Kazakhstan Is Rethinking Its Healthcare System, Focusing on Prevention
Kazakhstan’s Ministry of Health has outlined updated investment and development plans for 2023-2027, signaling a shift in the country’s healthcare approach from treating diseases to preventing them, strengthening biosafety, and expanding mental health support. However, some experts warn that the new strategy could have unintended economic consequences, including the reallocation of budget funds toward information campaigns, digital initiatives, and infrastructure projects whose effectiveness may be difficult to assess. One of the key areas of reform is the prevention of noncommunicable diseases. Authorities are considering restrictions on advertising products high in salt, sugar, and trans fats, amid rising childhood obesity rates. According to the Food and Agriculture Organization of the United Nations, 21% of children in Kazakhstan aged 6-9 are overweight. Such restrictions could affect the media market. Research by the Institute for Fiscal Studies indicates that bans on advertising unhealthy food can reduce media revenues. In Kazakhstan, this could increase pressure on an industry already subject to limits on advertising alcohol, tobacco, and certain medications. At the same time, the ministry plans to expand public awareness campaigns, including video content and national initiatives such as “Salamatty shanyraq” (“Healthy Family”). Public health research suggests that the effectiveness of such campaigns can be difficult to measure, and their impact on behavior may be limited. Another priority is the creation of a “biological shield” system, including genomic and metagenomic surveillance, as well as the development of domestic pharmaceutical manufacturing. These initiatives are expected to attract up to $380 million in private investment. However, concerns remain about implementation capacity. Previous reports have highlighted inefficient use of medical equipment. In 2024, Health Minister Akmaral Alnazarova stated that expensive equipment in some medical facilities remained unused. In certain regions, shortages of trained specialists and necessary consumables have prevented effective deployment. The third component of the strategy focuses on mental health. Authorities plan to expand the network of specialized centers and introduce the uSupport digital platform to provide online consultations. At the same time, public trust in the state system remains limited. According to official data, individuals with addictions often avoid seeking treatment due to fears of being registered, which could restrict access to employment, education, and driver’s licenses. Experts also highlight the scale of gambling addiction. Estimates suggest that around 350,000 people in Kazakhstan suffer from compulsive gambling, while the growing availability of online casinos and microfinance services continues to contribute to rising household debt. The shift toward a preventive healthcare model aligns with global trends. However, analysts warn that without effective implementation, the reform could result in increased administrative pressure on businesses, inefficient public spending, and limited improvements in health outcomes.
