saint petersburg, founded 1703rahr.ru/d_index/korsak merck africa asia luminary.pdf · 2019. 11....
TRANSCRIPT
Saint Petersburg,
Founded 1703
1985-1988 2017
St. Paul’s Hospital, Addis Ababa,
Ethiopia
ART
in Commonwealth of Independent States
(CIS)
Prof. Vladislav Korsak, Russia
ACCRA GHANA, 29th & 30th of October 2019
Feb 07 1986
Sep 07 2016
2007
This is life story of a first child from test tube in USSR, Moscow, Russia – Elena. From embryo to the mother of the boy
1986 a group of doctors and embryologists with the mother and the first test boy in USSR, Nov 26, St. Petersburg, Russia
Commonwealth of Independent States (CIS)
Commonwealth of Independent States
● Availability (ART legislation)
●Accessibility – legal criteria
●Accessibility - funding/reimbursement
Availability
Russian Federation
founded in 1991
from 1995 года
Russian Association
of Human Reproduction
ART Register
ANNUAL ART REGISTRY REPORTS OF THE
RAHR
2017 Number of centers-28%
All together 902 578 cycles
Russia
10 000 km
Russia
St. Petersburg
Population 146,8 mln
Russian ART Register, 2017:
St.Petersburg + Moscow Share of population - 10%Share of ART centers - 32%Share of ART cycles – 44%
ОтчетНаселение
РФ, млн.
Циклов
ВРТ
Циклы/
млн.
2017 146,9 139779 951
2016г. 146,8 123181 839
2015г. 146,3 111972 765
2014г. 143,7 95628 665
2013г. 143,5 69025 481
Количество циклов ВРТ
в соотношении к населению России
0
500
1000
1500
2000
2500
3000
the global need for ART is estimated to be
at least 1.500 cycles/million population per year.
(countries with 100% participation)
9 out of 15 countries
Number of cycles per 1 million inhabitants
National Guidelines l
ART and IUI
Female infertility
OHSS
ART in Kazakhstan
2720
35303950
44305007
56206015
65207054
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
2007 2010 2011 2012 2013 2014 2015 2016 2017 2018 гг.
ART cycles
State program
7740
Dynamics of number of cycles of ART in Kazakhstan
(2004-2017 )
16500Children were born in Kazakhstan as a
result of the successful application of
ART(1996 - 2018 )
Republic of Belarus Area- 207,595 km2 (85th)
Population- 9,481,500
❖ .
АRT clinics in Belarus
➢Altogether 8 ART centers (state -3, privet – 5).
➢ Minsk (the capital) - 6 ART centers.
0
1
2
3
4
5
6
7
8
9
1995 1999 2001 2002 2007 2014 2016 2018
2017 - 3950 cycles
ART in CIS
countryART is permitted
legislation, regulation
Does doctors and
embryologists have the
opportunity to train in
the country
Number of ART centersNumber of ART cycles Population mln
Number of ART cycles
per 1 mln
1 Azerbaijan no info no info no info no info 10.0 no info
2 Armenia yes no 6 2000 3.0 667*
3 Belarus yes yes 8 3950 9.5 394*
4 Kazakhstan yes yes 25 7740 17.6 420*
5 Kyrgyzstan yes no 1 50 6.4 7.8
6 Moldova yes no 2 1300 4.0 325
7 Tajikistan yes no 2 100 9.3 10.7
8 Uzbekistan yes no 3 500 32.9 15.6
TOTAL 19 640 82.7 237.5
9 Russia yes yes 220 139 779 147 951*
TOTAL 189 640 229.7 825.6
10 Georgia yes no 12 3100 3.7 567
11 Turkmenistan yes no 1 no info 5.8
12 Ukraine yes yes 50 23 353 42.4 550
ACCESSIBILITY
EIM European survey
Public funding/reimbursement
Russia Kazakhstan Belarus
Funded cycles (%)
45 10 non
Tax deductions for ART expenses
yes no no
Education
EIM European survey
Russia Kazakhstan Belarus
Special ART training centers/ program
4 1 1
Conclusions
● Diversity is the CIS paradigm
● Russia is a leader in ART
● Accessibility and availability is low or very low
EIM European survey
World ART DayWAD
Dakar,2018
1978
International Federation of Gynecology and Obstetrics
Thank you!