<figure><img width="1165" height="600" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141116/636ba8469c7e80680e0737cejpeg.jpg" alt=""/><figcaption>All photos: HEALTHY SMILES</figcaption></figure>Health care facilities are in much demand during the Covid-19 pandemic, but one branch of medicine that is not seeing any patients is dentistry. The patient cannot wear a mask, it is impossible for the dental surgeon to maintain physical distance during treatment, and patients, dentists and their nurses all face extended exposure to virus-carrying aerosols.The World Health Organization (WHO) has advised patients to delay visiting their dentists during the pandemic, and the Nepal Ministry of Health has told dental surgeries to close during the lockdown period.However, dentists interviewed for this overview told Nepali Times if there is one field of medicine that is most prepared to stop the spread of infections, and who were already following strict protocols, it is oral care.“Long before Covid-19 dental clinics already had strict protocols to prevent the spread of airborne infections, so if any doctors already had  preventive measures in place it would be dentists,” says dental surgeon Sushil Koirala of the <a href="http://www.punyaarjanfoundation.org.np/main/" data-saferedirecturl="https://www.google.com/url?q=http://www.punyaarjanfoundation.org.np/main/&amp;source=gmail&amp;ust=1598755551072000&amp;usg=AFQjCNG60e9232rmC_ehPE51HjcNhCR4iw">Punyaarjan Foundation.</a>Koirala says most dentists in the region were already following the WHO protocol from the SARS epidemic in 2003, and even before that dental clinic staff in Nepal have been taking precautions against tuberculosis, seasonal influenza, and other airborne pathogens.<a href="https://www.nepalitimes.com/here-now/protecting-those-who-protect-us-from-the-epidemic/">Protecting those who protect us from the epidemic</a>, Ramu SapkotaFor the first four months of lockdown after March, the government ordered all dental clinics closed, and had allowed oral care departments in two hospitals to remain open for dental emergencies. However, they soon closed after staff tested positive for the novel coronavirus. From March to mid-July most dentists spoke to their patients on the phone about symptoms, and depending on the case, the patients were given advice, prescribed painkillers or antibiotics.Over 90% of the cases were gum infections or tooth decay due to excessive snacking during the lockdown. Most could be treated with analgesics and mouthwash. “With the more serious cases, we practiced a crude form of telemedicine where we asked the patient to take a live video of their oral cavities so we could advise on a course of action,” Koirala says. “Some of my patients learnt to take really good selfies.”Even when the restrictions were partially lifted on 21 July, clinics were still largely empty because the patients were too scared to visit, and the staff stayed away. Dental clinics then followed their standard protocols, adding new guidelines on pre-appointment interviews, disinfection of surgery after every patient, personal protective equipment, and procedures like limiting the number of patients and minimising contact.<a href="https://www.nepalitimes.com/latest/tb-patients-in-limbo-due-to-covid-19/">TB patients in limbo due to COVID-19</a>, Devika Agarwal <img width="1138" height="600" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141116/636ba8499c7e80680e0737cfjpeg.jpg" alt="">Some innovative clinics like Healthy Smiles in Kathmandu developed their own protocols a based on guidelines issued by the US Centre for Disease Control (CDC) and have <a href="https://youtu.be/MV048n6EuPE" data-saferedirecturl="https://www.google.com/url?q=https://youtu.be/MV048n6EuPE&amp;source=gmail&amp;ust=1598755551072000&amp;usg=AFQjCNEeNub-ibeeEVrwxo8E6Oz-ul--QQ">made videos</a> to illustrate the process to patients.“As this is a droplet infection with aerosol transmission, our attempt is to minimise it with online screening of limited patients, social distance and masks, well ventilated rooms with negative pressure along with high vacuum dental suctions and a floor level exhaust at floor level,” explains dental surgeon Neil Pande of Healthy Smiles.After every patient, the entire outer wear is changed by all to ensure no cross contamination between patients. The donning and doffing of PPE is carried out in a strict sequence and disinfected before cleaning. All the surfaces are decontaminated with 70% alcohol three times, once immediately after and other twice after, with an interval of one hour. Healthy Smiles actually got Nepali engineers to design and build its new ventilation system that sucks air out of the surgery and passes it through HEPA filters to decontaminate it.<a href="https://www.nepalitimes.com/latest/govinda-kc-treats-patients-in-remote-nepal/">Govinda KC treats patients in remote Nepal</a>, Achyutraj Bhandari“We believe infection control to be one of the main pillars of the healthcare system, and it is even more important during this pandemic,” Pande says. “It has completely changed the face of dentistry.”Elsewhere in developed countries, many dentists have defied the WHO’s recommendations saying they are already used to taking necessary precautions to prevent infections. In fact, they argue that patients may suffer other health complications if they cannot see their doctors in time, and that oral infections can worsen the outcome of patients with Covid-19.  In Singapore, where a very strict testing and tracing regimen is in place, dental clinics have remained open and the flow of patients is at 80% of pre-pandemic level. In Australia, except in the state of Victoria, most dentists are seeing patients.In Nepal, Punyaarjan Foundation has <a href="http://www.punyaarjanfoundation.org.np/main/" data-saferedirecturl="https://www.google.com/url?q=http://www.punyaarjanfoundation.org.np/main/&amp;source=gmail&amp;ust=1598755551072000&amp;usg=AFQjCNG60e9232rmC_ehPE51HjcNhCR4iw">published a booklet</a> and posters in Nepali that allow individuals and families to self-evaluate their own risk levels with various activities. Says Sushil Koirala: “Dentists are taught to be extra-cautious about infections, and with this publicity material we want to share that knowledge with the Nepali public -- that the only way to fight infectious disease transmission is through individual responsibility and discipline.Read also: <a href="https://www.nepalitimes.com/here-now/kidney-patients-dying-due-to-covid-19-lockdown/">Kidney patients dying due to COVID-19 lockdown</a>, S Dhiren

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Need to see a dentist during the pandemic?

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121116/636b8cd89c7e80680e06b31bjpeg.jpg" alt="" width="958" height="1280"/><figcaption>Workers at Kavach who usually produce motorcycle clothing prepare personal protective gears as part of their COVID-19 fundraising. Photo: KAVACH</figcaption></figure><ul><li>  Raj Kumar Mahato launched the Covid-19 relief campaign of BHORE with Rs200,000 from his own pocket, but doesn’t know where the charity will find money to continue providing essential items for the ultra-poor.</li> <li> Nita Raut has spent all but Rs4,500 of the Rs78,000 she raised and says she will donate her own salary if necessary to provide food to Kathmandu’s poorest.</li> <li>Sano Paila, an NGO, is dipping into its savings to continue relief work in the eastern Terai.</li></ul>Budgets of small organisations providing relief to Nepal’s needy are being squeezed dry as the lockdown continues, but all of them say they are determined to keep working.Kathmandu-based <a href="https://give2asia.secure.force.com/pmtx/dn8n__SiteDonation?id=a1L16000007OETA" data-saferedirecturl="https://www.google.com/url?q=https://give2asia.secure.force.com/pmtx/dn8n__SiteDonation?id%3Da1L16000007OETA&amp;source=gmail&amp;ust=1587805291620000&amp;usg=AFQjCNGNxo9qvQDwDYZqET7S7yzpaumfjQ">Sano Paila</a> has raised only US$1,000 of its $10,000-15,000 fundraising goal, Head of Operations Jai Sah says via email. “But we are getting immense support from our board members and the local community in continuing the activities,” Sah writes.With its team of 25-30, Sano Paila is responding mainly in Birganj, Janakpur and Parsa district: serving cooked meals to daily wage earners and other vulnerable people, running an integrated Help Desk in Parsa with Nepal Police, disinfecting hospitals, police stations and other public areas, and supplying personal protective equipment (PPE) and Covid-19 testing booths.<a href="https://www.hiteri.org/donation-options/?c=%26%232310%3B%26%232313%3B%26%232344%3B%26%232369%3B%26%232361%3B%26%232379%3B%26%232360%3B%26%232381%3B-%26%232360%3B%26%232348%3B%26%232376%3B-%26%232350%3B%26%232367%3B%26%232354%3B%26%232375%3B%26%232352%3B-%26%232332%3B%26%232381%3B%26%232351%3B%26%232366%3B%26%232354%3B&amp;i=2750" data-saferedirecturl="https://www.google.com/url?q=https://www.hiteri.org/donation-options/?c%3D%2526%25232310%253B%2526%25232313%253B%2526%25232344%253B%2526%25232369%253B%2526%25232361%253B%2526%25232379%253B%2526%25232360%253B%2526%25232381%253B-%2526%25232360%253B%2526%25232348%253B%2526%25232376%253B-%2526%25232350%253B%2526%25232367%253B%2526%25232354%253B%2526%25232375%253B%2526%25232352%253B-%2526%25232332%253B%2526%25232381%253B%2526%25232351%253B%2526%25232366%253B%2526%25232354%253B%26i%3D2750&amp;source=gmail&amp;ust=1587805291620000&amp;usg=AFQjCNGPDjUFhQooABJXSGg5gj44sBvFFw">Hiteri Foundation’s</a> team of three has been providing hot meals and family food packs to daily wage workers and people living on the streets in Lalitpur in the Kathmandu Valley, Project Head Kusun Tamang explains. “This week we have started running out of funds, but there may be donors. As long as we have the resources we will keep going,” he says on the phone. “What we are doing is not even fulfilling a fraction of the need. The first week we thought ‘Ok, people don’t look desperate.’ But from this week more and more stories are coming out of people going hungry.”Mahato from Hetauda-based <a href="https://www.notion.so/BHORE-04e1afbb0ac649f8b7f44d28b599e833" data-saferedirecturl="https://www.google.com/url?q=https://www.notion.so/BHORE-04e1afbb0ac649f8b7f44d28b599e833&amp;source=gmail&amp;ust=1587805291620000&amp;usg=AFQjCNGEEXDlkc2J9gO4qhX4kW5VOm7SHw">BHORE</a> says demand has been growing since 21 March, the day the agency started providing essentials to over 400 ultra-poor families in Province 1, 2 and 3.It also raises awareness on Covid-19, providing technical support, and advocating with governments to provide services and technical support.“I am not blaming government but ultimately it is supposed to protect If it started to do very effective and transparent distribution of relief then there would be no need for organisations like ours,” Tamang says.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121116/636b8cdc9c7e80680e06b31cjpeg.jpg" alt="" width="640" height="360"><figcaption> </figcaption></figure>Deepak Chapagain from <a href="https://www.notion.so/Volunteer-Corps-Nepal-VCN-e6cec9c5e1f046238b99de4ed251b1b3" data-saferedirecturl="https://www.google.com/url?q=https://www.notion.so/Volunteer-Corps-Nepal-VCN-e6cec9c5e1f046238b99de4ed251b1b3&amp;source=gmail&amp;ust=1587805291620000&amp;usg=AFQjCNEBHnkY8Pl6POByYKIH_sYOUbj_0g">Volunteer Corps Nepal</a> points out that many average Nepalis he encounters do not trust any level of government. They feel that those who lack access to political parties will be shut out of official relief distribution.VCN includes more than 3,000 trained local volunteers and a wider network of 8,000-plus people in 77 districts. It was on the ground in pre-lockdown days in Kathmandu, mooting the idea for traffic police to hold up small signs displaying Covid-19 information. Since then VCN has provided food to more than 5,000 people in Kathmandu Valley and to others leaving on foot.The organisation raised more than $2,000 from online sales of the recent release from UK-based singer Yuval Gurung, who was in Nepal when the lockdown started, but it is not enough, Chapagain says. “Things will get worse in the days ahead and even government and international organisations are not responding on the ground, so we volunteer organisations have to be more active.”<a href="https://www.notion.so/Nita-Raut-Foundation-cb1789fa3a134736b32e4a503ffa37c4" data-saferedirecturl="https://www.google.com/url?q=https://www.notion.so/Nita-Raut-Foundation-cb1789fa3a134736b32e4a503ffa37c4&amp;source=gmail&amp;ust=1587805291620000&amp;usg=AFQjCNECFgZUJoyG7bVymBi5E2dj8tEZwg">Nita Raut</a> had been providing food for daily wage workers, the homeless and others in Kathmandu even before this crisis. Usually Nepalis here and abroad learn about her work from the media or the foundation’s Facebook page, she notes via phone.“I will help I have funds. If that is not enough I can use my own money,” says Raut, adding that she normally diverts 20% of her salary to run the foundation.It’s not only individual NGOs that are filling the gap. Some private businesses are also playing a role, including <a href="https://www.notion.so/Kavach-9f7d42ca48514e5aa74212e576850740" data-saferedirecturl="https://www.google.com/url?q=https://www.notion.so/Kavach-9f7d42ca48514e5aa74212e576850740&amp;source=gmail&amp;ust=1587805291620000&amp;usg=AFQjCNF1aL-ua4Mvk8sP3TjodyhGPWPUXg">KAVACH</a>, which designs and manufactures motorcycle riding gear. Co-founder Arabinda Subedi says he and his partner began brainstorming on how to help soon after Covid-19 arrived. They decided to repurpose the company’s production to make PPEs, which are in short supply for medical staff and other frontline workers.So far the company has made 2,500 PPEs, and has plans to scale up if necessary by using facilities at nearby factories. “Yes, as we are repurposing our production unit to PPEs although we are not yet clear how long we can afford to do this,” Subedi says.One positive point made by most of these organisations is that they are working closely with local authorities, including police. Initially, officials in some places were resistant but all are now cooperating with the relief efforts.<a href="https://www.notion.so/a42785487fa74e8bacf283785949008b?v=6e93c867ff6c43a48f399c72e64918d6" data-saferedirecturl="https://www.google.com/url?q=https://www.notion.so/a42785487fa74e8bacf283785949008b?v%3D6e93c867ff6c43a48f399c72e64918d6&amp;source=gmail&amp;ust=1587805291620000&amp;usg=AFQjCNEOw3__zc2PYFjmCNAQIogKKFWl2g">List of organisations providing support during lockdown, by Nepal Coronavirus Response Group </a>

Marty Logan

Helping the helpless during lockdown

Chronic winter drought and decades of unmanaged forest biomass have turned wildfires into a systemic risk for Nepal. We need to re-learn to convert fire fuel in forests into fertilizer for crops.&nbsp; On 11 January, a huge forest fire spread rapidly from China into the forests of Sindhupalchok, 40km northeast of Kathmandu. The newly-opened Tatopani border checkpoint was closed. Smoke from the fire spread across central Nepal, blocking the sun.&nbsp; The fire burnt itself out within a few days, but the border stayed closed for longer. Such wildfires were once rare in mid-winter, and traditionally peaked between March and May as temperatures rose ahead of pre-monsoon showers. What is unsettling is not just the early onset of the fires, but also their scale. This shift is not accidental, the pattern has been unfolding over years due to winter drought, weakening post-monsoon moisture, and the accumulation of dry forest biomass as Nepal’s forest area doubled in the past 30 years.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026022009024_5f4a84bb389f9b56f4fa47d4f694adcd464eb13b192d184af0f1eb20efdfeebf.jpg" data-media-id="editor_0" data-image-id="2026022009024_5f4a84bb389f9b56f4fa47d4f694adcd464eb13b192d184af0f1eb20efdfeebf" data-rendition-name="original" width="2000" height="1055" loading="lazy" alt="Wildfire season NT"> <figcaption>A NASA FIRMS image of Nepal with red dots signifying fires in February 2025.</figcaption> </figure>  Together, these factors have made forests tinder dry in spring, just waiting for a spark. Nepal has experienced winter drought in eight of the past ten years (this winter was an exception). Winter rain and snow at higher elevations play a decisive role in maintaining surface moisture, recharging shallow aquifers, and keeping forest floors damp enough to resist ignition. When winter rains fail, forests dry out months earlier than usual. Satellite-based assessments show a steep decline in surface moisture across the middle mountains of Nepal, particularly in areas with dense forest cover but limited undergrowth management. Springs that once flowed year-round are now seasonal.&nbsp; More than half of the springs in the mid-hills have either dried up or show significantly reduced discharge, a trend closely linked to declining soil moisture and disrupted recharge zones. Dry soil does not just threaten water security — it helps the vegetation ignite. FUEL WITHOUT FUNCTION For decades, Nepal’s forests have been accumulating dry leaf litter, fallen branches, shrubs, and deadwood. Historically, this biomass was not considered waste because rural households regularly collected leaf litter for livestock bedding, which was later composted and returned to farms as fertilizer.&nbsp; Forest floors were therefore relatively clean while the mulch fertilized farms. That relationship has steadily eroded due to outmigration, changes in livestock systems, restrictions on access to community forests, and the growing availability of chemical fertilisers.&nbsp; Community forests across the country today are thick with dry twigs, branches and leaves — a highly combustible carpet. When prolonged drought dries this biomass, even a small spark from a herder’s intentional fire, a cigarette, or lightning strike can trigger massive fires.&nbsp; Under such conditions, the question is no longer whether fires will occur, but how intense and widespread they will be. Forest fires are often framed as an environmental issue concerning trees and wildlife. In reality, their impact extends far beyond forest boundaries.&nbsp; Smoke travels faster and further than flames. Fine particulate matter, especially harmful PM2.5, spreads across countries. In recent fire seasons, air quality monitors in Kathmandu have recorded air quality levels several times higher than WHO guidelines. The smoke adds to Kathmandu’s own pollution and lingers for days.&nbsp; Flights are cancelled or delayed in cities like Pokhara, and poor visibility blocks mountain views affecting tourism. Health facilities report spikes in respiratory complaints, particularly among children and the elderly. Just as wildfires have multi-sectoral causes, the impact of forest fires go beyond forests. One critical dimension remains largely invisible: the soil. The fires cause silent damage beneath the ash, and the emergency does not end when the flames subside. Beneath the surface, soil suffers long-term damage. Organic matter burns away, beneficial microorganisms die. The soil structure weakens, reducing the land’s ability to absorb and retain water. The scorched earth is more prone to erosion, increasing the risk of floods and landslides once the rains return.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026022009028_cc54ff056b2cac8b789cfd4d11afef9eaf943368e47b99aabd57c7b63b776cf2.jpg" data-media-id="editor_1" data-image-id="2026022009028_cc54ff056b2cac8b789cfd4d11afef9eaf943368e47b99aabd57c7b63b776cf2" data-rendition-name="original" width="1717" height="2143" loading="lazy" alt="Wildfire season NT"> <figcaption>Wildfire risk map based on the validated Random Forest model (a) Overall reclassified wildfire risk map of Nepal, (b) District level wildfire risk, and (c) Municipality wildfire risk map.</figcaption> </figure>  In many of Nepal’s agricultural areas, soil organic matter levels are already below 2% -- lower than what is needed for resilient and productive farming. Repeated fires push these levels even lower, undermining soil fertility and forcing farmers to rely more heavily on chemical fertilisers, unleashing a vicious cycle of higher costs and food insecurity.&nbsp; Climate breakdown is often cited as the primary culprit, and rightly so. Rising temperatures and erratic rainfall have intensified fire risk. But fires in Nepal are increasingly the result of human intervention.&nbsp; The response of all three levels of government remains too little, and too reactive. Each year, resources are mobilised to extinguish fires once they have already spread. Far less attention is paid to managing the fuel load within forest undergrowth that makes such fires inevitable.&nbsp; Meanwhile, forestry and agriculture policies are not coordinated, missing opportunities to address shared challenges. Forest fires are not natural disasters, but predictable outcomes of governance choices. National plans and climate pledges set an ambitious target of raising soil organic matter to 4%. The science behind this goal is solid. Higher organic matter improves water retention, stabilises yields, reduces fertiliser dependence, and enhances long-term food security. What remains unclear is the pathway.&nbsp; Where will the organic inputs come from? How will they be processed and applied safely at scale? Without practical answers, the 4% target risks remaining aspirational rather than achievable. Forest undergrowth can be turned into fuel and fertiliser. Biochar is produced by heating organic biomass in a low-oxygen environment, converting it into a stable form of carbon that can be added to soil.&nbsp; When properly produced and applied, it improves soil structure, enhances water and nutrient retention, supports microbial activity, and locks carbon into the ground for decades. In Nepal biochar addresses two interconnected problems: reducing the accumulation of combustible biomass in forests, lowering fire risk, while simultaneously rebuilding depleted soils. In doing so, it restores the broken link between forest management and agriculture.&nbsp; Done well, biochar is not merely an environmental intervention. It is an economic one, with potential to create local employment, reduce farmers’ input costs, and support climate-smart agriculture. But biochar propagation depends on improved governance. If promoted as isolated pilots or short-term projects, it will fail. What is needed is institutional clarity: standards for production and safety, quality control mechanisms, farmer extension services, and coordination across local, provincial, and federal levels.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026022009028_e6e2218f38fae5b1fe81d9f99078fe01f58d04b4b3b2c41447f017c3f838a1d4.jpg" data-media-id="editor_2" data-image-id="2026022009028_e6e2218f38fae5b1fe81d9f99078fe01f58d04b4b3b2c41447f017c3f838a1d4" data-rendition-name="original" width="1536" height="2048" loading="lazy" alt="Wildfire season NT"> <figcaption>Freshly prepared biochar under control tempature (350-600°C).</figcaption> </figure>  Community forest user groups could manage biomass collection. Local governments then support safe, decentralised production units. Agricultural extension services guide farmers on application, linked to soil testing and monitoring. Such an approach would reduce fire risk, improve soil health, and generate rural livelihoods.&nbsp; Poorly produced biochar or contaminated feedstock can harm soils and human health. Without training, standards, and oversight, good intentions can backfire. Nepal needs to move beyond fire-fighting to fire prevention and confront the structural causes that make them a growing risk. It is not just a technical choice – it is one that demands political will from newly-elected leaders after March. &nbsp;&nbsp; Ngamindra Dahal is a hydrometeorologist with the Nepal Water Conservation Foundation specialising on climate and water management issues.&nbsp;

RED ALERT: Get ready for the wildfire season

Early on Monday morning, a bus from Pokhara to Kathmandu plunged off the highway in Dhading killing 19 passengers. Two weeks ago, another bus fell into the Tama Kosi in Manthali, killing 12. A few days before that a bus crash in Baitadi killed 13 people.&nbsp; In just the month before Nepal's election, more than 50 people have been killed in road traffic accidents. Most of these cannot be called 'accidents'. They are a direct result of poorly maintained highways and lack of enforcement of traffic discipline. Political parties in Nepal have rolled out their election manifestos, and voters are once again presented with a flood of promises. Page after page, these documents list megawatts and microcredit, highways and airports, jobs and investment. In these manifestos, growth is quantified, projects itemised, revenue forecast — and there are even threats to beat up contractors who do not finish their jobs. But when everything is declared a priority the stale promises are empty. The voter is left confused as to where the party’s loyalties really lie. Will any of these plans and pledges actually ever materialise and help Nepalis live longer, safer, healthier lives? The main job of any accountable government is to protect its citizens, not so much from foreign enemies but from domestic mismanagement. And this means the most basic test the new government should be made to pass is whether it can ensure basic well-being and protection for all its people. The problems of safety, health, and survival remain unresolved for most Nepalis, and are quietly eroding their lives. In the past year alone, the country’s <a href="https://nepalitimes.com/news/roadkill">roads and highways claimed more than 2,300</a> lives. An estimated 41,000 Nepalis die each year directly because of <a href="https://nepalitimes.com/here-now/what-is-invisible-is-more-dangerous">air pollution</a>, and their <a href="https://nepalitimes.com/news/air-pollution-killing-season-starts-early">lifespans are lessened by 3.4 years</a>.&nbsp; <a href="https://nepalitimes.com/editorial/poor-health">Non-communicable diseases</a> now account for well over half of total deaths in the country. And even where survival has improved, deprivation remains. Chronic malnutrition continues to haunt communities in <a href="https://nepalitimes.com/here-now/mass-migration-from-muktikot">Nepal’s western mountains</a> despite progress in maternal and child health.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260223130240_4f4ef83a31c3c4ae36ecdffb33a355e2fa3de9e98244b840a895af2d95c35ac0.jpg" data-media-id="editor_5" data-image-id="20260223130240_4f4ef83a31c3c4ae36ecdffb33a355e2fa3de9e98244b840a895af2d95c35ac0" data-rendition-name="original" width="1024" height="683" loading="lazy" alt="A life-first manifesto for Nepal NT"> </figure>  These are the lived realities of most Nepalis, and it is here that development can deliver its most immediate returns. A rising GDP, in and of itself, does not make roads safer, clean polluted air, or provide enough nutrition to children. Such outcomes demand intentional, granular policies that confront the specific, everyday problems shaping people’s lives.&nbsp; Macroeconomic growth, trade and investment are important, but these alone cannot guarantee improvements health and safety. The word ‘growth’, after all, is also synonymous with malignancy. Economic progress and human protection are correlated only when governance deliberately links them. Impact on life is the unit in which ordinary Nepalis calculate progress. What is needed, then, is a governing philosophy measurable in these same terms: a ‘life-first’ standard where every policy, budget, and reform can be understood and judged by its impact on protecting and extending human life. Such a ‘life-first’ approach would scrutinise three aspects of every policy. First, whether the policy prevents loss of life. A death is termed preventable if better, more coordinated response systems and regulations could have avoided it (vaccines, drugs, road safety, clean drinking water). A newly built six-lane highway <a href="https://nepalitimes.com/here-now/highway-accidents-are-no-accident-in-nepal">can be a death trap</a> due to poor design or lax enforcement of safety rules. If neonatal deaths continue in a district despite hospitals being present, or if malnutrition claims lives in predominantly agricultural regions, they too are failures. Preventable deaths also cluster where accountability is less direct. Just last year, <a href="https://nepalitimes.com/news/suicides-a-pandemic-within-a-pandemic">Nepal recorded 6,866 suicides</a>, with nearly 20 lives lost every day, yet these deaths fail to prompt any serious examination of governance. The same holds for fatalities linked to domestic or communal violence, alcohol and substance misuse, or ‘natural’ disasters, which register as ‘tragedies without remedy’ rather than as outcomes policy can influence. But when avoidable loss of life recurs at scale, isolated incidents become patterns, and patterns reveal systemic neglect. Saving lives, however, is only the first step, and what matters just as much is the quality of years lived. Nepal’s life expectancy now stands at 71 years, yet many citizens spend years in avoidable disability, untreated chronic illness, or mental distress. A life- first government must ask not only whether people live, but whether they thrive. Are citizens able to pursue education, work, and family life without fear of preventable harm? Do communities have access to clean air and water, nutritious food, and basic healthcare? Can a teenager anywhere in Nepal imagine a future not foreclosed by premature marriage, or untreated depression?  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260223130240_157d72b80b82a07699b6bffbb30036b86f0f767a5674cc3db3d5c20343442940.jpg" data-media-id="editor_8" data-image-id="20260223130240_157d72b80b82a07699b6bffbb30036b86f0f767a5674cc3db3d5c20343442940" data-rendition-name="original" width="2529" height="1427" loading="lazy" alt="A life-first manifesto for Nepal NT"> </figure>  Thriving requires policies that prevent suffering and promote well-being in addition to ensuring survival.&nbsp; Finally, governance must consider graceful aging. Elderly Nepalis should not be left to navigate disease, poverty, or isolation alone. Social systems, healthcare, and community support must enable their continued participation and dignified well-being. Adopting this three-layered standard would gradually reorient how success of any new government is defined. Transportation would be judged by fatalities reduced on the roads. Electricity generation would be measured by whether households can switch from firewood dependence to smoke-free electric stoves.&nbsp; Increase in annual rice harvest must translate into better nutrition, reducing the prevalence of chronic diseases like diabetes. Accountability must follow problems rather than stop at Singha Darbar. Only then will politicians and bureaucrats eventually recognise that their work converges on the same human endpoint. Critics will argue that economies are complex, trade-offs are inevitable, and that governance cannot be reduced to a single metric.But, as Acemoglu and Robinson show in their book <a href="https://ia801506.us.archive.org/27/items/WhyNationsFailTheOriginsODaronAcemoglu/Why-Nations-Fail_-The-Origins-o-Daron-Acemoglu.pdf">Why Nations Fail</a>, the key difference between prosperity and poverty lies in inclusive institutions that empower citizens and create broad incentives for well-being.&nbsp; Extractive institutions concentrate power and wealth in the hands of a few while keeping the majority trapped in neglect. Nepal’s governance has remained a striking example of extraction. If lawmakers in the new Parliament continue to resist changes that would save and improve the lives of ordinary citizens, the same systemic rot will persist for generations to come. A life-first mentality can cut through this inertia by clarifying the moral centre of governance and reminding policymakers that behind every policy failure lies human cost. <a href="https://nepalitimes.com/here-now/epicentre-of-hunger">Every mother in Bajura</a> with a child going hungry at night, every farmer in the Madhes unable to afford medical care, and every family that has lost <a href="https://nepalitimes.com/opinion/comment/saving-kidneys-to-save-nepal">a migrant son to kidney failure</a> understands the true <a href="https://nepalitimes.com/multimedia/dirty-dangerous-difficult-and-dehydrating">value of a life saved</a>. Life is the one metric that transcends ideology, ethnicity, and region. Centering governance on this single, focused metric, can shift an election from a contest of rhetoric to a contest of evidence. Which party ensured access to safe water and basic healthcare? Which made work at home and abroad safer and less exploitative. Which measurably extended healthy years of life for ordinary citizens? Health is wealth. By improving the healthy lifespan of citizens economic prosperity would follow naturally. A ‘life-first’ governance model would therefore compel Nepal to address the underlying structural failures across all sectors, rather than merely alleviating their symptoms. The GenZ protest that toppled the government last September was, at its core, a demand for accountability and a rejection of politics as usual. But as the country edges closer to the polls, that clarity has started to dissipate. Parties are now echoing the language of reform, but the public discourse remains dominated by promises that feel disconnected from Nepal’s most immediate and basic priorities. Every preventable death, every hungry child, and every neglected elder becomes a direct failure of governance and a moral debt the state must answer for. It is how we can make sure we keep the next government in check. The writers are Nepali GenZ students of biomedical engineering at the Hong Kong Polytechnic University.

Nepal’s life or death election

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Party flags and banners wave from electric poles, houses and e-rickshaws are festooned with posters. Madhes Province is in the grip of election fever, and in a tour through four of its districts, there is the sense that any efforts by mainstream political parties at reforms have come too little too late. Among the banners, the sky blue of the<a href="https://nepalitimes.com/news/new-vs-new-in-nepal"> RSP is more prominent </a>here this time, and the rallying cry across the country for new and improved leadership is echoed on the ground. “For the people around here, whatever these old leaders are saying has become just noise,” says a lassi shop operator in Janakpur, waving a dismissive hand at flags with the NC’s tree symbol across the street. In Janakpur, UML nominee Raghubir Mahaseth was barred from canvassing door-to-door. Campaign posters of the mainstream parties have been torn from walls and replaced with RSP posters.&nbsp; In Inarwari village of Rautahat in the Madhes heartland, local elected officials whose parties have been merged into the Nepali Communist Party hope to retain enough supporters this election. But not many residents say they would vote for its candidate. &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026022005024_a793e3a19cbd536fde50708c4a41b8b0d39a4716c6973feddad889097b655641.jpg" data-media-id="editor_1" data-image-id="2026022005024_a793e3a19cbd536fde50708c4a41b8b0d39a4716c6973feddad889097b655641" data-rendition-name="original" width="1600" height="1200" loading="lazy" alt="Battleground Tarai NT"> <figcaption>Photos: SHRISTI KARKI</figcaption> </figure>  A first-time voter in Sarlahi’s Haripur is home on a semester break from medical school in Kathmandu, and is waiting excitedly for 5 March. “You can’t really say out loud whom you’re voting for around here,” he says, as he mimes ringing a bell. “It is time for someone new to be in-charge." In the highway town of Bardibas, an elderly teashop owner says that all she hears are calls for घण्टी, the RSP’s bell symbol. “After all, bells are rung in the house of gods,” she says. “It seems like the right choice.” The RSP wave sweeping the nation after the GenZ movement is seen in Madhes, and the PR ballots might reflect that, notes political analyst Tula Narayan Shah.&nbsp; “But the socio-cultural networks, organisational setup, and legacy of democratic movement of traditional parties might still give them a fighting chance on the first past the post ballot,” he says. &nbsp;“The door-to-door campaign style of candidates has always been more prominent in Madhes than elsewhere.”&nbsp; Villages like Dhankaul in Sarlahi-4 where <a href="https://nepalitimes.com/news/grand-split-in-nepal-s-grand-old-party">Gagan Thapa</a> of the Nepali Congress (NC) is running against incumbent Amresh Singh, is an NC stronghold. Singh won the election here twice before in 2013 and 2017 when he was an NC leader, and still had goodwill among NC voters when he ran and won as an independent during the 2022 election. “I voted for him twice before when he was in the NC, but he did not do anything for this or other villages. Once he is elected, he has not set foot here,” says Rajiv Yadav, a voter in Dhanakul. “The RSP will get more votes here than last time, but Gagan is sure to win. This village will vote for him.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026022005024_26691bb5a37edf705cc197a632d0bf032f984079a838d31bcd943bc0b9c97ff3.jpg" data-media-id="editor_3" data-image-id="2026022005024_26691bb5a37edf705cc197a632d0bf032f984079a838d31bcd943bc0b9c97ff3" data-rendition-name="original" width="1600" height="1200" loading="lazy" alt="Battleground Tarai NT"> </figure>  Madhes is in the spotlight this election because two prime ministerial candidates have focused their attention in the region. Balen Shah began his campaign in Janakpur (main picture, left) in January as a ‘Son of Madhes’, and Gagan Thapa chose Sarlahi-4 as his constituency over Kathmandu-4, from where he has been elected since 2013.&nbsp; The Madhes has always been the battleground for Nepal’s electoral politics, and candidates from here, like Krishna Prasad Bhattarai from Parsa, Pushpa Kamal Dahal from Siraha, Jhala Nath Khanal from Sarlahi, and Madhav Kumar Nepal from Rautahat, have all been prime ministers. Despite electing politicians to high office in Kathmandu, districts of Madhes have consistently ranked low in development and service delivery indicators, especially in basic healthcare and education. Socio-economic inequalities stemming from a lack of opportunities has also meant that Madhes districts have the highest rate of out-migration in the country.&nbsp; What is different this time is that the people of the province have a Madhesi prime ministerial candidate who will represent them in national politics, and the main competition ultimately will be between the NC and RSP prime ministerial candidates. Interestingly, voters seem to be looking beyond Madhes-based parties who have historically campaigned on identity and federalism.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2026022005024_1b5c1134fb02ded72a12221200918df584b0cd003139bb2be44951efe9a65bf1.jpg" data-media-id="editor_4" data-image-id="2026022005024_1b5c1134fb02ded72a12221200918df584b0cd003139bb2be44951efe9a65bf1" data-rendition-name="original" width="1600" height="1200" loading="lazy" alt="Battleground Tarai NT"> </figure>  “Leaders of Madhes parties have glorified their struggle for votes but failed to perform on good governance at local and provincial levels,” explains Tula Narayan Shah. “Now, Balen has become a PM candidate as a face of the region, and as someone who will deliver based on his work as Kathmandu mayor.” If the RSP wins, it will be governing in the absence of provincial leadership that would play a crucial mediatory role between Kathmandu and local units. On Wednesday, RSP’s Madhes province chair Mamta Sharma resigned from the party and joined the NC. There is also some underlying tension between RSP cadre loyal to Balen Shah and Rabi Lamichhane. “It is not prudent to predict who will win the election and whether parties will deliver on promises,” says Tula Narayan Shah. “But win or lose, there is little basis at this time to believe that the RSP will be committed to making the federal system and provinces more functional.” Voters here in the heart of the federalism movement, however, are willing to give the RSP the benefit of the doubt. &nbsp;Resident Brahma Dev in Janakpur told us: &nbsp;“The RSP, like parties that came before them, deserve a chance to prove their leadership in the next five years. If they do not deliver, we can always vote them out next time.”&nbsp; On Wednesday, NC leaders unveiled the party’s 10-point election manifesto at a large rally in Janakpur (main picture, right). Gagan Thapa began by addressing a cheering crowd in Maithili, and said the NC was reformed, adding:&nbsp; “The GenZ did not reject us, they told us to change our ways.” Also on Wednesday 800km away at the other end of the country in Dhangadi, Balen Shah, in a speech that lasted just three minutes, he said: “Don’t vote for us, give us work to do.”&nbsp;

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