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Population Situation Analysis in Bosnia and Herzegovina

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Population Situation Analysis in Bosnia and Herzegovina Population Situation Analysis in Bosnia and Herzegovina September 2019 (Updated in March 2020) Population Situation Analysis in Bosnia and Herzegovina Page | 1 Population Situation Analysis in Bosnia and Herzegovina 59TSeConS Expert Team: Marija Babović, Team Leader Slađana Baruš, Expert Danilo Vuković, Expert Gordana Vojković, Expert Željka Stamenković, Expert Dragana Petrović, Senior Reseacher Jovana Obradović, Senior Reseacher Olga Bogdanov, Junior Reseacher Tijana Veljković, Junior Researcher Olivera Vuković, Quality assurance Technical Support: Ralph Hakkert Data update (March 2020): Amra Fetahović Disclaimer: Data used for Population Situation Analysis (PSA) and presented in this report originate mainly from the 2013 Bosnia and Herzegovina (BiH) Census Report published by the BiH Agency for Statistics. The 2013 BiH Census Report has been disputed by the Republika Srpska (RS) Institute of Statistics due to disagreement over the methodology used for data processing. Instead, the RS Institute of Statistics has published a 2013 RS Census Report that is in use in this entity. Given that the differences between the two census reports referred to above are under 5%, and given that such small differences have little effects on the analysis, the conclusions and recommendations of the Population Situation Analysis are considered valid for the whole country. The views and analysis contained in this PSA report are those of the authors and do not necessarily represent the views of the United Nations or any of its affiliated organisations. Page | 2 List of abbreviations ANC Antenatal care AIDS Acquired immunodeficiency syndrome BAM Bosnia and Herzegovina Convertible Mark BD Brčko District of Bosnia and Herzegovina BiH Bosnia and Herzegovina CEPAM Centre of Expertise on Population and Migration CHE Current health expenditure C-section Cesarean section DEP Directorate for Economic Planning DPT Diphteria, pertussis, tetanus EmOC Emergency medical obstetric care ECDC European Centre for Disease Prevention and Control FBiH Federation of Bosnia and Herzegovina FH Freedom House FP Family planning FAO Food and Agriculture Organisation GBD Global Burden of Disease GDP Gross domestic product GNI Gross national income GGHE-D Domestic general government health expenditure GoRS Government of Republika Srpska HBS Houshold Budget Survey HIV Human immunodeficiency HIF Hypoxia Inducible Factor HDI Human Development Index IBBS Integrated (bio) behavioral surveys IDNCDI Institute for Social Sciences, Center for Demographic Research of Serbia IOM International Organisation for Migration ICT Information and Communication Technologies ILO International Labour Organisation IPA Instrument for Pre-Accession Assistance IMO International Monitoring Operation KM Bosnia and Herzegovina Convertible Mark MICS Multiple Indicator Cluster Survey MOH Ministry of Health MHRR Ministry for Human Rights and Refugees MSM Gay men and other men who have sex with men Page | 3 Population Situation Analysis in Bosnia and Herzegovina MOE Ministry of Education NEET Not in Education, Employment, or Training NGO Non governmental organisation NHDR National Human Development Report NSO National Statistical Office OSCE Organisation for Security and Co-operation in Europe OST Opioid substitution therapy PAC Postabortion care PHI FBiH Public Health Institute of Federation of BiH PHIRS Public Health Institute of Republika Srpska PHIBD Public Health Division of Brčko District PIRLS Progress in International Reading Literacy Study PISA Programme for International Student Assessment PLHIV People living with HIV PPS Purchasing Power Standard PSA Population Situation Analysis PWID People Who Inject Drugs RS Republika Srpska SEESSP South-East European Social Survey Project SIGI Social Inclusion and Gender Index Statistical Agency for Statistics of Bosnia and Herzegovina Institutions/ Federal Institute of Statistics Agency Republika Srpska Institute of Statistics SRH Sexual and Reproductive Health STIs Sexually transmitted infections STDs Sexually transmitted diseases SZS Savezni zavod za statistiku SWs Sex workers TFR Total fertility rate TI Transparency International TIMSS Trends in International Mathematics and Science ToR Terms of Reference UN United Nations UN Women United Nations Entity for Gender Equality and the Empowerment of Women UNDAF United Nations Development Assistance Framework UNDP United Nations Development Programme UNFPA United Nations Population Fund UNICEF United Nations International Children's Emergency Fund UNSD United Nations Statistics Division Page | 4 Population Situation Analysis in Bosnia and Herzegovina UNECE United Nations Economic Commission for Europe UNHCR United Nations High Commissioner for Refugees UNSDCF United Nations Sustainable Development Cooperation Framework VCT Voluntary counselling and testing WB World Bank WGI World Governance Indicators WHO World Health Organisation WJP World Justice Project Page | 5 Population Situation Analysis in Bosnia and Herzegovina Table of content List of abbreviations ...................................................................................................................................... 3 Table of content ............................................................................................................................................ 6 Table of charts ............................................................................................................................................... 9 Content of tables ......................................................................................................................................... 12 Executive Summary ..................................................................................................................................... 15 About PSA ................................................................................................................................................ 15 Key findings ............................................................................................................................................. 15 Recommendations .................................................................................................................................. 19 1. Introduction ......................................................................................................................................... 20 1.1 The purpose and scope of the analysis ....................................................................................... 20 1.2 Analytical framework and methodology ..................................................................................... 20 1.3 Methodological limitations ......................................................................................................... 22 2. Socio-economic and political situation in BiH ..................................................................................... 23 2.1 Political and institutional context ................................................................................................ 23 2.2 The economic context ................................................................................................................. 29 2.3 Socio-cultural context.................................................................................................................. 37 2.4 Social expenditures ..................................................................................................................... 53 3. Population dynamics and basic socio-economic determinants .......................................................... 56 3.1 Long term population trends ...................................................................................................... 57 3.2 Spatial distribution of population ............................................................................................... 63 3.3 Impact of components of population dynamics ......................................................................... 64 3.4 Transformations of the age structure of population .................................................................. 65 4. Sexual and reproductive health .......................................................................................................... 71 4.1 Sexual behaviour, family planning and reproductive health ...................................................... 71 4.2 Sexual and reproductive health of adolescents .......................................................................... 77 4.3 Antenatal and postnatal care ...................................................................................................... 81 5. Mortality .............................................................................................................................................. 90 5.1 Changes in overall mortality ........................................................................................................ 90 5.2 Infant and child mortality ............................................................................................................ 92 5.3 Maternal mortality ...................................................................................................................... 92 Page | 6 Population Situation Analysis in Bosnia and Herzegovina 5.4 Specific mortality of women ....................................................................................................... 93 5.5 Increase in life expectancy .........................................................................................................
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