Like many Nepalis, Surendra Dhami left his home village in Darchula for Malaysia in the hope of improving his family’s quality of life.&nbsp; He returned in a few months because the work and pay were not what he had been promised by the recruiter. But there were no jobs in Darchula, and farming in the rugged arid mountains would not feed his family. So, like many other mountain farmers Dhami, 36, migrated with his family down to the Tarai to settle in the village of Gharkheda in Kailali’s Chure Rural Municipality. It was a good move. He sold 10,000kg of oranges last year, and Surendra and his wife Bhaka have diversified into vegetables.&nbsp; “So far, we can make a living with our farming. At least, it is better than in Darchula,” says 30-year-old Bhaka Dhami.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240404110448_465a967ef1604772e7cc00f1decb97323b77f28d10834d785ac472a1fdb1359f.jpg" data-media-id="editor_0" data-image-id="20240404110448_465a967ef1604772e7cc00f1decb97323b77f28d10834d785ac472a1fdb1359f" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Families that farm together stay together Page 9 NT #1206"> <figcaption>Surendra and Bhaka Dhami</figcaption> </figure>  Neighbour Krishna Devi Kandel and her husband Devendra have involved all five of their children in their farm. The orange trees are not doing well because of infestation, and the failure of winter rains affected crops.&nbsp; “We do not have irrigation and do not get as much rain as we used to,” says Devendra. Chure village is full of families who have moved down from Darchula, Baitadi and other mountain districts to the north. But even here, erratic rains due to the climate crisis have impacted farming.&nbsp; Diversifying crops is the best way to cope, which is what Pabitra Sapkota has also done. After her orange trees died, she has moved to vegetables.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240404110448_938c7c0c69d85899ecbd2a77e1acaa9b318eba2d0072f2f033e1dda057e21ab5.jpg" data-media-id="editor_1" data-image-id="20240404110448_938c7c0c69d85899ecbd2a77e1acaa9b318eba2d0072f2f033e1dda057e21ab5" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Families that farm together stay together Page 9 NT #1206"> <figcaption>Pabitra Sapkota</figcaption> </figure>  “The tomatoes that my son planted in this greenhouse are nearly ripe,” she says, clutching a lush bunch of mustard greens. &nbsp; The Chure range in western Nepal rises to elevations of 2,500m, unlike in the east where it is less than 500m. It is the youngest, lowest and weakest of the folds that form the Himalayan range, and the first ridges to rise up from the plains. The Chure covers nearly 13% of Nepal’s area, and runs through 37 of the 77 districts from Jhapa in the east to Kanchanpur in the west. It is a fragile range, where deforestation has led to frequent landslides and floods.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240404110448_5e15ae431ab995109fdeac871bae4e769d0c979bc67a02fc2785d6098229fe53.jpg" data-media-id="editor_2" data-image-id="20240404110448_5e15ae431ab995109fdeac871bae4e769d0c979bc67a02fc2785d6098229fe53" data-rendition-name="original" width="1777" height="1000" loading="lazy" alt="Families that farm together stay together Page 9 NT #1206"> <figcaption>Aftermath of a flood</figcaption> </figure>  “The Chure watershed is deteriorating and there are frequent droughts, further declining farm productivity,” explains Sushmita Dhakal of the President Chure Terai-Madhes Conservation Development Board set up in 2014.&nbsp; One way recent migrants from the mountains to Chure are adapting to the crisis is through family farming, without hired labour for better food security, nutrition and to protect the environment. The United Nations declared 2019-2028 a Decade of Family Farming to preserve traditional agriculture, increase the involvement of youth, recognise women’s leadership, promote sustainable agriculture and improve livelihoods. In doing so, family farming also protects households from the climate crisis by &nbsp;diversifying crops. It is also an antidote to water-intensive commercial farming with its use of chemical fertilisers and pesticides. &nbsp;&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240404110448_94b4e92d15a772e0f6e538221aba1f60a610d95e2580daf26fffda20fc8aef9c.jpg" data-media-id="editor_3" data-image-id="20240404110448_94b4e92d15a772e0f6e538221aba1f60a610d95e2580daf26fffda20fc8aef9c" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Families that farm together stay together Page 9 NT #1206"> <figcaption>Devendra and Krishna Devi Kandel</figcaption> </figure>  At one point, more than 80% of Nepal’s population depended on agriculture, and most were family farms. But the figure has come down to 62%. Agriculture now contributes only 25% to the GDP. Agronomists say that family farming can reverse the decline by making agriculture profitable again. Vegetable farmers of Lisbeli village prove that: their products have a ready market in the towns of western Nepal.&nbsp; Dammari Bhatta works on her vegetable patch with her family and does not hire anyone else. The cabbages, cauliflowers and tomatoes are enough to feed her family all year around, and she sells the surplus to pay for the education of her children.&nbsp; Her husband Madanraj Bhatta leads the Lisbeli Farmers’ Group which sold 1,700kgs of cabbage and 700kgs of tomato this winter.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240404110448_a74b7748e4f0ede7eb6f8a76c5fe786d9801738c70325a3aaae84ba1c5cd1c00.jpg" data-media-id="editor_4" data-image-id="20240404110448_a74b7748e4f0ede7eb6f8a76c5fe786d9801738c70325a3aaae84ba1c5cd1c00" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Families that farm together stay together Page 9 NT #1206"> <figcaption>Dammari and Madanraj Bhatta</figcaption> </figure>  None of the 30 families here in Lisbeli use chemical fertilisers, and apply organic manure instead. This in turn has reduced pest infestation and diseases in the crops all the while restoring soil quality. &nbsp; “Home fertiliser has increased harvest, and made the soil more fertile,” says Manju Jagriti, an ex-teacher, now a full time farmer. “The whole family farms, and we do everything together,” says Manju proudly. Family farming is nothing new in Nepal, it has been the traditional method of agriculture. But many families moved away as commercial farming using agrochemicals took over. Now, families are moving back to the old method of growing food.&nbsp; Says agriculture scientist Binayak Bhandari: “We need to go back to our old sustainable farming ways, protect the environment and find the fine balance between nature and livelihood, especially to adapt to the climate crisis.”

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Who builds Kathmandu?

Malaysia is slashing foreign worker intake from end-May, conflicts in West Asia <a href="https://nepalitimes.com/opinion/guest-editorial/the-international-order-is-dying-in-gaza">risk engulfing the region</a>, and fortress Europe is building higher walls for migrants. 
All this means that Nepal’s economy, <a href="https://nepalitimes.com/business/remittances-up-and-up">almost completely dependent on money its workers send home</a>, is as fragile as a house built on sand. Proof of that was the Covid pandemic, which impacted overseas jobs and remittance inflows. 
Malaysia has now capped foreign workers to only 15% of its 17 million strong workforce, and this will mean there will be much fewer jobs for Nepalis in its palm and rubber plantations, construction, manufacturing and service sectors.
Malaysia has instructed companies that no work visas will be issued after May. One saving grace is that the restrictions do not apply to foreign security guards, <a href="https://nepalitimes.com/here-now/close-encounter-with-death">most of whom are Nepalis</a>.
Malaysia’s curb on foreign workers appears to be related to domestic unemployment, as well as an EU decision to phase out the import of palm oil as a renewable biofuel because of rainforest destruction. Malaysia is the world’s second-largest producer of palm oil after Indonesia.
There are an estimated 500,000 Nepalis in Malaysia, some of them undocumented workers. Of the 771,000 Nepalis who got labour permits from the Department of Foreign Employment in the last fiscal year, 259,000 went to Malaysia. 
“The fact that a major labour destination country like Malaysia is reducing the number of Nepali workers is not good news,” says labour migration expert Ganesh Gurung. “It will seriously impact on remittance inflows and the economy. It does not seem like the Nepal government has any concrete plans to deal with this issue.”
Rajendra Bhandari, President of the Nepal Association of Foreign Employment Agencies (NAFEA) agrees that Malaysia’s decision is concerning, especially as the demand for foreign workers in Gulf countries is also decreasing. He adds that unless the Nepal government finds alternatives, the number of Nepalis going abroad illegally and ending up doing dangerous work will increase. This is evidenced by the increasing number of Nepalis<a href="https://nepalitimes.com/here-now/nepalis-play-russian-roulette-in-distant-war"> killed in action while fighting for the Russian Army</a> on the Ukrainian front.
Yet even as Foreign Minister Narayan Kaji Shrestha is demanding that Russia send Nepali soldiers home, Labour Minister Dol Prasad Aryal, <a href="https://nepalitimes.com/editorial/skeletons-in-the-cabinet-k5x6py1v">who is alleged to be involved in recruitment and remittance agencies</a>, reopened labour permits for Russia on Wednesday.
The value of Nepal’s exports is only one-tenth of its imports, and the country pays for imports with remittance income. Latest Nepal Rastra Bank figures show that the country earned $6.35 billion in the last six months of this fiscal year, and foreign exchange reserves hit a record $13.9 billion. 
Ganesh Gurung says that even though Malaysia’s decision might have seemed abrupt, such overwhelming dependence on remittances has always been a risky path for Nepal. Money the diaspora transfers to relatives in Nepal makes up an equivalent of 25% of Nepal’s GDP – one of the highest ratios in the world.
There are an estimated 2 million Nepalis in the Persian Gulf region, and a change in foreign labour policy or a regionwide conflict could jeopardise their jobs and in turn, impact the national economy. 
“This overwhelming reliance on foreign employment has meant that Nepal’s rulers have not been able to implement policy and incentives to create jobs domestically,” says Gurung. “It is inevitable that jobs overseas will dwindle eventually.”
With Malaysia closing, and earnings in the Gulf countries being less than what was promised by recruiters, Nepalis are increasingly <a href="https://nepalitimes.com/opinion/europe-now-favoured-destination-for-nepalis" target="_blank">looking to Europe</a> as an alternative. But while Europe needs cheap foreign labour, it is also becoming more restrictive.
Croatia was a favourite springboard for Nepalis seeking to go to Western Europe, but it joined the Schengen area last year. There are now an estimated 15,000 Nepalis in Romania, and more hope to make it there before the country also joins Schengen on 31 March. 
NAFEA’s Rajendra Bhandari says the hurdles are not just from Schengen states in Europe, but also from the Nepal government. Those seeking work in Europe need a work demand letter from a European country that is verified by a Nepal embassy in that country. But most European countries do not have resident embassies. 
“If the demand letters could be verified in Nepal itself, it would open the door for a lot of Nepali workers to go to Europe,” says Bhandari, adding that although the Labour Ministry is open to the idea, the Foreign Ministry does not think so.
Unlike migrant workers who go to other Asian countries to earn money, send remittance back home, and eventually return, Gurung says, most Nepalis who go to Europe more often than not settle there permanently. 
Overseas migration has been seen as a safety valve for Nepalis, but there are many thousands of domestic migrant workers at construction sites all over Kathmandu. 
Ensuring a basic minimum wage and labour protection for them would open up more <a href="https://nepalitimes.com/here-now/few-jobs-created-by-nepal-employment-drive">meaningful employment</a> within Nepal in semi-skilled jobs, many of which are being given to migrants from India.
Says Gurung: “Continuing to depend on other countries to give Nepalis jobs, instead of providing jobs in Nepal for Nepalis, will mean trouble for us down the line.”

People's Movement

Nepal may have defused the population bomb, but its cities and towns are bursting at the seams. Federalism was supposed to improve rural living standards through more accountable governance. Failure to achieve this has accelerated rural outmigration. The 2021 census showed that Nepal’s population declined by 10% in the last decade. The total fertility rate has fallen below the 2.1% replacement level, and that could be a problem in the future. But for now, it is the continuous emptying of mountain districts that is assuming crisis proportions. None of the three levels of government seem to have internalised the gravity of this situation, let alone devised a strategy to reverse the trend. Most internal migration is to the Tarai, which already has 54% of Nepal’s population. Another 21% lives just in Bagmati Province which includes Kathmandu Valley. Read also: <a href="https://nepalitimes.com/here-now/letter-from-sikles">Letter from Sikles</a>, Kunda Dixit  <figure><img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240301040316_c0efbe7eef4538830300b6aca776239a92c54c16fcb81cb28ac5f17380dadfff.jpg" data-media-id="editor_1" data-image-id="20240301040316_c0efbe7eef4538830300b6aca776239a92c54c16fcb81cb28ac5f17380dadfff" data-rendition-name="original" width="1937" height="1140" loading="lazy" alt="Nepalis are voting with their feet NT"></figure>  One-third of Nepal’s population is in rural municipalities, and two-thirds is in urban centres. Three-fourths of Nepalis live in just four of the seven provinces: Kosi, Bagmati, Madhes and Lumbini. The trend is even more alarming if we look at the data at district and rural municipality levels. Nearly all hill and mountain districts have seen sharp population declines. Some towns have not just added population from the hinterland, but also sucked up its resources. Municipalities have not been able to keep up with demand for jobs, quality education, affordable healthcare, or water supply. After the first federal elections to local governments in 2017, there was finally hope that local candidates would be held more accountable because of their proximity to the electorate. The campaign slogan of ‘Singha Darbar in every village’ raised hopes that democracy would finally deliver genuine local development. Some city dwellers even returned to their ancestral villages. But hopes were soon dashed because grassroots governments once again failed to deliver. Feeling let down once more, people moved from villages to cities, from the mountains to the plains, and from there many continued abroad. Migration patterns have changed. It is not just young males who are leaving for the cities, entire families are. Houses are padlocked, villages are empty, fields are fallow. Read also: <a href="https://nepalitimes.com/here-now/eastern-nepal-s-depopulating-mountains">Eastern Nepal’s depopulating mountains</a>, Gopal Dahal <div class="embed-block"><iframe src="https://flo.uri.sh/visualisation/16960977/embed" title="Interactive or visual content" class="flourish-embed-iframe" frameborder="0" scrolling="no" style="width:100%;height:600px;" sandbox="allow-same-origin allow-forms allow-scripts allow-downloads allow-popups allow-popups-to-escape-sandbox allow-top-navigation-by-user-activation"></iframe><div style="width:100%!;margin-top:4px!important;text-align:right!important;"><a class="flourish-credit" href="https://public.flourish.studio/visualisation/16960977/?utm_source=embed&amp;utm_campaign=visualisation/16960977" target="_top" style="text-decoration:none!important"><img alt="Made with Flourish" src="https://public.flourish.studio/resources/made_with_flourish.svg" style="width:105px!important;height:16px!important;border:none!important;margin:0!important;"></a></div></div> Elected representatives in fancy new municipality offices have not responded appropriately to the enormity of the demographic change taking place. There have been two elections after the new Constitution in 2017 and 2022, meanwhile internal migration into Kathmandu has increased. More than half the population of Kathmandu Valley was not born there. There is urban-to-urban migration as people move from cities like Biratnagar, Birganj, Bharatpur to Kathmandu. Five of the municipalities with the highest population growth: Kageswari Manohara, Karkeswar, Nagarjun, Mahalaxmi, and Suryabinayak are all in Kathmandu Valley. Census data shows where the people have left. Five towns in Gandaki and Sudur Paschim Province have had the most dramatic population declines. Sanfebagar Muncipality in Accham had an annual population decline of 2.55% between 2011-2021. Jamini in Baglung, Galyang in Syangja, and Phalebas in Syangja all lost nearly 2% of their population every year (see map). Urbanisation is driven by aspiration. People move to where there are opportunities and a better quality of life. The mass movement happening now in Nepal is because local governments have not created good conditions in rural areas. Read also: <a href="https://nepalitimes.com/here-now/the-last-men-standing">The last men standing</a>, Daman Rai  <figure><img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240301040320_63c86e52713ce1684b733409a9768dffd301489f561f267ba4a2968102138c21.jpg" data-media-id="editor_5" data-image-id="20240301040320_63c86e52713ce1684b733409a9768dffd301489f561f267ba4a2968102138c21" data-rendition-name="original" width="423" height="185" loading="lazy" alt="Nepalis are voting with their feet NT"></figure>  There is another change sweeping villages in Taplejung and Sankhuwasabha. Although their populations have decreased, the number of households has increased. This indicates a trend in rural areas to live in nuclear families instead of joint ones. The last census showed that of the 430 rural municipalities in Nepal, 250 had negative growth. In contrast, of the 293 urban centres, 224 saw population increases. Gandaki Province has the highest rate of outmigration, with 83% of rural municipalities decreasing in population. Only 3% in Madhes Province saw decreases. More than half of rural municipalities seeing population decline can only mean one thing – Nepalis are voting with their feet. Even though political power was theoretically devolved to municipalities and provinces, they were not allocated sufficient resources, and federal entities in Kathmandu still call the shots. Biratnagar, Janakpur, Hetauda, Pokhara, Surkhet and Dhangadi were chosen as provincial capitals, and all have seen a surge in population in the past six years. Perhaps what was needed was not just decentralisation away from Kathmandu, but locating provincial capitals in rural areas to boost job creation, trade and political opportunity. Read also: <a href="https://nepalitimes.com/here-now/nepalis-moving-from-mountains-to-plains">Nepalis moving from mountains to plains</a>, Shristi Karki

Nepalis are voting with their feet

Many of us former Nepal Peace Corps volunteers (PCVs) would agree that our time in Nepal changed in significant but very different ways our perspectives on life if not the future paths we chose to follow. Of no one was this truer than Dorothy Mierow. Dorothy was born in 1920, in Colorado Springs. Her father Charles C Mierow was a classics scholar and Latin professor, who served for ten years as president of Colorado College.&nbsp; Dorothy developed an interest in animals as a child, graduated with a BA degree in natural history from Carlton College in 1942, a Master’s in biology from the University of Pittsburgh, and another Master’s in geography from the University of Minnesota.&nbsp; As a young woman, Dorothy traveled with her father throughout Europe, including a visit to ancient Greek ruins, and took a Magellan Tour by cruise ship around the world in 1958.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_0bad133ab22aada319e74bbad95d563e191371db291c08f373839fbd15440262.jpg" data-media-id="editor_0" data-image-id="2025071901074_0bad133ab22aada319e74bbad95d563e191371db291c08f373839fbd15440262" data-rendition-name="original" width="903" height="1178" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>HOME AWAY FROM HOME: Dorothy Mierow as a college student in her native Colorado.</figcaption> </figure>  She was a college teacher during much of the 1940s, also teaching at a girls’ school in Hawaii. Then back to her native Colorado in 1953, where she became a curator and later director of the Colorado College Natural History Museum. She taught geography classes, and in her free time, Dorothy climbed 22 of Colorado’s 14,000-foot peaks. Traveling in India in 1960, Dorothy decided to spend two weeks in Nepal. In late 1961, she filled out an application to join the Peace Corps and specified that she wanted to go to Nepal, ‘because I admired the people so much when my father and I were there on our trip’.&nbsp; Dorothy reached Kathmandu in September 1962 as the first group of American Peace Corps volunteers in Nepal. She stood out from the others: one of the few women in that group, surely the oldest at age 41, a world traveler, and a woman who already had established a professional career.&nbsp; One doubts if Dorothy had had a husband and children whether she would ever have gone to work and spend much of the rest of her life in Nepal.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901078_68e84ade1ffb0f6c83c7f8fa5c1e7315b5f6c543217f96cde012e4d86f171515.jpg" data-media-id="editor_1" data-image-id="2025071901078_68e84ade1ffb0f6c83c7f8fa5c1e7315b5f6c543217f96cde012e4d86f171515" data-rendition-name="original" width="1259" height="910" loading="lazy" alt="How th Peace Corps changed a volunteer's life NT"> <figcaption>Pokhara Bazar in 1962.</figcaption> </figure>  The Peace Corps assigned Dorothy to teach geography at Tri-Chandra College. After the school closed in the winter due to lack of heating, USAID and the College of Education asked Dorothy to help train general science teachers.&nbsp; She taught for two months and became involved in a textbook-writing project, commenting: ‘I would like the children to know something about public health, conservation (the trees are going fast and so is the soil), and learn the names of some of their common birds, trees, and flowers. They are more impressed with electricity, airplanes, and cell structure.’ When a new college opened in Pokhara in 1963, Dorothy was transferred there and lived with a Nepali family. The college boasted 30 students and no permanent buildings.&nbsp; In October 1963, Dorothy wrote: ‘Pokhara is a town of almost 5,000 people … We are in a fertile valley surrounded by foothills … There is a small Mission Hospital … a Leper Hospital and Tibetan Refugee Camp started by the Red Cross and now run by the Swiss. With winter approaching, more Tibetans are appearing in town, often with pack horses or donkeys. Some have been carrying large boxes of powdered milk,donated (by USAID) to the camp from the airport … There is no electricity, and the transportation problems make many items scarce and expensive. I am really a sort of a museum. The landlord brings all kinds of people in to see how I live and count my shoes and dresses. They express amazement at my books, pictures, tin oven, Nepali dolls from Kathmandu, screened food shelves and curtained closet.’ The standard term for Peace Corps volunteers was two years, but Dorothy extended her term and was still at Prithvi Narayan College at the end of 1965, when she wrote that she had 20 Geography students in the first-year class and 6 in the second year preparing for the IA Examination. The college enrollment was 125 students, and the foundation for a new science building was being excavated.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_c6a80e5e0db0c705b2f8733c6d30dc0386fe3abbd2238ea9d947b7d746f94a29.jpg" data-media-id="editor_2" data-image-id="2025071901074_c6a80e5e0db0c705b2f8733c6d30dc0386fe3abbd2238ea9d947b7d746f94a29" data-rendition-name="original" width="902" height="605" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>Mierow and friends at Phewa Lake.</figcaption> </figure>  Dorothy noted that she ate one meal a day at the (Shining Mission) Hospital but otherwise lived on dal-bhat, momo, and potato curry at local shops. However, she had developed a new passion: to build what she initially called the Pokhara Museum of the Himalaya. In commendable Peace Corps fashion, Dorothy always worked with Nepalis and respected the culture. ‘The greatest joy and satisfaction I have had has been from the building of a Museum-Library in memory of my parents … It has been possible to feel like a wealthy benefactor with the money saved by father for the family’s education and now available for the education of others… (Father) would have loved to be in on the founding of a new college and be able to plan a library. Several hundred of the books to be in the museum-library came from his collection and were carefully selected to be of use for students in Nepal…’&nbsp; ‘The museum part is to satisfy my own inclinations and was thought of when I found how little diversion there was for the people of Pokhara… It is part of the University requirements for the college that it should have a geography and biology museum. The museum building is small but adequate.&nbsp; I have tried to design it in harmony with Nepalese architecture and decorate it with some of the art of the best artists or woodcarvers… Posts holding up the porch roof are carved by Cottage Industries to represent different peoples of Nepal in typical costumes. The door was carved by a local wood carver and has typical birds of Nepal around it. Inside are 10 roof-support carvings designed by the retired Director of the National Museum in Kathmandu, Mr. C.M. Maskey.&nbsp; They were carved by the best wood carvers in Patan very skilfully. The building has three rooms: the library, the exhibition room, and a smaller workroom which can be used by our newly formed Woman’s Club as well as other groups or classes.’  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_03d3359c65389d30a0134e9a4862778994121e7e833b7d28b18e06e36fc76ff8.jpg" data-media-id="editor_3" data-image-id="2025071901074_03d3359c65389d30a0134e9a4862778994121e7e833b7d28b18e06e36fc76ff8" data-rendition-name="original" width="629" height="599" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>Mierow with local women in Pokhara in 1969.</figcaption> </figure>  Dorothy promoted her project to influential Nepalis connected with organisations whose support she solicited: The Department of Archaeology, the Department of Agriculture, the Godavari Botanical Gardens; Tribhuvan University’s Science and Education Department, Nature Conservation Society.&nbsp; The museum was opened officially in early 1967. The Annapurna Natural History Museum, the building Dorothy designed and had constructed, is still open and features some exhibits which she created many years ago.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_54326a8a0685e980e782378076de2f5cd02d2426e9b0d94eed972d3dbe83af26.jpg" data-media-id="editor_4" data-image-id="2025071901074_54326a8a0685e980e782378076de2f5cd02d2426e9b0d94eed972d3dbe83af26" data-rendition-name="original" width="1333" height="1000" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>The Annapurna Natural History Museum.</figcaption> </figure>  Dorothy returned to America in 1967, but she longed for Nepal. In the spring of 1969, she again tried to enroll as a Peace Corps volunteer but was told that as she had spent more than four years, she would not be eligible for another assignment. Undeterred, she persuaded the college in Pokhara to invite her to return as a teacher.&nbsp; UNICEF and the Forestry Department sponsored Dorothy to prepare charts on trees, birds, animals and flowers in colour for distribution to the schools of Nepal. Dorothy, back in the Peace Corps, returned to Pokhara and the Museum in 1972. She formed a friendship with her former geography student from Sikles, Chandra Prasad Gurung, and in 1974, she brought Chandra to America, where he enrolled in Colorado College and studied cultural anthropology.&nbsp; Chandra subsequently earned his PhD in geography from the University of Hawaii and returned to Pokhara to become director of the Annapurna Conservation Area Project. Gurung actively promoted ecotourism, landscape conservation, and biodiversity conservation in Nepal. His life was cut short along with those of 23 other Nepalis and foreigners who perished in a helicopter crash near Taplejung in September 2006.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_322d3c3ac6f1b08ffa07c44a19998b937a7db9eb43527f7539cf6481e1546314.jpg" data-media-id="editor_5" data-image-id="2025071901074_322d3c3ac6f1b08ffa07c44a19998b937a7db9eb43527f7539cf6481e1546314" data-rendition-name="original" width="2500" height="1000" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>Mierow's four books on Nepal and its biodiversity. </figcaption> </figure>  Dorothy worked with several well-known Nepalis to publish her paintings and photos in beautifully illustrated books. She and Hemanta Mishra of the National Parks and Wildlife Service wrote Wild Animals of Nepal (Ratna Pustak Bhandar, 1976). More than 400 photos Dorothy took on treks to the Everest region, Gosaikunda, Muktinath, Jumla and Rara Lake, as well as travels in the Tarai, appeared in Himalayan Flowers and Trees (Sahayogi Prakashan, 1978).&nbsp; The botanist Tirtha Bahadur Shrestha identified the species. Dorothy and Kesar Lall published This Beautiful Nepal (Sahayogi Press, 1981). Birds of the Central Himalayas (1988) contained Dorothy’s paintings of 250 species of birds found along the areas of the Kali Gandaki River, Pokhara, Chitwan and the central Tarai. Dorothy summed up her life and work in Nepal in Thirty Years in Pokhara (Pilgrims Book House, 1997). Dorothy returned to Pokhara and her adopted Gurung family several times during the 1980s and 1990s to celebrate festivals and meet old friends. Her final years were spent at her mountain cottage in Green Mountain Falls north of Colorado Springs. She died at the age of 79 in August, 2000. Nepal gave new meaning and purpose to Dorothy Mierow’s life. Daniel W Edwards was a Peace Corps volunteer in 1966 and is the author of several books on Nepal. The author thanks Special Collections, Tutt Library, Colorado College.

How the Peace Corps changed a volunteer’s life

· On the night of 15 May, two glacial lakes burst in Tharka in Humla and the debris flow washed away homes and bridges.&nbsp; · Last week, a slurry surge on the Kali Gandaki in Upper Mustang caused at least Rs15 million in damage, and was traced to a melting glacier. · Dozens are feared dead after <a href="https://nepalitimes.com/news/rasuwa-flood-likely-a-glof">an expanding glacial lake in Tibet overflowed</a>, sweeping down into Nepal and damaging four hydropower plants generating 230MW, nearly 8% of the country’s total grid supply.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250718060748_45225dc707c1e9c2968ca8dbf6e564e01e4eb6e2ff254fb8eb940cf62cdd910b.jpg" data-media-id="editor_1" data-image-id="20250718060748_45225dc707c1e9c2968ca8dbf6e564e01e4eb6e2ff254fb8eb940cf62cdd910b" data-rendition-name="original" width="2667" height="1500" loading="lazy" alt="Rasuwa flood"> <figcaption>Miteri friendship bridge connecting Nepal and China was swept away in the Rasuwa flood. Photo: PRAKASH CHANDRA TIMILSENA / NPL</figcaption> </figure>  And those are just in the past month. Climate scientists say Himalayan glacial lake outbursts are becoming more frequent and destructive, and a warning for Nepal not to put all its eggs in the hydropower basket.&nbsp; <a href="https://nepalitimes.com/editorial/when-it-rains-it-pours-ksqprbu3">Record precipitation last September</a> unleashed floods that killed 200 people, and temporarily slashed Nepal’s total generation capacity of 3,000MW by nearly half. The <a href="https://nepalitimes.com/banner/nepal-valley-suffers-quadruple-disaster">Melamchi flood of 2021</a> caused by <a href="https://nepalitimes.com/multimedia/the-not-so-permanent-frost">permafrost melting</a> on a glacier upstream nearly destroyed a $800 million water supply scheme, Nepal’s largest infrastructure project which four years later still has not resumed full operation. The <a href="https://nepalitimes.com/news/sikkim-flood-is-warning-to-nepal">glacial lake overflow in Sikkim</a> caused by record rainfall in September 2023 that destroyed the $1.2 billion Chungthung Dam and caused catastrophic damage to infrastructure on the Teesta River. This was a warning to the cascade of hydropower plants on the Arun and Marsyangdi river basins.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250718060736_6f61797a6be308321e3bae26e55d2f64cba4b9e5eb262adacb9e92fb5f3c6152.jpg" data-media-id="editor_6" data-image-id="20250718060736_6f61797a6be308321e3bae26e55d2f64cba4b9e5eb262adacb9e92fb5f3c6152" data-rendition-name="original" width="919" height="549" loading="lazy" alt="hydro disasters and hydropower plants"> </figure>  Nepal has set a target of generating an additional 28,500MW by 2035 -- out of the feasible 48,000MW -- but how viable is an energy strategy that is exposed to heightened risk due to climate breakdown? &nbsp; “As extreme weather events increase, we must design and build infrastructures respecting river flow and topography,” says former Energy Secretary Dwarika Nath Dhungel. “We must make the best use of our water resources, but not by letting excavators loose everywhere mining riverbeds and building haphazardly where we shouldn’t.”&nbsp; Although no project can be disaster-proof, <a href="https://nepalitimes.com/banner/climate-smarter-himalayan-infrastructure">climate smart design</a> can minimise damage from flash floods and landslides. Recent disasters have driven up insurance premiums for energy projects in Nepal, and smaller ones cannot even afford them. The 456MW Upper Tamakosi hydroelectric project which is still not fully functional after the September floods has claimed insurance worth Rs1.8 billion. The alternative to high risk high investment hydropower projects is <a href="https://nepalitimes.com/here-now/what-s-cooking-in-nepal-besides-politics">energy diversification</a> to other renewables such as solar, wind or biogas. Nepal gets annual sunlight of 300 days with 6-7 hours on average to total 50,000 terawatt-hours (TWh) per year.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250718060744_4acd452b4117180ca9bb5d3be839ff46dfd5464e4d507f5ad3704cef6253bc48.jpg" data-media-id="editor_9" data-image-id="20250718060744_4acd452b4117180ca9bb5d3be839ff46dfd5464e4d507f5ad3704cef6253bc48" data-rendition-name="original" width="1080" height="720" loading="lazy" alt="solar power"> <figcaption>Farmers in Tarai using solar powered water pump. Photo: GHAMPOWER</figcaption> </figure>  The Solar and Wind Energy Resource Assessment (SWERA) calculates that Nepal could source 3,000MW from wind energy alone, considering 10% of the area with more than 300W/m2 wind power density. <a href="https://nepalitimes.com/opinion/people-power/decentralising-power-in-nepal">Solar energy</a> stations are cheaper and quicker to build, and would be an ideal alternative to reliance on hydropower.&nbsp; “There has been some investment in solar power, especially from the state sector,” says water expert Madhukar Upadhyay. “But there is an issue of land acquisition since the arrays need a lot of space. It is comparatively easier to get a permit to put up a hydropower plant on a river.” As for biogas, there is simply no incentive to build on past success with household level plants to <a href="https://nepalitimes.com/here-now/more-bullshit">promote industrial-scale production</a>. Scaling up biogas by integrating it with urban biodegradable waste would still be a viable alternative to LPG.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250718060744_715d44afd5eb4ba8dafa209b0ad0f19400665797b5f078f5636821e600f96684.jpg" data-media-id="editor_12" data-image-id="20250718060744_715d44afd5eb4ba8dafa209b0ad0f19400665797b5f078f5636821e600f96684" data-rendition-name="original" width="1419" height="954" loading="lazy" alt="windmill"> <figcaption>A wind mill in Hapsikot in Nawalpur. Photo: WINPOWER NEPAL</figcaption> </figure>  Nepal’s public sphere is buzzing with excitement over the discovery of potentially 430 billion cubic metres of methane gas beneath Dailekh district that, if properly harnessed, would meet the country’s energy demand for the next 50 years. Even though a feasibility study is awaited, politicians from the prime minister down see this as a petro bonanza that will make Nepal rich. But drilling, storage and distribution of CNG in the country’s current kleptocratic state make that unlikely. If Nepal was to get rich solely on its hydro-energy potential, it could have done so in the past 50 years. Says Dhungel: “This is not exactly a new discovery, but it is premature to celebrate until its extraction is proven to be cost effective. And let us hope it does not get <a href="https://nepalitimes.com/news/balance-of-power">tangled in geopolitics</a>, since China is involved in the prospecting and drilling, which could make India uneasy.”&nbsp; The country suffers from the Dutch Disease curse even before its resource is fully exploited. And the same cronyism, corruption and rent-seeking structure cannot deliver the riches we expect from Dailekh’s methane discovery. Now, <a href="https://nepalitimes.com/here-now/right-climate-for-nepal-s-energy-transition">with hydropower in jeopardy</a>, Nepal’s planners will have to evolve a new strategy for energy security into the future. But first, governance needs to be cleaned up with long-term strategic planning that takes climate risk into account. For example, do we need to mine fossil gas when there are renewable options? Will Dailekh take Nepal away from its climate commitments? Says Madhukar Upadhyay: “Nepal has always been resource rich and management poor. And the larger the resource, the bigger our management incapacity. It is a societal malaise.”&nbsp;

Nepal’s Resource Curse

चौतारा rest stops have long been an integral part of scenic touristic town of <a href="https://nepalitimes.com/news/pokhara-six-decades-ago">Pokhara </a>but are now rarely seen as the city bursts at the seams. They say inhabitants of Pokhara saw a plane before they saw cars. Indeed, the grass airfield was built in the 1950s, while the Kathmandu highway 20 years later. Before roads, people walked to get around, pausing to rest or even nap under the shade of banyan-pipal trees. <a href="https://nepalitimes.com/here-now/pokhara-s-desperation-and-hope">Pokhara airport’</a>s ‘terminal’ in those days was a shady chautara where passengers waited for their flights. The chautara bore silent witness to daily life, whether it was travellers seeking a brief respite from the summer heat or villagers gathering for a chat in the mornings and evenings. But with the roads came vehicles, and then houses started filling up spaces, even farmlands. Pokhara began transforming from a serene village to a <a href="https://nepalitimes.com/news/pokhara-comes-alive-at-night">bustling city</a>.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250719010724_d101fa482441ce67afdf5bc4e4547b334e7662c1cf0a20e9d31a0e8dff66f04b.jpg" data-media-id="editor_3" data-image-id="20250719010724_d101fa482441ce67afdf5bc4e4547b334e7662c1cf0a20e9d31a0e8dff66f04b" data-rendition-name="original" width="2147" height="1581" loading="lazy" alt="Trees of life and living NT"> <figcaption>Photo: DURGA RANA MAGAR</figcaption> </figure>  The banyan-pipal trees were chopped down to make way for wider intersections and buildings. The once-iconic rest stops that carried Pokhara’s identity had all but vanished. “Building chautara was once considered a religious duty, which is why so many of them were constructed across Pokhara,” says archivist Sunil Ulak. <a href="https://archive.nepalitimes.com/news.php?id=10927">Ekai Kawaguchi</a>, a Japanese Buddhist monk, who visited Nepal 120 years ago en route to Tibet, documented <a href="https://nepalitimes.com/banner/no-visitors-in-pokhara-to-admire-view">the landscape of Pokhara</a> and its surroundings. In his book, Three Years in Tibet, he reflects on the natural beauty of the town and its shady trees. A chautara used to be surrounded by ponds, where shepherds would bring their cattle to drink from while they took a nap under the shade. The gentle rustling of leaves in the cool breeze lent a soothing melody as did the chirping of birds, while the insects took refuge in the branches and leaves. Read also: <a href="https://nepalitimes.com/here-now/pokhara-800-years-ago">Pokhara 800 years ago</a>, Kunda Dixit This ‘nature’s breeze’, as botanist Kalyan Panta puts it, is now history due to <a href="https://nepalitimes.com/banner/cost-of-living-in-a-big-city">haphazard urbanisation</a>. “When the wind strikes against one leaf, it creates a domino effect and other leaves start waving as well,” he explains. There were 632 chautara in the city until 1977, and by 2000 the number had fallen to 278. But in some wards the number of trees fell from 55 in 1984 to only five now.&nbsp; The gradual loss of these resting places has meant habitat <a href="https://nepalitimes.com/banner/between-existence-and-extinction-in-nepal">destruction of birds and insects</a>, it has also damaged the environment and natural beauty of the city.&nbsp; Researcher Jagannath Adhikari’s study showed that infrastructure projects ignored the environment, and concluded that that urbanisation in Pokhara was unsustainable.&nbsp; The destruction continues to this day. Recently, old chaurata in wards 6, 13 and 14 were cleared to make way for a sacrificial ritual. In fact, ward 6 got a permit from the local government to clear its remaining trees.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250719010724_cee1d4faf8376e7ba18b9c7012ea4215b7c3fbf7e0983b0c97005df5567d6de0.jpg" data-media-id="editor_9" data-image-id="20250719010724_cee1d4faf8376e7ba18b9c7012ea4215b7c3fbf7e0983b0c97005df5567d6de0" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Trees of life and living NT"> <figcaption>Photo: DURGA RANA MAGAR</figcaption> </figure>  But in wards 13 and 14, the Human Service Foundation cut down some 33 trees for which it is in a dispute with the metropolitan city as there is no unclear jurisdiction regarding who gives the permit. The Kaski Division Forest Office is currently investigating the matter. Elsewhere in ward 19, the ward office had launched ‘मेरो रूख, म काट्छु’ campaign due to an alleged chaos caused by monkeys in the area. The decision was rescinded after an all-around opposition.&nbsp; To be sure, there are policies in place to protect trees such as the Gandaki Province Forestry Act, 2080, and the Regulations, 2081. The province government also introduced an act in 2019 per which no tree, including pipal, silk cotton and other <a href="https://nepalitimes.com/opinion/suburban-tales/trees-trees?%2F">trees of natural and historical importance</a> shall be damaged, eroded or removed. But the local government, responsible for implementing the Act, is doing the opposite. “If this rapid rate of tree felling continues, neither trees nor chautara will survive for the future generation,” conservationist Ram Bahadur Poudel tells us, adding that old trees are being cleared under the pretext of pruning branches. Interestingly, Ulak notes that Pokhara-8 was called सिमलचौर in the past because there were so many majestic silk cotton trees, but there are very few left, if any, and hence altering the identity of a place. With modernisation, people have questioned the significance of chautara in this day and age. But they still have relevance. Urban centres in Pokhara and Kathmandu are much hotter than the outskirts because of the <a href="https://nepalitimes.com/news/in-the-heat-of-the-moment-5xcycyot">urban heat island effect</a>. Says archivist Ulak: “While their original purpose was to provide rest, today they continue to play a crucial role in regulating temperature, beautifying the city, and preserving our environment.”

Trees of life and living

Nepalis are living longer than ever. By 2028, the country is set to join the ranks of other <a href="https://nepalitimes.com/news/nepals-demographic-window-is-closing">ageing societies</a> around the world, and by 2054, 1 out of every 7 people in Nepal will be over 65. Life expectancy at birth has risen dramatically from just 55 in 1990 to 71 today, &nbsp;thanks to improvements in public health and access. But as more people live longer, the country must also prepare for a parallel rise in age-related illnesses and the complex social and medical needs that come with an <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/need-to-prepare-for-ageing-society,3624">ageing population</a>. Extended families have always acted as a safety net for <a href="https://nepalitimes.com/news/home-sweet-home-for-older-nepalis">the elderly</a>, with children and grandchildren shouldering most caregiving duties. But with more than 1,600 <a href="https://nepalitimes.com/banner/migration-not-a-wish-but-necessity-for-nepalis">Nepalis migrating </a>every day, older parents are left behind with no one to care for them. <a href="https://nepalitimes.com/editorial/the-new-equaliser">Remittances</a> from migrating youth, which account for nearly a third of Nepal’s GDP, have kept the economy afloat. But money sent home cannot make up for the chronic departure of kin and caregivers, who are often the first to catch the signs and symptoms of disease in elders. In rural areas where over 85% of Nepal’s elderly live, the absence of this daily vigilance means early signs of illness often go unnoticed until they become debilitating. As a result, chronic conditions like hypertension, diabetes, and depression are left unmanaged.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250720130748_213f2c65f2638872e9ac0550a7ac251e4960c3726dc5c76215962a23ba71dff1.jpg" data-media-id="editor_5" data-image-id="20250720130748_213f2c65f2638872e9ac0550a7ac251e4960c3726dc5c76215962a23ba71dff1" data-rendition-name="original" width="1064" height="701" loading="lazy" alt="Smart ageing is Nepal’s next frontier"> </figure>  Geriatric medicine is largely absent from medical curricula and there is no national plan in place to manage cognitive decline, memory loss and confusion. These are often mistaken for signs of normal ageing, instead of <a href="https://archive.nepalitimes.com/article/nation/dementia-brings-new-problem-that-families-have-little%20knowledge-of,2151">dementia</a>, delaying care until it is too late. The same pattern plays out with strokes, osteoarthritis, and vision problems — conditions that could be managed early but are instead allowed to spiral into <a href="https://nepalitimes.com/opinion/comment/changing-disability-to-this-ability-h68f6sq2">disability</a>. Nepal is not ready for an older future. It needs a strategy for ‘smart ageing’ where the focus is not adding years to life, but enhancing years lived through the intelligent application of policy, infrastructure, and crucially, <a href="https://nepalitimes.com/opinion/comment/tech-and-transition-in-nepal">technology</a>. Many models of smart ageing, however, are sculpted around modern societies where independent living in later life is the norm. Furthermore, eroding traditional family care and an underdeveloped formal care system means there is a large gap that can’t simply be filled by copy-pasting from foreign models. Nepal must shape its own version of smart ageing. The <a href="https://nepalitimes.com/news/healthcare-moving-from-hospitals-to-homes?%2F">tech boom</a> has led to homegrown digital healthcare apps such as Hamro Doctor, Cura Health, Jeevee and Health Yaad Ayo which offer teleconsultations, online appointments, and at-home test bookings. As <a href="https://nepalitimes.com/review/nepal-s-new-digital-landscape">smartphones and internet access</a> extend to the most rural fringes of the Nepali countryside, geography is no longer a barrier to the use of these digital tools. What limits their use is the lack of digital proficiency among the older generation. Others find the idea of turning to a device instead of a familiar, reassuring face unfathomable. That is why <a href="https://nepalitimes.com/opinion/addressing-nepals-digital-divide?ref=blog.togglecorp.com">digital literacy</a> efforts must be paired with guided human support to build trust alongside technical skill. Such a model of community-led digital mediation is already gaining traction elsewhere. In the UK, ‘digital health ambassadors’—often young people or even schoolchildren—are trained to co-design and advocate for online platforms that resonate with peers who might otherwise feel excluded from automated health services. A Nepali version could engage cohorts of nursing students, tech-savvy youngsters and returnee migrants to assist elders in navigating digital health platforms and troubleshooting problems, and most of all, normalising the idea of health apps being a reliable recourse.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250720130748_fcb94ab76e76b5574189757e88d76fccad4e115e78dd9eae92a3bd4c882c3431.png" data-media-id="editor_12" data-image-id="20250720130748_fcb94ab76e76b5574189757e88d76fccad4e115e78dd9eae92a3bd4c882c3431" data-rendition-name="original" width="2246" height="1590" loading="lazy" alt="Smart ageing is Nepal’s next frontier"> </figure>  Nepal’s own network of Female Community Health Volunteers (FCHVs), whose credibility is rooted in long-standing relationships across rural communities, could be similarly upskilled, their roles in <a href="https://nepalitimes.com/here-now/target-2030-for-maternal-and-newborn-health">maternal and child health </a>expanded and repurposed to also include geriatric tech support. However, there is a limit to how much older adults can adapt to new technologies. So, Nepal should simultaneously invest in passive technologies—tools that monitor and act for the elderly, instead of demanding active use. That is where wearables and in-home smart health devices collectively known as 'gerontechnology' come in. Picture an 82-year-old in far-flung Rolpa, away from the facilities of an urban hospital. Installed in her home are low-cost motion sensors that monitor prolonged inactivity or signs of a fall, instantly triggering alerts to the nearest health post when necessary. On her wrist, a wearable bracelet continuously tracks her sleep, vital signs, oxygen saturation, and glucose levels. This data is encrypted and synced to a digital dashboard accessible by health staff at the local post. If the system flags an acute risk—such as a potential stroke or hypoglycemia—a nearby health worker is dispatched immediately to her home. If her readings over time indicate a trend toward a <a href="https://nepalitimes.com/news/why-do-so-many-nepalis-have-high-blood-pressure">chronic condition</a> like diabetes, community health volunteers step in. They help schedule a virtual consultation with an endocrinologist in Butwal. Based on the advice received, she gets a prescription and picks up her medication from the local community pharmacy, along with a smart dispenser to ensure she sticks to her treatment plan without missing doses. This is not as far-fetched as it may sound. Many of the individual devices forming this connected medical system called an Internet of Medical Things (IoMT) already exist in Nepal as imported commercial products. What is missing is a stronger framework for <a href="https://nepalitimes.com/business/public-health-partnership">public-private collaboration</a>: one where health tech companies continue developing locally adapted tools, and the government actively integrates these innovations into public health delivery. <a href="https://nepalitimes.com/opinion/people-power/nepal-as-an-ai-power-bank">Nepal’s tech ecosystem</a> is maturing, but policymaking must evolve in tandem, especially when it affects an older generation largely resistant to change. The backlash against the recent mandate requiring National Identity Cards for accessing social security benefits revealed the pitfalls of imposing top-down reforms without adequate preparation or support for seniors. For Nepalis to age well, community caregivers, doctors, innovators, and above all, the state, must step in where families have stepped away. The goal is not to replicate traditional care, but to build a coordinated system of support that connects everyone through technology. The future is older for Nepal, let us be wiser too. The writers are pursuing their undergraduate studies in biomedical engineering at the Hong Kong Polytechnic University.

internal-migration