Healthcare - The Times Of Central Asia

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Kazakhstan Considers Body Cameras for Ambulance Workers Amid Rising Violence

Kazakhstan’s Health Minister, Akmaral Alnazarova, has announced that her ministry is exploring the possibility of equipping ambulance doctors and paramedics with body-mounted video cameras to address the increasing aggression against medical workers. Over the past four years, more than 150 incidents of attacks on ambulance personnel have been reported in the country. “We are considering equipping our employees with video tags, similar to the devices used by law enforcement agencies. This issue will be regulated normatively, and I believe it is not so difficult to implement,” Alnazarova told reporters during a parliamentary session. Kazakhstani patrol officers have used body-mounted video recorders since 2017 to ensure accountability in law enforcement and to prevent corruption. For ambulance workers, the cameras aim to protect employees and document incidents of violence. According to the Ministry of Health, 158 medical workers were injured while performing their duties between 2019 and 2023. The urgency of this measure was highlighted by a recent incident in the town of Kostanay, where a paramedic was assaulted by relatives of a deceased patient. The assailants, against whom a criminal case has been opened, allegedly obstructed resuscitation efforts. The paramedic suffered a concussion and required hospitalization. Alnazarova previously stated on her Instagram page that her ministry, with the support of lawmakers, has initiated measures to introduce criminal liability for acts of violence against medical workers. “Such crimes must be met with fair punishment, including restrictions on freedom and condemnation by society. We must send a clear message: violence against medical workers is unacceptable and will not go unpunished.”

Central Asia’s Population Surpasses 80 Million, With Rapid Growth Expected to Continue

The population of Central Asia has reached a historic milestone, exceeding 80 million people as of December 2024. Projections indicate this figure could surpass 100 million by 2050, highlighting the region’s rapid demographic growth and the challenges it brings for sustainable development. Rapid Population Growth According to the Eurasian Development Bank’s (EDB) macroeconomic forecast, Central Asia’s population has grown by nearly one and a half times over the past 24 years, increasing by approximately one million people annually. Tajikistan and Uzbekistan lead the region in demographic growth. Tajikistan’s population reached 10 million at the beginning of 2024, marking an 80% increase since 1991. Uzbekistan, the region’s most populous country, has maintained an annual growth rate of 1.1–1.2%, with its population now exceeding 36.7 million. The region as a whole has a youthful demographic profile, with an average age of 26.2 years. Diverging Population Estimates PopulationPyramid.net estimates Central Asia’s 2024 population at over 82 million. The discrepancy with other sources likely arises from differing methodologies and data collection techniques. Despite this, all sources agree that the population has surpassed the 80 million mark. Future Projections and Challenges Central Asia’s population is expected to exceed 100 million by 2050. However, rapid demographic growth presents serious challenges for the region. Key concerns include: • Sustainable Economic Development: Ensuring that economic growth keeps pace with population increases. • Job Creation: Addressing the needs of a growing labor force. • Quality of Life: Improving access to education, healthcare, and essential services. Managing these issues will be a top priority for state policies in the coming decades, as governments seek to balance population growth with sustainable development.

Kyrgyz Health Ministry Pushes for Laws to Shield Medics from Violence

The Kyrgyz Ministry of Health has called for amendments to the country’s criminal code to establish a legal framework protecting medical professionals from violence by citizens. The proposed measures aim to address a growing concern for the safety of doctors, nurses, and other healthcare workers. “Violence against medical workers is a serious problem that requires immediate action,” the ministry stated in its justification for the bill. “Doctors, nurses, and other staff face physical aggression from patients, relatives, or even bystanders. This threatens the health and lives of medical personnel and disrupts the normal functioning of healthcare institutions.” The ministry emphasized that threats or acts of physical harm create a stressful work environment, distract medical workers from their duties, and may lead to errors in diagnosing and treating patients. Proposed Penalties The Ministry of Health outlined specific punishments for various forms of violence and disrespect toward medical workers: • Minor harm: A fine of up to 100,000 KGS ($1,200), correctional labor for six months to one year, or deprivation of the right to hold certain positions. • Severe harm: A fine or imprisonment for one to three years. Additionally, the ministry seeks penalties for disrespectful or insulting behavior toward doctors. This includes demonstrating obscene gestures, verbal abuse, or indecent conduct, which could also result in fines or correctional labor. Growing Concerns Healthcare workers in Kyrgyzstan have long faced violence in their workplaces. After several incidents of attacks on doctors by patients and their relatives, the National Hospital implemented stricter security measures, including the installation of panic buttons and video surveillance cameras. Medical professionals have voiced the need for stronger protections to ensure a safer working environment. The proposed amendments aim to deter violence and foster greater respect for those who provide critical healthcare services.

Unified Digital Health System to Transform Kyrgyzstan’s Healthcare

The United Nations Office in Kyrgyzstan, in collaboration with the Ministry of Health, has launched a program to create a unified digital health system in the country. The Ministry of Health stated that the digitization initiative aims to harmonize Kyrgyzstan’s healthcare system. By providing easier access to medical information, the program is expected to expedite the delivery of medical services, even to the most remote and underserved communities. As part of this effort, specialists will enhance government e-services and telemedicine. According to the UN, the project will require an investment of over $4 million, and is scheduled to run until 2027. “One of the key features of the program is to improve the digital health profile, giving citizens access to information about their health,” the Ministry of Health noted in a press release. The authorities plan to integrate a unified registry of citizen vaccinations, which currently holds approximately 3 million records, with a national electronic medical records platform. The program will also focus on supporting vulnerable groups. For example: • 120,000 people will receive digital disability certificates; and • 280,000 people will gain access to digital sick leave documentation, reducing hospital queues and making medical services faster and more convenient. Telemedicine will be expanded to 10 districts, offering medical consultations to more than 700,000 children under the age of 14. Additionally, 60 healthcare facilities will provide specialized care to 140,000 mothers and newborns, all connected to the unified electronic health records (EHR) platform. “This digital health initiative is an important step forward for Kyrgyzstan. By improving access to important medical information, we can make healthcare more efficient and improve outcomes for all,” said Bakyt Dzhangaziev, Deputy Minister for Digital Development of Kyrgyzstan. UN Resident Coordinator in Kyrgyzstan Antje Grave added: “Digital technologies are transforming our world, opening up new opportunities. It is necessary to bridge the digital divide between countries, promote the goals of sustainable development, and ensure that no one is left behind.” The program is being implemented with support from international organizations, including the World Health Organization (WHO), UNICEF, the UN Population Fund, and the UN Development Programme (UNDP).

EBRD Supports Healthcare and Municipal Transport Projects in Kazakhstan

The European Bank for Reconstruction and Development (EBRD) has supported Kazakhstan's first healthcare sector public-private partnership (PPP) project, and provided finance for a tram fleet renewal program in the Kazakh city of Pavlodar. The EBRD arranged a €365 million financing package provided by six financial institutions to construct and operate a 630-bed multidisciplinary hospital in Kokshetau, northern Kazakhstan. The financing, including the EBRD’s €105 million loan, will be provided to a Kazakhstan-based subsidiary of Rönesans Holding of Turkey. The project will be co-financed through parallel loans totaling up to €260 million provided by the Asian Infrastructure Investment Bank (AIIB), the German investment corporation DEG, the Islamic Corporation for the Development of the Private Sector (ICD), Proparco, a subsidiary of Agence Française de Développement, and the Development Bank of Kazakhstan (DBK). This first PPP in the healthcare sector of Kazakhstan and Central Asia will be a greenfield development of a 110,000 m2 facility, which will provide services to more than 730,000 people living in the city of Kokshetau and the broader region of Akmola. According to the PPP agreement, the private partner will be responsible for maintaining the facility and running a digital hospital information management system. At the same time, Turar Healthcare, a state-owned, non-profit national healthcare operator, will provide medical services. EBRD President Odile Renaud-Basso, who was visiting Kazakhstan, commented: “The EBRD is pleased to join forces with our longstanding client Rönesans Holding to launch the first healthcare sector PPP in Kazakhstan and the region. PPPs are recognized as one of the most effective forms of long-term contractual relationships between the public and private sectors. They will help provide sustainable healthcare solutions, introduce new technologies, and improve the quality of medical services.” The EBRD has also announced support for a tram fleet modernization program in the north-eastern Kazakh city of Pavlodar. The EBRD’s loan of up to €10 million to Pavlodar tram management company will help the company acquire up to 25 energy-efficient trams. A €4 million loan from the Clean Technology Fund will co-finance the project. The tram company handles almost 40 percent of passenger traffic in the city, with a population of more than 360,000. Yet nearly 60 percent of the company’s fleet was commissioned in the 1970s and 1980s and requires urgent renewal. New battery-powered trams will have an autonomous driving range of up to 20 km, which means they can continue operating during electricity outages. The EBRD has invested €10 billion in 328 projects in Kazakhstan, most of which support private entrepreneurship.

IDB to Fund $156.3 Million for Cancer Hospitals in Turkmenistan

Turkmenportal reported that a Turkmenistan delegation visited Washington DC from October 22 to 26 to participate in the annual meetings of the International Monetary Fund (IMF) and the World Bank, along with related events. During the visit, representatives of Turkmenistan's financial and banking sector engaged in bilateral discussions with foreign partners. According to the Saudi Press Agency, the Islamic Development Bank (IDB) has approved $156.3 million in funding to build three specialized cancer treatment hospitals in Turkmenistan. These modern facilities will be located in Balkanabad, Turkmenabad, and Mari, with a combined capacity to serve over 11,750 patients. The agreement was signed in a meeting between IDB President Muhammad Al Jasser and Rahimberdi Jepbarov, Chairman of the State Bank for Foreign Economic Affairs of Turkmenistan. Meanwhile, on October 24, Swiss pharmaceutical company Roche, in partnership with Nobel Almaty Pharmaceutical Factory, launched the production of innovative drugs in Almaty, Kazakhstan. This initiative is part of an agreement between Roche, Kazakhstan’s SK-Pharmacy, Nobel, and the Kazakh Research Institute of Oncology and Radiology, supported by Kazakh Invest. Under this collaboration, Roche will locally produce three biotechnological drugs to treat HER2-positive breast cancer, a highly aggressive form affecting up to 20% of breast cancer patients in Kazakhstan.