348 Work Life and Social Policies
 
Work Life and Social Policies 349  
 
   
 
 
 
 
  need of care. This figure is expected to rise to 297,000 by the end of 2010.  
 
In 2009, in 81 Elderly Peoples’ Homes 7,161 people were given boarding services and in 5 Solidarity Centers 1,000 elderly people were given day-time services.
 
Also, 9,277 elderly people were given boarding services in 180 Elderly People’s Homes opened with the permission of the Directorate General and operated by public institutions, associations, foundations and individuals.
 
  
  Health Services  
 
Improvements achieved particularly in the health sector since the proclamation of the Republic have reached-sub-stantial proportions. Struggle against contagious diseases during the planned development period in the 1960s, an endeavor initiated for the more efficient use of resources, was a remarkable success story. Meanwhile, substantial ground has been covered in increasing the number of health institutions and meeting the demand for health personnel.
 
The birth rate was 17.9 ‰ and the estimated death rate 6.4‰ in 2009. The birth rate is expected to be 16.3‰ by 2015 and 14.5‰ by 2025. The fertility rate was 2.12% and the infant mortality rate 15.3‰ in 2009. Although interre-gional differences still remain in infant and under 5-year-old mortality rates, serious improvements have been seen in the recent years.
 
Within the framework of strengthening the preventive and protective health services and as part of the special impor-tance attached to the health of mothers and their children, Turkey is carrying out Sexual Health/Fertility programs such as immunization, control of diseases with diarrhea, acute respiratory infections, encouraging mother’s milk, neonatal scanning and provision of iron. Since the boosting of efforts to encourage the vaccination of children, the proportion of vaccinated  children throughout the country has risen to over
 
Developments in the health sector are
rapidly increasing in the country.