• KGS/USD = 0.01143 0%
  • KZT/USD = 0.00205 0%
  • TJS/USD = 0.10787 0%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28571 0%
  • KGS/USD = 0.01143 0%
  • KZT/USD = 0.00205 0%
  • TJS/USD = 0.10787 0%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28571 0%
  • KGS/USD = 0.01143 0%
  • KZT/USD = 0.00205 0%
  • TJS/USD = 0.10787 0%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28571 0%
  • KGS/USD = 0.01143 0%
  • KZT/USD = 0.00205 0%
  • TJS/USD = 0.10787 0%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28571 0%
  • KGS/USD = 0.01143 0%
  • KZT/USD = 0.00205 0%
  • TJS/USD = 0.10787 0%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28571 0%
  • KGS/USD = 0.01143 0%
  • KZT/USD = 0.00205 0%
  • TJS/USD = 0.10787 0%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28571 0%
  • KGS/USD = 0.01143 0%
  • KZT/USD = 0.00205 0%
  • TJS/USD = 0.10787 0%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28571 0%
  • KGS/USD = 0.01143 0%
  • KZT/USD = 0.00205 0%
  • TJS/USD = 0.10787 0%
  • UZS/USD = 0.00008 0%
  • TMT/USD = 0.28571 0%

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White Coats, Red Lines: Kazakhstan Health Minister Demands End to Violence

Kazakhstan’s Minister of Health, Akmaral Alnazarova, has issued a public appeal urging an end to violence against medical personnel, following two brutal attacks on healthcare workers in Karaganda and Kostanay. “Dear citizens of Kazakhstan, I am addressing you as a specialist who has worked as a nurse in a maternity hospital, as a doctor in the emergency room of a children’s hospital, as a duty officer, and as a resident; stop the violence against medical workers!” Alnazarova wrote on Instagram. Two Violent Incidents in One Week In Karaganda, a 42-year-old man accompanying his wife allegedly attacked a nurse at a private clinic, breaking down the door to the staff room and assaulting her. The nurse was hospitalized with a concussion and finger fractures. The assailant was later placed in a psychiatric clinic. Just one day later, on July 17, a young urologist at the Kostanay Regional Hospital was struck in the head by a waiting patient after completing a complex operation. The blow left the doctor unconscious with a skull fracture and brain trauma. He remains in intensive care. The attacker, a 34-year-old man, was detained, and a criminal investigation has been launched. “These are not just acts of aggression, they are direct blows to the entire healthcare system,” Alnazarova said. “This crime means dozens of patients not being admitted, dozens of postponed operations. The emergency room where the attack occurred is already a high-risk area.” Alnazarova emphasized that medical professionals deserve respect and gratitude, not violence. The recent attacks have ignited widespread concern across Kazakhstan’s medical community, with professional associations and hospital administrators calling for urgent reforms. The Kazakhstan Medical Workers’ Union issued a statement expressing solidarity with the victims and demanding swift prosecutions, while several regional hospitals have begun independently reviewing their on-site security protocols. Social media campaigns under hashtags like #ProtectOurDoctors and #SafetyInScrubs have gained traction, signaling growing public awareness that systemic change is needed to ensure healthcare workers can do their jobs without fear. Government Plans Tighter Security Measures The Ministry of Health, in coordination with the Ministry of Internal Affairs, is set to bolster security measures in medical facilities across the country. Plans include deploying round-the-clock security posts at emergency rooms, maternity wards, and children’s hospitals. Facilities will be equipped with surveillance cameras, panic buttons, and enhanced security staff. In parallel, legislative amendments aimed at toughening penalties for violence against medical workers are expected to be submitted to Parliament in September. Alnazarova stated that such crimes should be treated not as domestic incidents but as threats to public safety. Although the Criminal Code was amended in December 2023 to include penalties for harming medical staff, Alnazarova acknowledged that the recent incidents demonstrate these measures are insufficient. As previously reported by The Times of Central Asia, a pilot program equipping ambulance workers with body cameras is already underway. The minister noted this initiative helps moderate the behavior of both patients and staff. Plans are also in place to reinstate police presence in hospitals and impose stricter...

UN Urges More Vaccinations; Kyrgyzstan Reports Drop in New Measles Cases

More children are vulnerable to disease and the risk of outbreaks is higher in Europe and Central Asia because coverage of childhood vaccines in 2024 remained below pre-pandemic levels, according to United Nations agencies. Still, some countries have pushed hard on vaccination campaigns and are currently reporting a slowdown in the spread of some infectious diseases – Kyrgyzstan, for example, said on Wednesday that measles cases are dropping.  Data released this week by the World Health Organization and UNICEF reveal a “stagnated recovery” for childhood vaccinations against measles, whooping cough and other diseases in 53 countries in Europe and Central Asia.   The average coverage of those vaccines remained the same or dropped by 1% in 2024 compared to the previous year, according to the agencies. They cited examples of the declines between 2019 and 2024, including 92% to 91% with the second dose of measles/mumps/rubella (MMR) vaccine, 95% to 93% with the third dose of diphtheria/tetanus/pertussis (DTP) vaccine and 95% to 93% with the third dose of the polio vaccine. “In many ways, vaccination has been a victim of its own success across Europe and Central Asia,” said Regina De Dominicis, UNICEF’s regional director. “Today’s generation has not witnessed the devastating impact of vaccine-preventable diseases – leading to complacency and making it easier for misinformation to take hold.” There was some progress in the coverage of newer vaccines, including against human papillomavirus (HPV), according to the U.N. data. Authors of the report urged governments to invest in health systems and make vaccines available.  Kyrgyzstan, in particular, has struggled with measles outbreaks. The Ministry of Health, however, says a massive vaccination campaign that reached up to 1 million children has borne results since what it called the “rampant” spread of measles last autumn and winter.  “From the beginning of the year to July 15, 8,672 confirmed cases of measles were registered in the republic,” the ministry said. But it said the number of new cases is gradually falling, with just 109 confirmed cases in the first two weeks of July.  Kazakhstan, which has also battled measles outbreaks, said this week that the number of infectious disease cases is slowing, according to the state Kazinform News Agency.

Attacks on Doctors Surge in Kyrgyzstan Amid Systemic Failures

A recent spate of violent assaults on doctors in Kyrgyzstan has sparked growing concern within the healthcare sector. Over the past week alone, multiple incidents of medical staff being physically attacked have been reported at the National Hospital in Bishkek, with relatives of patients identified as the primary perpetrators. The first major incident involved a young resident doctor who was providing emergency treatment to a patient suffering from a severe nosebleed. According to local media reports, the patient's relatives attempted to interfere during the treatment and later assaulted the doctor as he accompanied the patient to a hospital ward. The doctor sustained a concussion, and his uniform was torn during the altercation. In a controversial move, police officers responding to the scene did not detain the attackers. Instead, they arrested the injured doctor, citing his use of obscene language. A court later sentenced him to three days of administrative detention. Human rights advocates say the doctor was denied legal counsel. Despite mobile phone video footage recorded by the doctor and corroborating statements from hospital staff, law enforcement agencies reportedly ignored this evidence. “The patient is much better, he received the necessary treatment and has been stable since. His relatives, however, acted with arrogance and cruelty toward medical personnel, seemingly convinced of their own impunity,” said Barmet Baryktabasova, chair of the Medical Trade Union. Just days later, a second assault occurred at the same hospital, this time targeting an emergency department physician. Although the attack was captured on CCTV, police again refrained from detaining the perpetrators, issuing only vague statements. The Medical Trade Union has announced plans to file formal appeals to the President’s Office, the Ministry of Health, the Prosecutor General, and the State Committee for National Security. The union argues that violence against medical professionals is becoming systemic and poses a threat to the integrity of Kyrgyzstan’s already strained healthcare infrastructure. Health Minister Erkin Checheibaev condemned the assaults in a public Facebook post: “There is lawlessness against doctors! The man who attacked the doctor must be punished. This sets a dangerous precedent when attackers face no consequences.” He emphasized the urgent need to protect the dignity and physical safety of medical personnel, warning that failure to act could lead to a severe staffing crisis in the coming years. This is not the first wave of violence against healthcare workers in Kyrgyzstan. In 2023, following several incidents, the National Hospital briefly enhanced security by installing panic buttons, surveillance cameras, and hiring private guards. However, these measures were later rolled back due to budget constraints. Currently, the average salary for public sector healthcare workers in Kyrgyzstan ranges from $300 to $400 per month. Combined with long hours and frequent high-stress situations, poor compensation is prompting many experienced professionals to exit the system. The government has pledged to implement healthcare funding reforms over the next three to four years, but many in the medical community fear those changes will come too late.

What’s Behind the Rising Infertility Rates in Kazakhstan?

The number of people diagnosed with infertility in Kazakhstan has nearly tripled over the past five years, according to a recent study by Finprom.kz. While the numbers are stark, experts say the increase reflects improved diagnostics and wider access to reproductive healthcare rather than a sudden rise in medical infertility. Threefold Increase in Five Years According to data from the Ministry of Health, cited in the “Kazakh Families - 2024” report by the Institute for Social Development, the number of patients officially diagnosed with infertility rose from around 10,000 in 2019 to 29,200 by mid-2024. Nearly all of these cases involve women; only 102 men are recorded. The sharpest increases occurred in 2021 and 2022, with patient numbers rising by 51.8% and 49.7% respectively. Analysts attribute much of this growth to the state-funded Aңsaғan Sәbi ("Longed-for Child") program, which offers around 7,000 quotas annually for in vitro fertilization (IVF). To qualify, couples must first be registered at a medical facility, which has incentivized greater diagnostic activity. Geographic and Gender Disparities The highest official incidence is in Almaty (4,200 cases), followed by Astana (2,600) and the Zhambyl region (2,500). Experts caution that these figures likely reflect differences in diagnostic availability and public awareness, rather than actual regional variation in infertility rates. Men remain drastically underrepresented in official statistics. For instance, 39 men are registered in the Zhambyl region, compared to just three in the more populous Turkestan region. In four regions, North Kazakhstan, Zhetysu, Pavlodar, and Astana, there is no available data on male patients. Experts attribute this to a lack of andrological screening and persistent cultural taboos. Yet at the XIV International Congress of Reproductive Medicine in Almaty, it was noted that male factors account for up to 40% of infertility cases requiring assisted reproductive technologies (ART). In 2024, just one IVF clinic in Kazakhstan treated approximately 2,000 men for andrological conditions and performed surgeries on 1,500 of them. IVF Program Success and Medical Tourism Kazakhstan's IVF sector has seen major advances. Over the past 30 years, ART procedures have resulted in the birth of 39,000 children in the country, 11,000 of them under the state program. The first IVF laboratory in Kazakhstan was established in 1994. Success rates for ART in Kazakhstan have risen from 12% to 42%. Some private clinics report rates as high as 54%, while the national “take-home baby” rate, the percentage of live births per IVF cycle, stands at approximately 30%. These achievements, along with competitive costs, have turned Kazakhstan into a regional hub for fertility treatment. Analysts from the Institute for Social Development also link rising IVF demand to the post-pandemic surge in medical screenings, as many women delayed care during COVID-19 lockdowns. But broader social shifts are also at play. Reproductologists note a growing trend toward delayed marriage and childbirth. As ovarian reserves typically begin to decline after age 35, this delay contributes to fertility challenges. In response, the practice of social egg cryopreservation is becoming increasingly popular as a proactive measure. While...

Kazakh Doctors Among Lowest Paid in Economy

As Kazakhstan marks Medical Workers' Day, celebrated annually on the third Sunday of June, new data highlights the challenging financial reality for those in the healthcare sector. According to a recent report by Energyprom.kz, medical professionals remain among the lowest-paid workers in the country. Healthcare Among Lowest-Paid Sectors In the first quarter of 2024, the average monthly nominal salary in Kazakhstan’s “Health and Social Services” sector stood at 312,800 tenge (approx. $605), according to the National Statistics Bureau. This figure is 26.1% lower than the national average across all economic sectors. Healthcare ranks among the bottom five sectors for wages, joined by agriculture (248,900 KZT / $481), culture and arts (284,900 KZT / $551), and education (302,400 KZT / $584). Utility services also report low salaries at around 286,000 KZT ($553). This is not a new trend: the healthcare sector has remained at or near the bottom of the wage rankings for over two years. In 2021, it ranked tenth from the bottom. By contrast, the mining industry leads with an average salary of 981,400 KZT ($1,898), followed by IT (859,800 KZT / $1,663) and finance and insurance (855,500 KZT / $1,654). Post-Pandemic Stagnation While healthcare salaries surged during the COVID-19 pandemic, growing 20-30% annually in 2020-2021, wage growth has since slowed markedly. Since 2022, real income growth has remained modest, peaking at 2.3%, with some quarters seeing declines of up to 4.6%. Since 2019, nominal wages in healthcare have more than doubled, rising from 133,500 KZT ($258) to 315,400 KZT ($610). Yet, once inflation is factored in, the gains appear far less significant. Analysts stress that nominal wages only provide a partial picture. In 2023, the median salary in healthcare was 250,700 KZT ($485), compared to a national median of 285,700 KZT ($553). The modal (most common) wage in healthcare was even lower. Income Disparities Within the Profession There is considerable wage variation among medical specialties. In 2024, the average monthly salaries were as follows: Therapists: 460,200 KZT ($890) Pediatricians: 425,900 KZT ($824) Surgeons: 505,700 KZT ($978) Cardiologists: 475,000 KZT ($919) At the upper end of the spectrum, an interventional arrhythmologist, who performs pacemaker implantations, earns around 1.1 million KZT ($2,128) per month. Embryologists (IVF specialists) and cardiac surgeons also command high salaries, averaging 860,100 KZT ($1,664) and 768,800 KZT ($1,487), respectively. Conversely, specialists in support roles often earn significantly less. Parasitologists receive around 200,000 KZT ($387), and occupational health physicians average 210,000 KZT ($406). Other low-paid professions include massage therapists, nurses, forensic medical experts, and microbiologists.

Kazakhstan Faces Scandal Over Drug Procurement System

A political and financial scandal is emerging in Kazakhstan following revelations from the Supreme Audit Chamber (SAC) concerning widespread violations in the country’s public drug procurement system. Deputy Health Minister Ardak Amangeldiev has not ruled out legal action against the SAC after its findings were presented to parliament. SAC Chairman Alikhan Smailov, a former prime minister, said that some materials have already been referred to law enforcement, prompting several members of parliament to call for systemic reform. Audit Uncovers Extensive Irregularities Kazakhstan’s public drug procurement system was audited in both 2023 and 2024. According to Smailov, auditors identified the following violations: Financial losses totaling KZT 741 million (approximately $1.4 million); Inefficient use of KZT 32 billion ($62.7 million); Lost profit amounting to KZT 58 billion ($113 million). In total, 134 cases have been referred for administrative proceedings, with five cases passed to law enforcement agencies. Among the most alarming findings was the discovery of more than 67,000 cases involving expired medications being dispensed, rendering them unusable and resulting in budgetary losses. Auditors also identified extreme price discrepancies, up to 600%, for 15 of the most expensive drugs when comparing public sector prices with those in the retail market. Smailov suggested that medicines intended for free outpatient care were being illicitly written off and sold through commercial pharmacies. Delays in medication deliveries were cited as a major cause of treatment disruptions. Quarterly instead of monthly shipments caused shortages, forcing patients to buy medications out-of-pocket. One particularly troubling case involved a private supplier delivering 62 million medical gloves in 2024 for KZT 8 billion ($15.6 million). Auditors noted the batch's specifications matched those of products imported from Thailand during the same period, suggesting they were resold as “domestically produced” goods. The SAC also questioned the rationale behind long-term procurement contracts. State-run distributor SK Pharmacy has signed agreements with domestic manufacturers for up to 10 years. Over the past five years, total purchases under such contracts increased from KZT 69 billion to KZT 112 billion (approximately $135 million to $220 million). However, the number of unique domestically produced drugs dropped from 968 to 507, indicating a growing reliance on basic medical devices rather than genuinely localized pharmaceutical production. Ministry of Health Pushes Back The Ministry of Health has disputed several of the audit’s conclusions. Deputy Minister Amangeldiev told journalists that the evidence cited in many of the findings was insufficient. The ministry has filed a pre-trial claim against the SAC. “We have verified that the evidence is insufficient for a number of facts. We have sent a pre-trial claim. If we cannot reach an understanding, there will be a court case. As a state body, we have a constitutional right to defend our honor and dignity and to provide evidence on all points,” Amangeldiev stated at a parliamentary session. Parliamentary Voices Demand Reform Notably, no government agency in Kazakhstan has ever challenged an SAC audit in court. Still, some members of the Mazhilis have supported the chamber’s conclusions and are calling for sweeping...