Russia's bold plan to boost birth rates with new health guidelines

Russia has introduced new health guidelines aimed at improving reproductive health and increasing birth rates. The measures include medical referrals for women with certain risk factors, alongside broader fertility projections for the coming years. Authorities hope these steps will support a gradual rise in the country's total fertility rate.

Under the updated policy, women who state they do not wish to have children will be offered a consultation with a medical psychologist. The goal is to encourage a more positive view of childbearing, though attendance remains optional. No official figures exist on how many women received such referrals in 2023, as the policy only took effect in February 2026.

Women with risk factors—even without diagnosed gynaecological conditions—will receive guidance on reducing those risks. Those with acne or hair loss will be directed to a dermatovenereologist, while women with obesity or suspected hormone-related issues will see an endocrinologist. The guidelines also stress the importance of early treatment for sexually transmitted infections and other conditions that could affect fertility.

The government's long-term projections suggest the total fertility rate will climb to 1.6 by 2030 and 1.8 by 2036. Alongside this, the number of large families is expected to grow, reaching at least 2.4 million by 2030 and 2.725 million by 2036.

The new measures focus on proactive health management and voluntary psychological support. If successful, they could contribute to a steady increase in birth rates over the next decade. Officials will monitor the policy's impact as it rolls out across the country.