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The public healthcare sector of Kostanay region includes 438 medical facilities.
Treatment and preventive care for the region's population is provided by: 27 inpatient institutions (16 district hospitals, 9 city hospitals, 2 rural hospitals), the Regional Center for Phthisiopulmonology, the Mental Health Center, the Emergency Medical Services Station, the Center for Prevention and Control of AIDS, the Blood Center, 6 polyclinics, 37 medical outpatient clinics, 73 feldsher-midwife stations, 283 medical stations, 1 primary obstetric-gynecological care department, 1 Special Medical Supply Base, 2 medical colleges, 2 Children's Homes, 1 rehabilitation center.
Healthcare financing as of July 1, 2026, amounted to 130.8 billion tenge (2025 – 113.2 billion tenge), including:
- expenditures through the Social Health Insurance Fund of 107.8 billion (2025 – 96.2 billion tenge), of which 57.8 billion tenge was allocated for reimbursement of the guaranteed volume of free medical care and 50 billion tenge for mandatory social health insurance;
- expenditures in the amount of 23 billion tenge (2025 – 18 billion tenge) are carried out through the State Institution "Health Department of the Akimat of Kostanay Region".
The Social Health Insurance Fund has concluded contracts for the provision of medical care within the framework of the Guaranteed Volume of Free Medical Care (GVFMC) and Mandatory Social Health Insurance (MSHI) with 66 providers, including 42 public and 24 private.
Accounts payable as of July 1, 2026 – 3.6 billion tenge (July 1 2025 – 2.5 billion tenge).
The mortality rate from diseases of the circulatory system (per 100,000 population) shows an upward trend, and for the 6 months of 2026 it is – 77.2/636, compared to 2025 (6 months of 2025 – 66.2/548).
The incidence of circulatory system diseases (CSD) (per 10,000 population) was 1,754.8 – 13,633 people, compared to 2025 – 1,809.6 – 14,213 people, showing a decrease in the indicator.
The mortality rate from malignant neoplasms remains almost at the level of last year and is (per 100,000 population) – 80.9/332 (2025 – 79.5/328).
The overall mortality rate (per 1,000 population) for 6 months of 2026 is 4.1 – 3,398 cases (6 months of 2025 – 3.8/3177).
The incidence of malignant neoplasms for 6 months of 2026 was (per 100,000 population) – 319.2/1,310 cases, compared to 2025 – 312.5/1289, showing a slight increase.
The mortality rate from tuberculosis for 6 months of 2026 (per 100,000 population) was 0.4 – 3 cases and does not exceed the indicator for the same period in 2025: 0.4 – 3 cases.
The incidence of tuberculosis (per 100,000 population) is 17.7 – 145 cases, compared to 2025: 19.2 - 158 cases.
There is a slight increase in the mortality rate from accidents, injuries, and poisonings (per 100,000 population) and it is 25.6/211 cases compared to 2025 – 23.7/196 cases.
The maternal mortality rate (per 100,000 live births) for 6 months of 2026 was – 0 (for 6 months of 2025 – 29.7 – 1 case). A 100% decrease.
Over the last 5 years, the peak of infant mortality occurred in 2022 – 11.8 - 121 cases, followed by a decrease in the indicator.
Thus, for 6 months of 2026, the infant mortality rate (per 1,000 live births) was 10.8 – 37 cases, showing a slight decrease (compared to the same period in 2025 – 7.6 – 34 cases).
As part of the implementation of the National Project "Modernization of Rural Healthcare", a 3-year project for the major renovation of the maternity hospital building of the Municipal State Enterprise "Arkalyk Regional Hospital" began in 2023.
The total cost of the project is 1,191.6 million tenge (for 2023 – 442.8 million tenge, for 2024 – 279.8 million tenge, for 2025 – 469.0 million tenge).
Reference: According to the results of public procurement, the contractor was determined as LLP "RAKADA GROUP" (the contract amount is 1,148.8 million tenge). The utilization of funds is 722.6 million tenge (2023 - 442.8 million tenge (RB-400, LB-42.8), 2024 - 279.8 million tenge (RB-254.4, LB-25.4).
Currently, construction and installation works for the major renovation are 76% complete. 418.0 million tenge has been allocated from the special state fund to complete the project. 46.9 million tenge has been allocated from the local budget.
On August 12, 2025, an advance payment of 136.4 million tenge was made from the local budget.
Due to the improper fulfillment by LLP "RAKADA GROUP" of contractual obligations aimed at completing the major renovation of the maternity hospital of the Municipal State Enterprise "Arkalyk Regional Hospital", a lawsuit has been filed.
On January 22, 2026, following the hearing, the court decision was in favor of the contractor LLP "RAKADA GROUP".
Also, from the local budget in 2026, 1609.0 million tenge has been allocated for routine repairs. 222.6 million tenge has been allocated for the major renovation of the Municipal State Enterprise "Amangeldy District Hospital".
For 2026, the purchase of medical equipment in the amount of 8.6 billion tenge (local budget) is planned.
– within the framework of the comprehensive plan for combating oncological diseases in the Republic of Kazakhstan for 2023-2027, for the Municipal State Enterprise "Kostanay City Oncological Multidisciplinary Hospital" - 2.3 billion tenge.
As of July 1, 2026, 12,890 employees work in the public healthcare system of Kostanay region, including 1,764 doctors and 5,347 paramedical personnel.
The provision in the region (per 10,000 population) is: doctors – 21.47, paramedical personnel – 65.09.
The need for doctors is 123 people, including in rural areas – 34 people.
The reason for the outflow of medical personnel is the departure of doctors to other regions, the failure of medical university graduates to arrive in the region, and doctors reaching retirement age.
Active work is underway to attract medical personnel to the region.
Lifting allowances are allocated from the local budget for arriving specialists from other regions of Kazakhstan in the amount of 3.5 million tenge to the city, 5 million tenge to rural areas, Arkalyk city – 5 million tenge, and to remote rural settlements (over 400 km, Amangeldy and Dzhangeldy districts) 7 million tenge, with a commitment to work in a medical organization for 7 years.
In 2026, it is planned to utilize 60 grants from local executive bodies of Kostanay region using local budget funds.
In 2026-2027, it is planned to attract at least 120 doctors annually.
Social support measures are also provided in the form of payment of lifting allowances from organizations' own funds, provision of housing, and payment of housing rent.