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PARTNERSHIP FRAMEWORK FOR DEVELOPMENT, KAZAKHSTAN, 2016-2020
progress in strengthening primary health care. Child
and maternal mortality rates have fallen and MDGs
4 and 5 look set to be achieved. According to official
statistics, the Maternal Mortality Ratio (MMR) has
fallen nearly sixfold: from 75.8 per 100,000 live
births in 1990, to 12.6 in 2013. However, despite this
success, the MMR remains higher than that observed
in other middle-income countries with a similar level
of socio-economic development. Target MDG 5B –
universal access to reproductive health – is not yet
achieved and particularly requires further coherent
and integrated action. While Kazakhstan’s Human
Development Index (HDI) remains high (at 0.757 as of
2013) the inequality-adjusted HDI (0.667) places the
country below the level of countries with high human
development. Meanwhile, Multidimensional Poverty
Index (MPI) analysis of the HDI further reveals that
the poor face a significant risk of falling further into
poverty, due to inequalities in health, education and
living standards.
Key shortfalls remain with regard to significantly
reducing greenhouse gas emissions and halting the
spread of HIV/AIDS and tuberculosis. Major challenges
also exist in developing inclusivity; regional and social
disparities are growing, while gender and disability
continue to be key equity issues.
Overall, health outcomes lag behind the country’s rapid
economic development. Kazakhstan’s life expectancy
at birth for both sexes in 2013 was 70.45 years: lower
than in a number of countries with similar economic
performance. Kazakhstan is one of 18 countries
worldwide with a high burden of multiple-drug-
resistant tuberculosis (MDR-TB): about 5,000 cases
annually (out of 19,000 total TB cases in Kazakhstan).
The spread of non-communicable diseases (NCDs)
is also taking a toll socially and economically: NCDs
contribute to 84 percent of deaths in Kazakhstan. The
probability of dying between the ages of 30 and 70
years from one of the four major NCDs (cardiovascular
diseases, cancers, chronic respiratory diseases or
diabetes) stands at 34 percent. Four key risk factors
are responsible for mortality and morbidity from NCDs:
tobacco, alcohol, diet and physical activity. Although
Kazakhstan ratified the Framework Convention on
Tobacco Control in 2007, and is moving to undertake a
number of tobacco control measures, implementation
is slow. A multisectoral package of measures and
international best practices are available through the
United Nations system to address diet and lack of
physical activity as NCD risk factors. Meanwhile, the
Government is committed to further reducing maternal
and infant and child mortality rates, which remain well
above those in developed countries
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PARTNERSHIP FRAMEWORK FOR DEVELOPMENT, KAZAKHSTAN, 2016-2020
Over the past two decades, Kazakhstan has made
significant progress in achieving gender equality and
women’s empowerment, and continues to attach great
importance to this goal. However, the Committee on
the Elimination of All Forms of Discrimination Against
Women has expressed concern over the persistence of
patriarchal attitudes and deeply rooted stereotypes with
respect to the roles and responsibilities of women and
men within the family and across wider society. While
recognized international indices on gender equality
and women’s empowerment in Kazakhstan have risen
steadily since the mid-2000s, there remain impediments
to enforcement, because of a lack of adequate and
efficient mechanisms. Currently, for example, national
statistics on crimes committed against men and women
do not disaggregate by form of violence.
In addition, despite the Act on State Guarantees of
Equal Rights and Opportunities for Men and Women,
no temporary special measures have been introduced
to increase and sustain a high level of women’s
representation on legislative and executive bodies.
According to the Civil Service Agency, women account
for just 10 percent of political civil servants and 15
percent of political appointments (Corps A); in the
Corps A reserve, women account for only 16.4 percent
of the total. However, they comprise 54.9 percent of
Corps B (administrative civil servants). Although the
number of women in Parliament has increased overall,
the number in the Senate has fallen twice in recent
years, currently comprising just 6.4 percent. In addition,
the legal framework on gender equality contains no
comprehensive legal definition of direct or indirect
discrimination in public or private spheres.
Youth issues likewise deserve special attention. The
Concept of State Youth Policy identifies relevant threats
and risks as including pressure on traditional value
systems, paternalism, social infantilism, consumerism
and risky/unhealthy lifestyles, especially with regard
to HIV, sexually transmitted infections and NCDs. The
high adolescent and youth suicide rate, as well as the
high rate of accidents and external injuries, must be
comprehensively addressed and researched, to uncover
socio-economic links to mental health. Given the
increased trend of mobility from rural to urban areas,
young women and men in Kazakhstan particularly need
access to vocational training and other skill development
centres, to acquire the skills required for the job market.
At the same time, Kazakhstan has achieved near-
universal enrolment in primary and secondary levels
of education, and the Government is committed
to continuing investing in preschool and school
programmes. Remaining challenges include poor
quality education, urban-rural disparities, lack of access
to education for children born to parents not holding
valid documents (asylum seekers and undocumented
persons at risk of statelessness), and the identification
and inclusion of children out of school. Just as important
is the need to ensure that education reflects present
and future employment needs, and the promotion of
equal opportunities. Technical and vocational training
particularly needs revision, to reflect the modern market
and the future envisioned by the Government. While
no obvious gender inequality exists regarding access
to education, gender education nonetheless remains
an issue, given that the curricula of secondary/high
schools and tertiary/higher educational establishments
lacks mandatory courses on women’s human rights and
gender equality. A perceived lack of gender sensitivity in
school curricula and textbooks also aggravates gender
stereotypes, which affects segregation in the labour
market.
The United Nations’ Special Rapporteur on the Right
to Education has underscored the need to continue
investing in multilingual education, as well as in the
integration of persons with disabilities into mainstream
education, and in enhanced access to education for
migrants and refugees
7
. Other areas for attention
include promotion of life skills, including knowledge of
reproductive health, and risk and anger management.
These should help young people to thrive in an
increasingly complex and interconnected world.
Turning to equitable economic development, labour
force participation has increased (from 66 percent in
2000, to 70.7 percent in 2014) while unemployment
has fallen (from 12.8 percent to 5.0 percent). The
proportion of women in marginalized and vulnerable
economic sectors, however, is much higher than
that of men. Sustainable gender mainstreaming of
national planning and budgeting continues to require
addressing, especially in minimizing the gender wage
gap. According to the Committee on Statistics, in
Kazakhstan the ratio of the average monthly wage
of women and men in 2014 was 67.0%. However,
occupational segregation in the labour market between
women and men also influences the gender wage gap,
and women still mostly work in relatively low-paid
sectors.
In addition, every third person who is classified as self-
employed, lives in a rural area and works on his/her
private plot. There is a lack of economic diversification
and a shortage of decent employment opportunities,
especially in non-oil or non-agricultural sectors in rural
areas.
7 Report of the Special Rapporteur on the Right to Education, Kishore
Singh, A/HRC/20/21/Add.1
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