<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

India and Pakistan are twins separated at birth. Tensions between them have been at a hair trigger ever since independence and has erupted into full scale conflict at least four times in the past 80 years.
The 22 April terrorist attack in Kashmir that killed 25 Indian tourists and a Nepali citizen, threatens to escalate tension between the two nuclear-armed nations. India has squarely blamed Pakistan for the attacks, and Prime Minister Narendra Modi has given his military “operational freedom” to respond. Pakistan has said it has credible intelligence of an Indian military strike and its officials have promised a “full spectrum” response — a code for a <a href="https://nepalitimes.com/editorial/thinking-the-thinkable">nuclear retaliation</a>.
For Nepal, the killing of its national in the Pahalgam attack comes as another stark reminder that in conflicts from Afghanistan to Iraq, from <a href="https://nepalitimes.com/opinion/how-to-agree-an-armistice-in-ukraine">Ukraine</a> to Israel, <a href="https://nepalitimes.com/news/10-nepalis-from-one-town-fighting-in-ukraine">Nepalis are getting caught in the crossfire</a>. The last time full-scale fighting broke out between <a href="https://nepalitimes.com/opinion/peacemongers-at-india-pakistan-border">India and Pakistan</a> on Kargil in 1999, at least 22<a href="https://nepalitimes.com/here-now/india-s-trial-by-fire-for-soldiers-from-nepal?%27%5C%22="> Nepalis fighting for the Indian Army</a> were killed in action.
Three of Nepal’s immediate neighbours (China, India, Pakistan) have nuclear weapons, and they do not have good relations. With China supplying weapons, <a href="https://nepalitimes.com/editorial/war-and-warming">missile technology</a> and other support to Pakistan, this triangular friction could set off a regional conflagration.&nbsp;
<a href="https://www.nature.com/articles/s43016-022-00573-0" target="_blank">Research at Rutgers University</a> has calculated that even a week-long tactical nuclear exchange between India and Pakistan would throw up so much smoke and debris into the atmosphere that it would block out the sun for years, and lead to a collapse of the <a href="https://nepalitimes.com/news/grow-nourish-sustain-together-world-food-day">global food system</a>. This does not take into account the radioactive fallout that prevailing winds would blow up to <a href="https://nepalitimes.com/here-now/lives-on-the-line-in-the-himalaya">the Himalaya</a>, contaminating glaciers that are the sources of <a href="https://nepalitimes.com/here-now/saving-what-is-left-of-himalayan-rivers">Asia’s main rivers</a>.
The impact of <a href="https://nepalitimes.com/news/climate-breakdown-linked-to-thame-flood">climate breakdown </a>on High Asia was already ringing alarm bells about its <a href="https://nepalitimes.com/news/himalayan-icecap-melting-faster-than-thought">shrinking ice cap</a> reducing the dry season flow of water downstream. Water was going to be the next strategic commodity, geopolitical experts warned, and the next wars in Asia would be over water.
That water war is already happening. India retaliated to the Kashmir attack by suspending the <a href="https://www.nytimes.com/2025/04/24/world/asia/india-pakistan-indus-waters-treaty.html" target="_blank">Indus Waters Treaty</a> of 1960 mediated by the World Bank that has withstood at least three wars between India and Pakistan. The treaty gives India control over the three eastern tributaries of the Indus (<a href="https://en.wikipedia.org/wiki/Beas_River" target="_blank">Beas</a>, <a href="https://en.wikipedia.org/wiki/Ravi_River" target="_blank">Ravi</a> and <a href="https://en.wikipedia.org/wiki/Sutlej" target="_blank">Sutlej</a>), while Pakistan got water from the Indus and two of its western tributaries (<a href="https://en.wikipedia.org/wiki/Indus_River" target="_blank">Indus</a>, <a href="https://en.wikipedia.org/wiki/Chenab_River" target="_blank">Chenab</a> and <a href="https://en.wikipedia.org/wiki/Jhelum_River" target="_blank">Jhelum</a>.
Pakistan was assured of 70% of the annual flow, and India could use a reasonable amount of water for<a href="https://archive.nepalitimes.com/news.php?id=15231"> irrigation and hydropower</a>. &nbsp;Within days of its threat, India stopped water flowing down to Pakistan from the Chenab river and is reportedly preparing to do the same on the Jhelum.
The sabre-rattling has reached a crescendo. Besides threats and counter-threats there are also symbolic drills, with the Indian Air Force practicing landing on an expressway in Uttar Pradesh by its Rafale, Su-30 and Jaguar fighter jets to demonstrate ‘operational readiness’. In response Pakistan test-fired its Abdali ballistic missile that can carry a nuclear warhead and has a range of 450km.&nbsp;
The danger is that with ultra-nationalist rhetoric and the beating the war drums by both sides, India’s government and Pakistan’s military may have to ‘do something’ to appease domestic public opinion. But any tactical strike, an artillery exchange, or territorial incursion could quickly escalate out of control.
Expecting an Indian retaliation for the Pahalgam killings, Pakistan is using<a href="https://nepalitimes.com/opinion/interfaith-collaboration-for-nuclear-disarmament"> nuclear deterrence </a>and warning of “catastrophic consequences”. The two neighbours came close to a nuclear exchange in 2019 after an attack on the Indian military in Kashmir, and prompt international intervention led by the United States cooled tensions.&nbsp;
This time, the <a href="https://nepalitimes.com/news/trump-shock-wave-hits-nepal">Trump administration</a> is too distracted and not as engaged. Pakistan has denied it was responsible for the terrorist attack and called on Washington to stop a possible Indian retaliation. India and Pakistan have stopped overflights by each other’s airlines, and some international carriers have even stopped flying over Pakistan fearing an air war.
Washington, Beijing, the UN and the EU have all urged restraint. Iran, which has good relations with both India and Pakistan has sent its foreign minister to urge both countries not to go into a tit-for-tat war. Iran has its own nuclear flashpoint to worry about with tensions in Israel, &nbsp;Yemen and Syria.
India and Pakistan both share similar problems of joblessness, <a href="https://nepalitimes.com/here-now/why-nepal-s-poverty-rate-is-stuck">poverty </a>and <a href="https://nepalitimes.com/here-now/climate-change-new-threat-to-nepal-s-rhinos">environmental threats</a>. Neither side needs the threat of a senseless war, and we in the neighbourhood do not need it either.&nbsp;
Kunda Dixit
This Editorial is brought to you by <a href="https://nepalitimes.com/" target="_blank">Nepali Times</a>, in collaboration with <a href="https://inpsjapan.com/en/" target="_blank">INPS Japan</a> and <a href="https://sgi-peace.org/" target="_blank">Soka Gakkai International</a>, in consultative status with UN ECOSOC.

Nukes in the neighbourhood

The streets of Patan are alive this month with lavender jacaranda trees under rain-washed skies as <a href="https://nepalitimes.com/banner/the-red-god-rises-again-in-patan">the chariot of Rato Matsyendranath</a> is pulled across town. This is the festival of the rain god, and inevitably the heavens opened up and pre-monsoon showers pelted the chariot as it started being pulled in Pulchok last week. Thousands of devotees, onlookers and the chariot procession organisers thronged the streets on the first day last week. The rhythmic cymbals and drums exuded a vibrant energy as the enormous four wheels turned and the chariot lurched.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025051007050_81df97744db16f732a419dc1f1579d235ce3df37642b078f50b83bd4bd026688.jpg" data-media-id="editor_1" data-image-id="2025051007050_81df97744db16f732a419dc1f1579d235ce3df37642b078f50b83bd4bd026688" data-rendition-name="original" width="1000" height="1503" loading="lazy" alt="Divine chariot"> </figure>  The<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/Red-rain-god,3141"> red rain god</a> has Hindu and Buddhist antecedents, alternatively called Bungadya and<a href="https://nepalitimes.com/here-now/kathmandu-s-gravity-defying-chariot-festival"> Karunamaya</a> — reflecting Kathmandu Valley’s syncretic mixture of the two religions.&nbsp; “Bungadya is a profoundly <a href="https://nepalitimes.com/opinion/12-full-opinion/marketing-the-intangible">intangible form of heritage</a>,” explains heritage expert Monalisa Maharjan. “It embodies traditional knowledge,<a href="https://nepalitimes.com/multimedia/reviving-nepal-s-craft"> artisanal skills passed down through generations</a>. Local communities and specific families have specified roles in being custodians of the heritage, ensuring their survival over the centuries.” There are many legends and stories about this annual tradition. Lichhavi king Narendra Dev is supposed to have brought Rato Matsyendranath from Assam to Kathmandu Valley to convince Guru Gorakhnath to lift a spell that created a two-year drought in Kathmandu.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250510050520_347a9a398f8a9abc4a7fb4e2774fde8264cccbdce8bdab23851ab3f0e73c3e8a.jpg" data-media-id="editor_6" data-image-id="20250510050520_347a9a398f8a9abc4a7fb4e2774fde8264cccbdce8bdab23851ab3f0e73c3e8a" data-rendition-name="original" width="1503" height="1000" loading="lazy" alt="Divine chariot"> </figure>  Matsyendranath was Gorakhnath’s mentor, and upon seeing him, the serpents were released, unleashing the rains. The chariot festival honours the return of this life-giving rain. The deity is seen as an icon for thriving agriculture, t<a href="https://nepalitimes.com/here-now/before-the-next-monsoon">he arrival of monsoon</a> showers, and the welfare of the community. Read also: <a href="https://nepalitimes.com/opinion/the-reign-of-the-god-of-rain">The reign of the god of rain</a>, Vidhu Prakash Kayastha Till this day, the Rato Matsyendranath festival is no ordinary celebration. Patan does not sleep for a month as the chariot is pulled through various neighbourhoods. It unfolds at a state level with the president (formerly the king) attending the climax of the Bhoto Jatra in Jawalakhel later this month.&nbsp; The intergenerational transmission of tradition is unique in the world, and the reason the festival is one of the most vibrant cultural expressions that thrives despite inroads of modernity. The other unique aspect is that it is a transnational festival, binding Patan with Guwahati in the Indian state of Assam.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025051005058_8bc685ada13045d863b28e3eed91c931da2b510714586af6fd7eb5d1e298a24a.jpg" data-media-id="editor_9" data-image-id="2025051005058_8bc685ada13045d863b28e3eed91c931da2b510714586af6fd7eb5d1e298a24a" data-rendition-name="original" width="1000" height="1503" loading="lazy" alt="Divine chariot"> </figure>  “Unlike Nepal, where the deity commands grandeur and devotion, many in Assam are unaware of Rato Matsyendranath,” says Khagen Sharma of Gauhati University, which convened <a href="https://nepalitimes.com/news/nepal-assam-connection-revived">a symposium in February in Guwahati on the rain god</a>. Attending was a delegation led by Lalitpur Mayor Chiribabu Maharjan, organisers of the festival, and builders of the chariot. After the symposium, a committee was formed to explore and revive the tradition in Assam as well. Although the team had planned to visit Nepal this month, logistical challenges delayed the trip. Still, there are plans to build a Guru Matsyendranath statue in Assam to reestablish regular worship practices in the Guwahati shrine.&nbsp; The vines used to build the chariot in Patan are sourced from the jungles of Assam. But Sharma notes that in recent years unclear regulations have blocked the official import of the vines, although they are still brought to Nepal informally. The <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/makers-of-machhindranath,2204">chariot making</a> has also had a taste of modernisation in recent times. In the past, even a single nail or piece of steel was avoided. But over time, the wooden structure, particularly the shaft between the wheels, has been replaced with bronze. When that too proved unstable, metal clamps were introduced, which have become a pragmatic compromise.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250510050524_b2a819a5791612f14c81d30fc393dbd3f99f0c64b90a9110e8b0855d944bfa93.jpg" data-media-id="editor_12" data-image-id="20250510050524_b2a819a5791612f14c81d30fc393dbd3f99f0c64b90a9110e8b0855d944bfa93" data-rendition-name="original" width="1500" height="998" loading="lazy" alt="Divine chariot"> </figure>  Another welcome change is the focus on safety. Builders climbing the chariot’s tower now wear harnesses and there are efforts in crowd control. The most visible change in recent years has been the involvement of Patan’s enthusiastic youth in the festival — the tradition is now passing to a new generation. Says Matsyendranath expert Vidhu Kayastha: “There is more energy, the young people in red t-shirts this year were very organised, these modern touches aren’t diluting our culture, they’re keeping it alive in new forms.” He adds, “We are <a href="https://nepalitimes.com/here-now/searching-for-a-homeland-away-from-home">reconnecting with our roots</a>, we have more resources, more awareness than ever before. We must not be swept away by western values that may not serve us, and in some ways, cause more harm than good. We must revive our own culture.”&nbsp;

Divine chariot

Most Nepalis thought they had seen the last of it after <a href="https://nepalitimes.com/news/11-56-25-april-2015-wkc9q2an">the 25 April 7.8 magnitude </a>earthquake ten years ago. But the Himalaya had more surprises in store. On 12 May, another 7.3 magnitude tremor that some said was an aftershock, but was strong enough to itself be a major earthquake, struck Dolakha.&nbsp; Not many people had heard of Singati till then — a cluster of houses by the Tama Kosi River along a narrow gorge that is the roadhead to Rolwaling Valley.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_57b6e316656851f71eca56ca6f98d9bbcc820c1a00d62af3c990725b4361244d.jpg" data-media-id="editor_1" data-image-id="20250508110520_57b6e316656851f71eca56ca6f98d9bbcc820c1a00d62af3c990725b4361244d" data-rendition-name="original" width="1000" height="1500" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_016534fb2b6a79957402281cda768efb83a146786377e39e11df3e251d37159e.jpg" data-media-id="editor_2" data-image-id="20250508110520_016534fb2b6a79957402281cda768efb83a146786377e39e11df3e251d37159e" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> </figure>  It was here that dozens were killed on 25 April in the first earthquake. Hundreds of <a href="https://archive.nepalitimes.com/article/nation/Singati-rising-from-rubble-rebuilding,3703">Singati survivors</a> had lined up for food and relief supplies in the morning of 12 May when the second earthquake triggered a rock slide that buried a nearby camp. At least 50 people were killed. &nbsp; Three hours later, a US Marine Corps UH-1Y Venom helicopter landed in a nearby cornfield to pick up the wounded, and flew off. The aircraft lost contact with air traffic control in Kathmandu and its wreckage was located high on Kalinchok four days later. Six American servicemen, two Nepal Army soldiers, and five wounded civilians from Singati were killed. Today, Singati bears little physical scar of the multiple tragedies that struck the town ten years ago. Most <a href="https://nepalitimes.com/multimedia/bungamati-builds-back">houses have been rebuilt</a> as urban-style concrete structures, and Singati has become an economic hub on the road leading up to several hydropower plants and a<a href="https://nepalitimes.com/banner/off-the-beaten-trek-in-nepal"> popular trekking destination</a>.&nbsp; The town looks less like a village and more like a suburb of the Dolakha district headquarter of Charikot, 47km away.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_196f341d1df1403ba133e5dfeb837eec20d7cbcb4c8c56b17cc5598810de5df2.jpg" data-media-id="editor_6" data-image-id="20250508110520_196f341d1df1403ba133e5dfeb837eec20d7cbcb4c8c56b17cc5598810de5df2" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110524_ae66c4a92430f67db51b5e11e017059eedfbac4cb18c8e073f2a50cca1fe904e.jpg" data-media-id="editor_7" data-image-id="20250508110524_ae66c4a92430f67db51b5e11e017059eedfbac4cb18c8e073f2a50cca1fe904e" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> </figure>  “The demand for construction material, cement, iron rods and bricks peaked after the earthquakes,” says Suresh Khadka, who owns a hardware business here and now supplies material to the 456MW Upper Tama Kosi hydropower project that is undergoing repairs after it was damaged by a landslide last year. The demand for cement boomed since most residents believe, not necessarily correctly, that <a href="https://nepalitimes.com/banner/in-a-disastrous-state">cement houses are safer</a>. Although Khadka did well selling construction material after the earthquake, he worries that most new structures do not follow seismic-resistant building codes.&nbsp; The construction boom financed by bank loans has in turn forced many from Singati to <a href="https://nepalitimes.com/banner/making-overseas-migration-better">migrate overseas for work</a> so they can service their debt.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110524_50caa4530bd5ff9120cf7ab70a62173846d337ef448ff8bac339f3faa375a9e2.jpg" data-media-id="editor_10" data-image-id="20250508110524_50caa4530bd5ff9120cf7ab70a62173846d337ef448ff8bac339f3faa375a9e2" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> <figcaption>Suresh Khadka</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_ef8b7d3993fc3b5df852bbf952feb3fbabc96d6883b0d5eb74ee5c60f4123b83.jpg" data-media-id="editor_11" data-image-id="20250508110520_ef8b7d3993fc3b5df852bbf952feb3fbabc96d6883b0d5eb74ee5c60f4123b83" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> <figcaption>Phu Doma Sherpa (right)</figcaption> </figure>  “My family had no choice but to borrow money to rebuild our home since the government compensation was not enough, and ten years later we are still paying off the loan,” says Phu Doma Sherpa, 60. Because of the shortage of qualified masons and proper seismic engineering, <a href="https://nepalitimes.com/here-now/structural-problems">many of the buildings are of questionable building standards </a>and the traditional architecture has been abandoned, admits Kul Bahadur Budathoki, deputy chair of the municipality. “But these buildings were more expensive than what the government grants could cover, many people here are heavily in debt and the men have <a href="https://nepalitimes.com/here-now/every-day-is-closer-to-pay-day">migrated to the Gulf to pay their loans</a>,” Budathoki says.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_32f89e97b7e757fc9286c0bbb671f48ea8d4468e9634fa646d7247c650ad8480.jpg" data-media-id="editor_14" data-image-id="20250508110520_32f89e97b7e757fc9286c0bbb671f48ea8d4468e9634fa646d7247c650ad8480" data-rendition-name="original" width="1501" height="1079" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> <figcaption>Kul Bahadur Budathoki</figcaption> </figure>  Singati is in a multi-hazard zone. The <a href="https://archive.nepalitimes.com/article/nation/Singati,3091">12 May 2015 earthquake </a>could have led to the collapse of Nepal’s largest glacial lake, <a href="https://nepalitimes.com/here-now/stairway-to-heaven">Tso Rolpa</a>, upstream. Due to global warming, the glacier has turned into an expanding lake 3.5km long, and its collapse would have unleashed a catastrophic Himalayan tsunami down the Tama Kosi Valley, with Singati directly in its path. Singati has literally risen from the ashes of 2015, with its residents beginning to recover from the trauma and financial toll. But it is not out of danger as <a href="https://nepalitimes.com/news/climate-breakdown-linked-to-thame-flood">climate breakdown </a>magnifies the risk from future earthquakes.

Climate magnifies earthquake risk in Nepal village

This is the 67th episode of Diaspora Diaries, a Nepali Times series in collaboration with Migration Lab providing a platform to share experiences of living, working, and studying abroad. <h2>Alpana Adhikari, UK</h2> Back in Nepal, I had worked as a nurse for a decade, but I had my heart set to go overseas. My reason for <a href="https://nepalitimes.com/banner/migration-not-a-wish-but-necessity-for-nepalis">wanting to migrate</a>, however, was a bit different as it was for my son. He has a disability, and considering his situation from multiple perspectives—including <a href="https://nepalitimes.com/here-now/it-s-all-in-the-mind">societal attitudes</a>, the preparedness of schools, and the availability of facilities for individuals with his condition—Nepal did not feel safe for my baby.&nbsp; I had to migrate, no matter what, for his sake. The facilities here in the UK for children with his condition are significantly better, and I am glad he and my husband will join me in a few months.&nbsp; I was applying via private routes like everyone else when the Government to Government pilot program between Britain and Nepal was announced. Even though the initial program targeted 100 nurses, only 40 of us were able to meet the criteria.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_46f6a3c05fd2d9bdac06a9a478f49079c2c69c783fcf0cc58b75da6128319745.jpg" data-media-id="editor_2" data-image-id="20250511160536_46f6a3c05fd2d9bdac06a9a478f49079c2c69c783fcf0cc58b75da6128319745" data-rendition-name="original" width="720" height="1280" loading="lazy" alt="DD 67"> <figcaption>Alpana Adhikari started working as a nurse in a hospital in the UK in March.</figcaption> </figure>  I made it to the UK &nbsp;in February 2024 without paying a single paisa to any broker. The G2G scheme was unique as we were treated with dignity and valued for our skills: they covered costs for the <a href="https://nepalitimes.com/opinion/free-visa-free-ticket-policy-in-limbo">ticket and visa</a>, reimbursed us for exams we had taken and costs involved in the preparation and testing of the Objective Structured Clinical Examination were also covered.&nbsp; I started work in March last year, and currently am based in the respiratory ward of a hospital. I am enjoying my work a lot. In one year, I have received 26 WOW nominations which are notes of<a href="https://nepalitimes.com/here-now/the-healer-of-far-western-nepal"> appreciation from patients </a>we have served. ‘Alpana is one of the kindest nurses I have seen. Awesome and talented … always smiling, never appears tired and helps everyone,’ one patient testimonial said. Another: ‘You can see clearly that she cares about her patients…She was cool amidst great stress and ALWAYS with a smile which gave me confidence.’ I am also the International Educated Nurses Advocate which means I can raise issues with management about issues facing <a href="https://nepalitimes.com/opinion/comment/nepali-nurses-now-britain-bound">international nurses</a> here.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_87b959c7550bbd1272ebf840d9f24735db008307ad825e4aa15e66c1662a7fd4.jpg" data-media-id="editor_6" data-image-id="20250511160536_87b959c7550bbd1272ebf840d9f24735db008307ad825e4aa15e66c1662a7fd4" data-rendition-name="original" width="1590" height="1600" loading="lazy" alt="DD 67"> <figcaption>One reason Alpana Adhikari migrated to the UK was so there would be better facilities for her son, who has a disability. </figcaption> </figure>  Recruitment from NHS linked hospitals is free but when we <a href="https://nepalitimes.com/editorial/safer-migration-for-women">migrate through private routes</a>, agencies either charge upfront costs or in some cases, there is wage deduction once the nurses start earning.&nbsp; I have met Nepalis who have paid up to Rs 1 million for the same job. These costs can go even as high as Rs3 million for work in caregiving or nursing homes. I am lucky not to have to pay anyone for my posting.&nbsp; But beyond costs, I think there is also a reputational advantage of coming through the government selection process at the hospital. Such programs need to be expanded more because <a href="https://nepalitimes.com/editorial/nepal-s-nurse-flight">nurses are migrating </a>anyway and it would save people a lot of unnecessary costs and hassles. I will always be protective about Nepal and am grateful for the experience I gained, but it is true that nurses lack dignity in the workplace back home. Nursing is laborious work and completing the education takes a fortune but the <a href="https://nepalitimes.com/here-now/nursing-grievances-against-the-state">pay for nurses in Nepal</a>, other than at a handful of hospitals, is unfairly low.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160540_2a483361070e6e65413cf3bcf3be7af0581044f85c3e6da25a66dc87042af9d9.jpg" data-media-id="editor_10" data-image-id="20250511160540_2a483361070e6e65413cf3bcf3be7af0581044f85c3e6da25a66dc87042af9d9" data-rendition-name="original" width="2048" height="1536" loading="lazy" alt="DD 67"> <figcaption>Alpana Adhikari while working as a nurse in Nepal.</figcaption> </figure>  It naturally makes nurses want to migrate. People often ask me what the difference in the UK and Nepal is. Work is similar but in terms of technology, there is less paperwork here as everything is digitised. Treatment is also more nurse-led and we have more say while making recommendations about medicine and discharging decisions which can be empowering. Read also: <a href="https://nepalitimes.com/here-now/nepali-nurses-gone-and-going-to-the-uk">Nepali nurses gone and going to the UK</a> I am not sure what it is about nursing but I am always in high spirits and energetic about showing up to work every day. To be a good nurse, you have to have the passion for <a href="https://nepalitimes.com/news/step-by-step-for-rural-health-care-in-nepal">patient care</a>.&nbsp; Sometimes people tell me it is because my family has not yet joined me which has freed up my time to singularly focus on work, but I do not believe that is true. Back home, too, I used to be as passionate about my job.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160540_47851c2c850c936b7bfb23da0f0e8a07620ea213ad929c229b6cca8711adc5d4.jpg" data-media-id="editor_13" data-image-id="20250511160540_47851c2c850c936b7bfb23da0f0e8a07620ea213ad929c229b6cca8711adc5d4" data-rendition-name="original" width="1024" height="768" loading="lazy" alt="DD 67"> <figcaption>Alpana Adhikari (left) during an International Nurses Day rally in Kathmandu.</figcaption> </figure>  What fuels my passion here is the appreciation we get. It is not just about the income. Sometimes after <a href="https://nepalitimes.com/here-now/you-must-be-having-so-much-fun-there?fbclid=IwZXh0bgNhZW0CMTEAAR0OsTusz4rvYDQLvB0bnwhlDvkS3zCQ-UvuoO5manWHC0LGI2c3XY7e6ZY_aem_hR-tZOp4xg1mINPJvwD7Nw">long hours at work</a> when it has been a particularly busy day, a phone message from my manager and colleagues appreciating me for a job well done can go a long way.&nbsp; Likewise, the WOW recommendations from my patients have boosted my confidence. One of my elderly patients who had a <a href="https://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486">mental illness </a>and I bonded, and she felt comfortable enough to open up with me. She would then refer to me as her friend with everyone.&nbsp; It is little things like this that can make a big difference. Perhaps that is why my flat mate and colleagues often question why I don’t look tired even after a long shift. <h2>Binu Gurung, Japan</h2> It has been five-and-half years since I came to Japan under the Specified Skilled Workers (SSW) visa in the nursing category. I had previously come to Japan as a language student as well.&nbsp; I grew up in Ghandruk and had just started my Bachelor’s course when a friend suggested we try<a href="https://nepalitimes.com/business/nepalis-in-japan"> to go to Japan </a>so I just followed the trend and stayed here for three years as a student.&nbsp; Two years after returning to Nepal, I re-migrated to Japan under the SSW scheme which was at its early stages and only open to nursing initially.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_305bb5cb5095da6148911dae8b07356ece5b292148e6c8e57a39fd31d811624b.jpg" data-media-id="editor_17" data-image-id="20250511160536_305bb5cb5095da6148911dae8b07356ece5b292148e6c8e57a39fd31d811624b" data-rendition-name="original" width="720" height="960" loading="lazy" alt="DD 67"> <figcaption>Binu Gurung on arrival in Japan to work as a nurse three years ago.</figcaption> </figure>  I take care of the elderly Japanese who are mostly above 80 years of age, a few even above 100. I try not to get too attached to patients but it is of course not always easy because of the nature of the job and patients we serve.&nbsp; Patients dying of age is common as it is not a care facility where patients recover to return to their homes. Just recently, an elderly lady who had been here from the day I joined 5.5 years ago passed.&nbsp; These leave you a bit खिन्न and emotionally drained. Most are <a href="https://archive.nepalitimes.com/article/nation/dementia-brings-new-problem-that-families-have-little%20knowledge-of,2151">dementia patients</a> who do not &nbsp;even recognise their family members. Some elderly patients are reserved and do not feel comfortable as the work entails helping with personal care tasks like using the toilet or bathing and they can be irritable.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_c840a0b12c20c3d52d9eceec06a0bc8c90208f13e402c50f319583b1c1a93b87.jpg" data-media-id="editor_19" data-image-id="20250511160536_c840a0b12c20c3d52d9eceec06a0bc8c90208f13e402c50f319583b1c1a93b87" data-rendition-name="original" width="694" height="960" loading="lazy" alt="DD 67"> <figcaption>Binu Gurung's work involves taking care of elderly Japanese.</figcaption> </figure>  Building trust and rapport takes time, patience and familiarity. I do not think there is a way to explain how happy I feel when they are happy with the care we provide and thank us in smiles like we are their own family members.&nbsp; My own grandmother back in Nepal was in a similar situation requiring care before she passed and I am able to extend that kind of care to many patients.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_0f41ad57ae1ac5bd2f406d86cdc5f542b613cef6961d8fdf20c883ee38404b5e.jpg" data-media-id="editor_20" data-image-id="20250511160536_0f41ad57ae1ac5bd2f406d86cdc5f542b613cef6961d8fdf20c883ee38404b5e" data-rendition-name="original" width="1600" height="1067" loading="lazy" alt="DD 67"> <figcaption>Binu Gurung in Yokohama.</figcaption> </figure>  I know that this job is not for everyone. That is why some nurses who come to Japan because they want to just<a href="https://nepalitimes.com/banner/making-overseas-migration-better"> migrate overseas </a>at any cost without considering the kind of employment realise that caregiving might not be for them.&nbsp; You have to be mentally, physically and emotionally prepared for it. If you are short-tempered by nature, for example, it may not be the best fit. However, for those who are genuinely interested in care work like I am, there are many growth opportunities in nursing which are also financially rewarding.&nbsp; While working under the SSW visa, I was able to take training classes on the side and passed the national exam for nursing. I was then able to change my visa from SSW to nursing caregiver visa. My son joined my husband and I recently in Japan and has started school.

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