In the early 1990s Uzbekistan, the double landlocked country in Central Asia, had just emerged as an independent state from the Soviet Union. With a fragile economy and developing industrial sector, these were challenging times for the newly autonomous country. Dr. Ramiz Alakbarov, the United Nations Resident and Humanitarian Coordinator for Afghanistan, remembers this period well, having spent the early days of his career working for the United Nations Population Fund (UNFPA) in the Regional Office for Central Asia. In Uzbekistan he witnessed first-hand the challenges in expanding healthcare and other essential services.