UNICEF - The Times Of Central Asia

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Breastfeeding

Turkmenistan Promotes Breastfeeding After Reported Decline

Turkmenistan and the United Nations are encouraging Turkmen mothers to exclusively breastfeed their children in the first six months of life, following a decline in exclusive breastfeeding rates in the Central Asian country in recent years. UNICEF said its survey data showed that 84.7% of infants in Turkmenistan are breastfed within the first hour after birth. However, the proportion of babies who are exclusively breastfed over the first six months dropped from 56.5% in 2019 to 35.5% in 2024, the agency said on Monday. UNICEF is coordinating with health officials in Turkmenistan, as well as national media and social media influencers, on a campaign to promote breastfeeding that will conclude in August. The initiative provides information and expands counseling services for breastfeeding, which provides vital nutrients and strengthens immunity against many diseases. The campaign also aims to make workplaces more amenable to mothers who breastfeed their children. UNICEF said 2025 research identified “key barriers to continued breastfeeding, including limited access to counseling after discharge from maternity facilities, misinformation from online and informal sources, workplace pressures, and insufficient family support.” In 2018, the U.N. children’s agency reported that the rate of breastfeeding in Turkmenistan had increased from 11% to 59%. It said that breastfeeding had become an accepted practice in the country, a departure from approaches decades earlier when a mother and her newborn were separated immediately following delivery to let the mother rest. Newborns were fed a special solution on their first day and were breastfed only after 24 hours. In 2009, Turkmenistan passed a law to protect the right of mothers to breastfeed their children. The legislation was updated in 2016. The Progres Foundation, a non-profit organization based in the United States, says the situation for many mothers with young children in Turkmenistan is challenging, partly because of limited state support for fathers. The trust noted a report last year on legislation in Turkmenistan that provides paid breastfeeding breaks every three hours until a child is one and a half years old. However, the duration of those breaks is not specified. Also, while employers must provide nursing facilities, no minimum workplace size is defined in the breastfeeding law.

Child protection

Turkmenistan Develops First Child Protection Program

The government of Turkmenistan has begun developing its first National Program on Child Protection and Child-Friendly Justice, with technical support from UNICEF, according to a report published on April 15. Officials described the initiative as a major step toward strengthening systems that safeguard children’s rights. The process was formally launched during the first meeting of an interagency working group in Ashgabat. The group, coordinated by the Prosecutor General’s Office, includes representatives from 10 government bodies. Authorities said the program aims to establish a coordinated, cross-sectoral approach, focusing on family-based care for children without parental support, improving child justice systems, preventing violence, and strengthening overall protection mechanisms. “The development of this National Program demonstrates Turkmenistan’s commitment to protecting the rights of every child,” a representative of the Prosecutor General’s Office said. UNICEF’s representative in the country, Jalpa Ratna, welcomed the move, noting that it would help build “a more coordinated, family-oriented child protection system.” The draft program is expected to be completed by the end of the year following consultations with stakeholders, including children, families, and professionals. It will align with national legislation and international recommendations, including those from the UN Committee on the Rights of the Child. Meanwhile, in Uzbekistan, President Shavkat Mirziyoyev has approved a series of measures aimed at expanding social protection and improving services for vulnerable groups. The reforms focus particularly on people with disabilities, children, and women affected by violence. Among the new initiatives is the introduction of an “Early Intervention” service for children up to the age of three with developmental disorders, scheduled to begin by June 1. The program will provide specialized educational and therapeutic support through non-governmental organizations. Authorities also plan to launch several new services for adults with mental disabilities, including daycare programs, home-based care, and short-term support options designed to assist families. These services are expected to reach more than 8,300 people in 2026, with up to 600 NGOs and private providers involved. A monthly care allowance will also be introduced for guardians of adults with severe intellectual disabilities starting in September 2026. In addition, Uzbekistan plans to expand the role of its “Inson” Social Service Centers, integrating them into local government structures and strengthening oversight of guardianship arrangements. Further reforms include transforming state-run residential institutions into community-oriented care centers, expanding tax exemptions for families of children with disabilities, and introducing stricter legal measures to protect minors from exploitation.

Children

Between Statistics and Reality: What the UNICEF Report Reveals About Children in Turkmenistan

The State Committee on Statistics of Turkmenistan, in partnership with UNICEF, has released the report “Census 2022 - The Situation of Children in Turkmenistan”. However, as noted by independent outlet turkmen.news, the report is based on official census data that many experts consider unreliable or inflated, potentially skewing the findings. Despite these concerns, the report offers insight into the country’s demographic and social trends. According to the report, Turkmenistan has a notably “young” population: children aged 0-14 make up 30.7% of the total. In total, 2,463,258 individuals under the age of 17 account for more than one-third of the population. However, a decline in the birth rate is evident: there are 1.2 times fewer children in the 0-4 age group compared to those aged 5-9. Household composition data reveals that families with three or more children are the most common, comprising 43% of all households nationally and 48.9% in rural areas. Families with two children account for 31.1%, and those with one child, 25.9%. This distribution correlates with a broader demographic pattern, 57.8% of all children in Turkmenistan live in rural areas. The demographic dependency ratio remains high: there are 755 dependents per 1,000 working-age individuals. Notably, the child dependency rate is 4.3 times higher than that of the elderly, suggesting a sizable future labor force. The urban-rural divide is also apparent here: in rural areas, the child dependency ratio is 698, compared to 525 in urban centers. The report addresses early marriage and childbirth: among 15-17-year-olds, 1,349 boys (0.9%) and 1,770 girls (1.2%) were in either registered or de facto marriages. Within the same age group, 339 girls had already given birth. The highest rate of teenage births was recorded in Akhal region (4.2 per 1,000), while Ashgabat reported the lowest (1.2 per 1,000). Childhood disability statistics show mobility and stair-climbing difficulties are the most prevalent, affecting 3,106 children aged 5-17. Other reported issues include concentration and memory problems (1,989 cases), hearing impairments (1,791), and visual impairments (1,784). In all categories, boys outnumber girls. One of the most striking disparities is in preschool access. Only 23.8% of children in rural areas attend preschool, compared to 64.7% in urban areas, a rural-urban equity index of just 0.37. Given that the majority of children live in rural areas, the gap reflects systemic challenges, including insufficient infrastructure, transportation issues, and household dynamics where caregiving typically falls to women. Enrollment rates improve significantly for older children. Nearly all children aged 6-15 are in school, with only 0.3-0.4% not attending. However, the dropout rate increases in older age groups, with 5.4% of adolescents not enrolled in school or vocational institutions. No significant gender disparities were observed in this regard. Despite the insights the report offers, it is underpinned by 2022 census data that many independent experts argue is inflated. While Turkmenistan's official population stands at around 7 million, alternative estimates range between 2.7 and 5.7 million. Nevertheless, the release of this report marks a step toward a more open dialogue about the country’s social...

Child Poverty

Uzbekistan Halves Child Poverty in Four Years

Uzbekistan has achieved a significant reduction in child poverty over the past four years. According to UNICEF Representative Regina Maria Castillo, the child poverty rate dropped from 21.5% in 2021 to just 11.4% in 2024, effectively cutting the figure in half. Speaking at an international forum in Namangan, Castillo credited deliberate government policy for the 10-percentage-point decline. She emphasized that government-funded social benefits, including child allowances and pensions, played a critical role in lifting families out of poverty. Without these support mechanisms, she noted, child poverty could have sharply increased during the same period. Castillo also highlighted the importance of universal state-provided services, such as education, healthcare, and child protection, as essential pillars for developing human capital. She stressed that prioritizing child poverty reduction within broader socio-economic policy is vital, adding that UNICEF stands ready to support the Uzbek government through a multi-sectoral approach. Reducing poverty has become a central national priority in Uzbekistan. President Shavkat Mirziyoyev has set an ambitious target: to lower the national poverty rate to 6% by the end of 2025 and to eradicate absolute poverty entirely by 2030. These goals build on substantial progress already achieved. According to official figures, approximately 7.5 million people have been lifted out of poverty in recent years. The national poverty rate declined to 8.9% in 2024, down from around 23% a few years prior. The World Bank estimates that poverty in Uzbekistan has halved since 2015, a rate of decline faster than the regional average. At the Namangan forum, Mirziyoyev announced that as of mid-2025, the poverty level had dropped further to 6.8%, placing the country on track to meet its 6% year-end target. “Thanks to consistent reforms, 7.5 million people have been lifted out of poverty… The objective is to reduce this to 6% by year-end,” he said. “By 2030, Uzbekistan has every opportunity to completely eradicate absolute poverty and we will definitely achieve this.” Several key drivers underpin the country's progress. Rising household incomes account for roughly 60% of the recent poverty reduction, according to the World Bank. With the economy nearly doubling in size over the past eight years, economic growth has translated into higher wages and job creation, lifting many families above the poverty line. Another major contributor has been the expansion and modernization of social benefit programs. Increased spending on pensions and direct aid has protected millions from falling into extreme hardship. Notably, during the COVID-19 pandemic, Uzbekistan mobilized $8 billion for free medical supplies and direct payments, which prevented an estimated 5.2 million people from falling into the “poverty trap.” Looking ahead, sustaining these gains will hinge on job creation and human-capital improvements, sharper targeting in social protection, and stronger climate resilience - especially in rural regions. UNICEF’s 2024 situation analysis likewise flags regional disparities in child poverty and stresses better services for large, low-income households. The World Bank’s climate assessments, meanwhile, warn that rising temperatures and mounting water stress could push vulnerable rural families back into poverty without quicker adaptation in agriculture...

Healthcare

UNICEF Delivers Over 500 Pieces of Medical Equipment to Tajikistan

The United Nations Children's Fund (UNICEF) has handed over more than 500 units of modern medical equipment to the Ministry of Health and Social Protection of the Population of Tajikistan in a significant move to bolster the country's healthcare system. The official handover ceremony took place on May 6 in Dushanbe and was attended by Deputy Health Minister Shodikhon Jamshed and international partners. Jamshed expressed gratitude for UNICEF’s longstanding cooperation, adding that such support plays a vital role in strengthening Tajikistan’s healthcare capacity. The new equipment, including CPAP (Continuous Positive Airway Pressure) machines and oxygen concentrators, will be used to treat newborns with respiratory difficulties and patients requiring oxygen therapy. “The equipment will be distributed across 73 neonatal care facilities nationwide. Additionally, training courses will be held for healthcare workers on using these devices and providing respiratory care to newborns,” Jamshed stated. Since its founding in 1946, UNICEF has been active in Tajikistan through various initiatives aimed at advancing children's rights and improving access to essential services such as education and healthcare. One of its flagship efforts includes a $1 million juvenile justice reform project, implemented in partnership with the Swiss government. The initiative seeks to establish alternative measures for minors in conflict with the law, focusing on rehabilitation and reintegration. In the field of early education, UNICEF and USAID are implementing a five-year, $7.5 million program to enhance school readiness. This includes teacher training, updated educational materials, and the promotion of inclusive learning environments. To address malnutrition, UNICEF has launched a three-year program in Khatlon and Dushanbe aimed at improving maternal and child nutrition and reducing mortality. Emphasis is placed on primary healthcare and preventive measures. In collaboration with the European Union, UNICEF is also contributing to the restoration of medical infrastructure. One example is the refurbishment of the central district hospital in Tursunzade, part of Tajikistan’s National Health Strategy 2030, designed to expand access to essential health services across the country.

repatriation

Repatriating Islamic State Fighters and Families: Balancing Security and Humanity

With the fall of the Assad regime in Syria, repatriating foreign fighters is a pressing issue at the intersection of global security, humanitarian principles, and national responsibility. Central Asian governments — namely, Kazakhstan, Uzbekistan, Kyrgyzstan, and Tajikistan — have emerged as proactive players in repatriating their citizens from camps in northeastern Syria. While these efforts are laudable, they come with challenges and unanswered questions. Tens of thousands of people, many of them women and children associated with former ISIS or the Islamic State of Iraq and Syria - a terrorist organization known for its extreme ideology and violent actions of its’ fighters — remain trapped in the camps of northeastern Syria. Their lives are defined by squalor and uncertainty, and they face a bleak future. Central Asian nations have stepped up where many others have faltered, asserting their responsibility to help their citizens who languish there. Yet, this commitment is not without its limits. Repatriating men — many of whom were fighters — remains a challenge that even the most ambitious programs have struggled to address. This issue looms large, as it intertwines with broader questions. These include reintegration, security risks, and the potential for radicalization, both in prison systems and broader society. The scale of efforts undertaken by four of the Central Asian countries is significant. Together, they have repatriated around 2,200 citizens: Kazakhstan, the most, 754 individuals, followed by others with numbers ranging from 381 to 533. These figures represent more than just logistical achievements. They reflect these governments' commitment to humanitarian principles. However, the path has not been entirely smooth, as some of the repatriated women and children have returned back to conflict zones. As counterintuitive as this may seem, they might do so out of ideological commitment, social ties, coercion or threats, trauma bonding, or difficulty reintegrating into their home societies. All this suggests cracks in reintegration programs that must be addressed. The strategies employed by the Central Asian states, despite their common goal, differ in focus and execution. Kazakhstan’s “Operation Zhusan” is often mentioned as a model of coordination and commitment. It has gone beyond mere repatriation to a vision embracing comprehensive reintegration, including other services, such as DNA testing to identify orphaned children. Yet such efforts rely heavily on state resources and long-term political will, neither of which can be taken for granted. Uzbekistan’s Mehr ("Kindness") initiative has particularly focused on protecting children and supporting the unification of families. Yet even with international appreciation, Uzbekistan faces the same challenges as its neighbors: how to sustain this momentum and address lingering societal stigmas toward returnees. Kyrgyzstan paused its repatriation operations in Iraq due to legal roadblocks and has turned its attention to Syria. However, Kyrgyzstan relies significantly on international cooperation, as its own economic resources for such activities are comparatively limited. So far, it has repatriated 511 citizens. Tajikistan’s steady progress highlights even more pointedly the role of international cooperation with organizations like UNICEF and the European Union. The Tajik authorities have worked closely with...