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!