The major trends of the social demographic processes in the Novgorodskaya oblast are characterized. The activities to increase the level of natality rate and to enhance the population reproductive health are proposed. The set of measures is developed to decrease the mortality of population of able-bodied age. The prospective results of demographic policy applied in the Novgorodskaya oblast up to 2011 are exposed. The role of public health in the enhancement of demographic situation on the regional level is specified.