Uzbekistan International Affairs - The Times Of Central Asia

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Healthcare

Uzbekistan and Afghanistan Plan Joint Hospital Project in Mazar-i-Sharif

Uzbekistan and Afghanistan have agreed to build a hospital in the Afghan city of Mazar-i-Sharif under a public-private partnership, Uzbekistan’s Ministry of Health said. The agreement was reached during a visit by an Uzbek delegation led by Health Minister Asilbek Khudayarov to Afghanistan, where talks were held with Afghan Health Minister Mawlawi Noor Jalal, Balkh regional governor Mohammad Yusuf Wafa, and other officials. According to the ministry, the Afghan side highlighted the need to expand cooperation in healthcare, noting that many districts in the country still lack hospitals. Officials also pointed to a rise in cancer cases in recent years and requested Uzbekistan’s support in building a medical facility in Mazar-i-Sharif, training specialists, and simplifying procedures for Afghan patients seeking treatment in Uzbekistan. Wafa expressed appreciation for Uzbekistan’s continued support, particularly during difficult periods such as natural disasters, and emphasized the importance of strengthening humanitarian ties between the two countries. During the visit, the Uzbek delegation also toured healthcare facilities in Balkh province, including a district clinic in Dehdadi and the Abu Ali Ibn Sina Central Hospital in Mazar-i-Sharif, where they met with medical staff and reviewed current conditions. As a result of the talks, the parties agreed to establish a joint working group to develop proposals for supporting Afghanistan’s public healthcare system. Plans were also outlined to organize reciprocal visits by Afghan medical delegations to Uzbekistan. The sides discussed launching training programs that would allow up to 100 Afghan specialists each year to improve their qualifications at Uzbekistan’s specialized medical centers. In addition, the possibility of allocating annual scholarships for up to 50 Afghan students to study at Uzbek medical universities was considered. The Uzbek side also agreed to explore simplifying the issuance of medical visas for Afghan patients and easing procedures for the supply and registration of pharmaceuticals produced in Uzbekistan, which Afghan officials said are in strong demand in the local market. A key outcome of the visit was the agreement to construct a hospital in Mazar-i-Sharif in cooperation with Arman Group. Under the arrangement, the Afghan side will invest in the project, adapt an existing building for medical use, and procure modern equipment, while Uzbekistan will provide qualified medical personnel. The Times of Central Asia previously reported that in March, Uzbekistan and Afghanistan established a joint Business Council aimed at strengthening trade and economic ties, bringing together representatives from both countries’ business communities and institutions. The new healthcare agreement reflects a broader trend toward expanding cooperation between the two neighbors.

Shanghai Cooperation Organisation

Belousov’s Bishkek Warning: Russia Uses SCO Meeting to Target Outside Influence in Central Asia

The April 28 meeting of defense ministers from the member states of the Shanghai Cooperation Organization (SCO), held in Kyrgyzstan’s capital, Bishkek, received relatively modest coverage in Central Asia and China. Russia’s Ministry of Defense, however, used the routine gathering to send a sharper message: Moscow remains opposed to any non-regional military presence in Central Asia. According to the SCO Secretariat, the meeting was attended by defense ministers from member states, the organization’s Secretary-General, and the director of the Executive Committee of the SCO’s Regional Anti-Terrorist Structure. “During the meeting, the parties held a substantive exchange of views on pressing regional and international security issues, noting persistent challenges and threats, including international terrorism, extremism, transnational crime, as well as emerging risks in information and cybersecurity,” the SCO said in a general statement. The statement also emphasized the need to strengthen trust between the armed forces of member states, expand practical cooperation, conduct joint exercises, exchange experience, and develop mechanisms for military cooperation within the SCO. China’s Defense Minister Dong Jun used similar institutional language. According to Xinhua, Dong said the SCO should uphold the international order, improve security governance, and “eliminate the sources of turmoil and conflict through shared development.” He also called for deeper defense and security cooperation among member states. Kazakhstan’s Defense Minister Dauren Kosanov presented a report on the country’s approach to strengthening regional security, developing cooperation within the SCO, and improving joint responses to contemporary challenges, according to Kazakhstan’s Ministry of Defense. The ministry said participants also discussed the expansion of practical cooperation between defense agencies and approved a cooperation plan for SCO defense ministries for 2027. Defense ministers from Uzbekistan and Kyrgyzstan also held bilateral talks on the sidelines of the meeting, discussing military-technical cooperation, joint training, experience-sharing among officers, and initiatives aimed at strengthening regional security. Uzbek media described the talks as being held in a constructive and friendly atmosphere. Russian Defense Minister Andrei Belousov adopted a markedly different tone. His remarks were not limited to general SCO language about counterterrorism or cyber threats. They directly targeted the possible presence of outside powers in Central Asia. “We are closely monitoring attempts by non-regional states to establish a military presence and address logistical tasks in Central Asia. We consider this unacceptable,” Belousov said, according to RIA Novosti. Belousov also expressed concern about Syria, Lebanon, Afghanistan, and the humanitarian crisis in Gaza, warning that militants from crisis zones could infiltrate neighboring countries, including the SCO space. Belousov further argued that U.S. activity in the Asia-Pacific region was having a destabilizing effect. “Their efforts to reshape the regional security system into a U.S.-centric model by strengthening military-political structures under Washington’s control provoke tensions, undermine regional stability, and increase the risks of armed conflict,” he said. The contrast was striking. The SCO Secretariat spoke in broad terms about common threats and institutional cooperation. China emphasized development, governance, and multilateral stability. Russia used the same setting to issue a direct warning over Central Asia. Iran added another layer to...

UN ESCAP

UN ESCAP Asia and Pacific Digital Solutions Centre for Sustainable Development Established in Kazakhstan

During the 82nd session of the United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), held in Bangkok last week, all 52 member states adopted a resolution establishing the UN ESCAP Asia and Pacific Digital Solutions Centre for Sustainable Development in Almaty. This has been reported by Kazakhstan’s Ministry of Digital Development. The new center will become ESCAP’s sixth regional institution, alongside existing specialized centers in Japan, China, South Korea, India, and Iran. The Almaty-based center is expected to have a capacity of up to 130 staff, and be located in the UN Plaza building. The government of Kazakhstan will cover the institution’s operational and administrative costs for five years, with funding of up to $15 million. It will operate as a neutral international platform under the auspices of the United Nations, aimed at identifying and disseminating best digital solutions from across the Asia-Pacific region, particularly in public and social services. As noted by Margulan Baimukhan, Kazakhstan’s Permanent Representative to ESCAP, the adoption of the resolution marks the conclusion of a multilateral negotiation process that lasted more than five years. The center is expected to contribute to bridging the digital divide across the region, with a particular focus on supporting least developed countries, landlocked countries, and small island developing states. In the context of rapid digital transformation, emphasis will be placed on developing inclusive mechanisms for the exchange of technologies and expertise, enabling countries to design solutions tailored to national contexts and ensuring equitable access to the benefits of digitalization. For Kazakhstan, the establishment of the center is expected to create additional opportunities to attract advanced digital technologies, international expertise, and highly qualified professionals. Strengthening Almaty’s role as a regional hub under the auspices of the United Nations is also expected to enhance international cooperation, promote partnerships with leading technology companies and development institutions, and reinforce the country’s position as a provider of digital solutions across the Asia-Pacific region. The initiative may also support Kazakhstan’s export potential in IT services and the promotion of domestic digital solutions in international markets.

Migrant Workers

Over 100 Uzbek Workers in Russia Receive Aid After Months Without Pay

More than 100 Uzbek migrant workers in Russia have received assistance after going without wages and adequate food for four months, according to Uzbekistan’s Migration Agency. The agency said the workers were jointly owed nearly 24 million rubles (about $324,000) and, in some cases, had fallen into irregular legal status. The situation began to improve after the workers contacted the agency for assistance. Following the appeals, the agency’s representative office in Russia worked with legal counsel, while Uzbekistan’s Consulate General sent an official diplomatic note to the relevant authorities. As a result, Russian law enforcement agencies opened a criminal case against the employers under Article 145.1 of the Russian Criminal Code, which covers non-payment of wages. According to the agency, some progress has already been made. A total of 105 workers have received 9.4 million rubles (around $127,000) in unpaid wages. The remaining debt, estimated at 23.9 million rubles, is expected to be paid by May 15. The agency also said that food supplies for the workers have been restored. Those who had lost legal status were assisted in returning to Uzbekistan, and financial support measures have begun. The case was handled in cooperation with Uzbekistan’s diplomatic missions in Russia and Russian law enforcement authorities. Officials said the joint efforts helped address both the financial claims and the humanitarian situation faced by the workers.

Afghanistan

A View from Afghanistan: Silk Seven Plus a New Framework for Regional Integration

In recent years, regional integration has increasingly become a key instrument in countries’ economic and foreign policy strategies. This is particularly relevant for Central Asia, a landlocked region facing structural constraints in accessing global markets. In this context, the Silk Seven Plus (S7+) initiative, recently introduced by the New Lines Institute for Strategy and Policy, has drawn attention. The concept is currently being promoted in Washington. According to its authors, the initiative has received “overwhelming bipartisan support from leading members of the House of Representatives and the Senate.” S7+ is positioned as a multi-stage framework for regional coordination centered on the countries of Central Asia, with plans for gradual expansion, first to Afghanistan and Azerbaijan, and potentially later to Pakistan. The initiative appears to propose a new model of cooperation focused on developing transport connectivity, facilitating trade, and coordinating economic policy among countries in Central and South Asia, as well as neighboring regions. Unlike traditional integration formats, S7+ is designed as a flexible, network-based framework rather than a rigid institutional structure. It functions more as a platform for practical cooperation, including the development of transit routes, the digitization of customs procedures, the reduction of logistics costs, and the expansion of trade and investment flows. This approach allows countries to participate voluntarily and at varying levels of engagement. Within this model, Central Asia is viewed as a key region for the formation of new economic linkages. Strengthening transport connectivity, diversifying trade routes, and reducing dependence on a limited number of corridors could enhance the resilience of regional economies and support deeper integration into global supply chains. Afghanistan holds particular significance within the S7+ framework. Geographically, it lies at the crossroads of Central Asia, South Asia, and the Middle East, positioning it as a potential transit bridge. The development of routes through Afghanistan could shorten transport distances and improve regional logistics efficiency. In practice, however, this potential faces significant constraints. Key challenges include underdeveloped infrastructure, institutional limitations, and a lack of international recognition. These factors restrict Afghanistan’s ability to fully participate in multilateral initiatives and limit its access to investment and financial resources. At the same time, the flexibility of the S7+ format may create opportunities for Afghanistan’s gradual involvement. Unlike formal organizations, the initiative allows participation on a project-by-project basis without requiring full institutional integration. This aligns with the country’s current model of external engagement, where practical cooperation continues despite the absence of formal recognition. A comparison between S7+ and traditional regional formats highlights key differences. Existing frameworks, such as regional cooperation programs, typically rely on formal agreements and institutional mechanisms. In contrast, S7+ emphasizes flexibility, pragmatism, and the implementation of specific projects, potentially reducing political sensitivities and prioritizing economic interests. In a broader geopolitical context, interpretations of the initiative vary. For some external actors, it may signal the emergence of alternative transport routes and reduced dependence on established corridors. For others, it represents a complementary element within existing economic strategies. In any case, S7+ reflects intensifying competition over the development...

Shanghai Cooperation Organization

Iran Proposes Defense Cooperation to SCO Partners at Bishkek Meeting

Iran used a Shanghai Cooperation Organization defense meeting in Bishkek to signal that it is ready to share military experience and defense capabilities with other SCO members, giving a sharper geopolitical edge to the gathering hosted by Kyrgyzstan under its current chairmanship of the bloc. The meeting of SCO defense ministers opened on April 28 at the Ala-Archa state residence in Bishkek. Defense officials from the organization’s member states attended, along with SCO Secretary General Nurlan Yermekbayev. Kyrgyzstan’s Defense Minister Ruslan Mukambetov chaired the session. Iran was represented by Deputy Defense Minister Reza Talaei-Nik. In a statement carried by Mehr News Agency, Talaei-Nik said Iran was ready to share its defense weapons capabilities and experience with “independent countries,” especially SCO member states. He also described the SCO as part of a wider shift away from what Tehran called a “unipolar” international order. The remarks came after weeks of fighting between Iran, the United States, and Israel, including Iranian drone and missile strikes on U.S. bases in the region and Israeli sites. A ceasefire announced earlier this month reduced hostilities, but efforts to reach a wider settlement have stalled. Talaei-Nik also used the meeting to frame the recent conflict as a lesson for other states, declaring, “We are ready to share our experiences in defeating America with other members of the organization.” The SCO meeting gave Tehran a platform inside a bloc that now includes China, Russia, India, Pakistan, Iran, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, and Uzbekistan. Iran became a full member in 2023. The SCO also has a wider circle of observer states and dialogue partners, including 15 dialogue partners listed by the organization’s secretariat. Kyrgyz President Sadyr Japarov received the SCO defense delegations before the ministerial session. He said Kyrgyzstan, as the SCO chair, attaches special importance to practical defense cooperation, including joint exercises, experience-sharing, and stronger coordination. He said agreements reached in Bishkek should strengthen defense cooperation and security across the SCO region. Kyrgyzstan’s SCO chairmanship is being held under the slogan “25 Years of the SCO: Together Towards Sustainable Peace, Development, and Prosperity.” Kyrgyzstan’s Defense Minister Mukambetov said the organization needed solidarity, mutual trust, and collective responsibility to respond to current security challenges. Kyrgyz state agency Kabar said the participants discussed military cooperation, regional security, and joint responses to current threats. The SCO began as a border-security framework. Its roots go back to agreements signed in 1996 and 1997 by Kazakhstan, China, Kyrgyzstan, Russia, and Tajikistan on military trust and troop reductions along border areas. Uzbekistan later joined, and the Shanghai Cooperation Organization was formally founded in 2001. Since then, the bloc has grown into a wider Eurasian platform covering security, defense contacts, counterterrorism, transport, energy, and economic cooperation. Talaei-Nik also held talks with Russian and Belarusian defense officials on the fringes of the Bishkek meeting, with both sides discussing continued cooperation with Tehran. For Central Asian governments, including non-SCO member Turkmenistan, the Bishkek meeting highlighted the pressures facing multi-vector diplomacy. All five have spent years balancing security...