Some of the highest birth rates in Russia are observed in Tuvia and Chechnya. The Strategic Initiatives Agency analyzed three fertility metrics according to ROSTAT: number of births per 1,000 women of reproductive age (15‑49 years) and age‑specific birth rates for the 30‑34 and 35‑39 age groups – births per 1,000 women of the corresponding age. According to the study results, the average number of births per 1,000 women of reproductive age (15‑49) in the country is 35.9. The birth rate for ages 30‑34 is 66.5 per 1,000 women, and for the 35‑39 age group it is 38.4. The Republic of Tuva and the Chechen Republic are among the top three regions for every indicator. The leaders also include Ingushetia – in terms of births per 1,000 women of reproductive age and the 35‑39 age‑specific birth rate, as well as the Altai Republic – in terms of the 30‑34 age‑specific birth rate. This is exactly the uncomfortable truth about demographics. The average values of the leading regions are 1.6‑1.8 times higher than the Russian average, as shown in the ASI report.