Zora Health / Employer guide / Kazakhstan
Support your experienced employees through menopause, and help them stay at their best.
In a Kazakh study of menopausal doctors and nurses, 60% of physicians and 38% of nurses reported lower productivity, and the work environment affected their wellbeing. Zora Health helps you build practical menopause support, from workplace policies and manager training to confidential care navigation and access to 128+ partner clinics in 16 countries, around your workforce and budget. Companies including Hilton, LinkedIn, Sanofi, HSBC, Mastercard, Carousell and Singapore Management University work with us.
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Five things Kazakhstan HR leaders should know
- Menopause in Kazakhstan occurs at about 51, and more than 3 million women in the country are over 45.
- In a 2023 study of 130 menopausal physicians and nurses, 60.0% of physicians and 38.2% of nurses reported decreased productivity.
- Women’s labour force participation was 62.7% in 2025.
- Employees pay 2% of income and employers 3% into compulsory social health insurance (OSMS) in 2026.
- The Labour Code prohibits gender discrimination and allows employees to request flexible work.
Why menopause is a business problem for employers
Menopause rarely announces itself at work. It looks like a senior manager who slept four hours, a wave of heat in the middle of a client meeting, a word that will not come in front of the board. Symptoms come and go for years. Many women do not link them to menopause, and fewer tell their manager.
So the cost stays out of your reports. It shows up instead as:
- Lower productivity. In a study of 130 menopausal physicians and nurses in Astana and Kyzylorda, 60.0% of physicians and 38.2% of nurses reported decreased productivity, and the authors found the work environment influenced their wellbeing (Bapayeva et al., IJERPH, 2023).
- A large group. More than 3 million women in Kazakhstan are over 45, according to the Kazakhstan Association for Sexual and Reproductive Health (Tengri Health, June 2026).
- Low awareness. The association reports that 42% of women see menopause only as the end of menstruation, so many may not link other symptoms to it.
- Little wider data. We found no national survey on menopause and work beyond healthcare workers. A confidential survey of your own employees is the quickest way to see the picture in your company.
What employers gain
Keep the people who know how your business runs
Replacing an employee costs one-half to two times their annual salary, according to Gallup. Women’s labour force participation was 62.7% in 2025 (World Bank, ILO estimate), so many of your experienced employees will go through menopause at work. A written policy, trained managers and quick access to the right doctor can help address barriers that contribute to employee attrition.
Stand out to experienced women
We found no Kazakh employers with published menopause support. A clear offer, explained in your benefits pack, stands out to senior women weighing their next move.
Make menopause support financially predictable
Aon projects Kazakhstan’s medical trend at 29.0% for 2026, or 19.6% after inflation, among the highest in Asia Pacific (Aon, October 2026). Employers pay sick pay at their own expense, so earlier care also protects your own costs.
Zora helps employers set an annual allowance or top-up around OSMS and your voluntary medical insurance, so HR can run the programme within an agreed budget. The benefit works alongside your existing insurance.
Want to see what this would look like for your Kazakhstan workforce?
What menopause care costs, and what the state pays
Employees are covered by the free guaranteed package and compulsory social health insurance (OSMS). Many employers add voluntary medical insurance.
| Item | Public support | What the employee still carries |
|---|---|---|
| OSMS contributions, 2026 | Employee 2% of income (capped at 20 times the minimum wage); employer 3% (capped at 40 times) | The employee contribution |
| OSMS cover | Specialist consultations, diagnostics and day hospital care on top of the free guaranteed package | Care outside the package; out-of-pocket payments were 27.6% of health spending in 2023 |
| Time off for appointments | Employer pays temporary disability benefit at its own expense, capped at 25 MRP a month | Pay above the cap |
From PwC, July 2026, the Office of the Prime Minister, the World Bank and BCC bank. We could not confirm co-payments or private consultation fees. These are published examples, not guaranteed current prices: actual costs depend on cover, clinic, doctor and treatment, so confirm fees with the provider before budgeting.
60% of menopausal physicians in a Kazakh study reported lower productivity at work.
We have found no menopause workplace law or guidance in Kazakhstan. For employers, the practical opportunity is to help employees recognise their symptoms, understand their options and reach appropriate clinical advice sooner.
Menopause support that fits your workforce and budget
You do not need to overhaul your existing health insurance to support employees through menopause. Start with awareness and manager education, add confidential one-to-one support, or introduce a fuller programme across your offices. There is no minimum company size.
Where included in the employer programme, eligible employees can use talks and care navigation without paying Zora a separate fee. Care navigation allowances are set in each proposal. Treatment and other third-party costs are paid separately, either by employees or through the allowance their employer provides.
Companies starting the conversation
Essentials
Expert-led talks for employees and managers, menopause policy templates, manager guides and full access to the Zora app. Up to 2 talks a year.
Employees supported one to one
Navigation
Everything in Essentials, plus confidential one-to-one care navigation and access to our partner clinic network.
Large teams across countries
Complete
Everything in Navigation, plus quarterly anonymised reporting, a dedicated account manager and scheduled review meetings with HR.
Optional add-ons can be added to any programme, subject to availability: hormone diagnostics and telehealth with specialists. Pricing is tailored to your headcount, your countries and the services you choose. Most companies start with a single talk.
Request a proposal See how Zora works for employers
Comparing menopause benefit providers? Use our RFP question bank
Our question bank has 40 questions for multi-country benefits teams, with why each one matters, what a good answer looks like and a scoring sheet for three providers. Six of the questions for menopause support in Kazakhstan:
- Is menopause support included as standard, or only fertility?
- What access do employees get to menopause specialists and hormone testing, and how quickly?
- How does the programme work alongside OSMS and our voluntary medical insurance, without duplicating cover?
- Do you provide fertility and menopause policy templates for our markets?
- How can an employee get help confidentially without telling their manager?
- What individual-level data does HR see?
Your download link appears as soon as you submit. Zora Health may contact you about employee benefits; see our privacy policy.
Plan your menopause benefit budget
Menopause care allowance planner
Model the annual claims budget for a menopause care allowance. Change any number.
This is a claims budget, not a Zora quotation. Zora’s programme fees, implementation and optional services are separate.
It estimates the annual budget for a menopause care allowance from your eligible workforce, expected utilisation and allowance per employee, and assumes each user claims the full allowance. Eligible employees defaults to 15% as a stand-in for women aged 45 and over; use your own headcount data. The default allowance of KZT 150,000 is an illustrative figure for private consultations, tests and treatment. Utilisation is an editable assumption, not observed Zora data. For a proposal covering both programme costs and employee benefits, request an employer proposal.
Estimate the potential workforce impact of menopause symptoms
A rough planning scenario. It applies a published estimate to your headcount, so it is not a prediction for your workforce, a measured loss or a forecast of savings from any programme.
Range: KZT 3,088,864 to KZT 9,350,076 a year, depending on replacement cost.
Assumptions: 13.4% of working women aged 45 to 60 reported at least one adverse work outcome due to menopause symptoms, and those who missed work lost a median of 3 days a year (Faubion et al., Mayo Clinic Proceedings, 2023). This was a US clinic sample, so treat it as a rough benchmark for Kazakhstan. The default salary is the average monthly nominal wage of KZT 461,486 (Q1 2026) multiplied by 12. Use your own. Replacing an employee costs one-half to two times their annual salary (Gallup, 2019); the headline uses the low end. Absence is valued at salary divided by 250 working days. Exit rate is your own assumption.
Already have corporate health insurance? Here is where Zora fits
Your medical plan may cover some consultations and treatment. Employees still need to recognise their symptoms, understand their options and find a doctor who knows menopause care, and many never get that far.
Zora works alongside your existing insurance and benefits. We help employees get reliable information, navigate their care options and reach suitable specialists, and we give HR manager training, policy templates and, on the Complete programme, anonymised reporting. You strengthen menopause support without replacing your medical plan.
How Zora works
For your employees
Employees join the Zora app with a company code, or single sign-on for larger teams. They can learn about perimenopause and menopause, understand what your benefit covers, book a confidential care navigation call and find partner doctors and specialists.



For HR
- Kick-off, week 1. Agree goals, countries and which employees are eligible.
- Policy and benefit design, weeks 2 to 4. Draft or update your menopause policy and flexible work guidance using our templates.
- Launch, typically weeks 4 to 6. A launch talk for employees and managers, plus a communications pack for HR to send.
- Live support. Employees book care navigation calls and use the Zora app.
- Reporting, every 3 months, on the Complete programme. Anonymised usage, common themes and our recommendations, reviewed with your account manager.
Privacy
On the Complete programme, HR receives anonymised, aggregated reports only: how many employees used the programme, which services they used and the common themes. On every programme, HR never sees an individual employee’s health information, bookings or test results, and employees can get help without telling their manager. Employee data is stored on Amazon Web Services in Singapore and handled in line with Singapore’s Personal Data Protection Act.
Clinics and doctors in Kazakhstan
Zora’s clinic and doctor directory does not list providers in Kazakhstan yet. It lists 421 clinics and 1,185 doctors across 25 countries, mostly in Asia Pacific and the Middle East (browse clinics or browse doctors). Employees in Kazakhstan can still use Zora’s education and the Zora app. Ask us how your team in Kazakhstan would use Zora before you launch. See Zora’s employer guides for every country.
Rules and eligibility in Kazakhstan
Equality and flexible work
The Labour Code 2015 prohibits gender discrimination in employment (Article 6) and allows employees to request flexible work (World Bank, Women, Business and the Law 2024).
Sick pay
The employer pays temporary disability benefit at its own expense, based on average daily earnings, capped at 25 MRP a month under the Social Code (BCC bank).
No menopause workplace rules
We have found no menopause-specific workplace law or guidance in Kazakhstan. A written company policy is the clearest way to set expectations for managers.
Why employers choose Zora
Companies including Hilton, LinkedIn, Sanofi, HSBC, Mastercard, Carousell and Singapore Management University work with Zora Health. We work alongside your existing insurance, helping employees use the cover they already have and find suitable doctors and specialists based on their needs.
Zora Health helped me to reclaim my confidence to thrive at work!
Questions HR teams ask us
Do employers in Kazakhstan have to give menopause leave?
No. There is no menopause leave. Employees use sick leave, annual leave or flexible arrangements unless their employer offers more.
Can employees request flexible work in Kazakhstan?
Yes. The Labour Code allows employees to request flexible work.
What do employees pay for OSMS?
2% of income in 2026, capped at 20 times the minimum monthly wage. Employers pay 3%.
Does menopause affect work in Kazakhstan?
In a study of 130 menopausal doctors and nurses, 60.0% of physicians and 38.2% of nurses reported lower productivity.
At what age do women in Kazakhstan reach menopause?
At about 51, according to the Kazakhstan Association for Sexual and Reproductive Health.
Does Zora replace our health insurance?
No. Zora works alongside your insurance. We help employees understand their options, find suitable specialists and use the cover they already have.
How much does menopause support cost an employer?
It depends on the programme, any allowance and expected uptake. Use the budget planner on this page for a first estimate, then ask us for a tailored proposal based on your headcount and countries.
How quickly can we launch?
Typically 4 to 6 weeks from contract to launch, depending on scope and countries. Most companies start with a single talk.
Related guides for Kazakhstan employers
Build a menopause support programme for your team
Whether you are introducing menopause benefits for the first time or improving an existing programme, tell us your headcount, countries and priorities. We will come back within two working days with suitable services, an indicative budget and a practical rollout plan for your Kazakhstan team. No obligation.
Sources
- Tengri Health, Kazakhstan Association for Sexual and Reproductive Health, June 2026
- Bapayeva et al., IJERPH, September 2023 (130 physicians and nurses)
- World Bank, Female labour force participation (ILO modelled estimate), 2025
- Bureau of National Statistics, Wages in Q1 2026, May 2026
- PwC Worldwide Tax Summaries, Kazakhstan other taxes, July 2026
- Office of the Prime Minister, OSMS implementation, January 2020
- World Bank, Out-of-pocket expenditure, 2023
- BCC bank, Sick pay compensation, March 2026
- World Bank, Women, Business and the Law 2024: Kazakhstan
- Aon, APAC medical cost growth, October 2026
- Gallup, This fixable problem costs US businesses $1 trillion, 2019
- Mayo Clinic News Network, Faubion et al., Impact of menopause symptoms on women in the workplace, Mayo Clinic Proceedings, April 2023
