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Healthcare

Turkmenistan Works With WHO on Healthcare Upgrades

Turkmenistan and the World Health Organization went through a delicate period during the pandemic, when the Turkmen government said there had been no COVID-19 cases in the country. The global health agency didn’t publicly challenge the claim, which was met with widespread international skepticism. While Turkmenistan retains many of the tight controls on information that were in place at the height of the pandemic, its relationship with the World Health Organization, or WHO, has evolved into one of closer cooperation aimed at bringing parts of the country´s health system into line with international practices. In the latest initiative, WHO experts and laboratory specialists in Turkmenistan held an emergency planning workshop in Ashgabat this month, according to the health agency. The May 19-23 event focused on topics including emergency planning and the safe transport of infectious substances. “By investing in expertise and preparedness, Turkmenistan continues to strengthen its preparedness for public health emergencies,” the World Health Organization said on Instagram. Since the COVID-19 crisis, WHO specialists have also visited Turkmenistan to help with its pandemic planning and preparedness, in just one element of a broader plan to modernize the health system of one of the most closed countries in the world. Even today, the impact of the pandemic in Turkmenistan is not fully known because of limited public information. At the time, authorities implemented measures such as obligatory masking, restrictions on travel, and the closure of borders. There were, however, reports of people in Turkmenistan suffering symptoms similar to those seen during the spread of COVID-19 elsewhere. Other countries in Central Asia, meanwhile, confirmed that they had outbreaks. Some analysts speculated that a delegation that visited Turkmenistan during the pandemic didn’t directly address the government’s zero-case claim because it wanted to avoid any public fallout and was focused on maintaining access to the country and its health officials. Dr. Karen Nahapetyan, laboratory specialist at the WHO regional office for Europe, guided the Ashgabat workshop this month, according to the turkmenportal.com website. Nahapetyan recently worked on the international response to the Andes hantavirus outbreak on the cruise ship MV Hondius that killed three people. While technical coordination between WHO and Turkmenistan is advancing, some foreign advisories warn of the limits of the country’s healthcare system. The British Foreign Office advises travelers that it’s usually best to avoid anything other than basic or emergency care in Turkmenistan, especially outside Ashgabat.

Medical Workers

Kazakhstan Faces Growing Shortage of Doctors and Medical Personnel

The availability of medical personnel in Kazakhstan continues to decline amid rapid population growth and mounting pressure on the healthcare system, particularly in the country’s regions, according to a study published by the analytical portal Ranking.kz. Analysts say the shortage of doctors and mid-level medical staff is becoming a key structural problem facing Kazakhstan’s healthcare sector, affecting access to treatment, timely diagnosis, and the overall quality of medical services. As of the first quarter of 2026, Kazakhstan had slightly more than 57,000 doctors. While the total number has remained almost unchanged compared to the previous year, the number of physicians per capita has continued to fall. In the first quarter of 2025, Kazakhstan had 28.2 doctors per 10,000 residents. A year later, that figure had declined to 27.9. Analysts attribute the decline mainly to rapid population growth, while the number of medical specialists has remained largely stagnant. Another major issue is the sharp regional imbalance in healthcare staffing. Only six of Kazakhstan’s 20 regions have doctor-to-population ratios above the national average. The highest concentration of physicians was recorded in Astana, with 41.8 doctors per 10,000 residents, roughly 50% above the national average. Almaty followed with 36.7 doctors per 10,000 people, while the Karaganda Region reported 34.7. At the other end of the scale is the Mangystau region, with only 20.2 doctors per 10,000 residents. Low staffing levels were also recorded in the Zhambyl, Kostanay, and Akmola regions. By international standards, Kazakhstan lags significantly behind several neighboring countries in physician availability. According to Ranking.kz, Belarus has 47.2 doctors per 10,000 residents, Russia has 51.1, and Georgia has 56.4. In some European countries, the figure exceeds 60 doctors per 10,000 people. The staffing problem extends beyond physicians and also affects mid-level medical personnel, including nurses, paramedics, midwives, and other healthcare workers. In the first quarter of 2026, the number of mid-level medical workers fell from 77.9 to 76 per 10,000 residents, representing a 2.4% decline compared to the previous year. The figures point to a widening gap between population growth and staffing capacity, echoing the broader medical personnel shortage that The Times of Central Asia previously reported. Major cities continue to attract more doctors, while many regions face weaker access to care, longer waiting times, and heavier workloads.

Healthcare

Tajikistan Receives Nearly $1.9 Million in U.S. Medical Equipment

Tajikistan has received nearly $1.9 million worth of medical equipment under a healthcare cooperation program with the United States, with the main focus on improving emergency care, supporting maternity hospitals, and reducing infant mortality. According to Tajikistan’s Ministry of Health, the equipment was delivered as part of the Global Health Supply Chain Program - Procurement and Supply Management (GHSC-PSM). The total value of the shipment exceeded $1.87 million. The handover ceremony took place in Dushanbe and was attended by First Deputy Minister of Health and Social Protection Salomuddin Yusufi and Carson Relitz Rocker, chargé d’affaires at the U.S. Embassy in Tajikistan. Officials said particular emphasis would be placed on equipping healthcare facilities with oxygen delivery systems and neonatal resuscitation equipment. Authorities expect the new supplies to improve the quality of emergency medical care and reduce health risks for mothers and infants. Part of the equipment has already been installed in five maternity hospitals and 11 additional medical facilities across the country. Representatives of the Health Ministry said the new equipment is especially important for intensive care and resuscitation units, where timely oxygen delivery and specialized care directly affect patient survival rates. They described the transfer as another example of long-term U.S. support for Tajikistan’s healthcare system. According to Yusufi, medical cooperation between the U.S. and Tajikistan has continued for many years and spans a wide range of areas, including equipment supplies, efforts to combat infectious diseases, sanitary and epidemiological safety, healthcare infrastructure modernization, and the training of medical personnel. Authorities in Tajikistan also expressed hope for further expansion of cooperation following the signing of a new memorandum of understanding between the country’s Ministry of Health and Social Protection and the U.S. Embassy in Tajikistan.

Labor Market

Kazakhstan Faces Shortage of Doctors and IT Specialists

Kazakhstan continues to face labor shortages in healthcare, information technology, engineering, and the creative industries, according to the Ministry of Labor and Social Protection. The ministry published a list of the country’s most in-demand professions based on data from state information systems and the Enbek.kz employment portal. The most acute shortages remain in the medical sector. According to the ministry, there are only around 100 job seekers’ resumes for 469 vacancies for obstetricians and gynecologists. For pediatricians, 448 vacancies were recorded against 139 resumes, while anesthesiologists and intensive care specialists accounted for 300 vacancies and only 75 resumes. “Shortages are also observed among oncologists, neonatologists, and endocrinologists,” the ministry said. Demand also remains high for information technology specialists. More than 500 vacancies are currently open for software application developers, while around 355 vacancies are available for graphic designers. According to the Unified System for Recording Labor Contracts, more than 45,000 employment contracts have been signed since the beginning of 2026 in the country’s most in-demand professions. The largest number of contracts, around 8,000, involved software developers. Obstetricians-gynecologists, pediatricians, and application programmers were also actively recruited. The ministry acknowledged that Kazakhstan is partially addressing labor shortages by attracting foreign specialists. “To attract valuable personnel, Kazakhstan operates a simplified employment procedure for foreign specialists,” the ministry said. According to officials, the list of in-demand professions includes more than 50 occupations and allows highly qualified foreign workers to obtain permanent residence permits in Kazakhstan. This year, 55 labor contracts have been signed with foreign specialists, primarily in the automation sector. The ministry said that, overall, the domestic labor market covers demand for most key professions, although shortages in the healthcare sector remain persistent. The Times of Central Asia previously reported that Kazakhstan’s small and medium-sized businesses are also facing a severe labor shortage.

Mandatory Contributions

Healthcare Workers in Turkmenistan Reportedly Forced to Pay Mandatory Fees to Public Association

Turkmenistan does not allow independent public associations, and officially registered groups are reportedly funded through mandatory contributions collected from citizens, according to Chronicles of Turkmenistan. The publication says healthcare workers and students at medical institutions were required to pay annual membership fees to support the public association Ýaş Tebigatçy (Young Naturalist) Civil Society Organization. According to the report, the organization’s chairperson, Leyli Shymadova, appealed earlier this year to then-health minister Myrat Mammedov for assistance. Mammedov retired in February 2026. “Shymadova asked the minister to issue instructions requiring all employees of the ministry’s institutions and students of medical educational establishments to pay $5.72 as an annual contribution. The minister ordered that her request be fulfilled, as reflected in a document dated January 12,” the publication reported. The report also states that similar letters were sent to the Ministries of Education and Environmental Protection, and that employees of institutions under those ministries were likewise required to pay the requested amounts. “Public associations are non-profit organizations and should be financed through voluntary donations from individuals or organizations. But in Turkmenistan this is done coercively,” the publication’s authors wrote. The Ýaş Tebigatçy association was officially registered in September 2022.

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.