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Healthcare

Kazakhstan to Equip Emergency Medical Workers with Body Cameras in Security Push

The Ministry of Health of Kazakhstan plans to introduce body cameras for emergency medical personnel by the end of 2025, in a move aimed at increasing their protection amid rising incidents of violence. Health Minister Akmaral Alnazarova announced the initiative during a government briefing. “As for protection, we will introduce video badges that will record everything that happens. We have issued a corresponding order. Local authorities will have to allocate funds. I think we will carry out this work in stages by the end of this year,” said Alnazarova, as quoted by Zakon.kz. According to the minister, the pilot initiative may later be expanded to other categories of healthcare workers, including doctors and nurses in outpatient clinics. Alnazarova noted that body cameras are intended to deter both aggressors and healthcare workers from misconduct. In parallel, the Ministry of Health has proposed criminal penalties for assaults on medical personnel while on duty. The proposal has received support from the Prosecutor General’s Office, the Ministry of Justice, and the Ministry of Internal Affairs. Response to Violence Against Medical Staff Kazakhstan has witnessed a series of alarming assaults on healthcare professionals in recent years. In Almaty, a gynecologist was struck with a mobile phone by a patient; in Kokshetau, intensive care doctors were attacked by the parents of a child; and in Talgar, relatives of a deceased person assaulted medical staff attempting to retrieve the body. Victims have sustained severe injuries, including fractures and traumatic brain injuries. One of the most tragic incidents occurred in Almaty, where gastroenterologist Yuri Shumkov was shot and killed at point-blank range by a patient dissatisfied with his diagnosis. The suspect fled but was later apprehended. In another shocking case in the Aktobe region, a young doctor participating in the government’s “With a Diploma to the Village” program was brutally beaten and raped. From Promises to Policy Alnazarova initially announced plans for body cameras in December 2024, following a violent attack in Kostanay in which a paramedic was assaulted by relatives of a deceased woman. The ministry subsequently began drafting legal and physical protection measures for healthcare workers. “We want to ensure that our employees can work safely, using the experience of law enforcement agencies. This will be regulated at the regulatory level,” the minister stated at the time. Additional proposals under discussion include health insurance coverage for personnel at high risk of assault, aimed at compensating for physical harm and emotional trauma sustained while on duty.

Vaccination

Meet the Kyrgyz Woman Behind the Vaccine Revolution

COVID-19 exposed numerous challenges humanity has yet to address, with one of them being directly related to tackling potential future pandemics. A key aspect of this is vaccines, which have to be transported in refrigerated units. This allows them to maintain their effectiveness and safety, the so-called "cold chain infrastructure" saving them from becoming unusable. This complex transportation requirement, however, results in millions of people missing out on potentially life-saving vaccines. But does it have to be this complicated? “Motherhood changes people, irreversibly. For me it was not just becoming a parent, but it also influenced the direction of my research,” Asel Sartbaeva wrote in her 2018 article, ‘Vaccines: The End of the Cold War?’ “When my daughter was only a few days old, I took her to the doctors to be vaccinated with the BCG vaccine (against tuberculosis). The doctor took the vaccine out of the fridge and administered it directly. That’s when I asked: ‘why must vaccines be refrigerated?’ and then the natural follow-up question, ‘can I help to make them stable at room temperatures?’” Born and raised in Kyrgyzstan, Asel Sartbaeva “currently wears several hats”, as her LinkedIn profile says. She is an award-winning interdisciplinary chemist, Reader in Chemistry (Associate Professor) at the University of Bath, and the first Central Asian to obtain a PhD from University of Cambridge. Sartbaeva is also the CEO and Co-Founder of EnsiliTech, a startup with a technology that allows vaccines and other biopharmaceuticals to be stored and transported at room temperature. EnsiliTech was launched in 2022 as a project at the University of Bath, and was built on over a decade of Sartbaeva’s research into ensilication – the technique of fitting vaccine components with a silica coat to stop them from spoiling outside of refrigerated temperatures. In December 2022, EnsiliTech successfully raised £1.2 million in an oversubscribed pre-seed funding round led by Science Angel Syndicate and the Fink Family Office with co-investment from QantX, Elbow Beach Capital, angel investors and Innovate UK. In 2023, the startup won a £1.7 million grant from the British government’s Department of Health and Social Care to develop the first thermally stable mRNA vaccine in the world, to combat Hantavirus, which is found in Asia and South America. In the same year, the new startup attracted their first customer, a Global Top 10 animal vaccine company based in the EU, which paid EnsiliTech to thermally stabilise three of their vaccines. Currently, Ensilitech is planning to licence their ensilcation technology to several customers and internally developing thermally stable vaccines and antibodies. Along with her scientific and business goals, Sartbaeva is also passionate about the wider participation and girls and the women’s empowerment movement. “We need to show girls that science isn’t boring and is a great choice for girls who have a natural passion for science,” she says. In 2021, Sartbaeva became the ambassador for UNICEF’s Girls in Science programme, launched in 2020 to empower 500 girls from new settlements and rural areas so they could excel...

Healthcare

UNDP and GIZ Renovate Osh Laboratory to Strengthen Tuberculosis Diagnosis in Southern Kyrgyzstan

On April 7, the National Center for Phthisiology and the Osh Region Tuberculosis Center, with support from the United Nations Development Programme (UNDP) and the German Agency for International Cooperation (GIZ), inaugurated a renovated building of the Osh Interregional Reference Laboratory in southern Kyrgyzstan. UNDP, in partnership with GIZ, carried out a full-scale renovation, upgraded staff capacities, and certified diagnostic equipment. The modernization enables the facility to enhance tuberculosis (TB) diagnostics and improve treatment effectiveness, UNDP Kyrgyzstan reported. Accurate and timely diagnosis is essential for effective TB treatment. In this context, UNDP supports the Kyrgyz government's efforts to expand diagnostic capacity, improve treatment outcomes, and reduce the national TB burden, advancing the goal of a TB-free Kyrgyzstan. Until 2019, Kyrgyzstan operated two reference laboratories equipped with advanced TB diagnostic technologies. The National Reference Laboratory oversaw supervision, mentoring, and quality control across the country, with a focus on drug susceptibility testing in northern regions. Meanwhile, the Osh facility served the southern regions of Osh, Jalal-Abad, and Batken. Despite having modern equipment, the laboratory was housed in a deteriorating building that compromised diagnostic quality. Operations were scaled down in 2019 due to poor conditions and resumed only after the facility’s renovation in December 2024. The lab now provides full diagnostic services for Osh city and the Osh and Batken regions. U.S. Support Bolsters National TB Response Kyrgyzstan has made substantial progress in TB detection and treatment in recent years, with strong backing from the U.S. government. Since 2019, the United States has invested over $20 million in TB-related programs through the U.S. Agency for International Development (USAID). Declining TB Incidence and Mortality According to Abdullaat Kadyrov, Director of the National Phthisiology Center, Kyrgyzstan has seen a sustained decline in tuberculosis incidence and mortality over the past 15-20 years. In 2001, the country recorded 168 TB cases per 100,000 people and a mortality rate of 27 per 100,000. By 2024, this had fallen to 56.3 per 100,000, with mortality dropping to 2.6 per 100,000.

Healthcare

Central Asia Launches Joint Initiative to Eliminate Tuberculosis by 2030

All five Central Asian nations have launched a regional campaign titled “Central Asia Free of Tuberculosis” with the ambitious goal of eliminating tuberculosis (TB), including drug-resistant strains, across the region by 2030, according to Turkmenportal. The initiative is led by the WHO Regional Office for Europe and supported by international health organizations. Health ministers and senior officials from Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan convened in Astana to formally launch the campaign and sign a joint declaration. The agreement outlines commitments to work closely with the World Health Organization (WHO), the Stop TB Partnership, the Global Fund, civil society organizations, and other partners. Over the past decade, the five countries have made significant strides in combating TB through the introduction of new treatments and improved disease surveillance systems. The new initiative aims to accelerate these efforts toward total eradication. Key Objectives of the Initiative Include: Testing Coverage: Ensure that at least 95% of all new and recurrent TB cases are diagnosed using rapid WHO-recommended diagnostic tools, which are already in place across the region. Treatment Expansion: Broaden access to shorter, injection-free treatments for drug-resistant TB, which have demonstrated success rates of over 85%. Vaccine Preparedness: Prepare national health systems for the rollout of new TB vaccines once they become available. Primary Healthcare Integration: Incorporate TB diagnosis and treatment into each country’s primary healthcare system, with support from WHO’s Primary Health Care Centre in Almaty. WHO Regional Director Dr. Hans Kluge commended the political leadership demonstrated by the Central Asian governments. He emphasized that the region is now closer than ever to achieving TB elimination but must sustain its commitment through continued investments and stigma-reduction efforts to ensure equitable access to care. The regional strategy is expected to yield significant results by 2027 and will serve as a framework for monitoring and accelerating progress toward TB elimination in Central Asia.

Healthcare

Uzbekistan Tops Central Asia in 2024 Healthcare Ranking

Uzbekistan has been ranked as having the best healthcare system in Central Asia, according to the 2024 Health Care Index published by CEOWORLD magazine. The country placed 64th globally with a score of 36.26. Kazakhstan followed in 78th place with 34.28 points, while Turkmenistan ranked 95th with 27.3 points. The index evaluates 110 countries based on the quality of healthcare services, including infrastructure, the competency of medical professionals, and access to care. Taiwan topped the global list with a score of 78.72, while El Salvador came in last with 18.6 points. Other countries ranking in the top 10 include South Korea (2nd), Sweden (5th), and Germany (8th). Healthcare and Tourism Growth The report coincides with a notable increase in foreign tourism to Uzbekistan. In January–February 2025, the country welcomed 1.3 million international visitors, a 37.1% increase compared to the same period in 2024. Officials suggest that improved healthcare services could further enhance the country's appeal as a travel destination, potentially boosting medical and wellness tourism. Uzbeks Rank High in Global Happiness Index In another recent international ranking, Uzbekistan also stood out for overall wellbeing. The Centre for the Study of Wellbeing at the University of Oxford and the Gallup Institute placed Uzbekistan 53rd in its global happiness index, above Kyrgyzstan and Tajikistan. The study includes two key components. The first is based on respondents' self-assessment of life satisfaction on a scale from 0 to 10; in Uzbekistan, the average score was 6.2. The second examines responses related to charitable giving, lawfulness, helping strangers, and reactions to emotional experiences, both positive and negative.

Tax Policy

Kazakh MPs Propose Differentiated Taxation for Medicines and Healthcare

Kazakh lawmakers are pushing for a differentiated tax policy on medicines and healthcare services to maintain their affordability amid upcoming tax reforms. Askhat Aimagambetov, a deputy of the Mazhilis (Kazakhstan’s lower house of parliament), has proposed exempting certain essential medicines from value-added tax (VAT) and reducing the tax burden on medical institutions. Proposed VAT Adjustments Kazakhstan is currently debating a new Tax Code that would increase the VAT rate from 12% to 16%, while introducing zero and reduced rates for specific industries. Aimagambetov, writing on social media, noted that a group of Mazhilis deputies had repeatedly advocated for differentiated taxation of medicines and medical services even before discussions on the VAT hike began. He stressed that applying the full 16% VAT rate to all medical services and pharmaceuticals would lead to a sharp rise in costs and reduce access to healthcare for the population. Tax Exemptions for Essential Medicines To mitigate this impact, lawmakers propose VAT exemptions for drugs treating socially significant diseases such as: Cancer Rare diseases Palliative care Diabetes Autoimmune diseases “The specific list is still under discussion and will be expanded,” Aimagambetov stated. “This measure will prevent a sharp increase in drug prices for those who need them most, socially vulnerable groups.” For other medicines, a reduced VAT rate of 10% is under consideration. Impact on Medical Services Currently, medical services in Kazakhstan are not subject to VAT. However, under the new Tax Code, the government proposes introducing a 10% VAT rate. Aimagambetov and his colleagues initially suggested reducing this to 5%, but discussions are now focused on exempting certain socially significant medical services from VAT entirely. These include: Oncology treatments Palliative care (hospices) Stroke treatment Potentially obstetrics and other critical medical services For other medical services, a 10% VAT rate may be introduced. Changes to Corporate Tax in Healthcare In addition to VAT adjustments, the government plans to raise the corporate income tax for medical institutions. Currently, this sector benefits from a zero-tax rate, but under the proposed reforms, a 10% corporate tax would be applied. Consultations with Businesses Ongoing As previously reported by The Times of Central Asia, the government plans to finalize the list of industries eligible for the 10% VAT rate following consultations with the business community.