An explanatory note to the program for the modernization of primary health care in the Tula region, published on the website of regulatory legal acts of the regional government, shows the dynamics of population decline from 2010 to 2019.
In 2010, the region was home to 1,540,384 people. By 2019, their number had decreased 1,478,818, with a decrease of 61,566 people. For comparison, this is more than the entire population of a large regional center in the Tula region, such as Aleksin or Shchekino – and half of the total population of Novomoskovsk.
At the same time, over 9 years the number of the rural population has increased, from 309 thousand to 372 thousand. The percentage of rural residents to urban residents also increased, from 20 to 25%. This increase may be associated with migration processes, and not with an increase in the birth rate.