Geography of Uzbekistan has been working to help improve the health conditions in Uzbekistan since the 1990s. This has led to improvements in drinking water. The World Bank and United Nations have also been involved in preparing possible solutions for the environmental problems in Uzbekistan. The World Bank worked with the countries in the Aral Sea Basin to form the Aral Sea Basin Assistance Program (ASBP) in the early 1990s. The main roles of the ASBP were the rehabilitation of the Aral Sea area that was destroyed through evaporation, the planning and management of the Amu Darya and Syr Darya rivers, and the
Kazakhstan–Uzbekistan border awarding the city to Uzbekistan. Kazakhstan however gained the large city of Shymkent. A further complication were the Karakalpaks; the Soviets were unsure if they were Uzbeks, Kazakhs or a separate nationality altogether. Given the at-best weak sense of Karakalpak nationality, and their perceived closer links to the Kazakhs, they were given their own Karakalpak Autonomous Oblast within the Kazakh ASSR. This oblast was larger than the modern autonomous Republic of Karakalpakstan and extended considerably further eastwards, thereby cutting the Uzbek SSR in two, with a small exclave around Khiva. Poor economic performance in the oblast convinced Soviet leaders that