Tajikistan - down as well as up

Tajikistan has dropped in the rankings of the UN Human development report, as life expentancy drops - along with other ex-Soviet Central Asian and East European states. Only the AIDS afflicted sub-sharan African states show a similar drop in the figures. Wasn't globalisation supposed to lift all boats ?. Economic opportunity, it seems, is not enough - politics and culture perhaps play a role too more from the BBC...