Factors that have impact on natural population change in Republic of North Macedonia
Published 2023-12-30
Keywords
- population,
- birth rate,
- mortality,
- natural change of population,
- North Macedonia.
How to Cite
Copyright (c) 2023 Monika Stojchevska, Aleksandra Stamenova, Fimka Tozija
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
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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