More than 1.3 billion people worldwide live with some form of disability, yet disability remains one of the least visible dimensions of social and economic life. In Central Asia, that invisibility is especially pronounced. As governments focus on infrastructure, growth, and modernization, far less attention is paid to whether people with disabilities are becoming more present in schools, workplaces, and public life, or whether they remain largely confined to families and institutions beyond the reach of public discussion. Across the region, cities are expanding, labor mobility is increasing, and younger generations are more connected to global ideas through study and migration. These shifts are often treated as shorthand for progress. At the same time, people with disabilities consistently face lower educational attainment and weaker labor market outcomes, making inclusion a practical test of whether development reaches beyond headline indicators into everyday life. Disability policy across much of Central Asia has long centered on legal classification, benefit eligibility, and institutional care. Long-term institutionalization is associated with reduced autonomy and poorer social outcomes, yet institutions remain a common default, reinforcing the idea that disability is primarily an administrative or medical issue rather than a social one shaped by access and expectations. In practice, families remain the primary providers of care throughout the region. In Kyrgyzstan, around 200,000 people are officially registered as living with disabilities, and outside major cities, most daily support is provided by family members due to limited community-based services. In Turkmenistan, public disability data remain sparse, and undercounting is widely acknowledged, leaving extended families as the central source of long-term care. In Tajikistan, official estimates place the number of people living with disabilities between 150,000 and 200,000, with caregiving overwhelmingly home-based due to constrained public resources. Family-based care provides continuity and belonging, but it also carries an economic cost. Caregivers are more likely to reduce paid employment and experience long-term income loss, a burden that falls disproportionately on women and shapes household economic outcomes. This reliance on family support is often contrasted unfavorably with wealthier countries, but the comparison is more complicated. In the United States, more than one in four adults lives with a disability, and people with disabilities report significantly higher rates of loneliness and depression despite extensive legal protections and formal services. By contrast, strong family networks are associated with lower levels of severe social isolation, even in settings with fewer public resources. In recent years, small but notable shifts have begun to appear. Local organizations across the region are experimenting with community-based rehabilitation, inclusive education, and supported employment models that move beyond institutional care. These efforts remain fragmented and under-resourced, but they reflect a growing recognition that disability policy is about protection and participation. As Central Asian governments seek to retain talent, expand their labor force, and project social modernization, inclusion is increasingly intersecting with economic and demographic realities rather than remaining a niche social issue. Institutional care remains common across Central Asia, yet community-based rehabilitation is consistently linked to better social participation and quality...
