<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131148/636a50529c7e80680e04fd53jpeg.jpg" alt="" width="1400" height="933"/><figcaption>TIMELY ADVICE: After providing implants at a remote health post in Baitadi recently, visiting service providers Madhavi Bhatta and Ashmita Bohora warn sisters Hasa and Harina Sarki (seated, left) of possible side effects. Pics: ROJITA ADHIKARI</figcaption></figure>Two nurses visiting distant Maharudra Health Post in Baitadi had packed up, said goodbye to staff and started down the road when two local women waved down their jeep. “We want to have an implant,” they said.The nurses told the women they would be back next week, but they insisted: “We have walked three hours, leaving our breastfed babies to get our implants.” The nurses relented, the jeep turned around and returned to the health post.Read Also: <a href="https://www.nepalitimes.com/here-now/migrating-males-and-population-decline/" target="_blank" rel="noopener">Migrating males and population decline</a>, Om Astha RaiThe local women were lucky. Only half of health facilities in Nepal provide all five major contraceptives as part of their regular services. Implants and long acting reversible contraceptives (LARC) are not easily available, mainly due to lack of trained staff. Filling that gap are visiting service providers at remote health posts like this one in Baitadi.Only 43% of all married women of reproductive age in Nepal have access to modern contraceptives, according to the Demographic Health Survey (DHS) 2016 report. Although it was only 26% in 1996, there is still a huge unmet need for family planning.Nepal’s population clock will touch 30 million next month, but the country’s falling fertility rate means that population will stop growing in three decades after it reaches 37 million. A Nepali woman on average had 6 babies in the 1960s, now she has 2, which is below the population replacement level.The two women who stopped the nurses were Hasa Sarki, 23, and her sister Harina, 20 (pictured, right). Hasa already has four children, and Harina has two. The sisters live in the same house in Lakhulla village, about three hours walk from the health post.“When we heard the implant nurses were here, we took off, leaving our food and shouting to my husband to take care of the baby,” said Harina.Read also: <a href="https://www.nepalitimes.com/banner/lets-talk-about-it/" target="_blank" rel="noopener">Let’s talk about it</a>, Duksangh Sherpa<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131148/636a50559c7e80680e04fd54jpeg.jpg" alt="" width="1400" height="933"><figcaption> </figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131148/636a50589c7e80680e04fd55jpeg.jpg" alt="" width="1400" height="933">The sisters are Dalits from a community of subsistence farmers. Hasa was married at 15 and already has three daughters and a son. The land does not provide food for the family, so Hasa’s husband goes to India six months a year.“My husband and I decided to have five years’ pregnancy prevention as we can’t afford to have any more children. I am so happy that after today I will be safe for five years,” added Hasa.One of the nurses, Binda Saud, says the number of women requesting contraceptives even in these remote areas is growing, but the one medic trained in inserting implants was transferred and there is no one to do it in the health post. Which is why the government has mobilised 63 visiting service providers (VSP) in 14 districts across Nepal to promote implants and IUCDs, with support from the UN Population Fund and British agency DFID.Read also: <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/globe-rallies-to-aid-nepals-women,3841" target="_blank" rel="noopener">Cutting the lifeline</a>, Kate RyanLack of personnel trained in implants is just one barrier in remote villages, where many people still believe that birth control is against god’s wishes. As a result, <a href="http://archive.nepalitimes.com/article/from-nepali-press/baby-factory-bajura-nepal,4018" target="_blank" rel="noopener">women give birth annually</a> and many are anaemic, malnourished, and some die.“One of the worst cases I have faced is that of a woman who had seven children who told me she wanted five years’ protection, but when I started the process of putting an implant into her arm she started shaking and saying god will not forgive her; she changed her mind,” recalled the other auxiliary nursing midwife, Madhavi Bhatta.There are families in these remote mountains where mothers and their daughters-in-law give birth together. Laxmi BK, 37, and her daughter-in-law Puja BK, 19, gave birth within months of each other. Laxmi was married when she was 14, and now has 8 children, including the youngest who is 18 months. Puja got married when she was 16, and gave birth to her first child a year ago.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131148/636a505c9c7e80680e04fd56jpeg.jpg" alt="" width="1296" height="544">“I don’t know much about contraception, I used an injection once but it led to bleeding and I thought I would die, so I decided never to use it again,” Laxmi said.The VSP approach was piloted by the government in Ramechhap district in 2015, and after positive results was expanded  in 2018.“It is a cost-effective way to substantially increase the uptake of five modern family planning methods in areas of low use and high unmet demand for contraception,” explained Amit Dhungel of UNFPA Nepal.The government is also encouraged by the success of the initiative, especially for delivery of family planning. “VSPs travel to remote areas which are difficult for the government to reach,” said Kabita Aryal at the Department of Health in Kathmandu. “That fills the gap in health facilities and health workers.”Getting the right contraception in the right place at the right time can change a Nepali woman’s life. That hope could be seen in the smiles on the faces of Hasa and Harina Sarki last month as they hurried home to their families with their new implants.<h2>Happier now</h2><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131148/636a505e9c7e80680e04fd57jpeg.jpg" alt="" width="1400" height="933">Kalawati Chand, 31, from Khaligad village in Baitadi, (above) received an implant at a VSP camp two years ago, and says it is a big relief not to be worried about getting pregnant.“I already had two abortions, and I used to get pregnant every year, which means I was not able to focus on my children and even the farm. This had led to discord in the family,” Kalawati said. “But now I have more time for my children, husband and to go to the fields. We are happier now.”Setu Mahata, 26, (below) was waiting at Udayadev Health Post in Baitadi, a 1.5 hour walk from her home recently. The mother of two had been taking pills, but she heard that a VSP was coming and wanted to get a 5-year protective implant.“It is really convenient that the nurse comes here, otherwise I would have to spend two days going to another health post, and that would be expensive,” she said.Read also: <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/child-marriage-in-Nepal,3863" target="_blank" rel="noopener">Far too young,</a> Sonia Awale<h2>ISPs</h2><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131148/636a50619c7e80680e04fd58jpeg.jpg" alt="" width="1400" height="933">Call them ISPs, (implant service providers) these nurses are at the frontlines of reducing Nepal’s birth rate. The visiting service providers are female staff nurses or auxiliary nursing midwives (ANMs) trained to use long-acting reversible contraceptives (LARCs) and provide family planning services, especially in hard to reach areas and for minority groups. They also coach and support existing health workers to deliver quality, comprehensive family planning services.“I have been working as a VSP since the start and I have travelled to all 69 health facilities of Baitadi district. We have provided more than 2,100 IUCDs and implants in this district alone,” says ANM Madhavi Bhatta.Travelling in one of Nepal’s remotest and most rugged districts is not easy. Bhatta sometimes has to walk nine hours a day to reach health posts. What motivates her is the smile she sees on the faces of the women once they get their implants.“I can see the happiness, relief and satisfaction on their faces. It makes me forget all the hardship of getting to them,” says Bhatta.

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Implant service providers take contraception to Nepal's poor

<img width="1400" height="661" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107161120/636922e39c7e80680e03a152jpeg.jpg" alt=""/>Shrinkhala Khatiwada is on a whirlwind tour: to the remote village of Bharta in Makwanpur (pictured) where she is building a health post, on to London for a fundraising dinner, and stopping over in Kathmandu en route to China.Nepali Times caught up with her to find out what Miss Nepal 2018 has been up to since her coronation in April.The reason Khatiwada is into post-earthquake reconstruction is because she is also an award-winning architecture student. She wants to complete a health post in the Chepang village of Bharta before the Miss World pageant in November as her entry for the subtitle ‘Beauty with a Purpose’.“I have always been passionate about architecture, and the earthquake opened up a huge need for architects. While we rebuild, we have to take care to preserve our traditional architecture and make sure the cities are well planned,” says Khatiwada.Read also: <a href="http://archive.nepalitimes.com/news.php?id=9224#.W6zDhnszbIU" target="_blank" rel="noopener">The Palung story</a>, Gaurab Raj Upadhyaya<a href="http://archive.nepalitimes.com/article/nation/Chepang-living-edge,3136" target="_blank" rel="noopener">Living on the edge</a>, Riwaj Rai in Makwanpur She expands on the concept of healing by design: how a well ventilated hospital room makes a patient feels better. The Makwanpur health post is a learning experience, as she finds out the nitty-gritty of transforming this concept into reality. She had initially hoped to finish construction for Dasain, but the cost has doubled because the site is so remote that it is expensive to transport construction materials there. <figure><img width="1400" height="932" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107161120/636922e79c7e80680e03a153jpeg.jpg" alt=""><figcaption> </figcaption></figure>So, she is busy with fundraising dinners and approaching corporates, while the costs keep going up. Now, she is helping build a road to the village which had none. The village is now accessible, but the monsoon has delayed work. The foundation for building has finally being laid, and Khatiwada hopes to complete it soon and hold a health camp before the Miss World pageant.Read also: <a href="https://www.nepalitimes.com/from-the-nepali-press/stuck-in-grade-5/" target="_blank" rel="noopener">Stuck in Grade 5</a>, Binita Dahal<a href="http://archive.nepalitimes.com/news.php?id=9489#.W6zD8HszbIU" target="_blank" rel="noopener">Chepangi schools</a>, Mallika Aryal<a href="http://archive.nepalitimes.com/article/from-nepali-press/First-Chepang-nurse,3143" target="_blank" rel="noopener">First Chepang nurse</a>, Sajana Baral“A health post is for treatment, but prevention of diseases is just as important,” explains Khatiwada, who herself spoke to villagers about basic hygiene like hand washing, showering, and building latrines. The village has a high level of malnutrition among children, complications from early marriages and rampant superstition.At present, villagers have to walk for two hours to reach the nearest health post, and Khatiwada knows there are many villages which are as much in need as this one. “This is just the beginning of my work in philanthropy and architecture. Eventually I want to use my fame to build more of what Nepal needs, whether it is health posts in remote areas, or schools and homes in disaster zones,” she adds.Read also: <a href="https://nepalitimes.atavist.com/reconstruction-in-ruins" target="_blank" rel="noopener">Reconstruction in ruins</a>, Om Astha Rai and Sahina Shrestha<a href="https://www.nepalitimes.com/here-now/building-homes-on-a-deadline/" target="_blank" rel="noopener">Building homes on a deadline</a>, Om Astha raiAfter her year as Miss Nepal ends, Khatiwada plans to focus on philanthropic architecture through her One Home Foundation. This is actually what attracted her to Miss Nepal, to use the celebrityhood for a good cause, not necessarily its glamour.“This is a platform where you get famous overnight, and then it is up to you how you use that fame,” she explains. “I want to use it to become a change maker. In fact, the whole reason I am excited about participating in the Miss World pageant is so I can make global contacts to help me continue my work in architecture.”Nepal has never won the Miss World title, though Ishani Shrestha bagged the Beauty with a Purpose title in 2013. This year, all eyes are on the competent and confident Shrinkhala Khatiwada, and Nepal will be cheering her on.Read also: <a href="http://archive.nepalitimes.com/blogs/thebrief/2017/06/12/charismatic-nikita/" target="_blank" rel="noopener">Charismatic Nikita</a>, Sabita Shrestha<a href="http://archive.nepalitimes.com/news.php?id=12450#.W6zFbHszbIU" target="_blank" rel="noopener">Mud, glorious mud</a>, Nripal Adhikary

Miss Nepal's mission

Who is accountable for teacher-student relationships?

Of the nearly 19 million eligible voters in next week’s election in Nepal, an estimated 5 million are abroad and cannot cast their ballots. Many others within Nepal must travel to their home districts, and might decide not to because of the cost.
Flights into Kathmandu these days are full of global Nepalis returning just to vote, but almost as many are leaving for overseas jobs. Most of those coming or going are in the 20-40 age group, and a majority want Nepal to see a change in leadership.
Bangladesh held an election this month in which citizens overseas could vote by mail.&nbsp;
“Bangladesh made maximum use of technology not just for campaigning but also for polling itself. We could have also managed this, so people within Nepal did not have to travel to their home districts to vote,” says Mohna Ansari, former head of Nepal’s National Human Rights Commission who was an election observer in Bangladesh.
A 3-day holiday has been declared so people can travel to their home constituencies to cast ballots. Even if there was not enough time to manage ballots for overseas Nepalis, it could have been done for Nepalis within Nepal.
Former Chief Election Commissioner Bhojraj Pokharel reckons that physical voting in countries with a large Nepali diaspora would have been a logistical nightmare, but in the PR system, using electronic voting machines or paper ballot could have been piloted in some places. It is not possible to manage the entire voting process until we introduce the internet voting system.
“First of all, there needs to be political will to bring the policy and be ready to undertake that level of investment and it is not a one-time cost,” Pokharel says. “A government formed by the GenZ could have atr least issed an ordinance ensuring this right, piloted out-of-country voting where possible, which could have built pressure for the future Parliament and the government. It would have given people hope. It is a lost opportunity.”
All major political parties called for voting rights for global Nepalis in their manifestos, but these very leaders blocked legislation allowing it despite a 2017 Supreme Court ruling out of fear that it would be anti-incumbent.&nbsp;
<h2>Why so late?</h2>
Bangladesh delivered election results in just one day, but the final results of Nepal's last local polls in 2022 including that of Kathmandu constituencies took nearly a month.
Acting Chief Election Commissioner Ram Prasad Bhandari said this week that the results of the First-Past-The-Post (FPTP) ballot counting would “likely” be published within 24 hours of the poll closing at 5PM on 5 March. But many are skeptical.
“I wonder if we lack the capacity or know-how to announce results as quickly as possible,” says Mohna Ansari.
Former Chief Election Commissioner Pokharel says manual ballot paper counting in Nepal is inherently slow because of the large numner of political parties and/or candidates on the ballot, the counting mechanism, the political behaviour of the candidates/parties and some managerial issues during counting.
“Our present policy is to count all the ballot papers at the returning officers' officies, located at the district headquarters. It requires collecting ballot boxes safetly first. This takes time, and there have been cases of ballot boxes being damaged or stolen during transport. In a few highly difficult, geographically remote polling centres, we use a helicopter or transport. But sometimes, accommodating the party and candidates' representatives remains challenging,” explains Pokharel. A solution could be counting ballots at the very booths where they are cast.
Another reason for the delay is simply the number of political parties, and the need for each ballot paper to be examined by booth representatives for consensus. In close races, the smallest difference can lead to tense situations, further delaying results, even though counting centres are protected by metal fencing so there is no disruption.
After this, then it is the turn of Proportional Representation (PR) ballots to be counted. Weeks pass by the time the results of candidates and parties are tallied and verified. But the most common delay is because election officers think ballot counting is a nine-to-five job.&nbsp;
“The efficiency of poll station officers is most important, and they are incentivised for this,” says Ansari, adding that counting can even start within an hour after voting closes.
In remote areas, local resources could be mobilised to make counting quicker, but there is a crisis of trust, adds Ansari.&nbsp;
That could be easily solved with electronic voting which the EC implemented in the 2008 polls but discontinued because political parties felt the machines could be hacked or manipulated.

Nepalis Select Who To Elect

On Saturday, Iran retaliated with missile strikes on Abu Dhabi, Dubai, Bahrain and Qatar, a region where there are an estimated 2 million Nepalis working to send money home. In addition, thousands of Nepalis were preparing to board flights to Kathmandu from West Asian cities this weekend to vote in the 5 March election. Many are said to be stranded at various aviation hubs. A Qatar Airways flight from Doha took off just before the air space was closed, while Air Arabia and Kuwait Airways have diverted or cancelled flights. Nepalis in the West Asian region said things were relatively calm where they were, although some heard loud explosions at about noon local time. In Dubai, some thought they were Ramadan fireworks.&nbsp; In Kuwait, nearly 2,000 Nepalis working in the US military base as security guards and cleaners were evacuated before the strikes. In Bahrain where the US Fifth Fleet naval base is located and which was hit by two Iranian missiles, workers contacted by Nepali Times said the situation was under control and the authorities had told everyone to stay indoors and not use highways. The conflict also coincided with the beginning of Nepal’s trekking and mountaineering season, and tourists were either on their way or planning to leave European and North American cities for Himalayan hikes. Most of them transit through Doha, Dubai or Kuwait and all three airports are closed. Turkish Airlines flights via Istanbul are still operating.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260228130212_ab5e132d56da1df6a3fb1b6919648f845a168ad2c51d79f7587fb85a6e913b97.png" data-media-id="editor_0" data-image-id="20260228130212_ab5e132d56da1df6a3fb1b6919648f845a168ad2c51d79f7587fb85a6e913b97" data-rendition-name="original" width="1864" height="826" loading="lazy" alt="Qatar and UAE airspace closed"> <figcaption>Qatar and UAE airspace closed. Credit: Flightradar24</figcaption> </figure>  However, the main impact for the world could be a spike in the price of petroleum products if the strategic Strait of Hormuz is blocked. China relies on Iranian oil for their refineries, and Nepal could be affected indirectly if the economies of its neighbours are hit. Nepal imports all its diesel, petrol, LPG and aviation fuel from India which sources it mainly from the Gulf, and until recently from Russia. Petroleum makes up 25% of the value of all imports, and that is more than Nepal earns from all its exports. Saudi Arabia this year overtook the UAE as the main destination for Nepali workers, with the number now totalling 400,000. There are said to be as many in the UAE, and another 350,000 in Qatar. There are another 100,000 mostly women in Kuwait, and 50,000 each in Oman and Bahrain.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260228130220_d24ae633ff84f283835434becdb2f1351f84c415ce87ca34378bd4e2669661b3.jpg" data-media-id="editor_1" data-image-id="20260228130220_d24ae633ff84f283835434becdb2f1351f84c415ce87ca34378bd4e2669661b3" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="West Asia Iran conflict"> <figcaption>Iran retaliated with missile strikes on Abu Dhabi, Dubai, Bahrain and Qatar on Saturday.</figcaption> </figure>  Nepal receives nearly $11 billion a year in remittances from overseas Nepalis (not counting India) through official channels, although the total is said to be much more. &nbsp;This makes up more than a quarter of Nepal’s GDP equivalent — one of the highest proportions in the world. More than half of the overseas remittances to Nepal comes from its workers in the Gulf, and it is the mainstay of the country’s economy. Nepalis in Saudi Arabia, Qatar and the UAE alone send home more than $3 billion a year, much of that helping support their families back home. An average Nepali worker in the Gulf sends home nearly $2,500 a year, and this is spent mainly for household supplies, children’s education and healthcare. There are also an estimated 7,000 Nepali caregivers and healthcare workers in Israel, and most of them are women. The Nepal Embassy has asked Nepalis in Israel to take caution and move to bomb shelters.

West Asia war and Nepalis

If you did not watch the understated movie उनको स्विटर / (The Woolen Sweater) after it was released in May last year, you missed a major turning point in Nepali cinema. Much-hyped films fall short of expectations, but here is an exquisitely acted and directed production with a strong underlying message of tolerance. What a contrast from formulaic melodramatic Kollywood fare — a love story so simple, cinematography so subtle in capturing the beauty of the monsoon on mountain pastures, and a background folk song accompaniment that evokes the flavour and tenor of multi-ethnic eastern Nepal. Since its release, Unko Sweater received praise in Nepal, but it was in multiplexes across Nepaliphone India where the movie became a rage. Positive reviews spread by word of mouth on social media, where the script, performance and camera work were praised for reflecting a genuine and unsullied rural Nepal. The movie is a layered portrayal of caste, ethnicity, gender and culture with the tender romance between the shy Dharanidhar Kafle (Bipin Karki) and Phool Gurung (Miruna Magar) in which the two, despite being soulmates, have to deal with societal norms and gossip. They do this without rebelling, in their own quiet way. In the first scene in a crowded jeep, people are seen discussing an election. An elderly greying Kafle is headed home, and the rest of the movie has back and forth flashbacks revealing the story of his unspoken affection for Phool. But there is an undercurrent of ethnic rigidity. When Kafle’s brother Dambar elopes with Iksha Limbu, the repercussions are borne by both families. Then Kafle’s uncle is banished for being an outcast.&nbsp; Miruna Magar as Phool, as an ebullient woman, is in contrast to the introverted Kafle, who does not say much but has a melodious singing voice. As the plot thickens, Kafle is shown to be bound by circumstances that pose obstacles to his love for Phool. The storyline delicately shows how life and situations constantly force people to shift direction. Despite underlying differences, the various castes and ethnicities in this fictitious village near the Sikkim border get along because they have to. There is an interdependence between highland farmers and other ethnicities living down the valley that is at the heart of Nepal’s ethnic harmony. Despite taboos about interethnic and intercaste relationships, people still have trust and faith amongst each other. There is no time reference to the story, but it does speak of a nostalgic era decades ago when rural Nepal was not yet connected by roads and phones, when people had no choice but to get along. Things have changed now with outmigration, and education has blurred ethnic lines. A QUIET LOVE Director Nabin Chauhan is not in your face with his message, giving viewers a hint of deep rooted traditional values that still govern society. Each character adds to the storyline, validating the way they behave, pushing the plot forward.&nbsp; There are many emotions that are intricately woven into the plot, and the most prominent, of course, is love. Not the showy, lustful way it is shown in flamboyant formula films, but a quiet bond that does not need words, a silence, a glance and a gesture conveying the universe of love. When Phool asks Kafle what he will do if they cannot be together, he says he will build her a house with a beautiful garden of flowers in the meadows where he herds livestock. He builds it awaiting her return, while Phool knits him a sweater, the symbol of their interwoven love. In screenings of the film in Nepal and India, there has not been a dry eye in the audience. The background score and music by Kobid Bazra and the powerful rendition by Jhuma Limbu of the ‘Kafle’ strike a strong chord. The cinematography by Chintan Rajbhandari does not glamourise Nepal’s rural landscape, it is shown in its raw misty beauty as a constant backdrop. The viewer is uplifted by the notion that love transcends social restrictions and orthodoxies.&nbsp; The ending is left deliberately unfinished, possibly to make way for a sequel which we can only hope will be as compelling as उनको स्विटर. &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260301060348_42480e8b6934c9a5c518c44c2970748b341bbbf290c2b303b6aa6359d883567b.jpg" data-media-id="editor_0" data-image-id="20260301060348_42480e8b6934c9a5c518c44c2970748b341bbbf290c2b303b6aa6359d883567b" data-rendition-name="original" width="1280" height="560" loading="lazy" alt="Unko Sweater"> </figure>  उनको स्विटर / (The Woolen Sweater) Artmandu Nepal, 2025 Directed by Nabin Chauhan 145 minutes Available now on YouTube <div class="embed-block"><iframe width="560" height="315" src="https://www.youtube.com/embed/lCgtmgiII7M?si=MirwKOwKmxE3jLS6" 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>

health-post

Implant service providers take contraception to Nepal's poor

Miss Nepal's mission

Who is accountable for teacher-student relationships?

Nepalis Select Who To Elect

West Asia war and Nepalis

Now for something completely different