Vol. 15 No. 2 (2023): Arch Pub Health
Public Health

Factors that have impact on natural population change in Republic of North Macedonia

Monika Stojchevska
Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Institute of Social Medicine, Republic of North Macedonia
Aleksandra Stamenova
Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Institute of Social Medicine, Republic of North Macedonia
Fimka Tozija
Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia

Published 2023-09-05


  • population,
  • birth rate,
  • mortality,
  • natural change of population,
  • North Macedonia.

How to Cite

Stojchevska M, Stamenova A, Tozija F. Factors that have impact on natural population change in Republic of North Macedonia. Arch Pub Health [Internet]. 2023 Sep. 5 [cited 2023 Dec. 9];15(2). Available from: https://id-press.eu/aph/article/view/6103


The planning of public health programmes is directly related with the demographic characteristics and  the population change has longterm impact on the health, health care and community interventions. The objective of this paper is to analyze the factors influencing the trend of population change  in the Republic of North Macedonia. Material and methods: Data from the National Statistical Office and World Health Organization have been used. Literature review was conducted applying public health approach and descriptive method. Results: The natural population change in North Macedonia has negative trend in the last 10 years, the birth rate has declined, while the mortality is increasing. The biological factors and fertility rate have significantly influenced the birth rate, while the burden of chronic noncommunicable diseases, road injures, violence and COVID-19 are lead causes of mortality.  Numerous factors indirectly affect the negative trend of population change such as the high rate of unemployment, poverty, socioeconomic and political context, migration and availability and quality of health care. Conclusion: А detailed analysis of the factors affecting the natural population change and an appropriate national response with the aim of reducing the negative trends is needed.


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