<img width="1229" height="717" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151116/636bb6a49c7e80680e07bc74jpeg.jpg" alt=""/>A combination of rampant corruption, wayward planning, <a href="http://archive.nepalitimes.com/news.php?id=16530#.X3RCOMIzaUk">donor interest</a> and an utter disregard for intended beneficiaries has delayed Nepal’s multilateral development projects, and wasted scarce resources. Infrastructure projects, poverty alleviation schemes, initiatives to improve education have all been leaking billions of rupees over the last two decades, and budgets are continuously disbursed despite huge costs over-runs and little progress. Middlemen, consultants, contractors, extortion and excessive employee benefits have diverted much of the money meant to uplift Nepal’s most under-served regions and people living there.The World Bank funneled Rs5.1 billion into the Project for Agriculture Commercialisation and Trade (PACT) was designed to improve the farming business and raise rural income. Instead, much of the budget was spent lining the pockets of middlemen and ‘fake farmers’, the World Bank’s own investigation found. The Bank has sent a letter to the government urging legal action against the perpetrators who siphoned off the money.Equally notorious is the Asian Development Bank (ADB)-funded High Mountain Agribusiness and Livelihood Improvement Project (Himali) with a budget of Rs2.62 billion. <a href="https://www.nepalitimes.com/banner/economic-cost-of-5-months-of-nepal-lockdown/">Economic cost of 5 months of Nepal lockdown</a>, Nepali TimesLike PACT, Himali required farmers to submit written proposals to get access resources, when much of Nepal’s farming population is illiterate. As a result, proposal-writing rackets sprang up and fraudulent ‘farmers’ took away most of the money. Farmers who were genuinely in need were not even aware of the aid offer.“Projects in Nepal have been designed with the interest of donor disbursement quota in mind,” explains former secretary of the Ministry of Agriculture Suroj Pokhrel, “they do not take into account the government’s delivery capacity and the reality on the ground.”The School Sector Reform Plan (SSRP) funded by a consortium of donors spent a mind-boggling Rs3 trillion from 2009 to 2015, but most of it went to building facilities, with little attention to improving the quality of instruction. Without learning lessons from it, the government is now working with another donor-funded follow up: the School Sector Development Plan (SSDP).“Development assistance to Nepal will never benefit the target group if it does not take into account their fundamental needs,” says public policy analyst Suryaraj Acharya. “The prime motivation for development funds has been in the donors’ interest rather than the overall development framework of the country.”  <a href="https://www.nepalitimes.com/latest/nepal-unveils-covid-19-budget/">Nepal unveils Covid-19 budget</a>, Nepali Times <img width="1492" height="763" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151116/636bb6a69c7e80680e07bc75jpeg.jpg" alt="">Foreign assisted projects are also conditional on hiring expensive consultants for tasks that Nepalis with much more extensive local experience already have. The ADB and World Bank-funded agriculture projects spend up to a quarter of their entire budgets on consultants, a report has shown, with others spending even more. “Project costs are massively inflated by consultant fees, so there is very little trickling down to the target beneficiaries,” Pokhrel alleges. For example, the ADB-funded Melamchi Drinking Water project has spent a quarter of its budget on consultants, yet it remains incomplete two decades after work began. Bridge construction on the Mugling-Narayangad expressway also remains incomplete, even after spending Rs400 million on consultants. To be sure, <a href="https://www.nepalitimes.com/review/why-nepal-is-stuck/">official corruption that borders on extortion</a> within the Nepal government machinery is also to blame for the high costs and delays. But analysts say donors often get off the hook for their refusal to look at consultant fees driving up costs.Much of the leakage is also due <a href="https://archive.nepalitimes.com/news.php?id=19592">to administrative costs and inefficiencies</a> within the Nepal government. Billions are spent on employee benefits, bonuses and expenses, but the projects get the green light from donors nevertheless.<a href="https://www.nepalitimes.com/here-now/survive-2020-revive-in-2021-and-thrive-in-2022/">Survive 2020, revive in 2021 and thrive in 2022</a>, Alisha Sijapati<a href="https://www.nepalitimes.com/latest/save-farms-empower-farmers-nepal-citizens-appeal/">Agriculture and livestock development</a> has been a key area of aid for the World Bank, ADB and IFAD (International Fund for Agriculture Development). The Ministry of Agriculture has got help from them for the past decade to work on a dozen projects of which eight have been completed.Of those still ongoing, the Livestock Sector Innovation Project that is funded partly with a $80 million loan from the World Bank. Although agriculture is a vital sector of the economy, even the Agriculture Ministry’s own evaluation has shown that all the resources poured into increasing production have not yielded expected results. Better off people with political connections in the districts have benefited more than the really needy farmers.The World Bank has supported Nepal’s Poverty Alleviation Fund for the past 15 years, but a third of its budget was spent on administrative work, and the whereabouts of the remaining remains unknown. Some critics say much more poverty would have been alleviated if the cash was just doled out to the poorest Nepalis.<a style="outline: 0px;" href="https://www.nepalitimes.com/latest/thinking-out-of-the-box-to-rescue-nepal/">Thinking out of the box to rescue Nepal</a>, Prem Jung ThapaAnother World Bank funded Rs5.17 billion project to improve food production and nutrition in the western mountains was also found to have benefited only a third of the farmers it was intended for. Documents obtained by Nepali Times show that 47% of the total budget for the 6-year Agriculture and Food Security Project was spent on administrators, consultants, and travel.  ­­Not only did the project not help <a href="https://www.nepalitimes.com/latest/nepal-agro-imports-at-all-time-high/">subsistence farmers increase production</a>, most of the money got siphoned off by well-connected locals. It spent Rs 1.4 billion was spent just on training and workshops. Towards the end of the project, employees spent Rs20 million just on junkets to Vietnam, Korea and Australia. The report also show outright stealing from the procurement budget.In its own report, the World Bank declared PACT as a ‘moderately unsatisfactory’ project, which might have been a polite way of saying it did not deliver the goods. But no action has been taken on its conclusions. Vice-President of the World Bank’s Multilateral Investment Guarantee Agency Ethiopis Tafera concluded that there had been irregularities in the project’s financial records, but there has been no follow-up.<a href="https://www.nepalitimes.com/latest/a-covid-19-third-wave-in-the-third-world/">A Covid-19 third wave in the Third World?</a>, Ed HoltPokhrel says the only way out of <a href="https://www.nepalitimes.com/banner/when-will-nepals-future-ever-arrive/">Nepal’s donor dependency syndrome</a> is to set up an Agriculture Projects Bank where Nepal’s aid agencies can pool their aid. However, he says donors have opposed the plan. He adds that donors try to replicate development models that have worked elsewhere, but they have not been successful in Nepal because the conditions here are different.Acharya is even more critical. He says Nepal has to break out of the habit of accepting aid for activities that the country is capable of carrying out itself. He does not agree with the oft-repeated excuse that projects failed due to poor implementation and not wrong policies. He says it is <a href="http://archive.nepalitimes.com/article/nation/Knowing-how-to-ask-for-help,1348">faulty policy itself</a> that leads to poor implementation.Acharya supports the bilateral assistance models adopted by China, South Korea and Japan during their early phases of development. They required donor countries to help out in projects the governments themselves formulated as per their own long-term development strategies.    A former employee of the Finance Ministry’s Foreign Aid Coordination Department says: “In my whole career I have not seen a single foreign-funded project that has been completed in time, or has provided promised benefits.”

original

674x448

610x380

500x500

400x266

400x240

400x203

301x200

1084x550

Aid rarely aids agriculture in Nepal

<figure><img width="1400" height="922" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107141112/6369042d9c7e80680e037d08jpeg.jpg" alt=""/><figcaption>Om Astha Rai</figcaption></figure>One-and-a-half years after being fired for failing to speed up post-earthquake recovery, Sushil Gyewali is back as the CEO of National Reconstruction Authority (NRA) that was set up to oversee reconstruction after the 2015 earthquake.The way <a href="https://archive.nepalitimes.com/article/nation/no-money-for-helicopters-to-distribute-earthquake-relief,2792" target="_blank" rel="noopener">Gyewali was hired</a>, fired and re-hired shows how reconstruction has been a casualty of intense <a href="https://nepalitimes.atavist.com/reconstruction-in-ruins" target="_blank" rel="noopener">political rivalry</a> in Nepal. He is the fifth NRA Chief in less than three years, and in that time only one-third of the 600,000 earthquake-destroyed houses have been rebuilt. Only half the schools have been reconstructed.Gyewali was appointed by K P Oli of the UML when he was prime minister in 2016, but labeled “incompetent”and sacked by Prime Minister Pushpa Kamal Dahal when the Maoist Chair was heading a coalition government with the Nepali Congress.However, after the Maoists-UML merged into the Nepal Communist Party, won last year’s elections, and came to power again, Oli reinstated Gyewali at the NRA.In an interview with Nepali Times this week, Gyewali said the charges about his under-performance were “politically-motivated”. He added: “They needed to criticise me because they wanted to overthrow the government that had appointed me. Earthquake reconstruction has always been held hostage to politics.”However, with his NCP mentors now firmly in power, Gyewali may face fewer obstacles during this tenure. He is now backed by a strong and stable government with a two-third majority in Parliament, and just like the KP Oli government itself, he has no excuses to fail or under-perform this time.The law allows the government to extend the NRA’s tenure by one year, but Gyewali says he is not even looking for an extension. “All earthquake-destroyed private homes will be rebuilt in the remaining two years, or even sooner,” he promised.When he was first appointed as the NRA Chief, Gyewali rued the absence of locally-elected representatives of people. But now, all of Nepal’s 752 local levels have mayors or village heads. He says working with elected mayors and village chairs to accelerate post-earthquake reconstruction will make rebuilding much easier this time.“The NRA will now also have a federal structure,” he said. “We will delegate more power and responsibility of reconstruction to municipalities and village councils. Each local government will have its own reconstruction unit, and the engineers deployed by the NRA will be based there.”Under pressure to expedite reconstruction, the <a href="http://archive.nepalitimes.com/article/nation/genuine-earthquake-survivors-missing-from-housing-grant-list%20,3498" target="_blank" rel="noopener">previous NRA leadership</a> had given earthquake survivors a short deadline to rebuild as per approved designs. It had warned that those unable to meet the deadline will not be eligible for the rest of the Rs300,000 reconstruction grants. Thousands of families borrowed from local money lenders and cooperatives to meet the deadline. Many also <a href="https://www.nepalitimes.com/here-now/building-homes-on-a-deadline/" target="_blank" rel="noopener">built small, one-room houses</a> that were not seismic resistant, just to meet the NRA condition.The NRA has faced criticism for forcing earthquake survivors to build houses that do not meet their living requirements. Gyewali admitted the deadline added stress to earthquake survivors, but he said reconstruction would be too open-ended if there is no cut-off date to use housing grants. But he added: “We will now give a more realistic deadline.”The NRA also faces a funding crisis. Nepal has not received all the money pledged by donors. At the International Conference on Nepal’s Reconstruction on 25 June 2015, <a href="http://archive.nepalitimes.com/article/nation/preparing-for-June-donor-summit,2300" target="_blank" rel="noopener">donors pledged more than $4.1 billion</a> to rebuild houses, schools, health facilities and other infrastructure. But the actual pledge, excluding non-reconstruction commitments, was just $3.43 billion. Even that money <a href="http://archive.nepalitimes.com/article/nation/broken-promises-reconstruction,3627" target="_blank" rel="noopener">has not been received in full</a>.As soon as he got back to his old office, Gyewali has been trying to find out how much there is in the kitty, and explore sources to meet the shortfall. Some are skeptical that the NRA will be able to finish reconstruction in the remaining two years, even though it is now headed by a CEO backed by a stable government.They say it was a mistake to copy Pakistan’s model of reconstruction by setting up a separate agency because Nepal’s socio-political landscape is different. Pakistan was ruled by the Army when it was devastated by a 7.6 magnitude earthquake in 2005, and houses were rebuilt swiftly under a general. Also, survivors were given sufficient reconstruction grants and did not have to borrow as they had to in Nepal.Meanwhile, Nepal was in the throes of a polarised debate over the constitution when the earthquake struck on 25 April 2015. It was a foregone conclusion that reconstruction would face political obstacles, yet Nepal invited retired Pakistani Lt Gen Nadeem Ahmad to share his experience and this shaped the structure of the NRA.Asked about this, Gyewali said: “Copying the Pakistan model was probably a mistake. But did anyone propose a better model?”Read also:  '<a href="https://www.nepalitimes.com/?p=11906&amp;preview=true" target="_blank" rel="noopener">Lost in reconstruction</a>', Shiva Uprety'<a href="https://www.nepalitimes.com/?p=11912&amp;preview=true" target="_blank" rel="noopener">Class struggle</a>', Prakriti Kandel<a href="https://www.nepalitimes.com/banner/the-baker-of-barpak/" target="_blank" rel="noopener">The baker of Barpak</a>, Tara Aryal Pandey

1250x600

Hired, fired, rehired

On Tuesday, leader of the monarchist RPP once again gathered on Kathmandu’s streets to deliver fiery speeches, but this time there was no arson and looting and no need for riot police to fire live rounds or tear gas.
RPP leaders demanded the release of their members including vice-president Rabindra Mishra and MP Dhawal Shamsher Rana were arrested during the violent <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">28 March protests at Tinkune </a>which left two dead. 
They denounced the current leadership of the main parties, demanding the <a href="https://nepalitimes.com/editorial/nepal-party-reincarnating-hindu-monarchy">restitution of Nepal as a Hindu kingdom</a>. They also said the government was responsible for the fatalities on 28 March because it provoked its rally with a tear gas attack even before it started.
It has now been revealed that the police fired at least 100 live rounds from high powered assault rifles at the crowd. Twenty-one of the 120 injured received bullet wounds, and most of them were bystanders and people trying to reach home. 
Tuesday protest on the Ring Road in Balkhu was much more subdued, and comparatively fewer RPP supporters showed up. The arson and vandalism in the previous protest appears to have cost some support for <a href="https://nepalitimes.com/news/the-ghost-of-monarchy-returns-to-haunt-nepal">former king Gyanendra </a>especially for the anointment of medical tycoon and bank defaulter <a href="https://nepalitimes.com/news/street-politics">Durga Prasai </a>as ‘commander’ of the Tinkune rally.
Some monarchists acknowledge Gyanendra’s mistakes when was king 2001-2008, but say he has had a lot of time to reflect on his shortcomings and seems more disciplined and committed. His supporters have tried to build on nostalgia among some Nepalis for<a href="https://nepalitimes.com/news/why-invest-in-nepal"> domestic stability </a>and international respect that <a href="https://nepalitimes.com/here-now/if-birendra-was-alive-nepal-could-still-be-a-monarchy">the monarchy</a> commanded. 
“Nepalis were promised better service delivery, opportunities for the underserved, as well as better, more honest use of state resources, but the <a href="https://archive.nepalitimes.com/news.php?id=16992">people in leadership </a>have not been able to deliver on their commitments,” says RPP leader Prakash Chandra Lohani. “The gap between their rhetoric and reality has widened, the people feel betrayed, and the respect Nepali people had previously had for them has changed to revulsion.” 
Indeed, many commentators have warned the three main parties and their <a href="https://nepalitimes.com/editorial/politics-as-usual">serial prime ministers</a> who have ruled Nepal for much of the past 30 years should address rising public anger with them, and see the writing on the wall.
‘<a href="https://nepalitimes.com/news/nepal-government-changes-again">The UML, NC and Maoists</a> must introspect about their conduct,” warns Gunaraj Luitel, editor of Nagarik, in an op-ed this week. ‘These leaders for life may save themselves from simmering public anger, but they will not be able to save the system. The monarchist wave can only be dispelled when citizens are assured of <a href="https://nepalitimes.com/here-now/nepal-s-local-election-gives-power-back-to-people">better governance</a> through <a href="https://nepalitimes.com/latest/real-world-training-for-youth-leaders">younger leaders</a>, and reforms.’ 
Rifts between radical royals who are gunning for a return to <a href="https://nepalitimes.com/here-now/mob-movement-and-mayhem">Panchayat-style absolutism </a>and moderate monarchists who favour a constitutional king have also weakened the movement somewhat. The split between the RPP and RPP-Nepal cost the royalists numbers in Parliament in 2022, and both parties denounced the violence last month, albeit shifting the blame on the government.
The irony is that the same royalists who want to scrap the republican Constitution had formed electoral alliances with the UML during the 2022 elections. RPP-Nepal chair Kamal Thapa contested the 2022 election with the UML. Thapa has not taken part in the last two rallies, saying he will only be a part of a movement under a national flag, and not a RPP party banner.
For his part, the RPP’s Rajendra Lingden is said to be hesitant to censure some of his party’s more radical royalists for fear of fissure within his ranks, despite his aversion to Durga Prasai’s role. 
Analysts have questioned why <a href="https://nepalitimes.com/news/old-is-still-gold-in-nepali-politics">supporters of the monarchy </a>have decided to reestablish an institution that would not ultimately have executive decision-making power. There are doubts about whether authoritarian-minded Gyanendra will be satisfied being a <a href="https://archive.nepalitimes.com/news.php?id=13957">ceremonial king</a>. 
Read also: <a href="https://nepalitimes.com/news/nepal-s-deja-vu-on-black-friday">Nepal’s déjà vu on Black Friday</a>, Sonia Awale
"The Nepali people will not accept <a href="https://nepalitimes.com/here-now/forgotten-woman-who-sheltered-communist-activists">an absolute monarchy </a>at this point of time, and both the public as well as <a href="https://archive.nepalitimes.com/news.php?id=8371">king Gyanendra</a> are fully aware that there is no other possibility beyond a constitutional monarchy," asserts the RPP’s Lohani. “The traditional monarchy’s institutional capacity might have been enough to meet the needs of feudal Nepal, but an absolute monarchy is impossible both in concept and practice in the context of <a href="https://archive.nepalitimes.com/regular-columns/Economic-Class/waiting-for-an-industrial-revolution,784">modern day Nepal</a>.”

New year revolutions

Besides multiple <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">street demonstrations </a>that gridlocked Kathmandu’s traffic for the past weeks, public discourse in Nepal has also been dominated by dangerously <a href="https://nepalitimes.com/here-now/air-pollution-is-more-dangerous-than-smoking">high air pollution levels</a>. Caused mostly by hundreds of <a href="https://nepalitimes.com/news/wildfire-season-starts-early-in-nepal">forest fires </a>raging across the country, the smoke contains suspended soot particles that harms <a href="https://nepalitimes.com/opinion/playing-with-poison">human health</a>. Thursday’s rain have cleared the air somewhat, and many people will soon forget how bad the air quality was. But the time to address the roots of next summer’s fire season is now.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524.jpg" data-media-id="editor_4" data-image-id="20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524" data-rendition-name="original" width="502" height="540" loading="lazy" alt="Wildfires"> <figcaption>EXTINGUISHED: Forest fires raging all over Nepal in the week after 3 March (above) reduced air quality, creating a public health hazard in Kathmandu and across the country. Each red dot is a fire detected by infrared sensors on the NASA Fire Information for Resource Management System (FIRMS) satellite. But the rain on Thursday doused most of the fires (below) with more rain forecast over the weekend.</figcaption> </figure>  The reason everyone was talking about air pollution was because the<a href="https://nepalitimes.com/banner/nepal-is-going-up-in-smoke"> smoke from wildfires</a> was visible. But much more toxic are the invisible and odourless <a href="https://nepalitimes.com/news/nepal-doubles-its-carbon-footprint">gases from vehicular and industrial emissions </a>which have always been there. The theme of World Health Day on 7 April this week was ‘Healthy Beginnings, Hopeful Futures’ dedicated to <a href="https://nepalitimes.com/opinion/comment/saving-more-mothers-and-babies">preventing maternal and newborn deaths</a>. It is estimated that in Nepal, 30% of neonatal mortality can be blamed on air pollution. But that is only part of the story. Harmful as fine particulate matter is to human health, carbon monoxide, nitrogen dioxide, ground-level ozone and other gases in vehicular emissions are more hazardous to health. While the concentration of suspended particulate matter tinier than 1.5 microns (PM2.5) is closely monitored, these toxic gases are invisible, not measured much, and the public is not aware about the dangers they pose. Surface ozone is produced by the interaction of various gases found when <a href="https://nepalitimes.com/news/fossil-fuels-poison-air">burning fossil fuels</a>. Besides being poisonous, ground level ozone contributes up to 0.23°C to <a href="https://nepalitimes.com/here-now/nepal-s-mountains-are-melting">global warming</a> because it is also a greenhouse gas. A new policy brief by the Clean Air Fund titled The Case for Action on Tropospheric Ozone blames surface ozone for a half a million premature deaths every year, 54.8% of which are in South Asia. Ozone also stunts plant growth and reduces crop yields by 26% globally, and 11% loss in <a href="https://nepalitimes.com/news/economic-benefits-of-saving-the-ecology">forest productivity</a>, the report adds.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85.jpg" data-media-id="editor_11" data-image-id="20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85" data-rendition-name="original" width="998" height="724" loading="lazy" alt="Gas Chambers"> </figure>  Read also: <a href="https://nepalitimes.com/here-now/bad-air-and-polluted-politics">Bad air and polluted politics</a>, Sonia Awale Ground-level ozone is not emitted directly into the air like other gases, but is formed when oxides of nitrogen (NOx), carbon monoxide (CO) and volatile organic compounds (VOCs) released from automobile tailpipes or industry smokestacks react chemically with each other in the presence of sunlight. The main source of carbon monoxide in Kathmandu Valley are its 1.2 million two-wheelers. “Usually the concentration of carbon monoxide is 200-500 parts per billion (ppb), this has increased up to 3,000 in Kathmandu. Meanwhile, ground-level ozone has gone from 70-80 ppb to 150 ppb,” says Ravi Sahu, regional air quality specialist with the Kathmandu-based International Centre for Integrated Mountain Development (ICIMOD).&nbsp; Sahu says <a href="https://nepalitimes.com/news/no-smoke-without-fire-p7vb9dcj">rampant forest fires of the past weeks</a> have also added to carbon monoxide and ozone in the air, not just the fine particles that make up the visible smoke. He adds, “There isn’t much awareness about <a href="https://nepalitimes.com/banner/poisoning-the-air-we-breathe">ground-level ozone and carbon monoxide</a>, we need to urgently look into it.” A distinction must be made between good and bad ozone. Stratospheric ozone protects living beings from harmful ultraviolet (UV) radiation from the sun.&nbsp; Tropospheric ozone can again be separated into two types: ozone in the free atmosphere which is a greenhouse gas much more potent than carbon dioxide, and ground-level ozone which has adverse impacts on health and agriculture. ‘Cutting tropospheric ozone presents a unique challenge as it requires smart and fast action across multiple greenhouse gases and air pollutants, as well as multiple economic sectors,’ notes the Clean Air Fund's policy briefing. ‘It is a growing and neglected problem that needs an integrated approach on both a local and global level to tackle climate change and air pollution together.’ Dying young There was a time when Nepal made it to international news bulletins only if there were fatalities on Mt Everest. Now, Kathmandu’s bad air frequently makes headlines all over the world. This past week, the concentration of PM2.5 that harms human health was up to 40 times the WHO recommended guideline — adding to the poisonous gases already present from vehicle emissions. The Department of Environment says 40% of the pollution in the past weeks was from wildfires sparked by nearly 6 months without substantial rain over central Nepal. Most of the rest is from vehicular and industrial emissions from Kathmandu itself and across the southern border. NASA’s Fire Information and Resource Management System (FIRMS) which issues daily maps of fires, showed hundreds of blazes raging across Nepal on Wednesday, mainly in Chitwan, Parsa and along the East-West Highway.&nbsp; “If we look at the figures for the last few years, it is clear that wildfires have become the biggest source of air pollution, they are seasonal but have overtaken vehicular emissions,” says urban planner and environmentalist Bhushan Tuladhar. “Forest fires, stubble burning, and open burning of garbage are the bigger problems now. Nepal, India, Bangladesh, and Pakistan are at risk every year, we shouldn’t further delay in finding solutions,” warned air quality expert Bhupendra Das during an event on air pollution organised on 7 March by the Nepal Forum of Environmental Journalists (NEFEJ).&nbsp; Indeed, studies have shown that in winter 60% of the air pollution over Kathmandu is transboundary from the south, and in November it is compounded by smoke from crop residue burning by farmers in India and Pakistan blown in by prevailing winds. Forest fires are a regular pre-monsoon occurrence in Nepal, often intentionally set by farmers and herders to stimulate new grass growth for livestock. Winter rains have failed for eight of the past ten years, and this means the fires often spread out of control. The other reason for the increase in wildfires is the doubling of forest fires to 46% of the country’s area in the past 25 years. But this has happened simultaneously with outmigration, with some mountain districts losing 30% of their population between 2011-2021. With less pressure on forests for fodder and firewood, the undergrowth of community forests is loaded with dry fuel just waiting for a spark. The bowl-shaped topography of Kathmandu, Pokhara and other valleys further concentrates pollutants as they are trapped by surrounding mountains. But a year with a high number of wildfires is usually followed by a year or two with fewer incidents. For example: there were 6,537 fires in 2021 but the following year the number was down to 1,528. There were 5,216 fires last year, this year the number has already reached 1,800, and the trend is likely to be broken. Heavy rains forecast for the coming days are expected to douse some of the fires and clean up the air. But the damage has been done: Kathmandu residents of all age groups this week crowded clinics and hospitals with burning eyes, itchy throats, difficulty breathing, headaches, and dizziness. But in the longer term, soot particles that are tiny enough to jump the blood-air divide in lung capillaries do not just cause Chronic Obstructive Pulmonary Disease (COPD), asthma, but also cancers, heart attacks, strokes, birth defects and other chronic diseases. The latest Air Quality Life Index (AQLI) report by the University of Chicago shows that the annual concentration of PM2.5 in Kathmandu’s air rose from 17.87µg/m3 in 1998 to 31.33µg/m3 in 2022. Air pollution has got worse by 75% in Kathmandu in 25 years. During this time, air pollution has reduced the average life expectancy of Kathmandu’s residents by 3.5 years. According to the Health Effects Institute in Boston, dirty air is among the biggest public health concerns in Nepal killing over 42,100 a year. The adverse impact of high levels of air pollution is not limited to public health, it is seriously affecting tourism. Operators in Pokhara this week said that there were many negative online posts by visitors unable to see the famous panorama of Machapuchre and the Annapurnas even from Sarangkot. Aviation is also affected, as planes have to circle sometimes for hours burning a lot of fuel because of runway visibility being below minima at Kathmandu airport. The higher fuel cost is just passed down to customers, making air tickets in and out of Kathmandu some of the highest in the world. Kathmandu, with a population of four million, has not implemented a concrete policy to curb toxic air despite having formulated various action plans and repeated commitments by the government to protect the environment and control air pollution. The Department of Environment’s 2017 Air Quality Management Action Plan for Kathmandu put forward a policy to reduce air pollution caused by vehicles which was approved by the Cabinet, but has yet to be put to practice. The action included the immediate implementation of the Euro 5 emission standard to reduce pollution emitted by vehicles. However, Nepal has not even been able to implement Euro 4 standards so far. India, meanwhile, has already moved forward with the implementation of the Euro 6 standards. Says Ravi Sahu: “Air pollution in Nepal is not just about air pollution, it has ties to tourism, aviation, the economy so we must be prepared for annual conditions like forest fires, and this requires urgent interdisciplinary collaboration.” &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742.jpg" data-media-id="editor_15" data-image-id="20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742" data-rendition-name="original" width="839" height="784" loading="lazy" alt="Silent Killers"> </figure>  &nbsp;

What is invisible is more dangerous

Here in the mountains of far-western Nepal, the biggest threat to life and limb is gravity. Women collecting fodder fall from trees, boys grazing goats fall off cliffs, heavily loaded tractors plunge from dirt roads carved out of steep slopes. There is nothing to be done about those who die on the spot. But for the severely wounded there is only one hospital: Bayalpata. And it is there that <a href="https://www.youtube.com/watch?v=CJzWlnYd0ZM&amp;t=8s" target="_blank">orthopaedic surgeon Mandeep Pathak</a> is the last hope for many wounded people. Pathak, 42, is too modest to tell us how many lives he has saved over the past 10 years he has worked at Bayalpata. But hospital records show he has performed more than 4,000 operations in the past decade, many of them so patients did not suffer permanent physical disabilities. Pathak also did 800 major life-saving surgeries in that time. “I treat patients with injuries, but I wish I could also treat poverty,” Pathak says, emerging from Bayalpata’s surgical theatre one recent afternoon. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/CJzWlnYd0ZM?si=s_rkbU4YDaw87gqH" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> Sudurpaschim Province in Nepal’s far-west is far away from everything: from Kathmandu, from adequate medical care, from food security, and far from the reach of government services. It has suffered state neglect for centuries, its men mainly migrating to India for seasonal work to families who depend on subsistence agriculture. Pathak remembers the searing sadness he felt when a patient once told him, “Doctor, I sold the last of my rice to pay to come here, please give me a medicine that I can take on an empty stomach.” Pathak was born in Kathmandu, and after getting his MBBS from Kathmandu University, he got an MD from The Philippines. At a time when many Nepali doctors and staff nurses were emigrating, Pathak did not just return to Kathmandu but decided to go to one of the remotest districts in Nepal to serve those most in need. The hospital was established in 2009 in the village of Bayalpata, and has been managed by the non-profit <a href="https://www.nyayahealthnepal.org/" target="_blank">Nyaya Health Nepal (NHN)</a> as a public-private partnership treating 100,000 patients a year for no fees at all. NHN is now preparing to hand over the running of the hospital to the Sudurpaschim provincial government so its <a href="https://nepalitimes.com/banner/this-is-how-to-upgrade-nepals-rural-health" target="_blank">model of hospital management</a> can be replicated.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae.jpg" data-media-id="editor_4" data-image-id="20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Bayalpata hospital"> <figcaption>Bayalpata hospital in Achham.</figcaption> </figure>  People from not just Achham but surrounding districts, and from as far away as Humla, bring patients to Bayalpata, sometimes walking for days. Some with complicated pregnancies are brought in stretchers, young children with broken arms walk into the emergency, and sometimes there are mass casualties when a tractor or bus falls off a road. And Pathak is always there with his team performing triage, and doing orthopaedic surgeries that would be difficult even in Kathmandu. Recently, his team did a hip replacement at <a href="https://nepalitimes.com/banner/state-of-the-art-rural-hospital" target="_blank">Bayalpata Hospital</a>. Mild mannered, modest, soft-spoken, hard-working, professional are the words families of patients who have been treated at <a href="https://nepalitimes.com/here-now/nepal-s-rural-lifeline" target="_blank">Bayalpata Hospital </a>use to describe Mandeep Pathak. But the surgeon is too busy to let all this get to this head.&nbsp; Asked why he does not emigrate like his peers or get a lucrative position at a private hospital in Kathmandu, Pathak answers simply, without a trace of self-importance, “I do not think I could get the satisfaction or sense of fulfilment anywhere else.” When travelling to attend medical congresses overseas or visit family in Kathmandu, Bayalpata has other doctors to take care of patients, but many wait patiently till Pathak returns for their consultation or surgery.&nbsp; When he returns from seminars abroad after learning the latest skills, Pathak’s suitcases are not full of clothes or presents, but titanium bone implants, external fixation rods, or intramedullary nails to be used in <a href="https://nepalitimes.com/news/altruistic-healthcare-models-in-nepal" target="_blank">surgeries at Bayalpata</a>.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80.jpg" data-media-id="editor_8" data-image-id="2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80" data-rendition-name="original" width="2048" height="1368" loading="lazy" alt="surgery"> </figure>  Before Bayalpata Hospital was established, most people suffering broken bones had to travel down to Dhangadi or Nepalganj for treatment. No more. Although Pathak’s specialisation is orthopaedic oncology, he is mostly treating fractures and rejoining broken bones.&nbsp; Now as Bayalpata’s Hospital Director, Pathak also has administrative and fundraising duties. He has to take the 10-hour ride down to Dhangadi often to meet various Sudurpaschim ministries to release the hospital’s budget — that is sometimes more difficult than the most complicated surgery. Recently, he had to cancel an appointment with the Chief Minister to rush back to Bayalpata because there was a patient who needed emergency surgery. “I told myself, let me save this patient first, then I will try to save the hospital,” he recalls.&nbsp; Once, when he had to be away for a month on emergency surgery training in the US, the family of a 90-year-old woman who had dislocated her hip after falling from a staircase was waiting for him to return. Her son told Pathak: “Doctor, either put her out of her suffering, or cure her.” Pathak told him it was too dangerous to operate at her age, but the son said his mother was in so much pain it was worth the risk. The operation was touch-and-go, but it was successful. The woman who had been brought in on a stretcher, walked out of the hospital three days after the operation.&nbsp; A few months later, a 27-year-old woman was brought into the ER bleeding profusely from an arm mangled by a thresher machine. Even in that state, she was breastfeeding her baby. Pathak welled up seeing this display of selfless motherhood, as he wheeled her into surgery. She needed three operations, but now has full use of her hand. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/xJdxLD0hBqo?si=mOpM2R_DsYL88Lfg" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> It is the sense of achievement from such recovery that keeps Mandeep Pathak here in this isolated village in the middle of nowhere. Bayalpata Hospital has not just saved lives, it also saves families from poverty because they do not have to take sick relatives to expensive city hospitals.&nbsp; In January, a woman was brought to Bayalpata with both hands broken. She said she had taken a fall, but Pathak did not believe her. When alone in the surgery, she finally admitted that her husband had beaten her.&nbsp; It was her husband who had brought her to hospital for treatment, but she refused to file a police report. Pathak quietly put both her arms in casts, thinking about the poverty, patriarchy and injustice in society that he is unable to treat.

donors

Aid rarely aids agriculture in Nepal

Hired, fired, rehired

New year revolutions

What is invisible is more dangerous

The healer of far-western Nepal

82 in २०८२