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A young state with old structures
Uzbekistan's political system has thus far been tailored to the president, who was already at the top of the tree in Soviet times. While the government is pursuing transformation goals, these are only being implemented slowly. Furthermore, there is a considerable discrepancy between formal provisions and their real application in practice. The economic system remains largely state-controlled, even though the majority of small and medium-sized companies were already privatised some time ago. Various projects designed to promote sustainable development have been almost fully completed. KfW Development Bank is now focusing on helping Uzbekistan to reform its health sector. The Uzbek government's goal is to provide modern health care that meets international standards.