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President Shavkat Mirziyoyev signed Decree PF-242 on 10 November 2026, establishing the measures required to implement a set of national programmes aimed at what the document describes as elevating human dignity. The decree identifies three principal objectives: making knowledge and skills the primary capital of development, ensuring that citizens live healthily and long, and building an economy grounded in high technology and labour productivity.
Health spending and preventive care
On public health, the decree sets a concrete fiscal target: state expenditure on population health is to reach five percent of gross domestic product. The document also directs a structural shift in the healthcare system toward a prevention-based model of health preservation, moving away from treatment-centred approaches. To introduce competition in specialised medical care, the decree calls for attracting at least five internationally reputable clinics to operate in Uzbekistan.
Judicial independence and rule of law
The decree outlines directions for strengthening judicial independence and the rule of law. Legal education and civic literacy are to be introduced systematically beginning at the general secondary school level. The document also calls for intensified measures to prevent cybercrime, drug trafficking and human trafficking, and for stronger efforts to combat violations of the rights of women and children.
Mahallas as drivers of local governance
A third strand of the decree concerns the mahalla — the traditional neighbourhood unit — which is to be repositioned as the primary initiator of community development. State programmes are to be shaped around the needs and demands of individual mahallas, and a binding procedure is established requiring that substantiated decisions on mahalla requests be issued within 30 days.
The decree was published by the presidential press service under the number PF-242 and carries a date of 10 November 2026.