It is widely known that a significant trade and currency dispute between Nepal and Tibet that began in 1788 led to a military conflict between China and the Gorkha Kingdom. The outcome of this <a href="https://nepalitimes.com/opinion/sino-nepal-ties-in-the-post-afghan-era">Sino-Gorkha War </a>in 1791-92, particularly the question of who emerged victorious, however, remained uncertain and subject to debate. The emergence of a hitherto unknown war report of 1793 sheds not only new light on this question, but may also offer insights into contemporary global peace challenges. Scholars relying on Chinese and Tibetan sources assert that China emerged victorious, and that Nepal was required to dispatch a quinquennial mission bearing valuable goods to the imperial palace in Beijing.&nbsp; Chinese scholar Wei Yuan, in his Military History of the <a href="https://nepalitimes.com/here-now/losing-loose-change-in-nepal">Qing Dynasty</a> (Shèngwu Ji) wrote: ‘The request of the rebels (the Gorkhalis) for surrender was granted.’&nbsp; Similarly, an inscription from 1792, found on a stone slab beneath the Potala in Lhasa, attributed to the Chinese emperor, reads: ‘Now that the Gorkhas have submitted to me, the imperial army has been withdrawn.’ Qing paintings also depict an ostentatious victory banquet. However, this claim of Chinese victory has been occasionally contradicted by Nepali and Western scholars who both rely on scarce Nepali sources. For example, the Nepalikabhupa-Vamsavali (misleadingly known as the ‘Wright Chronicle’) states: ‘(<a href="https://nepalitimes.com/opinion/12-full-opinion/the-end-of-history">King Rana Bahadur Shah</a>) killed the Chinese army. He thus caused the Chinese Emperor to praise him.’&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240301110348_f49d0e1564b05298a0771f30977f976f785b26636dd430bd19c81ed2d2235b4f.jpg" data-media-id="editor_3" data-image-id="20240301110348_f49d0e1564b05298a0771f30977f976f785b26636dd430bd19c81ed2d2235b4f" data-rendition-name="original" width="1037" height="625" loading="lazy" alt="Sino-Nepal War"> <figcaption>Capture of Syaphru in present day Rasuwa District by the Chinese Army. Paintings and engravings commissioned by the Qianlong emperor of the Gorkha Campaign collaboration between Chinese and European painters. The Jesuit missionaries were involved in producing the drawings in China were Giuseppe Castiglione, Jean-Denis Attiret, Ignace Sichelbart and Jean Damascene.(Photo: ALL PHOTOS: NEPALI TIMES)</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240301110348_630572b9dcd2a41c2cb499b105e6c7ac3b5610f4d6185cc63d746f070bc0ff5e.jpg" data-media-id="editor_4" data-image-id="20240301110348_630572b9dcd2a41c2cb499b105e6c7ac3b5610f4d6185cc63d746f070bc0ff5e" data-rendition-name="original" width="1036" height="622" loading="lazy" alt="Sino-Nepal war"> <figcaption>The Qing celebration of consolidation of Tibet after the Gorkha Campaign in 1792.</figcaption> </figure>  Additionally, a letter attributed to Rana Bahadur Shah, addressed to officials sent for the <a href="https://nepalitimes.com/banner/from-nalapani-to-kalapani">conquest of Kumaon Garhwal</a> and published in 1957 by Dhana Bajra Bajracharya and Jnana Mani Nepala in Aitihasik Patrasamgraha (Vol 1.56-61), supports the notion of Nepali victory. Recently, a comprehensive Nepali war report has come to light, previously only indirectly or partially known. This report (sandhi) from 1793AD has been published by the project Documents on the History of Religion and Law of Pre-modern Nepal, a collaboration between the Heidelberg Academy of Sciences and Humanities and the National Archives in Kathmandu, established in 2016.&nbsp; The sandhi and its translation by Manik Bajracharya, Rajan Khatiwoda and Axel Michaels is publicly accessible. According to this 28-folio text, which details the course of the war from the initial clashes in Tibet in 1788 to the so-called Treaty of Betrawati in late 1792, Nepal emerged victorious in the final and decisive battle at Betrawati near Nuwakot. The sandhi recounts: ‘After realising that his troops had been defeated and had fled, the Minister (General Fuk’anggan) observed them through his binoculars and issued the following order: “Establish a strong checkpoint at the Betrawati bridge and do not allow any fleeing soldier who crosses the Betrawati river to pass. Chop off the nose of anyone who tries to cross, and also send additional troops.” The Minister himself came to this side of the bridge with 13 cannons. At that time, the Gorkha Maharaja’s troops at the checkpoint pushed back the Chinese troops to Betrawati. Since the Chinese troops were in a hurry, they were unable to complete building a new bridge.&nbsp; In their rush to cross the bridge, many Chinese soldiers drowned in the Betrawati. The remaining soldiers threw two cannons into the river out of fear of the Gorkha Maharaja’s troops, and many of them jumped into the river and died. When the Minister witnessed the defeat of his troops, he opened the way over the old bridge Read also: <a href="https://nepalitimes.com/banner/beginning-of-the-end-of-the-gorkha-empire">Beginning of the end of the Gorkha empire</a>, Alisha Sijapati  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240301110348_f8b8ef2b8e7db243dfdbcfd6190176400c991219fe9508c08d839cff4d74fe6e.jpg" data-media-id="editor_7" data-image-id="20240301110348_f8b8ef2b8e7db243dfdbcfd6190176400c991219fe9508c08d839cff4d74fe6e" data-rendition-name="original" width="1012" height="612" loading="lazy" alt="Sino-Nepal war"> <figcaption>Battle of Betrawati</figcaption> </figure>  The sandhi continues with a peace offer in a quoted letter from the Chinese General to Rana Bahadur Shah: “In the midst of battle, victories and defeats are common occurrences. In such circumstances, no one should lose heart. Previously, I had communicated to the Gorkha Maharaja that we would resolve matters upon reaching Nuwakot. I had also instructed my troops to remain on this side of the bridge. Despite these precautions, we suffered losses (literally, ‘my troops died’). Let us consider this a tragic play, witnessed by myself. The populace, especially the underprivileged, must now feel extremely fearful. 'The Gorkha Maharaja and the British Resident need not fret about vacating Nuwakot, as I have decided to abandon my intention of advancing there. […] I will now draft a letter to the venerable Maharaja to appease him. I request you to also correspond with him, agreeing to the terms I will propose. If we can come to an agreement, I will withdraw my troops from your realm, report to the Chinese Emperor, persuade him, and arrange for numerous gifts (khillat) to be sent to the venerable Gorkha Maharaja and the <a href="https://archive.nepalitimes.com/news.php?id=656">venerable saheba [Kirkpatrick]</a>.' It appears that both sides claimed victory. How was this possible? The key lies in the differing interpretations of the gifts exchanged. The Chinese referred to them as tribute (Chinese: gòng), while the Nepalis understood them primarily as ‘gifts’ (saugat, koseli). The sandhi details the agreed-upon terms: After five years, a representative of the Gorkha Maharaja will journey with a petition and offerings (saugat) to the Chinese Emperor, pay homage, and return with news. The Gorkha Maharaja and the King of Lhasa (the Dalai Lama) shall maintain their friendship and refrain from further hostilities, while both parties retain their respective territories. It was further decided that in transactions in Tibet, the unalloyed mahindramallī of the Gorkha Maharaja would be accepted at face value, while adulterated coins would be valued accordingly. Read also:<a href="https://nepalitimes.com/here-now/nepal-and-the-taliban-s-second-coming"> Nepal and the Taliban's second coming</a>, Kanak Mani Dixit Any enemy threat to the Gorkha Maharaja’s troops should be reported to the Chinese Emperor for potential military assistance. However, the existence of a formal peace treaty, the so-called Treaty of Betrawati, remains uncertain. The exact wording of this treaty has yet to be found in Nepali, Chinese or eventually Indian archives. In 1909, Padma Jang Bahadur Rana, the third son of Prime Minister Jang Bahadur, published an English text of the treaty without presenting an original document.&nbsp; Nepali scholar Yogi Naraharinath published a summary of this ‘contract’ in his Itihasa Prakashma Sandhi Patra Sangraha (BS 2012, vol. 1, p. 121), which closely aligns with the aforementioned points. He also notes that the treaty, written in English, is currently housed in the Jaisikothā office in Kathmandu.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240301120348_6918ee417cd84de38cf99946be3f7013c40cc959ab8ef0e12ab9a49f05467176.jpg" data-media-id="editor_10" data-image-id="20240301120348_6918ee417cd84de38cf99946be3f7013c40cc959ab8ef0e12ab9a49f05467176" data-rendition-name="original" width="763" height="355" loading="lazy" alt="Sino-nepal war"> </figure>  Paragraph 6 of this ‘treaty’ discusses the exchange of ‘products of their own country (aphaphna desha-ma ujjeko vastu)’ (Nepal and Tibet) to be sent to China every five years. This clause is pivotal, as it raises the question: are these products considered gifts, as most scholars understand them, or tribute payments? If interpreted as tribute, it would suggest that China emerged victorious and that Nepal acknowledged Chinese suzerainty. However, the sandhi mentions ceremonial and honorary gifts (najara) and presents (tohapha) sent to the Chinese emperor only in the preliminary peace agreement of 1789, negotiated in Kerung. All subsequent documents refer to saugat, meaning “gift” or “present”. For me, the answer to this question simultaneously resolves the conflict: both sides interpreted the terms differently, allowing each to declare victory. Sometimes, wars conclude with arrangements that enable both sides to claim success. Despite China’s evident superiority, Nepal avoided comprehensive defeat, while China failed to advance to Kathmandu, settling for an envoy (Amban) instead. Therefore, the Treaty of Betrawati offered certain advantages to both parties, albeit to varying degrees. The Rana prime ministers, grappling with issues of legitimacy, sought recognition as legitimate rulers through missions to China. Emphasising the importance of regular missions, the emperors placed Nepal on the outer periphery of their network of tributary states known as the Cefeng system, asserting their claim to universal power. The Treaty of Betrawati also highlights the divergent views on China’s suzerainty over Nepal (and Tibet). The lack of a clear victor in the war and Nepal’s relatively low significance to China contributed to this discrepancy. In addition to border reorganisation and fortification through watchtower construction, Nepal fulfilled smaller obligations such as returning looted items from the Tashi Lhunpo monastery.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240301110352_8be89e440deb5d824914ec0587d3c9dc1e5dd561fad6574ed0f444d6d07003f4.jpg" data-media-id="editor_11" data-image-id="20240301110352_8be89e440deb5d824914ec0587d3c9dc1e5dd561fad6574ed0f444d6d07003f4" data-rendition-name="original" width="2000" height="1563" loading="lazy" alt="Sino-Nepal war"> <figcaption>Recent rendering of the Battle of Betrawati at the Nepal Military Museum.</figcaption> </figure>  However, the five-year missions remained Nepal’s primary commitment, despite the Gorkha government’s increasing reluctance to fulfil them, ultimately discontinuing them from 1906 onwards. Conversely, China provided no military aid to Nepal, even during the <a href="https://nepalitimes.com/banner/the-start-of-the-anglo-gorkha-war">Anglo-Nepal War of 1814-16</a>, despite the agreements in the Treaty of Betrawati. Its impact was more pronounced in Tibet, where it led to the presence of influential Ambans like Song Yun (1752-1835) and diminished the authority of the Dalai Lama.&nbsp; The sandhi states: ‘While the Gorkha Maharaja’s Kaji and the (Dalai) Lama of Bhot (Tibet) once held political sway, they (the Tibetans) are now considered subjects/cultivators (raiyata) of China. In Bhot, Chinese directives govern all tasks.’ Thus, the Treaty of Betrawati underscores the parties’ contrasting views on China’s dominion over Nepal (and Tibet). The absence of a clear victor in the war, coupled with Nepal’s limited significance to China, contributed to this disparity.&nbsp; Despite border reorganisation and watchtower construction, Nepal’s fulfilment of smaller obligations, such as returning looted items from Tashi Lhunpo, and discontinuation of the five-year missions, China’s impact was more pronounced in Tibet, where it exerted authority through influential Ambans and curtailed the <a href="https://archive.nepalitimes.com/news.php?id=14733">Dalai Lama</a>’s power. There are many ways to end a war – through victory and surrender, truce, scarce resources, fatigue or attrition. Even if there are only limited lessons to be learned from history, the solution to the Sino-Gorkha war, in which both parties could see themselves as winners, may make it seem advisable to rethink today’s military conflicts.&nbsp; Axel Michaels is with the Centre for Asian and Transcultural Studies (CATS) / Südasien-Institut der Universität Heidelberg and author of Nepal — A History from the Earliest Times to the Present Oxford University Press, 2024.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240301120344_a274b878f6082a05c8852790b086a3ac23a12efbfbf8dd67732b6ecc68c5aa0d.jpg" data-media-id="editor_14" data-image-id="20240301120344_a274b878f6082a05c8852790b086a3ac23a12efbfbf8dd67732b6ecc68c5aa0d" data-rendition-name="original" width="1352" height="1567" loading="lazy" alt="Sino-Nepal war"> </figure>

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Neither side lost, both sides won

Climber, expedition leader and later a supplier of bottled oxygen to Himalayan mountaineers, Henry Barclay Todd died on 3 November 2025 in his favourite place on earth, Kathmandu.&nbsp;
Todd was larger than life, a metaphor often used, yet it could not be more fitting. Standing nearly 2m tall, and possessing an unshakeable will, he lived life on a grand scale, both in body and spirit.&nbsp;
Todd was a pillar in the Himalayan climbing community, supporting many mountaineers across Nepal and Pakistan, making it possible for them to fulfil the dream of standing on the world’s highest peaks. He believed deeply in the strength, skill, and potential of the Sherpa people, and offered them opportunities that might otherwise have remained out of reach.&nbsp;
“Thank you, Henry. Your trust changed my life. Rest in peace, my leader, my teacher, my friend,” said Dorjee Gyelzen Sherpa in his tribute.
Born in 1945 to Royal Air Force officer Henry Todd and May Todd of the Women’s Royal Air Force, Henry spent his early years in Singapore. He led a lively childhood with his two brothers, far removed from the mountains that would later define his path.&nbsp;
A gifted swimmer like his father, Henry never pursued the sport professionally. Instead, after returning to Dundee as a teenager and attending seven different schools, he set off for London, where he began working for an insurance company before finding his true calling in adventure.
Henry Todd first came to Nepal in the mid-1980s and made his first attempt on Ama Dablam in 1987, an expedition that marked the beginning of an extraordinary and colourful climbing career. <a href="https://www.himalayandatabase.com/" target="_blank">The Himalayan Database</a> lists 61 expeditions that he led in Nepal alone — there were more in the Karakoram, Argentina and the Alps.&nbsp;
But Todd would joyfully say that a few hard Scottish ascents held a more personal meaning to him than even the greatest Himalayan summits.
Over the decades, he crossed paths with many legendary climbers like Anatoli Boukreev, Jerzy Kukuczka, Doug Scott and Chris Bonington as well as celebrities including members of Pink Floyd and Nobel Prize laureates whom he befriended.&nbsp;
He had a gift to never name-drop, but would simply mention that he had had lunch with Minnie Driver (niece of his long-time friend Andra) or that he had bought his first car from Donald Sutherland. For Todd, these were not bragging rights, they were simply part of the colourful tapestry of his life.
Todd’s life was filled with extraordinary experiences from surviving plane crashes, avalanches and earthquakes to quietly solving countless problems, which was one of his favourite past-times. His hands, famously large and steady, were always ready to help whether in the chaos of the mountains or the calm of a base camp.&nbsp;
With his sharp sense of humour and the beloved exclamation “Whoopie!”,he could bring lightness even to the toughest moments. He never tired of taking on challenges or helping when someone was in need, and he enriched so many people’s lives with his endless stories.
His legacy is immense. He helped build the human backbone of Himalayan climbing, enabling generations of climbers to test themselves in the world’s highest places. With his passing, an era of bold, spirited Himalayan guiding has come to a close.
Todd survived by a loving family, many close friends and a global community of climbers and Sherpas who will never forget him and his endless tales.&nbsp;
His family said in a statement: ‘Henry’s strength, warmth and unyielding belief in others will live on far above the clouds. He was indestructible in our eyes and in our hearts, he always will be.’
There will be a memorial service at Pashupati Temple in Kathmandu on 8 November 2025 around lunchtime.

Henry Barclay Todd, 80

The autumn mountaineering season is not over yet, and already there have been 12 fatalities on Himalayan peaks in Nepal.
Of the 1,450 climbing permits issued, 436 were for Mt Ama Dablam (6,812m), 374 for Mt Manaslu (8,163m) and 186 for Himlung Himal (7,126m). There were deaths on all three mountains.
The death of two French climbers on Ama Dablam happened before unseasonal blizzards hit the mountains. But Cyclone Montha from the Bay of Bengal brought on high winds and up to 1m of snow in the peak trekking and mountaineering season.
This increased avalanche conditions, and made helicopter evacuation of stranded and injured climbers difficult. Lower down the mountains, more than 1,000 trekkers from Nepal and around the world were stuck in the Annapurnas, Manaslu circuit and the Khumbu.
However, there have also been allegations that it was not just the weather that delayed rescues. Multiple levels of bureaucracy and the need for flight permits to restricted areas like Manang and Manaslu critically delayed evacuation flights.
Italian climbers Farronato Stefano and Caputo Alessandro were found dead in their tent at Panbari Himal Camp I (6,887m) in the Manaslu area. They had been trapped by heavy snowfall since 28 October, and their bodies were found on 4 November by a team from the expedition organisers, Sherpa Alpine Trekking Service. The team was made up of high level mountain guides and expedition leader Valter Perlino.
The team had been climbing to Camp 3 but decided to descend to base camp because of thrombosis in Perlino’s left foot. The two climbers who would eventually get trapped decided to break at Camp I, a decision that would prove fatal after the projected six-day snowfall arrived two days early.
“They were sleeping in a tent and were buried under 2.5 metres of compacted snow. It happened during the night between Thursday and Friday. While they were sleeping, absurd,” said Perlino.
A deadly incident took place the morning of 3 November, when five foreigners and two Nepalis died in an avalanche on Yalung Ri at 5,630m in the Rolwaling. They were part of a larger group of 15 that were acclimatising for an attempt on the nearby Dolma Khang (6,332m).
Local authorities in Gauri Shankar Conservation Area say calls were immediately made to helicopter companies as well as various ministries in Kathmandu that have to issue permits to fly to the region bordering China.
But the permits for rescue flights to Rolwaling Valley were delayed by eight hours. Rescue flights in these areas require permission from the Ministry of Tourism, the Ministry of Defence, the Home Ministry, and the Civil Aviation Authority of Nepal (CAAN).
Experts say this should be exempted in times of emergency when time is of the essence. CAAN spokesperson Pratap Babu Tiwari claimed to not know of the avalanche on Yalung Ri and deflected questions to the permission department.&nbsp;
There was a similar tragedy on Himlung Himal in Manang as well. Australian Chin-Tark Chan, 49, was climbing with 8K Expeditions and fell ill on 27 October at about 6,800m, developing snow blindness and loss of mobility. The guides immediately called the US insurance company Global Rescue for authorisation of a longline rescue.
Global Rescue refused, saying a rescue at that height would violate Nepal’s aviation rules and put the pilot at unacceptable risk. They asked the guides to transport Chan to Camp 3 at 6,400m to a permitted altitude. Seeing it was a life-or-death situation for its client, 8K called in an aerial rescue anyway, but the helicopter could not land due to bad weather. Chan died slightly below Camp 3 on 29 October.
Global Rescue said in a statement that it was ready to send in a helicopter after Chan had been transported to Camp 3, but several hours were lost for that attempt, and the weather did not get better in the next few days.
To underscore just how dangerous helicopter rescues in the Himalaya can be in bad weather, a chopper from Altitude Air skidded off the helipad at Lobuche below Mt Everest while trying to rescue trekkers in whiteout conditions.&nbsp;
CAAN announced a ban on flights during blizzards or dense fog. While rescue missions are often heroic and courageous, they should not be foolhardy if conditions are unsafe and the risk to pilots and rescuers too high. This autumn was a lesson for future expeditions and for the Nepal government.&nbsp;
The Italian duo on Panbari were caught out by snow that arrived two days ahead of schedule, but the group on Yalung Ri should have postponed their ascent after multiple warnings from the Department of Hydrology and Meteorology to avoid high altitudes.

Deadly autumn in Himalayan climbing

This is the 73rd 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. I don’t remember playing with dolls as a little girl. There is not much to remember from my childhood.&nbsp; My responsibilities began at a very young age, as I had two younger brothers to take care of. I was born in Sarlahi, but we moved around quite a bit as my father was in the government and got transferred frequently.&nbsp; From Rasuwa to Dang, from Nepalgunj to Kathmandu. I struggled to adjust in Kathmandu because I joined Grade 9 in the middle of the term. The education was different and fellow students also did not support me initially. But over time, I adjusted and made friends. I did not dream of becoming a nurse. It was by accident. I wanted to pursue medicine, but failed the entrance exam by a few marks. I did not want to lose a year, so decided to take up microbiology instead.&nbsp; I got married after my undergraduate, and my husband encouraged me to take up something more technical like nursing or engineering instead of Masters in Microbiology. As my quantitative background was weak, I chose nursing. I felt like I was born to be a nurse. Juggling my married life and studies was difficult. My teachers would often ask me why I am falling behind. It was not easy, but I managed and took up a full-time job as a nurse. There are challenges being a nurse in Nepal. You are overworked, underpaid, there is lack of appreciation. Superiors can be overbearing. These problems persist. But the bright spot is that you get to serve fellow Nepalis, and be close to your family.&nbsp; Just like I had no intention initially of becoming a nurse, I had no intention of migrating overseas. But life had different plans for me. After my baby boy was born, I noticed that something was off. Even at nine months he had not started crawling or sitting. As a nurse I knew something was wrong, and I took him for check-ups. He tested negative for down syndrome, but he had a heart defect.&nbsp; The cardiologist recommended that I take him to India where he was diagnosed with Williams Syndrome, a rare genetic condition that affects 1 in 10,000 people. It delayed his development. I looked for therapy. It was either not effective, or too expensive. Some schools also refused to admit him, and it drove me to tears.&nbsp; My family members overseas in the UK, US told me to emigrate as there were better facilities for differently abled children. So I decided to apply to the UK. Luckily just then there were calls for candidates under the Nepal-UK government-to-government pilot scheme for 100 nurses. Only 40 met the criteria, and I was one of them.&nbsp; I still remember the day I received the news on the day of my puja. There were people around me, and they told me that it was the result of my fasting and devotion on that auspicious day. Perhaps it was. Life was taking a new turn, and I was happy. I made it to the UK 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 ticket and visa, 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;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251106071148_dc5a0d0ea3024b34a4f2735754f8eb67a650bc7f61b98c75d589676c65b02a0c.jpg" data-media-id="editor_0" data-image-id="20251106071148_dc5a0d0ea3024b34a4f2735754f8eb67a650bc7f61b98c75d589676c65b02a0c" data-rendition-name="original" width="1200" height="1600" loading="lazy" alt="Nurses NT"> </figure>  It was of course difficult to leave my son behind. But I was doing it for his future. I had the option of taking him from the start, but it was a new place and I wanted to be well-settled and knowledgeable about the options available for him before bringing him along. As I packed, he would ask me to take him with me in my suitcase. It did not seem like he was affected by my departure, and it was only later that his teachers said that he would express his feelings more openly at school. He just did not know how to tell me he missed me, and he would tell teachers he was worried I had forgotten him if we did not speak for a day.&nbsp; He missed me, and that realisation made me emotional. But I had to carry on. Life in the UK was difficult in the beginning. Even so, I wanted to prove to myself that I could do it. Fortunately I had cooperative staff who patiently answered my questions. I think I would have been irritated if I were in their place. But they did not seem to mind, and their support and guidance made it easy for me to adjust to the new work environment. APPRECIATION I still struggle to understand the accent of my English patients, and have ask the matron for help. They compliment me on my English, but I can speak better than I understand. The good thing about working in the UK is that you are appreciated for your work, which can be motivating. Sometimes, after a long day’s work you get a message from your supervisor acknowledging your work with a thank you. That’s enough to erase your tiredness.&nbsp; So far I have received 32 WOW nominations which are acknowledgements from patients for a job well done. It can be motivating, especially in the beginning. The main difference between the Alpana who first left Kathmandu for the UK and the Alpana now is that I am a much more confident person. What makes a good nurse? Skills, knowledge and qualifications are of course a given. But mostly, you need humanity. A smiling face. The way you communicate. Your empathy. These attributes can already solve many problems that patients are facing. This is my second time back home in the last 20 months. And this time, I have arranged for my son’s visa. I will go back after Tihar with my son and husband.&nbsp; I am happy, but also a little nervous about what awaits us. What kind of school will I put him in? Will it really be different from schools here? Will his needs be addressed? Will it be like here, or will he be able to adjust?&nbsp; But I am determined to make it work. Success for me would be if he adjusted well and there is a change in his condition. He still cannot recognise alphabets and read words like kids in his age group. Hopefully he will get learning support in the UK. He also has a knack for music, and this is common among individuals with Williams Syndrome. His ears perk up when he hears music, and he takes part in musical events at school. He still does not recognise letters &nbsp;but he uses voice commands to search for guitar videos on YouTube. I will enrol him in music classes, and help him develop this gift. For now, I worry how he will behave on his long flight. He has a short attention span and gets restless. He is also very social and will want to speak with everyone around him, and might irritate fellow passengers.&nbsp; I have already started trying to make him understand that he will need to behave on the flight. He nods in agreement. Let’s see how it goes. &nbsp;

“I felt like I was born to be a nurse”

A month after September’s GenZ movement in Nepal, nurses working in private hospitals took to the streets demanding better work conditions, and salaries equal to what government nurses are paid.&nbsp;
The strike started at Pokhara’s Manipal Teaching Hospital before spreading nationwide, and nurses working at government hospitals joined in.&nbsp;
Nurses at private hospitals are forced to work for far less than Nepal’s minimum monthly wage of Rs19,550 — without overtime, breaks, and other benefits and under physically and mentally taxing conditions. This is driving many qualified nurses to emigrate.
For newly-appointed Health Minister Sudha Sharma Gautam in the interim government, the strike became her first order of business. She met representatives of the Nursing Association of Nepal (NAN), the protesting nurses, and others from the health sector.&nbsp;
An agreement was reached under which private hospitals and medical colleges will pay nurses a minimum monthly salary of Rs34,730. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
“It is a shame that nurses have been working under such exploitative conditions all this time” says Radha Adhikari, at the School of Health and Life Sciences of the University of the West of Scotland. “The agreement is basic, and there is a long way to go to improve their working conditions. But it is a start.”
NAN chair Chandrakala Sharma has said the ministry’s task force to look into working conditions will also look into facilities for nurses in government hospitals.&nbsp;
“We are committed to solidifying the wage agreement by amending relevant laws within this month,” Sharma said in a video posted by NAN on Facebook. “Our movement is not over, we are still protesting and &nbsp;following up with the Ministry.”
NAN issued an ultimatum to the government to implement the agreements within 48 hours. That deadline has now lapsed and the nurses are back on strike. Many of those protesting now accuse NAN of betraying them.
Jyoti Ranabhat of the Nurses Struggle Committee was present in the meeting, but refused to sign the agreement. “It did not address what we were demanding, we will now go it alone into Plan B,” she tells Nepali Times.&nbsp;
Previous grievances of the nurses did result in similar agreements, but private hospitals failed to comply with government’s past directives — most recently the minimum salary and benefit determined by the state in December 2024.&nbsp;
The Nepal Nursing Council says there are 126,580 registered nurses, specialists, midwives, and Auxiliary Nurse Midwife (ANM) professionals in Nepal. Yet, nursing positions at hospitals remain vacant.&nbsp;
The reason for understaffing is a mass emigration of medical professionals, including nurses. Nursing student enrollment is also declining and there is disinterest in a profession that does not afford health workers quality of life, respect, or dignity.
“Our fight is not with the private sector, it is by definition profit-oriented, our grievance is with the state,” says Ranabhat. “The government is responsible to provide us dignity, respect, and fair pay.”&nbsp;
GREENER PASTURES
Poor pay and working conditions are driving doctors and nurses abroad in large numbers in recent years. Many have simply quit the profession, leading to a shortfall in medical professionals. 

The shortage of nurses is a global phenomenon, and countries like the US, UK and Australia have compensated for their own shortage by offering jobs from countries like the Philippines, India and Nepal.&nbsp;
Nepal Nursing Council data shows that outmigration of nurses rose sharply after 2002, and an estimated &nbsp;20,000-45,000 nurses have left since.
“The state’s denial, derision, and disregard of nurses has caused resentment and disillusionment in the community, driving nurses out,” says Ranabhat. “Ultimately, Nepalis will pay the price when there are no nurses left here.”
Many Nepali nurses who have gone abroad are happy with the respect and quality of life in their jobs abroad. But many others face exploitative recruiters in Nepal and employers abroad. Nursing consultancies have mushroomed as nursing colleges struggle to meet demand.&nbsp;
Adhikari herself worked at United Mission Hospital Tansen before moving to the UK 30 years ago, and remembers that working conditions then were much better for nurses.&nbsp;
“Nepal’s health sector has gone downhill since privatisation,” she states. “Medical colleges are only concerned with supplying doctors and nurses internationally, because that is what makes money.”
But once Nepal’s nurses are abroad, there is no guarantee that they will have jobs in the nursing sector. Many find themselves working outside their field of expertise, in hospitality or sales.&nbsp;
“Nepal has become a production hub for nurses, and Nepali nurses have become products for export,” adds Ranabhat. &nbsp;“People might think this will add to remittances, but no one is thinking about what will happen to Nepal’s health sector.”&nbsp;
For many, nursing has become a way out of Nepal rather than a vocation. In 2022, the government signed an agreement with the UK to send Nepali nurses to work there at zero cost, with benefits and protection equal to UK nurses.&nbsp;
The pilot phase was expected to recruit 100 nurses, and applications opened in July 2023, with 45 nurses said to be selected by Britain’s NHF representatives by the end of 2023. Forty-one of them obtained labour permits.&nbsp;
They may be treated well, but the reality of working in the international health sector is not as straightforward.
Radha Adhikari told us from Scotland: “Market saturation, exploitation, discrimination based on race, gender, and foreignness prevent nurses from finding the right, respectful jobs even here. Ultimately, migration cannot be sustainable for Nepal’s nurses.”

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