The study was conducted in the Kashkadarya Regional Khakimiyat, the Agency for Medicines, the Forestry Agency, the Technical Regulation Agency, the Pharmaceutical Safety Center, and the Center for Assessing the Qualifications of Medical and Pharmaceutical Workers, as well as in 207 organizations within their systems.

As of June 1, 2025, a separate internal control structure to combat corruption was established in the Kashkadarya Regional Khakimiyat, the Forestry Agency, the Technical Regulation Agency, and the Pharmaceutical Safety Center.

According to the study, despite the development of several documents on the implementation of the anti-corruption system, the implementation mechanism for these documents has not been established. 

In particular, reports on the status of anti-corruption systems have not been generated, and monitoring and control efforts are not organized. General and specialized training programs, analysis of annual employee conflict-of-interest declarations, and the maintenance of a register of conflicts of interest have not been fully developed.

It was established that employees were hired without vetting their candidates, and mandatory assessments of corruption risks associated with their assigned functions were not conducted.

Furthermore, the "Cybersecurity Center" State Enterprise did not conduct an assessment of the status of information system implementation. Information systems for the provision of public services have not been developed, and the corresponding information system has not been launched.

The organizations studied by the COA were provided with practical assistance. A draft action plan for the implementation of internal systems and the elimination of identified problems was developed.

The COA issued recommendations to public organizations on eliminating the aforementioned violations of the law, including the causes and conditions that facilitate corruption.