Russia's bold plan to reverse declining birth rates by 2036

Russia has introduced new health guidelines aimed at improving reproductive health and boosting birth rates. The measures come as the country faces a steady decline in births, with figures dropping from 1.89 million in 2016 to around 1.22 million by 2024. Official demographic data, however, has not been updated since early 2025.

The updated recommendations focus on early intervention for conditions that may affect fertility. Women with obesity, suspected endocrine disorders, or signs of hormonal imbalances like acne and alopecia will be referred to specialists. Those with underweight, overweight, or chronic illnesses must consult a general practitioner for further assessment.

Timely treatment of sexually transmitted infections is also highlighted as a priority. Additionally, women without diagnosed gynaecological issues but with risk factors—such as harmful habits—will receive guidance on reducing those risks.

A notable aspect of the guidelines involves psychological support. Women who indicate no desire for children will be offered consultations with a medical psychologist. However, attendance remains optional, leaving the final decision to the individual.

The government's long-term projections suggest a gradual recovery in birth rates. By 2030, the total fertility rate is expected to reach 1.6, rising to 1.8 by 2036. The number of large families is also forecast to grow, reaching 2.4 million by 2030 and 2.725 million by 2036.

The new health measures address both medical and psychological factors influencing fertility. If implemented effectively, they could help reverse the country's declining birth trend. Official updates on demographic progress, however, remain unavailable since early 2025.