<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110161128/636d18c29c7e80680e0ac7e1jpeg.jpg" alt="" width="5616" height="3744"/><figcaption>Photo: MONIKA DEUPALA</figcaption></figure>If you are a woman, it is easy to get angry. If you are a Nepali woman, it is even easier to get mad at cultural norms and societal pressures that have become an unnecessary constant in your life.Despite our progress, women are made to feel like they are there to serve the men, many of whom speak of gender, class or ethnic equality but <a href="https://www.nepalitimes.com/here-now/epidemic-of-online-sexism/">rarely apply it to their lives</a>.For example, it is pointless trying to convince a man that it is not an insult to his manhood to prepare a cup of tea for you. Alternatively, when was the last time your <a href="https://www.nepalitimes.com/opinion/boys-will-be-boys-is-never-an-excuse/" target="_blank" rel="noopener noreferrer">older brother or husband</a> brought you a cup of tea when you came home tired from work?I have held on to years of frustration and anger within me, and talking to other women, I realised that they do as well. It is terrible to constantly feel negative emotions because it affects our physical health and our overall well-being.When I was younger, I vented out my anger a lot but over the years, it has adversely affected my relationships with people. My inability to let go has affected my life quality and the time spent with my loved ones.Early on in life, I learned that it is better to <a href="https://www.nepalitimes.com/opinion/staying-mum-about-sexual-assault/" target="_blank" rel="noopener noreferrer">speak up</a> about the issues bothering you than holding them in. But I misinterpreted it so that I started to express my frustration over minor problems instead of thinking about them critically.When I asked others for help, they told me not to get angry, which made me angrier because I already knew that. I didn’t want to be angry, but I needed to learn how not to be.I once met this wise person who told me that there is nothing wrong with anger, that it is normal — but it is how we express the anger that makes a difference.Having been angry for years, he told me that I would not stop at will, but it was possible to change. He told me to think about a few things when I get angry, which can be challenging in the heat of the moment, so I decided to write them down to look at when I get mad.“Ask if it is worth it.”“How is this anger benefitting me now?”“Do not react, no matter how mad you feel—hold it in and be patient.”“Put your phone away.”We have all become more impulsive about the need to express anger. In this digital world, it means expressing it via instant messages or social media, angry Tweets that you cannot take back.I thought holding things in was a sign of weakness, but sometimes it is a sign of intelligence.Often, I have regretted the things said and texted when I was angry. So, practicing patience is one of the best pieces of advice for anger management. It allows me to feel anger but not react until I have cooled down. Generally, things don’t seem as awful after you give it time.This is not me saying to hold things in, but it is always best not to react in the heat of the moment when things usually come out wrong. It is also not about letting all the anger go, but analysing it to see why it bothers you so much.Anger is oftentimes hidden sadness, and as such, I thought of it as my strength. But I have hurt too many people in the process, so I am trying to rid myself of this habit.So now, whenever I get angry, I look at my notes and wait. It is difficult, but I do it because it is the best way to approach anger. I take it one day at a time, and it works.I am still working on not reacting unnecessarily to people but giving myself time to see if what caused the anger is worth it, and the truth is, it never is. In the past, I used to realise it too late, but not anymore.It will take a long time for our society and <a href="https://www.nepalitimes.com/opinion/coping-with-the-patriarchy/" target="_blank" rel="noopener noreferrer">its patriarchal ways</a> to change. In the meantime, we cannot afford to lose more of ourselves and our ability to reason by giving into negative emotions. Change comes from within and from a mind at peace.That is why the first step is to channel the energy productively. We need to be mature about this and know which emotions to express and which ones to hold in.When I feel myself boiling inside, I wait, breathe, and pray for the strength to let go of the anger that benefits no one. I am working on controlling my anger rather than letting it control me. It is the best present I can give myself this Festive season.

Anjana Rajbhandary

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Feel angry? Read this.

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce5759c7e80680e09670cjpeg.jpg" alt="" width="1750" height="1168"/><figcaption></figcaption></figure>Nepal is being engulfed by a second Covid-19 wave, but that has not deterred the <a href="https://cbs.gov.np/" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=https://cbs.gov.np/&amp;source=gmail&amp;ust=1618706386602000&amp;usg=AFQjCNHjpdB6VBkaD12OSHCdtm5WKfbnAA">Central Bureau of Statistics</a> (CBS) as it puts finishing touches to an <a href="https://www.nepalitimes.com/banner/everybody-counts-in-nepal/" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/banner/everybody-counts-in-nepal/&amp;source=gmail&amp;ust=1618706386602000&amp;usg=AFQjCNHWsKnBlwWEq9HjHve2mVa1kbn0OQ">ambitious National Population and Household Census</a> scheduled for 8-22 June.CBS has devised three phases of training at the central, provincial and local levels, and has completed the central and provincial briefings. In the final phase, officials trained in previous sessions will instruct 8,000 census supervisors and 39,000 enumerators during week-long sessions in late April and late May respectively.The data collection will be more comprehensive and detailed, with the use of three separate questionnaires: House and Household Listing, the main questionnaire, and the Community Questionnaire. The main questionnaire with 55 questions will be the longest questionnaire out of any other country that conducts a census, while the Community Questionnaire will be the first of its kind used in a national census.The census will also make more prominent use of technology in the data collection process with enumerators deployed within Kathmandu Valley set to use electronic tablets to record information.Each national census since the first one has shown increased diversity in terms of ethnicity, religion and languages spoken. This year’s census is Nepal’s 12th and because of greater social awareness, inclusion and empowerment, the results are expected to reflect the country’s changing socio-political and demographic landscape more accurately, and add to the country’s linguistic, cultural, and ethnic richness.The first four census from 1911 to 1941 were primarily head-counts conducted to gather data about able-bodied Nepalis who could be sent to fight the British Empire’s wars overseas. However, the censuses since 1952 have documented the country’s changing social demography.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce5789c7e80680e09670djpeg.jpg" alt="" width="960" height="626"><figcaption> </figcaption></figure>‘The democratic wave in Nepal after 1990 played a major role not only in collecting better census data on ethnic/caste, linguistic and religious groups but these data have also become instrumental in understanding the interethnic and inter-religious relationships among various groups of people,’ writes Dilli Ram Dahal in the 2014 <a href="https://www.google.com.np/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=&amp;cad=rja&amp;uact=8&amp;ved=2ahUKEwjCnuuJioPwAhV_wzgGHVVVBkgQFjAAegQIBBAD&amp;url=https://nepal.unfpa.org/sites/default/files/pub-pdf/Population%2520Monograph%2520V02.pdf&amp;usg=AOvVaw31jW_JvStlSNQMJhlKSRuN" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=https://www.google.com.np/url?sa%3Dt%26rct%3Dj%26q%3D%26esrc%3Ds%26source%3Dweb%26cd%3D%26cad%3Drja%26uact%3D8%26ved%3D2ahUKEwjCnuuJioPwAhV_wzgGHVVVBkgQFjAAegQIBBAD%26url%3Dhttps://nepal.unfpa.org/sites/default/files/pub-pdf/Population%252520Monograph%252520V02.pdf%26usg%3DAOvVaw31jW_JvStlSNQMJhlKSRuN&amp;source=gmail&amp;ust=1618706386602000&amp;usg=AFQjCNGADSwyVNWu0nLEuMTaNEfkVJRLMQ">Population Monograph of Nepal</a>.Nepal’s topographical range and its location astride the Himalaya has given the country ethno-linguistic diversity unparalleled in the world. The first modern census of 1952-54 was also the first to collect data on languages spoken, and all following census has asked respondents their ‘mother tongue’ and their ‘second language’.The 1952 census put Nepal’s language count at only 44, and the number actually decreased in the three subsequent censuses, to 36 in 1961, then more dramatically to 17 in 1971. In fact, responses to census questionnaires on social demographic data show a direct correlation to Nepal’s political and socio-cultural evolution. For example, the number of languages began to increase from the 1991 census onwards.“Since the restoration of democracy in 1990, there has been a sharp rise in ethno-linguistic awareness among linguistic minorities, including indigenous peoples about their mother tongues,” writes Yogendra P Yadava in the Population Monograph.The <a href="http://archive.nepalitimes.com/blogs/thebrief/2011/09/27/nepals-population-26-6-million/" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=http://archive.nepalitimes.com/blogs/thebrief/2011/09/27/nepals-population-26-6-million/&amp;source=gmail&amp;ust=1618706386602000&amp;usg=AFQjCNH25d0c3bd_PGzngduCr1m3tzb0-w">2011 census</a> puts the official number of languages at 123. Of them, 19 are non-Nepali languages, some of which include Arabi, Russian, Chinese, Spanish. However, the National Language Commission has identified eight more languages since its establishment in 2016, and this is expected to be reflected in this year’s count.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce57a9c7e80680e09670ejpeg.jpg" alt="" width="1119" height="822"><figcaption> </figcaption></figure>Yet, even as new languages are identified, some of Nepal’s indigenous languages are in <a href="https://www.nepalitimes.com/here-now/lost-in-translation/" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/here-now/lost-in-translation/&amp;source=gmail&amp;ust=1618706386602000&amp;usg=AFQjCNGpgoEsPRha7u6Ds9SWg0FHV6X6ZQ">danger of becoming extinct</a>. The 2011 census identified 37 languages having less than 1,000 speakers as being endangered. Among them, the Dura, Kusunda, and Tillung languages have only one speaker each left, and may not even register in this year’s census.“The status of Nepal’s languages and linguistic diversity have reflected well in Nepali censuses only during periods of democracy, and not in times of tyranny and autocracy,” explains Lok Bahadur Lopchan of the Nepal Language Commission. Indeed, fluctuations in the language count correspond with major political upheavals in Nepal’s history.In a bid to better understand Nepal’s linguistic diversity and identify the status of languages spoken, the Commission and CBS have introduced a new question to the language section in the census forms. In addition to ‘mother tongue’ and ‘second language’, respondents this time will also be asked to mention their ‘ancestral’ language.“Because the language of teaching and communication is predominantly in Nepali, the mother tongue for many people across Nepal’s ethnic communities has become Nepali as well. Adding ancestral language to the questionnaire will help us ascertain which languages have lost speakers,” Lopchan explains.In fact, Dilli Ram Dahal notes in his analysis that “dominant groups, such as Newa, Magar and Rai are switching over in large numbers to the Nepali language, not only because it is an official language but also because of their day to day interaction with the Nepali language speaking communities.”“If the respondents answer openly, we might get more accurate data, and there is a possibility that the total number of endangered languages will be double of what it is now,” adds Lopchan.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce57d9c7e80680e09670fjpeg.jpg" alt="" width="960" height="652"><figcaption> </figcaption></figure>Meanwhile, data collection in the census could also be affected by an increasing number of inter-ethnic, multi-lingual families as the country goes through a cultural shift."We are inherently a patriarchal society, so the data about ancestral language might be dominated by the male side of the family in case of inter-ethnic or inter-caste families, even if the first language the respondent has learned is that of the mother’s,” notes Lopchan. “In such cases, respondents might record their father’s language as the ancestral language and their mother's language as their mother tongue. Or, they might have learned to speak only in Nepali for convenience.”Unlike fluctuations in data related to language, the number of Nepalis practising various religions has continued to increase ever since Nepal began to keep faith records in the census of 1952/54. The 1952 census recognised only three major religions: Hindu, Buddhist, and Islam. Jainism and Christianity were added to the census in 1961, Kirat in 1991, Sikh and Baha’i in <a href="http://archive.nepalitimes.com/news.php?id=8345#.X6oMhi8RoWo" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=http://archive.nepalitimes.com/news.php?id%3D8345%23.X6oMhi8RoWo&amp;source=gmail&amp;ust=1618706386602000&amp;usg=AFQjCNHiGzP6IHzsdfSl1d-rW4IeZK7QuA">2001</a>, and Bon and Prakriti Dharma being the latest additions in 2011.However, even as the absolute number of Nepalis practising various religions increase, the percentage of Nepalis who identify as Hindu has declined over the years from 89% to 81% of the total population. Meanwhile, the percentage of Nepali Christians has continued to increase from zero in 1952 to 1.4% of the population in 2011.The gradual decline in the percentage of Nepal’s Hindu population has brought to the forefront conversations about religious freedom after the country became secular, but has also been a cause for concern about religious conversion and proselytisation by western and Korean Evangelical groups in recent years.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce5809c7e80680e096710jpeg.jpg" alt="" width="1125" height="800"><figcaption> </figcaption></figure>Revealingly, the 2011 census showed that the number of Nepalis identifying as Christians was 85,000 in urban areas and almost 290,000 in rural areas.‘As most of Nepali people live in rural areas, it is natural that there are more people following a particular type of religion in rural areas. But it also gives a strong message that rural people could be motivated more easily to change their religion if external factors play a role in following their religious faiths or values,’ writes Dilli Ram Dahal in the Population Monograph.This also raises concerns about how individual respondents might hesitate to be forthcoming about their religious identity due to a pressure to say they belong to the same faith as their family members, or fear of ostracisation if they admit to following a different religion. But census officials do not believe these issues will affect the accuracy of data this year.“Religion is an individual choice, and as such, respondents are free to disclose their religion regardless of family or ethnic background,” says Tirtha Raj Chaulagain of the CBS. “Our enumerators are trained to ask questions individually to each member of the household, so we anticipate little error in data as far as religion is concerned.”CBS has identified 10 major religious groups from the previous census, in addition to having an ‘others’ section. Yet even as data and discourse around religious diversity have increased, there is a distinct lack of conversation surrounding individuals who might be atheist or agnostic. This can be attributed to the intricate links between religion, culture and tradition in Nepali society that informs the everyday lives of Nepalis. Additionally, the reluctance to be open about one’s religious identity might also extend to a disinclination towards disclosing the absence of any religious faith.“While we do not have a section for such individuals, we do have an ‘others' section, where respondents are free to specify that they do not identify with any religion,” says Chaulagain. “The fact is, if enough respondents had previously specified being atheist or agnostic, we would have coded and categorised it immediately."<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce5839c7e80680e096711jpeg.jpg" alt="" width="960" height="636"><figcaption> </figcaption></figure>Even though an individual or community’s ethnic identity is intricately tied to a sense of linguistic and religious belonging, caste and ethnicity were only included for the first time in the 1991 census, 40 years after Nepal began to keep records of language and religion. Sixty caste or ethnic groups were identified in the 1991 census, 100 in 2001 and 125 in 2011.“The rise in the consciousness of identity, and the consequent desire to project one’s group as distinctive and unique, has also contributed to the increase in the number of caste and ethnic groups,” writes Pitambar Sharma in his 2014 analysis of the 2011 census, <a href="https://soscbaha.org/wp-content/uploads/2019/11/some-aspects-on-nepals-social-demography.pdf" target="_blank" rel="noopener noreferrer">Some Aspects of Nepal’s Social Demography</a>.In fact, rising ethnic awareness and openness have resulted in a sharp population increase of some ethnic communities like the Kami and Badi that previously went underreported. The Kami population increased by 40.4% from 2001 to 2011, going from almost 0.9million to more than 1.2 million. Meanwhile, the Badi population went from 4,893 in 2001 to 38,603 in 2011, increasing by 678%.“In the case of Kami, many of them had concealed their own caste identity, putting down a surname of either the high-caste Hindu groups or simply reporting themselves as Dalit, without identifying their own caste in the 2001 census,” writes Dilli Ram Dahal. “Recording of Badi was also the same in the 2001 census. Many of them simply put their family name “Nepali”, and later the CBS labelled them as Dalit or unidentified Dalit.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce5869c7e80680e096712jpeg.jpg" alt="" width="960" height="626"><figcaption> </figcaption></figure>Indeed, ethnic and caste groups counted in the ‘other’ category have also decreased over the years, with the numbers going down from more than 800,000 in 1991 to a little more than 100,000 in 2011. This signifies that CBS has been collecting more accurate data and is becoming more inclusive and aware of Nepal’s diverse ethnic landscape.Meanwhile, internal migration has led to depopulation in the mountains and hills of Nepal in the last decade, with people moving South to the Tarai in search of better opportunities. 'Ethnic groups who have moved away from their native areas were more concentrated in the Tarai areas adjoining their hill habitats,' writes Pitambar Sharma in his analysis. This has made the Tarai more ethnically diverse and more heterogeneous than the hill and mountain populations. In comparison, major Tarai caste/ethnic groups were less mobile, continuing to reside in their native areas.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce5899c7e80680e096713jpeg.jpg" alt="" width="876" height="715"><figcaption> </figcaption></figure>The effects of urban migration are also clear in cities like Kathmandu, where significant migration by people of other ethnic communities has led to the Newa community no longer remaining a majority in terms of population, according to the 2011 census.Yet even as Nepalis seek to carve out separate identities in the current socio-cultural climate, studies and experts acknowledge that there is a gap in data due to the absence of extensive surveys to identify Nepal’s distinct ethnic compositions and cultures.Read also:<a href="https://www.nepalitimes.com/latest/lies-damned-lies-and-statistics/" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/latest/lies-damned-lies-and-statistics/&amp;source=gmail&amp;ust=1618706386602000&amp;usg=AFQjCNGs5AKAqBxWcsFpWndSFaItFSLfSg">Lies, damned lies, and statistics</a>, Ramesh Kumar<a href="https://www.nepalitimes.com/latest/remembering-the-1961-census/" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/latest/remembering-the-1961-census/&amp;source=gmail&amp;ust=1618706386602000&amp;usg=AFQjCNFNnRId5olOIWaMI35aM8tnwor0xA">Remembering the 1961 census</a>, Bhairab Risal

Shristi Karki

Nepal to conduct census amidst Covid-19 surge

Race against time

https://www.youtube.com/watch?v=3V1x6nUgo9g&amp;feature=youtu.beEver since Nepal’s founding king <a href="http://archive.nepalitimes.com/news.php?id=6592#.XVUiCuMzbIU" target="_blank" rel="noopener">Prithvi Narayan Shah</a> described the nation state he forged as a garden of 4 castes and 36 ethnicities, besides considering themselves ‘Nepali’ most people have also kept a distinct sense of sub-national identity.The Muluki Ain of 1854 defined this social hierarchy, and the 2011 <a href="http://archive.nepalitimes.com/news.php?id=8616#.XVUpheMzbIU" target="_blank" rel="noopener">census</a> lists all 125 castes and ethnic groups, forming the basis on which the new <a href="http://archive.nepalitimes.com/blogs/thebrief/2015/09/20/peoples-constitution/" target="_blank" rel="noopener">Constitution</a> defines Nepal’s <a href="http://archive.nepalitimes.com/news.php?id=15798#.XVUpPuMzbIU" target="_blank" rel="noopener">reservation policies</a> for the civil service, government and Parliament. But with an increase in inter-ethnic marriages producing an even more multicultural society, there may be a need to redefine ethnicity as the country becomes even more diverse.“Growing up, my most cherished memories are visiting my grandparents from both sides of my family and being exposed to diverse beliefs, traditions and food,” recalls Rubeena Mahato, who has a Maithili father and Newar mother. “The two ethnic backgrounds merged seamlessly without one undermining the other.”But despite embracing her dual heritage and being raised in a household with no concept of caste hierarchy or religious superiority, and taught to respect people regardless of their ethnicity, Mahato says society kept her in a box as she grew up. (See box story below)Mahato recalls that the first question she was asked at school was about her caste and ethnicity. As children who didn’t know better, her classmates made assumptions based on what they had seen their parents do. Mahato was seen only as a Madhesi, leading her to feel self-doubt over her Newar identity. While she embraced her duality, her peers and teachers did not.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110814110/636a53aa9c7e80680e052362jpeg.jpg" alt="" width="1400" height="933"/><figcaption>INTERETHNIC LOVE: Prime Minister KP Oli presents rhododendron blossoms to his wife Radhika Shakya on 21 February during Kalu Pande Diwas in Dahachok. Pic: Krishna Paudel</figcaption></figure>The caste and ethnic categorisation in the Muluki Ain and a rigid perception of identity pose obstacles for Nepalis who want to adopt their hybrid identities. <a href="http://archive.nepalitimes.com/news.php?id=16478#.XVUm4uMzbIU" target="_blank" rel="noopener">Seira Tamang</a> is a political scientist whose research focuses on social exclusion. She says, “Regardless of how people might choose their ethnic and other identities, society at large will see and treat them according to the <a href="http://archive.nepalitimes.com/news.php?id=7872#.XVUqB-MzbIU" target="_blank" rel="noopener">singular homogenised identity and strata of the Muluki Ain.”</a>Historian <a href="http://archive.nepalitimes.com/news.php?id=11936#.XVUmpeMzbIV" target="_blank" rel="noopener">Pratyoush Onta</a> of Martin Chautari says Nepalis have three types of responses to multiethnic identities: embracing their hybrid ethnic identity, reasserting one ethnic identity while rejecting the other, or identifying themselves only as Nepali. Keeping a single ethnic identity as long as it abides by the ongoing patrilineal system aligns with the current perception of ethnic identity, but there is social and political confusion for many like Mahato who want to preserve their hybrid ethnic identity.<a href="http://archive.nepalitimes.com/news.php?id=13361#.XVUnpOMzbIU" target="_blank" rel="noopener">Mahendra Lawoti</a>, professor of political science at Western Michigan University, who has written extensively on Nepal’s reservation policies, says, “Ethnic identity is not just shaped by the individual’s perception of themselves, but also society’s recognition of them. Ethnic identity, to some extent, is a social construct.”Indeed, the ethnicity of a person in Nepal is still largely determined by the father’s lineage. But this can lead to even more confusion over the freedom of women to change their ethnic identity and surname with marriage and the matter of reservation policies.Besides a mandatory quota for women in government and civil service, there is also <a href="http://archive.nepalitimes.com/news.php?id=4140#.XVUosOMzbIU" target="_blank" rel="noopener">affirmative action</a> for indigenous people, Dalits and other ethnicities. But as marriages create more <a href="http://archive.nepalitimes.com/news.php?id=12561#.XVUoO-MzbIU" target="_blank" rel="noopener">multiethnic identities</a> and a weaker attachment to a single ethnicity, the future of the <a href="http://archive.nepalitimes.com/news.php?id=15753#.XVUn0OMzbIU" target="_blank" rel="noopener">reservation policy</a> comes into question.“The reservation policy should be reflective of society and should respond to changes in the social dynamic,” says Lawoti. “The state does not recognise multiethnic individuals, but it should respond to this new reality.”However, whether offspring of inter-ethnic marriages will seek to assert their hybrid identity, or take up one or other of their parental identity is also uncertain. Some may prefer to assume the identity of their Dalit or indigenous parent rather than their 'higher caste' parent in order to benefit from reservation.Lawoti and Onta both agree that policies should be more flexible to accommodate multiethnic individuals. different caste or ethnicity. Women should be allowed to either keep their birth surname or change it to their husband’s, but if they are allowed to change when it fits their immediate purpose, the system perpetuates unfairness.“Women should be allowed to change their ethnic identity when they get married but not to simply abuse the system,’’ says Lawoti. In Nepal’s patriarchal society, even with inter-ethnic marriages there is a tendency for wives to adopt the customs, traditions and culture of her husband’s ethnicity, forgoing her own. Children are raised with the culture of their father’s ethnicity. When doing so, the ethnic background of women erodes and hybrid identities are less likely to be formed.However, with greater geographical mobility, the spread of education, and people moving out of historical ethnic enclaves, there are more possibilities of mixed ethnicities. Politician Tripple P Gurung and journalist Ramyata Limbu raise their children with a fusion of ethnic customs and practices. Both Gurung and Limbu traditions are preserved flexibly within the home – a trend that many families with inter-ethnic marriages now practice.Basantapur of Sunsari district in eastern Nepal is perhaps one of the most multicultural, multilingual and multiethnic villages in Nepal. Anthropologist Chudamani Basnet researched inter-marriage in the town and found that although <a href="http://archive.nepalitimes.com/news.php?id=19885#.XVUo3eMzbIU" target="_blank" rel="noopener">Janjatis</a> have been intermarrying people from higher caste groups, there were none of the expected cultural conflicts.A Limbu woman married to a Giri man found that as they had migrated away from their families and were more economically independent, they faced very little inter-ethnic conflicts.However, not all such marriages are accepted. 'Higher caste' people who have married Dalits, for instance, are <a href="http://archive.nepalitimes.com/news.php?id=15947#.XVUuxuMzbIU" target="_blank" rel="noopener">routinely ostracised</a> by their own community. Sometimes couples who have crossed caste or ethnic lines to elope have been publicly taunted, beaten, or driven out of their villages.Basnet attributes much of the opposition to the loss of cultural heritage and language. “Inter-marriage was made possible by a common language, Nepali, which has facilitated interaction between people of different ethnic groups, but at the cost of their mother tongues,” he adds.As offspring of inter-ethnic marriages create and practice their own fusion customs, some of the distinct cultural and linguistic attributes of the original ethnic groups tend to erode. The future of hybrid identities with the current social and political state of Nepal is therefore uncertain, even though Prime Minister KP Oli and his wife Radhika Shakya, and other senior politicians, themselves have married across ethnicities.Inter-ethnic marriages in Nepal came in waves. During the Panchayat, many underground Communist leaders, like KP Oli, developed relationships with young women in the households where they rented rooms, or in the neighbourhoods of inner city Patan and Kathmandu. During the National Development Service, college graduates were mandatorily required to serve a year in rural areas, and got married to locals. The third wave was during the conflict, when Maoist guerrillas could get married with the party's consent. Today, education, mobility and connectivity have unleashed a new wave of inter ethnic marriages.Uncertainty is also perpetuated by the lack of data regarding inter-ethnic marriages. The Department of National ID and Civil Registration refused this paper’s repeated requests to release data of inter-ethnic marriages or to comment on the trend, citing issues of privacy and discrimination.Regardless, Nepal is celebrated as a multicultural, multilingual and multiethnic nation, characteristics that have been embedded in the Constitution. But while the country as a whole may have a rich ethnic diversity, it is also becoming a new melting pot.Read Also:<a href="http://archive.nepalitimes.com/news.php?id=11202#.XVUid-MzbIU" target="_blank" rel="noopener">Happily ever after,</a> Shraddha Basnya<a href="http://archive.nepalitimes.com/news.php?id=15581#.XVUideMzbIU" target="_blank" rel="noopener">Caste no bar,</a> Kong Yen Lin<a href="Nepal,%20an%20emerging%20rainbow%20nation" target="_blank" rel="noopener">Nepal, an emerging rainbow nation,</a> Rubeena Mahato<a href="http://archive.nepalitimes.com/news.php?id=15775#.XVUjneMzbIU" target="_blank" rel="noopener">Nepal's mutli-ethnic future,</a> Shyam Shrestha<h2>Tharu-Tamang</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110814110/636a53ad9c7e80680e052363jpeg.jpg" alt="" width="1400" height="1050"><figcaption> </figcaption></figure>Suksari Chaudhary was in her early 20s and working in a garment factory in Kathmandu Valley when she met Chhewan Lama. Amidst the hum of sewing machines and heaps of fabric scraps, the two fell in love.They went their separate ways, but five years later they both found jobs in a school in Lalitpur and got married soon after. Although she is Tharu and he is Tamang, the wedding ceremony reflected neither culture but was performed using Brahmin rituals.“I think it was easier for us to have an inter-ethnic marriage because both our parents were no longer with us and our other relatives also had inter-ethnic marriages,” says Chaudhary. Lama’s parents and Chaudhary’s father had passed away years before they met.The only time they faced any difficulty over their mixed marriage was when they returned to Lama’s home in Kavre for the first time after getting married. She recalls, “At first, his extended families didn’t really understand why he had married a Tharu.” But when Chaudhary was asked to sit in a traditional Tamang puja by Lama’s family, she felt welcomed and accepted. It was rare for a conservative family to allow a person from another ethnic background to worship with them.A year after their marriage, Lama and Chaudhary had a daughter, who grew up in a multiethnic household. She is now 22, and Chaudhary regrets not teaching her daughter Tharu customs, just as she herself never had the chance to learn about her heritage. As the only Tharu family in a predominantly Brahmin/Chhetri area, as a girl she was only familiar with the customs and practices of the ‘higher caste’ community.Today, the family has added other rituals to their celebrations. For example, during Dasain, they put white tika on each other in the evening as per Tamang custom. Lama says, “When we were raising our daughter, we neither raised her strictly as a Tharu nor a Tamang. She is a combination of both and a product of an interlaced family.”<h2>Maithil-Newar</h2><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110814110/636a53b09c7e80680e052364jpeg.jpg" alt="" width="800" height="843">Growing up in a Maithil-Newar household, Rubeena Mahato embraced her colourful and multicultural heritage, celebrating both Rakshya bandhan and Bhaitika with Newari mandaps and eating Mithila dishes like thekuwa, khajuriya and daal puri during Chath and delicious yomaris during Newar Lapte bhoye bhoj. “My dual heritage merged seamlessly and they always have,” says Mahato.From a young age, Mahato was taught to respect everyone regardless of their ethnic or caste background. But she did not always receive the same treatment from others, and witnessed others get harassed because of their heritage.“Because of my upbringing, it was inconceivable for me to engage in ‘othering’ and exclusion, or to suffer it. I remember arguing with my friends over it and refusing to participate. Over the years, there have been multiple occasions where I have had to lecture perfectly educated young people for using caste slurs. Most are embarrassed, some are quite taken aback and some refuse to introspect. But I know that we cannot let such behaviour go unchallenged.”Now living in the US with her husband, Mahato remembers: “Our home is a riot of colours, tastes and flavours from our various heritages. What could be more Nepali than that?”

Nepal is turning into a nation of hybrid identities

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

82 in २०८२

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.

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