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Healthcare in Georgia (country)

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financed entitlement to health care coverage to the entire population. The nature of the program is noncontributory, in the sense that Georgians do not have to contribute for enrollment. Enrollment involves registering with the primary care provider of choice. The benefits package covers a range of primary and secondary care services and limited essential drugs. Administratively, the reform transferred responsibility for purchasing health care services from private insurance companies to the SSA under MoLHSA, thus putting in place a platform to shift from passive to active purchasing . The health financing reforms introduced since 2013, and backed up by significant increases in public health spending, have moved Georgia closer to European norms. These include: (i) near universal population entitlement to publicly financed health care; (ii) free visits to family doctors; (iii) referral and prescribing systems; (iv) a single purchasing agency; and (v) higher public spending on health. Sustaining the coverage achieved to date and deepening coverage through better financial protection against OOP costs are the policy priorities for the Government of Georgia. Total health spending in Georgia–at 8.5 percent of GDP in 2015 is much higher than the average for upper-middle-income countries (7.0 percent) and approaching the EU average (10 percent). From 2012 to 2015, the health budget more than doubled, increasing from 5.3 percent to 8.6 percent of total government spending, and as a percentage of GDP from 1.7 percent to 2.9 percent. In this respect, Georgia is experiencing a steep increase in its health sector spending, which is consistent with other middle-income countries’ experience at the time of UHC introduction. Public spending on health in Georgia is mainly drawn from general tax revenues and allocated to the UHC Program and vertical programs, all of which are administered by the SSA. Despite rising public spending on health, OOP remains the dominant source of financing for health in Georgia, filling the void of health spending that is not covered through public sources. OOP spending in Georgia is decreased and estimated to be 57 percent of all health spending (73% in 2012).
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surveillance, immunization, laboratory work, research, providing expert advice, and responding to public health emergencies. SRAMA formally responsible for issuing and control the licenses and permits for health care facilities, regulating medical professionals and pharmaceuticals. ESC&UAC Ensures/coordinates quality emergency medical and referral assistance for improving the state of health of the population during the disaster and martial law situation. ESC&UAC is functioning in all municipalities of the country except in the capital city. By this time 85 medical branches are included. Following extensive privatization and decentralization, most providers in primary and secondary level are private for-profit entities in terms of ownership, governance and management. Many of them are vertically integrated with private health insurance providers and pharmaceutical companies. The development of professional medical associations in Georgia is still at an early stage although there are many of them in existence. Since 2005, the major activity of professional associations has been supporting the MoLHSA in its endeavor to elaborate national clinical practice guidelines and protocols.
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principles and values recognized at international and national levels Ministry of Labour, Health and Social Affairs (MoLHSA) is formally accountable for the health of the population, oversight of the health system, the quality of health services and equity in relation to access to health care throughout the country There are Legal entities under state control of the Ministry: LEPL “Social Service Agency” (SSA), LEPL “National Centre for Disease Control and Public Health” (NCDC), LEPL "State Regulation Agency for Medical Activities (SRAMA) and LEPL Emergency Situations Coordination and Urgent Assistance Center (ESC&UAC). Administration and management of the Health and Social care State Programs including UHC is providing by SSA, which is subordinated institution under the MoLHSA. SSA's territorial offices are located at 68 municipalities and more than 2000 are employed in them
65:. In 2003, the social insurance tax was replaced by social tax, which was accumulated in the state budget and from 2007 the GoG decided to delegate management of state allocations for health insurance for targeted groups of population (the poor, teachers, law enforcement officers and military personnel (or about 40% of the population), to the private insurance companies, which have become the health service purchaser for the mentioned population groups. This meant that a portion of the population could not access health insurance. The state retained control over a few medical facilities dealing with mental illness and infectious diseases, while all other hospitals and clinics were privatized. 132: 221:
population was 345.1 (2014 - 313.3), with an occupancy rate of occupancy rate 193.1 (2014 - 188.3), ALOS of 5.3 (2014 - 5.2), and a turnover rate of 36.4 (2014 - 36.3). Following the introduction of the universal health care program, a rapid growth of the admissions was observed in both outpatient and inpatient institutions. Compared to 2012, the hospital service provision for 100,000 population increased by 50%. In 2015 the numbers of encounters of the population with outpatient facilities grows to 4.0 per 1 person (2.1 in 2012)
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and expansion of coverage. In the publication of European Health Report 2015 of World Health Organization's European Bureau, Universal Health Care Program in Georgia has been recognized as the successful project. From May 2017 to further reform of the program, it was expedient to elaborate new criteria for differentiation of beneficiaries. The basic object of reform is to provide services more oriented on need and to develop the approach -"social equity". The services package is connected to the income of the population.
58:. Till 1995 health care system in Georgia was based on Soviet Semashko model. The first dramatic change was implemented in 1995, when the budget transfers were complemented with additional sources of the financing: the mandatory health insurance contributions (employer and the employee mandatory contribution - 3% and 1% respectively), funds allocated for Healthcare from the territorial budgets, official co-payment for medical services, which could not be financed by the state programs. 90: 2002: 199:
which have become the health service purchaser for the mentioned population groups. Therefore, if till 2007 administration of personal health service purchases was carried out by the single payer state agency, from 2007 health care services are partially purchased by private insurance companies, which provided administration of more than half of state resources allocated for state health care programs by 2012
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funds coming from Municipal Health Funds and preventative activities provided by the Ministry of Labor, Health, and Social Affairs . In 2003, after the "Rose Revolution" the social insurance tax was replaced by social tax, which was accumulated in the state budget (social tax has been abolished since 2008). Since 2005, state health programs are financed under the budget assignations only.
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regards to the right to health amongst the adult population, the country achieves only 86.8% of what is expected based on the nation's level of income. Georgia falls into the "very bad" category when evaluating the right to reproductive health because the nation is fulfilling only 44.0% of what the nation is expected to achieve based on the resources (income) it has available.
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In the end of 2014 By Government of Georgia was approved Georgian Healthcare System State Concept 2014-2020 “Universal Healthcare and Quality Management for Protection of Patient Rights”, which is a vision of healthcare system development that comprises basics of the sector development in relation to
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The Human Rights Measurement Initiative finds that Georgia is fulfilling 76.3% of what it should be fulfilling for the right to health based on its level of income. When looking at the right to health with respect to children, Georgia achieves 98.1% of what is expected based on its current income. In
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On April 21, 2015, Memorandum of Understanding was signed between the company "Gilead" and the Government of Georgia, which laid foundation for the elimination of hepatitis C in Georgia. The services are provided for persons with hepatitis C certifying citizenship of Georgia and persons with neutral
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Since 2013, the Universal health Care program has been launched, which was commencement of universal access to medical services funded by state for all citizens of Georgia. The Universal health Care program covers the planned outpatient, urgent outpatient-in-patient and planned surgical services, as
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There is an extremely high number of doctors per capita in Georgia compared with other European countries, and it had 573.3 physicians per every 100,000 people in 2015. Number of nurses per 100000 population since 1998 is going down and is much less, than in countries mentioned above (419 per 100000
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Georgia entered the 1990s with a wholly tax-funded healthcare system, but reforms in 1995 replaced this system with a social insurance model run through the State Medical Insurance Company Under the social insurance model, basic healthcare was paid for by the state insurance company, with additional
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The NCDC is a legal entity of Public Law accountable to the MoLHSA with a dedicated line in the State budget. The NCDC provides national leadership in preventing and controlling communicable and non-communicable diseases through developing national standards and guidelines, health promotion, disease
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In 2016 the total fertility rate is 2.24 children per woman. Live birth rate is 15.2 per 1000, and mortality rate is 13.7 per 1000. In 2016 infant mortality rate was 9.0 per 1000 live births, and the under-5 mortality rate was 10.7. By 2030, the Maternal mortality rate is expected to drop to 12, and
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From July 1, 2017, for people with chronic illnesses who are registered in the unified database of "socially unprotected families" and their rating score is not exceeding 100 000, have been enacted state program for providing medicines for chronic diseases. The program envisages providing patients
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The research carried out by the World Bank, the World Health Organization and the US Agency for International Development revealed the main achievements of the Universal health Care Program: increased access to medical services, increased use of medical services, and reduction of financial barriers
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In February 2013, the Government of Georgia launched the UHC Program, which marked a significant shift in how health care is financed and health services are purchased in Georgia, as well as the culmination of nearly two decades of health system reforms in Georgia. The UHC Program extended publicly
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The initiative of starting the perinatal care regionalization process from May 2015 is a significant step forward in strengthening the maternal and newborn health care system, which considers defining the levels of perinatal service providers and their role and responsibilities in order to provide
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2007 can be considered as the new phase of the Reform, as the government of Georgia decided to delegate management of state allocations for health insurance for targeted groups of population (the poor, teachers, law enforcement officers and military personnel), to the private insurance companies,
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In Georgia, as with most countries, mortality burden is mostly due to non-communicable diseases. The major causes of death are diseases of the circulatory system, neoplasms, diseases of respiratory system and accidents and injuries. The leading position in the structure of morbidity is associated
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Increased government funding for maternal and child health and ease of access to the high quality health care services played an important role in the reduction of the number of deaths of mothers and children. Georgia has been able to reach the Millennium Development Goal No.4, since in 2015 the
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system under which the state funds medical treatment in a mainly privatized system of medical facilities. In 2013, the enactment of a universal health care program triggered universal coverage of government-sponsored medical care of the population and improving access to health care services.
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The number of hospitals was large during the Soviet era. In 1999, there were 246 hospitals in Georgia (or 287 specialized, including specialized institutes) provided 22,491 hospital beds. By 2015, there were 12,830 hospital beds (2014 - 11,675) in the country. The number of beds per 100,000
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the under-5 mortality rate is expected to drop to 6.0. Maternal mortality is 23.0 per 100,000 live births in 2016. While still high in international comparison, maternal and infant mortality rates have been steadily decreasing.
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The health care system in Georgia is highly decentralized and was extensively privatized from 2007 to 2012. Regulations are also very liberal and MoLHSA is now working to ensure the quality of care provided is adequate.
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2007 - State Hospital Development Master Plan, envisioning a complete change of course in hospital sector based on privatization approved by the Government; Almost of hospitals sold to the private sector
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Implementation of universal healthcare was a key priority of the Georgian Dream party, which came to power in the 2012 election. It established the current Georgian healthcare system from 2013.
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Government of Georgia. Decree N724, 26.12.2014. On Approval of Georgian Healthcare System State Concept 2014-2020 “Universal Healthcare and Quality Management for Protection of Patient Rights”
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2007-2014 - Public Funds given to private insurance companies for the administration of the state health insurance program for the target population (people under poverty line, teachers act.)
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In 2013, the enactment of a universal health care program triggered universal coverage of government-sponsored medical care of the population and improving access to health care services.
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Since 2013, there has been a radical change of direction in health financing policy as a new government embraced the move towards universal health coverage rather than targeted benefits.
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with Diseases of the respiratory organs, digestive system and circulation system. Infectious diseases are still the source of significant health problems, especially MDR tuberculosis.
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Chanturidze, et al. 2009. “Georgia: Health system review.” Health Systems in Transition. World Bank Group. 2017. Georgia Public Expenditure Review
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The 2020 average life expectancy in Georgia, estimated by the World Bank Group, was 73.92 years: 69.51 for males and 78.27 for females.
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with number of medicines for cardiovascular chronic illnesses, lung chronic diseases, diabetes (type 2) and thyroid gland diseases.
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1995-2003 - Introduction of social health insurance, mandatory payroll taxes for health and creation of the state health fund (SHF)
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LEPL “L. Sakvarelidze National Center for Disease Control and Public Health”. 2017. “Health Care Statistical Yearbook 2016”
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LEPL “L. Sakvarelidze National Center for Disease Control and Public Health”. 2017. “Health Care Statistical Yearbook 2016”
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2012-2014 - Establishment of state health insurance program for pensioners, children under 5, Students, disability persons
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the correct timing of the correct patient to a correct medical institution and, if necessary, effective referral.
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2017 - Starting of Phase III of Universal health Care program - Service stratification according to revenue groups
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Responsibility for purchasing publicly financed health services lies with the Social Service Agency (SSA).
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population). A ratio of the number of nurses to the number of physicians was equal 0.7 in 2015.
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Ministry of Labour, Health and Social Affairs of Georgia. National Health Accounts 2001-2015
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travel documents, as well as for accused/convicts placed in penitentiary establishments.
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N. Kipshidze Central Clinical Hospital Of Tbilisi State Medical University, Tbilisi
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2009-2010 - Introduction of state voluntary health insurance coverage program
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Clinical Hospital of The Tbilisi I. Javakhishvili State University, Tbilisi
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LEPL “.Sakvarelidze National Center for Disease Control and Public Health”
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LEPL L. Sakvarelidze National Center for Disease Control and Public Health
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Major health care reforms and policy measures till 2013 see in the box.
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mortality rate of children under five was 10.2 per 1000 live birth.
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Mandatory social health insurance was abolished after the 2003-2004
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provides insufficient context for those unfamiliar with the subject
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2013 - Introduction of Universal health Care program (Phase I-II)
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2015-2017 - Establishment of perinatal services regionalization
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2017 - Introduction of State drug program for chronic diseases
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Before 1995 - Semashko model, completely state-funded services
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LEPL “State Regulation Agency for Medical Activities (SRAMA)
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well as the treatment of oncological diseases and delivery.
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1999 - MoH and Ministry of Social Affairs merged into MoLHSA
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Organizational Struqture of Health care System (MoLHSA)
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2015 - Introduction of Hepatitis C elimination program
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Notable hospitals in Georgia include the following:
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2255: 2252: 2251: 2249: 2248: 2246:Prime Minister 2243: 2238: 2233: 2228: 2223: 2218: 2217: 2216: 2206: 2201: 2196: 2191: 2185: 2179: 2173: 2172: 2169: 2168: 2166: 2165: 2160: 2154: 2152: 2146: 2145: 2143: 2142: 2135: 2130: 2125: 2120: 2114: 2112: 2106: 2105: 2103: 2102: 2095: 2090: 2085: 2080: 2078:National parks 2075: 2070: 2065: 2060: 2055: 2050: 2045: 2040: 2035: 2030: 2025: 2019: 2013: 2007: 2006: 1999: 1997: 1994: 1993: 1991: 1990: 1983: 1978: 1973: 1968: 1963: 1958: 1953: 1947: 1945: 1941: 1940: 1938: 1937: 1932: 1927: 1922: 1917: 1912: 1907: 1902: 1897: 1892: 1886: 1884: 1880: 1879: 1877: 1876: 1871: 1866: 1861: 1856: 1851: 1846: 1841: 1840: 1839: 1834: 1829: 1824: 1814: 1809: 1804: 1799: 1794: 1789: 1788: 1787: 1777: 1775:Byzantine wars 1772: 1767: 1762: 1757: 1752: 1747: 1742: 1737: 1732: 1727: 1721: 1719: 1715: 1714: 1712: 1711: 1706: 1701: 1696: 1691: 1686: 1681: 1676: 1671: 1666: 1661: 1656: 1651: 1645: 1643: 1636: 1630: 1629: 1620: 1618: 1617: 1610: 1603: 1595: 1586: 1585: 1583: 1582: 1580:European Union 1576: 1574: 1573:Other entities 1570: 1569: 1567: 1566: 1561: 1556: 1551: 1546: 1541: 1536: 1530: 1528: 1527:other entities 1522: 1521: 1519: 1518: 1513: 1508: 1503: 1498: 1492: 1490: 1484: 1483: 1481: 1480: 1478:United Kingdom 1475: 1470: 1465: 1460: 1455: 1450: 1445: 1440: 1435: 1430: 1425: 1420: 1415: 1410: 1405: 1400: 1395: 1390: 1385: 1380: 1375: 1370: 1365: 1360: 1355: 1350: 1345: 1343: 1338: 1333: 1328: 1323: 1318: 1313: 1308: 1303: 1298: 1293: 1291:Czech Republic 1288: 1283: 1278: 1273: 1268: 1263: 1258: 1253: 1248: 1243: 1238: 1232: 1230: 1226: 1225: 1220: 1218: 1217: 1210: 1203: 1195: 1189: 1188: 1181: 1180:External links 1178: 1176: 1175: 1150: 1125: 1100: 1054: 1012: 987: 976: 962: 951: 940: 915: 890: 881: 870: 837: 815: 793: 771: 749: 719: 695: 671: 647: 623: 599: 570: 568: 565: 564: 563: 558: 553: 548: 543: 537: 536: 520: 517: 492: 491: 488: 485: 482: 479: 476: 473: 470: 467: 464: 461: 458: 455: 452: 447: 444: 441: 440: 402: 400: 393: 384: 381: 380: 379: 376: 363: 362: 352: 342: 336: 330:Gagra District 326: 320:Gagra District 308: 307: 304: 301: 298: 295: 292: 289: 286: 283: 280: 277: 274: 271: 268: 265: 256: 253: 250: 247: 244: 241: 238: 235: 232: 229: 217: 214: 208: 205: 191: 188: 128: 125: 123: 120: 114: 111: 105: 102: 86: 83: 81: 78: 73: 70: 47: 44: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3076: 3065: 3062: 3061: 3059: 3044: 3041: 3039: 3036: 3034: 3031: 3029: 3026: 3024: 3021: 3019: 3018:Faroe Islands 3016: 3014: 3011: 3010: 3008: 3002: 2996: 2993: 2991: 2990:South Ossetia 2988: 2986: 2983: 2981: 2978: 2976: 2973: 2972: 2970: 2964: 2958: 2955: 2951: 2948: 2946: 2943: 2941: 2938: 2936: 2933: 2932: 2930: 2928: 2925: 2923: 2920: 2918: 2915: 2913: 2910: 2908: 2905: 2903: 2900: 2898: 2895: 2893: 2890: 2888: 2885: 2883: 2880: 2878: 2875: 2873: 2870: 2868: 2865: 2863: 2860: 2858: 2855: 2853: 2850: 2848: 2845: 2843: 2840: 2838: 2835: 2833: 2830: 2828: 2825: 2823: 2820: 2818: 2817:Liechtenstein 2815: 2813: 2810: 2808: 2805: 2803: 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144: 141: 133: 126: 121: 119: 112: 110: 103: 101: 95: 91: 84: 79: 77: 71: 69: 66: 64: 59: 57: 56:Soviet system 53: 45: 43: 40: 36: 33: 29: 19: 2995:Transnistria 2957:Vatican City 2575:Saint George 2560:Coat of arms 2526: 2516: 2482:Demographics 2469: 2355:Architecture 2321: 2277:Central bank 2209:Human rights 2189:Constitution 2137: 2110:Subdivisions 2097: 1985: 1895:Armenian War 1516:Transnistria 1315: 1166:. 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Retrieved 611: 602: 593: 513: 509: 505: 501: 497: 493: 429: 420: 409:Please help 404: 386: 364: 309: 223: 219: 210: 201: 197: 193: 153: 149: 145: 142: 138: 116: 107: 99: 75: 67: 60: 49: 41: 37: 27: 26: 3033:Isle of Man 2968:recognition 2917:Switzerland 2852:Netherlands 2517:Health care 2272:Agriculture 2043:Earthquakes 1780:Seljuk wars 1554:Isle of Man 1489:recognition 1463:Switzerland 1398:Netherlands 180:Global Fund 2887:San Marino 2847:Montenegro 2827:Luxembourg 2807:Kazakhstan 2710:Azerbaijan 2587:Saint Nino 2415:Mingrelian 2396:Languages 2231:Parliament 2204:Government 1792:Golden Age 1433:San Marino 1393:Montenegro 1373:Luxembourg 1353:Kazakhstan 1256:Azerbaijan 1168:January 6, 1143:January 6, 1118:January 6, 1093:January 5, 1047:January 5, 1042:Gori Civil 1005:January 5, 934:2018-05-28 909:2018-05-28 863:January 5, 742:January 5, 713:2022-03-18 689:2022-03-18 665:2022-03-18 641:2022-03-18 617:2022-03-18 567:References 423:March 2019 374:Tskhinvali 207:Criticisms 168:World Bank 127:Regulation 96:in Georgia 3023:Gibraltar 2822:Lithuania 2500:Georgians 2490:Education 2440:Mythology 2317:Transport 2282:Companies 2241:President 2194:Elections 2093:Volcanoes 2033:Black Sea 2011:Geography 1920:Civil War 1735:Arab rule 1699:Roman era 1544:Gibraltar 1368:Lithuania 1138:ReliefWeb 216:Hospitals 190:Financing 3058:Category 3043:Svalbard 3028:Guernsey 2975:Abkhazia 2945:Scotland 2902:Slovenia 2897:Slovakia 2872:Portugal 2730:Bulgaria 2629:Category 2555:Borjgali 2510:Diaspora 2455:Religion 2401:Georgian 2392:Gambling 2350:Alphabet 2226:Military 2177:Politics 2158:Abkhazia 2053:Glaciers 1956:Monarchs 1944:By topic 1626:articles 1564:Svalbard 1549:Guernsey 1496:Abkhazia 1448:Slovenia 1443:Slovakia 1418:Portugal 1276:Bulgaria 830:30 April 808:30 April 786:30 April 519:See also 360:Abkhazia 350:Abkhazia 334:Abkhazia 324:Abkhazia 312:Abkhazia 52:Georgian 2935:England 2927:Ukraine 2877:Romania 2837:Moldova 2795:Ireland 2790:Iceland 2785:Hungary 2775:Germany 2770:Georgia 2760:Finland 2755:Estonia 2750:Denmark 2735:Croatia 2720:Belgium 2715:Belarus 2705:Austria 2700:Armenia 2695:Andorra 2690:Albania 2613:Outline 2538:Symbols 2375:Cuisine 2338:Culture 2312:Tourism 2260:Economy 2133:Regions 2128:Tbilisi 2073:Mammals 2038:Climate 2023:Borders 1976:Battles 1684:Colchis 1679:Diauehi 1634:History 1622:Georgia 1473:Ukraine 1423:Romania 1383:Moldova 1341:Ireland 1336:Iceland 1331:Hungary 1321:Germany 1316:Georgia 1306:Finland 1301:Estonia 1296:Denmark 1281:Croatia 1266:Belgium 1261:Belarus 1251:Austria 1246:Armenia 1241:Andorra 1236:Albania 596:. 2017. 356:Sukhumi 184:Georgia 3038:Jersey 2980:Kosovo 2922:Turkey 2912:Sweden 2892:Serbia 2882:Russia 2867:Poland 2862:Norway 2842:Monaco 2812:Latvia 2780:Greece 2765:France 2740:Cyprus 2634:Portal 2545:Anthem 2460:Sports 2370:Cinema 2365:Chokha 2297:Mining 2287:Energy 2088:Rivers 1961:States 1883:Modern 1718:Middle 1694:Lazica 1674:Mushki 1624:  1559:Jersey 1501:Kosovo 1468:Turkey 1458:Sweden 1438:Serbia 1428:Russia 1413:Poland 1408:Norway 1388:Monaco 1358:Latvia 1326:Greece 1311:France 1286:Cyprus 859:. 2016 160:UNICEF 3013:Ă…land 2950:Wales 2907:Spain 2832:Malta 2802:Italy 2620:Index 2592:cross 2580:cross 2570:Motto 2522:Women 2445:Names 2435:Music 2430:Media 2387:Dance 2063:Lakes 2028:Birds 1642:Early 1534:Ă…land 1453:Spain 1378:Malta 1348:Italy 737:(PDF) 590:(PDF) 172:USAID 164:UNFPA 2565:Flag 2528:more 2505:List 2471:more 2422:Svan 2380:Wine 2323:more 2214:LGBT 2139:more 2099:more 1987:more 1971:Wars 1170:2021 1145:2021 1120:2021 1095:2021 1049:2021 1007:2021 865:2021 832:2022 810:2022 788:2022 744:2021 263:Gori 2408:Laz 2360:Art 413:by 156:WHO 3060:: 1161:. 1136:. 1111:. 1086:. 1057:^ 1040:. 1015:^ 998:. 965:^ 855:. 840:^ 752:^ 722:^ 706:. 682:. 658:. 634:. 610:. 592:. 574:^ 358:, 348:, 332:, 322:, 314:: 261:, 186:. 178:, 176:EU 174:, 170:, 166:, 162:, 158:, 2668:e 2661:t 2654:v 1614:e 1607:t 1600:v 1214:e 1207:t 1200:v 1172:. 1147:. 1122:. 1097:. 1051:. 1009:. 937:. 912:. 867:. 834:. 812:. 790:. 746:. 716:. 692:. 668:. 644:. 620:. 436:) 430:( 425:) 421:( 417:. 407:. 20:)

Index

Health in Georgia (country)
universal health care
Georgian
Soviet system
Rose Revolution

Life expectancy at birth

WHO
UNICEF
UNFPA
World Bank
USAID
EU
Global Fund
Georgia
Gori Military Hospital
Gori
Abkhazia
Gagra District
Abkhazia
Gagra District
Abkhazia
Gali District, Abkhazia
Gudauta District
Abkhazia
Sukhumi
Abkhazia
South Ossetia
Tskhinvali

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