This is how you see the situation:

Rivers Amudarja & Syrdarja brought before 108 km ³ of water to the Aral per year, now the inflow of water is at only 10 km ³. The annual evaporation from the lake is 40 km ³ – The lake is disappearing. It is mainly Kazakhstan & Uzbeskistan that is affected because these countries share boundaries to the lake.

You know it’s high time for all countries that share the water system to begin collaboration on a longer-term way. Turkmenistan & Uzbekistan should perhaps also start charging for water as this would provide incentives for reduced wastage.
There are several aspects to consider. First, the water that finally reaches the Aral Sea is heavily polluted by industries upstream, which obviously affects humans, animals and plants. Pollution and salinization due to evaporation of the lake has led to accelerating jaundice & iron deficiency in the population of the area.
Turkmenistan have succeeded in their desert gardens, but it has cost a lot of water. There are more effective ways to use water in the area. But for a change of cultivation technology and water usage can be implemented, there must be attractive alternatives for the people concerned.
You would love to inducing Uzbekistan engage in more sustainable agriculture than
cotton (1 kg of cotton requires 7,000 liters of water), but you also understand that the country is largely subsist on their exports. Uzbekistan is the country that uses the most water of all countries in the region.

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