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Tatyana Golikova reported on measures to implement family and demographic policy and to support large families, including as part of the new national projects, which, on the instructions of the President, are being implemented since January 1, 2025, and are scheduled to run through 2030. This is the most extensive national Family project, worth almost 18 trillion rubles to be disbursed over a period of six years. There is also a national project titled “Long and Active Life” that is worth another 2.1 trillion rubles. The Personnel national project is worth 114 billion rubles. The technological leadership national project, Innovative Technologies for Health Preservation, aimed at addressing matters of regenerative medicine and active longevity, is worth 38 billion rubles.

The Deputy Prime Minister emphasised that the serious problem at hand was caused by two demographic waves. One demographic wave dates back to the Great Patriotic War, and the second one occurred in the 1990s. Both sharply reduced the number of women of reproductive age. That is why the focus is on large families, and the entire range of support measures is geared towards large families.

Anton Kotyakov informed the President about a tax deduction programme for families with two or more children that is in the works. According to him, there are 2.8 million large families in Russia today. He noted that support measures that include maternity capital continue to be provided as part of the Family national project. In total, over the entire period that the national maternity capital programme had been implemented (since January 1, 2007), it has covered 14.8 million children. The single allowance is another wide-ranging measure that covers over ten million children. The Minister also touched on the regional aspect of the topic under discussion. Particular attention is paid to the regions that have an aggregate birth rate below the Russian average. This year, 12.5 billion rubles have been allocated to co-finance the relevant programmes in 41 Russian regions.

Potential areas for expanding the regional component with account taken of the local specifics have been discussed with the professional community, public organisations, State Duma deputies, and experts, resulting in ten recommended support measures co-financed from the federal budget.

In his report, Mikhail Murashko elaborated on the development of children’s medicine in Russia saying all goals under the completed national projects on child and adolescent health have been achieved. Infant mortality rate stood at four per thousand in 2024, one of the lowest rates ever. In 2025, the positive trend continued, with the rate now standing at 3.7 per thousand. Child mortality rates have decreased by over 16 percent in the past five years. A material and technical base was created, which includes new children’s hospitals, reequipped children’s clinics, and the availability of telemedicine consultations. Upon the President’s instruction, a project to create world-class rehabilitation centres is underway. These centres are used to save children that previously could not be saved. A neonatal screening programme is being implemented, with many countries willing to find out how Russia does it.

A new national project focuses on reequip 142 perinatal centres created earlier as part of a unique programme. Now is the time to refit them with state-of-the-art equipment. Additionally, 336 new maternity welfare centres will open, and 180 children’s hospitals will be properly equipped to emphasise emergency care and minimally invasive surgery. Also, 536 vehicles will be bought for children’s outpatient clinics to conduct annual check-ups of children at schools or kindergartens.

Regarding national projects targeting the adult population, 159 new centres have opened for patients with cardiovascular diseases. Today, over 600 cardiovascular centres operate in the regions, which significantly reduced mortality from circulatory system diseases. Another major project covers care for patients with malignant tumours. Chemotherapy and radiation therapy are accessible to everyone in the country, with 18 newly built cancer diagnosis and treatment centres and 569 outpatient cancer-treatment centres; 109 million people underwent screening last year, with 61 percent of cancer cases detected at stage one or two.

Regarding new national projects, the Long and Active Life national project includes further cancer care but at a whole new level. Necessary equipment, including diagnostics tools for cancer stages, has been contracted. The production of radiopharmaceuticals is being organised, with Russia producing more such medicines than most countries. Special scanners will be made to detect cancer stages.

The Minister also discussed the modernisation of primary care. Eight to nine renovated or newly built facilities have been opening almost every day over the past four years. Digitalisation is ongoing, with unified information systems put in place in almost every region.

The new national project, Innovative Technologies for Health Preservation, primarily targets scientific research, Mikhail Murashko said. The project involves funding of scientific research and the material and technical base of institutions engaged in clinical trials. Special units have been established to handle patenting, support, and manufacturing partner search, as well as identification of preclinical and clinical study bases.

In his comments, Vladimir Putin highlighted a fairly rapid pace of digitalisation in healthcare, noting that 900 million medical documents can now be obtained electronically. The President also emphasised the fast implementation of a major programme to combat malignant neoplasms, pointing out regions with high cancer incidence where new institutions have yet to open. The President has already forwarded some appeals from the governors to the Minister for him to address them.

The meeting participants also discussed workforce training. Tatyana Golikova mentioned the Personnel national project that is being implemented since January 1, 2025, which may be not as ambitious in terms of funding at 114 billion rubles, but relies on innovative approaches. For the first time ever, a seven-year forecast for labour needs by trade and skill groups and regions has been formulated, which is crucial for aligning the education and retraining systems with the labour market needs. A survey involving 320,000 employers is used to identify the necessary skills. The Minister of Labour and Social Protection said that these employers represent 23.5 million employees, nearly 50 percent of the currently employed population. He believes 10.9 million more people will need to become economically active by 2030, taking into account the retiring workforce. Approximately 10.1 million workers will reach retirement age by that time. In other words, this represents about 800,000 new jobs.

Speaking specifically about the labour market, Anton Kotyakov noted the importance of shaping proper labour narratives for the younger generation. Promoting blue-collar professions comes as a separate initiative within the Personnel national project. The Best in Profession contest is being revamped, with over 20 professions that are in high demand selected for nationwide contests, and prize money increased up to one million rubles. The National Job Fair programme emphasises career guidance.

The Deputy Prime Minister mentioned that the Personnel project also covers women on maternity leave. She noted that a separate plan has been adopted as per the President’s instruction which aims to improve employment opportunities for the participants in the special military operation. Subsidies for jobs are provided for individuals with health restraints and demobilised military personnel.

In closing, Vladimir Putin highlighted the ongoing focus on early career guidance, noting positive trends with more young people showing interest in vocational professions and growing numbers of admissions to vocational schools. Overall, the President believes this is the way forward.