Declining Birth Rates in Central Asia Tied to Crisis in Reproductive Freedom

Birth rates across Europe and Central Asia are falling sharply, accompanied by aging populations and the migration of young people in search of better opportunities. In response, many governments have introduced financial incentives to encourage childbirth. However, the United Nations Population Fund (UNFPA) warns in its State of World Population 2025 report that these measures address symptoms, not causes. The real issue, the report contends, is a crisis of reproductive freedom. The report, compiled in partnership with the polling agency YouGov, surveyed over 14,000 people across 14 countries, including Germany and Hungary. Its findings highlight a deep disconnect between people’s reproductive intentions and their lived realities: 32% reported experiencing an unplanned pregnancy, while 23% said they were unable to have children when they wanted. Among respondents over the age of 50, nearly one-third (31%) reported having fewer children than they had hoped. Economic insecurity emerged as the leading barrier to planned parenthood. Financial hardship was cited by 39% of respondents, followed by job instability (21%), lack of suitable housing (19%), and concerns over war, pandemics, or climate change (19%). Relationship-related issues were also significant: 14% said they lacked a partner, while 10%, mostly women, said their partners did not contribute enough at home. Although Central Asia continues to report fertility rates above the global average, the region is not immune to this trend. The report notes a steady decline in birth rates across much of Central Asia, including Kazakhstan, which is experiencing a multi-year downturn despite having one of the region’s higher fertility rates. UNFPA emphasizes that these patterns reflect underlying socio-economic constraints, not shifting cultural values. Rather than framing the issue as one of declining birth rates, UNFPA urges a shift in perspective from “why aren’t people having more children?” to “why can’t people have the families they want?” Reproductive freedom, the report argues, means being able to decide freely and securely when, and how many children to have. This requires stable employment, access to quality healthcare and housing, and genuine gender equality. UNFPA calls on governments, particularly in Eastern Europe and Central Asia, to focus less on raising fertility rates and more on protecting individual rights. Key policy recommendations include greater investment in public health systems, affordable housing, decent work opportunities, and stronger protections against violence and discrimination. “The real crisis is that millions of people can’t build the families they want, not because they don’t want children, but because they can’t afford to have them,” the report states. As The Times of Central Asia previously reported, four out of five Central Asian countries are currently experiencing declining fertility. The exception is Uzbekistan, where birth rates remain high and continue to climb. In 2023, Uzbekistan recorded a fertility rate of 3.4 children per woman, the highest in the region. It was followed by Tajikistan (3.1), Kazakhstan (3.0), and Kyrgyzstan and Turkmenistan (each at 2.7). Uzbekistan also posted the region’s highest number of births last year, approximately 962,000, representing a 14% increase compared to 2020. By contrast, Kazakhstan registered...

Abortion in Kazakhstan: Legal but Still Taboo

Abortion is legal in Kazakhstan, but social stigma makes the decision difficult for many women. They often face pressure from doctors, a lack of understanding from their families, and feelings of guilt reinforced by societal attitudes. What is the reality of reproductive rights in the country, and why does the topic remain so sensitive? Conversations at the Doctor’s Office Under Kazakhstani law, women have the right to terminate a pregnancy at their discretion until the twelfth week. After that, abortion is only allowed on medical or social grounds. In practice, however, women frequently encounter judgment - even from medical professionals. A group of women who shared their experiences with The Times of Central Asia. To protect their identities, the names of interviewees have been changed. "When I went to a public clinic for an abortion, the doctor asked: ‘Does your husband know? Do your parents know? Are you sure? You’ll never be able to give birth again!’" Aigul, 26, told TCA. "I felt like I was committing a crime. Instead of simply doing their job, the nurses were discussing my choices. It was unsettling. At a time like that, doctors should be more careful with their words." Such attitudes persist even in private clinics, where patients pay for the procedure. "The doctor asked me, ‘What if your mother hadn’t given birth to you?’ I felt so uncomfortable. I cried after the procedure - not because of the pain, but because of the shame they made me feel," said 25-year-old Asel. Shame and Family Pressure Abortion remains a taboo subject in many Kazakhstani families. Young women facing an unplanned pregnancy often fear telling their relatives, expecting judgment and pressure. "I knew that if my mother found out, she would scream and accuse me of sin. So, I secretly took the money and went to a private clinic. I wasn’t scared of the procedure itself - I was scared that if I got caught, they would force me to give birth," said 29-year-old Aidana. The stigma is particularly strong in traditional families, where abortion is considered unacceptable. Some women find themselves with no say in the decision. "A friend of mine got pregnant at a young age. Her parents were strictly against abortion — they said it was shameful. I don’t even know what happened to her because they moved away immediately to avoid gossip," said 24-year-old Dilara. Even those who have never had an abortion feel ashamed. Many girls grow up being told that abortion is not just a medical procedure, but a disgrace. "All my life, I heard that abortion was something horrible, and my friends said the same. We thought it was a crime, but years later, I finally realized that it’s a choice," 21-year-old Kamila shared with TCA. Alternatives and Contraception: How Accessible Are They? A major factor contributing to the demand for abortion is the limited access to contraception and the lack of sex education. Schools in Kazakhstan do not offer mandatory sex education, leading to widespread...