Scientific Online Resource System

Scripta Scientifica Medica

Bulgaria and the other new eu member states: trends in the health status after twenty years of transition

Stefka Koeva

Abstract

This paper analyzes the trends in the basic indicators of population`s health status in the twenty years of post socialist transition of Bulgaria. The processes and tendencies in this country are placed in the broader context of the developments in the other post-socialist countries, particularly, the new EU member states. Thus the ap- proach adopted in the paper is the comparative one. Although the whole period is under consideration, em- phasis is placed on the last 5-10 years. After stagnant or even decreasing life expectancy at birth in the 1990s, this indicator has been showing a positive trend throughout the last decade. Even though the numbers are comparable to the values in some other EU12 countries, they are still one of the lowest among all EU Member States. Although the last few years have seen a slight decrease in overall mortality rates, mortality in Bulgaria is still substantially higher than in any other EU country. Whilst the cardiovascular mortality has decreased in the last decade, it is still the highest in the European Union and several times higher than the EU average. Child mortality (both infant and under-five) has been decreasing, but Bulgaria still lags behind the EU aver- age and even the average of the EU12. Perinatal mortality rate is twice as high as the respective values for the EU-12. The positive tendencies in population health status, as subtle and fragmented as they seem to be, are mainly attributable to the stabilization of the political situation in the country starting from 2000-2001, and especially to the economic upsurge in the mid-2000s.

Keywords

health status; life expectancy; mortality; cardiovascular mortality; child mortality

Full Text


References

Dobrinski R., The transition crisis in Bulgaria.- Cam- bridge Journal of Economics, 24, 2000, 581-602.

Golinowska S., A. Sowa, R. Topor-Mardy., Health status and health care systems in Central and Eastern European Countries: Bulgaria, Estonia, Po- land, Slovakia and Hungary. In: Social welfare poli- cies, ENERPRI research reports, No. 31. December 2006.

Nolte E., M. McKee, A. Gilmore., Morbidity and mortality in transition countries in the European context. European Population Forum 2004, Geneva, 12-14 January 2004.

Ministry of Health. National Center of Health Infor- matics Public Health Statistics 2010. Sofia, NCHI. (http://www.nchi.government.bg/Eng/down- load/healthcare_10A.pdf)

National Statistical Institute . Bulgaria 2009. Statisti- cal panorama. Sofia, NSI, 2010. (http://www.nsi.bg/publica- tions_e/BulgariaPanoramaSummary09.pdf, accessed 11 June 2011)

World Bank [online database] World Development Indicators. Washington DC, World Bank (http://data- bank.worldbank.org/ddp/home.do?Step=2&id=4&Dis playAggregation=N&SdmxSupported=Y&CNO=2) (accessed 12 June 2011)

WHO Regional Office for Europe. European Health for All database (HFA-DB) [online database], Copen- hagen, Denmark (http://www.euro.who.int/hfadb, ac- cessed 12 June 2011).




DOI: http://dx.doi.org/10.14748/ssm.v43i0.4372

Refbacks

Article Tools
Email this article (Login required)
About The Author

Stefka Koeva
Varna University of Medicine

Font Size


|