Towards attaining universal health coverage in Kazakhstan: Challenges and important next steps
Haruna U.A. Oladunni A.A. Abdulkadir A.K. Umar A.B. Musa S.S. Afolabi E.O. Almazan J. Lucero-Prisno D.E.
May 2025Tabriz University of Medical Sciences
Health Promotion Perspectives
2025#15Issue 13 - 8 pp.
The Alma Ata Declaration (1978) positioned primary healthcare (PHC) as central to universal health coverage (UHC). Post-independence Kazakhstan struggles with a fragmented healthcare system marked by high mortality, underfunding, and workforce shortages. Despite initiatives like “Kazakhstan 2050” and “Salamatty Kazakhstan,” challenges persist: economic instability, unregulated private healthcare, high out-of-pocket costs, and rural disparities. While Kazakhstan achieved a 76% UHC index, advancing PHC quality, expanding health financing, and prioritizing rural access remain critical to achieving equitable UHC.
Health policy , Kazakhstan , Primary health care , Rural health services , Universal health coverage (UHC)
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Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmaceutical Sciences, Ahmadu Bello University, Zaria, Nigeria
Department of Biomedical Sciences, Nazarbayev University School of Medicine (NUSOM), Astana, Kazakhstan
Department of Pharmacy, Afe Babalola University Teaching Hospital, Ekiti State, Ado-Ekiti, Nigeria
Department of Public Health, Nazarbayev University School of Medicine (NUSOM), Astana, Kazakhstan
Nigerian Ports Authority Medical Centre, Lagos, Nigeria
School of Global Health, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Department of Clinical Pharmacy and Pharmacy Practice, Afe Babalola University, Ekiti State, Ado-Ekiti, Nigeria
Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom
Office for Research, Innovation and Extension Services, Southern Leyte State University, Sogod, Southern Leyte, Philippines
Center for University Research, University of Makati, Makati City, Philippines
Department of Clinical Pharmacy and Pharmacy Practice
Department of Biomedical Sciences
Department of Pharmacy
Department of Public Health
Nigerian Ports Authority Medical Centre
School of Global Health
Department of Clinical Pharmacy and Pharmacy Practice
Department of Global Health and Development
Office for Research
Center for University Research
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