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The main factors that are seen as causing the decrease of the birth rate in Kosovo are the difficult economic conditions, maternity law, family planning, state policies and greater migration to the Balkans and Europe. According to the Kosovo Agency of Statistics in all maternity hospitals in Kosovo, the number of births has declined in each year. In 2014, 32,087 births were registered, in 2015, 31,116 births were registered, in 2016, 30,069 births were registered, in 2017, 30,025 births were registered, and in 2018, 22,76 births were recorded. Statistics at the Gynecology Clinic at the University Clinical Center of Kosovo in 2014 revealse there were 10 thousand and 307 births in 2015, 9 thousand and 443 births in 2016, 10 thousand and 139 births in 2017, 10,161 births in 2018 and 7,256 births in 9 months of 2019. Director of Gynecology Clinic Jakup Ismajli told Oculus News that it has become a kind of "trend" in developed countries where couples decide to have children as much as they can afford.
"The decline in birth rates is a trend in developed countries, meaning that in developing countries there is a decline in birth rates. This is because family planning is first and foremost because every married couple wants to give birth to as many children as can afford. This differs from non-developing countries where each couple had 4-5 children, whereas nowadays spouses plan family and usually have 1 or 2 children. This I think is one of the main causes of the decline in fertility which also includes our country Kosovo,” he said.