Phewa Lake in Pokhara used to be much bigger, but it has been shrinking because of the sediment brought down from the surrounding mountains as well as human encroachment. The slopes above the lake used to be heavily denuded, and there was severe soil erosion because Pokhara Valley gets one of the highest annual rainfall in Nepal. To trap the silt, small dams were constructed across streams that flowed into the lake, but the Community Forestry Program restored the catchment’s lush vegetation reducing sedimentation. However, there is now a new danger: extreme weather caused by climate breakdown. And it was here exactly 10 years ago on 28 July 2015 that torrential rain over two days killed over 30 people in Kaski district. Thirteen of them were swept away in a flashflood on the Harpan Khola. But a month later, there was such heavy rain that even the thickly forested mountain above could not prevent a landslide that killed more people. Teacher at the local school, Arjun BK, lost several of his students in that disaster. The tragedy was so traumatic that it left a deep emotional wound that he carries to this day, a decade later. Returning to the classroom to see the empty desks became too unbearable. “That’s why I quit my job as a teacher”, BK told us as he showed us around the village which still bears scars of that landslide and flood ten years ago. Teaching, once a source of joy, became a source of anxiety, grief and frustration. BK showed signs of post-traumatic stress: he would find himself angry, would be cross with his students. Aware of his declining mental health, BK made the difficult decision to leave his job. BK’s struggle also exposed an aspect of climate breakdown that has not got as much attention: how climate change induced disasters are affecting the mental health of survivors. He then founded Koshish Kaski, an organisation working on mental health awareness and care. Koshish Kaski is a satellite organisation of Koshish Nepal, which is the country’s first mental health organization. BK’s symptoms aligned with post-traumatic stress disorder (PTSD): negative thoughts, irritability, difficulty in emotion regulation and avoidance of places that reminded him of the trauma.&nbsp; “I realised these symptoms were not only affecting my mental well-being, but also compromised my ability to teach effectively, so I quit on time,” says BK, while admitting that not everyone has the wisdom to recognise the wounds, nor the privilege to quit their jobs.&nbsp; Many continue teaching while silently struggling, and this can profoundly impact the student’s growth in the process. Arjun BK’s neice Devi Sunar survived the disaster ten years ago, and recalls how her farming community along the Haadi Khola struggled with trauma, fear and sleepless nights. Sunar herself has noticed that the once-predictable weather pattern in the mountains has changed, the monsoons are erratic, springs have dried up, and it is hotter than before. This has led to a decline in harvests – adding to crop loss due to raids by monkeys and wild boar. All this have placed psychological and economic strain on farmers like Devi Sunar.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250728110724_c61b3f30d270385f2def34c7a41ef1e7b049b520038a45c90b77c209c4f75265.jpg" data-media-id="editor_0" data-image-id="20250728110724_c61b3f30d270385f2def34c7a41ef1e7b049b520038a45c90b77c209c4f75265" data-rendition-name="original" width="1420" height="716" loading="lazy" alt="climate disasters in Nepal"> <figcaption>The site of the flashflood 10 yeas later. Photo: KAREN SUDMEIRE</figcaption> </figure>  Studies have found that women are more susceptible to anxiety and depression, and this is corroborated by Arjun BK’s own findings at Koshish Kaski. Climate-related disasters and crop loss add to gender discrimination at home and work. The stress, he found, can disrupt hormonal balance leading to irregular menstrual cycles and poor general health.&nbsp; Along with women, ethnic and ‘lower’ caste groups are more affected by climate-related disasters. Indeed, most of the lives lost in the 2015 disaster were from marginalised groups. In Nepal, these communities are more vulnerable because they live in riskier terrain, have limited access to resources, and heavy dependence on the natural environment for subsistence agriculture. To the north of Pokhara in the Trans-Himalayan Mustang district, farmers say winter rain and snow have failed for the past three years. This is critical since the region’s apple orchards need snow to moisten the soil in spring, as well as control pests.&nbsp; In Kagbeni at the confluence of the Kali Gandaki and Jhong Khola, there are still signs of the devastating debris flow that came down in August 2023, washing away 35 homes, a monastery, livestock and infrastructure.&nbsp; “Luckily, no human lives were lost because there was warning from upstream communities,” recalls Kagbeni Mayor Phenchok Tseptan.&nbsp; Although that flood was likely caused by a landslide lake outbrust upstream, local people suffer anxiety and spend sleepless nights even if there is a light drizzle as it brings back memories of that terrifying day.&nbsp; Because of the lack of awareness and societal taboo about mental health, few in Nepal link climate-related disasters like the ones in Kaski and Mustang to post-traumatic stress or generalised anxiety disorder. And as the Harpan Khola tragedy shows, the impact can be felt even a decade or more later. Arjun BK is a rare survivor of a disaster who not only spoke up about his condition, but also chose to do something about it and help others suffering silently. In recent years, mental health awareness has reached many communities across Nepal and the government has announced plans to establish outpatient mental health units in hospitals.&nbsp; Teachers in schools are also being trained to recognise and care for those who struggle silently with mental health issues – especially after climate-induced disasters. Better early-warning systems to reduce the impact would be a way to prevent trauma, anxiety and stress in the first place.&nbsp; Anek Rajbhandari is a graduate of New York University in Abu Dhabi and has a background in Psychology. The article is a part of author's involvement in Lumbini to LoManthang project by Duke University (Planetlab), IHRR, HUC, FEED and Karmaflight.

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The unseen wounds of climate disasters

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141128/636cfca39c7e80680e0a0b9djpeg.jpg" alt="" width="3000" height="900"/><figcaption>The receding Khumbu Glacier below Mt Everest, and Cholatse Lake in Nepal. Photo: ALTON C BYERS</figcaption></figure>Human activities are damaging the planet at an alarming and unprecedented rate. The latest <a href="https://www.ipcc.ch/report/ar6/wg1/#SPM" data-saferedirecturl="https://www.google.com/url?q=https://www.ipcc.ch/report/ar6/wg1/%23SPM&amp;source=gmail&amp;ust=1628763074514000&amp;usg=AFQjCNEuRmAKNU4DKxDTR6sZbkrleWAaAw">report</a> by the UN climate science body IPCC, released this week, lays out startling facts on global warming. The report acts as a stark reminder that inaction will exacerbate the climate-related impacts the world is already facing. It confirms that Earth’s temperature is higher now than it has ever been in the last 125,000 years.The world has already warmed on average by 1.1°C compared to pre-industrial times due to human induced climate change. Each of the last four decades has been successively warmer. As a consequence, climate extremes such as heat waves, extreme precipitation, droughts and storms are on the rise, <a href="https://www.nepalitimes.com/banner/disasters-in-nepal-come-in-waves/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/banner/disasters-in-nepal-come-in-waves/&amp;source=gmail&amp;ust=1628763074515000&amp;usg=AFQjCNFF4km5LNsqpgkHS40SXEP0XxKOCw">including in Nepal</a> where floods have already claimed about 100 lives just this year.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141128/636cfca59c7e80680e0a0b9ejpeg.jpg" alt="" width="640" height="572"><figcaption>Historical warming of the earth. Source: IPCC</figcaption></figure>Unprecedented pace of glacier retreatThere is no doubt that mountainous regions are at the forefront of climate impacts:  for example, high intensity rain and mountain slope instability can wash out roads and bridges, thereby affecting access to rural areas, and rapid change in mountain snow will have far reaching effects on both upstream and downstream.The IPCC report confirms that the rate of ice sheet loss increased by a factor of four in the last three decades. Through their climate warming greenhouse gas emissions, humans are the main cause of the global retreat of glaciers. The current rate of ice sheet loss, with almost all of the world’s glaciers retreating synchronously since the 1950s, has been unprecedented in at least the last 2,000 years.The unprecedented pace of glacier retreat at the global scale is more alarming in the Himalayas. Two years ago, the <a href="https://www.icimod.org/landmark-study-two-degree-temperature-rise-could-melt-half-of-glaciers-in-hindu-kush-himalaya-region-destabilizing-asias-rivers/" data-saferedirecturl="https://www.google.com/url?q=https://www.icimod.org/landmark-study-two-degree-temperature-rise-could-melt-half-of-glaciers-in-hindu-kush-himalaya-region-destabilizing-asias-rivers/&amp;source=gmail&amp;ust=1628763074515000&amp;usg=AFQjCNGt4zvQzrZY-rYUYDPjdo6l7e_Lrg">Hindu Kush Himalaya Assessment</a> report by ICIMOD confirmed that even if global warming is limited to 1.5°C, temperatures will remain at least 0.3°C higher in the Hindu Kush Himalayas (HKH), and at least 0.7°C higher in the northwest Himalaya and Karakoram regions of Pakistan. As a consequence, 36% of the glaciers in the region will be gone by 2100. And this is the “best case” scenario where the world manages to limit warming to 1.5°C and avoid the worst impacts of climate change.Climate change is also intensifying the water cycle and affecting rainfall patterns. The IPCC report confirms that the intensity and frequency of hot extremes, including heat waves, and heavy precipitation, as well as agricultural and ecological droughts continue to increase as temperatures rise. For South Asia including Nepal, the average precipitation as well as heavy rainfall events are projected to increase. This will result in more flooding and landslide events. All this will have far reaching consequences across the region with water-dependent energy sectors and water-intensive agricultural systems.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141128/636cfca89c7e80680e0a0b9fjpeg.jpg" alt="" width="640" height="315"><figcaption>Projected global temperature rise under the intermediate, high and very high GHG emission scenarios considered. Source: IPCC</figcaption></figure>Highlands to Islands linkagesThe impacts of melting glaciers are not only limited to the mountainous regions. Rapid ice sheet melt could lead to catastrophic sea level rise even before the end of the century. As outlined in the IPCC report, the global mean sea level has already risen by 20 cm and will continue to do so for thousands of years.The IPCC report confirmed that combined ice sheet and glacier mass loss contributed to 42% of this global mean sea level rise from 2006 to 2018.The report states with greater certainty than previous reports that mountain and polar glaciers will continue melting for decades and centuries to come. Continued ice sheet loss will also release greenhouse gases into the atmosphere -- as temperature rises and permafrost thaws, it decomposes and emits carbon, further amplifying climate change that is causing it to melt.Rising temperatures could melt most mountain glaciers and add more to the sea level rise, both leading to the extinction of small islands and mountain habitats. This cycle that binds the highlands to the islands demonstrates the need for collaboration between mountainous and island countries in the international climate change discourse.  Such collaboration could help to amplify the voice of most vulnerable nations calling for the major emitters to take urgent actions to reduce emissions.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141128/636cfca99c7e80680e0a0ba0jpeg.jpg" alt="" width="640" height="546"><figcaption>Future annual emissions of CO₂ under the five scenarios SSP1-1.9, SSP1-2.6, SSP2-4.5, SSP3-7.0 and SSP5-8.5. Source: IPCC</figcaption></figure>Path to followThe IPCC report clearly shows the grave risks of exceeding 1.5°C above pre-industrial levels – an upper limit of warming which the global community has agreed to in the Paris Agreement. Yet, from the perspective of a mountainous country, even a 1.5°C temperature rise is too much, which will lead to one third of the Himalayan glaciers to disappear with devastating consequences for the region.All decisions from now on, therefore, must be guided by the fact that every extra tonne of carbon dioxide and other greenhouse gases will lead to more warming and any increase in warming will lead to devastating impacts on lives, livelihoods and ecosystems across the world.The most vulnerable countries, including mountainous areas, are already at the forefront of fatal climate and weather disruptions. These countries with limited resources will continuously require international support to combat climate change, and at a scale well beyond current levels. The IPCC report must act as a wakeup call for all governments, in particular the biggest polluters such as the G7 and G20. They must take urgent action in response to the climate emergency, starting by adopting robust and bold 2030 climate commitments by the next UN climate summit - the <a href="https://unfccc.int/process-and-meetings/conferences/glasgow-climate-change-conference" data-saferedirecturl="https://www.google.com/url?q=https://unfccc.int/process-and-meetings/conferences/glasgow-climate-change-conference&amp;source=gmail&amp;ust=1628763074515000&amp;usg=AFQjCNHXeAsyEsnaY7moQlGAVCE0LJc8zA">COP26</a> - in November.Manjeet Dhakal is Head of LDC Support Team at Climate Analytics and serves as an Advisor to the Chair of the Least Developed Countries Group at the multilateral process of the UNFCCC. He provides scientific, strategic and high-level climate leadership support for the LDCs’ in climate change UN-related processes.

Mountainous regions face catastrophic impacts without urgent climate action

Climber, expedition leader and later a supplier of bottled oxygen to Himalayan mountaineers, Henry Barclay Todd died on 3 November 2025 in his favourite place on earth, Kathmandu.&nbsp;
Todd was larger than life, a metaphor often used, yet it could not be more fitting. Standing nearly 2m tall, and possessing an unshakeable will, he lived life on a grand scale, both in body and spirit.&nbsp;
Todd was a pillar in the Himalayan climbing community, supporting many mountaineers across Nepal and Pakistan, making it possible for them to fulfil the dream of standing on the world’s highest peaks. He believed deeply in the strength, skill, and potential of the Sherpa people, and offered them opportunities that might otherwise have remained out of reach.&nbsp;
“Thank you, Henry. Your trust changed my life. Rest in peace, my leader, my teacher, my friend,” said Dorjee Gyelzen Sherpa in his tribute.
Born in 1945 to Royal Air Force officer Henry Todd and May Todd of the Women’s Royal Air Force, Henry spent his early years in Singapore. He led a lively childhood with his two brothers, far removed from the mountains that would later define his path.&nbsp;
A gifted swimmer like his father, Henry never pursued the sport professionally. Instead, after returning to Dundee as a teenager and attending seven different schools, he set off for London, where he began working for an insurance company before finding his true calling in adventure.
Henry Todd first came to Nepal in the mid-1980s and made his first attempt on Ama Dablam in 1987, an expedition that marked the beginning of an extraordinary and colourful climbing career. <a href="https://www.himalayandatabase.com/" target="_blank">The Himalayan Database</a> lists 61 expeditions that he led in Nepal alone — there were more in the Karakoram, Argentina and the Alps.&nbsp;
But Todd would joyfully say that a few hard Scottish ascents held a more personal meaning to him than even the greatest Himalayan summits.
Over the decades, he crossed paths with many legendary climbers like Anatoli Boukreev, Jerzy Kukuczka, Doug Scott and Chris Bonington as well as celebrities including members of Pink Floyd and Nobel Prize laureates whom he befriended.&nbsp;
He had a gift to never name-drop, but would simply mention that he had had lunch with Minnie Driver (niece of his long-time friend Andra) or that he had bought his first car from Donald Sutherland. For Todd, these were not bragging rights, they were simply part of the colourful tapestry of his life.
Todd’s life was filled with extraordinary experiences from surviving plane crashes, avalanches and earthquakes to quietly solving countless problems, which was one of his favourite past-times. His hands, famously large and steady, were always ready to help whether in the chaos of the mountains or the calm of a base camp.&nbsp;
With his sharp sense of humour and the beloved exclamation “Whoopie!”,he could bring lightness even to the toughest moments. He never tired of taking on challenges or helping when someone was in need, and he enriched so many people’s lives with his endless stories.
His legacy is immense. He helped build the human backbone of Himalayan climbing, enabling generations of climbers to test themselves in the world’s highest places. With his passing, an era of bold, spirited Himalayan guiding has come to a close.
Todd survived by a loving family, many close friends and a global community of climbers and Sherpas who will never forget him and his endless tales.&nbsp;
His family said in a statement: ‘Henry’s strength, warmth and unyielding belief in others will live on far above the clouds. He was indestructible in our eyes and in our hearts, he always will be.’
There will be a memorial service at Pashupati Temple in Kathmandu on 8 November 2025 around lunchtime.

Henry Barclay Todd, 80

The autumn mountaineering season is not over yet, and already there have been 12 fatalities on Himalayan peaks in Nepal.
Of the 1,450 climbing permits issued, 436 were for Mt Ama Dablam (6,812m), 374 for Mt Manaslu (8,163m) and 186 for Himlung Himal (7,126m). There were deaths on all three mountains.
The death of two French climbers on Ama Dablam happened before unseasonal blizzards hit the mountains. But Cyclone Montha from the Bay of Bengal brought on high winds and up to 1m of snow in the peak trekking and mountaineering season.
This increased avalanche conditions, and made helicopter evacuation of stranded and injured climbers difficult. Lower down the mountains, more than 1,000 trekkers from Nepal and around the world were stuck in the Annapurnas, Manaslu circuit and the Khumbu.
However, there have also been allegations that it was not just the weather that delayed rescues. Multiple levels of bureaucracy and the need for flight permits to restricted areas like Manang and Manaslu critically delayed evacuation flights.
Italian climbers Farronato Stefano and Caputo Alessandro were found dead in their tent at Panbari Himal Camp I (6,887m) in the Manaslu area. They had been trapped by heavy snowfall since 28 October, and their bodies were found on 4 November by a team from the expedition organisers, Sherpa Alpine Trekking Service. The team was made up of high level mountain guides and expedition leader Valter Perlino.
The team had been climbing to Camp 3 but decided to descend to base camp because of thrombosis in Perlino’s left foot. The two climbers who would eventually get trapped decided to break at Camp I, a decision that would prove fatal after the projected six-day snowfall arrived two days early.
“They were sleeping in a tent and were buried under 2.5 metres of compacted snow. It happened during the night between Thursday and Friday. While they were sleeping, absurd,” said Perlino.
A deadly incident took place the morning of 3 November, when five foreigners and two Nepalis died in an avalanche on Yalung Ri at 5,630m in the Rolwaling. They were part of a larger group of 15 that were acclimatising for an attempt on the nearby Dolma Khang (6,332m).
Local authorities in Gauri Shankar Conservation Area say calls were immediately made to helicopter companies as well as various ministries in Kathmandu that have to issue permits to fly to the region bordering China.
But the permits for rescue flights to Rolwaling Valley were delayed by eight hours. Rescue flights in these areas require permission from the Ministry of Tourism, the Ministry of Defence, the Home Ministry, and the Civil Aviation Authority of Nepal (CAAN).
Experts say this should be exempted in times of emergency when time is of the essence. CAAN spokesperson Pratap Babu Tiwari claimed to not know of the avalanche on Yalung Ri and deflected questions to the permission department.&nbsp;
There was a similar tragedy on Himlung Himal in Manang as well. Australian Chin-Tark Chan, 49, was climbing with 8K Expeditions and fell ill on 27 October at about 6,800m, developing snow blindness and loss of mobility. The guides immediately called the US insurance company Global Rescue for authorisation of a longline rescue.
Global Rescue refused, saying a rescue at that height would violate Nepal’s aviation rules and put the pilot at unacceptable risk. They asked the guides to transport Chan to Camp 3 at 6,400m to a permitted altitude. Seeing it was a life-or-death situation for its client, 8K called in an aerial rescue anyway, but the helicopter could not land due to bad weather. Chan died slightly below Camp 3 on 29 October.
Global Rescue said in a statement that it was ready to send in a helicopter after Chan had been transported to Camp 3, but several hours were lost for that attempt, and the weather did not get better in the next few days.
To underscore just how dangerous helicopter rescues in the Himalaya can be in bad weather, a chopper from Altitude Air skidded off the helipad at Lobuche below Mt Everest while trying to rescue trekkers in whiteout conditions.&nbsp;
CAAN announced a ban on flights during blizzards or dense fog. While rescue missions are often heroic and courageous, they should not be foolhardy if conditions are unsafe and the risk to pilots and rescuers too high. This autumn was a lesson for future expeditions and for the Nepal government.&nbsp;
The Italian duo on Panbari were caught out by snow that arrived two days ahead of schedule, but the group on Yalung Ri should have postponed their ascent after multiple warnings from the Department of Hydrology and Meteorology to avoid high altitudes.

Deadly autumn in Himalayan climbing

This is the 73rd episode of Diaspora Diaries, a Nepali Times series in collaboration with Migration Lab providing a platform to share experiences of living, working and studying abroad. I don’t remember playing with dolls as a little girl. There is not much to remember from my childhood.&nbsp; My responsibilities began at a very young age, as I had two younger brothers to take care of. I was born in Sarlahi, but we moved around quite a bit as my father was in the government and got transferred frequently.&nbsp; From Rasuwa to Dang, from Nepalgunj to Kathmandu. I struggled to adjust in Kathmandu because I joined Grade 9 in the middle of the term. The education was different and fellow students also did not support me initially. But over time, I adjusted and made friends. I did not dream of becoming a nurse. It was by accident. I wanted to pursue medicine, but failed the entrance exam by a few marks. I did not want to lose a year, so decided to take up microbiology instead.&nbsp; I got married after my undergraduate, and my husband encouraged me to take up something more technical like nursing or engineering instead of Masters in Microbiology. As my quantitative background was weak, I chose nursing. I felt like I was born to be a nurse. Juggling my married life and studies was difficult. My teachers would often ask me why I am falling behind. It was not easy, but I managed and took up a full-time job as a nurse. There are challenges being a nurse in Nepal. You are overworked, underpaid, there is lack of appreciation. Superiors can be overbearing. These problems persist. But the bright spot is that you get to serve fellow Nepalis, and be close to your family.&nbsp; Just like I had no intention initially of becoming a nurse, I had no intention of migrating overseas. But life had different plans for me. After my baby boy was born, I noticed that something was off. Even at nine months he had not started crawling or sitting. As a nurse I knew something was wrong, and I took him for check-ups. He tested negative for down syndrome, but he had a heart defect.&nbsp; The cardiologist recommended that I take him to India where he was diagnosed with Williams Syndrome, a rare genetic condition that affects 1 in 10,000 people. It delayed his development. I looked for therapy. It was either not effective, or too expensive. Some schools also refused to admit him, and it drove me to tears.&nbsp; My family members overseas in the UK, US told me to emigrate as there were better facilities for differently abled children. So I decided to apply to the UK. Luckily just then there were calls for candidates under the Nepal-UK government-to-government pilot scheme for 100 nurses. Only 40 met the criteria, and I was one of them.&nbsp; I still remember the day I received the news on the day of my puja. There were people around me, and they told me that it was the result of my fasting and devotion on that auspicious day. Perhaps it was. Life was taking a new turn, and I was happy. I made it to the UK in February 2024 without paying a single paisa to any broker. The G2G scheme was unique as we were treated with dignity and valued for our skills: they covered costs for the ticket and visa, reimbursed us for exams we had taken and costs involved in the preparation and testing of the Objective Structured Clinical Examination were also covered.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251106071148_dc5a0d0ea3024b34a4f2735754f8eb67a650bc7f61b98c75d589676c65b02a0c.jpg" data-media-id="editor_0" data-image-id="20251106071148_dc5a0d0ea3024b34a4f2735754f8eb67a650bc7f61b98c75d589676c65b02a0c" data-rendition-name="original" width="1200" height="1600" loading="lazy" alt="Nurses NT"> </figure>  It was of course difficult to leave my son behind. But I was doing it for his future. I had the option of taking him from the start, but it was a new place and I wanted to be well-settled and knowledgeable about the options available for him before bringing him along. As I packed, he would ask me to take him with me in my suitcase. It did not seem like he was affected by my departure, and it was only later that his teachers said that he would express his feelings more openly at school. He just did not know how to tell me he missed me, and he would tell teachers he was worried I had forgotten him if we did not speak for a day.&nbsp; He missed me, and that realisation made me emotional. But I had to carry on. Life in the UK was difficult in the beginning. Even so, I wanted to prove to myself that I could do it. Fortunately I had cooperative staff who patiently answered my questions. I think I would have been irritated if I were in their place. But they did not seem to mind, and their support and guidance made it easy for me to adjust to the new work environment. APPRECIATION I still struggle to understand the accent of my English patients, and have ask the matron for help. They compliment me on my English, but I can speak better than I understand. The good thing about working in the UK is that you are appreciated for your work, which can be motivating. Sometimes, after a long day’s work you get a message from your supervisor acknowledging your work with a thank you. That’s enough to erase your tiredness.&nbsp; So far I have received 32 WOW nominations which are acknowledgements from patients for a job well done. It can be motivating, especially in the beginning. The main difference between the Alpana who first left Kathmandu for the UK and the Alpana now is that I am a much more confident person. What makes a good nurse? Skills, knowledge and qualifications are of course a given. But mostly, you need humanity. A smiling face. The way you communicate. Your empathy. These attributes can already solve many problems that patients are facing. This is my second time back home in the last 20 months. And this time, I have arranged for my son’s visa. I will go back after Tihar with my son and husband.&nbsp; I am happy, but also a little nervous about what awaits us. What kind of school will I put him in? Will it really be different from schools here? Will his needs be addressed? Will it be like here, or will he be able to adjust?&nbsp; But I am determined to make it work. Success for me would be if he adjusted well and there is a change in his condition. He still cannot recognise alphabets and read words like kids in his age group. Hopefully he will get learning support in the UK. He also has a knack for music, and this is common among individuals with Williams Syndrome. His ears perk up when he hears music, and he takes part in musical events at school. He still does not recognise letters &nbsp;but he uses voice commands to search for guitar videos on YouTube. I will enrol him in music classes, and help him develop this gift. For now, I worry how he will behave on his long flight. He has a short attention span and gets restless. He is also very social and will want to speak with everyone around him, and might irritate fellow passengers.&nbsp; I have already started trying to make him understand that he will need to behave on the flight. He nods in agreement. Let’s see how it goes. &nbsp;

“I felt like I was born to be a nurse”

A month after September’s GenZ movement in Nepal, nurses working in private hospitals took to the streets demanding better work conditions, and salaries equal to what government nurses are paid.&nbsp;
The strike started at Pokhara’s Manipal Teaching Hospital before spreading nationwide, and nurses working at government hospitals joined in.&nbsp;
Nurses at private hospitals are forced to work for far less than Nepal’s minimum monthly wage of Rs19,550 — without overtime, breaks, and other benefits and under physically and mentally taxing conditions. This is driving many qualified nurses to emigrate.
For newly-appointed Health Minister Sudha Sharma Gautam in the interim government, the strike became her first order of business. She met representatives of the Nursing Association of Nepal (NAN), the protesting nurses, and others from the health sector.&nbsp;
An agreement was reached under which private hospitals and medical colleges will pay nurses a minimum monthly salary of Rs34,730. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
“It is a shame that nurses have been working under such exploitative conditions all this time” says Radha Adhikari, at the School of Health and Life Sciences of the University of the West of Scotland. “The agreement is basic, and there is a long way to go to improve their working conditions. But it is a start.”
NAN chair Chandrakala Sharma has said the ministry’s task force to look into working conditions will also look into facilities for nurses in government hospitals.&nbsp;
“We are committed to solidifying the wage agreement by amending relevant laws within this month,” Sharma said in a video posted by NAN on Facebook. “Our movement is not over, we are still protesting and &nbsp;following up with the Ministry.”
NAN issued an ultimatum to the government to implement the agreements within 48 hours. That deadline has now lapsed and the nurses are back on strike. Many of those protesting now accuse NAN of betraying them.
Jyoti Ranabhat of the Nurses Struggle Committee was present in the meeting, but refused to sign the agreement. “It did not address what we were demanding, we will now go it alone into Plan B,” she tells Nepali Times.&nbsp;
Previous grievances of the nurses did result in similar agreements, but private hospitals failed to comply with government’s past directives — most recently the minimum salary and benefit determined by the state in December 2024.&nbsp;
The Nepal Nursing Council says there are 126,580 registered nurses, specialists, midwives, and Auxiliary Nurse Midwife (ANM) professionals in Nepal. Yet, nursing positions at hospitals remain vacant.&nbsp;
The reason for understaffing is a mass emigration of medical professionals, including nurses. Nursing student enrollment is also declining and there is disinterest in a profession that does not afford health workers quality of life, respect, or dignity.
“Our fight is not with the private sector, it is by definition profit-oriented, our grievance is with the state,” says Ranabhat. “The government is responsible to provide us dignity, respect, and fair pay.”&nbsp;
GREENER PASTURES
Poor pay and working conditions are driving doctors and nurses abroad in large numbers in recent years. Many have simply quit the profession, leading to a shortfall in medical professionals. 

The shortage of nurses is a global phenomenon, and countries like the US, UK and Australia have compensated for their own shortage by offering jobs from countries like the Philippines, India and Nepal.&nbsp;
Nepal Nursing Council data shows that outmigration of nurses rose sharply after 2002, and an estimated &nbsp;20,000-45,000 nurses have left since.
“The state’s denial, derision, and disregard of nurses has caused resentment and disillusionment in the community, driving nurses out,” says Ranabhat. “Ultimately, Nepalis will pay the price when there are no nurses left here.”
Many Nepali nurses who have gone abroad are happy with the respect and quality of life in their jobs abroad. But many others face exploitative recruiters in Nepal and employers abroad. Nursing consultancies have mushroomed as nursing colleges struggle to meet demand.&nbsp;
Adhikari herself worked at United Mission Hospital Tansen before moving to the UK 30 years ago, and remembers that working conditions then were much better for nurses.&nbsp;
“Nepal’s health sector has gone downhill since privatisation,” she states. “Medical colleges are only concerned with supplying doctors and nurses internationally, because that is what makes money.”
But once Nepal’s nurses are abroad, there is no guarantee that they will have jobs in the nursing sector. Many find themselves working outside their field of expertise, in hospitality or sales.&nbsp;
“Nepal has become a production hub for nurses, and Nepali nurses have become products for export,” adds Ranabhat. &nbsp;“People might think this will add to remittances, but no one is thinking about what will happen to Nepal’s health sector.”&nbsp;
For many, nursing has become a way out of Nepal rather than a vocation. In 2022, the government signed an agreement with the UK to send Nepali nurses to work there at zero cost, with benefits and protection equal to UK nurses.&nbsp;
The pilot phase was expected to recruit 100 nurses, and applications opened in July 2023, with 45 nurses said to be selected by Britain’s NHF representatives by the end of 2023. Forty-one of them obtained labour permits.&nbsp;
They may be treated well, but the reality of working in the international health sector is not as straightforward.
Radha Adhikari told us from Scotland: “Market saturation, exploitation, discrimination based on race, gender, and foreignness prevent nurses from finding the right, respectful jobs even here. Ultimately, migration cannot be sustainable for Nepal’s nurses.”

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