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Public Health

Kyrgyzstan Tests Public Health Emergency Response Ahead of World Nomad Games

Kyrgyzstan has carried out large-scale interagency public health emergency exercises as part of preparations for the sixth World Nomad Games, which will take place from August 31 to September 6. Authorities say health security has become one of the key components of planning for what is expected to be the country's largest international event of the year. The two-day simulation exercise was held on July 14-15 in Cholpon-Ata, in the Issyk-Kul region. It brought together representatives of the Ministry of Health, healthcare institutions, the World Health Organization (WHO), other government agencies, and international development partners. Participants rehearsed the response to a simulated outbreak of acute intestinal infection and cases of an unidentified illness during a major international gathering. Field exercises were conducted in the Kyrchyn Gorge, one of the main venues for the upcoming Games, and at the infectious diseases department of the Issyk-Kul District Center for General Medical Practice. The drills tested early detection of health threats, laboratory diagnostics, medical response, interagency coordination, and crisis communication. According to Gulbara Ishenapysova, Kyrgyzstan's Deputy Minister of Health and Chief State Sanitary Doctor, the exercises provided an opportunity to assess the country's emergency response system under conditions closely resembling a real public health crisis and to identify areas requiring further improvement. Acting WHO Representative in Kyrgyzstan Zhanara Bekenova said such exercises are essential for evaluating coordination, information sharing, and decision-making mechanisms ahead of large international events. Preparations for the Games extend well beyond sports infrastructure. As previously reported by The Times of Central Asia, the 2026 World Nomad Games mark the event’s return to Kyrgyzstan. The event is also intended to promote tourism and the country’s nomadic cultural heritage internationally. Following the exercises, the Ministry of Health plans to prepare recommendations to improve interagency cooperation and the preparedness of healthcare institutions. The recommendations will also cover risk communication and revisions to national public health emergency response plans. The sixth World Nomad Games are expected to attract participants from more than 95 countries. More than 3,000 members of sporting delegations and delegations representing culture and science are expected to attend. The event is also expected to draw more than 600 domestic and international media representatives.

Election Funding

Kazakhstan Allocates $73 Million for August Kurultai Elections

Kazakhstan has allocated 34.3 billion KZT, approximately $73 million, from the government’s reserve fund to finance elections for the country’s newly established Kurultai, the unicameral parliament created under the country’s new Constitution, according to Central Election Commission (CEC) member Mikhail Bortnik. Kazakhstan’s new Constitution entered into force on July 1, replacing the previous bicameral parliament with the Kurultai. Elections for the new legislature are scheduled for August 23. A total of 145 deputies will be elected from party lists. Under the new electoral rules, at least 30% of candidates nominated by each political party must come from three combined categories: women, young people, and persons with disabilities. Speaking on July 14, Bortnik said the election budget would be financed from the government’s reserve because the 2026 state budget had been approved before the constitutional reform and therefore did not include funding for the parliamentary elections. “The budget for the upcoming elections has been prepared based on the needs identified by territorial election commissions and in accordance with electoral legislation, including all expenditures necessary to ensure the legality, transparency, and proper organization of the electoral process,” Bortnik said. The largest share of the funding will cover the work of Kazakhstan’s election administration. More than 70,000 election officials will operate 10,674 polling stations nationwide. Around 8.5 billion KZT, or more than $18 million, roughly 25% of the total budget, has been allocated for organizational expenses, including travel, transport, technical support, ballot printing, equipment, and the establishment of 47 new polling stations. The funding will also cover the preparation of voter information materials, methodological guidance for election officials, public information campaigns, and the operational costs of the Central Election Commission. The CEC is expected to complete the registration of party candidate lists by 6:00 p.m. on July 23. So far, seven political parties have submitted their candidate lists. According to CEC Secretary Shavkat Utemisov, the Adilet Party submitted the largest list, with 186 candidates, while the Nationwide Social Democratic Party submitted the smallest, with 33 candidates. The remaining parties submitted lists ranging from 63 candidates for the Ak Zhol Democratic Party of Kazakhstan to 76 for the Respublica Party. The candidate lists are currently being reviewed by the relevant government agencies to verify that all nominees meet the legal requirements for election. As previously reported by The Times of Central Asia, Kazakhstan’s Constitutional Court recently ruled that President Kassym-Jomart Tokayev remains eligible to seek another presidential term under the country’s 2026 Constitution.

Cardiac Surgery

Kazakhstan Joins World’s Top 30 Countries in Cardiac Surgery Development

Kazakhstan has entered the world’s top 30 countries for cardiac surgery, according to the Ministry of Health, citing the country’s growing use of advanced cardiovascular procedures, including heart transplantation and other high-tech surgical interventions. In 2025, Kazakhstan performed 13,106 open-heart surgeries, a 7.2% increase from the previous year. Coronary artery bypass grafting accounted for the largest share of procedures, at 46.1%. It is the standard surgical treatment for severe coronary artery disease and restores blood flow to the heart by bypassing blocked or narrowed arteries. Operations for acquired and congenital heart defects together accounted for 35.8% of all open-heart procedures. “Kazakhstan continues to expand high-tech cardiology and cardiac surgery services, allowing the country to join the world’s 30 leading nations in this field,” the Ministry of Health said. In addition to conventional cardiac surgery, hospitals in Kazakhstan increasingly perform endovascular procedures. These minimally invasive interventions are carried out through small vascular punctures using catheters and other specialized instruments guided by X-ray or ultrasound imaging. According to the ministry, the country’s cardiology centers now provide more than 80 types of high-tech cardiovascular procedures. One of the country’s most notable achievements came in 2025, when surgeons completed Kazakhstan’s 100th heart transplant, highlighting the growing capabilities of the national transplant program and the increasing expertise of domestic specialists. The ministry also reported steady improvements in cardiovascular health indicators. Over the past five years, the incidence of cardiovascular diseases has declined by 15%, while mortality from circulatory system diseases has fallen by 35.1%. The positive trend continued during the first five months of 2026. Cases of circulatory system diseases declined by 6.6%, arterial hypertension by 9.7%, and coronary heart disease by 10.1%. The number of acute myocardial infarctions decreased by 5.7%, while strokes fell by 6.1%. According to the Ministry of Health, these improvements have been driven by the expansion of specialized stroke and cardiac centers, wider availability of high-tech medical care, implementation of modern clinical protocols, improvements in emergency medical services, broader preventive screening programs, and increased access to medicines for patients with cardiovascular diseases. As previously reported by The Times of Central Asia, Kazakhstan has become an increasingly attractive destination for medical tourism, driven by the competitive cost and quality of its healthcare services. In 2025, the country treated approximately 80,000 foreign patients, 4.5 times the 2021 figure. Earlier this year, President Kassym-Jomart Tokayev also argued that Kazakhstan has developed several healthcare advantages that compare favorably with those available in some advanced Western countries.

Women’s Empowerment

Tajikistan Develops Gender Equality Strategy and Expands Support for Women

Tajikistan is developing a new strategy to address gender-related social norms for 2027–2036 while expanding programs aimed at increasing women’s economic participation and cooperation with international organizations. The draft strategy was presented at a meeting organized jointly by the Committee for Women and Family Affairs under the Government of Tajikistan and the United Nations Children’s Fund (UNICEF). Representatives of 46 international organizations, development partners, and civil society groups took part in the discussions, the committee said in its review of activities for the first half of 2026. According to the committee, the strategy is intended to serve as the country’s main policy framework on gender equality over the next decade. It aims to address social norms that limit opportunities for women, promote greater participation in economic, political, and public life, and increase support for families. UNICEF is providing technical assistance in developing the document. The initiative builds on Tajikistan’s National Strategy for Enhancing the Role of Women through 2030, adopted in 2021. Under its 2026–2030 implementation plan, the government plans to further increase women’s participation in public administration, business, education, and civic life. It will also continue presidential quota and grant programs that support women’s education and entrepreneurship. One of the government's flagship initiatives is a presidential grant program for women entrepreneurs. This year, authorities received 945 project applications, which are currently under review. The program provides financial support for businesses in manufacturing, agriculture, handicrafts, and services, with the stated goals of creating jobs, increasing household incomes, and expanding opportunities for women-led enterprises. In 2026, Tajikistan was elected to the U.N. Commission on the Status of Women for the 2027–2031 term, a development that authorities say reflects growing international recognition of the country’s work on gender equality. Despite these initiatives, violence against women remains a significant challenge. According to the U.N., more than 2,500 criminal cases involving violence against women have been opened in Tajikistan over the past five years. A national survey also found that 23% of women reported experiencing physical violence at least once, with most incidents occurring within the family.

Urban Development

Urbanization: Only One in Four Tajik Residents Lives in a City

While its regional neighbors are increasingly undergoing urbanization, Tajikistan remains a predominantly rural country and the gap with the rest of Central Asia on this indicator is one of the most notable in the post-Soviet space. The Lowest Rate in the Region As of mid-2026, Tajikistan’s urban population stands at 27.98%, in other words, only slightly more than one in four residents of the country lives in a city. For comparison with the rest of the region: in Kazakhstan, the urban population is around 59%; in Turkmenistan, around 52%; in Uzbekistan, around 50%; and in neighboring Kyrgyzstan, roughly 38%. Against this backdrop, Tajikistan remains the country with the lowest level of urbanization in all of Central Asia and one of the few in the world where the rural population still makes up nearly three-quarters of the total. Why This Happened Tajikistan’s low pace of urbanization is largely explained by the structure of the country’s economy and the everyday life of a significant part of its population. Unlike states where industry, the services sector, and major urban agglomerations have long become the main centers of employment, Tajikistan still retains a notable dependence on agriculture. For many families, the village remains not only a place of residence but also the basis of income: people are engaged in farming, seasonal work, small local businesses, or rely on a household that provides the family with food and partial employment. In Kyrgyzstan, rural areas also play an important role in the economy and settlement patterns, however, in Tajikistan this feature is more pronounced. The country remains one of the most rural in Central Asia in terms of settlement patterns and employment structure. Against this background, Uzbekistan and Turkmenistan present a different picture. In Uzbekistan, a significant share of the urban population is concentrated around major centers, primarily Tashkent, whose population has already exceeded 3 million. In Turkmenistan, Ashgabat plays an important role, as do territories linked to the oil and gas industry, where economic activity has traditionally been more closely tied to urban and industrial zones. The Region Is Moving Toward Cities Central Asia as a whole continues to urbanize rapidly, with cities continuing to hoover up people and capital. According to the Eurasian Development Bank, the region’s urban population is expected to increase from 39 million to 45 million by 2035, driven largely by internal migration as people move from rural areas in search of higher incomes and better infrastructure. Today, nearly half of Central Asia’s population, about 49%, already lives in the region’s major urban centers, making urbanization one of the defining forces behind its economic transformation. The expansion of cities, however, also brings mounting pressure on social infrastructure – from housing to schools and hospitals. For many urban centers, the challenge is no longer simply accommodating more residents but ensuring an acceptable quality of life. As a result, urbanization is increasingly viewed as a long-term test of governments’ capacity to plan sustainable urban development. A similar conclusion appears in a United Nations...

Tax Policy

Uzbekistan Bank Data Plan Sparks Privacy and Tax Debate

A draft government resolution that would establish unified rules for information sharing between banks and tax authorities has triggered widespread public debate in Uzbekistan, with supporters describing it as a necessary step to combat the shadow economy while critics warn it could weaken constitutional protections for banking privacy. The proposal, published for public discussion by Uzbekistan’s State Tax Committee, aims to regulate how banks provide information to tax authorities. According to the committee, the document does not introduce new powers for tax officials or abolish bank secrecy. Instead, it seeks to define the procedures, deadlines, formats, and electronic methods for exchanging information already permitted under existing legislation. The proposal attracted significant attention after some media reports suggested it would allow tax authorities to gain broad access to citizens’ bank accounts and deposits. Responding to the growing discussion, the State Tax Committee issued a public explanation, arguing that these interpretations do not accurately reflect the draft’s content. “The draft does not grant tax authorities new powers, does not abolish bank secrecy, and does not provide free access to the bank accounts of citizens or businesses,” the committee said. It stressed that banks would continue to provide information only in cases established by law. The committee pointed to Article 134 of the Tax Code and the Law on Bank Secrecy, which already allow banks to share information related to taxation with state tax authorities under specific legal procedures. It also emphasized that any information received by tax authorities is itself protected as tax secrecy and cannot legally be disclosed or used for purposes other than tax administration. Officials further argued that similar information-sharing mechanisms exist in many countries, including members of the Organisation for Economic Co-operation and Development (OECD). Uzbekistan has also joined the Global Forum on Transparency and Exchange of Information for Tax Purposes, requiring the country to develop clear and transparent rules in this area. Despite these assurances, the proposal quickly became one of the country’s most discussed regulatory initiatives. One of the most controversial provisions concerns peer-to-peer (P2P) transfers. Under the draft, banks would report cases where an individual’s bank card or electronic wallet receives transfers totaling at least 500 times the base calculation amount during a calendar month from people other than close relatives. The measure is intended to identify cases where personal bank cards are allegedly being used for unregistered commercial activity. Economist Otabek Bakirov criticized the proposal, arguing that it contradicts constitutional guarantees protecting banking secrecy. Referring to Article 41 of Uzbekistan’s Constitution, he noted that the confidentiality of bank operations, deposits, and accounts is guaranteed by law. Bakirov also recalled that previous attempts to introduce similar monitoring of P2P transactions had been abandoned following constitutional reforms. “I hope this attempt will also fail,” he wrote, calling on parliament, the Central Bank, the Ministry of Justice, the Ministry of Economy and Finance, journalists, and the public not to remain silent during the discussion. Public comments submitted during the consultation have echoed many of these concerns. According...