The MoU provides an intergovernmental framework for governments, scientists and other stakeholders to monitor and coordinate ongoing conservation efforts.

A range of activities have been carried out to implement the Action Plan. The WWF Central Asia Programme has been working to protect and support all existing natural populations of Bukhara Deer and implemented three projects to reintroduce the Bukhara Deer in its historical habitats of Uzbekistan and Kazakhstan. Work has also included the restoration of Bukhara Deer habitats in Tigrovaja balka, Tajikistan, with funding from the Disney Wildlife Conservation Fund. Those efforts were supported by the Cervid Taxon Advisory Group (TAG) of the Association of Zoos and Aquariums (AZA) and the Minnesota Zoo in particular.

A plan to develop a system of protected areas got its start with the Econet Central Asia project. The project is a joint effort of the United Nations Environmental Programme, Global Environment Facility (GEF) and WWF. Much more work and funding is however still needed to develop a transboundary network of protected areas in riparian forests and to effectively address environmental degradation along several rivers in Central Asia.

Nonetheless, the coordinated, systematic efforts of governments and non-governmental groups to save the Bukhara Deer have already started showing significant results. The populations in all range countries have stabilized, and have even begun to grow. The global population of this rare deer in the wild was estimated at about 1,600 animals in autumn 2010 versus 350-450 animals in 2002 when the MoU was signed. Deer were also reintroduced in three sites of the former range (Zarafshan, Syrdaria and Ily). In addition, many people living in Central Asia now recognize the Bukhara Deer as a national treasure of global importance.