Last month, Finance Minister Bishnu Paudel and Pokhara Mayor Dhanraj Acharya were burned when hydrogen-filled balloons exploded at the launch of <a href="https://nepalitimes.com/news/pokhara-s-tourism-woes">Pokhara Visit Year 2025</a>. Both were flown to Kathmandu for treatment. In 2023, Nepali Congress Member of Parliament (MP) Chandra Bhandari was severely burned in a kitchen fire. He was taken to India for treatment. His Rs5.6 million medevac and treatment bill was paid by the government. It took the<a href="https://archive.nepalitimes.com/article/nation/burning-in-the-aftermath,3757"> burn injuries </a>of <a href="https://nepalitimes.com/here-now/what-nepal-s-vip-prisoners-do-in-jail">high-profile figures </a>in Nepal to finally spark action on an issue that affects mainly the country’s poorest. “We call this the burns paradox,” says Kiran Nakarmi at the Nepal Cleft and Burn Centre at Kirtipur Hospital, where the Pokhara patients received care. “Treatment is costly and <a href="https://archive.nepalitimes.com/news.php?id=19400">most victims are poor</a>."&nbsp; About 60,000 people suffer <a href="https://nepalitimes.com/here-now/removing-scars?fbclid=IwAR2MiX-ZhGNSsqUwgDYfvLWE3a7ZeLaHncz66MMKLQGtSSraTjr9cF5mIWo">burn injuries</a> in Nepal each year and 2,200 of them die. The demand for care in Kirtipur is growing.&nbsp; In 2014, it treated 90 <a href="https://archive.nepalitimes.com/article/nation/A-burning-desire-to-help,881">burn patients</a> and this more than doubled to 194 in 2015, reached 373 in 2016, and peaked at 790 in 2023. Last year the Centre treated 753 patients, and in January alone this year it was 111. Ninety-two percent of cases come from outside Kathmandu from 75 districts,” says Nakarmi. “When we started it was 42%.”&nbsp; Ideally, burns treatment should be decentralised so that local levels have primary <a href="https://nepalitimes.com/news/altruistic-healthcare-models-in-nepal">burn care centres</a> no more than two hours away, where patients can get initial treatment like cooling and dressing of wounds, and fluid replacement. Read also: <a href="https://nepalitimes.com/here-now/removing-scars?fbclid=IwAR3YJaMAa7AekbmwWYy3UlNnJkDj8XZk8qRxcagXd7Sl0M4m4SzolGs_0ow">Removing Scars</a>, Yugeshwor Koirala If necessary, they could be transferred to regional centres to handle surgery for minor burns. The government has already designated six such facilities across the country, and Nakarmi says the Centre could train their staff. He clicks forward on a slide to show a female patient brought in two months ago with her buttocks and thighs burned. “The wound was deep, it was not going to heal on its own. She needed some kind of graft.” If surgeons at a regional facility were properly trained, they could have done the graft. Instead, the patient waited for one month before coming to Kirtipur.&nbsp; Nakarmi is looking for funding for a 70-bed national burn care centre at Kirtipur Hospital, where patients can be isolated from the risk of infection that comes with sharing space in general wards. Another MP, Bindabasini Kansakar, is herself a<a href="https://nepalitimes.com/here-now/nepal-s-acid-attack-survivors-find-a-saviour"> survivor of an acid attack </a>by a spurned suitor in 2013. She registered a Bill in Parliament last year that includes specialised burn units in all <a href="https://nepalitimes.com/editorial/devolution-for-development">government hospitals </a>with 100+ beds, and in some private hospitals and medical colleges in Kathmandu. She is also calling on the government to create a fund to give immediate <a href="https://nepalitimes.com/news/justice-delayed-justice-denied-byrx8a1c">financial support to victims </a>and their families, discounts for women and children, especially from poorer communities, as well as training for health staff, twice yearly awareness programmes at local levels, and strong penalties to deter acid attacks and intentional burn injuries. Parliament’s delay in passing the Bill is ‘deeply frustrating, especially given my personal experience,’ Kansakar wrote to us.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250314110312_8d1a63b9d63d2ee0c116ffa1bc46e9a3aa5e63e7cdeeceb5a67fd7e772fbe957.jpg" data-media-id="editor_11" data-image-id="20250314110312_8d1a63b9d63d2ee0c116ffa1bc46e9a3aa5e63e7cdeeceb5a67fd7e772fbe957" data-rendition-name="original" width="1446" height="717" loading="lazy" alt="burn incidents in Nepal"> <figcaption>Member of Parliament Bindabasini Kansakar before an acid attack by a spurred suitor in 2013 (left), after, and now. </figcaption> </figure>  ‘I know first-hand the physical, emotional, and financial struggles<a href="https://archive.nepalitimes.com/news.php?id=18771"> burn victims </a>endure. Delays mean more victims are left without proper care, financial support, or legal protection,’ she added. ‘If burns affected wealthier or more influential communities, the response might have been swifter. This inequality is precisely why the Bill is so crucial — to ensure<a href="https://nepalitimes.com/news/justice-delayed-justice-denied-byrx8a1c"> justice and support for all victims</a>, regardless of their social standing.’ Burn incidents are the second most common injury in rural Nepal, according to the World Health Organization, and researcher Kamal Phuyal says that making just a handful of simple adjustments to everyday life could prevent most major burns. Before <a href="https://nepalitimes.com/news/ways-nepal-can-rebound-from-covid-19-2966ixvu">Covid-19</a>, he ran a research project in three municipalities in the mountains, hills and Tarai. After six months gathering data, the team told locals to make changes in their communities to prevent burns. For the next two and a half years, Phuyal worked with health staff, female community <a href="https://nepalitimes.com/news/enlisting-female-health-volunteers-to-fight-covid-19-b4qlgy1e">health volunteers</a> and other locals. In that time, the number of major burns in the three districts dropped from 21 to zero for two years running. The most effective change was to stop people from cooking on the ground. “If you can put the <a href="https://nepalitimes.com/here-now/what-s-cooking-in-nepal-besides-politics">cooking stoves</a> just three feet (1m) off the ground, 50% of burns can be eliminated,” explains Phuyal.&nbsp; Nakarmi says that 70% of patients at Kirtipur Hospital, too, got burn injuries in the kitchen. “It should be the safest place to be, but it is the most unsafe,” she adds. Phuyal says<a href="https://nepalitimes.com/here-now/deputies-drive-development-in-rural-nepal"> local representatives</a> were convinced by his findings and, especially in Makwanpur, eager to make changes. He expected them to adopt a policy to approve construction of a house only if the plans included putting the cooking space 1m off the ground, to reduce burn incidents, Phuyal explained at a training session at Sushma Koirala Memorial Hospital (SKMH) last October. But <a href="https://nepalitimes.com/news/nepal-s-uneven-covid-19-deaths">Covid-19</a> hit, the project ended, the officials were replaced after elections, and the work lost momentum. Today, no <a href="https://nepalitimes.com/banner/local-government-by-the-people-for-the-people-of-the-people">local government</a> seems to have moved forward on <a href="https://archive.nepalitimes.com/news.php?id=18770">burn prevention</a>. During the training session at SKMH, the hospital’s deputy director, Rojina Shilpakar, described some of the burn cases at the facility in recent months. In Dailekh district, two boys were severely burned while collecting fodder. “The parents all thought that they would die so they didn’t take them for medical help. But after two weeks they survived and the story was posted on <a href="https://nepalitimes.com/news/the-social-media-contagion">social media</a>.” The hospital reached out and arranged for both boys to be brought to Kathmandu, one to Kirtipur Hospital and the other to SKMH, with burns on 40% of his body. “He was emaciated, just flesh and bones, covered in <a href="https://nepalitimes.com/banner/medicine-goes-back-to-its-roots?fbclid=IwAR31DMkL6vtx8KFvX3KG79Jf6omKN8H8VZ0Dr9G-1UWtIBlFHNphMJi8mrY">herbal medicine </a>that looked like mud,” recalls Shilpakar. If he had been brought for treatment quickly, he could have recovered sooner, she adds. But he was <a href="https://nepalitimes.com/banner/nearly-half-of-nepali-children-still-malnourished">malnourished,</a> and contractures had developed where one part of the body sticks to another, preventing movement. “We couldn’t take him to the operating room right away because of his malnourished condition. He had to gain some weight, increase his haemoglobin levels. Even skin grafts were not taken properly, so it affected the <a href="https://nepalitimes.com/banner/the-art-of-healing">healing,</a>” explains Shilpakar. <a href="https://nepalitimes.com/editorial/pandemic-of-poverty">Poverty</a> prevents many families from<a href="https://nepalitimes.com/here-now/it-s-an-emergency-nepal-needs-to-improve-trauma-care"> seeking care</a>, although both facilities will not turn away burn cases for <a href="https://nepalitimes.com/news/poor-cash-rich-nepal">lack of money</a>. SKMH paid the bills for the Dailekh boys' treatment, including an eight-month hospital stay. Now seven, the youngster has already had a follow-up surgery and is likely to need more operations as he grows. Smaller <a href="https://nepalitimes.com/news/healthcare-moving-from-hospitals-to-homes">hospitals</a> outside Kathmandu often do not not accept severe burn cases, and instead send them immediately to a larger facility. “If the patient dies within a few hours, they will be blamed, So they just try to push them away,” adds Shilpakar. SKMH has been <a href="https://archive.nepalitimes.com/news.php?id=16801">training health workers</a> from across the country to treat burns since 2012. This includes countering the prevalent belief at the time that burn victims should not be given fluids. Patients would reach the centre <a href="https://nepalitimes.com/multimedia/dirty-dangerous-difficult-and-dehydrating">dehydrated</a>, and then go into acute <a href="https://nepalitimes.com/opinion/comment/saving-kidneys-to-save-nepal">kidney failure</a>. Some with a high percentage of burns die. Those cases have decreased in the last few years because <a href="https://nepalitimes.com/opinion/comment/nepal-health-workers-at-risk-of-workplace-hazards">health workers </a>have been trained, including to give fluids to patients. The treatment at the Cleft and Burn Centre has become much more effective since it opened in 2014. Says Nakarmi: “Back then we could not save anyone who had 40% burns or greater. Now we can save half of victims with 40% burns, and if someone has 60% burns, they have a 15% chance of survival. We aim to save half of patients with 60% burns.” The centre developed a six-day training for health staff on burns care for workers from facilities country-wide, but funding was provided by <a href="https://nepalitimes.com/news/how-usaid-cut-affects-nepal">USAID</a> and has been cut. There is no replacement in sight. Recent increase in government support for burns treatment seems to have been sparked by the case of MP Bhandari. In October, the government announced free treatment for patients from the<a href="https://nepalitimes.com/here-now/why-nepal-s-poverty-rate-is-stuck"> poorest families</a>.&nbsp; “But there is a little catch,” says Nakarmi. “The treatment of destitute burn victims, are supposed to be covered right? But everyone else also wants to get support. A lot of Nepali people are not destitute, but they are poor. We just try to cover their costs as much as possible.”

Marty Logan

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A burning problem that needs solutions

Pritam Kunwar was born with a cleft lip and palate in Pokhara, but his family could not afford treatment for his condition. His face was disfigured, his speech was unintelligible, and the food he ate would often get into his nasal cavity.&nbsp; Finally, at 15 he received cleft surgery, but without post-operative therapy his speech was still impaired. Then one day, at age 26, his life changed. He used to make a living rowing boats at Phewa Lake, where a foreigner hopped on for a ride. He turned out to be a plastic surgeon volunteering in Nepal who referred him to Fishtail Hospital. That is where he met Shankar Man Rai. Kunwar underwent a second surgery, and received speech therapy. Today, he holds a Taekwondo black belt, and runs an academy by Pokhara’s Lakeside, training young women in self-defence. “Before my second surgery, the students at my martial arts academy did not understand a word I said, but after I could speak properly they learnt faster,” recalls Kunwar.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080844_7e557a7682a0bc504237ed5cf9b1b6082ecf346ee34a541c43ae00d25377a2d2.jpg" data-media-id="editor_0" data-image-id="20230804080844_7e557a7682a0bc504237ed5cf9b1b6082ecf346ee34a541c43ae00d25377a2d2" data-rendition-name="original" width="7238" height="2400" loading="lazy" alt="Removing scars 2"> <figcaption>Pritam Kunwar was born with a cleft lip and palate in Pokhara. After two surgeries and speech therapy, he now runs a Taekwondo academy training women in self defence.(Photo: Jana Ašenbrennerová)</figcaption> </figure>  On average, one out of every 500 live births in Nepal is a case of cleft lip or palate, birth deformities in which the lip or palate fail to fuse. Incidence in Nepal is higher than in most parts of the world for reasons which are unclear, but may have to do with a combination of genetic and environmental factors.&nbsp; However, the numbers afflicted are going down due to awareness and treatment at the <a href="https://nepalcleftandburncenter.org/">Nepal Cleft and Burn Center</a> at Kirtipur overlooking Kathmandu.&nbsp; “Before the 1980s, cleft and burn treatment through plastic surgery was unheard of in the country,” explains Shankar Man Rai, who is now a plastic surgeon and director of the Kirtipur centre. “International volunteer teams carried out the procedures, while Nepali doctors remained under-equipped.” Since then, Rai’s team has seen that scenario change. Improved awareness of the condition means parents bring their children for treatment to the 30-bed Centre almost as soon as they are born.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080844_56ba408f9cd1b497374609fc6002f6a5412b99432d4aff498f8f8fca81445e6d.jpg" data-media-id="editor_2" data-image-id="20230804080844_56ba408f9cd1b497374609fc6002f6a5412b99432d4aff498f8f8fca81445e6d" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Removing scars"> <figcaption>Shankar Man Rai(Photo: Jana Ašenbrennerová)</figcaption> </figure>  Nepali paediatric and general surgeons were trained by the international teams, and for over 25 years Rai’s team has been treating thousands of burn and cleft patients free of cost. The facility is funded by two non-profits, ReSurge International and Smile Train. The facility at Kirtipur was inaugurated in 2014, but the <a href="https://nepalcleftandburncenter.org/">Cleft and Burn Center </a>was initiated in 2002 by American textile retailer Jim Webber after meeting Rai in Nepal. Webber ran the Tibet Rug company, and organised financial support from other rug importers from Nepal to help fund the project.&nbsp; Since then, the Center has been Nepal’s first and leading teaching hospital specialising in deformity-correction surgery. Today, it is being run by Kirtipur Municipality and the non-profit <a href="https://www.phectnepal.org/">Public Health Concern Trust Nepal (phect-NEPAL)</a>, providing free treatment not just to patients at the centre but through camps in remote parts of the country.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080844_a5ba78663011d44d14e8c3f4d8dccbf4eb23c07d9d5dd7770187c4788023878b.jpg" data-media-id="editor_5" data-image-id="20230804080844_a5ba78663011d44d14e8c3f4d8dccbf4eb23c07d9d5dd7770187c4788023878b" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="Removing scars"> <figcaption>Photo: PHECT NEPAL</figcaption> </figure>  Kiran Nakarmi is the head of the Department of Burns, Plastic and Reconstructive Surgery at Kirtipur Hospital who worked with Rai to set up the centre. He says a cleft lip is easily recognised in infants, and can now even be diagnosed via ultrasound before birth. “Timely treatment is important because it yields better speech outcomes,” Nakarmi explains. “Our focus is on comprehensive care. Surgery alone is not enough, it needs follow-up with speech and occupational therapy and counseling.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080848_ee0057f9cd2d17d2834babd2164720028ef66b3d41fec3199246d7e21b2d4d91.jpg" data-media-id="editor_6" data-image-id="20230804080848_ee0057f9cd2d17d2834babd2164720028ef66b3d41fec3199246d7e21b2d4d91" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Remioving scars 6"> <figcaption>Kiran Nakarmi looks at a patient.(Photo: Jana Ašenbrennerová)</figcaption> </figure>  The Kirtipur center’s camps have reached many rural parts of Nepal, impacting more than 20,000 cleft patients. Initially, speech therapists used to go to the camps but now has trained nurses like Kabita Bhattarai Gurung to carry out the same task.&nbsp; The outreach camps provide free food, lodging, orthodontic treatment, parental counseling, and speech therapy to patients, a model which Rai says can be replicated globally.&nbsp; The caseload for cleft palates has fallen sharply and the Kiritpur center which used to carry out up to 1,200 cleft operations a year till a decade ago now performs half that.&nbsp; <h2>Burning need</h2>  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080844_9a3c5a83db7f5f9ef918acbe1093472f7c9c2c6e9266078038b34420e00208bf.jpg" data-media-id="editor_7" data-image-id="20230804080844_9a3c5a83db7f5f9ef918acbe1093472f7c9c2c6e9266078038b34420e00208bf" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Removing scars"> </figure>  But with the decline in cleft cases, there has been a growing need to treat burn patients at Kirtipur.&nbsp; Bhesh, 14, was playing in his home in western Nepal when he heard his mother shriek from the kitchen. She was cooking when the open fire spread and engulfed the house.&nbsp; Read Also: <a href="https://archive.nepalitimes.com/article/nation/burning-in-the-aftermath,3757">Burning in the aftermath,</a> Sahina Shrestha Four days later, both Bhesh and his mother arrived at Nepal Cleft and Burn Center. The long ride had been excruciating, and with burns over 30% of her body, his mother died shortly after. Bhesh went through several surgeries and skin grafts. Over a third of the patients admitted to the Centre are children, and half are women.&nbsp; “We think that the home is the safest place, but that is where most burn injuries occur,” says Rai. “The proportion of children with burns at the Center shot up to over 40% during the pandemic. At home they were more at risk.” Rural women are exposed to open fires, and children suffer because they are largely unsupervised in high-hazard settings. Disfigured burn patients have to deal with social stigma because they are seen as a sign of bad luck.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080848_0f27d63b1f3a521c61cdb69bc45799d40ba1bea94c60d094cab9e6b5d7279035.jpg" data-media-id="editor_9" data-image-id="20230804080848_0f27d63b1f3a521c61cdb69bc45799d40ba1bea94c60d094cab9e6b5d7279035" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Removing scars"> </figure>  The Center also treats burn violence usually perpetrated against women in the homes of in-laws, and this adds to the count of the 110 people who die of burns each year in Nepal. “Burns survivors in Nepal need more support,” says<a href="https://archive.nepalitimes.com/news.php?id=18771"> Wendy Marston, co-founder and advisor of Burns Violence Survivors (BVS) Nepal</a>. “Small acts of kindness from all of us, such as the spreading of education, and charitable giving, can go far in helping these survivors and patients.” BVS Nepal works with underserved patients in over 12 hospitals, providing funds for their treatment, therapy, and setting up businesses for survivors. Its prevention approach is shared by the Burn and Cleft Center which also holds burn awareness camps for community health workers and local people. “For household burns, awareness is surely the first step towards prevention,” Rai says. “But we can’t simply tell people what to do if they don’t have the means to act.” A WHO study shows that burns are the second most common injury in rural Nepal, accounting for 5% of disabilities in the country,&nbsp; Read Also: <a href="https://www.nepalitimes.com/here-now/tsering-sumjok-is-all-right">Tsering Sumjok is all right</a>, Sahina Shrestha “When we first started treating burns, we began with disabilities caused by post-burn contractures,” explains Nakarmi. “If the wound is in a place such as a joint, this causes the patient to lose mobility.”&nbsp; The Kirtipur team prioritises comprehensive care for burn contractures. But unlike with cleft palates, they failed to see any decline in the caseload even after years of effort. Rai says this is because burn survivors are not getting the treatment needed. Surgeons hope that using flaps and grafts they can reduce the occurrence of contractures. Nepal’s difficult geography keeps patients like Bhesh from quickly receiving care. Burn survivors from all over the country are referred to the few specialised centres in Kathmandu, but there is usually a long waiting list and it takes weeks before a doctor can see them.&nbsp; The Kirtipur Center has largely succeeded in minimising waits by enabling surgeons to go to patients instead of the other way around. This means patients at the Center receive the surgery they need within days of being admitted.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080852_34cfa9c4509717fa9b1fb8ff4184effa8d3e8d199b834ffae5ca43c117dd6611.jpg" data-media-id="editor_12" data-image-id="20230804080852_34cfa9c4509717fa9b1fb8ff4184effa8d3e8d199b834ffae5ca43c117dd6611" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Removing scar"> </figure>  But there are challenges. “Your treatment is not possible here,” were the words that Nepali Congress leader Chandra Bhandari heard at the Nepal Burn and Cleft Center where he was rushed there after suffering severe burn wounds in a gas cylinder explosion in February. Bhandari was eventually medevaced to Mumbai where he was successfully treated.&nbsp; “It is unfair that any Nepali should have to go abroad for burn treatment,” Bhandari told Nepali Times. “Our surgeons are the best in the world, yet they have had to rely solely on individual and community effort. The government urgently needs to support the surgeons, and I pledge to do what I can.”&nbsp; There are only 30-40 reconstructive plastic surgeons in the country, eight of them at Kirtipur, which offers a residency program for reconstructive plastic surgery affiliated with the National Academy of Medical Sciences program at Bir Hospital, whose curriculum was developed by Rai.&nbsp; While cosmetic plastic surgery is a booming profession in Nepal, the niche dedicated to burns treatment has not got the attention it deserves. Kirtipur Hospital, for instance, only has seven ICU beds, The country’s only skin bank at the Center has got only 31 donations in the nine years since it was set up.&nbsp; Read Also: <a href="https://archive.nepalitimes.com/article/nation/A-burning-desire-to-help,881">A burning desire to help</a>, Kunda Dixit With little government support, the Center mostly runs on international help for free treatment to about 600 patients a year. But even as its focus shifts from clefts to burns, international assistance is skewed in favour of cleft palates.&nbsp; “We get more donations than we need for clefts,” Rai reveals. “Burns are where we need greater investment, but because they are more expensive and complex, and have higher odds of ending in mortality, there is less interest from donors.” Not only is the government not providing needed help, its bureaucracy puts up obstacles every step of the way. Kirtipur Municipality received a donation of Rs2,900,000 for urgent burn treatment supplies. But red tape has delayed delivery. The Center now has an ambitious plan to establish a sustainable fund for free burns treatment by encouraging donations from well-to-do local Nepalis and the diaspora. The goal is not to have to turn to international donors for money. The Nepal Cleft and Burn Center will soon open a branch in Itahari of Sunsari district with the same level of care as Kirtipur.&nbsp; Says Nakarmi: “We don’t need big, lavish burn hospitals all over the country. We need a lot more primary burn centers where rural patients can receive immediate care, and then be referred to the larger centers if need be.” Nepal has seen major improvements in burn and cleft palate surgeries in recent years thanks to doctors like Rai and Nakarmi. Says Rai: “I am sure we will see a day when no patient seeking treatment in Nepal has to live with scars, both figuratively, and literally.”&nbsp;

Removing Scars

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203b79c7e80680e0b2821jpeg.jpg" alt="" width="960" height="695"/><figcaption>Tsering Sumjok Gurung with German plastic surgeon André Borsche (left) and Peter Hinze (right). Borsche had treated her childhood injury at the Sushma Koirala Memorial Hospital in Kathmandu. All photos courtesy: PETER HINZE</figcaption></figure>Last November, in the waiting room of a hospital in Bad Kreuznach in Germany, Tsering Sumjok Gurung caught glimpse of a familiar face.The tall man with graying hair and moustache was wearing a white coat over a yellow jumper. He was none other than plastic surgeon André Borsche who had treated her horrific childhood burn injury at the <a href="https://www.skmt.org.np">Sushma Koirala Memorial</a> Hospital in Kathmandu ten years previously.“It was an emotional reunion for both of us,” Tsering, now 23, remembers. “He was very friendly and wanted to see how my injuries had healed.”Tsering was 18 months old that summer when her family made the annual migration up to high pasture to graze their yaks. One day, while her mother was tending the livestock, Tsering fell off her crib right into the fireplace. She was badly burnt on her back, and right arm.Read also: <a href="https://archive.nepalitimes.com/article/nation/A-burning-desire-to-help,881">A burning desire to help</a>, Kunda Dixit<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203ba9c7e80680e0b2822jpeg.jpg" alt="" width="308" height="462">There were no doctors in her village of Bhijer, so she was treated for the next four years by the local <a href="https://archive.nepalitimes.com/article/nation/I-am-an-amchi,3349" target="_blank" rel="noopener noreferrer">amchi healer</a>. This kept her alive, but the skin on her right arm was fused with the torso. All her childhood, Tsering was carried around in a doko bamboo basket.“Burns are common in <a href="https://www.nepalitimes.com/banner/dazzling-dolpo/" target="_blank" rel="noopener noreferrer">Dolpo</a> because home life revolves around the kitchen fire,” says Tsering. “I was lucky.”Despite being painful to move around, Tsering started going to school in Bhijer and excelled in studies. In Grade 2, a group of wealthy American and Swiss trekkers visited the school that they had supported. They noticed Tsering, examined her injuries, and helped bring her to Kathmandu for school and treatment. Over the years, the two families have also funded a hospital and a cheese factory in the village.Tsering used to watch her classmates in Kathmandu run and play, or dance in school programs, but could not participate because of her injury. She was eventually admitted to the Sushma Koirala Hospital, which is supported by INTERPLAST-Germany, where André Borsche and his team performed five major operations with reconstructive surgery. Every week, she had to make a painful bus ride from her dorm in Boudha to the hospital in Sankhu for physiotherapy and follow-ups.She missed many classes, but she made up for it by reading books which inspired her to become a doctor, so she could serve her community in Dolpo. Not able to afford higher education, in 2017 she started working as a hostel warden at a school in Chobar.That is when she met German journalist Peter Hinze who was researching his first book on <a href="https://www.amazon.com/The-Great-Himalaya-Trail/dp/3957281377" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=https://www.amazon.com/The-Great-Himalaya-Trail/dp/3957281377&amp;source=gmail&amp;ust=1641892465582000&amp;usg=AOvVaw3DjWYFudXKEdEQ0H4UlQmW">The Great Himalayan Trail, </a>and Tsering later travelled with him to Upper Dolpo to make a film with herself as the lead character.Tsering was back in Bhijer for the first time in ten years, and her family and neighbours were surprised how much she had grown and changed. Her injuries were not visible anymore, and no one could believe that a little girl who had such terrible injuries would be so transformed.Read also: <a href="http://archive.nepalitimes.com/news.php?id=18771#.Ydv72C8w3u0">Lending a hand</a>, Nepali Times“I met the right people who helped me get treatment otherwise my life would have been different,” Tsering says. “Even now, there are many children in my neighbouring villages who are not as fortunate.”The film project was cancelled because of the pandemic, but Hinze converted the research into the book 100000 Schritte zum Glück about Dolpo, and invited Tsering to Germany for the unveiling in November. The book made it to number 4 on Amazon's best seller list in Germany.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203bd9c7e80680e0b2823jpeg.jpg" alt="" width="169" height="242">And he had a surprise in store – a meeting with the surgeon who had treated her in Kathmandu all those years ago. It was an emotional and joyful reunion.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203bf9c7e80680e0b2824jpeg.jpg" alt="" width="960" height="641"><figcaption> </figcaption></figure>“This was one of the best days in my 26-year career, when I could see the wonderful result of our charity work,” said André Borsche.Tsering was equally happy: “I made it from my family stone hut in Bhijer to the hospital in Germany to meet the surgeon who changed my life.”Read also: <a href="https://www.nepalitimes.com/here-now/nepals-acid-attack-survivors-find-a-saviour/">Nepal’s acid attack survivors find a saviour</a>, Sabina Devkota<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203c19c7e80680e0b2825jpeg.jpg" alt="" width="750" height="1000">In the hospital, Borsche examined her burn scars and was satisfied with how well her back had healed. He suggested one more operation, but Tsering refused any more treatment.“I am over medical procedures for now,” Tsering told Nepali Times on her return from Germany. “After all those surgeries, I am put off by the sight of blood. I don’t want to think about the pain afterwards. For now I think I am ok.”These days, when Tsering is not busy with her full-time work at the Chobar school, she helps Hinze with Project Dolpo, a private initiative to help those who need assistance in her home district. She gets frequent calls from families in Dolpo who are in distress.Says Hinze: “I think this is a motivating story about a girl who never gave up, and who trusted herself. It shows how when help gets to the right people, the underprivileged and the almost forgotten, it can make a big difference to their lives.”This past week in Kathmandu, Tsering has been busy taking a seven-year-old boy from Dolpo who was also badly burnt with boiling water, and was brought to Kathmandu for treatment. Tsering has been taking the patient to the burns hospital in Kirtipur for medical attention.“It happened to me, and now to this boy. These accidents occur so frequently and Upper Dolpo just does not have the facilities to treat burn injuries,” says Tsering.For now, she wants to complete her education and ultimately return to Dolpo: “I feel it is my responsibility to give back to my community. The only way my village is going to develop is when young people like me get educated, and head back to help others like us. There is so much to do.”Read also: <a href="https://www.nepalitimes.com/here-now/the-prolonged-trauma-of-acid-attack-survivors/">The prolonged trauma of acid attack survivors</a>, Laxmi Basnet

Sahina Shrestha

Tsering Sumjok is all right

As this report is uploaded, the latest results in Nepal’s election show that the Rastriya Swatantra Party (RSP) is headed for an even bigger sweep than most had predicted.
The RSP was leading by large margins in 49 of 165 constituencies, &nbsp;with the UML, NC and NCP trailing far behind. Prominent political figures from the old parties like K P Oli, Minwndra Prasad Rijal, Ishwar Pokhrel, Bishnu Prasad Poudel, Bimalendra Nidhi all seem headed for defeat.
It does look like the RSP’s bell election symbol is ringing right across Nepal — from cities to the remotest districts in the mountains and plains. The party’s blue colour is sweeping the land.
The Nepali people seem to have sent a clear message that they were throughly dissatisfied with the chronic failure of the three main parties to work in the national interest to create jobs and deliver development. It was also an expression of lingering outrage over the the 8 September massacre outside Parliament. &nbsp;
It now looks almost certain that Balendra Shah will get to be Nepal’s next, and youngest, prime minister. Hopefully he will be leading a cabinet of competent and honest technocrats. It remains to seen how the power equation between Shah and the RSP’s leader, Rabi Lamichhane will play out.
Lamichhane is out of jail on bail for fraud cases which he has called political vendetta by the previous regime. Both he and Shah are charismatic and ambitious. Their working relationship will determine Nepal's political stability and whether it can avoid the political cronyism of the past.
This election was not just about casting votes. It was about standing up to principles and a value system, and respecting the hopes and aspirations of Nepal’s youth. It to push for transparent government and against impunity — including for the gunning down of young Nepalis in cold blood.
<div class="embed-block"><iframe src="https://election-geo-dashboard.pages.dev/" width="100%" height="600" frameborder="0"> </iframe>Live election results as winners of candidates are announced.</div>
CAN DO MAN
Shah got mixed reviews as mayor. He was impulsive and ad hoc, but most people inKathmandu and beyond liked his can-do attitude and unconventional style which stood in sharp contract to the legacy leaders. Over his three year mayorship he showed more maturity and planning capacity.&nbsp;
But he always ran headlong into opposition from the federal government over his urban planning and other initiatives to make Kathmandu more liveable. Coming from a civil and structural engineering background, he was involved in building low-cost housing after the 2015 earthquake.
But his public persona is more tied to his irreverent rap lyrics that stood up for the marginalised underprivileged in society, while exposing the high-handedness and apathy of the state. But this also exposed contradictions because he also used his own municipal guards to beat and chase away street vendors and squatters.
But there is no doubt that a combination of the sharp messaging in his rap videos amplified by the algorithms of social media ignited Nepal’s youth to rise up. It was more about optics and emotion than policy and strategy.
He studied Kathmandu district for five years, visiting experts in every field before announcing his independent candidacy for mayor in 2022. Many like me in his own constitunecy did not know who he was and where he came from.
He is a year younger than my architect son, and I saw in him a reflection of my own son’s commitment to serving the nation. I voted for him to be mayor despite his sometimes erratic behaviour, which could be attributed to his youth.
The best sign of his strategic planning, which unsettled septuagenarian and octogenarian politicians, is the he did not grab the first easy option of becoming prime minister in September when GenZ activists offered him the post.&nbsp;
Joining RSP was a masterstroke, as was his challenge to Oli in Jhapa to project national branding. He needed a party platform and Lamichhane needed a popular prime ministerial persona since he himself could not hold the post.
Shah has shown the capacity to take risks when he believes the value justifies the action for the country. Now, he will have to show more strategic thinking on a national scale, as well as understand the delicate geopolitics of Nepal.&nbsp;
He must rise above the kind of crude social media posts that earned him followers on X, but did nothing to erase his erratic and impulsive image.&nbsp;
Some assume that behind his trademark RayBan shades is a closet dictator, and his past remarks about Hitler are still up on social media. He has in the past shown impatience with criticism, unleashing supporters on social media to troll detractors.&nbsp;
Even so, the public seems willing to place their hope on an educated young man with integrity and a proven record for planning at the helm. By tomorrow it will be clear whether the hope Nepalis have held has been fulfilled, and the coming years will show if the RSP will lead Nepalis to a better future.
The voters seem to have shown the door even to the NC despite the fact that under Gagan Thapa, the party had turned a new leaf. A strong government under Prime Minister Balendra Shah heading a carefully selected cabinet and a strong opposition of the NC, UML and other parties for check and balance may be just what we need for a stable Nepal.&nbsp;
Nepalis have collectively always shown maturity in elections. This time they have given a resounding endorsement for integrity and for good governance.

Bells ring all over Nepal

Nepal conducted its post-GenZ movement early election on Thursday in a peaceful and orderly manner, although turnout was below average in most districts. In fact, some constituencies saw voters reject the election, including in Arghakhanchi and Mustang.&nbsp; Preparation for the polls had to be done hurriedly after the September protests, with little time for political parties to work on their manifestos and campaign. But the election did push most parties to field younger, fresher and untainted candidates. This was more a <a href="https://nepalitimes.com/news/old-vs-new-vs-new">personality-driven election for the next prime minister</a> than a traditional parliamentary poll. The three main parties had pre-emptively announced their prime ministerial candidates although the chief executive is supposed to be decided by the largest party in the House.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514034_00809e41288d8dd46d1c8915e8e39fba09892049cfda37ba347e4b23989e94c0.jpg" data-media-id="editor_1" data-image-id="2026030514034_00809e41288d8dd46d1c8915e8e39fba09892049cfda37ba347e4b23989e94c0" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="Nepal elections"> <figcaption>Balendra Shah</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514034_d288f2cbe05c9c1376e315ea4f24528c5ee63766c978657aee8848eb9f87f4ea.jpg" data-media-id="editor_2" data-image-id="2026030514034_d288f2cbe05c9c1376e315ea4f24528c5ee63766c978657aee8848eb9f87f4ea" data-rendition-name="original" width="1600" height="1066" loading="lazy" alt="Nepal elections"> <figcaption>Gagan Thapa</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514034_3e2c1c4595b3aa3a4b0c6ca80aa6243e7c5c6e5d232c9295a380c565f85bd233.jpg" data-media-id="editor_3" data-image-id="2026030514034_3e2c1c4595b3aa3a4b0c6ca80aa6243e7c5c6e5d232c9295a380c565f85bd233" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="Nepal elections"> <figcaption>K P Oli</figcaption> </figure>  Going by the noise on social media sites, there seemed to be overwhelming support for the Rastriya Swatantra Party (RSP) and its prime ministerial hopeful, former Kathmandu mayor <a href="https://nepalitimes.com/here-now/political-rap">Balendra Shah</a>. Standing against him in his home turf was K P Oli, of the UML who was forced to resign after the 9 September protests. Although the UML was fielding a tried and tested leader, the Nepali Congress (NC) has tried to carry forward the GenZ aspiration for change by putting forward its new party leader Gagan Thapa as its prime ministerial candidate. The lower-than-average turnout appears to have been driven by several factors: a public that is apathetic towards the older parties but is not yet convinced by the capability of the new. Limited time campaigning, and the over-idealistic manifestos of the parties does not seem to have fired up the electorate.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514038_50394032b053d433ed039aeb6d2c00a491d2a56b48a67e55e27fbffe7e4c7fe4.jpg" data-media-id="editor_5" data-image-id="2026030514038_50394032b053d433ed039aeb6d2c00a491d2a56b48a67e55e27fbffe7e4c7fe4" data-rendition-name="original" width="1280" height="854" loading="lazy" alt="Nepal elections"> <figcaption>Photos: ADITYA KHARE</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514038_84677be963084003c9a3d3fec0b8f95ab9b9db08c160f08c82aa03b02cb81260.jpg" data-media-id="editor_6" data-image-id="2026030514038_84677be963084003c9a3d3fec0b8f95ab9b9db08c160f08c82aa03b02cb81260" data-rendition-name="original" width="1280" height="854" loading="lazy" alt="Nepal elections"> </figure>  The low turnout is also a reflection of massive outmigration from rural districts, and the requirement that voters had to go to their own home constituencies to vote. And since the Election Commission could not organised ballot by mail or online voting, most of the estimated 4 million voters abroad also could not cast their ballots. To be sure, Nepalis abroad do represent an anti-incumbent vote bloc, and they have influenced families and friends back home through social media. The trend towards RSP and younger candidates is therefore a rejection of the old, and a protest vote against the legacy parties rather than full support for the new ones. Many migrants who were coming back to vote were also stuck in West Asia after the war broke out between Iran and Israel-US. Airlines have had to make drastic rerouting plans, and at least 21,000 flights have been cancelled. The conflict will affect petroleum imports including LPG and aviation fuel, if it continues any longer. Although our reliance on fossil fuels is declining, thanks to the increased electrification of transport and cooking, the shortage might be the first crisis for the new government of Nepal to tackle.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514038_986438337f2af271ab33d267560b8a25691a72292aae074488dc8e77f27cf9c1.jpg" data-media-id="editor_7" data-image-id="2026030514038_986438337f2af271ab33d267560b8a25691a72292aae074488dc8e77f27cf9c1" data-rendition-name="original" width="2048" height="1536" loading="lazy" alt="Nepal elections"> <figcaption>Polling in Sangjya. Photo: SHRISTI KARKI</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514038_dd2624707dae59f3b32fdebb402a3edfbfe99a4031f4f43dd4522ef7c58bfab0.jpg" data-media-id="editor_8" data-image-id="2026030514038_dd2624707dae59f3b32fdebb402a3edfbfe99a4031f4f43dd4522ef7c58bfab0" data-rendition-name="original" width="1523" height="2030" loading="lazy" alt="Nepal elections"> <figcaption>Photo: SUDIKSHA TULADHAR</figcaption> </figure>  There were 18.9 million registered voters nationwide, and the 60% turnout this time follows a declining trend, possibly making it the lowest in Nepal's polling history. In the first federal election in 2017, the turnout was an impressive 67%, which dipped to 61% in the 2022 election, although it was slightly higher in the municipal election. The EC has started counting the votes on Thursday evening and hopes to have the winners of the FPTP candidates out within 24 hours, however the tallies of the Proportional Representation ballots for the parties may take up to a week.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514034_8ff38b016d3cb75f27343ebe5d826f9201bfefffb6147dcbb0c415071ceb472d.jpg" data-media-id="editor_9" data-image-id="2026030514034_8ff38b016d3cb75f27343ebe5d826f9201bfefffb6147dcbb0c415071ceb472d" data-rendition-name="original" width="1616" height="1080" loading="lazy" alt="Nepal elections"> <figcaption>Ballot boxes being collected. Photos: AMIT MACHAMASI</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514034_6e6f6a792db2790533b7ef261e51dbdc07745ee96b80eaa8edc5abab4c7cfd21.jpg" data-media-id="editor_10" data-image-id="2026030514034_6e6f6a792db2790533b7ef261e51dbdc07745ee96b80eaa8edc5abab4c7cfd21" data-rendition-name="original" width="1616" height="1080" loading="lazy" alt="Nepal elections"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026030514034_75951a6583c17a741e3f9bd1abb796bbefed335cb6e694e5cddf519bfd0b9ed4.jpg" data-media-id="editor_11" data-image-id="2026030514034_75951a6583c17a741e3f9bd1abb796bbefed335cb6e694e5cddf519bfd0b9ed4" data-rendition-name="original" width="1616" height="1080" loading="lazy" alt="Nepal elections"> </figure>  Many have praised the interim prime minister installed six months ago by the GenZ movement, former chief justice <a href="https://nepalitimes.com/news/mission-nearly-accomplished">Sushila Karki</a> for conducting the polls on time as promised—a task that looked impossible until a few months ago, especially considering how Sri Lanka and Bangladesh suspended their electoral processes for a long time following their own youth uprisings. Balen Shah also took to his social media to commend Karki. He wrote: 'हजुरको नेतृत्वमा आज लोकतन्त्रले जितेको छ । <a href="https://www.facebook.com/hashtag/%E0%A4%86%E0%A4%AE%E0%A4%BE?__eep__=6&amp;__cft__[0]=AZYlGAeGzdXOS93cs8uOYTfW2l5YtXypnOpQOwFwdzWQQ2X_sLcqe_tqk518ULo-ftJnT5sCeT83L5zqMhzL09YgqxYLxDTzkHRSXiEtegetmKjz0ZbMz54cS2KFOKvPtqdHCZn4J6N0i4IvRDSXgHcCdLLd3kQYflb-Popks3zpA3O9Pqd4_Yh9efVCtMUPumJdN0l-y32bQLREPIMYm_mnJDYHbgoUy9iRUGMu1IOGHQ&amp;__tn__=*NK-y-R" target="_blank">#आमा</a>' (Democracy has won under your leadership. #mother). After casting her vote from Kathmandu on Thursday, Karki said: “I have fulfilled my responsibility towards the nation, let us hope the people’s wish for stability and prosperity will be fulfilled by the new elected government.”

Nepal votes with below average turnout

After Thursday’s election, Nepalis are in a wait-and-watch mode. The Election Commission says counting ballot papers will be expedited this time, and the results for the First-Past-The-Post (FPTP) will start being declared within days. In 2022, it took three weeks for the final results to be tallied.&nbsp;
But winning an election is only half the challenge for the parties, forming a government under parliamentary politics is like a complicated mathematical equation.&nbsp;
In 2022, the Nepali Congress (NC) emerged as the biggest party, winning 89 seats. But the UML with 78 seats and the Maoists with 32 formed a minority government. In fact, Sher Bahadur Deuba did not become PM then despite leading the biggest party in Parliament.
This time, there is an unmistakeable Rastriya Swatantra Party (RSP) wave led by its prime ministerial candidate, Balendra Shah. Besides his own popularity, Shah represents change which most Nepalis are clamouring for after decades of corrupt and feckless coalitions that did not deliver.&nbsp;
The past months of campaigning has seen massive youth engagement on social media through memes, AI clips, and viral images. Digital content that appeals to emotion rather than policy debate between candidates shape electoral outcomes in Nepal and elsewhere. &nbsp;
Shah represents GenZ aspirations, and was their candidate for prime minister. It was only when he declined that Sushila Karki was nominated. None of the political parties in the recent past -- new, old, or revolutionary — have won enough seats to go it alone.&nbsp;
The most recent majority government was formed by the short-lived Communist Party of Nepal after the UML-Maoist merger in 2022. But that rare two-thirds majority collapsed after a power struggle between K P Oli and Pushpa Kamal Dahal. The only party to have won a majority was the NC in the 1991 and 1999 elections. But it is near impossible for it to repeat this success now, even with Gagan Thapa's rebranding of the party.&nbsp;
We have compiled these possible scenarios for election outcome in order of likelihood:
RSP gets a majority
RSP hits the magic 138 to form a government entirely on its own. Balendra Shah wins Jhapa-5, and becomes the new prime minister at 35, the youngest ever to hold the office in Nepal. But danger lurks: there could be a personality clash between Shah and Lamichhane who are both equally ambitious. History could repeat itself.&nbsp;
RSP wins but does not get a majority
RSP is likely to sweep the most votes, but what if it does not secure enough seats for a majority? It would need a coalition partner and Nepali Communist Party (NCP) under Pushpa Kamal Dahal could fit the bill, but only if it has the numbers. The RSP is not likely to team up with the UML or NC.
The NCP is relatively untainted by the 8 September events, and also has former UML defectors like Madhav Kumar Nepal and Bhim Rawal who could bag their rural vote banks. After all, there are no permanent foes in politics. If the royalist RPP and Tarai-based Janata Samajwadi have enough seats, those could be options for the RSP. &nbsp;
NC is second
The NC under the new leadership of Gagan Thapa could become the second biggest force and form a government with RSP in a power-sharing deal with Shah. This would be the most stable scenario since the RSP and NC have competent and idealistic young technocrats. Thapa himself embodies a strong combination of both old and new politics to navigate the system for more efficient government. But then Thapa and the RSP's Rabi Lamichhane do not get along.
NC and NCP form a majority
If the NC becomes the largest party but not by a big margin, it could join up with the NCP and Ujyalo. Teaming up with the UML would likely face backlash with the party and outside. If Gagan Thapa becomes prime minister he will face internal pressure from both Deuba loyalists. Same old story.
Minority coalition of NC, UML and NCP
RSP becomes the first party but does not get a majority, paving the way for the three legacy parties to cobble together a minority government. While this is possible in Nepal’s parliamentary system, such a scenario is likely to lead to more instability and dissatisfaction among young Nepalis demanding change, and even trigger street unrest. &nbsp;

The magic 138

Of the nearly 19 million eligible voters in next week’s election in Nepal, an estimated 5 million are abroad and cannot cast their ballots. Many others within Nepal must travel to their home districts, and might decide not to because of the cost.
Flights into Kathmandu these days are full of global Nepalis returning just to vote, but almost as many are leaving for overseas jobs. Most of those coming or going are in the 20-40 age group, and a majority want Nepal to see a change in leadership.
Bangladesh held an election this month in which citizens overseas could vote by mail.&nbsp;
“Bangladesh made maximum use of technology not just for campaigning but also for polling itself. We could have also managed this, so people within Nepal did not have to travel to their home districts to vote,” says Mohna Ansari, former head of Nepal’s National Human Rights Commission who was an election observer in Bangladesh.
A 3-day holiday has been declared so people can travel to their home constituencies to cast ballots. Even if there was not enough time to manage ballots for overseas Nepalis, it could have been done for Nepalis within Nepal.
Former Chief Election Commissioner Bhojraj Pokharel reckons that physical voting in countries with a large Nepali diaspora would have been a logistical nightmare, but in the PR system, using electronic voting machines or paper ballot could have been piloted in some places. It is not possible to manage the entire voting process until we introduce the internet voting system.
“First of all, there needs to be political will to bring the policy and be ready to undertake that level of investment and it is not a one-time cost,” Pokharel says. “A government formed by the GenZ could have atr least issed an ordinance ensuring this right, piloted out-of-country voting where possible, which could have built pressure for the future Parliament and the government. It would have given people hope. It is a lost opportunity.”
All major political parties called for voting rights for global Nepalis in their manifestos, but these very leaders blocked legislation allowing it despite a 2017 Supreme Court ruling out of fear that it would be anti-incumbent.&nbsp;
<h2>Why so late?</h2>
Bangladesh delivered election results in just one day, but the final results of Nepal's last local polls in 2022 including that of Kathmandu constituencies took nearly a month.
Acting Chief Election Commissioner Ram Prasad Bhandari said this week that the results of the First-Past-The-Post (FPTP) ballot counting would “likely” be published within 24 hours of the poll closing at 5PM on 5 March. But many are skeptical.
“I wonder if we lack the capacity or know-how to announce results as quickly as possible,” says Mohna Ansari.
Former Chief Election Commissioner Pokharel says manual ballot paper counting in Nepal is inherently slow because of the large numner of political parties and/or candidates on the ballot, the counting mechanism, the political behaviour of the candidates/parties and some managerial issues during counting.
“Our present policy is to count all the ballot papers at the returning officers' officies, located at the district headquarters. It requires collecting ballot boxes safetly first. This takes time, and there have been cases of ballot boxes being damaged or stolen during transport. In a few highly difficult, geographically remote polling centres, we use a helicopter or transport. But sometimes, accommodating the party and candidates' representatives remains challenging,” explains Pokharel. A solution could be counting ballots at the very booths where they are cast.
Another reason for the delay is simply the number of political parties, and the need for each ballot paper to be examined by booth representatives for consensus. In close races, the smallest difference can lead to tense situations, further delaying results, even though counting centres are protected by metal fencing so there is no disruption.
After this, then it is the turn of Proportional Representation (PR) ballots to be counted. Weeks pass by the time the results of candidates and parties are tallied and verified. But the most common delay is because election officers think ballot counting is a nine-to-five job.&nbsp;
“The efficiency of poll station officers is most important, and they are incentivised for this,” says Ansari, adding that counting can even start within an hour after voting closes.
In remote areas, local resources could be mobilised to make counting quicker, but there is a crisis of trust, adds Ansari.&nbsp;
That could be easily solved with electronic voting which the EC implemented in the 2008 polls but discontinued because political parties felt the machines could be hacked or manipulated.