Аннотация
Objective: The purpose of this study is to assess if the "Exercise as Medicine" (ExMed) concept can be successfully implemented in Kazakhstan's Aral Sea region. This is driven by the serious health risks that this region faces as a result of natural disasters. The study's main objectives are to assess the state of health promotion at the moment, examine physical activity, conduct an environmental scan, analyze stakeholders, and offer suggestions for a pilot project. Methods: To evaluate the preparedness of the Aral Sea region's healthcare settings for the implementation of ExMed, a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis was utilized. To collect qualitative data, stakeholders were interviewed one-on-one. The study design was authorized by the local ethical commission, which guarantees adherence to ethical guidelines. Creating an ExMed working group, performing a SWOT and environmental scan, and speaking with ExMed implementers were all part of the research to obtain in-depth knowledge. Results: The results showed that the Aral Sea region has a few methodological and organizational obstacles that prevent physical activity promotion. If these issues are not resolved, low levels of physical activity may make non-communicable diseases more common. Conclusions: To address these health issues, the Aral Sea region should prioritize implementing the ExMed plan. The study's recommendations are intended to make it easier for ExMed to integrate successfully by utilizing its current advantages and capabilities and addressing its shortcomings and risks.