<figure><img width="3000" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d11589c7e80680e0a9881jpeg.jpg" alt=""/><figcaption>The mustard fields of Chobhar have been turned into an amusement park. All photos: SCOTT FAIIA</figcaption></figure>Nepal is known the world over for its majestic mountains and historic monuments, but for American development worker <a href="http://archive.nepalitimes.com/news.php?id=19735#.YX-M7FVBypo">Scott Faiia</a> there are two more reasons why Nepal is irresistible: “The people are very amiable, and they smile a lot.”Turn to any page in his picture book Changing Kathmandu and this is evident: children and the elderly are captured in a state of sincere bliss without affectations. What is more, Faiia follows the same people in the same places over the decades, as a visual record of the passage of time.  In a neighbourhood in Bhaktapur, Maiya Shahi sits in her fruit shop in her black-and-red haku patasi garb. The year is 1992, and she is turning a cotton wick in between her fingers. Faiia returns to the shop in 2009 and 2018 – besides fruits she now also sells clothing and other merchandise. Despite the intervening 26 years, the shopkeeper still looks directly at the camera with the same spontaneous smile.<a href="https://www.nepalitimes.com/banner/portrait-of-a-photographer-in-rural-nepal/">Portrait of a photographer in rural Nepal</a>, Monika Duepala <figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d115c9c7e80680e0a9882jpeg.jpg" alt=""><figcaption> </figcaption></figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d11609c7e80680e0a9883jpeg.jpg" alt=""><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d11639c7e80680e0a9884jpeg.jpg" alt="">Change is the central theme of Faiia’s meticulous repeat photography. Ever since 1988, the former Nepal country director of Oxfam has seen the Valley transformed. Neighbourhoods have become unrecognisable, neighbours have moved on.  The undulating mustard fields of Chobhar have been turned into an amusement park. The crisp view of the Boudhanath stupa as seen from Gujeswori is now obstructed by a concrete jungle, and a layer of smog. “Life and places are not static,” he says. “But the problem with Kathmandu Valley is that the changes are unmanaged and out of order.” This is evident from the pictures of Asan road photographed in 1988, 2009 and 2018. The changes are dramatic, with the fronts of the houses dangling with mannequins, people peep out of the windows with a sense of loss.  <a href="https://www.nepalitimes.com/here-now/making-nepals-history-colourful/">Making Nepal’s history colourful</a>, Kanak Mani Dixit <figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d11679c7e80680e0a9885jpeg.jpg" alt=""><figcaption> </figcaption></figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d116a9c7e80680e0a9886jpeg.jpg" alt=""><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d116d9c7e80680e0a9887jpeg.jpg" alt="">Still, many things remain the same in this eternal city. The people Faiia follows have grown older, frailer in some cases, but still flash that happy smile. Concrete high rises have come up, but the city cores of Bhaktapur and Patan have been built back better after the 2015 earthquake. Faiia is not against development, his work documents progress as well. The enamel on a carved torana of a Ganesh temple in Patan has been removed to reveal the original texture of the wood. The Akash Bhairab temple in Indra Chok has been restored. And in the midst of it all there are always people, devotees, shoppers, children returning from school, witnesses to the transformation -- all smiling.<a href="https://www.nepalitimes.com/opinion/nepals-past-present-and-future-in-a-photo/">Nepal’s past, present and future in a photo</a>, Bhumi Ghimiré <img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d11719c7e80680e0a9888jpeg.jpg" alt=""><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d11759c7e80680e0a9889jpeg.jpg" alt="">The enamel on a carved torana of a Ganesh temple in Patan has been removed to reveal the original texture of the wood. Meme is a resident of Bouddha, and when Faiia first photographed him looking out of his window in 1988, he was 47. The photographer went back to take pictures of him again and again in 2008, 2017 and 2018.  “When I went to see him again in 2017, he opened the door, asked me to wait, went inside and brought the picture I had taken of him in 1988,” Faiia recalls.  Each of the added years brings out in Meme a deep sense of contentment with life.  His eyes have seen everything, but they are not tired. In fact, they look beyond to the future, anticipating further transformations. <a href="http://archive.nepalitimes.com/news.php?id=19789#.YX-e4S8w3u0">The first photographs of us</a>, Kanak Mani Dixit <img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d11789c7e80680e0a988ajpeg.jpg" alt=""><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110151156/636d117c9c7e80680e0a988bjpeg.jpg" alt="">The Ganesh Mandir in 1991 (left) and 2009 (right).Faiia did not receive any formal photography training, and it is a personal hobby he took up as a way “to keep balance in life”. During his time in Ethiopia in the 1980s, the country was going through the horrors of a civil war and famine. He was managing food distribution for millions of internally displaced people, and Faiia lost several of his own staff.“It was very grim. Photography was a way for me to get away from the violence,” he says, “not to connect the dots in a war but to turn my attention to something else.” It was his Nikon that helped him find beauty and meaning in the world’s other trouble spots where he has served: Somalia, Sudan, Haiti. Faiia first came up with the idea to do a picture series of the same people and places of Kathmandu Valley when he was going rummaging through some old boxes of prints. “I found many old photos that I had taken in the past and the idea was born,” he says. Read also: <a href="https://www.nepalitimes.com/opinion/photojournalism-looking-for-solutions/">Photojournalism looking for solutions</a>, Min Ratna Bajracharya

Ashish Dhakal

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Kathmandu’s passage of time in photos

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171148/636937829c7e80680e03fe3ejpeg.jpg" alt="" width="1400" height="933"/><figcaption>Bikram Rai</figcaption></figure>The struggle with kerosene stoves, the relief when you move up to propane. The steady stream of uninvited guests from remote parts of the country, who live for months as they try to get a foothold in the capital. The graduation from outdoor squatting toilets to indoor commodes.Shradha Ghale’s novel The Wayward Daughter portrays a world familiar to many first generation migrants into Kathmandu, and much of it is autobiographical.“I took a lot of material from the experiences of my near and dear ones, however, none of the characters exist in real life as they do in the book,” she says.Read also: <a href="https://www.nepalitimes.com/wp-admin/post.php?post=18384&amp;action=elementor" target="_blank" rel="noopener">Manisha Koirala’s new life</a>, Rupa Joshi The Wayward Daughter offers aspects of life in a Janjati family that make it unique from most other Nepali writings in English. The Tamule family celebrates Udhauli and Ubhauli, takes offerings of millet liquor, dried fish and a rupee coin for a marriage proposal. Ghale admits she knew her story had to be about a family from an indigenous community, because she herself had read very few such stories.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171148/636937859c7e80680e03fe3fjpeg.jpg" alt="" width="200" height="174"><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171148/636937869c7e80680e03fe40jpeg.jpg" alt="" width="500" height="640"><figcaption> </figcaption></figure>A smart Tamule child is complimented with “as clever as a Bahun’s son”. Some Tamules adopt Brahmin gods and traditions, bow down to priests, and look down upon other communities. The looking down is mutual because other communities also despise the “chimse bahun.” These nuggets from Ghale’s book are revelations even for Nepalis, and a reminder to readers about just how diverse Nepal is.The greatest strength of Ghale’s debut novel is this no-nonsense, lean, almost journalistic prose.But who exactly are the Tamule? Ghale gives an enigmatic smile to reveal that she made up the Tamule: “Creating an entirely new indigenous community gave me the freedom to explore my ideas, free of established stereotypes about particular communities.”The Wayward Daughter succeeds in her deliberate attempt to portray a rich cross-section of Nepali society, showing how caste, class, and gender influence everyday life in Kathmandu. The story is about growing up in a multifarious, almost dystopian world that Nepal has become. Youngsters abandon traditions for modernity, as they prepare to go abroad for higher studies.Read also: <a href="https://www.nepalitimes.com/?p=18456&amp;preview=true" target="_blank" rel="noopener">A hostage situation</a>, Prakriti KandelAt the Rhododendron High School that the protagonist Sumnima attends, students are fined for speaking in Nepali. Some readers will remember ‘boarding’ schools in the 80s, the rise of FM radios and the craze for celebrity RJs that Sumnima adores. She confesses (only to herself) that she eats dal-bhat twice every day, and yet in friends’ auto books she writes that her favourite food is ‘pizza’. Youngsters these days do the same: leave behind rustic roots, pretend they were never there, and head out for sophisticated western horizons.The meandering story does not necessarily have a plot, even though every little sub-plot about the extended Tamule family offers fascinating nuggets of life. Ghale confesses that she did not start out with a clear plot in mind, but accumulated sections she wrote at different times, and had to cut out many parts that did not fit.The stories are a continuation of the bits of fiction Ghale penned in her college days, imagining herself to be in league with great writers. “I loved Gustave Flaubert and Virginia Woolf, I did not just want to write like them, but sound as good as them. Writing this book became an exercise in humility for me, when I realised my own limitations. Every day you wonder where your work is going, if you will ever finish it, and if it will ever be any good,” says Ghale.Hopefully, acclaim for her first novel will motivate Ghale to write a sequel, which many have already advised her to do. The novel ends just when things are getting more interesting, with the country about to plunge into a civil war. Ghale ends it there with a riveting epilogue that leaves you yearning for more.Read also:<a href="https://www.nepalitimes.com/here-now/shared-stories-shattered-dreams/" target="_blank" rel="noopener"> Shared stories, shattered dreams</a>, Sonia Awalehttps://www.youtube.com/watch?v=oqipZqqPFuU&amp;t=4s

Shradha Ghale, the prodigal daughter

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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