An accessible clinic involves more than a ramp at the entrance. A person needs to reach a doctor, use a toilet and call for assistance when necessary. In August 2025, Zhan Botanov wrote about problems he encountered at Polyclinic No. 4 in Astana.
What prompted the concerns?
After a visit on 15 August, he reported missing toilet handrails, hygiene concerns, a non-functioning assistance button and insufficient tactile wayfinding. He described these observations in a Telegram publication and sent an appeal to the Ministry of Healthcare.
These are the applicant’s observations and arguments. They are not presented as findings from a completed government inspection; that would require the relevant inspection document.
Why small details matter
For someone who has difficulty standing or moving, the absence of a handrail is a significant obstacle. Clear signs matter to people with low vision. An assistance button is useful only when someone responds. Together, these details determine whether care can be accessed without unnecessary barriers.
How to make a complaint specific
Zhan Botanov’s approach is to identify the exact place, date and obstacle: what does not work, and how does it affect the person? Where photographs or video are available, they can support the appeal and a request for information about corrective action.
Later in August, he also raised difficulties booking an appointment. Access to the building and access to a doctor are connected, but each issue needs to be assessed against its own circumstances.
Which period does this article describe?
This account concerns August 2025. It does not claim that the conditions described remain unchanged today. The aim is to record the history of appeals accurately and report changes when new information becomes available.
Have you encountered a barrier at a clinic? Tell us where and when it happened. Your circumstances and the available documents are the starting point.

