Kazakhstan’s journey toward universal health coverage (UHC) has been shaped by its post-Soviet legacy of an underfunded, hospital-centric healthcare system and a range of structural challenges. In Towards attaining universal health coverage in Kazakhstan: Challenges and important next steps, Haruna et al. examine the country’s efforts to build an inclusive health system in line with the vision set out in the Alma Ata Declaration. They highlight how Kazakhstan’s low population density, limited rural health infrastructure, and human resource shortages continue to hinder equitable service delivery, particularly in underserved areas.
Despite implementing national reform strategies such as Salamatty Kazakhstan and Kazakhstan 2050, progress toward UHC remains uneven. The article underscores the need for stronger regulation of private healthcare, better protection against out-of-pocket expenses, and targeted rural investment. While Kazakhstan has achieved a 76% UHC index, the authors argue that strengthening primary healthcare, improving financing models, and addressing geographic disparities are essential next steps for sustainable and equitable health coverage.