<figure><img width="800" height="472" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce5539c7e80680e0966fejpeg.jpg" alt=""/><figcaption>Silgadi, Doti in the 1960s. Photo: ROUNDS IMAGING SERVICE</figcaption></figure>Sixty years ago, I arrived at Kolmuda of Kailali district as part of a 14-member team to help conduct the sixth decennial national census in far-western Nepal. It was March 1961, and in those days because of the lack of roads, we had to travel across India to get from one part of Nepal to another. The first part of our journey was on the Tribhuvan Highway from Kathmandu to the Indian border. But the newly-built road was blocked by a landslide, and our bus swapped passengers with another bus going to Kathmandu. From Dhangadi in the Tarai, we walked up rough trails to Doti, Bajhang, Achham, Bajura and Dadeldhura. Fellow travellers were traders selling ghee and buying salt, spices, and clothes. Far-western Nepal is remote even today, but back then it was at the edge of nowhere. There were no lodges or tea houses along the trail, and we often had to camp in the forests and cook food in the clearings. In the Tarai, the jungles were teeming with wildlife and we could hear tigers roaring by night. We lit fires to keep predators away.After King Mahendra dissolved Parliament and established the Panchayat system in December 1960, former MPs were deployed in different roles across the country. Many of them were appointed to serve as governors -- a strategic move by the king to further weaken the party system. But governorship was still a powerful position, so much so that of the only two concrete buildings in Dhangadi in 1961, one was the home of the governor, and the other was the prison.Silgadi in Doti was still what it looks like today: a ridge-top town with cobblestone streets and traditional houses with slate roofs. Because it had some Newar settlers from Kathmandu Valley, Silgadi had neighbourhoods named Asan and Indrachok.We set up our census headquarters near the market, next to the prison, in a house we rented for four months. Then, the census work began. Enumerators would leave for their designated areas with data forms and documents. Officer Dharmanath Gajurel, my wife Sushila, and I stayed back at the census office.Sushila had accompanied me as a representative of the Everest Dialogue Committee which conducted interviews with governors and sent them back to Kathmandu where they would be published in newspapers, or broadcast via Radio Nepal. The governors I met were happy with me because other governors did not get as much media coverage as they did. <img width="400" height="463" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121148/636ce5559c7e80680e0966ffjpeg.jpg" alt="">We then walked to Dadeldhura and Baitadi to conduct the census with two assistants in tow. I met with Governor Devendra Bahadur Tumbahamphe of Dadeldhura and Governor Satyanarayana Jha of Baitadi and then crossed over to India to get to Darchula, and later Bajhang via Pithoragarh in India. In Bajhang, we met the headmaster of Satyavadi High School, who like many teachers across Nepal at the time, was Indian. We even reached the farthest point you could go from Kathmandu in those days: the villages of Gunji, Nabi and Kuti in the <a href="https://www.nepalitimes.com/latest/politics-and-history-of-nepals-kalapani-claim/" target="_blank" rel="noopener noreferrer">disputed Kalapani and Limpiyadhura territory</a>. The fact that the government of Nepal had actually conducted a census there in 1961 has been cited as irrefutable proof that the territory east of the main channel of the Kali River has always been a part of Nepal.It took us another 15 days to return to Silgadi via Thalara and Khaptad. We also observed the census in southern Doti, which was going smoothly. I am 96 now, but then as a young man, I had no problem walking up and down those rugged and remote mountains.Sixty years ago, as now, far-western Nepal was far behind the rest of the country. There were few educated people, and health and nutrition levels were dismal. If we saw any white houses with tin roofs, we understood them to be schools.Teachers from around the villages were deployed as enumerators during the census, but there were not enough schools in the region so recruiting data collectors was a challenge in itself.Enumerators collected data through household and individual questionnaires and earned four paisa for each person whose particulars they collected. However, it was difficult to find enumerators we could rely on. Some would consider four paisa too little to bother going after every individual, while others would over-count and exaggerate the figures to earn more money. <a href="https://archive.nepalitimes.com/news.php?id=11605" target="_blank" rel="noopener noreferrer">My position</a> was equivalent to that of a branch officer, whose salary was Rs225, as I walked across far-western Nepal for the 1961 census.Bhairav Risal, 96, is a veteran journalist and environmental activist.Read also: <a href="https://www.nepalitimes.com/banner/everybody-counts-in-nepal/">Everybody counts in Nepal</a>, Shristi Karki

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Remembering the 1961 census

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111156/636cd92a9c7e80680e092e85jpeg.jpg" alt="" width="1500" height="835"/><figcaption>The new bridge over the Mahakali River currently under construction will join Far West Nepal with the North Indian status of Uttar Pradesh, Uttarakhand, Punjab, Haryana and New Delhi.</figcaption></figure>The <a href="https://www.nepalitimes.com/here-now/epicentre-of-two-disasters-in-west-nepal/" target="_blank" rel="noopener noreferrer">far-west has been neglected</a> by the rest of Nepal for centuries, but it is brimming with potential for socio-economic transformation.The reason it has always been seen as a periphery by Kathmandu has been its remoteness. It is a five hour drive to New Delhi from Dhangadi, but it takes at least 12 hours to get to Kathmandu.The devolution of political power under Nepal’s federal Constitution, and new connectivity are rapidly changing the face of the <a href="http://archive.nepalitimes.com/article/book-review/review-nepal-wild-west,486" target="_blank" rel="noopener noreferrer">Far-Western Province</a> and opened up possibilities for the province to not just catch up with the rest of the country, but even overtake it.The region is filled with natural and human resources. Federalism has enabled local municipalities and provincial government of these nine district to use their own resources for self-determined development priorities.A new bridge over the Mahakali River is under construction and will soon replace the old single lane Tanakpur Barrage as the economic lifeline for the <a href="https://www.nepalitimes.com/here-now/nepals-superwomen-beat-superstition/" target="_blank" rel="noopener noreferrer">Far-Western Province</a> by joining it with the north Indian states of Uttar Pradesh, Uttarakhand, Punjab, Haryana and New Delhi. There is a new dry port under construction.The bridge will not just help transform far-west Nepal, but the rest of the country as well when it is finished in two years. Perhaps then, this region cannot be referred to as ‘backward’ or ‘under-developed’ anymore.“In terms of connectivity, this bridge will be a game-changer,” journalist Surendra Phuyal tells the Saglo Samajtv magazine. He points to how the inauguration of the Karnali Bridge also similarly joined the far-west to the rest of the Nepal 27 years ago. Before that, people from far-western Nepal had to travel through India to go to other parts of Nepal.https://youtu.be/UC-Al3hwthUWhile the Karnali Bridge immediately brought the far-west closer to the rest of Nepal, the new Mahakali Bridge will bring the increasingly affluent industrial and agricultural regions of north India closer to Nepal, allowing the easier flow of people and trade.This means Nepal will now be much more accessible to the 200 million people in India who live within a 5 hour driving distance from Dhangadi or Mahendranagar. Many of them are young Indians looking for new <a href="https://www.nepalitimes.com/here-now/on-the-road-in-west-nepal/" target="_blank" rel="noopener noreferrer">unspoilt destinations</a> to go on holidays or pilgrimage. Many are tired of the overcrowded hill stations of Nanital, Ranikhet, Mussourie in India.Better connectivity can therefore have an immediate impact on tourism if the facilities and infrastructure on the Nepal side can be improved. This in turn, will bring tourism income to the rural far-west reducing the push-factor driving its people to migrate out.Many of the destinations in the far-west and adjacent Karnali are pristine wilderness areas: <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/The-Holy-Link,3153" target="_blank" rel="noopener noreferrer">Khaptad</a> and <a href="https://www.nepalitimes.com/banner/raras-rare-beauty/" target="_blank" rel="noopener noreferrer">Rara</a> National Parks, Badimalika, Api Saipal Conservation Area. These are all scenic unspoilt wilderness areas with their own religious significance that can be a draw for Indian as well as domestic Nepali tourists.In addition, there are the Sukla Phanta Wildlife Reserve and the Bardia and Banke National Park in Karnali Province. Says nature guide Kum Thakur at Sukla Phanta: “This area is famous the world over for the Barasingheswamp deer, tiger, rhino and rich birdlife. Despite Sukla Phanta’s smaller size compared to other national parks in Nepal, the reserve’s mix of wetland, jungle and vast grasslands give it a higher density of wildlife.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111156/636cd92d9c7e80680e092e86jpeg.jpg" alt="" width="1618" height="1000"><figcaption> </figcaption></figure>North India’s most prosperous areas near Delhi is within a few hours driving distance. Can benefit from tourism from these areas. Increasingly affluent. They are looking for new unspoint destinations. “Chalo Sudur Paschim Pradesh”.Bed Upreti, an airline captain with Air India, who has set up the Mahendranagar Museum says:  “I see huge untapped potential for tourism if the far-west is promoted adequately as a destination. For this, we have to reduce the distance by improving connectivity to the destinations like Khaptad. Whenever I fly over Far-Western Nepal I feel like it is a gold mine for tourism.”Meanwhile, federalism has brought new hope that the <a href="http://archive.nepalitimes.com/news.php?id=18055#.YFlzKy2B0b0" target="_blank" rel="noopener noreferrer">Far-Western Province</a> can benefit from devolution, and not have to depend on faraway Kathmandu for everything.“We used to have to go to Kathmandu for the movement, now with the province, we can solve our own problems,” says Yagyaraj Chaudhari, a Tharu social activist.Chaudhari says there is residual tension in Far-Western Province between the <a href="https://www.nepalitimes.com/here-now/5-myths-about-the-tharu/" target="_blank" rel="noopener noreferrer">indigenous Tharu community</a> of the plains and the mountain settlers. It goes back to the history of trans-location of villagers from the mountain districts to the Tarai during the reign of King Mahendra in the 1960s. This has been exacerbated by instance of violence like the massacre of policemen in Tikapur six years ago, and the continued imprisonment of Tharu leader and MP, Resham Chaudhari.“There is simmering anger among the Tharu because of this, and it is also fed by their under-representation in proportion to the population in government jobs,” says Chaudhari. “Inclusion will address the discrimination, but also help uplift living standards of the Tharu people. Road are important, but even more important is affordable health care and education for our people.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111156/636cd9309c7e80680e092e87jpeg.jpg" alt="" width="1500" height="1000"><figcaption> </figcaption></figure>With Province 2, the Far-West is possibly the only other province with a distinct identity. For the people of this far-flung region that identity stems from the common sense of neglect by the rest of the country.“What unites the people of Far-Western Province both in the mountains and the plains is that there has been no development here,” says businessman and media entrepreneur Gopal Hamal. “It is our economic weakness that united us, it fostered a sense of solidarity.”He says the priority is to address the i<a href="https://www.nepalitimes.com/opinion/displacement-and-defiance/" target="_blank" rel="noopener noreferrer">njustice that the Tharu have suffered</a> and to address their grievances. He says, “Earlier, it was the settlers from the mountains who mistreated the Tharu, and took their land. Now, despite the Constitution, it is the state that is the oppressor. We have to solve this before it takes a explosive turn.”Although this is not the kind of ethnic identity that the <a href="https://www.google.com/url?client=internal-element-cse&amp;cx=011870630917993763279:opm7uqsat-4&amp;q=https://www.nepalitimes.com/here-now/mr-province-2/&amp;sa=U&amp;ved=2ahUKEwjk-qyvz8XvAhV3umMGHU1gDaMQFjABegQIBxAC&amp;usg=AOvVaw3E_Or9W8x0qHg_9ezNado2" target="_blank" rel="noopener noreferrer">Madhesi community of Province 2</a> feel, the people of the Far-West feel they share the feeling of being abandoned by the central government for so long.Says Hemraj Panta, who was chief of Kailali Campus and a rector at Sudur Paschim University: “Culturally, the Khas identity and the Tharu identity in the plains give us a distinctness, but perhaps the Far-West has more of a cohesiveness compared to other provinces.”Most interviewees in Mahendranagar and Dhangadi agree that domestic tourism and visitors from India can be a catalyst for economic growth for the Far-Western Province. Just as the neighbouring Indian state of Uttarakhand has the Char Dham Yatra pilgrimage tourism, the province can also promote its shrines and pilgrimage spots that are common to Hindus in Nepal and India.One attraction could be sight-seeing flights from Dhangadi airport for Indian tourists to see <a href="https://www.nepalitimes.com/banner/faith-to-reality/" target="_blank" rel="noopener noreferrer">Mansarovar and Mt Kailash</a> from the air, or even Dhaulagiri, Annapurna and Mt Everest.“If one local government promotes one destination, one district identifies one attraction, and the province promotes itself as Sundar Sudur Paschim, we can lift the rural economy,” says Hamal. “The youth will then have jobs and this will reverse outmigration.”

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The sun rises in Nepal’s Far West

<figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101124/636b71e69c7e80680e0600f7jpeg.jpg" alt=""/><figcaption>25-year-old Batu Chadara, from Dandabasa village, Pandusen was nine months pregnant and was going to return a rooster she had borrowed. Photos: Rojita Adhikari</figcaption></figure>Recently four new mothers lost their lives in Bajura district in remote in Far-Western Nepal. All of them died at local health facilities.Rejiya Nepali, 31, was one of them. A mother of four little children from Chhatara village, she died at its health post on 2 November after five hours in labour to give birth to a baby boy.As she went into labour, Rejiya was taken to the nearest health post by her husband and relatives, a 25-minute walk from her home the previous day at 11 pm. There was no one at the heath post, so Rejiya was taken to the house of an Auxiliary Nurse Midwife (ANM). In that one hour, Rejiya gave birth in a stretcher and died on it.Although Nepal has made vast improvements in maternal health with the mortality rate dropping from 539 per 100,000 live births 25 years ago to 230 today, tragic stories like that of Rejiya are still common. An estimated 2,000 new mothers still die in Nepal every year  -- most of them because health posts are not properly equipped and staffed.According to the target set by the UN’s Sustainable Development Goals, Nepal’s maternal mortality rate (MMR) should drop further to 70 per 100,000 in the next ten years. Nepal has already failed to meet the interim target of reducing MMR to 125 by this year.Read also: <a href="https://www.nepalitimes.com/here-now/nepal-far-from-hitting-contraceptive-target/" target="_blank" rel="noopener">Nepal far from hitting contraceptive target</a>, Sewa Bhattarai <figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101124/636b71e99c7e80680e0600f8jpeg.jpg" alt=""><figcaption> </figcaption></figure>Rejiya’s 80-year-old mother in law, Deuma Nepali, is now taking care of her four children aged six, four, two and the two month old baby. She says: “I am old, I cannot see properly and cannot cook. My son has been drinking a lot since he lost his wife. We have no milk for the baby.”In Gotri village of Bajura, another new mother Pulti Rawal lost her life within a few hours of giving birth. A 32-year-old mother of four also gave birth to a baby girl on the way to the local health post.“This pregnancy was not like earlier ones, my wife was in pain and was weak. After she went to the health post, I thought she would be fine,” recalls husband Ambre Rawal.Bajura District Hospital in Martadi recorded two maternal deaths within a month: 21-year-old Basanti Nepali from Jhilli village and Nirmala Bohora, 35, from Pandusain.Read also: <a href="https://www.nepalitimes.com/banner/implant-service-providers-take-contraception-to-nepals-poor/" target="_blank" rel="noopener">Implant service providers take contraception to Nepal’s poor</a>, Rojita Adhikari <figure><img width="640" height="427" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101124/636b71ec9c7e80680e0600f9jpeg.jpg" alt=""><figcaption> </figcaption></figure>Basanti died an hour after a caesarian delivery, and her husband Krishna blames the hospital. “I was in Kuwait when I heard my wife and baby died. I could not get leave, so I quit my job and bought my own ticket to fly home,” he says.Rupchandra Biswokarma, the physician in charge of Bajura District Hospital said Basanti could have been saved if the facility had an Intensive Care Unit and an ultrasound machine. The hospital carried out 300 deliveries last year, with 15 caesarians.  “Most mothers brought here are in their last stages,” says Biswokarma, “First, they try to give birth at home, if they cannot they go to the nearest health post, and are referred to us. Forget about a well-equipped maternal ward, and ICU or a gynaecologist, we don’t even have a skilled birth attendant or trained doctor here. Actually, God is saving new mothers here, not us”Pandusain Health Post is a busy place, delivering up to 15 babies a month. It has neither an ultrasound machine not a skilled birth attendant for ante-natal checkups.Basanti Bohora, 29, a new mother with a one month old baby, had experienced terrible labour pain. She first went to Pandusain Health Post but the health worker asked them to go to the district hospital which is 4 hours drive away on a very bad road. The Nurse there told them to go to Bayalpata Hospital in Accham that is run by the non-profit Nyaya Health.“All along the way I thought I would die, it is a miracle that both me and the baby are alive today,” she says, playing with her baby boy.Read also: <a href="https://www.nepalitimes.com/banner/federalism-leaves-nepals-medical-sector-ailing/" target="_blank" rel="noopener">Federalism leaves Nepal's medical sector ailing</a>, Sewa BhattaraiEven after a childbirth, many new mothers and their children in lack of proper diet suffer from complications. 25-year-old Batu Chadara, from Dandabasa village, Pandusen was nine months pregnant and was going to return a rooster she had borrowed to impregnate a hen she had at her house. It is to be the main source of nutrition for her and her baby after the delivery. <figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101124/636b71ef9c7e80680e0600fajpeg.jpg" alt=""><figcaption> </figcaption></figure>There are many women in rural Bajura who know their pregnancy is complicated but are forced to go through with the delivery. Like Lali Nepali, 26, who is now six months pregnant and in pain, and was told to deliver in Byalpata or Dhangadi.“But I cannot afford it, so what happens will happen,” she says.  This is not just the story of one woman, one village and one district. It is happening across Far-western Nepal, says Bikash Guachan, Healthcare Director of Balyapata Hospital which delivers 90 babies every month from Achham, Doti, Bajura and Dailekh districts. Most of them are referral cases from local health posts.  “If the case is seriously complicated we cannot even treat it here as we do not have a blood bank and ICU,” says Gauchan. “The main problem is that most mothers do not go through proper checkups, like ultrasound exams.”Many foetus also shows signs of anencephaly caused by the lack of adequate nutrition and frequent births. Many women suffer life-threatening obstructed labour.“Doctors and nurses call me when they find ruptured uteruses in district hospitals and I have just run there many times because otherwise the woman would have surely died,” says Gauchan. The Nepal government is about to finalise a 10-year roadmap to reduce maternal deaths and meet the SDG target with a focus on home visit delivery. “The health worker will visit the home to see the pregnant woman and follow their conditions,” explains Punya Poudel at the Family Welfare Division of the Department of Health Services.However, former Health Secretary Kiran Regmi argues that until health posts around villages can provide full antenatal checkup facilities, it will be difficult to reach the 2030 target. He says ultrasound scans and antenatal tests would save many lives of mothers who now have to rely on miracles.Read also: <a href="http://archive.nepalitimes.com/article/nation/people-politics-placentas-child-delivery-complications,3922" target="_blank" rel="noopener">People, politics and placentas</a>, Bikash Gauchan

Who will save Nepal’s poor new mothers?

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108121144/636a412a9c7e80680e04a660jpeg.jpg" alt="" width="1050" height="698"/><figcaption>Dharma Budha</figcaption></figure>Dharma Budha of Wai village of Bajura district gave birth to a baby three weeks ago inside a cowshed. She will stay in the dark, windowless outhouse with the cattle for another week.Her neighbour Surindra Kathayat was taken to a health post when she went into labour, but after she gave birth was banished to a cowshed with her baby."There are 300 families living in Wai. Five women gave birth this month, and all five are living in cowsheds with their cattle," says village leader Jandevi Budha, without much indication that she thinks this is unsafe for mothers and newborns.Read also: <a href="https://archive.nepalitimes.com/article/nation/Superstition-result-in-maternal-mortality-in-western-Nepal,3402" target="_blank" rel="noopener">The gods will be angry</a>, Mina Sharma and Prakash Singh<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108121144/636a412d9c7e80680e04a661jpeg.jpg" alt="" width="640" height="504"><figcaption> </figcaption></figure>Nandasara Sarki of nearby Bandhu village gave birth to her fifth child, and like all the other babies this one was also delivered in an outhouse. Two of her earlier babies died due to the cold and damp within a week of being born.Sarki's husband thinks the <a href="https://archive.nepalitimes.com/article/nation/Superstition-result-in-maternal-mortality-in-western-Nepal,3402" target="_blank" rel="noopener">gods will be angry</a> if a mother is allowed into the house with her newborn baby – a superstition that is entrenched throughout conservative northeastern Bajura, where female literacy is low and there are few health facilities.Female Community Health Volunteer (FCHV) Chandrakala Budha says such banishment is the cause of most postnatal and even maternal mortality death, with babies dying of exposure and infections. Staff nurse Mandevi Jaisi at Bajura District Hospital says most mothers end up with health problems like uterus issues, anaemia, night blindness and infections in the mouth and tongue.Read also: <a href="https://www.nepalitimes.com/here-now/nepals-superwomen-beat-superstition/" target="_blank" rel="noopener">Nepal's superwomen beat superstition</a>, Aruna Uprety<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108121144/636a412f9c7e80680e04a662jpeg.jpg" alt="" width="2004" height="1046"><figcaption> </figcaption></figure>Dhan Bahadur Fadera, the health assistant at Rugin Health Post, says that the plight of women in Humla, Mugu, Jumla, Kalikot and Dolpa districts of northwestern Nepal is the same. "I estimate that 80% of the women here deliver their babies in cowsheds, which is why the infant and maternal mortality rates have not gone down like in the rest of the country,” says Fadera, who has worked all over  Karnali Province.Chinkala Chadara of Hyanglu village of Mugu delivered her baby in her cowshed this month despite living next door to a health post. "We do not go to health posts; none of the women I know are taken there," she says simply. Even if the mothers deliver in a health facility, they have to go to the shed when they come home with the baby."We tell them that it is not right to stay in cowsheds, but they don't listen to us," says Chiranjivi Shahi, head of Swamikartik Khapar Rural Municipality.Read also: P<a href="http://archive.nepalitimes.com/article/nation/period-of-banishment,3529" target="_blank" rel="noopener">eriods of banishment</a>, Subeksha Poudel<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108121144/636a41349c7e80680e04a663jpeg.jpg" alt="" width="1843" height="1262">Most women believe the <a href="https://www.nepalitimes.com/editorial/that-time-of-the-month/" target="_blank" rel="noopener">superstition</a> that they are impure after menstruation or childbirth, and prefer not to bring down the wrath of the gods on their families. Dhanrupa Jaisi of Maila village of Humla says the rules are very strict: no nutritious milk or meat, no comforts no touching the public tap. But there is no taboo on working in the fields, so the new mothers are also overworked. By the time they leave the shed after a month, both mother and baby are malnourished, or have infections.In Dhim village of Bajura, Rela Rokaya's newborn baby passed away in a shed this month. Dudhari Dhami of Maila village has given birth to three children, two of whom died in the cowshed. District Health Office records show that there were about 20 infant deaths in Bajura in the past year, most of them in cowsheds within 28 days of birth. Health Assistant Yadav believes the number is vastly underestimated, since many deaths are unreported.I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

The curse of being new mothers

https://www.youtube.com/watch?v=ezfdhBKEtsEGrowing up in Chitwan, Radha Paudel’s father used to tell her stories of faraway Jumla: how it took weeks to walk there, the cold snowy winters, the Tila River on the banks of which were the world’s highest paddy fields. She was fascinated.Paudel became a nurse and, as luck would have it, was posted to Jumla with a safe motherhood program. The maternal mortality rate in the Karnali at the time was at sub-Saharan levels. The strict patriarchy made it an epicentre for neglected reproductive health problems among women.Read also:<a href="https://www.nepalitimes.com/?p=21465&amp;preview=true" target="_blank" rel="noopener">Nepal’s superwomen beat superstition</a>, Aruna Upreti<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=21434&amp;preview=true" target="_blank" rel="noopener">That time of the month</a>, EditorialNepal’s armed conflict with the Maoists was at its peak, and Jumla suffered several rebel raids. Paudel witnessed the fierce one in Jumla in 2002 in which hundreds, including the CDO, DSP and civilians were killed. She survived by hiding under a bed all night as gunfire and bombs were going off outside.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a269e9c7e80680e043a26jpeg.jpg" alt="" width="1400" height="933"/><figcaption>CODE RED: Nurse turned writer turned activist Radha Paudel discusses dignified mentruation at her work place in Kathmandu this week. Photo: BIKRAM RAI</figcaption></figure>“It was terrifying, I fainted. Then I asked myself what drove them to take up the gun. I found the answer: the class, caste and gender discrimination in the region,” Paudel recalls.She wrote a book, Khalangama Hamala (The Attack on Khalanga) that described not just the night of the <a href="http://archive.nepalitimes.com/news.php?id=4589#.XGFoddIza70" target="_blank" rel="noopener">battle</a> but the harsh condition of life for the people of Jumla. The book was awarded the <a href="https://archive.nepalitimes.com/article/review/Nurse-book-wins-Madan-Prize,1670" target="_blank" rel="noopener">Madan Puraskar</a> in 2013 and brought the plight of the <a href="http://archive.nepalitimes.com/news.php?id=3046#.XGFpl9Iza70" target="_blank" rel="noopener">Karnali</a> to national attention.After a career as nurse and writer, Paudel is now a full-time activist trying to address practices like menstruation restriction on women, which symbolise entrenched gender inequality not just in Jumla, but all over Nepal.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26a19c7e80680e043a27jpeg.jpg" alt="" width="1422" height="888"><figcaption> </figcaption></figure>Paudel is back with a second book Pavitra Ragat (Pure Blood), and like her first one this book also deals with blood-letting — only this time it is about the discrimination and taboos women have to face during their periods.The story began in Paudel’s own childhood, and she writes about how her mother and sisters were made to stay away from the kitchen and temples during menstruation. She had seen girls who menstruated for the first time isolated for three weeks, so when it was her turn Radha ran away from home to her sister’s place.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26a49c7e80680e043a28jpeg.jpg" alt="" width="1400" height="1050"><figcaption> </figcaption></figure>The book is searing in its honesty, and the practical difficulties Nepali women face during <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/That-time-of-the-month,3098" target="_blank" rel="noopener">adolescence</a>: not finding enough rags to soak up the blood, always worrying if the blood is leaking through clothes, and asking classmates in school if her skirt is stained, not drinking water so that she didn’t have to go to toilet and risk losing her rag…As a nurse, Paudel conducted research on <a href="https://www.nepalitimes.com/review/bloody-period/" target="_blank" rel="noopener">menstrual practices</a> and found that many rural women in Nepal did not even know about panties and pads, they bled freely all day, and in many households women took turns to use the same rags. The book is graphic, and not for the faint-hearted reader as it describes the monthly reality for <a href="http://archive.nepalitimes.com/article/nation/why-is-female-sexuality-still-a-taboo-in-Nepal,2908" target="_blank" rel="noopener">many Nepali women</a>.When Paudel got her first job, she proudly bought herself proper panties and new, clean cloth to use during menstruation. But, she realised the situation had not changed for many of her fellow-women in Jumla.Read also: <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/removing-menstrual-shame,4148" target="_blank" rel="noopener">Removing menstrual shame</a>, Clara Hare-Grogg<a href="http://archive.nepalitimes.com/article/nation/women-speaking-out-against-chaupadi,3518" target="_blank" rel="noopener">Periods of banishment</a>, Subeksha PoudelToday, Poudel is not just spreading awareness but manufacturing <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/pad-power-nepal,4147" target="_blank" rel="noopener">biodegradable sanitary pads</a> at a factory in Chitwan, and training young women about how to use these washable pads that do not leak.Paudel explains why it is important de-glamourise modern sanitary napkins: they are made of synthetic materials and take up to 1,000 years to degrade. Much of the plastic waste dumped by the trails in Nepal are made of discarded sanitary pads.Besides making an environmental statement, Paudel also wants to promote dignified menstruation and remove the taboo surrounding menstrual ostracisation, the practice of chhaupadi in which women in western Nepal are banished to the cow shed once a month.“Menstrual isolation is a human right violation, it isolates women by barring them from kitchens, water sources, temples, schools, and homes,” says Paudel. “This means women are treated like second class citizens, or not even human.”<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26a89c7e80680e043a29jpeg.jpg" alt="" width="500" height="753">Paudel is determined to also change the image of Karnali as being a backward, illiterate and primitive region. For instance, Nepal’s 2018 Criminal Code prohibits the practice of <a href="http://archive.nepalitimes.com/article/nation/period-of-banishment,3529" target="_blank" rel="noopener">banishing</a> women to chhaupadi huts during menstruation or childbirth, but does not address more general menstrual restrictions practiced all over Nepal. Limiting the crime of isolating women to <a href="https://archive.nepalitimes.com/regular-columns/GUEST-COLUMN/blood-sisters-menstruation,839" target="_blank" rel="noopener">chhaupadi</a> unfairly points the finger at only western Nepal.Women dying of suffocation or snake bites in menstrual sheds make headlines, but not the everyday humiliation women everywhere are subjected to. Paudel says the ceremonial demolition of chhaupadi huts is misdirected. “Even if you replace the huts with a 5-star hotel, that is still discrimination,” she says.<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/removing-menstrual-shame,4148" target="_blank" rel="noopener">Menstrual shaming</a> exists all over the world, not just in Nepal. Just this month, Unicode approved a droplet of blood as an emoji to symbolise menstruation. Plan International lobbied for the emoji because its poll found that nearly half the girls and women in the UK between 14-21 were embarrassed about their periods.Across the world, women use code words when they refer to their periods, and Nepal is no different. Paudel lists some of them: chhui, chhau, nachhune, para sarne, all describing the isolation and stigma women face.Radha Paudel now wants to go beyond physical aspects of menstrual ostracisation to psycho-social and religious beliefs that make many women themselves firm believers in the taboos. Part of the reason she wrote the book is to demystify menstruation so that students, families, men and women can <a href="http://archive.nepalitimes.com/article/nation/Girl-talk-period,2377">talk about it openly</a>.Read also:<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/pad-power-nepal,4147" target="_blank" rel="noopener">Pad Power</a>, Ziyu Lin<a href="https://www.nepalitimes.com/uncategorized/stereotyping-women-as-victims/" target="_blank" rel="noopener">Stereotyping women as victims</a>, Radha Adhikari and Jeevan Sharma

Communicating to remove menstrual taboo

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26849c7e80680e043a1djpeg.jpg" alt="" width="1400" height="902"/><figcaption>DEFYING TRADITION: This cow shed in Kailali used for menstural banishment. It has now been turned into a store room for rice husk.</figcaption></figure>Media reports of the practice of chhaupadi are full of harrowing tales of suffering, and women dying of cold or suffocation during their monthly exile to the cowshed.A recent trip across eight districts in Nepal’s Far West revealed a critical mass of women who are defying the practice and overcoming the superstitions that perpetuate it. Each of the women have a different reason for shunning the shed, but together they are breaking an entrenched taboo that has come to epitomise gender discrimination in Nepal.Read also:<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/banner/communicating-to-remove-menstrual-taboo/" target="_blank" rel="noopener noreferrer">Communicating to remote menstrual taboo</a>, Sewa Bhattarai<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=21434&amp;preview=true" target="_blank" rel="noopener noreferrer">That time of the month</a>, EditorialIn Achham, a 23-year old girl bravely decided to stay at home, even though her mother goes to the shed. On occasions when they menstruate together, the daughter cooks food inside and takes it out for her mother. She says indignantly, “The municipality says there must be a toilet at home, but no one ever discusses that women must not be forced to live in cowsheds.”Nirmala BK, 30, is also from Achham and is an example of how a mother’s courage can help eliminate practices like chhaupadi. Since she was not allowed to cook during her periods, Nirmala’s children would walk through town carrying flour, and beg people to cook roti for them. After seeing how miserable they were, the mother resolved to stay home and cook during menstruation.Some women have supportive husbands who empowered them to break the taboo. In Bajhang one woman said her husband pressured her mother-in-law to be allowed to stay indoor during her periods. “My mother-in-law still tries to find out whether I am menstruating or not, but I just tell her a white lie that I took a medicine to stop the bleeding,” she added.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26889c7e80680e043a1ejpeg.jpg" alt="" width="1400" height="1057"><figcaption> </figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a268a9c7e80680e043a1fjpeg.jpg" alt="" width="800" height="1044">Ramaroshni Giri stays at home during menstruation for safety reasons, but has gone one step further to break the taboo about milking livestock during her periods. “If I don’t do it, the cows will not give milk, and besides, none of the cows have died,” Giri says.A teenage girl in Achham kept her monthly cycle a secret because her mother threatened to kick her out of the house if she stayed indoors.One day, coming home from school the girl was shocked to see that her younger siblings had gone hungry all day because their mother was in the shed. She flew into a rage against her mother: “Does our religion say the children have to go hungry?” After that outburst, the mother now stays home and cooks even during her periods.There is superstition that the shaman will shiver if a menstruating woman touches him. So, 35-year-old Gangadevi Bista from Doti decided to test that. Feigning an illness, Bista showed her hand to a dhami during her periods, but not a shiver from him. She made sure the whole village found out about it.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a268d9c7e80680e043a20jpeg.jpg" alt="" width="1400" height="1149"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26909c7e80680e043a21jpeg.jpg" alt="" width="1400" height="778"><figcaption> </figcaption></figure>A restaurant owner in Achham has abandoned chhaupadi , saying her business would collapse if she banished herself to a shed every month. “The elders, dhami and jhankri have all eaten the food I cooked even during my periods, none of them fell sick,” she says.A Dalit woman almost lost her baby son while she was in the shed in winter. She fell asleep with her eight-month-old in the shed and they were both nearly killed by a fire. She has not gone back to the shed after that.Many equate chhaupadi with poverty, but it is a product of a deep-seated patriarchy. In spite of positive changes, the practice continues and the pain of many women proves that raising awareness alone is not enough. Chhaupadi has already been criminalised by law, and needs to be strictly enforced.Read also: <a href="http://archive.nepalitimes.com/article/nation/nation-holding-up-half-the-district,489" target="_blank" rel="noopener noreferrer">Holding up half the district</a>, Kunda Dixit<h2>Vending machine for pads</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26939c7e80680e043a22jpeg.jpg" alt="" width="1250" height="831"><figcaption> </figcaption></figure>Students at the Gyanodaya High School in Kathmandu do not have to worry about getting their periods while in class, forgetting to bring sanitary pads, or even skipping school for a few days every month. The school has installed a vending machine for its 1,300 female students and 75 female staff which will provide a napkin after dropping a Rs 1 coin, but the users have to pay Rs 5 to the school for the added cost.The students in Grade 6 or 7 who get their periods for the first time, often while in school, are the ones who are going to benefit the most from the vending machine, the first sanitary pad vending machine in Nepal, and Gyanodaya has established itself as a menstruation-friendly school.The school, whose students achieve one of the highest pass rates in SEE exams in the country, expects the girl students to do much better in class now that they don't have to worry about their periods so much."We used to face hassles when we would forget to bring pads, and it was troublesome to borrow from classmates, we used to have to leave school and go home," now we don't have to worry about it anymore," says Ganga Sapkota, a student.Principal Natikaji Maharjan, who also teaches science at the schoool, says the curriculum places a priority on studying reproductive health so as to remove the taboos and superstition surrounding menstruation.He says this is a pilot project, and the school hopes to set aside a budget for free distribution of the pads from next year. “It will help in spreading awareness about mestruation as being a natural biological process,” he says.From the Nepali PressShanti Tamang in Setopati.com, 14 Feburary<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://setopati.com/social/175077?fbclid=IwAR0wvMka4BR4PCNJVDc8vJn3GdI3e_4hKTzJW-Eqa_TsJYx6LH3LVjYNn1E" target="_blank" rel="noopener noreferrer">Full story</a> in Nepali here.

Nepal’s superwomen beat superstition

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26669c7e80680e043a12jpeg.jpg" alt="" width="800" height="1099"/><figcaption>Illustration: DIWAKAR CHETTRI</figcaption></figure>The practice of chhaupadi in which women in western Nepal are banished to cow sheds during their periods grabs a lot of media attention within Nepal and internationally, eclipsing the much more widespread and entrenched menstrual restrictions in the rest of Nepal.As cruel and inhumane as chhaupadi is, journalistic coverage as usual tends to be event-focused, headlining only deaths due to suffocation, snakebites or exposure. There is little context to explain that the practice is now much less widespread as literacy improves, and after it was outlawed.As public health specialist Aruna Uprety <a href="https://www.nepalitimes.com/here-now/nepals-superwomen-beat-superstition/" target="_blank" rel="noopener">reports from Accham in this issue</a>, young women and mothers across western Nepal are now defying this superstition. But that is not ‘newsy’ enough for the international media.To be sure, it is a travesty that young women are still dying because they are forced to fend for themselves in the flimsy huts, where some fall prey to the cold, infections, wild animals, or rapists. Chhaupadi is cruel and an egregious violation of the human rights of women, perpetuated by conservative societal norms.Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=21465&amp;preview=true" target="_blank" rel="noopener">Nepal’s superwomen beat superstition</a>, Aruna Upreti<a href="https://www.nepalitimes.com/?p=21456&amp;preview=true" target="_blank" rel="noopener">Communicating to remove menstrual taboo</a>, Sewa BhattaraiBut while women in western Nepal are cast out to spend four days every month in sheds, in other parts of Nepal they are confined to isolation in separate rooms. They are not allowed to cook or eat in the kitchen, cannot touch taps, and are supposed to keep off places of worship. These are not poor and illiterate women in rural Nepal, but college graduates, upper and middle class urban women in Kathmandu, and even the Nepali diaspora.Many women believe the superstition about menstrual ostracisation and willingly follow the practice, thinking crops will wither, livestock will die, cows will not give milk, or that their fathers and brothers will die if they ‘pollute’ them during their periods. Festivals like Rishi Panchami reinforce these beliefs, where women apologise for all the ‘sins’ they many have committed, even unintentionally, during menstruation.Women are also excluded from festivals and auspicious occasions, forced to find distant water sources for washing, and left out of schools and work. More damaging is the emotional toll: women feel humiliated and dehumanised as they grow up feeling powerless from a young age.Writer and menstruation activist <a href="https://www.nepalitimes.com/banner/communicating-to-remove-menstrual-taboo/" target="_blank" rel="noopener">Radha Paudel in her new book</a> released this week, Apavitra Ragat (Impure Blood), argues that all menstrual restrictions are human rights violations, not just chhaupadi. She says the demolition of chhaupadi huts and the distribution of sanitary pads, while being important interventions, do not address the continuing isolation of women during their periods, and their feelings of inferiority that it perpetuates.Read also:<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/removing-menstrual-shame,4148" target="_blank" rel="noopener">Removing menstrual shame</a>, Clara Hare-Grogg<a href="http://archive.nepalitimes.com/article/nation/women-speaking-out-against-chaupadi,3518" target="_blank" rel="noopener">Periods of banishment</a>, Subeksha PoudelPaudel suggests that the focus should be shifted to a more holistic advocacy where all members of society accept that menstruation is not impure. For that, communication and education are key, and the campaigns must include men, as well as school teachers, health workers, faith healers and community leaders.Positive stories also need more coverage because not everything about menstruation is regressive in Nepal. Over the years, increasing numbers of women have started questioning this tradition, and have proactively and collectively broken the taboo. Education has brought about dramatic change, spreading knowledge among students and their parents about the biological reasons for menstrual blood.The accounts of women who suffer in cow sheds are tragic, but much more compelling are the brave stories of those that have countered the practice in Nepal’s most conservative communities. They prove that reform is possible, and can be brought about by the combined strength of many ordinary women fighting for justice and rights for themselves and their children. They show that courageous progressive women exist in the same places where the taboo is strongest, and where those extreme cases of deaths and despair are reported.Ultimately, dignified menstruation for women all over Nepal should focus not just on hygiene and safety through sanitary pads and alternatives to chhaupadi huts, but on making sure that women are not shamed by menstruation and are free to participate in any activity, whether or not it is ‘that time of month’.Read also: <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/pad-power-nepal,4147" target="_blank" rel="noopener">Pad Power</a>, Ziyu Lin<a href="https://www.nepalitimes.com/uncategorized/stereotyping-women-as-victims/" target="_blank" rel="noopener">Stereotyping women as victims</a>, Radha Adhikari and Jeevan Sharma<h2>10 years ago this week</h2>Ten years ago this week, the<a href="http://archive.nepalitimes.com/news.php?id=15656#.XGZRbFUzaUk" target="_blank" rel="noopener"> Ass’ Backside Column</a> in edition <a href="http://archive.nepalitimes.com/issue/438" target="_blank" rel="noopener">#4</a>38 of Nepali Times of 13-19 February 2008 was titled “Go back to sleep’. It was a spoof on the elected Maoist government honouring the PLA anniversary. Excerpt:Go back to sleep, we’ll wake you up when things start getting really exciting around here. As things stand now, nothing is really happening. Politicians are all up to their ears in party affairs, and no one has any time for the country. The southern plains and the eastern hills have been locked down now for weeks, but PM PKD has all the time in the world to helicopter over to Panchthar to attend his army’s anniversary. Defence Minister Cloudy was off in western Nepal attending a Tharu council. This whole week, the Baddie brass has been busy getting organised for the three-day gala war anniversary in Nawalparasi. All the UML members of the cabinet, including the Hydro Minister, will be out of action for another week because of the party convention in Butwal. And next week Nepal’s Other Army will be celebrating its own Army Day on Shivaratri.<a href="http://archive.nepalitimes.com/issue/438"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26699c7e80680e043a13jpeg.jpg" alt="" width="511" height="814"></a>

That time of the month

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.

far-west