Sagar Tamang first met Laxmi Tamang in video calls between Malaysia and Pokhara. He was working as a security guard in Malaysia, and had sent her a <a href="https://nepalitimes.com/banner/facebook-nation">Facebook </a>request. Before long, between messages and calls, they were in love and planning a future together. Laxmi could see it clearly: after six years Sagar would <a href="https://nepalitimes.com/diaspora-diaries/migrant-worker-returns-to-create-work-at-home">return home</a> to Sankuwasabha, they would get married and have children, live in the home that Sagar had built, and she would open up her tailoring shop with Sagar’s savings from abroad. But Sagar revealed that he was experiencing shortness of breath and his legs had begun to swell. She pleaded with him to come back, but he would only return after his roadside property back home was built. Sagar’s parents had already built a new house with his income and were planning another nearby. The symptoms worsened over time, prompting Sagar to eventually consult a doctor. Both his <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/A-mysterious-rash-of-kidney-failures,3639">kidneys had completely failed</a>. A seemingly healthy, energetic 28-year-old suddenly turned into a dialysis patient. Sagar lived with his mother, father, five sisters and four brothers in Sankuwasabha, and the family depended entirely on a piece of land they farmed. An older brother left home to seek work elsewhere but that was not enough. So, after just finishing Grade 10 Sagar decided on an <a href="https://nepalitimes.com/here-now/overseas-job-seeker-now-creates-jobs-in-nepal">overseas job</a>. He arrived <a href="https://nepalitimes.com/here-now/the-malaysia-nepal-migrant-scam-nexus">in Malaysia</a> at just 20, saddled with loans, and an immense pressure to raise the economic status of his family. But upon arrival, he found that he would be working in agriculture, not as a security guard as per his contract. Toiling for 11 hours in the sun every day, he felt worn down and disillusioned with the<a href="https://nepalitimes.com/news/push-factors-driving-nepalis-out?fbclid=IwAR0Og_Lv1SMmn69MAkgqu1Ywu8IoLuB_v9KpnjG2F8PR-OAOCDvL6kLoKlk_aem_AX_Vm0Bo8vLUzR_RAr8GpJ8dDX53u8v0zPMP1GzR590UiMfz5jHkg7k14WF5cAQOHwY"> promise of life abroad</a>. His living situation, made up of a tightly regulated, crowded compound with other migrant workers, was no better. Only when he heard the distorted voice of his mother through his flip phone did Sagar find a sense of solace. Over the next two years, Sagar developed friendships with other Nepalis working with him, and eventually accepted that his life abroad was nearly permanent. He planned to stay aboard at least 10 years. And after writing a letter to his company, he was able to successfully switch to security guard work. Although the hours were longer, it beat the difficult manual labour Sagar was previously forced to complete for a meagre salary. Sagar fell into a routine he thought he would follow for the next eight years: get ready, go to work, return to the compound, and call Laxmi before going to sleep. But two years ago, his health reached a breaking point, and he had to return to Nepal for dialysis. Upon his arrival, he was rushed to Bir Hospital for immediate treatment. To this day, Sagar has never stepped foot inside the houses his family built with his overseas earnings. Read also:<a href="https://nepalitimes.com/multimedia/dirty-dangerous-difficult-and-dehydrating"> Dirty, Dangerous, Difficult ... and Dehydrating</a>, Pinki Sris Rana <h2>Dialectics of dialysis</h2>  <figure><img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025051509054_5b8972cf42e1d1ae531b7d32c0492380964f065432a8dd0a7e41674b7160b266.jpg" data-media-id="editor_7" data-image-id="2025051509054_5b8972cf42e1d1ae531b7d32c0492380964f065432a8dd0a7e41674b7160b266" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Dying to work overseas NT"><figcaption>HARD LABOUR: Sagar Tamang in a dialysis session at the National Kidney Centre in Kathmandu (right) after both his kidneys failed while working abroad in harsh conditions.</figcaption></figure>  It is estimated that <a href="https://nepalitimes.com/multimedia/dirty-dangerous-difficult-and-dehydrating" target="_blank">one in four </a>Nepali kidney patients is a returnee migrant. <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/A-mysterious-rash-of-kidney-failures,3639" target="_blank">Factors </a>such as excessive heat, dehydration, and unhealthy diets can lead to chronic kidney disease, including kidney failure. Many returnees head straight to a dialysis bed in Kathmandu instead of taking the first bus home. In dialysis wards across the country, scores of young men under 40 sit in hospital beds, unable to work or earn for their families anymore. Many remain in debt for treatment, or have had to relocate to seek care. For patients with no source of reliable income, even finding a willing landlord to rent out a room in the capital can be almost impossible without the right connections. However, Sagar’s cousin, who had also developed chronic kidney disease while working abroad and had moved to Kathmandu from Sankhuwasaba for dialysis, took him in. Laxmi finally met Sagar two months later. She found it hard to hold back tears whenever she saw his face. She was able to stay with her brother in Bhaktapur for some time, but eventually the couple decided to marry. Laxmi’s mother and sisters urged her to put off the marriage until Sagar had completed a kidney transplant. The couple eloped. Two days after their marriage, Laxmi’s family called them to come to their home in Nagarkot to celebrate. Now, the couple lives in a rented house near the National Kidney Centre with other dialysis patients and their families. Sagar walks to his dialysis session three times a week. In this house, there is a sense of solidarity among patients, and Laxmi especially feels a comfort knowing that her neighbours understand her position as the wife and caretaker of a dialysis patient. Members of the house cook for each other, help with transport to the hospital, and sometimes even <a href="https://nepalitimes.com/here-now/when-disaster-strikes-home">lend money</a>. So far, Sagar has used his savings from abroad to pay for the direct and indirect costs of his treatment. However, the money is running out as the couple grapples with the city’s <a href="https://nepalitimes.com/opinion/is-free-health-care-possible-in-nepal?fb_comment_id=3363039693768713_5667191770020149">cost of living and medical bills</a>. The government offers free lifetime haemodialysis for patients, but the Rs5,000 monthly allowance does not come consistently, in full, or just never comes at all despite repeated requests to the patient’s municipal office. Those receiving treatment in the Kathmandu Valley also access medicine through Bhaktapur’s Shahid Dharmabhakta National Transplant Centre (SDNTC), but under the hospital’s insurance are required to pay for 10% of the cost.  <figure><img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025051509058_2001d2b6d07ca8406575bd1c89f714b5b224d64bf25437b55bda0e21475fdbc4.jpg" data-media-id="editor_12" data-image-id="2025051509058_2001d2b6d07ca8406575bd1c89f714b5b224d64bf25437b55bda0e21475fdbc4" data-rendition-name="original" width="2773" height="4160" loading="lazy" alt="Dying to work overseas"><figcaption>Sagar with his wife Laxmi in Pokhara.</figcaption></figure>  Once his family’s primary earner, Sagar can no longer make or send money due to his condition. His family runs a goat and <a href="https://nepalitimes.com/banner/are-you-sick-of-chicken">poultry farm</a>, but has been forced to take loans to stay afloat and cannot send money for Sagar’s treatment. Until recently, Laxmi worked 12 hours a day as a tailor and house cleaner. Sagar, his mother and Laxmi, have been making trips to SDNTC in preparation for his transplant. In Nepal, only relatives or the spouse of the patient are allowed to be donors for their <a href="https://nepalitimes.com/opinion/comment/saving-kidneys-to-save-nepal">kidney transplant</a>. This can be debilitating for patients whose families are unwilling or unable to donate due to pre-existing health issues such as hypertension or diabetes. Wives and mothers are the most likely demographic to donate to a male patient. Due to Sagar’s inability to come home and officiate his marriage it is yet to be recognised by the municipality, making Laxmi an ineligible donor. After finding out his father’s blood type did not match and refusing his younger sister’s offer to give her kidney, he and his mother decided that they could start the transplant process together. Even Nepal’s prime minister K P Oli has had a double kidney transplant, but for those who cannot find a donor within the family, the remaining years of life is measured by the humming and erratic beeps of a dialysis machine three times a week. It is going to be a lengthy and expensive process, but it is the only hope for Sagar. And what are his immediate plans after a successful transplant? To return home, to finally see his siblings, father, neighbours and friends, he tells us. He has seen his father once since his <a href="https://nepalitimes.com/here-now/searching-for-a-homeland-away-from-home">return to Nepal</a>, but has not seen his siblings since he left for Malaysia. They have not visited him in Kathmandu yet, but he hopes that they will before his transplant. The couple believes that after his transplant, anything is possible: finally getting their marriage recognised, opening up a tailoring shop, having children, building a life in Sankuwashaba. Laxmi strongly objects to Sagar ever leaving Nepal again, but he remains open to the idea.

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Dying to work overseas

The Malaysia-Nepal migrant scam nexus

<figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6cb9c7e80680e096787jpeg.jpg" alt=""/><figcaption>Suresh Teli and his father Purna Teli at the Tribhuvan International Airport. Photo: UPASANA KHADKA</figcaption></figure>On January 20, Prabhu Nath Teli in Kapilvastu received a call from Krishna Chaudhary in <a href="https://www.nepalitimes.com/here-now/nepal-and-malaysia-rewrite-rules-for-migrant-labour/">Malaysia</a>, a co-worker of his 24-year-old son Suresh. The two had worked together at D&amp;Y Textile for the past three years, and Suresh had been seriously injured after jumping off the first floor of his hostel.Only three days before, Prabhu had spoken with his son who had sounded distraught after not being able to come home despite months of trying.  Suresh now has a serious spinal injury following the jump, which along with his erratic behaviour was a result of the severe mental pressure he was under.“My son wanted to come home but his employer was not willing to let him return,” says Prabhu, adding that his son’s supervisor had called the police on him when they got into a disagreement over his absence. “This scared Suresh, and in an attempt to escape he jumped off the first floor of his hostel and got severely injured.” On the one hand, his employer was unwilling to let him go. On the other, personal family issues were piling up over the three years he had been away. To make matters worse, Suresh had a history of mental health problems. “He was suffering from depression before going to Malaysia, but he responded well to treatment. He got better over the years and was doing well in Malaysia,” recalls Prabhu. “But not being able to return home was a trigger, and his mental health problems re-emerged.” Jay Kumar Teli, Suresh’s uncle, who was in Kathmandu to help with his nephew’s repatriation and recovery, questions how the Malaysian employer could keep hard-working migrants against their will.  “They need to understand that their workers are human beings with personal problems and obligations. Not disposable commodities without emotions,” he says.  <figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6ce9c7e80680e096788jpeg.jpg" alt=""><figcaption> </figcaption></figure>But Suresh is not an isolated case.  “The ban on the recruitment of new foreign workers in Malaysia due to Covid-19 means employers are unwilling to let their workers leave” explains Deepak Dhakal, Labour Counsellor at the Nepal Embassy. “During the pandemic, there have been delays in the issuance of check-out memos which are like exit permits required for a worker to leave the country and many employers use this as an excuse to keep workers back. It doesn’t matter if workers want to return due to personal emergencies or because their contracts finished.” Dhakal adds.  This, in addition to increased workload due to labour shortages, pressure from families back home for financial support and strains in transnational relationships can take a <a href="https://www.nepalitimes.com/here-now/in-the-minds-of-nepals-migrant-workers/">psychological toll on them. </a>“Mental health issues among migrants who face pressure from both the employers and families back home are rampant and need to be systematically addressed,” says Prakash Panthi, Labour Attache at the Nepal Embassy in Malaysia. While responsible employers in Malaysia and elsewhere take care of their workers, this is often not the case. Even in situations when workers need hospital-based medical care, they are kept in hostels with only very basic medication. But the most vulnerable are undocumented migrants, some of whom are brought to the embassy in Kuala Lumpur by Nepali volunteers when their situation has deteriorated without timely attention. Regularisation schemes like the <a href="https://www.nepalitimes.com/latest/nepalis-in-malaysia-to-gain-from-amnesty/">Malaysian government’s Recalibration Program</a> that allows undocumented workers to change their legal status could benefit undocumented migration, Dhakal notes.  <figure><img width="854" height="384" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce6d19c7e80680e096789jpeg.jpg" alt=""><figcaption> </figcaption></figure>Coordinated rescue effort  Following his fall, Suresh received care in the orthopaedic ward of a Malaysian hospital for his spinal injury and was kept under psychiatric observation before being transferred to a nursing home.  Suresh was scheduled to fly to Kathmandu on 5 February after pressure from hundreds of Nepali employees at the company. But the airline refused to fly him because of his health condition. Says Labour Attache Panthi, “The employer reached out to us to make agitated Nepali employees understand that the delay in Suresh’s repatriation was due to his health condition and not the employer’s apathy.”There was also pressure on the employer to bear all medical costs till Suresh recovered.  His condition subsequently improved and he was deemed fit to fly but either a doctor or a nurse had to accompany him, which was too costly.Eventually, he was approved to fly with a non-medical personnel, a co-worker who was returning to Nepal.In Nepal, Suresh’s father Prabhu had to make five trips to Kathmandu over the last few months. “The agent in Kapilvastu said he could help if I paid him Rs100,000. The recruiter Al Rahim says he is taking the case up with the authorities. That is a lie, he has no clue that my son is already coming home,” Prabhu says.In a desperate plea, Prabhu and his wife appealed to MP Arjun KC to help bring their son home. Says KC, “It was just one case, but the amount of coordination needed was tremendous. We had to directly or indirectly engage with the Foreign Employment Board, the Nepal Embassy, Nepal Airlines and the hospital here for his repatriation and further recovery. One weak link and it would not have happened.”Private airlines were hesitant to accommodate a stretcher but Nepal Airlines agreed. The Nepali mission put pressure on the employer to bear the medical and travel costs. Without financial support from the employer or from the Foreign Employment Board, the only option would have been to rely on personal donations that would have further delayed the repatriation. Among many stories of an uncaring state, there are stories like that of Suresh Teli where different agencies of the state came together, surpassing the expectation of the people who are conditioned to not expect too much from the government.  <figure><img width="540" height="960" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce6d49c7e80680e09678ajpeg.jpg" alt=""><figcaption> </figcaption></figure>The long road to recoveryIn many ways Suresh was lucky. He survived the fall when he could have been one of the many coffins that arrive at Kathmandu airport every week. His medical costs in Malaysia and air tickets were borne by the employer. His family recognises these positive aspects and is happy their son is finally coming, but is also cautious of what lies ahead: the long road to recovery, from physical and mental wounds, from unpaid loans and <a href="https://www.nepalitimes.com/latest/wage-theft-of-migrants-during-pandemic/">foregone earnings</a>, and from personal relationships <a href="https://www.nepalitimes.com/latest/far-from-home-during-a-pandemic/">strained by distance.</a> The Teli family has only a tiny piece of land, and it has to pay Suresh’s medical bills by borrowing from local lenders. Formal support is unlikely to come through. The recently signed <a href="https://www.nepalitimes.com/opinion/the-future-is-older/">Social Security Agreement</a> (SOCSO) between Malaysia and Nepal only applies to work-related injuries, illness, or death. Suresh’s family is hopeful that the Foreign Employment Board will provide injury compensation via the Welfare Fund, but even this is unlikely given uncertainties around his labour permit status as he has been away for three years.  <figure><img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce6d69c7e80680e09678bjpeg.jpg" alt=""><figcaption> </figcaption></figure>Arrival The evening of 23 April, Suresh was being pushed in a wheel-chair out of the arrival area at Kathmandu airport and put into an ambulance with the support of the medics and his father. As they waited for the rest of the family to join them before heading to the Trauma Centre, the medic in the ambulance held his hands and asked him questions about his health and the travel. He responded willingly, a marked progress from the initial phase of the injury. When his mother, Urmila Teli finally climbed into the ambulance, Suresh glowed and broke into a wide smile. Despite the discomfort due to his injuries and the support from the Jewett brace, he leaned aside from the stretcher to touch her feet. He was finally home.   <figure><img width="640" height="1055" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce6d99c7e80680e09678cjpeg.jpg" alt=""><figcaption> </figcaption></figure>Read Also: <a href="https://www.nepalitimes.com/opinion/labour-mobility/crossborder-virus-and-nepali-migrant-workers/">Crossborder virus and Nepali migrant workers,</a> Upasana Khadka

Upasana Khadka

Mindful of migrants' mental health

<figure><img width="1400" height="894" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107121148/6368f07a9c7e80680e0359d7jpeg.jpg" alt=""/><figcaption>SOFT TARGET: Malaysia-bound migrant workers at a Kathmandu-based GSG facility, where their passports and fingerprints are scanned for Immigration and Security Clearance.</figcaption></figure>A deeply-rooted nexus of politicians, businessmen and bureaucrats in Nepal and Malaysia have looted more than Rs5 billion over the past five years from vulnerable <a href="http://archive.nepalitimes.com/article/nation/Nepali-migrants-hounded-out-Malaysia-,3036" target="_blank" rel="noopener">Nepali migrant workers desperate to seek work</a> in Malaysia.Nepal’s Labour Minister Gokarna Bista is trying to dismantle those involved in the <a href="http://archive.nepalitimes.com/article/nation/undocumented-Nepali-migrant-workers-in-Malaysia,3958" target="_blank" rel="noopener">exploitation</a> by cracking down on several Kathmandu-based companies set up to extort fees from overseas contract workers. In Malaysia itself, the newly-elected Prime Minister Mahathir Mohammad has also launched an investigation into the previous government’s involvement in profiting from migrant workers.The scam involved powerful Malaysian businesses with close links to ministers and officials in the Barisan Nasional coalition of former Prime Minister Najib Razak and implemented by their agents in Kathmandu who had contacts with influential politicians and bureaucrats in Nepal.Also read: <a href="http://archive.nepalitimes.com/article/nation/nepali-migrants-too-young-to-die,2811" target="_blank" rel="noopener">Killed in the line of duty</a> , Om Astha Rai<a href="http://archive.nepalitimes.com/article/nation/Korea-treating-Nepali-migrant-workers-right,2813" target="_blank" rel="noopener">Doing it the right way</a>, Seulki Lee  <figure><img width="1400" height="896" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107121148/6368f07d9c7e80680e0359d8jpeg.jpg" alt=""><figcaption> </figcaption></figure>It all started five years ago when Malaysia’s Home Minister Ahmad Zahid Hamidi outsourced a private company (Ultra Kirana Sdn Bhd) which required <a href="http://archive.nepalitimes.com/article/nation/disproportionate-number-of-deaths-of-Nepali-workers-in-Malaysia,2812" target="_blank" rel="noopener">Nepali migrant</a> workers to apply for work visas through a Kathmandu-based affiliate, Malaysia VLN Nepal. The agency charged Rs3,200 from every Malaysia-bound Nepali worker, and collected Rs 1.95 billion from more than 600,000 workers between September 2013 and April 2018.Then in July 2015, Malaysia made it mandatory for all <a href="http://archive.nepalitimes.com/article/editorial/doubts-on-zero-cost-migration-deal-coming-into-force,2157" target="_blank" rel="noopener">Nepali migrants</a> to undergo a biometric test. The Malaysian government hired Bestinet Sdn Bhd, a tech firm run by Malaysian Home Minister Hamidi’s brother-in-law Amin Bin Abdul Nor, for biometric health screening. Minister Hamidi’s brother Abdul Hakim Hamidi and ex-Malaysian Environment Minister Ajmi Khalid also reportedly owned shares in Bestinet.Bestinet partnered with Nepal Health Professional Federation (NHPF) to carry out biometric screening through 39 medical centres which charged Rs4,500 from each migrant worker for biometrics. Bestinet and NHPF have already collected over Rs1 billion from over 200,000 Nepali workers.Previously, <a href="http://archive.nepalitimes.com/article/nation/death-of-nepali-migrant-workers-in-qatar,1592" target="_blank" rel="noopener">migrant workers</a> could have applied for visas independently or through any <a href="http://archive.nepalitimes.com/article/nation/manpower-agencies-of-Nepal-are-the-ones-against-zero-cost-migration-policy,2402" target="_blank" rel="noopener">manpower agency</a> . They could get a visa for just Rs700. They could get medical tests from any of 200 government-approved health facilities. But after Malaysia required private companies for visa processing and biometric screening, workers were forced to pay much more.The real scam involved the lack of transparency in Malaysia and in Nepal on the choice of the private companies hired to facilitate this process, which ended up fleecing workers.While in Malaysia the companies were partly-owned by relatives of politicians, in Nepal bureaucrats and politicians benefited from kickbacks for sanctioning the new system. Fees were added on arbitrarily, and all involved in the syndicate in the two countries divided up the profits.For example, the Rs3,200 visa processing fee did not cover all visa-related costs of a migrant worker. In May 2016, Malaysia hired another private company, One Stop Centre (OSC) to collect visa forms and passports and drop them at its embassy in Kathmandu. The OSC chose the same Malaysia VLN Nepal for this job, which added an extra fee of Rs2,800 from each applicant.Bestinet has also been allowed to charge each migrant worker Rs3,200 just for scanning passports, fingerprinting and an additional Rs3,500 to upload the data online. Bestinet’s Kathmandu-based agent, GSG Nepal, scans passports and fingerprints for all Malaysia-bound migrant workers. Bestinet in turn collaborated with labour recruitment agencies in Kathmandu and has so far collected over Rs1.3 billion in fees for passport and fingerprints scanning, and online data entry. <figure><img width="1400" height="1012" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107121148/6368f0809c7e80680e0359d9jpeg.jpg" alt=""><figcaption> </figcaption></figure>Tallied together, the Malaysia government and companies backed by powerful Malay politicians have, in total, taken more than Rs5 billion (US$ 450 million) from over 600,000 Nepali workers between September 2013 and April 2018. Nepali politicians, bureaucrats and businesses were directly colluding with their Malaysian counterparts in cheating the workers. There are over 600,000 Nepali workers in Malaysia, and their remittances help sustain Nepal’s economy.The arrangements have been put into place on an ad hoc basis, without transparency and in the absence of any bilateral agreements between the governments of Nepal and Malaysia. Some of the companies managing migration in Nepal do not even have government approval.Nepal’s Labour Ministry was initially reluctant to accept Malaysia’s proposal to introduce biometric systems, arguing it would allow certain medical centres to overcharge migrant workers. But those lobbying for biometrics were so powerful that the ministry had to approve the system as a ‘pilot project’ for six months.But long after the six months were over, Bestinet and the NHPF continued with biometric system with no interference from the government.In January 2015, Parliament’s International Relations and Labour Committee instructed the government to terminate the biometric system. It also directed the government to ask Malaysia to first make biometric test mandatory for migrant workers from all 14 countries that supply labour to Malaysia. It also ordered that biometric tests should be less expensive by ending the monopoly of a handful of selected medical centres. <img width="752" height="519" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107121148/6368f0849c7e80680e0359dajpeg.jpg" alt="">The Parliament committee, however, reversed its decision after its Maoist Chair Prabhu Sah went on a junket to Australia paid for by the Nepal Health Professional Federation in which he was accompanied by NHPF’s Kailash Khadka.In June 2016, a committee led by Joint Secretary Govinda Mani Bhurtel recommended that the government prevent private firms from overcharging Nepali migrants. But Labour Minister Deepak Bohara trashed the report and himself flew to Kuala Lumpur to ‘study the problem’ the following month. He met Malaysian Home Minister Hamidi’s brother Abdul Hakim at the Hotel Oriental Mandarin in Kuala Lumpur. On his return, Bohara took no action against Bestinet.In Malaysia itself, Prime Minister Najib Razak and Home Minister Hamidi were slammed for hiring private companies to do what the Immigration Department should have done. Najib’s party lost the elections in May mainly because of allegations of massive corruption.<a href="http://cijnepal.org.np/0002/" target="_blank" rel="noopener">Centre for Investigative Journalism</a>Also read: <a href="https://www.nepalitimes.com/banner/homes-away-from-home/" target="_blank" rel="noopener">Homes away from home</a>, Upasana Khadka<a href="https://www.nepalitimes.com/opinion/the-workers-football/" target="_blank" rel="noopener">The workers' football</a>, Upasana Khadka<a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/best-years-of-their-lives-migrant-workers,3722" target="_blank" rel="noopener">Best years of their lives</a>, Kunda Dixit <h2>Duped and dumped</h2> Before Malaysia-bound Nepali migrant workers were forced to undergo expensive biometric tests from July 2015, they used to go to for normal health check-ups at any of the 200 health facilities accredited by the Nepal government.But a significant number of workers who got a clean chit of health from Nepali medical centres were found to be ‘unfit’ in tests in Malaysia and immediately deported. Medical centres in Nepal licensed to examine the health of migrant workers were seen to not meet international standards.This was the excuse used to push the biometric system. Those who lobbied for the biometric system had promised Nepali migrant workers that they would not have to undergo another test in Kuala Lumpur if they were declared ‘fit’ in a biometric test in Kathmandu.However, the 100,000 Nepali workers who go to Malaysia every year also have to undergo a separate expensive test conducted by the Foreign Workers Medical Examination Monitoring Agency (FOMEMA).More importantly, the percentage of Nepali migrant workers who pass health tests in Nepal but fail them in Malaysia has also not decreased.Last year, more than 9,000 Nepali migrants were declared ‘unhealthy and unfit’ by the FOMEMA, and were sent home. Saroj Sarki of Chitwan is one of them. He spent more than Rs120,000 to go to Malaysia, passed the health test in Nepal, failed it in Malaysia, and was immediately deported.Sarki filed a complaint against the Nepali recruiting agency, but has not got his money back. The Labour Ministry has received more than 200 complaints filed by those who passed the health test in Nepal but failed the FOMEMA test in Malaysia. No action has been taken against some of the 39 private medical centres chosen by the NHPF which were responsible.Also read: <a href="http://archive.nepalitimes.com/regular-columns/As-It-Happens/Nepali-migrants-illegal-Malaysia-,718" target="_blank" rel="noopener">Illegal, ill treated</a>, Om Astha Rai<a href="http://archive.nepalitimes.com/article/nation/stay-home-Nepal-Malaysia-migrants,3037" target="_blank" rel="noopener">Staying home</a>, Sonia Awale <h2>Hundi men</h2> In May, police arrested 40 businessmen, including Malaysia VLN Nepal Chief Ram Prasad Shrestha, for illegally charging Nepali migrant workers for visa processing, biometric and online data entry.Shrestha, who was later released along with 39 others on bail, told police that he was just an agent responsible for sending fee money collected from migrant workers to Malaysian companies in Kuala Lumpur and Hong Kong. He also informed police that his Kathmandu-based company would get a cut of Rs168 of every Rs3,200 visa processing fee and another Rs420 of every Rs2,800 passport collection fee.Shrestha claimed his company had sought permission from the Nepal Rastra Bank (NRB) to transfer the money to Malaysia and Hong Kong. Police wrote a letter to the NRB to verify Shrestha’s claim. Bhisma Raj Dhungana, Executive Director of the NRB’s Foreign Currency Exchange Department, says: “A company that does not have a permission from the government to collect money cannot exchange currency and transfer it out of Nepal.”There is evidence that the companies used unofficial hundi channels to transfer cash to Malaysian parent companies. Malaysia’s Migrants Management System (MIGRAM) collected more than Rs720 million through Nepali manpower agencies between May 2016 and April 2018 through the illegal hundi system.The International Consortium of Investigative Journalists (ICIJ) has revealed that ex-Malaysian PM Najib Razak’s brother owns an offshore company in the British Virgin Islands which was used to stash ill-gotten wealth. The speculation in Kuala Lumpur is that it includes fees collected from impoverished and desperate Nepali migrant workers, that were illegally sent to Kuala Lumpur.Follow Ups<a href="https://m.malaysiakini.com/news/436743" target="_blank" rel="noopener">Nepali workers' scam: The whos and hows behind it</a><a href="https://newmalaysiatimes.com/2018/07/30/more-companies-behind-nepal-foreign-workers-scandal/" target="_blank" rel="noopener">More companies behind Nepal Foreign Workers Scandal</a><a href="https://www.malaymail.com/s/1654729/report-implicates-malaysian-nepali-officials-in-migrant-worker-registration" target="_blank" rel="noopener">Report implicates Malaysian, Nepali officials in migrant worker registration 'scam'</a><a href="https://www.nst.com.my/news/nation/2018/07/393582/bestinet-denies-nepali-times-article-company-milking-nepalis" target="_blank" rel="noopener">Bestinet denies Nepali Times article on the company 'milking Nepalis'</a><a href="http://www.freemalaysiatoday.com/category/nation/2018/07/22/report-tells-of-rm185-mil-scam-over-nepali-workers/" target="_blank" rel="noopener">Report tells of RM185 mil scam over Nepali workers </a><a href="https://www.nepalitimes.com/latest/malaysia-wants-ban-lifted/" target="_blank" rel="noopener">Malaysia wants ban lifted</a>

Kleptocrats of Kathmandu and Kuala Lumpur

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

Does anyone know that 2023-33 was declared the <a href="https://nepalitimes.com/banner/visit-nepal-again">Visit Nepal</a> Decade? Or that Pokhara announced that 2025 is a Special Tourism Year? The fuselage of Nepal Airlines jets still carry the Visit Nepal Year 2020 logos. Such ad hoc and unnoticed promotion is emblematic of the way Nepal has tried to increase visitor arrivals <a href="https://nepalitimes.com/news/nepal-hopes-for-tourism-rebound-in-2021-rk4dlo9t">post-Covid</a> — and of the country’s wider political disarray. Deepak Raj Joshi of the Nepal Tourism Board (NTB) has his work cut out to coordinate various agencies of the government to boost arrivals.&nbsp; He says, “We have been working on marketing strategies to revive the tourism sector, and are hopeful that this year will mark a 8-10% increase in arrivals compared to the pre-pandemic times.” On paper, tourist numbers have rebounded to pre-Covid numbers with over 1 million last year, but official figures do not give a true picture of duration of stay, average spending, and the fact every visitor is counted as a ‘tourist’, even repeat visitors who come on business. The few bright spots are largely a result of private sector promotion of niche tourism products, individual social media posts of <a href="https://archive.nepalitimes.com/page/top-10-treks">adventurous treks in Nepal</a>, or the fact that Indians are allowed to enter China again to visit Lake Mansarovar and Mt Kailash via Nepal. Indeed, Simkot airport has up to 15 flights a day from Nepalganj bringing in <a href="https://nepalitimes.com/opinion/borderlines/nepal-india-trans-boundary-bonds">Indian pilgrims</a> who are then ferried by helicopter to the border in Hilsa, or Lapcha Pass from where the holy sites in Tibet are visible. The rudimentary hotels and rest houses along the route in Humla have been bursting at the seams for the past month, to the point that some establishments are no longer able to provide patrons basic amenities.&nbsp; Last year, 1.14 million tourists visited Nepal, and the government has projected up to 10% increase in tourist arrivals this year. International tourist arrivals to Nepal have been steadily increasing, especially from the US, Europe, and India. Domestic and regional travel has also increased after the <a href="https://nepalitimes.com/news/lockdown-5-utlzqtvs">Covid lockdowns</a>.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250717120756_e1c8f08e7e26496d2b2394e0be776e147fb46c415347b781ed9e5c64d9c9e505.jpg" data-media-id="editor_5" data-image-id="20250717120756_e1c8f08e7e26496d2b2394e0be776e147fb46c415347b781ed9e5c64d9c9e505" data-rendition-name="original" width="1145" height="668" loading="lazy" alt="Tourist numbers"> </figure>  The tourism industry employs at least 1 million people, trekking injects money directly into the <a href="https://nepalitimes.com/editorial/not-rising-nepal">rural economy </a>and sustains ancillary sectors like handicrafts and domestic aviation. In the last fiscal year, tourism brought in Rs82.33 billion, according to Nepal Rastra Bank. But the industry has been affected by negative publicity about poor infrastructure, air pollution in Kathmandu, travel safety and news of disasters like the <a href="https://nepalitimes.com/news/rasuwa-flood-likely-a-glof">China-Nepal flood last week</a> that made international headlines. Growing worries about the climate crisis is also affecting youth travel, especially from Europe. Read also: <a href="https://nepalitimes.com/news/missing-out-on-nepal-s-tourism-potential">Missing out on Nepal’s tourism potential</a> “The limitations of airport and road infrastructure has hindered the development of the tourism sector,” admits Joshi. “And many are put off by the appalling state of our road network, especially during <a href="https://nepalitimes.com/opinion/managing-the-monsoon">the monsoon season</a>.” Nepal is home to 20 protected areas, 10 heritage sites, and eight out of the world’s 10 highest mountains, and despite all the obstacles it is still the perfect destination for the modern social media savvy traveller, who are experience-driven and inclined to look for itineraries that emphasise wellness and cultural immersion.&nbsp; Some hotels around Kathmandu, Pokhara, Jomsom and the Khumbu have strived to adapt to this new tourism landscape, expanding facilities with significant international investment. <a href="https://nepalitimes.com/business/a-thamel-within-thamel">Luxury hotels like Aloft Kathmandu</a> in Thamel were inaugurated just before the pandemic lockdowns, survived the crisis and thrived as it. Says General Manager Vikram Singh (pictured, below): “Our prime location in Thamel enhances the guest experience, especially for those seeking convenience and immersion in the local scene and travellers who want to be in the centre of it all.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071805070_8d29803e8b52bcd4439422e7b7a0bc25aa68ef3d227b9130bd0e079af626677d.jpg" data-media-id="editor_11" data-image-id="2025071805070_8d29803e8b52bcd4439422e7b7a0bc25aa68ef3d227b9130bd0e079af626677d" data-rendition-name="original" width="1066" height="1600" loading="lazy" alt="Aloft GM"> </figure>  <a href="https://nepalitimes.com/here-now/what-sustainable-tourism-means-in-practice">Sustainability </a>and environmental consciousness has also become an integral part of the hospitality industry. ISO certifications as well as sustainability initiatives like the Travelife sustainability certification for eco-friendly resorts validate credibility of hotels. Aloft is the first five-star hotel in Nepal to have earned the Waste Smart Certificate, and it has also been awarded the ISO 14001:2015 certification, which is the internationally recognised standard for environmental management systems (EMS). But such investments will not amount to much unless Nepal makes serious efforts to promote itself as a<a href="https://nepalitimes.com/here-now/peak-tourism-in-2023-9ukoi8iz?utm="> tourism destination</a>, especially to its two giant neighbours. More importantly, the country needs to increase activities in which tourists can spend the money they want to. “While <a href="https://nepalitimes.com/here-now/nepal-pushes-mountain-bike-tourism?fbclid=IwAR1MNH0iFGv1vRz5G9uZ4AzUlKxB6nY7JKq0qT6je_FV4_SuxPZqviwKGn0">mountaineering and adventure tourism</a> are extensively promoted, we have fallen short of marketing other elements such as wildlife, pilgrimage and cultural heritage,” says Joshi. “There is a need to diversify promotion to increase income from the tourism sector.” Meanwhile, making Nepal more accessible to international and domestic visitors, must also be a priority. Kathmandu remains the sole aerial gateway despite new airports in Pokhara and Bhairawa. “International airlines have shown interest, and if access and flights are increased these airports can be fully functional,” says Joshi. But Sichuan Airlines has stopped flying to Pokhara, and there does not seem to be much interest from Thai, Vietnamese and Cambodian carriers to fly directly to Lumbini. Says Singh: “There’s tremendous opportunity to strengthen Nepal’s destination marketing by telling richer, more compelling stories that <a href="https://nepalitimes.com/opinion/comment/culture-cannot-be-an-afterthought">connect travellers with our culture</a>, nature, and people.”

Tourism needs a new push

This week at the National Population Policy launch Prime Minister K P Oli exhorted Nepalis to get married by age 20 and have three babies by the time they are 30. This was the first indication that the highest office in the land has understood the need to address Nepal’s dramatically <a href="https://nepalitimes.com/news/nepals-demographic-window-is-closing">falling birth rate</a>, but Oli’s statement was greeted with ridicule on<a href="https://nepalitimes.com/banner/avoiding-the-quicksand-of-social-media"> social media</a> — especially by women. Most urban young are already grappling with economic pressures and shifting life priorities. Even with a university degree,<a href="https://nepalitimes.com/here-now/workers-return-to-jobless-nepal?%2F"> many cannot find jobs</a>, and are taking the first flight out for overseas employment. Having a child is now a fraught decision shaped by income, individual autonomy, and family pressure. The <a href="https://www.unfpa.org/swp2025">UNFPA’s State of the World Population report </a>released last month, highlighted a significant <a href="https://nepalitimes.com/here-now/migrating-males-and-population-decline">decline in fertility rates </a>around the world. The global average fertility rate is 2.25 children per woman, and 18% of the reproductive adults said they will not be able to have the number of children they desire. The total fertility rate in Nepal has plummeted to 2.1 births per woman — down from 5 just 30 years ago. This is considered replacement level, meaning the newborns will replace their parents.&nbsp; However, birth rates are not declining as rapidly everywhere. The Tarai in has a total fertility rate of 2.20, and northwestern mountains is still 2.24.&nbsp; There are multiple factors in play, and the report broadly divides them into four categories: health issues, economic concerns, fears about the future, and lack of a supportive partner or their absence. More than half of the respondents said finance, which includes unemployment and increased cost of housing, as well as parenthood, was a barrier to having children. “More and more people prefer one or two children at maximum. Many women also decide to have children at a much later age,” says Kamala Devi Lamichhane of Tribhuvan University. “The opportunity cost is far higher for women.” But there is also a cost for the country, as the National Population Policy notes. At the rate the total fertility rate is falling it will soon be below replacement level — meaning that in the next three decades Nepal will be confronted with an <a href="https://nepalitimes.com/opinion/the-future-is-older">ageing population</a>.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250714140740_bac3e5a284b69a77d97b3b99daf2e7fd3019bc48f1a399fb2771381c751d8291.png" data-media-id="editor_6" data-image-id="20250714140740_bac3e5a284b69a77d97b3b99daf2e7fd3019bc48f1a399fb2771381c751d8291" data-rendition-name="original" width="1302" height="501" loading="lazy" alt="Nepalis having fewer babies. Why?"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250714140740_251115b0a88d4e82be70245c43cb74477f3be18042ef1aa3b904c597d815f13b.png" data-media-id="editor_7" data-image-id="20250714140740_251115b0a88d4e82be70245c43cb74477f3be18042ef1aa3b904c597d815f13b" data-rendition-name="original" width="1125" height="500" loading="lazy" alt="Nepalis having fewer babies. Why?"> </figure>  Besides income, there are also cultural factors at play in women having fewer babies — they are expected to do all the childcare duties, even putting their careers on hold. In general, there is little help from spouses, and with more nuclear families there is less support from relatives. “Women today are well educated, career-oriented, and economically independent, allowing them to delay marriage as well as being conscious about their body and <a href="https://nepalitimes.com/multimedia/nepal-far-from-hitting-contraceptive-target?%2F">reproductive rights</a>,” says Laxmi Tamang of the International Confederation of Midwives (ICM). Also present at the policy launch was demographer Yagya Bahadur Karki, who said that women are more educated and hence, empowered to take their own informed decisions regarding having children.&nbsp; He adds, “But the fertility rates have reached replacement rate, and that stands as a warning for the future.”&nbsp; Fertility rates have fallen in inverse proportion to the rise in female literacy. The regions of Nepal where couples have more babies is where women are less educated. Couples in Madhes and Sudur Paschim provinces, where child marriage, gender-based discrimination, menstrual huts and dowry are still widespread are where the fertility rate is still high.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250717120740_ababfd31ed5ff79ded427e1f1adfff02e6af2384bd541e51dfe05e52fbbccb39.jpg" data-media-id="editor_9" data-image-id="20250717120740_ababfd31ed5ff79ded427e1f1adfff02e6af2384bd541e51dfe05e52fbbccb39" data-rendition-name="original" width="994" height="682" loading="lazy" alt="TFR Map"> </figure>  And because female literacy also has a direct correlation with <a href="https://nepalitimes.com/news/fatal-discrimination">infant and child mortality</a>, couples in those regions tend to have more babies so some of them survive.&nbsp; But it is Nepal’s urban centres among the educated where the increased choices in reproductive health, including alternative methods of conception like IVF and treatment for infertility, as well as <a href="https://nepalitimes.com/banner/implant-service-providers-take-contraception-to-nepals-poor">contraceptives</a> offer more options for family planning. “There are more choices regarding reproductive health, and there is more awareness as well, which is why people decide carefully on whether or not to bear a child,” says population expert Yogendra Gurung. <a href="https://nepalitimes.com/here-now/migrants-returning-from-the-gulf-with-infertility">Migration is another factor</a> adding to the decline in fertility rates. Many young Nepalis of reproductive age leave every day in pursuit of better jobs overseas. Spousal separation means fewer children.&nbsp; “Once away, even if not educated, they realise that child-rearing costs are high, and try to have fewer and even no children in some cases,” Gurung adds. Recent studies have also shown that men returning after their stint in the Gulf and Malaysia, where they are <a href="https://nepalitimes.com/news/gulf-workers-need-protection-from-heat">exposed to extreme heat </a>for extended periods as well as various chemicals and toxins in their work environment &nbsp;have a range of health problems, including infertility. To increase the birth rate, Nepal will have to reverse its family planning strategy of the past 40 years. Complicating this is that some regions of Nepal will need measures to control the birth rate, while urban areas will need a strategy to help parents have more babies. One way to help families have more children is to develop more <a href="https://nepalitimes.com/here-now/future-proofing-nepal-s-population-strategy?s=04&amp;fbclid=IwY2xjawFQf-NleHRuA2FlbQIxMQABHRxSwwGPfm7_2cBhDVAowPxEmFXP0Os-KRs1DXqIW_84wDhciExtZuNi1g_aem_jzRqN2cEVAppfwr5qedxRg">family-friendly policies</a> that favour women and youth as the Nordic countries, which also have falling birth rates, have done. They have introduced flexible parental leaves for both parents, including financial and health incentives. China, also concerned about its declining birth rate and an ageing population, now has a three-child policy as well as tax deductions, expanded childcare services, and leave policies to encourage couples to have more children. “We must work towards childbirth and childcare policies and plans that are suitable for Nepal, so that couples planning for children do not have to think twice about it because of finances or other reasons,” adds Gurung. Tamang of the International Confederation of Midwives says a gender transformative approach is needed to address the issues of the gender gap which is adding to the decline in childbirth. Husbands need to play a more important role in child-rearing. Instead of increasing fertility for the sake of it, the objective should be to assist young people to start the families they desire, at a point and time of their choice. Respect for everyone’s rights and dignity lays a foundation for a more balanced demographic trend. Lamichhane sums it up: “If fertility rates are to be sustained, it requires changes in the gender roles and behaviour, keeping the youth’s aspirations in mind.”

Nepalis are having fewer babies. Why?

Local residents of Mustang, including a sitting MP and several politicians, submitted a petition to Prime Minister KP Oli in Kathmandu this week urging the government to lift the region’s ‘restricted’ status. This is not the first time such a demand has been raised, and as infrastructure the region’s accessibility improved over the years, calls to remove the long-standing restriction have grown louder.&nbsp; Upper Mustang is no longer weeks away <a href="https://nepalitimes.com/here-now/postcards-from-kathmandu">from Kathmandu.</a> Nearly 85% of the road from Beni to Kagbeni has been blacktopped, and one can drive from Kathmandu to Lo Manthang with an overnight stop in Pokhara. Between April 2024 and April 2025, Lower Mustang received 144,745 international tourists, a near 50% increase compared to the previous year. Most of these were <a href="https://nepalitimes.com/opinion/borderlines/nepal-india-trans-boundary-bonds">Indian pilgrims </a>travelling to Muktinath. <a href="https://nepalitimes.com/here-now/comings-and-goings-in-mustang">Mustang</a> is also gaining popularity among Nepali visitors, with 700,000 visiting the region in 2024. A hotel operator in Kagbeni estimated that about 20% of Nepali visitors to Muktinath also travel to Korala, the trade and transit checkpoint on the <a href="https://nepalitimes.com/latest/north-of-the-border">China border</a>. That would mean that nearly 100,000 domestic tourists visit Upper Mustang annually. In stark contrast, international tourist numbers to Upper Mustang (north of Kagbeni) have remained stagnant, hovering around 4,000 visitors per year. The primary reason is the continued enforcement of the region’s restricted status. Foreign visitors must pay a steep permit fee: a minimum of $500 for 10 days, with an additional $50 per day thereafter. Tourism some entrepreneurs, politicians, and residents want these fees to be abolished so Upper Mustang can attract a broader range of international travellers. The success of Lower Mustang, where relaxed restrictions have led to a<a href="https://nepalitimes.com/here-now/boom-time-in-central-tarai"> tourism boom</a>, is often cited as proof of what lifting restrictions could achieve. Upper Mustang is not the only region in Nepal with a restricted status. Several northern areas prefixed with ‘Upper’ (Upper Manaslu, Upper Dolpo, Upper Kanchenjunga, and Upper Arun) also need similar permits and fees. Although no clear official explanation exists, these areas were primarily restricted due to historical inaccessibility, ecological and cultural fragility and security concerns. Read also: <a href="https://nepalitimes.com/news/upper-mustang-opposes-prohibited-areas">Call to scrap Upper Mustang tourist fee</a> In the 1960s and 1970s, these remote regions served as shelters for Khampa guerrilla fighters who launched cross border ambushes on the <a href="https://nepalitimes.com/here-now/the-last-days-of-the-khampa">Chinese military </a>across the border.&nbsp; Though the Khampa have long gone, security concerns rooted in that era seem to persist. The government in Kathmandu is seemingly unaware of the changed political and security landscape. If concerns do remain, they are not made public. One of the main reasons for maintaining the restricted designation is to limit visitor numbers. But with <a href="https://nepalitimes.com/opinion/the-road-out-of-nepal">improved road access and services</a>, as Upper Mustang has seen, this justification no longer holds. When Upper Mustang first opened to international tourists in 1992, it had no formal lodges or hotels, and it took four to five days of trekking from Jomsom to Lo Manthang.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250716120744_4e4405cf10e6f127f90a1cd40feda0b9d8d69efd13093a2563530ca31489ba9f.jpg" data-media-id="editor_8" data-image-id="20250716120744_4e4405cf10e6f127f90a1cd40feda0b9d8d69efd13093a2563530ca31489ba9f" data-rendition-name="original" width="2000" height="509" loading="lazy" alt="Lift restrictions on Upper Mustang"> <figcaption>Photo: DINESH SHRESTHA</figcaption> </figure>  Without a nechyang (a household with traditional friendship), it was difficult to find a place to stay or get a proper meal. Only a few elite households offered accommodation. Today, there are now more than 80 lodges and hotels above Kagbeni, spread across nearly every village. Several upmarket hotels now struggle to stay afloat during the off-season, relying on low-spending domestic visitors to survive. Lo Manthang, once a remote destination, is now just a few hours’ drive from Jomsom, easily reachable by lunchtime for early starters. Once the remaining road sections are blacktopped, travel time will be further reduced. Yet, the government still charges a flat $500 fee for a 10-day permit based on outdated &nbsp;assumptions from a bygone era. There has been no serious review of the permit structure to align with current realities, nor any response to local aspirations to attract more international tourists and <a href="https://nepalitimes.com/here-now/peak-tourism-in-2023-9ukoi8iz">harness tourism for economic development</a>. Concerns about over tourism are valid. There is a risk that increasing visitor numbers could erode Upper Mustang’s <a href="https://nepalitimes.com/here-now/a-million-mantras-in-mustang">cultural heritage</a>, social fabric, and fragile natural environment, precisely the features that make it special. However, the region’s 33 years of tourism experience have been largely positive.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250716120744_5c7e5e05097cd0e5a1027b51c7e3db3be0bd67e0f7cbaea6d2c447b1dacafc8a.jpg" data-media-id="editor_11" data-image-id="20250716120744_5c7e5e05097cd0e5a1027b51c7e3db3be0bd67e0f7cbaea6d2c447b1dacafc8a" data-rendition-name="original" width="1400" height="1050" loading="lazy" alt="Lift restrictions on Upper Mustang"> <figcaption>Photo: MUKESH POKHREL / NT ARCHIVE</figcaption> </figure>  Tourism has contributed significantly to the restoration and <a href="https://nepalitimes.com/here-now/the-history-of-heritage?%2F">preservation of religious and historical sites</a> like the Thubchen and Jampa monasteries in Lo Manthang, the ongoing conversion of the old palace in Ghami into a premium hotel, and the rehabilitation of many monasteries and chortens.&nbsp; These efforts, supported by international donors and heritage experts, demonstrate that tourism—when well managed—can be a powerful driver of <a href="https://nepalitimes.com/here-now/shrinking-tourism-s-ecological-footprint">conservation</a>. The high permit fees have been somewhat effective in limiting international visitors, but they have no influence on the growing number of domestic tourists, particularly during the Dasain and Tihar holidays. The most pressing need now is for all levels of government—federal, provincial, and local—to<a href="https://nepalitimes.com/news/why-invest-in-nepal"> invest in </a>managing tourist flows and maintaining tourist sites. These efforts are essential not only to enhance visitor experience but also to build long-term resilience and sustainability for the destination. Read also: <a href="https://nepalitimes.com/news/greening-nepal-s-tourism">Greening Nepal’s tourism</a>, Hanna Wells Visitor numbers are central to any tourism development strategy that aims to balance economic, social, and environmental goals. Clinging to obsolete policies and concerns to justify Upper Mustang’s restricted status is not only unfair, it also suggests an undemocratic and discriminatory attitude toward a remote district.&nbsp; Shailendra Thakali, PhD, is from Jomsom and is a freelance consultant on protected areas, tourism, conservation, and sustainable livelihoods.

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