Uzbekistan Local Politics - The Times Of Central Asia

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Cancer Treatment

Uzbekistan Cancer Care Reforms to be Launched in 2027

Uzbekistan plans to overhaul cancer care from 2027, with reforms aimed at detecting tumors earlier and expanding palliative support for patients outside the country’s main medical centers. The National Cancer Control Program, developed with the participation of the World Health Organization and international experts, aims to bring oncology services closer to international standards while improving access to care in the regions. The proposals point to one of the central weaknesses in cancer care across much of the region: patients are often diagnosed late and forced to travel to major cities for specialist treatment. Two key metrics for the plan are firstly to increase targeted screening coverage for common cancers is to 60%, while the five-year survival rate among cancer patients is expected to increase from the current 35% to at least 45%. To achieve these goals, primary healthcare workers will receive additional training to identify early signs of cancer and ensure timely referrals to specialized medical institutions. That would put family doctors and local clinics at the center of the reform, rather than leaving patients to navigate the system only after symptoms have become harder to treat. The focus on primary care also fits a wider shift in Uzbekistan’s health policy. There is already a major effort to move more treatment and prevention work out of hospitals and into local clinics, with early intervention presented as a way to reduce pressure on specialist facilities. Officials also plan to establish rapid diagnostic pathways to shorten the time between initial examinations and confirmed diagnoses. Radiation therapy services will be also be modernized, with aging cobalt therapy equipment gradually replaced with modern linear accelerators. The equipment upgrades follow other recent moves to expand Uzbekistan’s specialist cancer infrastructure. TCA reported earlier this year that a Nuclear Medicine Center under construction in Tashkent is expected to be equipped with PET/CT scanners, a cyclotron, a radiopharmaceutical laboratory, and Gamma Knife and CyberKnife systems. A significant part of the reform package concerns palliative and hospice care. Beginning September 1, 2026, Uzbekistan plans to establish a unified nationwide system by integrating medical and social services. Mobile palliative care teams providing home-based medical and social services will be created, with every region of the country getting its own hospice institutions. A children’s palliative care center for patients with severe and incurable illnesses is also planned in the Samarkand region. The palliative-care proposals address one of the more visible gaps in Uzbekistan’s cancer system. Uzbekistan’s first children’s oncology hospice opened in Tashkent in August 2022, while plans for an adult hospice in the capital had been delayed for years. Authorities expect palliative and hospice care coverage to reach at least 80% by 2030. Patients requiring home care will receive specialized equipment, including functional beds and mattresses, through a voucher system. Family members will also be able to access a new “Family Support” service. The proposals additionally include social support measures for employees of state healthcare institutions. These include partial compensation of university tuition fees for the children of medical workers with...

Border Security

Kyrgyzstan Opens New Border Post Near Uzbekistan in Batken Region

A new border post has opened in Kyrgyzstan’s Batken region near the border with Uzbekistan, as authorities continue efforts to improve security infrastructure in sensitive frontier areas, according to 24.kg news agency. The opening ceremony for the Sogment border post took place in the village of Sogment in Batken district. The facility is part of the Charbak border outpost under the Batken regional department of Kyrgyzstan’s State Border Service. The presidential representative’s office in Batken region said the ceremony was attended online by Abdikarim Alimbaev, chairman of Kyrgyzstan’s State Border Service, while local officials, border guards, and regional authorities gathered at the site. Among those present was Mamyrzhan Rakhimov, the presidential representative in Batken region. Officials congratulated border guards on Border Guards’ Day, which is marked in Kyrgyzstan on May 28, and described the opening of the new facility as an important step toward improving national security and maintaining stability in border areas. According to local authorities, the post includes modern barracks and other facilities designed to support border personnel stationed in the area. Border guards assigned to the sector are responsible for monitoring more than 12 kilometers of the Kyrgyzstan-Uzbekistan state border. The report noted that several additional border facilities were also inaugurated across Kyrgyzstan on the same day. The opening comes amid broader efforts by Central Asian states to improve border cooperation following years of tensions and unresolved territorial disputes in the region. On March 31, 2025, the presidents of Kyrgyzstan, Tajikistan, and Uzbekistan signed a landmark agreement defining the junction point of the three countries’ borders during a summit in Khujand, Tajikistan. The agreement was signed by Sadyr Japarov, Emomali Rahmon, and Shavkat Mirziyoyev. In May this year, Japarov also visited the newly established Dostuk, or Friendship, Stele in Batken region near the tri-border area. The monument symbolizes the settlement of long-standing border issues and a new phase of regional cooperation among the three neighboring states. During that visit, Kyrgyz authorities also presented plans for the proposed Dostuk International Trade and Economic Park, a cross-border development project intended to strengthen trade, logistics, and investment ties in the region.

Agriculture

Uzbekistan to Restrict Foreign Access to Farmland as Land Reforms Advance

Uzbekistan plans to stop offering agricultural land lease rights to foreign investors through auctions as part of a broader effort to improve land use efficiency, according to the presidential press service. The measures were presented during a government briefing on land reform, where officials outlined changes to the current system. Over the past five years, Uzbekistan has shifted to an auction-based model for land allocation, removing the authority of local governors to distribute plots directly. During this period, more than 616,000 hectares of land were allocated through auctions, generating 1.4 trillion UZS ($115,940) in state revenue. Officials said the reforms have led to the emergence of private land users and increased productivity. Income per hectare has tripled to around 50-60 million UZS ($4,140-$4,970), while land allocated through auctions now produces goods worth an estimated 539 trillion UZS ($44,635,398,500) annually and generates $2.1 billion in exports. Despite these gains, authorities acknowledged ongoing challenges. Around 117,600 hectares of land remain unallocated, partly due to limited autonomy for tenants in how they use the land. To address this, the government plans to introduce a revised leasing system and auction an additional 100,000 hectares under new conditions this year, with stronger economic incentives for efficient use. A key change will affect foreign investors. Under the proposed rules, they will no longer be able to acquire land through auctions. Instead, access to agricultural land will be limited to secondary lease agreements arranged through regional authorities, and only for projects with a minimum investment of $10 million. These projects must also focus on developing underused land, including pasture and rain-fed areas. At the same time, participation in agricultural land auctions will be restricted to domestic farmers and entrepreneurs. Land designated for defense, border zones, forests, and cultural heritage sites will be allocated exclusively to Uzbek citizens. A unified lease term of up to 49 years is also proposed for all land categories. The presentation highlighted successful pilot projects in the Fergana Valley, as well as in Jizzakh and Tashkent regions, and Karakalpakstan, where entrepreneurs were allowed to independently choose crops. On 16,000 hectares, farmers planted high-yield and export-oriented crops, contributing to an estimated $150 million in exports in 2025. To support new projects, the government plans to offer financial incentives, including preferential loans of up to seven years with grace periods, subsidies for infrastructure costs, and compensation of up to 50% of packaging expenses. Authorities also intend to expand the use of modern agricultural technologies to increase land productivity. Officials also stressed the need to accelerate digitalization in the sector, noting that many processes, such as land reclassification and compensation calculations, are still handled on paper, causing delays and investor dissatisfaction. Plans include integrating cadastral, agricultural, and legal databases, as well as introducing transparent procedures for extending lease agreements.

Regional Ecological Summit

Kazakhstan’s Regional Ecological Summit 2026: What It Is and Why It Matters

Kazakhstan’s Regional Ecological Summit 2026 in Astana on April 22-24 is aiming to turn Central Asia’s environmental strain into a regional political agenda. Organized in partnership with the United Nations, the summit is built around the theme, “Shared Vision for a Resilient Future.” Its stated purpose is to bring together governments, international organizations, lenders, businesses, researchers, and civil society to push for joint and practical responses to climate and ecological pressures across the region. President Kassym-Jomart Tokayev first proposed hosting a regional climate summit in Kazakhstan under UN auspices during his 2023 speech at the 78th session of the UN General Assembly. By 2026, that idea had broadened into a wider environmental summit covering climate transition, adaptation, food security, natural resource management, air pollution, waste, finance, and environmental skills. The official key thematic directions show that this is no longer a narrowly framed climate conference. It is being presented as a broader Central Asian platform for ecological cooperation. In Central Asia, ecological stress now shapes core state concerns, from farming and energy to public health and cross-border cooperation. That gives the Astana summit a broader role than a standard environment conference. That shift reflects real regional pressures. Central Asia faces chronic water stress, glacier retreat, desertification, air pollution, and growing strain on ecosystems. The summit’s organizers say the meeting is meant to produce joint solutions rather than another round of abstract pledges. The UN in Kazakhstan says the summit is expected to advance shared regional responses and identify green financing needs, while a second UN page states that one planned outcome is a Joint Declaration by the heads of state of Central Asia, alongside a 2026-2030 Programme of Action developed with the United Nations. Tokayev’s own language explains the summit’s pitch. On August 5, 2025, speaking at the Third United Nations Conference on Landlocked Developing Countries in Awaza, Turkmenistan, he said, “Many developing countries without access to the sea are facing water scarcity, glacier melt, desertification, and other extreme weather events. Addressing these challenges requires coordinated regional efforts and strong international support. At the same time, I believe that measures to combat climate change must remain balanced and inclusive, and respond to the legitimate development needs of countries. To strengthen our joint efforts in addressing climate change, I invite you to the Regional Ecological Summit, which will be held in Astana in partnership with the United Nations.” The wording shows how Kazakhstan wants to frame the event. Central Asia’s environmental problems cross borders, but the response, in Tokayev’s view, must also accommodate growth, infrastructure, and development. That is why the summit is being presented not just as a climate gathering, but as a forum linking ecological policy, investment, technology, and state planning. The EXPO component is part of that design. Government and investment-promotion pages say the parallel exhibition will focus on green technologies, ESG tools, and practical climate solutions, linking diplomacy to project finance and implementation. The summit’s speaker list underlines its international reach. The official RES 2026 page includes...

Cultural Heritage

Bukhara Demolitions Resurface as Developer Faces Financial Trouble

Concerns over demolition works linked to the “Eternal Bukhara” tourism project have resurfaced following renewed questions directed at Uzbekistan’s Cultural Heritage Agency, as the project’s main developer faces financial difficulties. In 2024, The Times of Central Asia reported that construction of the large-scale tourism complex near the historic center of Bukhara had drawn criticism from local residents and UNESCO. The project, located in the buffer zone surrounding the ancient city, was seen as a potential threat to the integrity of one of Central Asia’s most significant cultural sites. According to Uzbek outlet Uzdiplomat, the issue was raised again during a recent briefing, where journalists questioned officials about the consequences of last year’s demolitions. The project’s main investor, Enter Engineering, has since encountered financial problems and is reportedly selling assets to repay debts to banks, the government, and employees. While construction has slowed, concerns remain over the damage already caused to the cultural environment. The demolitions carried out in 2024 sparked strong reactions from the public, architects, and international organizations. Several buildings, including administrative and social facilities in central Bukhara, were reportedly demolished as part of preparations for the tourism complex. At the time, international heritage group Alerte Héritage called for a halt to the process, arguing that it could contradict global preservation commitments. Responding to questions, a representative of the Cultural Heritage Agency said the works were conducted outside UNESCO’s core protected area and instead took place in the buffer zone. According to the agency, all required documentation, including a master plan and impact assessments, was submitted, and UNESCO was informed of the process. Officials also addressed criticism over the demolition of buildings that, while not officially listed as cultural heritage, were considered by some to have historical value. Deputy head of the agency Tursunali Kuziyev said the agency can only intervene in cases involving officially registered heritage sites. He added that granting such status requires a formal scientific review and legal procedure. Questions about whether the agency could take a broader stance in defense of the public interest were met with similar responses. Officials reiterated that decisions regarding non-listed buildings fall under the authority of local governments and urban planning bodies.

Rahmon in Uzbekistan

Uzbekistan and Tajikistan Launch 10 Joint Projects During Rahmon’s State Visit

Uzbekistan's President Shavkat Mirziyoyev welcomed his Tajik counterpart Emomali Rahmon to Tashkent on March 26 for a state visit marked by high-level talks, and the launch of joint economic projects. Talks between the presidents followed, first in a one-on-one format and then during the inaugural meeting of the Supreme Interstate Council, a new platform aimed at deepening bilateral cooperation. Mirziyoyev described the visit as a landmark in bilateral relations, noting that the council would elevate cooperation and provide a mechanism for implementing joint initiatives. Both sides highlighted the increasing frequency of contacts between government institutions, parliaments, and agencies. In the lead-up to the visit, a series of events took place, including an intergovernmental commission meeting, an industrial exhibition, and forums involving regional leaders, academics, and youth. Uzbekistan also hosted Days of Tajik Culture and Cinema. During the discussions, Mirziyoyev and Rahmon reviewed opportunities to expand cooperation across key sectors, including trade, industry, transport, and water and energy security. Bilateral trade approached $1 billion last year, driven largely by the exchange of finished goods. The two countries aim to double this figure to $2 billion by 2030. Planned measures include accelerating the establishment of the Oybek-Fotekhobod border trade center, introducing digital certification systems and “E-Permit” mechanisms, and modernizing border infrastructure. The sides also agreed to adopt an industrial cooperation program covering mining, energy, agriculture, construction, and manufacturing. Following the council meeting, Mirziyoyev and Rahmon attended a ceremony to launch 10 joint projects. These include new enterprises producing furniture and leather goods, expanded household appliance manufacturing, textile production facilities in Tajikistan, and construction projects in Tashkent. Additional initiatives include food processing plants in Uzbekistan's Fergana region, dairy production in the city of Andijan, and facilities for making fruit juice and metal briquettes in the country's Surkhandarya region. A ceremony was also held to name a street in New Tashkent after Dushanbe, underscoring symbolic ties between the two capitals. The visit also featured the opening of a new building for Tajikistan’s embassy in Tashkent. The complex includes administrative offices, a consular section, a residence for the ambassador, and housing for diplomatic staff and their families. Cultural diplomacy formed another key part of the visit. Mirziyoyev and Rahmon attended a joint concert at the International Forums Palace featuring performers from both countries, with a program highlighting shared cultural heritage and longstanding ties between the Uzbek and Tajik peoples. The leaders also discussed regional and international issues, reaffirming their commitment to continued dialogue and cooperation within Central Asia. They agreed to strengthen coordination on security matters and expand interregional ties, as well as humanitarian, educational, and scientific exchanges. Given the presence of large diaspora communities in both countries, a proposal was put forward to adopt a five-year program aimed at strengthening cultural and humanitarian connections. At the conclusion of the visit, both sides agreed to develop a comprehensive roadmap to ensure implementation of the agreements reached, signaling continued efforts to expand cooperation across political, economic, and cultural spheres.