis reproduqciuli biologia, menstrualuri cikli, rogor xdeba daorsuleba, kontracepciuli meTodebi da sqesobrivi gziT gadamdebi infeqciebi, maT Soris aiv infeqcia/Sidsi. iseve rogorc monacemebi, 15-17 wlis asakis gogonebis mSoblebTan ojaxuri cxovrebis swavlebis ganxilvis Sesaxeb,, monacemebi skolaSi sqesobriv ganaTlebasTan dakavSirebiT Sekvecilia, radganac es respondentebi jer ar iyvnen 18 wlis. aqedan gamomdinare, am jgufTan dakavSirebuli Sedegebi SeiZleba miCneul iyos mxolod minimalur Sefasebad. axalgazrda qalebis mxolod 46%-s hqon-


saboloo angariSi

FsuraTi 14.4

sqesobriv sakiTxebze informaciis yvelaze mniSvnelovani wyaro 15-24 wlis qalebSi, 2010 weli 9 5

megobrebi 32

9

deda/mama radio/TV maswavlebeli

10

wignebi eqimebi sxva

12 23

da Catarebuli sul cota erTi saskolo kursi, romelic sqesobrivi ganaTlebis Tematikas exeboda (cxrili 14.3). qalaqad mcxovreb respondentebs ufro didi albaTobiT hqondaT gavlili aseTi kursebi, vidre soflad mcxovrebT (50% da 41% Sesabamisad) (suraTi 14.3.1). procentuli maCveneblebi didad gansxvavdeboda regionebs Sorisac: 31%-dan aWaraSi, 55%-mde mcxeTamTianeTSi. sqesobrivi ganaTlebis prevalentoba skolaSi pirdapir SesabamisabaSi iyo respondentis socialur-ekonomikur statusTan: dabali socialur-ekonomikuri statusis mxolod 35%-ma aRiara, rom miuRiaT raime sqesobrivi ganaTleba skolaSi, gansxvavebiT saSualo SeZlebis mqone respondentTa 45%-s da maRali SeZlebis mqone qalTa 57%-sagan. eTnikuri warmomavlobac iyo faqtori: rodesac qarTuli da somxuri eTnikuri jgufebis respondentTaTvis maCveneblebi Seadgenda 48% da 49%, azerbaijanuli warmomavlobis mxolod 18%-s hqonda miRebuli raime saxis sqesobrivi ganaTleba skolaSi. rac Seexeba Temebs, axalgazrda qalebs ufro didi albaTobiT hqondaT miRebuli ganaTleba qalis (41%) da mamakacis (38%) reproduqciul biologiaze, menstrualur ciklze (28%), orsulebaze (20%) da aiv-infeqcia/Sidsze (20%), vidre sxva sqesobrivi gziT gadamdeb infeqciebze (3%) an kontracepciaze (3%). nebismier sakiTxTan dakavSirebiT, ufro met qalaqel axalgazrdas hqonda gavlili saskolo kursi, vidre soflad mcxovrebs. sainteresoa, rom kvlevisas ganxiluli sqesobrivi ganaTlebis nebismier TemasTan dakavSirebiT sqesobrivad gamoucdeli qalebis ufro did nawils hqonda gavlili sqesobrivi swavleba vidre maT sqesobrivad gamocdil kolegebs, romlebic zogadad ufro asakovani arian. savaraudod, bolo dros aseTi kursebi ufro Cveulebrivi movlena gaxda skolebSi, 15-17 wlis respondentebi, romlebmac miuTiTes, rom sqesobriv Tematikaze ufro meti smeniaT, agreTve

dominireben sqesobrivad gamoucdeli qalebis jgufze. skolaSi miRebuli informaciiT SeiZleba aixsnas is faqtic, rom yvelaze axalgazrda qalebi ufro xSirad Sedian diskusiaSi TavianT mSoblebTan, rac zemoT moyvanili monacemebiT dasturdeba. 1999-2010 wlis tendenciebi faqtiurad uCvenebs skolaSi aiv-infeqcia/Sidsze miRebuli iformaciis mniSvnelovan zrdas (5%-dan 1999 wels da 3%-dan 2005 wels 17%mde 2010 wels) da kontracepciis sakiTxis swavlebis umniSvnelo matebas (1%-dan 1999 wels da 2%-dan 2005 wels 3%-mde 2010 wels). Tumca, â&#x20AC;&#x153;rogor xdeba daorsuleba -â&#x20AC;? am sakiTxis swavleba skolebSi Semcirda (32%-dan 1999 wels 25%-dan 2005 wels 20%-mde 2010 wels).

14.4 informaciis wyaro sqesobrivi cxovrebis Sesaxeb 15-24 wlis asakis gogonebs sqesobriv sakiTxebze maTi informaciis ZiriTadi wyaros gamosavlenad ekiTxebodnen, Tu vin/ ra iyo informaciis mTavari wyaro maTTvis seqsTan dakavSirebul Temebze. yvelaze xSirad isini asaxelebdnen megobrebs (32%) (cxrili 14.4. da suraTi 14.4), xolo yoveli oTxidan TiTqmis erTma miuTiTa mSobeli (23%), rogorc informaciis ZiriTadi wyaro. 12%-ma aRniSna, rom radio da televizia iyo yvelaze mniSvnelovani wyaro. zemoT moyvanil diskusiebTan dakavSirebiT maswavleblebi gansakuTrebul yuradRebas imsaxureben. isini dasaxeldnen mesame adgilze (10%), rogorc informaciis ZiriTadi wyaro (megobrebisa da mSoblebis Semdeg), proporcia gansakuTrebiT maRali iyo yvelaze axalgazrda, 15-17 wlis asakis qalebisaTvis (15%). es maCvenebeli agreTve maRali iyo yvelaze dabali social-ekonomikuri statusis mqone (16%) da somexi qalebisaTvis (13%). sacxovrebeli adgilis mixedviT igi didad ar gansxvavdeboda. Tumca zogierT regionSi maRali procentuli maCvenebeli gamovlinda: samegrelo 13%, 287


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

imereTi 13% da raWa-svaneTi 17%. dasaxelebuli informaciis wyaroebi didad ar gansxvavdeboda sacxovrebeli adgilis mixedviT, garda imisa, rom radios da televizias ufro xSirad soflad mcxovrebni axsenebdnen. informaciis ZiriTad wyarod megobrebis dasaxelebis mxriv regionebi mniSvnelovnad gansxvavdeboda erTmaneTisagan da xvedriTi wili yvelaze maRali iyo kaxeTSi (43%), samegreloSi (39%) da agreTve Sida qarTlsa (35%) da samcxe-javxeTSi (35%) mcxovreb respondentTa Soris. yvela am Sedegis ganxilvisas unda gvaxsovdes, rom isini exeba qalisaTvis yvelaze ufro mniSvnelovani informaciis wyaros. mozardebis umetesoba mravali sxvadasxva wyaros zemoqmedebas ganicdis, magram misi Seswavla gansxvavebuli da ufro rTuli analizis Catarebas saWiroebs .

14.5 fertilobisa da kontracepciis Sesaxeb informirebulobis done swori codna qalis menstrualur ciklSi yvelaze fertiluri periodis Sesaxeb gadamwyvet rols asrulebs daucveli sqesobrivi kavSiris dros wyvilis mier daorsulebis riskis Sefasebis TvalsazrisiT. Catarebuli kvlvis dros Aam kuTxiT miRebuli informacia mniSvnelovania im programebisaTvis, romlebic mimarTulia arasasurveli orsulobis prevenciisaken. amitom es kvleva Seicavda specialuri kiTxvebis mTel jgufs da Sedegebi dakavSirebuli iyo skolaSi an mSoblebisagan miRebul sqesobriv ganaTlebasTan. 15-24 wlis respondentebi pasuxobdnen kiTxvebze: 1) menstrualuri ciklis romel periodSia Casaxvis albaToba yvelaze maRali; 2) ra gavlenas axdens ZuZuTi kveba daorsulebis riskze: zrdis, amcirebs Tu saerTod ar axdens gavlenas; da 3) SesaZlebelia Tu ara daorsuleba pirveli sqesobrivi kavSiris dros. cxrilSi 14.5 mocemuli pasuxebi dayofilia or kategoriad imis mixedviT, aRniSnuli sakiTxebis Sesaxeb respondentebi esaubrebodnen mSoblebs Tu swavlobdnen skolaSi. gogonaTa mxolod meoTxedma miuTiTa sworad qalis menstrualuri ciklis yvelaze fertiluri monakveTi (ciklis Sua periodi). respondentebis daaxloebiT naxevarma (52%) upasuxa “ar vici” da xvedriTi wili aseTi respodentebisa iyo TiTqmis Tanabari menstrualuri ciklis Sesaxeb mSoblebTan diskusiis mqoneTa (54^%) da skolaSi trenirebulTa Soris (52%). Tu mxedvelobaSi miviRebT rogorc “ar vici”, 288

aseve araswor pasuxebs, 79%-s orive jgufSi samwuxarod, hqonda swori pasuxebis deficiti. mokled rom vTqvaT, TiToeuli jgufis naxevarma ar icoda pasuxi da danarCeni respodentebis naxevarze metma ver gasca swori pasuxi. Tumca, tendeciebi asakobrivi jgufebis mixedviT sakmaod Semagulianebelia, radgan swori pasuxebis maCveneblebi gaizarda 4%-dan 16%-mde da 31%-mde sami asakobrivi jgufisaTvis: 15-17, 18-19 da 2024, rogorc es naCvenebia cxrilSi 14.5. Sesabamisad Semcirda xvedriTi wili qalebisa, romlebmac ar icodnen yvelaze fertiluri periodis Sesaxeb. rac Seexeba meore kiTxvas, axalgazrda respondentebis mxolod 38%-ma icoda, rom ZuZuTi kveba amcirebs daorsulebis SesaZleblobas. swori pasuxi ufro metad gasces im respodentebma, romelTac mSoblisagan miRebuli hqondaT informacia daorsulebis Sesaxeb (44% da 37%) da maT, romlebmac skolaSi gaiares aRniSnuli sakiTxebi (45% da 37%). Pprocentulad sakmaod bevrma miuTiTa, rom maT ar icodnen aRniSnuli sakiTxis Sesaxeb, magram es monacemebi ufro dabali iyo im jgufebSi, romlebsac miRebuli hqondaT informacia. Tumca araeqspozirebulebTan SedarebiT, informaciiT eqspozirebul respondentTa ufro metma procentma upasuxa, rom ZuZuTi kvebas fertilobaze “aranairi gavlena ara aqvs” da kidev erTxel, asakobrivi jgufebis maxasiaTeblebi odnav damaimedebelia: swori pasuxebis procentuli maCvenebeli gaizarda 16%-dan 30%-mde da 54%-mde 14.5 cxrilSi mocemul sam asakobriv jgufSi, xolo ar mcodneTa proporcia Semcirda. da bolos, rac Seexeba mesame kiTxvas, axalgazrda qalebis didi umravlesobisTvis cnobili iyo, rom SesaZlebelia daorsuleba pirveli sqesobrivi kavSiris dros. mSobelTan orsulobaze diskusiis qonam procentuli maCvenebeli gazarda 82%-mde (hqonda diskusia) 71%-dan (ar hqonia diskusia), 11 punqtiani gaumjobesebiT. Tumca gansxvaveba naklebad mniSvnelovani iyo im respondentebisaTvis, romlebmac codna skolaSi miiRes, 74% da 73% Sesabamisad. codna izrdeboda asakTan erTad: 15-17 wlis asakis respondentTa 56%-s 18-19 wlis asakis ,73%-s da 20-24 wlis asakis 82%-s hqonda swori pasuxi.


saboloo angariSi

ცხრილი14.1.1. 15-44 წლის ქალების პროცენტი, რომლებიც ეთანხმებიან აზრს, cxrili 14.1.1 15-44 wlis qalebis procentuli maCvenebeli, romlebic eTanxmebian azrs, rom რომ სქესობრივი განათლების საკითხები უნდა ისწავლებოდეს sqesobrivi ganaTlebis zogierTi sakiTxi unda iswavlebodes skolaSi სკოლაში რეპროდუქციული ჯანმრთელობის კვლევა,, საქართველო2010 reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 ოჯახურ ცხოვრებაზე განათლების საკითხები ოჯახურ ცხოვრებაზე განათლების ნებისმიერი საკითხი 79.5

შემთხვევათა რაოდენობა

როგორ ხდება დაფეხმძიმება

სქესობრივი გზით გადამდები დაავადებები

კონტრაცეპცია

79.5

77.6

76.4

6,292

83.1 75.5

83.1 75.5

81.6 73.1

80.9 71.3

2,975 3,317

72.9 81.8 85.0 71.9 82.5 72.8 71.6 86.4 83.6 78.1 76.7

72.9 81.8 85.0 71.9 82.3 72.8 71.6 86.4 83.6 78.1 76.7

69.8 80.6 84.8 68.1 78.7 72.6 71.2 82.9 81.8 76.6 75.0

66.3 80.0 82.6 66.7 77.6 72.6 69.2 81.2 80.9 74.7 73.5

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

81.1 79.6 77.6

81.1 79.5 77.6

78.6 78.0 76.0

77.5 77.1 74.3

1,960 2,359 1,973

82.0 82.4 77.7 69.6

82.0 82.4 77.7 69.6

79.5 80.3 76.6 68.4

78.3 79.2 75.4 66.3

2,276 1,286 2,069 661

70.8 74.7 84.9 85.8

70.8 74.7 84.9 85.8

68.1 72.1 83.4 84.6

66.8 70.9 80.9 83.9

1,330 1,568 903 2,491

yvelaze dabali meore saSualo meoTxe yvelaze maRali eTnikuri warmomavloba

67.4 77.5 79.7 84.9 84.0

67.4 77.5 79.7 84.9 84.0

65.8 74.0 77.8 83.6 82.6

63.4 72.9 76.4 82.2 82.2

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

qarTveli azerbaijaneli სომეხი სხვა დასაქმება მუშაობს არ მუშაობს

81.8 49.7 74.0 75.4

81.8 49.7 74.0 75.4

80.2 46.1 68.8 73.9

78.9 45.8 66.9 73.7

5,488 276 364 164

86.1 77.3

86.1 77.3

84.5 75.8

84.1 74.3

1,410 4,882

მახასიათებელი

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemoqarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa-mTianeTi raWa svaneTi ასაკობრივი ჯგუფი 15–24 25–34 35–44 ცოცხალი შვილები 0 1 2 3 ან მეტი ganaTlebis done saSualo arasruli an naklebi saSualo sruli teqnikumi universiteti/aspirant socio-ekonomikuri statusi

289


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 14.1.2 saukeTeso asaki ojaxuriასაკი cxovrebis swavlebis dawyebisTvis ცხრილი 14.1.2 აღქმული საუკეთესო განათლებისათვის თემებზე: როგორ iseT sakiTxebze, rogoricaa kontracepciuli saSualebebi da “rogor xdeba dafexmZimeba”ხდება დაორსულება და კონტრაცეპციული მეთოდები, 15-44 წლის ქალებში 15-44 wlis qalebi, romelic eTanxmebian sqesobriv ganaTlebas skolebSi რომლებიც ეთანხმებიან სქესობრივი ცხოვრების სწავლებას სკოლაში reproduqciulijanmrTelobiskvleva, saqarTvelo, 2010 რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო 2010

მახასიათებელი

სულ

საუკ. ასაკი, როცა უნდა დაიწყოს სწავლება, თუ "როგორ ხდება დაორსულება"

სულ

≤13

14–15

16+

12.2

52.7

35.0

100.0

13.1 11.2

52.8 52.7

34.1 36.1

16.9 15.1 8.8 15.1 6.4 3.2 15.9 12.6 11.2 10.9 13.7

53.8 53.9 49.7 55.9 50.8 39.0 58.1 57.2 55.4 47.2 58.6

12.3 12.2 12.1

საუკ. ასაკი, როცა უნდა დაიწყოს სწავლება შემთხვე ვათა# კონტრაცეპციის საკითხებზე

სულ

შემთხვევ ათა #

≤13

14–15

16+

4,982

7.9

44.3

47.8

100.0

4,796

100.0 100.0

2,466 2,516

7.7 8.0

44.7 43.8

47.5 48.2

100.0 100.0

2,405 2,391

29.3 31.0 41.5 29.0 42.8 57.8 26.0 30.2 33.3 41.8 27.8

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

360 1,172 335 385 403 304 280 417 670 305 351

11.5 8.8 6.7 13.3 4.4 1.0 9.2 6.6 7.5 6.9 12.6

43.2 44.8 36.8 50.1 37.2 33.5 42.5 50.5 50.2 39.2 45.7

45.3 46.4 56.6 36.6 58.4 65.5 48.3 42.9 42.3 53.9 41.8

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

330 1,153 324 362 382 303 271 393 651 291 336

55.7 51.4 50.4

32.0 36.4 37.4

100.0 100.0 100.0

1,577 1,862 1,543

8.3 6.9 8.4

47.6 43.1 41.5

44.1 50.0 50.1

100.0 100.0 100.0

1,516 1,796 1,484

12.0 14.3 11.4 11.4

55.9 51.3 50.6 48.0

32.1 34.3 38.1 40.6

100.0 100.0 100.0 100.0

1,858 1,043 1,613 468

8.0 8.7 7.0 8.3

47.0 43.5 42.5 39.5

45.0 47.8 50.5 52.3

100.0 100.0 100.0 100.0

1,783 1,001 1,563 449

11.7 11.4 11.6 13.2

53.5 52.9 46.6 54.4

34.8 35.8 41.8 32.5

100.0 100.0 100.0 100.0

924 1,178 757 2,123

9.1 8.5 6.1 7.5

45.5 43.2 41.1 45.4

45.4 48.2 52.7 47.1

100.0 100.0 100.0 100.0

873 1,126 726 2,071

12.8 10.2 12.6 11.4 13.7

51.1 49.7 54.5 51.9 54.8

36.0 40.1 32.9 36.7 31.5

100.0 100.0 100.0 100.0 100.0

760 1,071 1,132 869 1,150

8.1 8.1 8.2 6.6 8.2

43.7 40.7 46.5 41.3 47.5

48.2 51.2 45.2 52.1 44.3

100.0 100.0 100.0 100.0 100.0

716 1,018 1,092 842 1,128

11.8 28.2 6.6 17.0

53.5 48.3 49.4 38.5

34.7 23.5 44.0 44.5

100.0 100.0 100.0 100.0

4,449 130 277 126

7.1 27.7 5.2 14.2

45.3 44.0 34.5 30.0

47.6 28.3 60.2 55.8

100.0 100.0 100.0 100.0

4,297 121 256 122

საცხოვრებელი ადგ. ქალაქი სოფელი რეგიონი კახეთი თბილისი შიდა ქართლი ქვემო ქართლი სამცხე ჯავახეთი აჭარა გურია სამეგრელო იმერეთი მცხეთა მთიანეთი რაჭა სვანეთი ასაკობრივი ჯგუფი 15–24 25–34 35–44 ცოცხალი შვილები 0 1 2 3 or more განათლების დონე საშუალო არასრული საშუალო სრული ტექნიკუმი უნივერსიტეტი/ასპირ. სოც. ეკონომ. სტატ. უმდაბლესი მეორე საშუალო მეოთხე უმაღლესი ეთნიკური წარმომავ. ქართველი აზერბაიჯანელი სომეხი სხვა

290


saboloo angariSi

ცხრილი 14.1.3. აღქმული საუკეთესო ასაკი ოჯახურ ცხოვრებაზე განათლებისათვის, cxrili 14.1.3 saukeTeso asaki ojaxuri ganaTlebis swavlebis dasawyebad sqesobrivi gziT სგგდ-ზე, 15-44 წლისim ქალები, რომლებიც სწავლება gadamdebi daavadebebis Sesaxeb 15-44 wlis qalebisდაეთანხმნენ mosazreba, romlebic სქესობრივ განათლებას სკოლაში eTanxmebian sqesobrivi ganaTlebas skolebSi რეპროდუქციული ჯანმრთელობის კვლევა,, საქართველო2010 reproduqciulijanmrTelobiskvleva, saqarTvelo, 2010 მახასიათებელი

საუკ. ასაკი სქესობრივად გზით გადამდები ინფექციების შესასწავლად. ≤13

სულ

14–15

სულ

შემთხვევათა #

16+

8.0

44.3

47.7

100.0

4,874

საცხოვრებელი ქალაქი სოფელი რეგიონი კახეთი თბილისი შიდა ქართლი ქვემო ქართლი

8.3 7.6

44.3 44.4

47.4 48.0

100.0 100.0

2,424 2,450

11.8 9.4 7.0 13.2

46.3 43.8 37.9 50.9

42.0 46.8 55.1 35.8

100.0 100.0 100.0 100.0

347 1,158 334 368

სამცხე ჯავახეთი აჭარა გურია სამეგრელო იმერეთი

4.3 1.0 10.7 5.5 7.4

35.5 34.7 43.5 49.3 49.8

60.2 64.3 45.8 45.2 42.8

100.0 100.0 100.0 100.0 100.0

388 303 278 400 657

6.5 11.6

39.5 45.0

54.1 43.4

100.0 100.0

299 342

8.1 7.4 8.5

48.3 42.4 41.4

43.6 50.2 50.1

100.0 100.0 100.0

1,536 1,827 1,511

7.8 9.5 6.9 8.8

46.9 43.8 42.1 40.7

45.3 46.7 51.0 50.5

100.0 100.0 100.0 100.0

1,812 1,016 1,584 462

8.8 8.1 6.7

45.8 43.3 40.8

45.4 48.6 52.5

100.0 100.0 100.0

897 1,139 745

7.9

45.3

46.7

100.0

2,093

7.6 8.3 8.3 6.3 8.9

43.7 40.2 47.3 41.4 47.2

48.7 51.5 44.4 52.3 43.9

100.0 100.0 100.0 100.0 100.0

744 1,035 1,107 856 1,132

7.3 28.0 5.1 14.1

45.2 43.8 33.7 32.8

47.5 28.2 61.2 53.1

100.0 100.0 100.0 100.0

4,367 122 262 123

მცხეთა მთიანეთი რაჭა სვანეთი ასაკ. ჯგუფი 15–24 25–34 35–44 ცოცხ. შვილები 0 1 2 3 or more განათლ დონე საშუალო არასრული საშუალო სრული ტექნიკუმი უნივერსიტეტი/ა სპირ. სოციოეკონ სტ. უმდაბლესი მეორე საშუალო მეოთხე უმაღლესი ეთნიკური ქართველი აზერბაიჯანელი სომეხი სხვა

291


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 14.2. პროპორცია 15-44 წლის ქალებისა, რომელთაც განუხილავთ ოჯახური cxrili 14.2 15-24 wlis axalgazrda qalTa procentuli maCvenebeli, romelTac 18 wlamde ცხოვრების შერჩეული განათლების საკითხები მშობელთან usaubriaT mSobelTan ojaxuri ganaTlebis zogierT Temaze18 წლამდე რეპროდუქციული ჯანმრთელობის კვლევა,, საქართველო2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 Family Life Education Topic მახასიათებელი

სულ საცხოვრებელი ადგ. ქალაქი სოფელი რეგიონი კახეთი თბილისი შიდა ქართლი ქვემო ქართლი სამცხე ჯავახეთი აჭარა გურია სამეგრელო იმერეთი მცხეთა მთიანეთი რაჭა სვანეთი ასაკობრივი ჯგუფი 15–17 18–19 20–24 ცოცხალი შხილები 0 1 2 or more განათლების დონე საშუალო არასრული საშუალო სრული ტექნიკუმი უნივერსიტეტ/ასპირანტ სოციო-ეკონომ. სტატ. ყველაზე დაბალი მეორე საშუალო მეოთხე უმაღლესი ეთნიკური წარომავლ. ქართველი აზერბაიჯანელი სომეხი სხვა სქესობრივად გამოც. არა კი რელიგიის მიმდევარი ყოველთვიური თვეზე ნაკლები მხოლოდ რელ. დღესასწ არასოდეს

292

მენსტრულ არავითარი როგორ კონტრაცეპც ნებისმიერ აური სექსი ხდება აივ შიდსი იულიმეთო Other STIs ი საკითხი ციკლი ქორწინება "დაორსუ დები 76.8

74.9

16.6

14.9

79.9 73.3

78.0 71.4

18.1 14.9

18.3 10.9

69.5 80.2 78.2 71.7 76.5 79.2 89.5 82.5 72.0 77.6 71.3

69.5 78.9 73.9 70.2 76.5 74.3 89.5 77.2 71.4 76.0 67.4

12.2 19.0 20.7 11.3 11.6 25.2 9.2 20.4 13.3 11.5 14.0

80.3 78.6 74.2

78.5 77.8 71.8

78.0 74.7 68.6

No. of Cases

2.0

3.7

1,960

9.9 4.1

2.6 1.4

4.9 2.4

937 1,023

8.5 19.8 17.6 11.3 11.2 23.3 8.5 12.1 10.8 9.8 6.2

6.9 14.6 1.6 6.4 2.2 4.0 7.8 2.9 2.5 13.1 2.8

0.8 3.9 0.0 0.8 2.2 2.5 2.6 1.5 0.6 4.4 2.2

2.4 7.2 0.5 3.4 1.1 4.0 2.6 0.0 2.0 8.7 0.0

163 451 133 181 171 131 104 139 251 121 115

15.8 19.2 16.0

12.1 17.4 15.3

11.1 7.8 4.9

2.0 1.8 2.1

4.9 3.6 3.1

481 380 1,099

76.6 71.1 65.6

16.0 19.6 15.8

14.5 17.2 13.7

8.3 4.1 3.2

2.0 2.3 1.1

4.2 2.8 1.1

1,379 396 185

72.7 77.5 75.0 81.7

70.9 75.7 70.2 80.4

14.0 17.4 16.8 18.9

10.1 17.3 9.9 19.5

9.1 5.5 3.3 7.9

1.6 1.6 0.6 3.3

4.1 2.5 1.2 5.3

651 604 165 540

68.8 72.7 76.1 78.7 83.6

65.9 70.3 75.0 77.6 81.4

10.8 14.4 17.3 18.3 19.6

10.6 9.4 10.8 21.6 19.8

2.7 4.7 3.6 11.1 11.8

0.7 1.6 1.6 3.0 2.7

0.6 2.5 2.5 5.9 5.6

327 448 433 336 416

78.9 57.1 71.1 61.4

76.9 56.3 69.1 59.9

17.1 9.3 15.1 19.5

15.5 6.1 10.8 23.1

7.8 2.1 6.3 0.0

2.1 0.0 3.0 1.8

3.9 0.0 4.7 3.4

1,688 92 135 45

78.7 72.9

77.4 69.7

16.0 18.0

13.4 17.8

8.5 4.6

1.8 2.5

4.0 3.1

1,188 772

80.3 74.2 76.5 61.5

78.2 73.2 74.8 58.5

17.9 12.0 16.9 14.9

16.1 14.5 14.3 10.3

9.9 7.7 5.0 0.5

2.9 1.4 1.4 0.6

5.0 3.8 2.6 1.1

882 248 673 157


saboloo angariSi

cxrili 14.3 15-2415-24 wlis axalgazrda qalTa procentuli maCvenebeli, romelTac skolaSi ცხრილი 14.3 წლის ახალგაზრდა ქალების პროპორცია, რომლებმაც შეისწავლეს gaiares ojaxuri cxovrebis swavlebis kursi 18 wlamde ოჯახური ცხოვრების შესახებ განათლებასთან დაკავშირებული საკითხები 18 წლამდე reproduqciulijanmrTelobiskvleva, saqarTvelo, რეპროდუქციული ჯანმრთელობის კვლევა,, საქართველო2010 2010 ოჯახურ ცხოვრებაზე განათლების საკითხი მახასიათებელი

სულ საცხოვრებელი ადგ. ქალაქი სოფელი რეგიონი კახეთი თბილისი შიდა ქართლი ქვემო ქართლი სამცხე ჯავახეთი აჭარა გურია სამეგრელო იმერეთი მცხეთა მთიანეთი რაჭა სვანეთი ასაკობრივი ჯგუფი 15–17 18–19 20–24 ცოცხალი შხილები 0 1 2 or more განათლების დონე საშუალო არასრული საშუალო სრული ტექნიკუმი უნივერსიტეტ/ასპირანტ სოციო-ეკონომ. სტატ. ყველაზე დაბალი მეორე საშუალო მეოთხე უმაღლესი ეთნიკური წარომავლ. ქართველი აზერბაიჯანელი სომეხი სხვა სქესობრივად გამოც. არა კი რელიგიის მიმდევარი ყოველთვიური თვეზე ნაკლები მხოლოდ რელ. დღესასწ არასოდეს

ქალის კაცის მენსტრუა როგორ ნებისმიერი სხვა სგგი რეპროდ.ბი რეპროდ. ლური ხდება საკითხი ციკლი დაორსულე ოლოგია ბიოლოგია

აივ შიდსი

კონტრაცეპც No. of Cases ია.

45.7

40.5

38.1

28.1

19.6

3.1

16.6

2.7

1,960

49.9 40.8

42.6 38.1

39.5 36.6

32.2 23.4

21.0 18.0

4.4 1.6

20.6 12.0

3.5 1.7

937 1,023

47.6 54.7 43.6 37.4 44.0 30.7 33.3 42.7 47.9 55.2 33.7

45.5 45.7 39.9 32.8 37.3 29.2 32.0 37.4 44.2 48.6 32.6

45.5 42.9 37.2 29.8 35.4 27.2 31.4 32.5 43.3 41.5 32.6

26.8 35.8 20.7 26.8 24.3 22.3 20.3 18.9 29.7 31.1 27.5

18.7 23.2 16.0 16.2 11.6 22.3 17.6 18.4 19.5 21.3 18.5

2.4 4.3 2.1 5.3 1.5 2.5 2.0 1.9 2.0 2.2 2.2

12.6 21.1 14.4 15.5 10.8 7.4 14.4 16.0 22.7 13.1 8.4

1.2 3.5 0.5 3.0 1.1 5.0 2.0 1.5 3.1 0.0 0.6

163 451 133 181 171 131 104 139 251 121 115

50.1 46.3 43.1

45.0 39.4 38.5

42.2 37.8 36.0

30.6 25.0 28.0

21.2 19.7 18.7

3.8 2.7 2.9

21.3 18.5 13.3

2.7 2.1 2.8

481 380 1,099

47.5 43.7 30.9

41.9 38.7 29.6

39.6 36.7 25.6

29.3 26.4 19.2

20.0 20.4 13.0

3.3 2.6 8.1

18.3 12.5 2.3

2.8 2.5 1.7

1,379 396 185

41.1 48.1 50.3 47.6

37.0 41.9 49.7 40.7

34.8 39.8 46.2 38.2

24.2 28.4 28.0 32.7

18.5 17.1 25.2 22.2

3.0 2.3 3.8 3.8

15.5 18.9 9.8 17.5

2.3 1.9 5.0 3.3

651 604 165 540

34.8 38.1 45.3 46.5 57.4

32.6 35.0 42.2 38.6 49.3

29.9 34.3 39.9 37.0 45.1

20.1 22.4 22.6 31.9 38.6

18.3 14.6 19.2 19.4 24.8

1.0 1.0 2.5 3.8 5.8

10.2 11.6 13.3 19.4 24.7

2.3 1.1 2.0 3.0 4.3

327 448 433 336 416

47.9 17.6 48.7 24.0

42.3 17.6 42.9 22.5

39.9 17.6 40.8 16.5

29.2 11.7 30.7 18.7

20.5 13.1 14.9 14.7

3.5 0.0 0.6 1.5

18.4 2.1 9.7 3.5

2.9 0.0 3.0 0.0

1,688 92 135 45

48.4 40.1

42.7 35.9

40.5 33.2

30.1 23.9

20.2 18.4

3.4 2.4

19.1 11.4

2.9 2.2

1,188 772

52.1 52.7 38.2 29.7

45.2 45.1 35.3 27.8

42.4 43.5 32.8 27.4

33.0 28.2 23.5 18.7

22.0 18.5 16.8 19.3

4.2 1.6 2.5 1.6

23.2 17.1 10.9 1.9

3.5 1.8 2.2 0.6

882 248 673 157

293


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 14.4 14.4 sqesobrivi Sesaxeb informaciis mniSvnelovani wyaro, ცხრილი სქესობრივ sakiTxebis საკითხებზე ინფორმაციის ყველაზე უფრო yvelaze მნიშვნელოვანი წყარო 15-24 წლის 15-24 wlisშორის axalgazrda qalebs Soris SerCeuli ქალებს შერჩეული მახასიათებლების მიხედვით maxasiaTeblebis mixedviT რეპროდუქციულიjanmrTelobis ჯანმრთელობის კვლევა, საქართველო2010 reproduqciuli kvleva, saqarTvelo, 2010 ინფორმაციის ყველაზე უფრო მნიშვნელოვანი წყაროები მახასიათებელი

სულ საცხოვრებელი ადგ. ქალაქი სოფელი რეგიონი კახეთი თბილისი შიდა ქართლი ქვემო ქართლი სამცხე ჯავახეთი აჭარა გურია სამეგრელო იმერეთი მცხეთა მთიანეთი რაჭა სვანეთი ასაკობრივი ჯგუფი 15–17 18–19 20–24 ცოცხალი შხილები 0 1 2 ან მეტი განათლების დონე საშუალო არასრული საშუალო სრული ტექნიკუმი უნივერსიტეტ/ასპირანტ სოციო-ეკონომ, სტატ. ყველაზე დაბალი მეორე საშუალო მეოთხე უმაღლესი ეთნიკური წარმ. ქართველი აზერბაიჯანელი სომეხი სხვა სქესობრივად გამოც. არა კი რელიგიის მიმდევარ ყოველთვიური თვეზე ნაკლები მხოლოდ რელ. დღესასწ არასოდეს

294

წიგნები რადიო/ მასწავლ ბეჭდვი ტელევი ებელი თი ზია სიტყვა

პარტნი ორი, მეგობ ბიჭი

სულ

შემთხვევათა #

3.3

100.0

1,960

2.7 3.0

4.5 1.9

100.0 100.0

937 1,023

0.8 0.7 1.1 4.2 2.2 0.5 0.7 1.0 0.6 1.6 0.0

3.3 2.2 0.0 5.7 5.6 1.5 0.7 0.5 4.2 4.9 0.6

2.8 5.6 1.6 1.5 10.4 3.0 2.0 0.5 0.8 1.6 0.6

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

163 451 133 181 171 131 104 139 251 121 115

1.4 1.6 3.1

0.2 0.9 1.9

2.0 3.1 3.2

2.9 4.4 3.0

100.0 100.0 100.0

481 380 1,099

3.9 10.1 8.1

1.7 3.2 7.8

0.4 3.0 5.8

2.8 1.7 6.5

3.5 2.5 2.4

100.0 100.0 100.0

1,379 396 185

5.8 8.1 9.3 12.8

4.7 4.0 8.4 6.4

2.4 3.6 1.5 1.1

1.4 1.6 1.6 0.5

4.0 1.9 3.9 2.1

2.6 2.4 1.6 5.6

100.0 100.0 100.0 100.0

651 604 165 540

16.4 6.7 10.2 7.1 10.6

5.0 8.1 11.0 8.9 9.1

5.6 5.8 4.1 3.8 6.6

4.7 2.6 2.0 1.6 1.8

1.0 2.4 1.2 0.7 0.8

3.8 2.1 4.1 3.5 1.5

1.3 1.9 2.3 3.3 6.2

100.0 100.0 100.0 100.0 100.0

327 448 433 336 416

11.4 17.2 8.0 13.0

10.0 6.7 13.4 1.8

9.1 0.0 12.1 4.1

5.1 3.0 10.8 0.0

1.4 11.1 3.3 13.9

0.8 2.4 6.5 1.8

2.4 9.0 2.7 5.0

3.3 2.2 4.5 1.5

100.0 100.0 100.0 100.0

1,688 92 135 45

24.1 20.9

11.6 11.5

11.1 7.1

8.9 8.3

3.2 9.5

1.6 3.8

0.0 3.8

3.0 2.6

3.7 2.4

100.0 100.0

1,188 772

21.1 20.9 26.4 23.1

10.6 10.8 12.7 13.6

10.2 12.3 9.5 5.2

10.8 6.7 7.8 3.6

2.9 6.6 7.9 5.8

1.5 1.2 2.8 7.1

0.6 1.2 2.0 1.4

2.2 2.3 3.4 5.0

4.2 4.2 1.9 2.0

100.0 100.0 100.0 100.0

882 248 673 157

სხვა ექიმი ნათესავ მედდა ები

მეგობრე ბი

დედა მამა

31.9

23.1

11.6

9.8

8.7

5.2

2.3

1.2

2.9

31.1 32.8

24.2 21.8

9.9 13.4

9.7 10.0

9.4 8.0

5.5 4.9

1.8 2.9

1.2 1.3

42.7 33.0 35.1 24.5 34.7 25.2 24.8 38.8 28.0 31.7 29.2

15.0 22.7 18.1 23.4 14.2 41.6 34.0 20.4 22.1 21.3 24.2

13.4 10.1 13.3 13.2 7.1 11.4 17.6 14.6 10.2 12.0 14.6

5.3 10.7 11.7 9.1 11.9 4.0 1.3 12.6 13.3 8.7 17.4

7.7 8.1 10.6 6.8 8.6 3.0 11.1 5.3 16.7 6.0 9.0

2.4 5.1 6.4 6.4 4.1 9.9 6.5 4.9 3.1 8.2 0.0

6.5 1.9 2.1 5.3 1.1 0.0 1.3 1.5 0.8 3.8 4.5

30.8 30.8 32.9

25.8 27.1 19.9

11.9 9.7 12.1

14.7 9.7 7.3

7.0 7.8 10.0

3.2 4.8 6.5

32.8 31.0 23.8

23.7 21.4 19.5

11.6 11.5 11.7

10.7 7.2 6.6

8.8 8.5 7.7

31.2 36.3 29.2 28.6

24.0 23.4 19.6 22.4

12.4 9.2 12.7 12.8

11.4 9.4 12.2 7.7

30.9 30.4 36.2 32.3 29.8

19.9 23.4 19.1 28.4 23.7

11.5 16.6 9.8 10.3 9.9

32.6 29.6 22.8 34.3

23.8 18.9 15.8 24.7

32.8 30.0 35.8 33.9 25.6 33.2

არ ახსოვს

სხვა


saboloo angariSi

cxrili 14.5 ცხრილი14.5

15-24 wlis axalgazrda qalebis codna SerCeuli reproduqciuli janmrTelobis 15-24 wlis axalgazrda qalebis codna SerCeuli reproduqciuli janmrTelobis sakiTxebis Sesaxeb, iyo Tu ara ojaxuri ganaTlebis konkretuli sakiTxebi sakiTxebisa, iyo Tu ara ojaxuri ganaTlebis konkretuli sakiTxebi ganxiluli ganxiluli mSobelTan an skolaSi konkretuli sakiTxebis mixedviT mSobelTan an skolaSi konkretuli sakiTxebis mixedviT reproduqciuli janmrTelobis kvleva: saqarTvelo, 2010 reproduqciuli janmrTelobis kvlev, saqarTvelo 2010 ojaxuri cxovrebis ganaTlebaze xelmisawvdomoba

reproduqciuli janmrTelobis sakiTxi

gangvixilavs menstrualuri cikli mSobelTan

menstrua-luri ciklisas daorsulebis yvelaze savaraudo dro

sul

Sua periodi nebismieri dro Any time ar vici sul

asakobrivi jgufi

gangvixilavs menstrualuri cikli skolaSi

ki

ara

ki

ara

15–17 %

18–19 %

20–24 %

20.6 17.8 9.6 52.0

21.3 18.2 9.1 51.4

18.5 16.7 11.1 53.7

21.4 16.6 10.8 51.1

20.2 18.3 9.2 52.3

4.1 7.7 10.5 77.7

16.1 18.3 9.8 55.8

31.3 23.1 9.1 36.5

100.0 1,960

100.0 1,470

100.0 490

100.0 525

100.0 1,435

100.0 481

100.0 380

100.0 1,099

ZuZuTi kvebisas dafemZime-bis riski

Total

dabali riski ara-efeqtiani maRali riski ar vici sul SemTxvevaTa raodenoba

ganvixileT "rogor xdeba daorsuleba" mSobelTan

gvaswavles"rogor xdeba dafexmZimeba"skolaSi.

asakobrivi jgufi

ki

ara

ki

ara

15–17 %

18–19 %

20–24 %

38.4 15.8 0.6 45.2

44.0 21.2 0.5 34.2

37.4 14.8 0.6 47.1

44.8 17.7 0.4 37.1

36.9 15.3 0.6 47.2

16.1 13.1 0.0 70.8

29.8 16.9 1.3 52.0

54.0 16.8 0.6 28.6

100.0 1,960

100.0 285

100.0 1,675

100.0 368

100.0 1,592

100.0 481

100.0 380

100.0 1,099

ganvixileT "rogor xdeba dafexmZimeba" mSobelTan

pirveli sqesobrivi kavSirisas dafexmZimebis SesaZleb-loba

sul

SesaZlebelia SeuZlebelia ar vici sul SemTxvevebi

gvaswavles "rogor xdeba daorsuleba"skolaSi

asakobrivi jgufi

ki

ara

ki

ara

15–17 %

18–19 %

20–24 %

72.9 5.4 21.7

82.1 5.0 12.9

71.3 5.5 23.2

74.3 5.0 20.6

72.5 5.5 22.0

55.9 4.8 39.3

73.4 4.6 22.0

81.9 6.1 12.0

100.0 1,960

100.0 285

100.0 1,675

100.0 368

100.0 1,592

100.0 481

100.0 380

100.0 1,099

295


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

296


Tavi

15

sqesobrivi cxovrebisa da kontracepciuli meTodebis gamoyenebis gamocdileba axalgazrdebs Soris 2010 wlis saqarTvelos reproduqciuli janmrTelobis kvleva Seicavda 15-24 wlis mozard da axalgarda qalebis moduls, romelic , afasebda maT sqesobriv da reproduqciul qcevas, gansakuTrebiT gauTavaliswinebeli fexmZimobisa da sqesobrivi gziT gadacemuli infeqciebis risks. es Tavi ganixilavs am asakis mozardTa sqesobriv gamocdilebasTan, kontraceptivebis moxmarebasa da sqesobriv partniorebTan dakavSirebul zogierTi axal monacems,. Eomlebic gansakuTrebiT mniSvnelovania axalgazrdebisken mimarTuli programuli strategiebis da sqesobrivi ganaTlebis daagegmvisTvis.

15.1. sqesobrivi gamocdileba 2010 wels sqesobrivi gamocdileba aRiara 15-24 wlis axalgazrda qalebis TiTqmis mesamedma (32%), TiTqmis yvela maTganma qorwinebis Semdeg (cxrili 15.1.1). sqesobrivi gamocdileba aRiara 15-19 wlis gogonaTa 11%-ma da axalgazrda qalebis (20-24 wlis) 52%-ma. sqesobrivi cxovrebis dayovneba qorwinebamde, adreuli mozrdilobis periodamde, dafiqsirebul iqna agreTve 1999 da 2005 wels Catarebuli kvlevebiTac (suraTi 15.1.1). cxrilSi 15.1.2. Cans, rom sqesobrivi gamocdileba ufro dabali iyo TbilisSi mcxovreb axalgazrda qalebs Soris (30%) vidre sxva qalaqebSi (33%) an soflad (35%). sqesobrivi gamocdileba izrdeboda ganaTlebis paralelurad; gamonakliss warmoadgenda sauniversiteto an aspiranturaSi ganaTleba miRebuli axalgazrda qalebis jgufi, romelTagan 66% qorwinebamde sqesobrivad gamoucdeli iyo. sqesobrivi gamocdileba ufro xSirad fiqsirdeboda azerbaijanel (53%), vidre sxva eTnikuri jgufis qalebSi (eTnikuri qarTvelebis 30%, eTnikuri somxebis â&#x20AC;&#x201C; 36%, 45% - yvela danarCenis). sqesobrivi kavSiri qorwinebamde sakmaod uCveulo iyo da dafiqsirebul iqna nebismieri asakis, nebismier adgilas mcxovrebi, nebismieri ganaTlebisa da socio-ekonomikuri statusis mqone an eTnikuri warmomavlobis mqone qalTa mxolod 5%-is da mTlianobaSi mxolod 2%-s mier.

297


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 15.1.1

15-24 wlis qalebis sqesobrivi gamocdileba asakobrivi jgufebis mixedviT; 1999, 2005, 2010 wlebi

62

1999

62

2005

55 49

2010 40 33

30

32

38

29

27 26 14 10 5

sul

15-17

FsuraTi 15.1.2

18-19

20-21

22-24

im qalTa procentuli maCvenebeli, romlebmac SiZines sqesobrivi gamocdileba SerCeul asakebamde, ganaTlebis 74.1 donis mixedviT 66.2

60.2

teqnikumi/umaRlesi

59 53.3

sruli saSualo arasruli saSualo an naklebi

44.2 38.9

37.3

21.3 17.4

0.5

16.7

5.7

1.6 0.4 <15

<18

<20

pirveli sqesobrivi kavSirisas sacxovrebeli adgilis, ganaTlebis, socio-ekonomikuri statusis da eTnikuri warmomavlobis mixedviT asakobrivi gansxvavebebis saCveneblad gamoyenebul iqna sqesobrivi cxovrebis kalendris (life table) meTodologia (cxrili 15.1.3). mTlianobaSi dafiqsirda mkveTri zrda 1%-ze naklebidan, romlebic sqesobriv cxovrebas iwyeben 15 wlis asakamde, 62%-mde, romlebic sqesobriv cxovrebas iwyeben 24 wlis asakamde. erTerT yvelaze mniSvnelovan gansxvavebas adgili aqvs ganaTlebis doneebs Soris (suraTi 15.1.2). saSualo ganaTlebis mqone gogonebis naxevarze sakmaod mets (60%) hqonia sqesobrivi kavSiri 22 wlis asakamde. maSin, roca universitet an teqnikum-damTavrebul axalgazrda qalebSi igive maCvenebeli 39%-ia. axalgazrda qalebis umravlesobas, ganaTlebis donis miuxedavad, hqonia sqesobrivi cxovreba 24 wlis asakamde (arasruli saSualo ganaTlebis mqone gogonebis 66%-s, saSualo ganaTlebis mqone gogonebis 74%-s da teqnikum an universitet damTavrebuli qalebis 53%-s). socio-ekonomikuri statusis qveda 2 safexurze myof respondentebs sqesobrivi gamocdileba ufro adreul asakSi miuRiaT, vidre ufro SeZlebul qalebs. 298

<22

<24

qarTveli da somexi qalebi ufro xSirad aRniSnavdnen rom ara aqvT sqesobrivi gamocdileba (70% da 64% Sesabamisad); Tumca im azerbaijanel qalebs, romlebsac hqoniaT sqesobrivi gamocdileba pirveli sqesobrivi kavSiri daumyarebiaT ufro adreul asakSi vidre sxva eTnikuri warmomavlobis qalebs. amis axsna SeiZleba qorwinebis saSualo asakis eTnikuri TaviseburebebiT. cxrili 15.1.4 acalkevebs or ganxilul asakobriv jgufs da aqcenti gadaaqvs 2024 wlis axalgazrdebze. am asakSi ufro meti axalgazrda qali ukve gaTxovilia da kvlav saxezea gaTxovebamde sqesobrivi gamocdilebis qonis Zalian dabali gavrceleba. 20-24 wlisaTvis ganaTlebac TiTqmis dasrulebulia (yuradReba miaqcieT cxrilis bolo svets, sadac naCvenebia 15-19 wlis gogonebis arasruli ganaTlebis 507 SemTxveva da universitet damTavrebulebis mxolod 82 SemTxveva). ganaTlebis kuTxiT sqesobrivi gamocdilebis tendenciaze gansakuTrebuli gavlena aqvs qorwinebis asaks; qorwinebis saSualo asaki ufro dabalia dabali ganaTlebis mqone qalebTa jgufSi. es iZleva ukuproporciul damokidebulebas ganaTlebis donesa da sqesobriv gamocdile-


saboloo angariSi

FsuraTi 15.2.1

asakobrivi sxvaoba partniorebs Soris pirveli sqesobrivi kavSiris dros, pirveli sqesobrivi kavSiris droisaTvis respondentTa asakisa da sacxovrebeli adgilis mixedviT <5 wliT ufrosi

umcrosi 6

45

0 <18

>10 wliT ufrosi

5

7

6

4

6

37

29

34

36

39

56

55

59 49

5-10 wliT ufrosi

54

52

4

6

4

5

3

18-19

20-24

Tbilisi

sxva qalaqi

sofeli

bas Soris. Mxolod 20-24 wlis asakobriv jgufSi ganaTlebis yvelaze dabalidan yvelaze maRal donemde sqesobrivi urTierTobis gamocdilebis mqone axalgazrda qalTa procentuli maCvenebeli mcirdeba 66%-dan 63%-mde, 51%-mde da mxolod 40%mde.

15.2. pirveli sqesobrivi kavSiri cxrili 12.2.1 gviCvenebs respondentebsa da maT partniorebs (umravlesoba daqorwinebuli) Soris asakobriv gansxvavebas pirveli sqesobrivi kavSiris dros. saqarTveloSi axalgazrda qalebis umravlesobas (54%) hyolia 5 welze naklebad ufrosi partniori. axalgazrda qalebi soflad ufro xSirad (39%) aRniSnavdnen, rom hyoliaT 5-dan 10 wlamde ufrosi partniori, qalaqis macxovreblebTan (34% da 36%) SedarebiT, 10 welze ufrosi partniorebis dabali procentuli maCvenebeli ufro xSirad fiqsirdeboda TbilisSi da soflad (6.3% da 6.2% Sesabamisad), vidre sxva qalaqebSi (4.3%). respondentisa da misi partnioris asakobrivi sxvaoba gacilebiT ufro xSirad fiqsirdeboda im axalgazrda qalebs Soris. romlebic pirveli sqesobrivi kavSiris dros iyvnen 18 wlamde asakis: naxevarze naklebs (49%) hyavda 5 wlamde ufrosi partniori maTi ufrosi kolegebisagan (54% da 59%) gansxvavebiT (suraTi 15.2.1) cxrili 15.2.2 aRwers respondentis urTierTobas partniorTan pirveli kavSiris dros. rogorc ukve avRniSneT, axalgazrda qalTa umravlesobam aRniSna rom pirveli sqesobrivi gamocdileba qorwinebisas iyomiRebuli ; ase rom pirveli sqesobrivi partniorebi ZiriTadad qmrebi (95%) iyvnen, da yvela regionis, ganaTlebis donis. socio-ekonomikuri statusis da eTnikuri

jgufis mqone qalTa 90%-ze metma qmari aRniSna rogorc pirveli sqesobrivi partniori. im 5%-dan. romlebic pirveli sqesobrivi kavSiris dros ar iyvnen daqorwinebulni, umravlesoba (53%) daniSnuli iyo Tavis partniorze (2.8%/5.3%). TbilisSi mcxovreb qalTa odnav naklebma raodenobam (91%) ganacxada. rom qmari iyo pirveli partniori, iseve rogorc ufro dabali ganaTlebis donis (93%) da azerbaijanuli warmomavlobis (92%) qalebma. axalgazrda qalebis umetesoba xvdeboda TavianT partniorebs pirvel sqesobriv urTierTobamde sul mcire 6 Tvis ganmavlobaSi, mxolod 24% xvdeboda partniors 6 Tveze naklebi periodis ganmavlobaSi,14% - 6-11 Tvis ganmavlobaSi, 25% - 12-13 Tvis da 12% - 24-71 Tvis ganmavlobaSi (cxrili 15.2.3). gauTxovari respondentebis mxolod 40 SemTxveva dafiqsirda; maTgan 60%ma aRniSna qorwinebamde sqesobrivi urTierToba , partniorTan, romelsac 23 Tvemde periodis ganmavlobaSi xvdeboda. pirveli sqesobrivi urTierobisas kontraceptivebis gamoyeneba saqarTveloSi sakmaod uCveuloa miuxedavad imisa, gaTxovilia qali Tu ara. pirveli sqesobrivi kavSirisas kontracepciuli meTodis ar-gamoyenebis ZiriTadi mizezi (69%) gaTxovil respondentTa TqmiT daorsulebis survilia. mniSvnelovani iyo agreTve is garemoebac, rom maT ar fiqrobdnen meTodis gamoyenebaze (22%). zogierTma maTganma aRniSna, rom sqesobrivi urTierToba moulodnelad moxda an rom ar icodnen kontracepciis Sesaxeb (2% da 3% Sesabamisad) (cxrili 15.3.1) ZiriTadi mizezebi sakmaod gansxvavebuli iyo gauTxovari respondentebis 34 SemTxvevaSi. mxolod 12%-s surda dafexmZimeba, maSin rodesac 51%-ma aRniSna, rom isini ar fiqrobdnen kontracepciaze an 299


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

rom sqesobrivi urTierToba moulodneli aRmoCnda (19%) (suraTi 15..3.1). samwuxarod, axalgazrda qalebis 10%-ma ar icoda kontracepciis Sesaxeb.

aqtivoba da orsuloba SedarebiT uCveulo iyo. cxrili 15.3.3 gviCvenebs, rom axalgazrda qalebSi kontraceptivebis gamoyeneba ar aris farTod gavrcelebuli: gaTxovili qalebidan 15-19 wlis asakis qalebis mxolod 20% da 20-24 wlis asakis qalebis 39% iyenebda kontracepciis romelime meTods. es dabali procentuli maCveneblebi nawilobriv asaxavs daorsulebis survils, magram aseve gulisxmobs araseriozulobas midgomas da daudevrobas, rac zemoT ukve aRiniSna. gauTxovari qalebidan 37 respondentis mxolod 30%-ma ukanaskneli sqesobrivi kontaqtisas gamoiyena romelime meTodi. im gauTxovari qalebidan, romlebic iyenebdnen kontracepcias, TiTqmis yvelam aRniSna, rom xmarobdnen kondoms da arc erTma ar daasaxela iseTi tradiciuli meTodebis gamoyeneba, rogoricaa Sewyvetili sqesobrivi aqti an kalendaruli (riTmuli) meTodi. gaTxovili axalgazrda qalebis 25% iyenebda Tanamedrove meTodebs, romelTagan kindomi (11%) da sSs (9%) yvelaze gavrcelebuli iyo. 11% iyenebda tradiciul meTods.

15.3. mimdinare sqesobrivi aqtivoba da kontracepciis gamoyeneba mimdinare sqesobrivi aqtivoba daorsulebis riskis mniSvnelovani indikatoria da migvaniSnebs Tu kontracepciis romeli meTodia individisTvis yvelaze Sesaferisi maTi reproduqciuli qcevisa Tu gadawyvetilebebis mixedviT. . gaTxovili axalgazrda qalebis umravlesobam (61%) aRniSna, rom bolo erTi Tvis ganmavlobaSi sqesobrivad aqtiur cxovrebas eweoda. arc erTi maTgani ar yofila orsuli an axali namSobiarebi, rac miuTiTebs Casaxvis did albaTobaze uaxloes momavalSi (cxrili 15.3.2). gaTxovebidan male bavSvis yolis survili, rac ganpirobebulia erovnuli kulturuli TaviseburebebiT, aisaxeba amJamad fexmZime an axal-namSobiarebi qalebis maRal maCvenebelSi (34%). winaT gaTxovili axalgazrda qalebis 35 SemTxvevaSi sqesobrivi FsuraTi 15.3.1

pirveli sqesobrivi kavSirisas kontraceptivebis gamouyeneblobis yvelaze xSirad dasaxelebuli mizezebi, pirveli sqesobrivi kavSirisas qorwinebis statusis mixedviT undoda daorsuleba

ar yfiqria meTodis gamoyenebaze

seqsi moulodneli iyo

ar icoda kontracepciis Sesaxeb 69

67

51

24 12 3

10

3

3

2

sul

FsuraTi 15.3.2

22

19

dauqorwinebeli

daqorwinebuli

15-24 წლის ახალგაზრდა ქალებში კონტრაცეპტივების გამოყენება ბოლო სქესობრივი კავშირის დროს ოჯახური მდგომარეობის მიხედვით; 1999, 2005, 2010 wlebi tradiciuli metodi

11

10

11

17

22

25

arcerTi

Tanamedrove meTodi 2

3

0

17

30

98 72

1999

68

2005 daqorwinebuli

300

80

70

64

2010

1999

2005

2010

qorwinebaSi ar myofi


saboloo angariSi

rac Seexeba bolo aTwleuls, gamoikveTa dadebiTi tendencia, mkveTrad Semcirda im qalebis wili, romlebsac ukanaskneli sqesobrivi kavSirisas ar gamouyenebia kontracepciis meTodi , es gansakuTrebiT TvalsaCinoa gauTxovar qalebSi (suraTi 15.3.2). sainteresoa, rom es tendencia Zalian waagavs 2009 wlis mozardTa reproduqciuli janmrTelobis gamokiTxvis Sedegebs, romlis mixedviTac sqesobrivad aqtiuri gauTxovari mozardebis (17-19 wlis) 30% iyenebda kontracepcias pirveli sqesobrivi kavSirisas (rogorc zemoT aRmoCnda yvela SemTxvevaSi kondoms), xolo 70% ki ar iyenebda (qristesaSvili da sxvebi, 2009). mravlobiTi partniori iSviaTad saxeldeboda sqesobrivad gamocdili axalgazrda qalebis mier. 15.3.3 cxrilis zeda nawilSi, gaTxovili axalgazrda qalebis 98%-ma aRniSna, rom bolo 12 Tvis ganmavlobaSi hyavdaT mxolod erTi partniori. maT Soris, vinc gaTxovili iyo warsulSi, 34%-ma daasaxela erTi da kidev 10%-ma ori an meti partniori, magram naxevarze metma (56%) – arc erTi. cxrilis qveda nawili asaxavs cxovrebiseul gamocdilebas; yuradReba miaqcieT, rom procentuli ganawileba aris mxolod “erTi”, an “ori an meti”-saTvis, gansxvavebiT cxrilis zeda nawilisagan. ase rom, raime sqesobrivi gamocdilebis mqone qalTa praqtikulad 100%-ma aRniSna mxolod erTi partnioris arseboba, maSin rodesac warsulSi gaTxovili qalebis 85%-ma daasaxela erTi da 14%ma, anu yovel SvidSi erTma, Tqva rom hyavdaT ori an meti partniori.

mosazrebebs kondomebis gamoyenebasTan dakavSirebiT (cxrili 15.4.1). sqesobrivi gamocdilebis mqone respondentebis umravlesoba, romelTac odesme gamouyenebiaT kondomi daeTanxma, rom kondomis gamoyeneba axal partniorTan Wkvianuri azria (86%) da orma mesamedma (65%) ganacxada, rom qalma unda (mo)sTxovos partniors gamoiyenos kondomi. maTgan gansxvavebiT, sqesobrivi gamocdilebis mqone axalgazrda qalebis 57%, romelTac kondomi arasodes gamouyenebiaT, daeTanxma winadadebas, rom kondomis gamoyeneba axal partniorTan kargi azria da mxolod 19% daeTanxma mosazrebas, rom qalma unda (mo)sTxovos partniors kondomis gamoyeneba. respondentTa didi nawili, visac arasdros gamouyenebia kondomi, ufro xSirad irCevda pasuxs “ar vici” daTanxmebis an ardaTanxmebis nacvlad. sainteresoa, rom kondomis ar-gamomyenebelTagan odnav meti (44%) daeTanxma winadadebas, rom “kondomis gamoyeneba saWiro ar aris roca partniors icnob” vidre kondomis gamomyenebeli (43%); samwuxarod orive jgufma gamoamJRavna ucodinaroba daucveli sqesobrivi kavSiris riskebTan dakavSirebiT. sqesobrivad gamocdili axalgazrda qalebis 37%-ma aRniSna, rom usaubriaT partniorTan kondomis gamoyenebis Sesaxeb (cxrili 15.4.2); es maCvenebeli ufro maRalia (81%) meTodis gamomyeneblebs, vidre argamomyeneblebs Soris (19%). mTlianobaSi, kondomis gamoyenebaze gacilebiT mets saubrobdnen TbilisSi mcxovrebni (62%), 20-24 wlis asakis (40%) da universitet an aspirantura damTavrebuli axalgazrda qalebi (47%) sxva qvejgufebis qalebTan SedarebiT. da kidev (ar aris naCvenebi), procentuli maCvenebeli TiTqmis universaluri iyo (95%) maT Soris, vinc gamoiyena kondomi bolo sqesobrivi kavSiris dros, rac mianiSnebs imaze, rom cota kaci iyen-

15.4. Sexedulebebi da midgomebi kondomebisa da maTi gamoyenebis Sesaxeb sqesobrivi gamocdilebis mqone axalgazrda qalebs hkiTxes eTanxmebodnen Tu ara FsuraTi 15.4.1

67

rogor igrZnobda Tavs respondenti, Tu partniori prezervativis gamoyenebas SesTavazebda; 1999, 2005 da 2010 wlebi 71 69

69

1999

63

2005 53

2010

16 13

11

12

10

14 12

9

5 daculad sgi/aiv/Sidsisgan

daculad daorsulebisgan

Sewuxdeboda, rame cudi xom ar Caidina

Seuracxyofilad an gabrazebulad

eWvi Seepareboda

301


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ebs mas ganxilvis gareSe da rom ganxilva da gamoyeneba urTierT-xelis-Semwyobia. sqesobrivad gamocdil axalgazrda qalebs hkiTxes eTanxmebodnen Tu ara isini konkretul mosazrebas, rom maT partniorebs an meuRleebs undodaT kondomis gamoyeneba. umetesobam (68%) ganacxada, rom kondomis gamoyeneba maT gauCendaT usafrTxoebis SegrZnebas daorsulebis kuTxiT (cxrili 15.4.3). aq monacemebis garkveul sxvadasxvaobas hqonda adgili: qalaqeli qalebis 72% Tavs grZnobda usafrTxod, soflad mcxovrebi qalebis 65%Tan SedarebiT. usafrTxoebis SegrZneba izrdeboda ganaTlebis donesTan erTad; arasruli saSualo an naklebi donis ganaTlebis gogonebis mxolod 57%-ma Tqva, rom isini grZnobdnen Tavs usafrTxod, sruli saSualo ganaTlebis mqone 70%-Tan, teqnikumis donis ganaTlebis 73%-Tan da sauniversiteto ganaTlebis 74%-Tan SedarebiT. aseTi reaqcia Warbobda maT Soris, vinc iyvnen kondomis regularuli momxmareblebi (74%) da qalebSi, romlebsac partniorebTan usaubriaT kondomis gamoyenebaze (75%). kondomis gamoyeneba unikaluri meTodia, romelic uzrunvelyofs ormag dacvas arasasurveli orsulobisa da sqesobrivi gziT gadamdebi infeqciebisagan. rodesac hkiTxes iZleoda Tu ara kondomis gamoyeneba daculobis SegrZnebas sqesobrivi gziT gadamdebi daavadebebisagan, maT Soris aiv/Sidsisgan, 69%-ma dadebiTi pasuxi gasca. aqac iyo sxvadasxva maxasiaTeblebze dafuZnebuli garkveuli gansxvavebebi, rodesac Tanxmobas gamoTqvamda ufro meti qalaqad macxovrebeli qali (73%), kondomis mudmivi momxmareblebi (83%) da isini, visac partniorTan usaubria kondomis gamoyenebis Taobaze (81%). 10% daikava sxva tipis reaqciebma, rodesac mag. ambobdnen, rom iqnebodnen Seuracxyofilni da gabrazebulni, 9%-s eWvi gauCndeboda, rom maTi partniori sxva qalebTan dadioda, 16% ifiqrebda, rom maT Caidines raime cudi. rom SevajamoT, orsulobisa da aiv/Sidsi-sgan daculobis SegrZnebis maRalma procentulma maCvenebeli savaraudod migvaniSnebs, rom stigma romelic Tan sdevs kondomis gamoyenebas, nelnela mcirdeba (suraTi 15.4.1) axalgazrdebi SeiZleba aRmoCndnen sxvadasxva damokidebulebisa da rwmenis gavlenis qveS sqesobrivi urTierTobebisa da seqsualurobasTan dakavSirebiT. es xandaxan badebs urTierTsawinaaRmdego azrebsa da gaurkvevlobis grZnobas. sqesobrivi

302

ganaTleba axalgazrdebs xedvisa da damokidebulebis gamomuSavebis saSualebas unda aZlevdes, radgan maTTvis rTuli iqneba imoqmedon mxolod informaciis safuZvelze. sqesobrivi ganaTleba mimarTulia Seamciros is potenciurad negatiuri Sedegebi, romlebic gamowveulia sqesobrivi aqtivobiT, rogorc mag. arasasurveli an daugegmavi orsuloba da sqesobrivi gziT gadamdebi daavadebebi, maT Soris aiv/Sidsi. misi mizania agreTve daexmaros axalgazrdebs sakuTari seqsualurobis ukeT gagebaSi urTierTobebis xarisxis gazrdiT da maTi unariT miiRon informirebuli gadawvetilebebi cxovrebis manZilze. da kidev, is unar-Cvevebi, romlebsac axalgazrdebi gamoimuSaveben, rogorc sqesobrivi ganaTlebis nawili, dakavSirebulia ufro zogad cxovrebiseul unar-CvevebTan. SesaZlebloba daamyaro komunikacia, mousmino, daelaparako sxvebs, moiTxovo da gansazRvro daxmarebisa da rCevis wyaroebi, es cxovrebiseuli unar-Cvevebi SeiZleba gamoyenebul iqnas sqesobrivi urTierTobebisas. sqesobrivi ganaTleba agreTve uviTarebs axalgazrdebs unar-Cvevebs, raTa maT ganasxvavon swori informacia araswori informaciisagan da ganixilon moraluri da socialuri sakiTxebisa da perspeqtivebis farTo speqtri sqesobriv urTierTobasa da seqsualurobaze, maT Soris sxvadsxva kulturul aspeqtebsa da iseT mgrZnobiare sakiTxebze, rogoric aborti da kontracepciaa.


saboloo angariSi

cxrili cxrili 15.1.1

15.1.1 15 gamokiTxul -24 wlis qalebis mierqalTa dafiqsirebuli sqesobrivi gamocdileba 15-24 wlis axalgazrda seqsobrivi gamocdilebis maCvenebeli pirveli droisTvis ojaxuri qorw qorwinebis n b s sqesobrivi status s kavSiris statusis mixedviT m x pirveli p r sqesobrivi sq sobr mdgomareobisa da sacxovrebeli adgilis mixedviT kavSirisas sacxovrebeli adgilis mixedviT reproduqciulijanmrTelobiskvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo 2010 dasaxelebuli sqesobrivi gamocdileba

maxasiaTebeli

sul 15–19 20–24 qalaqad sul 15–19 20–24 soflad sul 15–19 20–24

aranairi sqesobrivi gamocdileba am ba

qorwinebis Semdeg

qorwinebade

sul

sul SemTxvevebi

67.7 88.5 47.8

30.6 10.6 49.6

1.7 0.8 2.6

100.0 100.0 100.0

1,960 861 1,099

69.8 91 5 91.5 50.6

28.3 78 7.8 46.5

1.9 07 0.7 2.9

100.0 100 0 100.0 100.0

937 391 546

65.1 85.3 44.4

33.2 13.6 53.4

1.6 1.0 2.2

100.0 100.0 100.0

1,023 470 553

ცხრილიi წლის ახალგაზრდა ქალების დასახელებული სქესობრივი გამოცდილ cxrili 15.1.2 15.1.2 15-24 wlis15-24 gamokiTxul axalgazrda qalTaმიერ seqsobrivi gamocdilebis maCvenebeli pirveli droisTvis da ქ რწ ქორწინების ნ ბ ს sqesobrivi სტ ტ ს ს მიხედვით სტატუსის მ kavSiris ხ პ რ პირველი სქojaxuri სქესობრივი ს ბრ mdgomareobisa კავშირისას შ რ ს ს SerCeuliშერჩეული maxasiaTeblebis mixedviT მახასიათებლების მიხედვით reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo 2010 დასახელებული სქესობრივი გამოცდ მახასიათებელი

სულ საცხოვრებელი ადგ. თბილისი სხვა ქალაქი სოფელი ასაკობრივი ჯგუფი 15–17 18–19 20–21 22–24 განათლების დონე საშუალო არასრული

სულ

შემთხვევათა რაოდენობა

1.7

100.0

1,960

25.0 32.0 33.2

2.5 1.2 1.6

100.0 100.0 100.0

451 486 1,023

3.9 19.5 39.7 55.8

0.2 1.7 1.3 3.4

100.0 100.0 100.0 100.0

481 380 388 711

არანაირი სქესობრივი გამოცდილება გ ცდ ლე

ქორწინების შემდგომ

ქორწინებამდე

67.7

30.6

72.6 66.8 65.1 95.9 78.8 58.9 40.8 80.4

18.3

1.3

100.0

651

საშუალო სრული ტექნიკუმი უნივერსიტეტი/ასპირა. სოციო-ეკონომ. სტატ.

58.0 53.3 66.3

40.4 44.7 31.3

1.6 2.0 2.4

100.0 100.0 100.0

604 165 540

ყველაზე დაბალი მეორე საშუალო მეოთხე უმაღლესი ეთნიკური ნ რ წარომავლ. წ რ მ

66.2 61.2 69.1 70.7 70.1

32.2 36.6 29.5 27.7 28.0

1.6 2.2 1.3 1.6 1.9

100.0 100.0 100.0 100.0 100.0

327 448 433 336 416

ქართველი აზერბაიჯანელი სომეხი სხვა

69.6 47.0 64.0 54.6

28.9 48.8 34.0 42.4

1.5 4.2 2.0 3.0

100.0 100.0 100.0 100.0

1,688 92 135 45

303


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxrili 15.1.3 15-24 wlis axalgazrda qalTa mier dasaxelebuli sqesobrivi gamocdileba ცხრილი 15.1.3. 15-24asakebamde წლის ახალგაზრდა ქალთა მიერ დასახელებული garkveul (sasicocxlo ciklis Sefaseba)სქესობრივი SerCeuli გამოცდილება maxasiaTeblebis გარკვეულ ასაკებამდე (ლაიფ ტეიბლ შეფასება) შერჩეული მახასიათებლების მიხედვით. mixedviT saqarTvelo reproduqciuli janmrTelobis kvleva, reproduqciulijanmrTelobiskvleva: saqarTvelo, 2010 2010 ასაკი პირველი სქესობრივი კავშირისას მახასიათებელი

სულ საცხოვრებელი ადგ. ქალაქი სოფელი განათლების დონე საშუალო არასრული საშუალო სრული ტექნიკუმი/უნივერსიტ. სოციო-ეკონომ. სტატ. დაბალი საშუალო მაღალი სოციო-ეკონომ. სტატ. ყველაზე დაბალი მეორე საშუალო მეოთხე უმაღლესი ეთნიკური წარომავლ. ქართველი აზერბაიჯანელი სომეხი სხვა

304

ოდესმე ჰქონია სქესობრივიკავ შირი

არასდროს ჰქონია სქესობრივი კავშირი

შემთხვევათა რაოდენობა

< 15

< 18

< 20

<22

< 24

0.8

13.6

28.7

49.2

62.3

32.3

67.7

1,960

0.5 1.2

11.3 16.0

25.1 32.3

45.5 52.0

57.7 65.7

30.2 34.9

69.8 65.1

937 1,023

1.6 0.5 0.4

21.3 17.4 5.7

44.2 37.3 16.7

60.2 59.0 38.9

66.2 74.1 53.3

19.6 42.0 36.5

80.4 58.0 63.5

651 604 705

0.3 0.9 0.9

15.3 14.4 12.4

30.9 30.5 26.2

51.7 49.2 47.4

54.9 64.4 60.2

32.3 34.3 30.8

67.7 65.7 69.2

189 855 916

1.2 1.7 0.7 0.6 0.2

15.2 18.6 12.0 13.2 9.8

37.0 34.3 26.2 26.3 23.0

53.1 60.2 45.0 43.0 43.8

69.0 69.8 61.0 53.7 56.6

33.8 38.8 30.9 29.3 29.9

66.2 61.2 69.1 70.7 70.1

327 448 433 336 416

0.5 4.7 1.3 1.6

11.3 35.9 16.6 33.3

26.2 53.7 31.1 43.4

46.9 75.0 41.6 62.7

58.9 85.4 67.3 73.5

30.4 53.0 36.0 45.4

69.6 47.0 64.0 54.6

1,688 92 135 45


saboloo angariSi

cxriliცხრილი 15.1.4 15.1.4 15-24 wlis gamokiTxul axalgazrda qalTa seqsobrivi gamocdilebis maCvenebeli 15-24 წლის ქალების მიერ დასახელებული სქესობრივი გამოცდილება pirveli sqesobrivi kavSiris droisTvis ojaxuri mdgomareobisa da ganaTlebis სქესობრივი სტატუსის მიხედვით პირველი სქესობრივი კავშირისას donis mixedviT განათლებისა და ამჟამინდელი ასაკის მიხედვით reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo 2010

განათლება და ასაკობრივი ჯგუფი

დასახელებული სქესობრივი გამოცდილება (პროცენტული განაწილება)

სულ

შემთხვევათა რაოდენობა

1.7 0.8 2.6

100.0 100.0 100.0

1,960 861 1,099

18.3 8.0 62.7

1.3 0.8 3.3

100.0 100.0 100.0

651 507 144

58.0 81.9 36.6

40.4 17.3 61.0

1.6 0.7 2.4

100.0 100.0 100.0

604 254 350

53.3 * 48.8

44.7 * 48.9

2.0 * 2.3

100.0 * 100.0

165 18 147

66.3 94.1 59.8

31.3 4.3 37.6

2.4 1.6 2.6

100.0 100.0 100.0

540 82 458

არანაირი სქესობრივი გამოცდილება

ქორწინების შემდეგ

ქორწინებამდე

67.7 88.5 47.8

30.6 10.6 49.6

80.4 91.2 34.0

სულ 15–19 20–24 საშუალო არასრული სულ 15–19 20–24 საშუალო სრული სულ 15–19 20–24 ტექნიკუმი სულ 15–19 20–24 უნივერსიტეტი/ასპ. სულ 15–19 20–24 * 25 შემთხვევაზე ნაკლები

cxrili 15.2.1 asakobrivi gansxvaveba partniorebs Soris pirveli sqesobrivi ცხრილი 15.2.1. ასაკობრივი განსხვავება პარტნიორებს შორის პირველი სქესობრივიkavSiris droisaTvis 15-24 wlis seqsobrivi gamocdilebis mqone axalgazrda qalebs Soris კავშირისას 15-24 წლის სქესობრივად გამოცდილ ქალებს შორის reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo 2010 ასაკში განსხვავება

სულ საცხოვრებელი ადგ. თბილისი სხვა ქალაქი სოფელი ასაკი პირველი სექს. < 18 18 19 18–19 20–24 ქორწ.სტატ. 1 სექსის გაუთხოვარი გათხოვილი

პარტნიორი უფრო ახალგაზრდა

პარტნიორი 5 წლამდე უფროსი

პარტნიორი 510 წლით უფროსი

პარტნიორი 10 წელზე მეტით უფროსი

სულ

შემთხვევათა რაოდენობა*

3.6

53.6

37.0

5.8

100.0

769

4.2 5.1 2.6

55.8 55.1 51.8

33.7 35.5 39.4

6.3 4.3 6.2

100.0 100.0 100.0

148 191 430

0.4 4.1 41 6.4

48.7 53 53.55 58.5

45.3 37.4 37 4 28.6

5.6 5.0 50 6.6

100.0 100 100.00 100.0

270 233 266

2.4 3.7

48.4 53.9

47.1 36.5

2.1 6.0

100.0 100.0

39 730

* 3 ქალის გამოკლებით, ვინც არ მიაწოდა ინფორმაცია პირველი სქესობრივი პარტნიორის ასაკის შესახებ

305


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 15.2.2 პარტნიორი პირველი სქესობრივი კავშირისას cxrili 15.2.2 partnioris statusi pirveli sqesobrivi kavSiris droisaTvis 15-24 wlis 15 24 15-24 წ ს სქესობრივად წლის სქ ს ბრmqone ა გამოცდილი გამ ქა ბ ქალები sqesobrivi gamocdilebis qalebs Soris reproduqciuli janmrTelobis kvleva, saqarTvelo 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010

მახასიათებელი ს სულ საცხოვრებელი ადგ. თბილისი სხვა ქალაქი სოფელი ასაკი პირველი სქესობრივი კავშირისას < 18 18–19 20–24 ქორწ. სტატ. 1სექსისას გაუთხოვარი გათხოვილი განათლების დონე საშუალო არასრული საშუალო სრული ტექნიკუმი უნივერსიტეტი/ასპირა. სოციო-ეკონომიური სტატუსი ყველაზე დაბალი მეორე საშუალო მეოთხე უმაღლესი ეთნიკური წარომავლობა ქართველი აზერბაიჯანელი სომეხი სხვა

პარტნიორი პირველი სქესობრივი კავშირის დროს

შემთხვევათა რაოდენობა

ქმარი

საქმრო

მეგობარი

სხვა

94 6 94.6

28 2.8

21 2.1

04 0.4

100 0 100.0

772

91.1 96.4 95.4

3.2 1.1 3.6

5.8 2.4 0.2

0.0 0.2 0.8

100.0 100.0 100.0

148 193 431

93.0 95.8 95.2

3.8 1.8 2.8

2.1 2.2 2.0

1.1 0.2 0.0

100.0 100.0 100.0

272 233 267

0.0 100.00 100

52.7 00 0.0

39.1 00 0.0

8.2 00 0.0

100.0 100 0 100.0

40 732

93.5 96.2 95.8 92.9

4.1 2.0 4.2 2.6

1.2 1.9 0.0 3.9

1.3 0.0 0.0 0.6

100.0 100.0 100.0 100.0

167 304 88 213

95.1 94.3 95.7 94.7 93.6

1.4 5.1 2.9 1.7 2.1

1.6 0.0 1.2 3.6 4.2

1.8 0.5 0.2 0.0 0.0

100.0 100.0 100.0 100.0 100.0

128 210 170 118 146

95.0 92.2 94.4 *

2.4 7.8 0.0 *

2.5 0.0 1.8 *

0.2 0.0 3.8 *

100.0 100.0 100.0 *

628 58 64 22

*25* შემთხვევაზე ნაკლებია ამ კატეგორიაში 25 შემთხვევაზე ნაკლებია მა კატეგორიაში

306

სულ


saboloo angariSi

cxrili 15.2.3 drois gacnobidan pirvel sqesobriv wlis 15-24 წლის ცხრილი 15.2.3xangrZlivoba ერთად ყოფის ხანგრძლივობა პირველkavSiramde სქესობრივ15-24 კავშირამდე sqesobrivi gamocdilebis qalebs Soris pirveli sqesobrivi kavSiris droisaTvis ახალგაზრდა ქალებს შორის ქორწინების სტატუსის მიხედვით პირველი ojaxuri mdgomareobis mixedviT reproduqciuli janmrTelobis kvleva, saqarTvelo 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 ერთად ყოფნის დრო პირველ სქესობრივ კავშირამდე

სულ

1 თვე 1-5 თვე 6-11 თვე 1 წელი 2-5 წელი 6+ წელი არ ახსოვს სულ შემთხვევათა რაოდენობა

ქორწინების სტატუსი პირველი სქესობრივი კავშირისას გაუთხოვარი

გათხოვილი

4.0 20.1 14.2 24.7 31.2 5.0 0.9 100.0

2.1 3.7 21.6 32.5 30.4 2.3 7.3 100.0

4.1 21.0 13.8 24.3 31.2 5.1 0.6 100.0

772

40

732

ცხრილი 15.3.1. ყველაზე ხშირი მიზეზები კონტრაცეპციის არ გამოყენებისა პირველი სქ cxrili 15.3.1 pirveli sqesobrivi kavSirisas kontracepciis ar gamoyenebis yvelaze xSirad ქორწინების სტატუსის მიხედვით პირველი სქესობრივი კავშირისას moyvanili mizezebi qorwinebis statusis mixedviT 15-24 wlis sqesobrivad 15-24 წლის სქესობრივად გამოცდილ ახალგაზრდა ქალებს შორის gamocdil axalgazrda qalebs Soris reproduqciuli janmrTelobis reproduqciuli janmrTelobis kvleva: saqarTvelo,kvleva, 2010 saqarTvelo 2010 მიზეზი

სულ

უნდოდა დაორსულება არ ფიქრობდა მის გამოყენებაზე სქესობრივი კავშირი მოულოდნელი არ იცოდა კონტრაცეპციის შესახებ პარტნიორს არ უნდოდა არ მახსოვს/არ ვიცი რესპონდენტს არ სურდა სხვა სულ შემთხვევათა რაოდენობა

66.6 23.7 2.9 3.1 1.3 1.1 0.7 07 0.7 100.0 759

ქორწინების სტატუსი პირველი სქესობრივი კავშირისას გაუთხოვარი

გათხოვილი

12.1 50.8 19.4 9.5 0.0 2.9 5.4 00 0.0 100.0 34

69.3 22.4 2.1 2.8 1.3 1.0 0.4 07 0.7 100.0 725

307


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

ცხრილი 15.3.2

ამჟამინდელი სქესობრივი აქტივობა 15-24 წლის ახალგაზრდა ქალებს

cxrili 15.3.2 sqesobrivi aqtivobis mimdinare statusi 15-24 wlis axalgazrda qalebs Soris შორის ამჟამინდელი ქორწინების სტატუსისა და ასაკობრივი ჯგუფის მიხედვით amJamindeli ojaxuri mdgomareobisa da asakobrivi jgufis mixedviT reproduqciuli janmrTelobis kvleva, saqarTvelo 2010 reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 ამჟამინდელი ქორწინების სტატუსი სქესობრივი აქტივობის სტატუსი

ამჟამად სქესობრივად აქტიური ბოლო თვეში 1-3 თვის წინ

სულ

ასაკობრივი ჯგუფი

გათხოვილი

წინათ გათხოვილი

არასდროს გათხოვილი

15–19

20–24

19 3 19.3

62 6 62.6

18 8 18.8

01 0.1

58 5.8

32 3 32.3

18.5 0.8

61.0 1.6

4.2 14.6

0.1 0.0

5.6 0.2

30.9 1.4

2.1

2.1

74.2

0.0

0.7

3.5

1.0 1.1 10.4

1.5 0.6 34.0

28.5 45.7 7.0

0.0 0.0 0.0

0.2 0.5 4.9

1.8 1.7 15.6

67.7

0.0

0.0

99.7

88.5

47.8

ახლა სქესობრივად არააქტიური სამი თვის წინ მაგრამ ბოლო წელს 1 ან მეტი წელი ახლა ორსული/ნამშობიარები არასოდეს ჰქონია სქესობრივი კავშირი უპასუხოდ სულ

0.5

1.3

0.0

0.1

0.2

0.8

100.0

100.0

100.0

100.0

100.0

100.0

შემთხვევათა რაოდენობა

1,960

734

35

1,191

861

1,099

cxrili 15.3.3

ცხრილი15.3.3. sqesobrivi kavSiris კონტრაცეტივის გამოყენება ბოლო სქესობრივი კავშირისას ukanaskneli dros kontraceptivebis gamoyenebis ახალნდელი ლ დელ ქორწინების ქ წ ე სტატუსისა ტ ტუ და დ ასაკობრივი კ ვ mixedviT, ჯგუფის ჯგუფ მიხედ ედ maCvenebeli, mimdinare ojaxuri mdgomareobisa da asakobrivi jgufebis 15-24 წლის სქესობრივად გამოცდილ ქალებში 15-24 wlis sqesobrivi gamocdilebis qalebs Soris reproduqciuli janmrTelobis reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 kvleva, saqarTvelo 2010

კონტრაცეპციის მეთოდი კონტრაცეპციის გამოყენება ბოლო სქესობრივი კავშირისას თანამედროვე ედ ვე მეთოდები ე დე ორალური კონტრაცეპტივები სშს კონდომი სპერმიციდები მილების ლიგატურა ტრადიციული მეთოდები კალენდარული (რითმული) მეთოდი შეწყვეტილი სქესობრივი კავშირი უცნობი მეთოდები არ იყენებს სულ ულ შემთხვევათა რაოდენობა* * არ მოიცავს 1 შემთხვევას, როცა ყველაზე ბოლო სქესობრივი კავშირი იძულებითი იყო

308

ახალ გათხოვილი/კავშირში

ახლა გაუთხოვარი /კავშირში არ მყოფი

ყველა ახალგაზრდა ქალი

სულ

35.6

36.0

15–19 19.7

20–24 39.4

25.5 3.9 8.0 12.2 1.1 0.3 10.0 3.1 6.9 0.1 64.4 100.0

25.2 4.2 8.5 11.0 1.2 0.3 10.7 3.3 7.4 0.1 64.0 100.0

15.5 3.7 3.9 7.3 0.7 0.0 4.2 1.5 2.6 0.0 80.3 100.0

27.2 4.3 9.5 11.8 1.3 0.4 12.1 3.7 8.4 0.2 60.6 100.0

29.8 0.0 1.0 28.8 0.0 0.0 0.0 0.0 0.0 0.0 70.2 100.0

771

734

124

610

37

ასაკობრივი ჯგუფი

29.8


saboloo angariSi

cxrili 15.3.4

ცხრილი15.3.4 სქესობრივი პარტნიორების რაოდენობა ბოლო 12 თვისა sqesobriv partniorTaდა raodenoba ukanaskneli Tormeti (12) Tvis ganmavlobaSi მთელი ცხოვრების განმავლობაში ახლანდელი ქორწინე da mudmiv partniorTa raodenoba ojaxuri mdgomareobis statusis mixedviT 15-24 სტატუსის მიხედვით 15-24 წლის ქალებში wlis sqesobrivi gamocdilebis qalebs Soris reproduqciuli janmrTelobis kvleva, saqarTvelo reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 ქორწინების სტატუსი

სქესობრივი პარტნიორების რაოდენობა

სულ

გათხოვილი

წინათ გათხოვილი

გაუთხოვარი

ბოლო 12 თვის მანძილზე არც ერთი ერთი ორი ან მეტი სულ

5.2 93.2 1.6 100.0

1.5 97.7 0.8 100.0

56.1 33.7 10.2 100.0

* * * *

ცხოვრების მანძილზე ერთი ორი ან მეტი სულ

98.2 1.8 100.0

99.5 0.5 100.0

86.1 13.9 100.0

* * * *

772

734

35

3

შემთხვევათა რაოდენობა * ამ კატეგორიაში 25 შემთხვევაზე ნაკლებია

cxrili 15.4.1 prezervativis Sesaxeb da maTi gamoyenebis sixSire prezervativebis ცხრილიSexeduleba 15.4.1 რწმენა კონდომებსა და კონდომების გამოყენებაზე momxmarebis mixedviT 15-24 wlis sqesobrivad gamocdil მათი გამოყენების მიხედვით 15-24 წლის ქალებს შორის qalebs Soris reproduqciuli janmrTelobis kvleva, saqarTvelo reproduqciulijanmrTelobiskvleva, saqarTvelo, 2010 2010 ოდესმე მომხმარებლები #216 რწმენა ახალ პარტნიორთან კონდომის ხმარება ჭკვიანურია ქალმა უნდა სთხოვოს პარტნიორებს იხმარონ კონდომი მომავალ პარტნიორთან იოლია კონდომის ხმარება კონდომის ხმარება არა არის საჭირო თუ პარტნიორს იცნობ კონდომი სიამოვნებას ამცირებს დამამცირებელია აფთიაქებში კონდომის მოთხოვნა ხალხს, რომელიც კონდომს ხმარობს ხშირი სქესობრივი კავშირი აქვთ კონდომის განმეორებით ხმარება შესაძლებელია

არასდროს მომხმარებლები #556

ვეთანხმები

არ ვეთანხმები

არ ვიცი

უარი პასუხზე

ვეთანხმები

86.1 65.1

5.3 26.2

6.7 6.8

1.9 1.9

56.6 19.1

11.3 44.3

28.7 32.4

3.4 4.1

46.5

37.8

13.3

2.3

13.4

42.8

39.2

4.5

43.2

49.8

5.1

1.9

43.7

23.4

29.4

3.5

41.4

43.9

10.1

4.5

10.6

6.2

78.4

4.8

13.2

80.1

4.9

1.9

15.0

56.6

24.4

4.0

1.5

89.4

7.2

1.9

5.1

69.3

21.5

4.1

0.5

93.2

4.4

1.9

2.0

80.4

13.6

4.0

არ ვეთანხმები არ ვიცი

უარი პასუხზე

309


ცხრილი 15.4.2

qalebis procentuli maCvenebeli, romelTac usaubriaT par prezervativis gamoyenebis Sesaxeb prezervativebis moxmare qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010 wlis sqesobrivad gamocdil qalebs Soris reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 cxrili 15.4.2 qalebis procentuli maCvenebeli, romelTac usaubriaT partniorTan prezervativis gamoyenebis Sesaxeb prezervativebis moxmarebis mixedviT 15-24 wlis sqesobrivad gamocdil qalebs Soris reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 სქესობრივად გამოცდილი ყველა ქალი

მახასიათებლები

სულ საცხოვრებელი ადგილი თბილისი სხვა ქალაქი სოფელი ასაკობრივი ჯგუფი 15–19 20–24 განათლების დონე საშუალო არასრული საშუალო სრული ტექნიკუმ/უნივერსიტეტი

ქალები, რომელთაც ოდესმე უხმარით კონდომი

ქალები, რომელთაც არასდროს უხმარიათ კონდომი

%

N

%

N

%

N

37.0

772

81.1

216

19.4

556

61.6 39.4 24.1

148 193 431

91.5 74.4 73.5

75 59 82

32.3 25.4 12.8

73 134 349

23.0 39.9

130 642

* 81.1

23 193

7.4 22.2

107 449

24.1 33.8 46.9

167 304 301

77.1 74.2 86.6

33 68 115

11.7 20.9 22.7

134 236 186

* ამ კატეგორიაში 25 შემთხვევაზე ნაკლებია

cxrili 15.4.3 15 - 24 wlis sqesobrivad gamocdili qalebis procentuli maCvenebeli romelic 15-24 წლის სქესობრივად გამოცდილი ქალების ჯგუფი, რომელიც დაეთანხმა ცხრილი 15.4.3 eTanxmeba garkveul partnioris / meuRlis survils gamoiyenos prezervativi კონკრეტულ წინადადებებს მათ გრძნობებზე, როცა ქმარი/პარტნიორი reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 სთავაზობს მათ კონდომის გამოყენებას reproduqciuli janmrTelobis kvleva, saqarTvelo 2010

მახასიათებელი სულ საცხოვრებელი ადგილი ქალაქი სოფელი საცხოვრებელი ადგილი თბილისი სხვა ქალაქი სოფელი ასაკობრივი ჯგუფი 15–19 20–24 ქორწინების სტატუსი ახლა გათხოვილი ან კავშირში ახლაგაუთხოვარი ან არაკავშირში განათლების დონე საშუალო არასრული საშუალო სრული ტექნიკუმი უნივერსიტეტი/ასპირა. კონდომის გამოყენება ვისაც ოდესმე გამოუყენებია ვისაც არასდროს უხმარია ოდესმე ულაპარაკია პარტნიორთან კონდომის ხმარების შესახებ კი არა

310

არ შემეშინდება აივ/შიდსით დაავადების

არ შემეშინდება დაორსულების

მეგონება, რომ რაღაც ცუდი გავაკეთე

69.1

68.7

15.8

9.5

9.4

772

73.2 65.1

72.1 65.2

19.8 11.9

11.8 7.2

10.8 8.0

341 431

78.9 67.9 65.1

75.3 69.3 65.2

23.7 16.3 11.9

10.5 12.9 7.2

5.3 15.8 8.0

148 193 431

68.7 69.2

68.6 68.7

8.9 17.3

10.0 9.4

11.1 9.0

130 642

69.1

68.6

15.9

9.7

9.5

734

69.4

69.1

14.2

6.3

7.9

38

55.8 69.6 68.9 78.2

57.3 70.1 72.6 73.5

11.5 16.1 17.3 18.1

6.3 12.5 10.5 7.4

8.4 10.4 3.4 10.9

167 304 88 213

83.2 63.5

73.9 66.6

17.1 15.3

4.5 11.5

4.2 11.5

216 556

80.7 62.3

74.5 65.2

18.6 14.2

5.0 12.2

4.5 12.2

282 490

გავბრაზდები ან ვიეჭვიანებ მასზე მეწყინება

შემთხვევათა რაოდენობა


16

Tavi

sqesobrivi gziT gadamdebi infeqciebi aiv/Sidsis garda janmrTelobis msoflio organizaciis 2005 wlis monacemebis mixedviT, msoflioSi yovelwliurad adgili aqvs sqesobrivi gziT gadamdebi gankurnebadi infeqciebis 448 milion axal SemTxvevas 15-49 wlis asakis mozardebsa da mozrdilebSi. sqesobrivi gziT gadamdebi infeqciebi qalebSi ufro metad iwvevs mZime garTulebebs vidre mamakacebSi, magaliTad, qlamidiozi da gonorea menjis Rrus anTebiTi daavadebebis, eqtopiuri orsulobis da unayofobis yvelaze xSiri gamomwvevia, xolo adamianis papiloma virusi (HPV) asocirdeba saSvilosnos yelis kibosTan. sqesobrivi gziT gadamdeb infeqciebs orsulobisas SeuZlia gamoiwvios sanayofe wylebis naadrevi daRvra, naadrevi mSobiaroba, da mSobiarobis Semdgomi endometriti. Ddadgenilia, rom orsul qalebSi aranamkurnalebi adreuli sifilisimkvdradSobadobis yoveli meoTxe SemTxvevis (25%) da neonataluri sikvdilianobis 14%-is mizezia. mTlianobaSi perinataluri sikvdilianobadaaxloebiT 40%-ia (janmo, 2010). UqalebSi aranamkurnalebi gonokokuri da qlamidiuri infeqciebi iwvevs menjis Rrus anTebiTi daavadebebis daaxloebiT 40%-s. maTgan daaxloebiT 25% unayofobiT sruldeba (janmo, 2006). garda amisa, sqesobrivi gziT gadamdebi infeqciebi zrdis aiv infeqciis mimReblobas da xels uwyobs mis gavrcelebas.

16.1 sqesobrivi gziT gadamdebi infeqciebi saqarTveloSi da yofili sabWoTa kavSiris qveynebSi ganviTarebad qveynebSi sqesobrivi gziT gadamdebi infeqciebi da maTi gaarTulebebi sazogadoebrivi jandacvis erTerTi yvelaze mniSvnelovani sakiTxia. socioekonomikur ngrevas xSirad moyveba sazogadoebrivi janmrTelobis mniSvnelovani gauareseba, gansakuTrebiT ki infeqciuri daavadebebiT, maTY Soris sqesobrivi gziT gadamdebi infeqciebiT avadobis zrda. ukanaskneli 20 wlis ganmavlobaSi yofili sabWoTa kavSiris qveynebi moicva sqesobrivi gziT gadamdebi infeqciebis, gansakuTrebiTsifilisis, masStaburma epidemiebma. 1990 wlidan 1998 wlamde sifilisis registrirebuli SemTxvevebis yvelaze mkveTri zrda dafiqsirda yazaxeTSi, yirgizeTSi, 311


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 16.1.1

sifilisis SemTxvevebi yovel 100,000 mosaxleze aRmosavleT evropasa da Sua aziaSi; 1980-2008 wlebi

FsugraTi 16.1.2

sifilisis SemTxvevebi yovel 100,000 mosaxleá&#x192;&#x2013;e kavkasiis qveynebSi; 1990-2008 wlebi

belarusSi, da ruseTis federaciaSi (suraTi 16.1.1) (janmo, 2010). saqarTveloSi sifilisiT avadoba yvelaze maRalia kavkasiis qveynebs Soris (suraTi 16.1.2). saqarTveloSi sifilisis registrirebuli SemTxvevebis swrafi zrda moxda 1995-1998, 2000-2002 wlebSi. gonoreas registrirebuli SemTxvevebis raodenobam (30 axali SemTxveva yovel 100 000 mosaxleze) ramdenjerme miaRwia piks: 1998. 2002, da 2006 wlebSi (suraTi 16.1.3) (janmo, 2010). sqesobrivi gziT gadamdebi infeqciebis sixSireze gavlenas axdens mosaxleobis cnobiereba, xelmisawvdomoba, mimRebloba da efeqturoba aRniSnuli daavadebebis adreuli diagnostikisa da mkurnalobis mimarT. saqarTveloSi Catarebuli wina da (1999w, 2005w) da amJamindeli (2010w) reproduqciuli janmrTelobis kvlevebi ganxorcielda, raTa gansazRvruliyo sqesobrivi gziT gadamdebi daavadebebis Sesaxeb cnobierebis done, riskis TviT Sefaseba, testirebis gavrceleba, simptome312

bis arseboba da mkurnalobis Catareba reproduqciuli asakis, sqesobrivad aqtiuri qalebis warmomadgenlobiT SenarCevSi. Ees dagvexmareba ganvsazRvroT mosaxleobis is qvejgufebi romlebic yvelaze metad saWiroeben intervencias da xeli SevuwyoT sqesobrivi gziT gadamdebi daaavadebebis prevencias da marTvis politikis rekomendaciebis ganxorcielebas.

16.2 cnobierebis done sqesobrivi gziT gadamdebi infeqciebis Sesaxeb cxrili 16.2. gviCvenebs im respondetTa prcentul maCvenebels romlebmac daadastures rom smeniaT saqarTveloSi yvelaze ufro gavrcelebuli sqesobrivi gziT gadamdebi infeqciebis Sesaxeb. respondentebis 88%-s smenia sul mcire erTi sggi-s Sesaxeb. sqesobrivi gziT gadamdeb infeqciebze informirebuloba sakmaod gansxvavdeboda respondentTa maxasiaTeblebismixedviT. sul mcire erTi sggi-s Sesaxeb informire-


saboloo angariSi

FsuraTi 16.1.3

sifilisis da gonoreas SemTxvevebi yovel 100,000 mosaxleze saqarTveloSi; 1995-2008 wlebi

FsuraTi 16.2.2

sqesobrivi gziT gadamdebi infeqciebis codna 15-44 wlis asakis qalebSi; 2005 da 2010 wlebi

qalebi (%) 100 80

82

2005

85

2010

75 62

60

55

52 44

41

40

36

37 28

20 0

16

sokovani..

sifilisi

triqomoni..

gonorea

qlamidiozi

genitalur..

infeqcia

bulobis done yvelaze maRali iyo qalaqSi mcxovreb (92%), 25-44 wlis (93%), maRali socio-ekonomikuri statusis (91%), umaRlesi ganaTlebis (96%) da sqesobrivi gamocdilebis (94%) mqone qalebSi. qalTa umravlesobas TbilisSi (93%), Sida qarTlSi (91%) da mcxeTa-mTianeTSi (93 %) smenia sul mcire erTi sggi-s Sesaxeb (suraTi 16.2.1). cnobierebis yvelaze dabali done dafiqsirda samcxe javaxeTSi (77%) daqvemo qarTlSi (78%) mcxovreb, aseve azerbaijanel (55%) qalebs Soris. reproduqciuli asakis qalebSi codnis done yvelaze maRali iyo sokovani daavadebebis (88%) da sifilisis (62%) Sesaxeb cnobierebis done triqomonozis, gonoreas da qlamidiozis Sesaxeb sakmaod mwiri aRmoCnda, respondentebis mxolod 37-44%-s smenia am daavadebebis Sesaxeb. codnis yvelaze dabali done gamomJRavnda genitalur herpesTan mimarTebaSi (28%). zogadad maRali cnobierebis arseboba zemoT aRniSnuli sqesobrivi gziT gadamdebi infeqciebis Sesaxeb asocirdeboda qalaqSi cxovrebasTan, ufros asakTan,umaRles ganaTlebasTan, maRal socio-ekonomikur statusTan da sqesobriv gamocdilebasTan.

2005 wlidan 2010 wlamde cnobierebis donis zrda aRiniSnasqesobrivi gziT gadamdeb sam infeqciaze, kerZod sokovani daavadeba, qlamidiozi da genitaluri herpesi (suraTi 16.2.2). meores mxriv, 2005 wlidan 2010 wlamde cnobierebis done Semcirda sifilisis, triqomonozis da gonoreas Sesaxeb.

16.3 cnobierebis done sqesobrivi gziT gadamdebi infeqcebis simptomebis Sesaxeb 2010 wlis reproduqciuli janmrTelobis kvlevam Seafasa sqesobrivi gziT gadamdebi daavadebebis damaxasiaTebeli simptomebis codna. respondentebs, visTvisac cnobili iyo sqesobrivi gziT gadamdebi sul mcire erTi infeqcia, sTxoves, spontanurad daesaxelebinaT am daavadebebisTvis damaxasiasTebeli simptomebi. kiTxvaze gacemuli pasuxebis raodenobis safuZvelze dadginda informirebulobis donis maCvenebeli sqesobrivi gziT gadamdebi infeqciebis simptomebis Sesaxeb. romelime erTi simptomis sworad dasaxeleba fasdeboda +1 quliT, xolo arcod313


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

sqesobrivi gziT gadamdebi infeqciebisTvis damaxasiaTebeli simptomebis codna 15-44 wlis asakis qalebSi

FsuraTi 16.3 procenti 30

26

25

25

19

20

20 15

11

10 5 0

1

0

2 sggd simptomebi

4 or more

3

15-44 wlis asakis qalebis procentuli maCveneblebi, romelTac miaCniaT, rom imyofebian sqesobrivi gziT gadamdebi infeqciebis riskis qveS, regionebis mixedviT

FsuraTi 16.4

60

qalebi (%)

40

50

48

50

39

44 38

48

37

30

33

32

24

21

20 10 0

kaxeTi

Tbilisi

Sida qarTli

qvemo qarTli

samcxejavaxeTi

na 0 quliT. Sesabamisad, qulebis SesaZlo raodenoba meryeobda 0-dan +10-mde an meti. qalebis daaxloebiT 20%-ma ver daasaxela vercerTi simptomi, anu isini sruliad gauTviTcnobierebuli iyvnen sqesobrivi gziT gadamdebi infeqciebis simptomebis Sesaxeb. respondentebis umravlesobam daasaxela erTi an ori simptomi (25% da 26% Sesabamisad). Qqalebis mxolod 11%-ma axsena oTxi an meti simptomi (suraTi 16.3). qalaqTan SedarebiT, soflad ufro naklebad icodnen sggi-sTvis damaxasiaTebeli simptomebis Sesaxeb (24% da 16%). asakis, ganaTlebisa da socialur-ekonomikuri donis zrdasTan erTad izrdeboda im qalTa procentuli maCvenebeli, visac SeeZlo sggi-s simptomebis dasaxeleba. azerbaijanel da somex qalebs yvelaze metad gauWirdaT am daavadebebis nebismieri simptomis dasaxeleba. sqesobrigamocdilebis mqone qalebi ufro naklebad flobdnen informacias sqesobrivi gziT gadamdebi infeqciebis simptomebis Sesaxeb, vidre sqesobrivad gamocdili qalebi(32% da13%). respondentebi yvelaze xSirad asaxelebdnen Semdeg simptomebs: vaginaluri gamonadeni (55%), sasqeso organoebis qavili (34%), mZafri sunis mqone gamonadeni (32%), da muclis tkivili (25%) (cxrili 16.3.2). Mmeores mxriv, yvelaze naklebad dasaxelebuli simptomebi iyo: genitaluri iarebi, wylulebi an meWeWebi (5%), sasqeso 314

AaWara

Gguria

samegrelo

imereTi

mcxeTamTianeTi

raWasvaneTi

organoebis SeSupeba (4%) da wonaSi dakleba (1%). zogadad, sggi-sTvis damaxasiaTebeli simptomebis Sesaxeb codnis done matulobda asakis, ganaTlebisa da socio-ekonomikuri donis zrdasTan erTad.

16.4 sqesobrivi gziT gadamdebi infeqciebis riskis TviT Sefaseba sqesobrivi gziT gadamdebi infeqciebis riskis TviTSefasebawarmoadgens mosaxleobis cnobierebis donis mniSvnelovan markers ZiriTadi risk-faqtorebis da prevenciuli RonisZiebebis mimarT. respondentebs, romelTac smeniaT sggi-sTvis damaxasiatebeli minimum erTi simptomis Sesaxeb, sTxoves, SeefasebinaT sqesobrivi gziT gadamdebi daavadebebiT sakuTari Tavis inficirebis riski. qarTveli qalebis umravlesoba (55%) fiqrobs, rom saerTod ar imyofeba sqesobrivi gziT gadamdebi infeqciebis riskis qveS, daaxloebiT 19%-is azriTY riskis done dabalia, xolodanarCen 3%-s miaCniarom riskis done saSualoa (cxrili 16.4). sqesobrivi gziT gadamdebi infeqciebis riskis TviTSefasebis done yvelaze maRali iyo TbilisSi, aWarisa da samegrelos regionebSi mcxovreb qalebs Soris (suraTi 16.4). qalaqSi mcxovrebi qalebis ufro didi nawili aRiqvams am sggi-T inficirebis saSiSroebas soflad mcxovreb qalebTan SedarebiT. sqesobrivi


saboloo angariSi

sqesobrivi gamocdilebis mqone qalebis procentuli maCvenebeli, romelTac odesme Catarebuli aqvT gamokvleva sqesobrivi gziT gadamdeb infeqciebze, regionebis mixedviT

FsuraTi 16.5.1

45

42

40

qalebi (%)

35

30

30 25

26

23

29

27

25

23

22

20

23

17

15 10 5 0

Tbilisi

kaxeTi

FsuraTi 16.5.2

Sida KqarTli

Kqvemo KqarTli

samcxejavaxeTi

AaWara

Gguria

samegrelo

imereTi

mcxeTamTianeTi

informaciis ZiriTadi wyaro sqesobrivi gziT gadamdeb infeqciebze 15-44 wlis asakis qalebSi; 2005 da 2010 wlebi

70 60 50

raWasvaneTi

2005

63

2010

50

40 30 18

20

15

10

15 7

5

2

0 media

FsuraTi 16.6

megobrebi

jandacvis muSaki

10

7

wignebi

2

maswavlebeli

4 mSobeli, naTesavi, partnioiri

1

1 sxva

sqesobrivi gziT gadamdebi infeqciebis sawinaaRmdego mkurnalobis provaideri sqesobrivi gamocdilebis mqone 15-44 wlis asakis qalebSi TviYT-mkurnaloba 15% Fmegobari/naTesavi 1% Osxva eqimi 3%

mean-ginekologi 80%

gziT gadamdebi infeqciebis riskis TviTSefasebis donei izrdeba respondentTa ganaTlebisa da socialur-ekonomikuri statusis mixedviT.

16.5 testireba sqesobrivi gziT gadamdeb infeqciebze sqesobrivi gamocdilebis mqone qalebs hkiTxes CautarebiaT Tu ara odesme testireba sggi-ze. mTlianobaSi, sqesobrivi gamocdilebis mqone respondentebis 29%ma daafiqsira rom maT Catarebuli aqvT testireba minimum erT sggi-zeaiv/Sidsis garda (cxrili 16.5.1). sqesobrivi gziT gadamdeb infeqciebze Catarebuli gamokvlevebis procentuli maCvenebeli ufro maRal-

ia qalaqSi mcxovreb qalebSi vidre soflad macxovreblebSi (35% da 24%). minimum erT sggi-ze testirebis yvelaze maRali maCvenebelidafiqsirda TbilisSi (42%), Semdeg aWaraSi (30%) da mcxeTa-mTianeTSi (29%) (suraTi 16.5.1). zogadad, sul mcire erT sggi-ze gamokvleva ufro metad Catarebuli aqvT 30-44 wlis asakis qalebs, romlebsac miRebuli aqvT umaRlesi ganaTleba, aqvT maRali socialur-ekonomikuri statusi dahyoliaT ori an meti mudmivi sqesobrivi partniori. sqesobrivi gziT gadamdebi infeqciebidan respondentebs testireba yvelaze xSirad Catarebuli aqvT sokovan infeqciebze (27%),romelsac moyveba triqomonozze (7%), qlamidiozze (3%) da genitalur 315


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

FsuraTi 16.7.1

informaciis ZiriTadi wyaro sqesobrivi gziT gadamdeb infeqciebze 15-44 wlis asakis qalebSi; 2005 da 2010 wlebi

70 60 50

2005

63

2010

50

40 30 18

20

15

10

15 7

5

10

7 2

0 media

FsuraTi 16.7.2 80

megobrebi

jandacvis muSaki

wignebi

4

2

maswavlebeli

1

mSobeli, naTesavi, partnioiri

1 sxva

radios an televiziis meSveobiT ukanasknelad miRebuli informacia sqesobrivi gziT gadamdeb ingeqciebze 15-44 wlis asakis qalebSi; 2005 da 2010 wlebi 72.1

70

66.9

2005

60

2010

50 40 30 20 10 0

0.1 0.1 radio/gazeTi

4.8 4.4

11.2 8.1 1.1 0.4

0.4 0.1

mxolod radio

3.3 3.2

1.8 1.4

radio/televizia

radio, gazeTi an televizia

herpesze Catarebuli gamokvlevebi(1%). qarTveli qalebi yvelaze naklebad itareben testirebas sifilisze da gonoreaze. suraTSi 16.5.1 mocemulia, sqesobrivi gziT gadamdeb infeqciebze gamokvleuli reproduqciuli asakis, sqesobrivi gamocdilebis mqone qalebis procentuli Tanafardoba 2005 da 2010 wlebis reproduqciuli janmrTelobis kvlevis Sedegebis mixedviT. 2005-dan 2010 wlamde 15-44 wlis asakis qalebSi sagrZnoblad Semcirda TiTqmis yvela sqesobrivi gziT gadamdeb infeqciaze testirebis sixSire..

16.6 sqesobrivi gziT gadamdebi infeqciebis simptomebis arseboba sqesobrivi gamocdilebis mqone yvela respondents daesva kiTxva, xom ar hqoniaT sqesobrivi gziT gadamdebi infeqciebisTvis damaxasiaTebeli romelime simptomi ukanaskneli 12 Tvis manZilze (cxrili 16.1.1). sqesobrivad aqtiuri qalebis mexuTedma aRniSna, rom hqondaT usiamovno sunis mqone vaginaluri gamonadeni, 13%-s awuxebda wva da qavili sasqeso organoebis areSi, 9%-ma daasaxela wva da tkivili Sardvis dros, 6%-s aReniSneboda tkivili sqesobrivi kavSiris drosxolo 4%-s sasqeso organoebis midamoebSi hqonda iara, wyluli 316

an meWeWi. yvela zemoT aRniSnuli simptomi ufro metad damaxasiaTebeli iyo soflad mcxovrebi qalebisaTvis vidre qalaqad mcxovrebTaTvis. mniSvnelovani gansxvaveba sggi-s simptomebis arsebobaSi qalebis asakis, regionis, ganaTlebis donis, simdidris indeqsis, an eTnikuri warmomavlobis mxriv ar aRiniSna. ukanaskneli 12 Tvis ganmavlobaSi, sqesobrivi gziT gadamdebi infeqciebisTvis damaxasiaTebeli erTi an meti simptomis mqone qalebis naxevarze metma Caitara mkurnaloba. am respondentebis umravlesobam (80%), mkurnaloba Caitara mean-ginekologTan, xolo qalebis 15%-ma TviTmkurnalobas mimarTa (cxrili 16.6.3 da suraTi 16.6) mkurnalobis Catareba damokidebuli iyo respondentis ganaTlebasa da socialur-ekonomikuri statusze (cxrili 16.6.2). respondentebma, romlebmac ar Caitares mkurnaloba sggi-s simptomebis gamo, daasaxeles sxvadasxva mizezi: orma mesamedsar hqonda finansuri saSualeba samedicino momsaxurebisa da mkurnalobis xarjebis dasafarad. aRniSnul mizezd gansakuTrebiT xSirad asaxelebdnen 35-44 wlis asakis, soflad mcxovrebi, ganTlebis dabali donis da simdidris qveda indeqsis mqone qalebi. mkurnalobis ar Catare-


saboloo angariSi

bis meore, yvelaze xSiri mizezi daasaxela qalebis 12%-ma, romelTac ganacxades, rom simptomebi droTa ganmavlobaSi gaqra. qalebis 6%-ma ver daakavSira simptomebi sggi-sTan, xolo respondentTa 5%-ma diagnozis SiSis gamo ar mimarTa eqims. Tumca am simptomebisas infeqciebis samkurnalod samedicino dawesebulebebisaTvis ar mimarTvis ZiriTadi mizezi iyo gadaxdisuunaroba qalebis yvela kategoriaSi.

16.7 informaciis Ziridadi wyaro sqesobrivi gziT gadamdebi infeqciebis Sesaxeb qalebs, visac smeniaT minimum erTi sqesobrivi gziT gadamdebi infeqciis Sesaxeb, dausves Semdegi kiTxva: “romeli iyo informaciis yvelaze mniSvnelovani wyaro sqesobrivi gziT gadamdebi infeqciebis, maT Soris Sidsis, Sesaxeb?” respondentebis 43%-mainformaciis ZiriTad wyarod televizia daasaxela, 15%-ma – megobrebi da kolegebi, 14%-ma jandacvis muSakebi, 7%ma specialuri samedicino literatura, xolo 6%-ma beWdviTi media (cxrili 16.7.1). gamokiTxuli qalebis erT procentze naklebisTvis informaciis ZiRiTad wyaros sggi-s Sesaxeb qmari an partniori warmoadgenda. mSoblebi , naTesavebi , maswavleblebi da interneti ar TamaSobs mniSvnelovan rols sggi-ze informaciis miwodebaSi. Unda aRiniSnos, rom miuxedavad imisa, rom respondentebma daasaxeles informaciis mxolod erTi, ZiriTadi wyaro, realurad qalebi informacias erTdroulad ramodenime wyarodan iReben. 2005 da 2010 wlebSi Catarebuli reproduqciuli janmrTelobis kvlevebis Sedegebis SedarebiT aRmoCnda, rom 2010 wlisTvis jandacvis muSakebis da mSoblebis roli gaizarda reproduqciuli asakis qalebisTvis sggi-s Sesaxeb informaciis miwodebis mxriv. (suraTi 16.7.1). respondentebs dausves SekiTxva, ukanaskneli 6^Tvis ganmavlobaSi unaxavT, mogusmeniaT an wagukiTxavT Tu ara sazogadoebrivi gancxadebebi an reklama sqesobrivi gziT gadamdebi infeqciebis Sesaxeb televiziiT,radioTi, an JurnalgazeTebSi. rogorc naCvenebia cxrilSi 16.7.2, gamokiTxulTa or mesameds (67%) ar mousmenia, ar unaxavs da ar waukiTxavs araviTari informacia sqesobrivi gziT gadamdebi daavadebebis Sesaxeb zemoT xsenebul media wyaroebSi. qalebis 11%-ma ganacxada, rom unaxavs reklama an gancxadeba mxolod

televiziiT, 3%-s waukiTxavs informacia mxolod Jurnal-gazeTebSi, da erT procentze naklebs mousmenia gancxadeba an reklama mxolod radios saSualebiT. 2010 wlisTvis, 2005 welTan SedarebiT 5%-iT Semcirda im qalTa procentuli maCvenebeli , romelTac bolo 6 Tvis ganmavlobaSi r unaxavT, mousmeniaT da waukiTxavT reklama an gancxadeba sggi-s Sesaxeb.(suraTi 16.7.2). kvlevis Sedegebis mixedviT, saqarTvelos reproduqciuli asakis qalebSi aRiniSneba sggi-s Sesaxeb cnobierebisa da codnis nakleboba. amis sedegad, qarTveli qalebi saTanadod ver afaseben sggi-T inficirebis risks. mniSvnelovania, SevimuSavoT da davnergoT Sesabamisi sainformacio, saganmanaTleblo da sakomunikacio programebi soflad mcxovrebi, axalgazrda, mwiri ganaTlebis da dabali socialurekonomikuri statusis mqone qalebisTvis. saTanadod integrirebuli sainformacio, saganmanaTleblo da sakomunikacio intervenciebi dagvexmareba am jgufebSi sqesobrivi gziT gadamdebi infeqciebis Semdgomi gavrcelebis Tavidan acilebaSi.

317


qalTa reproduqciuli janmrTelobis kvleva saqarTveloSi, 2010

cxriliცხრილი16.2 16.2 aiv/Sidsis garda, sqesobrivi gziTგზით gadamdebi daavadebebis Sesaxeb ცნობიერება სქესობრივი გაგამდებ ინფექციებზე (სგგი) informirebulobis done, SerCeuli maxasiaTeblebis mixedviT 15-44 wlis yvela სხვადასხვა მახასიათებლების მიხედვით 15-44 წლის ასაკის ქალებში, qali რეპროდუქციული ჯანმრთელობის კვლევა, საქართველო, 2010 წელი reproduqciuli janmrTelobis kvleva, saqarTvelo, 2010 სგგი მახასიათებელი

sul sacxovrebeli adgili qalaqi sofeli regioni kaxeTi Tbilisi Sida qarTli qvemo qarTli samcxe javaxeTi aWara guria samegrelo imereTi mcxeTa mTianeTi raWa-svaneTi asakobrivi jgufi 15–19 20–24 25–29 30–34 35–39 40–44 ganaTlebis done saSualo arasruli saSualo sruli teqnikumi universiteti/aspirantura socio-ekonom. statusi yvelaze dabali meore saSualo meoTxe umaRlesi eTnikuri kuTvnileba qarTveli azerbaijaneli somexi sxva sqesobrivi gamocileba ki ara

318

მინიმუმ სოკოვანი სიფილი ტრიქომონო ერთი დაავადება სი ზი სგგი

გონორეა

შემთხვ გენიტალ ევათა ქლამიდ ური რ-ა იოზი ჰერპესი

88.0

84.8

61.8

44.1

41.4

37.4

27.7

6,292

92.0 83.4

88.9 80.2

69.7 52.8

53.8 33.2

50.3 31.2

47.5 25.9

37.6 16.4

2,975 3,317

80.7 93.1 91.5 78.4 77.0 90.1 88.4 87.9 89.6 93.0 86.7

77.1 89.4 89.9 74.4 70.8 86.3 83.8 84.9 88.6 90.9 86.1

55.5 73.7 52.5 49.4 43.5 56.5 68.4 56.6 67.8 67.3 49.7

35.8 60.2 36.7 34.6 23.1 46.2 37.8 37.0 41.7 46.8 26.6

31.8 55.0 35.9 34.1 24.2 37.8 42.4 32.8 43.2 43.2 28.2

28.0 53.9 28.2 28.6 20.0 36.6 36.4 28.7 35.3 40.5 20.1

16.6 42.7 16.0 21.3 11.2 32.7 23.2 16.8 26.7 27.8 12.8

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

68.6 84.9 93.1 95.1 94.7 94.7

63.7 81.3 90.4 92.1 92.5 92.5

21.5 50.2 67.0 77.3 80.4 82.8

10.8 31.5 47.1 56.0 59.7 68.3

11.1 30.4 42.6 50.0 57.3 64.8

8.1 28.5 40.7 47.1 50.2 56.4

7.5 22.0 30.3 33.1 36.6 41.3

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

70.7 87.1 96.0 95.7

66.2 83.5 94.1 93.2

34.3 53.4 77.5 77.5

18.6 34.2 59.3 59.9

17.8 29.9 55.3 57.5

11.2 28.6 50.3 53.5

7.6 18.3 36.4 42.1

1,330 1,568 903 2,491

79.9 82.3 88.2 91.1 94.4

75.1 79.5 85.4 88.1 91.3

47.4 51.6 58.5 67.1 76.3

25.0 32.4 40.5 49.1 63.2

23.7 31.0 37.1 47.0 58.7

19.5 24.8 31.8 42.6 57.7

11.8 14.9 22.0 32.7 47.3

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

91.1 54.6 70.4 84.6

88.2 50.8 65.1 79.6

64.7 25.7 45.4 67.1

46.7 13.7 28.8 48.1

43.9 13.1 25.1 46.7

40.3 7.7 18.1 34.6

29.8 3.8 15.0 27.3<