08ASTANA2290, KAZAKHSTAN: HEALTH MINISTER SACKED AFTER PRESIDENT’S

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Reference ID Created Released Classification Origin
08ASTANA2290 2008-11-21 09:38 2011-08-30 01:44 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Astana

VZCZCXRO6501
OO RUEHAG RUEHAST RUEHBI RUEHCI RUEHDA RUEHDF RUEHFL RUEHIK RUEHKW
RUEHLA RUEHLH RUEHLN RUEHLZ RUEHNEH RUEHNP RUEHPOD RUEHPW RUEHROV
RUEHSR RUEHVK RUEHYG
DE RUEHTA #2290 3260938
ZNR UUUUU ZZH
O 210938Z NOV 08
FM AMEMBASSY ASTANA
TO RUEHC/SECSTATE WASHDC IMMEDIATE 3884
INFO RUCNCIS/CIS COLLECTIVE 0826
RUCNCLS/SOUTH AND CENTRAL ASIA COLLECTIVE
RUEHZL/EUROPEAN POLITICAL COLLECTIVE
RUEHBJ/AMEMBASSY BEIJING 0225
RUEHKO/AMEMBASSY TOKYO 0935
RUCNDT/USMISSION USUN NEW YORK 2061
RUEHNO/USMISSION USNATO 2393
RUEAIIA/CIA WASHDC
RHEFAAA/DIA WASHDC
RHEHNSC/NSC WASHDC 0393
RUEKJCS/SECDEF WASHDC 0308
RUEKJCS/JOINT STAFF WASHDC
RHMFIUU/CDR USCENTCOM MACDILL AFB FL

UNCLAS ASTANA 002290 
 
SENSITIVE 
SIPDIS 
 
STATE FOR SCA/CEN 
 
E.O. 12958: N/A 
TAGS: PGOV PINR SOCI KZ
SUBJECT:  KAZAKHSTAN: HEALTH MINISTER SACKED AFTER PRESIDENT'S 
CRITICISM 
 
1.  (U) Sensitive but unclassified.  Not for public Internet. 
 
2.  (SBU) On November 19, Anatoliy Dervonoy was replaced by 
Zhaksylyk Doskaliyev as Kazakhstan's Health Minister.  Rumors of 
Dernovoy's dismissal had circulated for several months, but reached 
their peak after President Nazarbayev's sharp criticism of the state 
of the health industry on November 7.  At a conference on 
health-care issues, Nazarbayev publicly called the work of the 
Ministry "unsatisfactory" and said that "poor management" was to 
blame for the industry's wide-spread corruption and faulty resource 
management.  Nazarbayev criticized the Ministry for fostering a 
system where doctors take bribes and sell medicine that is supposed 
to be free, use state funding irrationally, and do nothing to 
prevent maternal and child morbidity.  He berated the health-care 
professionals for "tripling the health budget in the last four 
years" and failing to shift towards a Western-style system of 
preventive and primary care.  While the President's criticisms may 
be well-founded, many health sector specialists believe the ultimate 
reason for Dervonoy's dismissal was the delay in the construction of 
100 hospitals that were supposed to be built as part of Nazarbayev's 
"100 Schools, 100 Hospitals" plan for social improvement.  (COMMENT: 
Whatever the truth, at least Nazarbayev said the right things. END 
COMMENT.) 
 
3.  (SBU) Minister Doskaliyev is not a stranger to the health sector 
-- he served as Minister of Health from 2001 to 2004.  Doskaliyev is 
a medical doctor by training with a specialization in surgery.  He 
served as Rector of the Aktobe Medical Academy 1998-2000 and was 
subsequently appointed Chairman of the Health Agency under the 
Ministry of Health, Education and Culture.  He became Minister of 
Health in 2001, when the Health Agency became a separate Ministry. 
Upon leaving the Ministry, Doskaliev was appointed Rector of the 
Kazakh State Medical Academy in Astana, and in September 2007, he 
was elected to the Mazhelis, where he served until his recent 
appointment. 
 
HOAGLAND

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