Birth Rate - The Times Of Central Asia

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Population

Uzbekistan’s Population Reaches 38.2 Million Despite Second Year of Declining Birth Rate

Uzbekistan’s permanent population stood at 38,236,704 as of January 1, 2026, marking a nearly 85% increase since independence, according to data released by the National Statistics Committee. In 1991, when Uzbekistan gained independence, the population was approximately 20.6 million. Over the past 35 years, the country has added 17.6 million people, a steady demographic expansion. However, the latest figures suggest emerging shifts in birth rate trends. In 2025, the number of registered births totaled 879,500, a 5.1% decrease compared to 2024, or 46,800 fewer births year-on-year. This marks the second consecutive annual decline in the national birth rate. Economist Mirkomil Kholboyev, writing on his “Mirkonomika” channel, cautioned against drawing premature conclusions. “Births have declined for the second year in a row,” he wrote. “Since the overall fertility indicators have not yet been updated, it is difficult to determine whether the 2025 decline is mainly due to a smaller cohort of people of childbearing age, or to changes in reproductive decisions.” The decline has also become more geographically widespread. In 2025, 179 districts and cities recorded a drop in births, the highest number in 15 years, compared to 155 districts in 2024. These areas accounted for a combined reduction of 48,400 births, representing approximately 90% of all registered births nationwide. By contrast, only 25 districts recorded an increase in births in 2025, with a total gain of 1,722. For comparison, in 2024, birth increases in growing districts totaled 9,000 and represented 24% of all births, while in 2025 that share fell sharply to 8.6%.

Demographics

From Boom to Bust: Kyrgyzstan Grapples with Falling Birth Rate

The population of Central Asia when the Soviet Union collapsed in late 1991 and the five Central Asian republics became independent countries was some 50 million people. Thirty-four years later, the population of the region is about 80 million. However, in Kyrgyzstan, the birth rate has been declining in recent years, and it has officials confused and alarmed. The Data Kyrgyz parliamentary deputy Dastan Bekeshev raised the matter on August 7, noting the country has seen a steady fall in the number of babies born from 2019, when it reached a record of some 173,000, to about 140,000 in 2024. Bekeshev was responding to recently released figures from Kyrgyzstan’s National Statistics Committee that showed the birth rate for 2020 was 156,112, for 2021 it was 150,164, climbing a bit to 150,225 in 2022, then dropping to 145,977 in 2023, and 140,419 in 2024. According to the Health Ministry’s chief specialist on demography, Raisa Asylbasheva, there are currently some 1.8 million women in Kyrgyzstan considered to be of childbearing age. Asylbasheva said it could be cyclical and “in five years, possibly, there will be an increase.” Bekeshev, however, has pointed out that if the trend continues, “In 15-20 years, there will be fewer young people in the country who can work, pay taxes, and provide for pensioners.” The Reasons Among the statistics cited on birth rate, one catches the eye immediately: the average age of a mother giving birth in Kyrgyzstan in 2024 was 28.4 years old. Traditionally, people marry young in Central Asia, and new mothers are often in their late teens or early 20s. It is not uncommon, especially in rural areas, to encounter grandmothers who are not even 40 years old. Many factors potentially play into the reasons for this decline in birth rate, but the general consensus is that socio-economic conditions are the primary cause. Asylbasheva said young people are concentrating on their careers and choosing to marry later than was previously the case. “The literacy rate of the population is growing; young people are already planning a family, trying to create conditions for a child,” Asylbasheva explained. Asylbasheva also mentioned that difficulties in obtaining a family-sized flat or house are causing some young couples to wait before having children. Baktygul Bozgorpoyeva, director of the Alliance for Family Planning, said state support for young families is sorely lacking and there needs to be government programs to help mothers and fathers raise their children “from adolescence to adulthood.” According to Kyrgyzstan’s National Statistics Committee, the average monthly wage in Kyrgyzstan in 2025 is a little more than 40,000 som (about $458), though many people receive considerably less than that amount. Kyrgyzstan’s authorities do offer some financial help. Under the “Balaga Suyunchu” (Happy for a child) scheme established in 2018, the state provides a one-time payment to parents of 4,000 som (about $46) after the birth of each child. In the event of triplets or more babies, the state gives a one-time payment of 50,000 som (about $572) for...

Healthcare

Maternal and Infant Mortality Rates Continue to Decline in Kazakhstan

Kazakhstan's Health Minister Akmaral Alnazaraeva has announced further reductions in maternal and infant mortality rates, although some regions are showing a troubling reversal of the trend. Speaking at a recent government meeting, Alnazaraeva attributed the improvements to the adoption of recommendations from the World Health Organization (WHO) and UNICEF. In 2024, maternal mortality declined by 12 percent to 10.1 deaths per 100,000 live births, while infant mortality dropped by 11 percent to 6.88 deaths per 1,000 live births. The positive trend continued into the first half of 2025, with maternal mortality falling by another 10 percent and infant mortality by 26 percent. The minister noted that clinical protocols in obstetrics and pediatrics have been revised nationwide. Since June 2024, tariffs for obstetric and pediatric services, including childbirth, surgeries, and neonatal care, have been increased. These changes have improved access to expensive medications, reduced the debt burden of medical institutions, and helped attract qualified specialists to the sector. The Health Ministry also highlighted the expanded role of air ambulance services, which have saved 96 percent of women in labor and their newborns in remote areas. In 2025, for the first time, medications for pregnant women with conditions such as pyelonephritis, diabetes, and hypertension were added to the list of free drugs. To improve rural maternal care, "Salaawatty Ana" (Healthy Mother) boarding houses have opened in Turkestan, East Kazakhstan, and Akmola regions. These facilities offer pre-hospital care and postnatal rehabilitation for women with complicated births, with their effectiveness monitored in real time by regional situation centers. Kazakhstan is also making strides in healthcare digitalization. The electronic child health passport, now mandatory for kindergarten and school enrollment, has been introduced nationwide. A monitoring system for early detection of pediatric health problems has been deployed, and a digital health profile is being developed for every child under 18. Despite overall national progress, the minister acknowledged rising maternal mortality in Akmola, Zhambyl, Aktobe, Kostanay, Zhetysu, and Abai regions. Infant mortality has also increased in Kostanay, West Kazakhstan, Zhambyl, Abai, and Zhetysu. The situation is most severe in Akmola, where maternal mortality is seven times the national average. Key factors include severe extragenital conditions, obstetric complications, congenital malformations, and neonatal respiratory disorders. In response, stricter regulatory oversight will be introduced starting in September 2025. The Medical and Pharmaceutical Control Committee will be granted new powers to suspend the licenses of medical facilities and dismiss uncertified personnel. Qualification standards will be raised, and patient support services will be expanded. As previously reported by The Times of Central Asia, Kazakhstan continues to experience a steady decline in birth rates despite government efforts to encourage demographic growth.