North Macedonia: In Brief 
Updated September 9, 2020 
Congressional Research Service 
https://crsreports.congress.gov 
R45739 
 
  
 
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North  Macedonia: In Brief 
 
Contents 
Introduction ................................................................................................................... 1 
Domestic Situation .......................................................................................................... 2 
Politics..................................................................................................................... 3 
Renewed Euro-Atlantic Integration .............................................................................. 5 
Economy.................................................................................................................. 8 
Foreign Relations ............................................................................................................ 8 
NATO and EU Membership ........................................................................................ 9 
Relations with Russia and China ................................................................................ 10 
U.S. Relations .............................................................................................................. 12 
 
Figures 
Figure 1. Republic of North Macedonia .............................................................................. 2 
Figure 2. July 15, 2020, Parliamentary Election Results ........................................................ 5 
 
Contacts 
Author Information ....................................................................................................... 13 
  
 
  
 link to page 4 
North  Macedonia: In Brief 
 
Introduction 
The Republic of North Macedonia is a smal , landlocked country in southeastern Europe (see 
Figure 1). As of March 27, 2020, it is the newest member of NATO.1 Formerly one of 
Yugoslavia’s six constituent republics, North Macedonia became independent in 1991 and largely 
avoided the violence that devastated other parts of the region. Its multiethnic population includes 
Slavic Macedonians (estimated to comprise about 65% of the population, although precise figures 
are disputed) and Albanians  (an estimated 25%), as wel  as Turkish, Roma, Serb, Bosniak, and 
other minority groups.2 The country embraced a Euro-Atlantic foreign policy orientation early on 
and became the regional front-runner for membership in the European Union (EU) and NATO. 
By the 2000s, however, North Macedonia’s Euro-Atlantic integration had lagged due to a 
seemingly intractable bilateral  dispute with neighboring Greece (an EU and NATO member) over 
use of the name “Macedonia.” Some analysts contend that North Macedonia’s loss of a clear EU 
and NATO membership perspective contributed to a period of reform drift and democratic 
backsliding that began in the late 2000s and culminated in a protracted political crisis from 2015 
to 2017.  
North Macedonia’s political landscape has largely stabilized since 2017, although it remains 
polarized. In June 2018, Greece and North Macedonia reached the historic Prespa Agreement 
whereby Greece pledged to lift its veto over North Macedonia’s EU and NATO accession, and the 
latter agreed to change its constitutional name from Macedonia to North Macedonia, among other 
provisions. The agreement laid the foundation for two foreign policy breakthroughs. In March 
2020, North Macedonia joined NATO. The same month, the EU agreed to launch membership 
talks with North Macedonia—an early but important step in the accession process. 
                                              
1 Per the terms of an agreement with Greece,  the country changed its name from Republic  of Macedonia to Republic  of 
North Macedonia in early 2019. For clarity, this report refers to the country as “North Macedonia” throughout .  
2 T hese data are from the most recent 2002 census. T he population size of North Macedonia’s ethnic communities is 
disputed  and has been a politically sensitive issue  at times. 
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 North  Macedonia: In Brief 
 
Figure 1. Republic of North Macedonia 
 
Source:
North  Macedonia: In Brief 
 
Figure 1. Republic of North Macedonia 
 
Source: Graphic created by the Congressional Research Service  (CRS) using data from the EU Knowledge  Hub 
on Water and Agriculture  (2019); Department of State (2017); ArcWorld (2017); Garmin (2017). 
The United States and North Macedonia have good relations, and successive U.S. 
Administrations have supported North Macedonia’s EU and NATO membership agendas. U.S. 
diplomacy has helped defuse tensions at key junctures, and U.S. officials and some Members of 
Congress expressed firm support as the governments of Greece and North Macedonia overcame 
domestic hurdles to implementing the Prespa Agreement, as wel  as an al eged Russian influence 
campaign aimed at derailing  NATO enlargement. Looking ahead, Members of Congress may be 
interested in efforts to strengthen the rule of law in North Macedonia and bring the country’s laws 
and institutions in line with EU membership requirements. Although analysts regard the country’s 
current situation as a window of opportunity for reform, they caution that it may be fragile, 
particularly if EU membership is perceived to be unlikely or if political  polarization deepens. 
Members also may be interested in North Macedonia’s role in Western Balkan regional security, 
particularly as concern grows that Russia, China, and other external powers seek inroads.  
Domestic Situation  
North Macedonia’s domestic situation has stabilized significantly in recent years. Parliamentary 
elections held on July 15, 2020, resulted in a second term for Prime Minister Zoran Zaev; his first 
government (May 2017 to January 2020) negotiated the Prespa Agreement with Greece and 
oversaw the final stages of North Macedonia’s NATO accession. Looking ahead, some key 
domestic issues include combating corruption and strengthening the rule of law ; harmonizing 
domestic legislation with that of the EU; and adopting reforms to spur economic development and 
al eviate  poverty, particularly as the country grapples with the Coronavirus Disease 2019 
(COVID-19) pandemic.  
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North  Macedonia: In Brief 
 
Politics  
 North Macedonia is a parliamentary republic with a unicameral, 120-seat legislature. The prime 
minister is the head of government and performs most 
executive functions. A directly-elected president is 
North Macedonia at a Glance 
head of state and commander-in-chief of the armed 
Population:  2.1 mil ion  (2018 est.)3 
forces. Zoran Zaev began a second term as prime 
Comparative Land Area: Slightly larger 
minister on August 30, 2020, and Stevo Pendarovski 
than Vermont  
was elected president in 2019. Both were backed by the 
Capital: Skopje 
center-left Social Democratic Union of Macedonia 
Ethnic groups:  64.2% Macedonian, 25.1% 
(SDSM), which Zaev has led since 2013. 
Albanian, 3.9% Turkish, 2.7% Roma, 1.8% 
Serb, 2.2% other (2002 est.) 
Since the 1990s, political power in North Macedonia 
Religion: 64.8% Orthodox Christian, 33.3% 
has alternated between government coalitions led by 
Muslim,  1.9% other/unspecified (2002 est.) 
one of the two main parties: SDSM and the right-wing 
Leadership: Prime  Minister
 Zoran Zaev
; 
Internal Macedonian Revolutionary Organization-
President Stevo Pendarovski  
Democratic Party for Macedonian National Unity 
Sources: 2002 population census; CIA 
(VMRO-DPMNE). Both parties draw electoral support 
World  Factbook.  
primarily from ethnic Macedonian voters. SDSM and 
VMRO-DPMNE’s long-standing rivalry at times has been a source of instability and fueled 
polarization. Almost al  governments have included one or more Albanian parties as coalition 
partner. These cross-cutting coalitions are credited with contributing to overal  stability while 
being a factor in patronage networks that took root in the 1990s and reportedly remain a factor in 
domestic affairs.4 
North Macedonia’s political landscape largely has stabilized since the end of a protracted crisis 
during the final years of former Prime Minister Nikola Gruevski’s tenure in office (see text box 
below, “2015-2017 Political Crisis”). For most of the ensuing period, Zoran Zaev (SDSM) has led 
the government in coalition with the Albanian  Democratic Union for Integration (BDI) and 
several smal er parties. In the July 15, 2020, parliamentary elections, Zaev’s SDSM ran together 
with the Albanian  BESA  movement—the country’s first preelection coalition between a major 
Macedonian party and an Albanian  party—and ran on a reform-oriented platform. VMRO-
DPMNE’s campaign largely centered on identity politics and criticism of the Prespa Agreement. 
Party leader Hristijan  Mickoski asserted that a VMRO-DPMNE government would move away 
from the country’s bilateral agreements with Bulgaria and Greece, although some analysts were 
skeptical that the party would actual y do so if in government.5 Election monitors described the 
elections as competitive and wel  administered amid a resurgence in COVID-19 cases but noted a 
hostile tone and lack of substantive policy exchanges.6 
                                              
3 North Macedonia’s population size is believed  to be significantly less  than the official figure of 2.1 million; expert 
estimates of the actual population size range from 1.5 million to 1.8 million. A population census scheduled  for April 
2020 was  postponed until 2021. It will be  the country’s first census since 2002. See discussion  in T im Judah, “Wildly 
Wrong: North Macedonia’s Population Mystery,” 
BalkanInsight,
 May 14, 2020.  
4 International Crisis Group,  
Macedonia’s Public Secret: How Corruption Drags the Country Down ,
 2002; Freedom 
House, 
Freedom  in the World  2020: North Macedonia . 
5 Zaev called  for early elections after the European Union (EU) failed to agree to launch membership talks in October 
2019, a major setback for his government. T he EU subsequently agreed  to do so in March 2020, well  ahead of the July 
elections. Boris Georgievski, “North Macedonia Holds First Election Since Changing  its Name,” DeutscheWelle, July 
14, 2020. 
6 Organisation for Security and Cooperation in Europe, 
Republic of North Macedonia—Early Parliamentary Elections, 
July 15, 2020: Statem ent of Prelim inary Findings and Conclusions,
 July 16, 2020
.  
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North  Macedonia: In Brief 
 
2015-2017 Political Crisis 
North Macedonia’s relative stability in the 1990s made it an early Western  Balkan front-runner for EU and NATO 
membership.  By the late 2000s, however,  reform  momentum  lagged as an ongoing bilateral  dispute with Greece 
over use of the name “Macedonia” cast uncertainty over North Macedonia’s Euro-Atlantic agenda. Nikola 
Gruevski  of the Internal Macedonian Revolutionary Organization-Democratic  Party for Macedonian National Unity 
(VMRO-DPMNE), who was prime  minister  from 2006-2016, pursued a controversial  Macedonian “antiquities” 
urban transformation campaign, which widened the rift with Greece.  During the same  period, many observers 
expressed concern over setbacks in the rule of law and democracy.  
In 2015, a two-year political crisis  began when opposition parties accused the Gruevski  government of 
orchestrating an il egal  wiretapping operation that targeted over 20,000 individuals, including government and 
opposition figures, civil society  activists, diplomats,  and journalists.  Transcripts of al egedly wiretapped 
conversations implicated  numerous officials,  including Gruevski,  in purported abuses of office.  The scandal 
triggered protests and episodic violence,  which some observers  feared could widen. For many, the crisis  revealed 
the depth of state capture and politicization of public institutions, particularly in the judiciary and the security 
sector. 
The United States and the EU helped defuse the crisis  by brokering the 2015 Przino Agreement,  which established 
a time line for early elections  in 2016, and by intervening in early 2017 when then -President Gjorge Ivanov initial y 
refused to give Zaev the mandate to form a government; as wel   as intervening shortly thereafter when a violent 
mob assaulted Social Democratic  Union of Macedonia (SDSM) lawmakers  and al ies  in the parliamentary  chamber, 
reportedly  with assistance from  some VMRO-DPMNE deputies. The Zaev government formed in May 2017. In 
late 2018, Gruevski  fled to Hungary and later received  political asylum there. He faced a prison sentence for 
corruption in one of multiple  criminal  charges against him.  
Sources: International Crisis  Group, 
Macedonia:  Defusing the Bombs, 2015; European Commission,  
The former 
Yugoslav Republic  of Macedonia:  2016 Report,  November 9, 2016. 
The election results delivered a narrow victory for Zaev’s SDSM-led bloc over VMRO-DPMNE, 
with BDI again in the position of playing coalition “kingmaker” with its third-place finish (BDI 
has participated in almost al   governments since 2000). Prior to and after the election, BDI leader 
Ali Ahmeti asserted that the country should have its first ethnic Albanian prime minister. Under 
the terms of BDI’s government coalition agreement with SDSM, Zaev is to serve as the prime 
minister until 100 days prior to the next election, whereupon the position is to be transferred to a 
BDI official.7 
                                              
7 DeutscheWelle, “North Macedonia’s Zaev Opens Door for Future Albanian PM,” August  18, 2020. In 2015, North 
Macedonia’s parties agreed  to a new mechanism whereby  a caretaker government forms 100 days prior to 
parliamentary elections. T his mechanism was adhered to ahead of the 2020 parliamentary election; Zaev resigned in 
January 2020, and a caretaker government was formed under Oliver Spasovski for the final 100 days (elections initially 
scheduled  for April were  postponed to July due  to Coronavirus Disease  2019 [COVID-19]).  
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 North  Macedonia: In Brief 
 
Figure 2. July 15, 2020, Parliamentary Election Results 
 
Source:
North  Macedonia: In Brief 
 
Figure 2. July 15, 2020, Parliamentary Election Results 
 
Source: Figure created by CRS. Election data from Republic of North Macedonia Electoral  Commission.   
Note: VMRO-DPMNE is the acronym for the Internal Macedonian Revolutionary Organization -Democratic 
Party for Macedonian National Unity.  
Renewed Euro-Atlantic Integration 
Under Zaev, the government’s agenda has centered on reviving North Macedonia’s stal ed Euro-
Atlantic integration agenda through the resolution of bilateral disputes. The most fraught dispute 
was with neighboring Greece, which objected to North Macedonia’s adoption of the name 
“Republic of Macedonia” upon independence in 1991.8 Greek leaders viewed this as an implicit 
territorial claim to Greece’s northern region bearing the same name, as wel  as an appropriation of 
ancient Macedon cultural heritage. As an EU and NATO member, Greece had veto power at key 
junctures in North Macedonia’s bid to join both organizations.  
After rounds of difficult negotiations, the Zaev government concluded the Prespa Agreement with 
Greece (then led by Prime Minister Alexis Tsipras) in June 2018. Per the agreement’s terms, 
Macedonia changed its constitutional name to North Macedonia, and Greece agreed to lift its 
block on North Macedonia’s efforts to join NATO and the EU, among other provisions. The 
agreement encountered sharp chal enges from nationalist opponents in both countries but 
ultimately received legislative  backing. The agreement paved the way for North Macedonia’s 
NATO accession in March 2020 and the EU’s decision to launch accession talks the same month. 
 
 
 
 
 
                                              
8 T he Zaev government also reached a Friendship T reaty with Bulgaria  (ratified in 2018), which established  a 
framework to improve bilateral relations that were fraught due  in part to Bulgaria’s nonrecognition of the Mace donian 
language  and identity and differing historical interpretations. 
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North  Macedonia: In Brief 
 
Interethnic Relations 
Although North Macedonia largely avoided the violence  that devastated other parts of the former  Yugoslavia 
during the 1990s, there have been periodic tensions between its ethnic Slav Macedonian majority  (comprising 
roughly 65% of the population) and Albanian minority (about 25%).9 These frictions partly reflect  disagreement 
over the scope of the country’s recognition and accommodation  of minority communities.  Some  Macedonian 
nationalists fear that extending further protections or autonomy to Albanians and other minorities  would 
undercut the majority  group’s clout, change the character of North Macedonia, or even result in its 
dismemberment  (North Macedonia borders Albania and Albanian-majority Kosovo).   
Many ethnic Albanians in North Macedonia, on the other hand, have sought to improve  their economic and 
political statuses. During the 1990s, many observers  criticized  North Macedonia’s policies  on citizenship, language, 
and education for privileging Macedonians and Macedonian identity over Albanians and other minorities. 
Interethnic clashes occurred periodical y  but stopped short of ful -scale violence.  In 2001, however,  a smal   group 
of Albanian insurgents waged a months-long armed campaign against state security forces.  Amid  concern that the 
conflict could descend into civil war, U.S. and European officials helped broker the Ohrid Framework  Agreement 
(OFA), which outlined a set of reforms  to expand the rights of the ethnic Albanian minority and measures  to 
disband and disarm insurgent forces.  Although OFA’s  implementation  was contested and gradual, it is widely 
credited with helping to restore  some  level  of trust and maintain peace.  
At times,  Albanian parties have played a “kingmaker  role”  in post-election government formation or in passing 
legislation; this position has enabled Albanian leaders to negotiate on certain issues,  such as language policy and 
representation (at present, ethnic Albanians serve  in high-profile positions, including the Speaker of Parliament  and 
Minister of Foreign Affairs). Albanian deputies’ strong support for NATO and EU membership  was critical to the 
legislative  enactment of the Prespa Agreement.  Nevertheless,  Albanian leaders  cite as chal enges continued 
underrepresentation in politics—particularly  at the highest levels  of government—and disparities  in the labor 
market,  socioeconomic  outcomes, and access to public resources.  Some  policy changes that are accommodative 
of Albanians and other minorities,  including recent legislation  expanding the use of the Albanian language in official 
settings, have triggered backlash from  Macedonian nationalists. 
Sources: U.S. State Department,  
Country Reports  on Human Rights Practices for 2019; Besir  Ceka, “Macedonia: A 
New Beginning?” 
Journal  of Democracy,  vol.
 29, no. 2 (April 2018), pp. 143-157; International Crisis Group, 
Macedonia:  The Last Chance  for Peace, 2001
. 
The Zaev government also pledged to pursue a broad domestic reform agenda based in part on the 
recommendations of an EU-backed experts group. Corruption and state capture are regarded as 
deeply rooted.10 Some observers assert that these chal enges predated the Gruevski government 
but deepened during his time in office. Judicial, security, and public administration reforms are 
considered to be particularly important to strengthening the rule of law.  
In contrast to the general acclaim of the Zaev government’s foreign policy accomplishments, 
assessments of its reform record are mixed. The country’s overal  democracy score has improved 
in global rankings compiled by Freedom House (North Macedonia and Kosovo are the only 
Western Balkan countries with improved scores). Media independence, civil society, and electoral 
competitiveness in particular have improved in these assessments. Many lauded the government 
for adopting new strategies and institutional changes aimed at strengthening transparency, 
independence, and oversight. For example, the Directorate for Security and Counterintel igence, 
which was accused of carrying out the former government’s al eged wiretapping campaign, was 
replaced with a new National Security Agency, which, unlike its predecessor, is an independent 
body with no policing authority or direct role in intercepting communications. A new State 
Commission for the Prevention of Corruption was appointed in 2019. One of the previous 
parliament’s last actions was to adopt an EU-backed Law on the Public Prosecutor’s Office,                                               
9 Macedonians predominantly identify as Orthodox Christian and speak Macedonian, a Slavic language,  and Albanians 
predominantly identify as Sunni Muslim  and speak Albanian, which comprises a distinctive branch of the Indo-
European language  family.  
10 U.S.  State Department, 
Country Reports on Human Rights Practices for 2019.  
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North  Macedonia: In Brief 
 
which was aimed at ensuring the continued investigation of high-profile corruption cases, many 
of which arose from the wiretapping scandal.11 
Coronavirus Disease 2019 (COVID-19) Response 
In response to the COVID-19 pandemic, North Macedonia’s government introduced measures  similar  to those of 
other European countries, including restricted  movement  into and within the country, curfews,  social distancing, 
mask requirements,  and closures  of schools  and nonessential businesses.  Some  restrictions  were lifted in late 
spring, and the country experienced a climb in cases and deaths through much of the summer.  As of September  8, 
2020, North Macedonia reported 15,226 confirmed cases of COVID-19 and 631 deaths attributed to the virus; as 
elsewhere  in the world, these figures may be expected to change rapidly. The government approved emergency 
fiscal measures  to expand social support and aid businesses and economy sectors  adversely  impacted by the crisis. 
According to the State Department, the United States has committed  $1.5 mil ion  in assistance to North 
Macedonia out of the $1.5 bil ion made available as of July 29, 2020, for global emergency  health, humanitarian, 
economic,  and development  assistance relating to COVID-19. As of June 30, 2020, the EU had delivered  €4 
mil ion  (about $4.74 mil ion)  in emergency  medical equipment and supplies to North Macedonia  and agreed to 
extend €160 mil ion  (about $190 mil ion)  in macrofinancial assistance through long-term  loans.  
The COVID-19 pandemic prompted North Macedonia’s caretaker government to reschedule  planned 
parliamentary elections  from April  2020 to July 15, 2020. At the time elections  were held, reported COVID-19 
cases again had begun to rise.  To address public health concerns, pol ing stations fol owed  protocols on site 
cleaning and disinfection, physical distancing requirements,  and mandatory mask-wearing  for election  workers  and 
voters.  Individuals in self-isolation  or who had tested positive for COVID-19 were al owed  to vote early,  including 
through household visits from Special Electoral Boards comprising  health care workers  and party representatives. 
Voting hours were  expanded by two hours. 
Sources: International Foundation for Electoral Systems,  
Elections in North Macedonia:  2020 Parliamentary  Elections 
Frequently  Asked Questions, July 13, 2020; European Commission,  
Coronavirus:  Eight Macro-Financial  Assistance 
Programmes  Agreed to Support  Enlargement and Neighbourhood  Partners,  August 11, 2020; European Commission,  
EU 
Help for North Macedonia  on COVID-19, June 30, 2020; Johns Hopkins University Coronavirus  Resource Center. 
Others have expressed frustration with what they describe as partial reforms and assert that 
politicization  of institutions and party patronage practices continue.12 Many were dismayed when 
former Prime Minister Gruevski avoided a jail  sentence and additional criminal cases by fleeing 
the country in 2018 (he received political asylum in Hungary, whose leadership he had good 
relations with as prime minister). Others were similarly angered when several opposition VMRO-
DPMNE members of parliament were amnestied for their role in a violent attack on SDSM 
legislators on the floor of parliament in 2017—a concession seemingly made to secure their votes 
for legislation implementing the Prespa Agreement. Several corruption and nepotism scandals 
also have tarnished the government’s reform record. Most notably, in August 2019, the head of 
the Special Public Prosecutors’ Office—a body formed in 2015 to oversee the prosecution of 
high-profile cases emanating from the wiretapping scandal—was arrested and later convicted for 
abuse of office.13 Some also criticize VMRO-DPMNE, the largest opposition party, for its 
unwil ingness to demand accountability and, according to Freedom House, “complicating the 
adoption of key liberal-democratic reforms.”14 
                                              
11 T he law, which was  seen as  important for securing the launch of EU accession talks, provides for the continued 
investigation of high-profile cases. T he Internal Macedonian Revolutionary Organization-Democratic Party for 
Macedonian National Unity (VMRO-DPMNE) withheld support, accusing the government of targeting former officials 
from within its ranks. See  Sinisa  Jakov Marusic,  “ North Macedonia Opposition Plays Hardball on Prosecution Law,” 
BalkanInsight,
 January 23, 2020.  
12 Freedom House, 
Nations in Transit  2020: North Macedonia Profile; Freedom House,  
Freedom in the World  2020: 
North Macedonia Overview.  
13 Sinisa  Jakov Marusic,  “BIRN Fact -Check: Promises Fulfilled,  Promises Forgotten in North Macedonia,” 
BalkanInsight,
 July 2, 2020. 
14 Freedom House, 
Nations in Transit  2020: North Macedonia Profile. 
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Economy 
One of the former Yugoslavia’s poorest republics, North Macedonia experienced sharp economic 
decline during its first decade of independence. Although the economy rebounded over time, it 
again struggled in the wake of the 2008 global financial crisis and, more recently, during the 
2015-2017 domestic political crisis. After 2017, the economy showed signs of stabilization. Gross 
domestic product (GDP) growth improved to 2.7% in 2018 and 3.6% in 2019, driven in part by 
consumption and investment. The unemployment rate decreased from an average 30% between 
2010 and 2015 to about 17% in 2019. In a 2019 assessment, the International Monetary Fund 
(IMF) lauded the government’s reform agenda and projected a “period of solid growth and 
stability” but recommended continued institutional reforms, fiscal consolidation, and directing 
public investment toward labor market skil s shortages and infrastructural deficits.15 
North Macedonia has a smal , open economy. Through various agreements, the country has 
largely liberalized  trade with its Western Balkan neighbors and the EU. Its economic relationship 
with the EU is particularly important. In 2019, nearly 80% of North Macedonia’s total exports 
(valued at about $7.2 bil ion) went to the EU, and Germany alone received about half of al  
exports.16 As a result, the country’s economy is sensitive to the health of the Eurozone economy. 
The country’s top exports include chemical products; electrical machinery, equipment, and parts; 
reactors, boilers, machinery, appliances, and related parts; seats; and iron and steel. Successive 
governments have sought to increase foreign direct investment (FDI) as an economic growth 
strategy, touting the country’s low corporate tax rate, competitive labor costs, and special 
economic zones. FDI increased in the 2010s, particularly in the manufacturing sector. EU 
countries and the United Kingdom are top FDI source countries.  
North Macedonia continues to address several economic policy chal enges. The informal 
economy is estimated to comprise around one-third of economic activity.17 The youth 
unemployment rate, although declining, is estimated to be about 37%. Unemployment and 
poverty contribute to high rates of emigration from North Macedonia, and thousands of 
households rely on worker remittances.18 
As elsewhere, the COVID-19 pandemic is expected to adversely impact the Macedonian 
economy. The IMF estimates that North Macedonia’s economy could contract by 4% in 2020. 
The projected downturn—and eventual recovery—may also be shaped by the scope and duration 
of recession in the Eurozone.  
Foreign Relations 
Since independence in 1991, successive governments have sought to steer the country toward EU 
and NATO membership. U.S. and European policymakers have long supported this agenda, in 
part due to the widespread belief that EU and NATO membership would be anchors of stability. 
North Macedonia’s long-standing goal of NATO and EU membership has broad support across 
the political  spectrum and has been a source of continuity and common ground during periods of 
domestic strife. In March 2020, North Macedonia reached two major milestones in its Euro-
                                              
15 International Monetary Fund (IMF), 
North Macedonia: Staff Report for the 2019 Article IV Mission,  December 23, 
2019 (hereinafter IMF, 
North Macedonia).  
16 T he figure excludes  exports to the United Kingdom. Eurostat, “Enlargement Countries—International T rade in 
Goods  with the EU-27, 2019.” 
17 IMF, 
North  Macedonia.  
18 World Bank, 
Western  Balkans Regular Economic Report: Rising Uncertainties: Fall 2019;
 IMF, 
North  Macedonia.  
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North  Macedonia: In Brief 
 
Atlantic integration. On March 25, the EU approved the launch of membership negotiations with 
the country—an early but important step in the accession process. On March 27, North 
Macedonia became the 30th member of the NATO al iance, after a lengthy and complicated 
membership bid. Alongside these milestones, some analysts have expressed concern over North 
Macedonia’s potential vulnerability  to Russian and Chinese influence.  
NATO and EU Membership 
As mentioned above, North Macedonia was an early Western Balkan front-runner to join NATO 
and the EU. The country’s membership prospects, however, were at a standstil  for years due to 
its bilateral  dispute with Greece, which wielded its veto power in both organizations at key stages 
of the accession process. At times, the perceived loss of a clear NATO and EU membership 
perspective appeared to erode domestic political wil  to pursue difficult reforms. North 
Macedonia and Greece made a breakthrough in 2018 with the historic Prespa Agreement, which 
lifted Greece’s veto over North Macedonia’s NATO and EU accession; governments in the two 
countries made political y costly concessions that triggered nationalist backlash, but the 
agreement ultimately  was approved and implemented.  
North Macedonia’s March 2020 accession to NATO followed decades of close cooperation. It 
joined NATO’s Partnership for Peace in 1995. Under its Membership Action Plan, which 
launched in 1999, North Macedonia adopted reforms and participated in a variety of NATO 
programs aimed at modernizing the country’s armed forces and improving interoperability with 
NATO.19 North Macedonia has contributed to NATO missions in Afghanistan and Kosovo, and its 
Krivolak Military  Training Center has hosted multinational dril s, including for troops deployed 
to the NATO-led KFOR mission in neighboring Kosovo. In June 2019, North Macedonia hosted 
Decisive Strike, a joint exercise involving 2,700 troops from North Macedonia and NATO 
partners (including the United States), making it the largest in the country’s history.20 
Similarly  to its NATO membership campaign, North Macedonia’s bid to join the EU has been 
difficult despite its status as an early regional front-runner. North Macedonia applied for EU 
membership in 2004 and received candidate status the following year. Nevertheless, its 
advancement to the next step—starting membership negotiations—stal ed for years, primarily due 
to its bilateral dispute with Greece. Following the implementation of the 2018 Prespa Agreement, 
Greece’s long-threatened veto over accession talks was lifted, but new chal enges emerged. 
Despite firm support from EU officials and many member state leaders, on successive occasions 
in 2018 and 2019, several member states objected to launching talks with North Macedonia (as 
wel  as neighboring Albania), citing concern that the existing enlargement methodology was 
fal ing short of its goal of entrenching the rule of law in candidate countries, along with other 
concerns. Under pressure from several member states, the EU adopted revisions to the 
enlargement process in early 2020.21 Among other changes, the new measures are to organize 
negotiation “chapters” into thematic clusters, situate a new “fundamentals” cluster (encompassing 
the rule of law, the economy, and public administration) at the center of the process, and 
                                              
19 NAT O, “Relations with the Republic  of North Macedonia,” February 15, 2019.  
20 Republic  of North Macedonia Ministry of Defense, “Decisive Strike Exercise at Krivolak,” May 30, 2019. 
21 Some member states previously declined  to back the start of talks on several occasions, most recently in October 
2019. French President Emmanuel Macron in particular was  vocal in calling for internally reforming t he EU and the 
enlargement methodology before further expansion. France proposed changes to the enlargement methodology in a 
2019 “non-paper.” Some of the concerns it raised are reflected in the measures  adopted by the EU in 2020. See Marek 
Dabrowski,  
Can the EU Overcom e its Enlargem ent Im passe? ,
 Bruegel, February 27, 2020. 
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introduce tools to reward progress and sanction stagnation or backsliding. These new measures 
are to be incorporated into the negotiation frameworks with North Macedonia and Albania.22  
These changes helped to secure member state agreement to launch negotiation talks with North 
Macedonia and Albania  (the decision was approved on March 25, 2020). This wil  begin the 
formal negotiations process to bring North Macedonia’s national legislation and institutions in 
line with the body of EU treaties, laws, and rules known as the 
acquis communautaire.23 Although 
EU membership is not guaranteed, the start of negotiations has practical and symbolic 
importance. At the same time, many in North Macedonia have expressed dismay at seemingly 
mixed signals from the EU on the bloc’s wil ingness to enlarge. Signs of “enlargement fatigue” in 
some member states, as wel  as the controversial delays in launching North Macedonia’s 
membership talks after it had made costly concessions to conclude the Prespa Agreement, have 
fueled doubts over the EU’s commitment to enlargement.  
Beyond its membership pursuit, North Macedonia’s relationship with the EU is wide-ranging and 
significant; the EU is the country’s top export market and main source of FDI. The EU also is 
North Macedonia’s largest source of development assistance. As a candidate country, North 
Macedonia is eligible  for pre-accession assistance, providing financial and technical support for 
reforms. Between 2014 and 2020, North Macedonia received about €608 mil ion (about $719 
mil ion)  in al ocations.24 
Relations with Russia and China 
Many observers have voiced concern over Russia and China’s political and economic inroads in 
the Western Balkans. Russia reportedly has drawn on an array of coercive and soft power tools 
with the broad aim of derailing the region’s Euro-Atlantic integration. China’s growing presence 
in the Western Balkans is largely economic, although other forms of cooperation also are 
expanding. Although the scope of Russian and Chinese ties to North Macedonia is relatively 
limited in comparison with their purported ties to other regional countries, some caution that 
North Macedonia could be a target of malign influence, and its chal enges with corruption and 
weak rule of law may compound this risk. 
 
North Macedonia al egedly  became a target of Russian influence operations in recent years as it 
moved closer to NATO membership. U.S. officials accused Russia of backing unsuccessful 
efforts to derail the Prespa Agreement. In July 2018, Greece expel ed two Russian diplomats in 
response to al egations that Russia was aiding anti-Prespa nationalist protests in the country.25 
Similarly, Russian government-linked proxies were accused of backing a campaign in North 
Macedonia that urged voters to boycott a referendum on changing the country’s name.26 A U.S. 
                                              
22 European Western Balkans, 
European Commission’s Proposal for a Reformed Enlargement Methodology,
 March 3, 
2020. 
23 Governments in North Macedonia have worked closely with EU experts for years to adopt reforms pursuant to 
membership; some consider the country to be unofficially closer to meeting the requirements of membership than 
Montenegro and Serbia,  which  formally are further along in the process. See  European Stability Initiative  (ESI), “ Coup 
de grâce—Delors  and Squaring  the Circle—Norway  in the Balkans,” ESI Newsletter 6/2019, October 25, 2019.  
24 European Commission, 
North Macedonia–Financial Assistance under Instrument for Pre-Accession Assistance II.  
25 Margarita Assenova, “Moscow Pushes to Derail Macedonia’s NAT O Membership,” 
Jamestown Eurasia Daily 
Monitor,
 August  6, 2018; Helene Cooper and Eric Schmitt, “ U.S. Spycraft and Stealthy Diplomacy Expose Russian 
Subversion  in a Key Balkans Vote,” 
New  York Times,
 October 9, 2018.  
26 T he referendum was  consultative rather than binding but was  seen as important to legitimizing the country’s name 
change ahead of key parliamentary votes. Separately, Macedonian investigative journalists accused Greek -Russian 
oligarch Ivan Savvidis—a  former legislator in the Russian  Duma with Putin’s United Russia  party —of paying over 
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10 
North  Macedonia: In Brief 
 
official described that campaign as propagating “an extraordinarily complex, organized, and toxic 
amount of disinformation.”27 Russian efforts to forestal  North Macedonia’s NATO accession 
may have been aided by Russia’s reported intel igence footprint in the country, cultivation of ties 
with local friendship organizations and nationalist or antiestablishment groups and parties, and an 
expanded media presence.28 
With North Macedonia’s NATO accession complete, some analysts speculate that Russia’s 
interest in the country may diminish.29 Russian economic ties to North Macedonia are relatively 
limited compared with its ties to neighbors (e.g., Montenegro, Serbia, and Bulgaria); nor do North 
Macedonia and Russia have a history of particularly close ties, despite cultural affinity between 
their majority Slavic-speaking, Orthodox Christian populations. At the same time, some caution 
that instability or discord in North Macedonia could be fertile ground for Russia to attempt to 
meddle or play a “spoiler” role in the country, particularly if doing so were to work against U.S. 
and European interests.30 
U.S. and EU officials have voiced concern over China’s growing economic ties to Western 
Balkan countries. Chinese state-linked firms and policy banks have extended loans, participated 
in regional infrastructure projects, or both as part of China’s Belt and Road Initiative. In 2016, 
China’s state-owned COSCO Shipping acquired majority stakes in the Piraeus Port Authority in 
Greece, an entry point for container shipping to lucrative European markets via the Balkans. 
Within the Belt  and Road framework, China established the “16+1” group in 2012 (now 17+1) to 
convene EU and non-EU countries in the Balkans and Central Europe, including North 
Macedonia, through annual leader summits.31 
North Macedonia lies along overland trade routes from Piraeus into Europe, and some have 
discussed eventual high-speed rail connections. To date, Chinese lending and investment in the 
country has been somewhat limited, particularly in comparison with Montenegro and Serbia. The 
most significant China-backed project to date is the construction of two highways: Miladinovci-
Stip (completed) and Kicevo-Ohrid (under construction). The highway projects were financed by 
a €580 mil ion  ($648 mil ion at the current exchange rate) Chinese ExIm Bank loan secured in 
2013 by the government of former Prime Minister Gruevski.32 Chinese engineering and 
construction company Sinhydro was awarded the contract for construction, which began in 2014. 
The highway projects have been mired in several controversies, including former officials’ 
(including Gruevski) al eged violation of public procurement rules in awarding Sinhydro the 
                                              
$350,000 to anti-Prespa groups, Macedonian politicians, and a soccer club  whose members reportedly were paid to 
hold a violent protest the day after the agreement was signed.  See  Saska  Cvetkovska, “ Russian Businessman  Behind 
Unrest in Macedonia,” Organized  Crime and Corruption Reporting Network, July 16, 2018.  
27 Quoted in David. A. Wemer, “T he Western Balkans: A Growing  Disinformation Battleground,” Atla ntic Council, 
March 7, 2019. See  also Marc Santora and Julian  E. Barnes, “In the Balkans, Russia  and the West Fight a 
Disinformation-Age Battle,” 
New York Tim es,
 September 16, 2018.  
28 EuroNews,  “FYROM: Caught Between East and West,”
 April 26, 2017; “Russia Accuses  West of Backing  ‘Greater 
Albania,’” 
BalkanInsight, March 3, 2017; Aubrey Belford et al., “Leaked Documents Show  Russian,  Serbian  Attempts 
to Meddle  in Macedonia,” Organized  Crime and  Corruption Reporting Network, June 4, 2017.  
29 See  Maxim Samorukov, 
Double or Quits: A Russian Approach to North Macedonia and NATO,
 Carnegie Moscow 
Center, May 14, 2019. 
30 Mark Galeotti, 
Do the Western  Balkans Face a Coming Russian Storm? ,
 European Council on Foreign Relations, 
April 4, 2018. 
31 Jonathan Hillman, “Beijing Lays Down a Gauntlet to Brussels  in the Balkans,” 
Nikkei Asian Review, July  4, 2018.  
32 European Bank for Reconstruction and Development, 
China and South-Eastern Europe: Infrastructure, Trade, and 
Investm ent Links, July 2016. 
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North  Macedonia: In Brief 
 
contract.33 The Kicevo-Ohrid project experienced setbacks and was halted in 2017 due to reported 
planning errors that drove up costs by around $200 mil ion.34 For some analysts, the projects 
highlight the potential risks of Chinese financing, including its impact on public procurement 
transparency (particularly in settings where the rule of law is not entrenched) and public debt 
burden. 
U.S. Relations 
The United States and North Macedonia have good relations and cooperate on a range of issues. 
As mentioned above, the United States has worked with the EU to help stabilize North 
Macedonia during periods of domestic instability, most recently during the 2015-2017 crisis. The 
United States supported the implementation of the Ohrid Framework Agreement, which helped to 
end civil strife in 2001. Since 1993, North Macedonia’s armed forces have been partnered with 
the Vermont National Guard through the State Partnership Program administered by the National 
Guard Bureau.  
For decades, successive U.S. Administrations have supported the country’s NATO and EU 
membership bids. After Greece vetoed North Macedonia’s NATO invitation in 2008, the United 
States signed a Declaration of Strategic Partnership and Cooperation with North Macedonia to 
signal continued U.S. commitment to the latter’s path to membership. U.S. officials praised the 
2018 Prespa Agreement between Greece and North Macedonia and expressed steadfast support 
for its implementation amid al eged Russian efforts to derail the agreement. On October 22, 2019, 
the U.S. Senate voted 91-2 in favor of North Macedonia’s NATO membership (Treaty Doc. 116-
1). U.S. Secretary of State Michael Pompeo lauded its accession as a boost for “integration, 
democratic reform, trade, security, and stability” in the Western Balkans, as wel  as a strong 
signal of NATO’s openness to aspirant countries that meet the criteria.35 
According to the U.S. State Department, the United States has extended over $738 mil ion in 
foreign assistance to North Macedonia over the past two decades.36 The United States provided 
$21.1 mil ion  in assistance to North Macedonia in FY2019 and about $21 mil ion  thus far in 
FY2020. These levels are considerably higher than the Trump Administration’s assistance request 
levels for North Macedonia, with $6.3 mil ion and $5.7 mil ion  requested for FY2019 and 
FY2020, respectively. The Administration requested $9.3 mil ion for FY2021.37 Assistance to 
North Macedonia is aimed at supporting EU accession-related reforms, promoting good 
                                              
33 Michal Makocki and Zoran Nechev, 
Balkan Corruption: The China Connection,
 European Union Institute for 
Security Studies,  2017; Sinisa  Jakov Marusic, “Macedonia Prosecution Names Gruevski  in T wo New  Corruption 
Probes,” 
BalkanInsight,
 May 22, 2017. 
34 Central European Financial Observer, “China’s Sinohydro Demands Funds  for Kicevo-Ohrid Road in Macedonia,”
 
March 13, 2018; MIA (North Macedonia), “Macedonia, China to Boost Economic Cooperation,” October 13, 2017; 
Government of North Macedonia, “ Vladata na Republika  Makedonija go usvoi aneks dogovorot br. 3 so kompanijata 
Sinohidro—Rešeni  problemite na avtopatot Kičevo-Ohrid, zaštedeni 95 milioni evra narodni pari,” November 2, 2018, 
available at https://vlada.mk/node/15686. 
35 U.S.  State Department, “North Macedonia Joins the NAT O Alliance,”
 press statement, March 27, 2020.  
36 U.S.  State Department, Office of the Spokesperson, “UPDAT E: T he United States Continues to Lead the Global 
Response to COVID-19,” fact sheet,
 July 2, 2020.  
37 U.S.  State Department, Congressional Budget Justification, FY2020 , Appendix 2; U.S.  State Department, 
Congressional Budget  Justification: Department of State, Foreign Operations, and Related Programs, FY2021; U.S. 
State Department, FY2020 funding estimate data, June 15, 2020 .  
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North  Macedonia: In Brief 
 
governance and the rule of law, building resilience against malign external influence, developing 
programs to counter violent extremism, and adopting reforms to liberalize the energy sector.38 
Many Members of Congress supported Greece and North Macedonia’s negotiations to resolve 
their bilateral dispute over many years. Resolutions were sponsored in both chambers to support 
North Macedonia’s landmark agreement with Greece and back its NATO membership bid. A 
Senate Foreign Relations Committee report assessed that North Macedonia’s NATO accession 
would “have a stabilizing  effect on Southeastern Europe and wil  extend NATO’s reach in this 
vulnerable area, providing uninterrupted travel from the Black Sea across the Balkan Peninsula to 
the Adriatic.”39  
Looking ahead, Members may be interested in monitoring efforts to strengthen the rule of law in 
North Macedonia and bring the country’s laws and institutions in line with EU membership 
requirements. Although analysts regard the country’s current situation as a window of opportunity 
for reform, they caution that it may be fragile, particularly if EU membership is perceived to be 
unlikely. Members also may be interested in North Macedonia’s role in regional security in the 
Western Balkans, particularly amid growing concern that Russia, China, and other external 
powers may seek inroads. 
 
Author Information 
 Sarah E. Garding 
   
Analyst in Balkan and Southeast Europe Affairs      
 
Acknowledgments 
Hannah Fischer, information research specialist, contributed to this report. 
 
Disclaimer 
This document was prepared by the Congressional Research Service (CRS). CRS serves as nonpartisan 
shared staff to congressional committees and Members of Congress. It operates solely at the behest of and 
under the direction of Congress. Information in a CRS Report should n ot be relied upon for purposes other 
than public understanding of information that has been provided by CRS to Members of Congress in 
connection with CRS’s institutional role. CRS Reports, as a work of the United States Government, are not 
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38 U.S.  State Department, Congressional Budget Justification, FY2019, FY2020 , Appendix 2. 
39 U.S.  Congress, Senate Foreign Relations Committee, 
Protocol to the North Atlantic Treaty  of 1949 on the Accession 
of the Republic of North  Macedonia, report to accompany T reaty Doc. 116-5, 116th Cong., 1st sess., Ex.Rept. 116-5 
(Washington, DC: GPO, 2019).   
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