<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bda3f9c7e80680e08025ajpeg.jpg" alt="" width="1280" height="853"/><figcaption></figcaption></figure>An 18-year-old boy living with relatives in Kathmandu was working to pay his way through college. He lost his job in a restaurant when it closed after the lockdown. The college also shut.The adolescent boy went back to his district and was living with his parents and siblings for the past six months. He started feeling bored, frustrated, angry and developed <a href="https://www.nepalitimes.com/latest/have-suicides-increased-during-nepal-lockdown/" target="_blank" rel="noopener noreferrer">negative thoughts</a>.He started getting flashbacks of his break-up, and the abuse that he faced from relatives in Kathmandu. He started blaming himself and his family for his poor economic condition and all the other problems.He started smoking, and then moved on to drugs. His depression got worse and he started having <a href="https://www.nepalitimes.com/here-now/nepals-suicide-rate-vastly-underestimated/" target="_blank" rel="noopener noreferrer">suicidal thoughts</a>, and began to behave aggressively towards family members. He avoided communicating with them, he was sleep deprived, lost his appetite, and was constantly restless. He tried to run away from home several times.The boy’s behaviour stressed his parents, and his father called up the support group Koshish to see if they could help his son. But it was the father who also needed psychosocial counselling.Techniques such as grounding, PMR (Progressive Muscle Relaxation), mindfulness exercise, thoughts tracking and management were applied during the counselling session to help both the boy and his father. The psychologist also used SET (Somatic Experience Therapy), where the boy’s feelings, body sensations were explored. His interest, resources, support system, strengths, positive ideas and thoughts were also developed, and this helped him be clear about his thoughts.After the counselling session, the boy was on medication to manage his restlessness, sleep and appetite problems. He has now been able to banish negative thoughts, he does not behave in a violent manner anymore, and has given up smoking. Seeing the change in him, the boy’s father is also emotionally stabilised. He is still working on his problem, but has his family support.“This tele-counseling has been helpful and effective,” the boy says. “I can feel my confidence level increase. I am sure that I can go back to my studies and lift the economic status of my family.”The boy’s case is one of many in which the group Koshish has been involved with helping adolescents and others suffering from <a href="https://www.nepalitimes.com/here-now/post-pandemic-mental-health-epidemic/" target="_blank" rel="noopener noreferrer">stress and psychosocial issues caused by the Covid-19 crisis</a>.To be sure, <a href="http://archive.nepalitimes.com/article/editorial/the-republic-of-insomnia,3311" target="_blank" rel="noopener noreferrer">mental health was a serious problem in Nepal</a> even before the pandemic, but Covid-19 has made it more acute.  Because of the s<a href="https://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486" target="_blank" rel="noopener noreferrer">tigma associated with mental health</a>, very few seek counselling and treatment, and organisations like Koshish are trying to break that taboo.Koshish (which means ‘try’ in Nepali) has a toll-free counselling service for people all over Nepal. This has proved to be effective in connecting patients with counsellors when there are restrictions on travel.A 26-year-old woman who was living with her in-laws, daughter and husband in Bardibas, started suffering bouts of depression with the loss of family income after the lockdowns. She heard about the tele-counselling service, and described how her husband had returned from work overseas, and the family was suffering extreme poverty.The stress caused by this, and worries about supporting the family was giving the woman sleepless nights, severe headaches, stress and memory loss. She called up Koshish, and the tele-counsellor was able to pinpointed her mental state as being aggravated by family and neighbours making noise, quarrelling and shouting. These were triggers for her headaches. But the underlying issue was lack of money, and after talking to her about her skills, counsellors were able to convince her to take up tailoring classes.This reduced her headaches as she regained confidence and hope for the future to be able to take care of her family with income from tailoring. With breathing exercises and mindfulness sessions she learnt from counsellors, her worries lessened, and the woman gained self-esteem."After joining the tailoring class, I feel like I am busy and also capable of supporting my family economically in future., It made me feel hopeful and the headaches were gone,” she said. “My stress is managed and I now have a skill to increase my income.”She credits Koshish counsellors for helping her regain confidence. She felt heard, got a safe space to express her feelings and move on with her life. She adds, “My husband has now started working in a store, and is planning to find work abroad again after everything gets normal. I am buying a tailoring machine, and will open a shop to support my family.”These are just two case studies to prove that although there has been an increase in <a href="https://www.nepalitimes.com/here-now/its-all-in-the-mind/" target="_blank" rel="noopener noreferrer">mental health problems</a> among Nepalis after Covid-19, many of them can be managed with proper counselling. But the two examples are just the tip of the ice-berg – there are many more who could easily be helped with proper advice and treatment.What has been crucial is the ease with which those with problems can call up the helpline, and talk about their stress, worries and depression over the phone.Matrika Devkota was born and raised in Amppipal, Gorkha. He founded the grassroots organisation Koshish which works both in advocacy, awareness and counselling on mental health. Koshish National Mental Health and Counselling Organisation: <a href="https://www.koshishnepal.org/" data-saferedirecturl="https://www.google.com/url?q=https://www.koshishnepal.org/&amp;source=gmail&amp;ust=1602376676207000&amp;usg=AFQjCNFVLFEr2_jRtvRHjyt5_YA0cYulRA">https://www.koshishnepal.org</a>Toll-free helplines:Bagmati Province: 16601 22322Gandaki Province: 166061 52007Province 2: 166033 52011Province 7: 166010 56715

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Tackling Nepal's mental health pandemic

<figure><img width="1280" height="853" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915114/636bb3e29c7e80680e07bb6djpeg.jpg" alt=""/><figcaption></figcaption></figure>One of the stories that has been making the rounds since the Covid-19 lockdown that began nearly six months ago is that the suicide rate in Nepal has gone up in that period. But has it?Most media coverage tries to draw a correlation and causality between the lockdown, mental health and suicides, and use that to prove government inaction and incompetence on the issue.Statistics about the <a href="https://www.nepalitimes.com/latest/in-nepal-lockdown-a-domestic-violence-spike/">number of suicides</a> vary greatly depending on who is doing the counting. Even though <a href="https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-014-0358-9">the South Asian region</a> does seem to have a relatively high suicide rate, the quality of data is so uneven that it may be too soon to claim that the lockdown has caused an increase.In June and July, there were a slew of <a href="https://southasiamonitor.org/culturesociety/suicide-cases-increase-nepal-during-lockdown">articles</a> stating that there has been a 25% increase in the number of suicides in Nepal after the lockdown began. Similar numbers were picked up by other media, and was repeated so often that it has come to be accepted as the truth, stirring conversation among the youth about <a href="https://www.nepalitimes.com/here-now/post-pandemic-mental-health-epidemic/">support and access to mental health. </a>However, such analysis comes with its shortcomings due to rudimentary analysis of the limited data that exists in the country. In fact, the authors of various reports themselves acknowledge several limitations on the availability of time-series data to make accurate comparisons with previous years.However, that does not deter the media from using sensational titles to stories that often read, ‘Lockdown Leads To Increase in Suicides in the Country’. An overview of recent <a href="https://therisingnepal.org.np/news/31328">articles</a> on the topic shows that they actually cite the same data source to reach opposite conclusions.While most media are reporting an increase in the number of suicides, another <a href="https://thehimalayantimes.com/nepal/nepal-sees-decline-in-suicide-rate-by-35-this-fiscal/">article</a> concluded Nepal's suicide rate actually went down by 35% in 2019 compared to 2018. To find out the truth, we reviewed dozens of academic papers, journals, newspaper articles, and police records, but it was not easy to draw a credible conclusion.A literature review of some of the research from the past decades <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2777576/">suggests </a>that the suicide rate (per 100,000 people) in Nepal swings widely from 3.7 to 24.9, depending on who is counting. (see table below). <figure><img width="780" height="213" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915114/636bb3e59c7e80680e07bb6ejpeg.jpg" alt=""><figcaption>Literature review on the suicide rates in Nepal suggesting various suicide rates per 100,000 people based on various research types and methodologies. </figcaption></figure>The World Health Organisation (WHO) database <a href="https://apps.who.int/gho/data/node.main.MHSUICIDE?lang=en">suggests</a> that the suicide rate in Nepal is actually in a decline. Although the WHO does not have the latest lockdown figures, it reports an 8% suicide rate in 2016, which in fact is half the number shown by the data from the Nepal Police.This is puzzling, given that the standard narrative has been that the police are often under-reporting suicide data because its monitoring and tabulation mechanisms are not robust. On the other hand, the WHO data relies on estimates compared to direct reporting from Nepal Police and should have taken into account the under-estimation argument.  <figure><img width="674" height="484" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915114/636bb3e69c7e80680e07bb6fjpeg.jpg" alt=""><figcaption>Estimates of suicide rate in Nepal by the World Health Organisations (WHO), crude (2000 - 2016) available here. </figcaption></figure>Most <a href="https://www.nepalitimes.com/here-now/nepals-suicide-rate-vastly-underestimated/">media coverage of suicides</a> in Nepal rely on Nepal Police data (graph below), but even here the numbers have not been recorded for long enough to draw a definitive conclusion on trends during the lockdown. Only in the past three years has the Nepal Police started collecting reliable and <a href="https://www.nepalitimes.com/here-now/suicide-by-pesticide-in-nepal/">detailed data</a>, but even within that, the frameworks for data collection are different.Before 2018-19 only annual data was available to researchers. Since then, the raw data captures gender and monthly suicide trends, which provides a better proxy for comparison. It would be imperative to continue this data disaggregation before jumping to conclusions about annual trends, or correlating suicide rates to the Covid-19 <figure><img width="750" height="463" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915114/636bb3e89c7e80680e07bb70jpeg.jpg" alt=""><figcaption>A comparison of monthly suicide data for 2019 (blue) and 2020 (red) as recorded by Nepal Police. The last two Nepali months in the graph are April-May and May-June 2020.</figcaption></figure>There has reportedly been increased attention to mental health services in Nepal in recent years, and a dedicated hotline for suicide prevention. While this is true, it is still difficult to conclude a causality in either direction given the significant data limitations about mental health and suicide prevention and societal taboos.Moreover, various researchers have relied on different methodologies, including surveys and estimations, as age-standardised or age-representative groups. Because of these uncertainties, one thing is clear: narratives on the issue should try to go beyond merely pinpointing the rise and fall in the numbers of suicides in the country. <img width="640" height="415" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915114/636bb3eb9c7e80680e07bb71jpeg.jpg" alt="">The bottom line is that suicides should not and cannot be taken as a proxy for mental health issues people were experiencing before, during, and will continue to go through even after the lockdown. To do so, we need better indicators to evaluate mental health impact through all age groups and socioeconomic strata, which requires a systematic shift on how mental health is looked at in the country from an educational, societal, and institutional level. There have been some promising steps. In 2018, a <a style="color: #954f72; text-decoration: underline;" href="http://nhrc.gov.np/wp-content/uploads/2019/04/Pilot-national-mental-health.pdf?fbclid=IwAR0SgJpRCrXQmpHk5EkFAC3IqQhtqujAofUwHtJWO0fIGlxGlyrqRFp2_5U">pilot study</a> of the National Mental Health Survey among 1,647 participants was conducted by Nepal Health Research Council. It highlights the prevalence of any form of mental disorders at 12.9%, while the major depressive disorder at 0.7% for adolescents and 3.4% for participants above 17 years. Current suicidality among adolescents was 8.7% and 10.9% among adults. These numbers are high. While national level scientific studies are in progress to better diagnose the crisis, it is time to start addressing these numbers as well.  The rise and fall of suicide rates does not matter if nothing is being done to address the <a href="https://www.nepalitimes.com/latest/suicide-watch/">underlying causes of the crisis</a>. On Suicide Prevention Day on Thursday 10 September there should be a call to action for parents, teachers, governments, to acknowledge the severity of the mental health crises we have been facing even before the pandemic. Dr Rastriyata Bhandari is a medical professional based in Kathmandu. Niraj Pudasaini helped with data collection for this article, and is a student at New York University Abu Dhabi.

Have suicides increased during Nepal lockdown?

<figure><img width="1500" height="842" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70529c7e80680e060071jpeg.jpg" alt=""/><figcaption>Photo: SONIA AWALE</figcaption></figure>Michael Eddleston is a professor of Clinical Toxicology at the University of Edinburgh with over two decades of experience in suicide by ingesting pesticide. He is also the director of Centre for Pesticide Suicide Prevention and was recently in Nepal as a principal investigator of a research analysing self-poisoning in the country. Excerpts of his conversation with Nepali Times.Nepali Times: What is pesticide suicide?Michael Eddleston: All of us feel suicidal from time to time. Unless you are very depressed or have a mental illness, you survive the feeling and move on with your life. The green revolution brought highly toxic pesticides into homes that people drank in the moment of impulse without a second thought. Suicide rates went up massively in Asia because spontaneous acts of self-harm became lethal. These are accidental suicides, people don’t really want to die, drinking pesticide or a poison in many parts of Asia is an expression of anger or frustration.What is the burden of pesticide suicide in the region?Pesticide suicides have killed some 15 million people, mostly in this region of South and East Asia since the 1960s. The numbers have come down to about 150,000 people a year. China alone used to have 180,000 pesticide suicides per year back in the 1990s and it has come down to 50,000, partly due to mechanisation and restriction of Highly Hazardous Pesticides (HHP). In Nepal, 15-20% of suicides are from ingesting pesticides and about 1,000 people die every year. Read also: <a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/suicide-by-pesticide-in-nepal/" target="_blank" rel="noopener">Suicide by pesticide in Nepal</a>, Sonia Awale<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/nepals-suicide-rate-vastly-underestimated/" target="_blank" rel="noopener">Nepal's suicide rate vastly underestimated</a>, Sewa BhattaraiDo not shy away from seeking help. If you, or anyone you know, would like to speak to a trained mental health professional, please contact:TUTH Suicide Hotline: 9840021600Transcultural Psychosocial Organization-Nepal Crisis Hotline: 1660 0102005Mental Health Helpline Nepal: 1660 0133666What can we do about it?Ideally we could move away from all pesticides like Sikkim has done with natural farming. But this might take time so for now the simplest answer is to ban HHPs and replace them with less toxic chemicals. So when people take poison, it’s not toxic and they don’t die. There’s a clear data from Sri Lanka, Bangladesh and South Korea showing that when you ban just a few particular pesticides which people are commonly using for self-harm, the suicide rate falls rapidly and remarkably without affecting agriculture output. Sri Lanka banned Monocrotophos and Methamidophos in 1995 and in the next 20 years there was 70% reduction in all suicides saving around 93,000 lives at a cost of $50 per lives saved. This is one of the most effective public interventions from anywhere in the world. So legislation does work.What are the most toxic pesticides in Nepal? Dichlorvos and 3g tablets of Aluminium phosphide are the most hazardous pesticides in Nepal and the good news is that both of these have been addressed by the government already, they were recently banned. We are also identifying another toxic compound, a combination of Chlorpyrifos and Cypermethrin. What we have seen from case studies elsewhere is that after each ban something new always comes up but we have also found that they always kill less than those prior pesticides. https://www.youtube.com/watch?v=Dy5SX0RnYhA&amp;feature=youtu.beHow can we be sure people won’t go for another method after the ban?Yes, people often argue that pesticide bans don’t work, they will simply do something else. But that something else is often further away. I can walk to a tree to hang myself or to jump off a bridge but by that time I get there I might get bored, meet a friend on the way or get distracted one way of the other. Pesticides have high toxicity because they are hazardous and close by but if you switch to something else it will always be less toxic. And what we have seen in Sri Lanka is that when you ban pesticides, people don’t switch to other things and don’t attempt suicide again because they are not intended to begin with. But are you not treating a symptom rather than a disease, which is mental illness?Yes I accept that we are not dealing with the cause, but with the symptom but I want people to live. If you don’t live, you can’t see your psychiatrist. And it is not purely mental health. It’s also about culture and communication. If I have no other way of telling people how angry or upset I am, then I will stand in front of you and drink a bottle of pesticide to tell you how I feel. It is the same in the UK, Nepal and Sri Lanka. The only difference is the lethality of method. So I can’t stop suicide or self-harm as an individual but I can stop people from dying after self-harm, which means they get a chance to seek help if necessary.It’s a concept of harm minimisation, it’s not stopping people from self-harm because it’s difficult to change human behaviour and how people direct their anger and violence towards themselves or other people but we can make it safe. Which groups are more vulnerable?When we look at the patterns of self-harm, it’s found among young women between 15-20 years of age more than in anybody else. Women are generally sober and take a very small dose of poison. If you get rid of HHPs, these women suicides fall away and that was the case in China and Sri Lanka. Middle-aged men have more deaths because they tend to be intoxicated when they take poison and they take it in a higher dose so even if it’s a less toxic poison, the higher dose is enough to kill them. Suicide is a combination of people harming themselves and lethality of the method. How has the progress been in Nepal so far?Pesticide suicide in Nepal is comparatively smaller but that is also probably due to the number of bans the government has implemented over the last 15 years. Methyl parathion was a huge problem here in the 1990s and 2000s until it was banned and now there are no cases of suicides using this pesticide. It has been replaced more recently by Dichlorvos but that was also recently banned and will be out of shops in couple of years. There has been a remarkable changes going on here in Nepal to remove the most toxic pesticides and replace them with less hazardous alternatives. Tell us about your work here in Nepal.What we are trying to do in Nepal is work with our clinical colleagues, Nepal Public Health Foundation and the police laboratories to identify the most problematic pesticides that are killing people in Nepal and once we identify those, we will take that information to the concerned authorities and see how they want to move with that. Nepal has made a success and has thought about pesticide suicide carefully. What we are doing is bringing the focus on suicide and showing how to get rid of accidental suicides.

Suicide Watch

<figure><img width="1500" height="1010" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b704d9c7e80680e06006fjpeg.jpg" alt=""/><figcaption>Photo: MONIKA DEUPALA</figcaption></figure>Nepal’s public health system has no mechanism for recording suicides, and the only statistics about suicides can be found in police records. This data shows that about 5,000 Nepalis kill themselves every year. But since only police records are counted and attempted suicides are not reported, the official data gives no sense of the incidence of people trying to take their own lives. Based on police data and projections, the World Health Organisation put Nepal as the country with the 7th highest suicide rate in the world (24.9 per 100,000). Public health experts say that suicide is just the symptom, and that the real disease is poor mental health.Read also: <a href="https://www.nepalitimes.com/here-now/suicide-by-pesticide-in-nepal/" target="_blank" rel="noopener">Suicide by pesticide in Nepal</a>, Sonia AwaleMost people who commit suicide suffer from depression and other mental illnesses like schizophrenia and substance abuse disorders. The Nepal Health Research Council (NHRC) is for the first time conducting a nationwide survey of mental health by year-end, and already the picture is not looking good.Do not shy away from seeking help. If you, or anyone you know, would like to speak to a trained mental health professional, please contact:TUTH Suicide Hotline: 9840021600Transcultural Psychosocial Organization-Nepal Crisis Hotline: 1660 0102005Mental Health Helpline Nepal: 1660 0133666“From our pilot survey, we found depression in 3.4% of people, and suicidal tendencies in one out of every ten Nepalis,” says Kriti Adhikari of NHRC.  Most of these people cannot access the counselling and treatment they need since Nepal has only 0.13 psychiatrists per 100,000 people, and most of them are concentrated in urban areas. Nepal Police is the only entity that deals with suicide, and it is more concerned about the criminality of the act than about mental health.“Nepal’s law classifies suicide and abetting suicide as crimes, so our priority is figuring out the criminal element of the cases,” explains police spokesperson Shailesh Thapa Chhetri. “There is no punishment for suicide because the person is already dead. But we investigate to find out if the death was a murder or a suicide.”Read also: <a href="https://www.nepalitimes.com/latest/suicide-watch/" target="_blank" rel="noopener">Suicide watch</a><a href="https://archive.nepalitimes.com/article/nation/down-and-out,3158">Down and Out</a>, Smriti Basnet <figure><img width="1500" height="947" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b704f9c7e80680e060070jpeg.jpg" alt=""><figcaption> </figcaption></figure>The fact that Nepal Police personnel are not trained in mental health, and that the health system does not record suicides or suicide attempts means that there is no entry for suicide in the Health Information Management System, the database of all patients at government health facilities. This keeps suicides hidden. “The police data on suicide understates the problem of mental health in Nepal,” says Ravi Shakya, a physician at Patan Hospital, which has a mental health department. “We know more men die from suicide than women and they tend to use more violent means. But in fact, many more women attempt suicide and fewer of them succeed. They may come to hospital, recover, and go back home, but that does not mean their mental illness is over.”Except at Patan Hospital, victims of attempted suicides receive no mental health counselling after their physical health improves. But last year the Ministry of Health and Population appointed a focal person for mental health for the first time. This focal person, Phanindra Baral, acknowledges that Nepal has not done enough to address mental health and suicide prevention.Read also: <a href="https://archive.nepalitimes.com/page/suicide-in-nepal">End pain, not lives</a>, Anjana Rajbhandary“There are not enough psychiatrists in Nepal to serve the whole country. So for now, we are training the current health staff in basic mental health issues and counseling,” says Baral. “We are taking the program to 41 districts this year, and hope to serve all 77 districts in the next two years.”For the first time, the Ministry has included mental health as a priority in its proposal to the National Planning Commission, hoping to see that reflected in the next five year plan. But till that happens, there are other things to be done.“Mental health still has a stigma and people are not willing to acknowledge it or seek help. The first step is to raise awareness of mental health and suicide,” says Uden Maharjan, public health researcher and co-author of a paper on suicides in Nepal. “We need suicide helplines and people should be made aware of how to access them so they can open up.”  Read also: <a href="http://archive.nepalitimes.com/news.php?id=16792#.XhbkgFUzbIU">Self-destruct</a>, Indu Nepal <a href="https://www.nepalitimes.com/here-now/dead-end-of-the-korean-dream/">Dead end of the Korean Dream</a>, Ki Mindo in Seoul <h2>A note on suicide notes</h2> With the spread of social media, police have to contend with suicide notes not just on paper but also on the Internet platforms. But the real challenge of dealing with suicide note is still the same: the mental health. Should the declaration of a dead person be believed? And if the dying declaration blames someone else for that death, how credible is the allegation?Ravi Shakya, a physician at Patan Hospital says that dying declarations are usually held to be credible evidence. “When someone declares that they are want to die and proceed to kill themselves, we have every reason to take such a note seriously,” says Shakya. “However, if they blame another person, we cannot assume guilt based on the allegation. We have to take into consideration that the person who committed suicide could have been mentally ill.”The police also take such suicide notes seriously, but prioritise criminal investigation over mental health. “A suicide note is evidence, so we treat it with utmost care. We analyse the handwriting to make sure it matches the dead person’s. If the dead person blames other people, we consider them under suspicion until they are proven innocent,” says Shailesh Thapa of Nepal Police. The police do not necessarily question the sanity of the person who wrote the note, therefore sidelining the mental health aspect of the suicide.Read also: <a href="https://www.nepalitimes.com/here-now/dead-end-of-the-korean-dream/" target="_blank" rel="noopener">Dead end of the Korean Dream</a>, Ki Mindo in Seoul

Nepal’s suicide rate vastly underestimated

<figure><img width="960" height="720" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141152/636a5f779c7e80680e056e2ejpeg.jpg" alt=""/><figcaption>Bandana Timalsina reaches out to touch her husband‘s face one last time before his cremation at Pashupati in August. Kedar Timalsina hung himself at a seafood factory in Busan where he worked. Photos: Ki Mindo/ The Seoul Shinmun</figcaption></figure>For many Nepalis, it is dream to find work in Korea where they expect to earn many times more than in Nepal. Yet, there is a dark side to the Korean Dream: between 2009 to 2018, there were 143 deaths of Nepali workers in South Korean soil, and of them 43 were suicides.The 31% suicide rate is much higher than workers from other nationalities. Among Burmese workers, there was a total of 51 deaths and 4 involved suicide, from 2011 to August 2019. Suicides rate is relatively low among Vietnamese migrant workers with zero suicide out of the 14 deaths from 2017 to August 2019.Most of these deaths involved E-9 non-professional employment visa holders who had been employed at farms and factories that suffer a chronic labour shortage. While these tragic deaths repeat every year, the South Korean government does not have a clue why so many migrant workers make such an extreme choice."Nepali migrant workers who come to South Korea under the employment permit system tend to be highly educated," notes Seo Seonyoung, a Sociology researcher at Yonsei University. “Their families have great expectation for them, but as soon in Korea they find themselves at the lowest rung of the workforce ladder. The unbearable stress could eventually force them to commit suicide." <figure><img width="960" height="720" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141152/636a5f7a9c7e80680e056e2fjpeg.jpg" alt=""><figcaption>A mother holds the photograph of her son, who suffered from depression while working in South Korea, and died after he returned. There have been 43 suicides by Nepali workers in Korea between 2009-2018.</figcaption></figure>There are growing voices calling for a systematic improvement to end the vicious cycle. The South Korean government has been trying to improve ties as part of its 'New Southern Policy' to balance its need for migrant workers to address the shortfall of workers.There are now 2.42 million migrant workers in Korea, and the number has nearly doubled in the past 10 years. Local farms and factories cannot function without migrant workforces.Hong Sung Soo, Law professor at Sookmyung Women's University says: "Discrimination and xenophobia towards migrants are not only inappropriate, but also not clever at all if we consider our industrial and demographic reality."Labour rights groups and health activists have been trying to find out why there is such a high suicide rate among Nepali migrant workers in farms and factories in South Korea."It is not just a single factor, there is a web of complex reasons that trap migrant workers towards the extreme choice," explains Jeong Young-seob, Co-director of the group, Migrants Act.A field survey in August of 141 migrant workers from Nepal by the Seoul Shinmun newspaper, Green Hospital and the Migrants Trade Union showed that there were four main factors: gap between expectation and reality of working in Korea, lack of exit, high expectations from loved ones back home, and ruined relationships in Nepal.Great Expectations = Great DisappointmentsTo aspiring Nepali migrant workers, South Korea is a land of opportunity, where they hope to earn five to eight times more than in a job back home. Even highly educated young Nepalis apply for an E-9 visa to South Korea. But when they arrive, they often struggle with harsh labour conditions and discrimination. Of the respondents in the survey, 28% cited a gap between the reality of their work and the expectations they had. Like Surendra, 28, who has been working in a mushroom farm for three years. He has a degree from Tribhuvan University.He says: "Before I came here, I was excited about earning Rs300,000 a month, but I had no idea about working and living conditions. Back home we rarely experience working for 12 hours without any real break. I was not even learning any skills, it was simple manual labour.”The survey showed that 45.6% of the respondents worked more than 52 hours a week, and 19% said they worked 60 hours a week, and only 26% said they had a normal 5-day work week.No ExitAfter working in South Korea for 16 months, Nepali migrant worker Shrestha, 27, jumped from the rooftop of his company dorm in June 2017. He had been suffering from insomnia as he struggled to adjust to alternate day and night shifts. His suicide note said: ‘I have been seeing doctors for health problems and sleep disorders. It did not improve. I wanted to quit and find another job but the company did not allow it. I wanted to go back to Nepal to recover, but the company said no.’ The survey showed that 71% of respondents had tried to find a new job, and 36% of them said this was because of long working hours and dangerous conditions.Migrant workers who come to South Korea under the employment permit system are allowed to change workplaces up to three times within a three-year period. But it requires permission from their employers.Hard WorkNo matter how harsh and hostile the work environment in Korea, returning to Nepal is not an option for most. It was not easy for them to come to Korea in the first place, and they carry the weight of their family's expectations on their shoulders."If migrant workers go back, the villagers would criticise them for forsaking a great opportunity, people will laugh at their failure and brand them weak. Caught between a rock and a hard place, many Nepali migrant workers commit suicide," explained Udaya Rai, the Nepali head of the Migrants Trade Union.Ruined RelationshipsWhat sustains migrant workers despite harsh working conditions in Korea is love of families back home. However, when their relationship collapses, it leads to great emotional stress. Tej Bahadur Gurung, 29, had two friends who committed suicide due to family or relationship problems.Kham Gurung, 45, recalled: "I had to deal with a family issue while I was working non-stop in Korea, but I couldn't afford to go back. That really tormented me."Naivety and lack of exposure to the outside world among Nepali youth who need better jobs to take care of their families creates a problem, says Kapil B Dahal of the Department of Anthropology at Tribhuvan University in Kathmandu.Dahal says there have been no systematic study of suicides among Nepali migrant workers in Korea, or elsewhere. The Korean Ministry of Justice keeps a record of the deaths of migrant workers by country, but does not have data on the cause of death."Nepali migrant workers in the Middle East and Europe also commit suicides, yet the Nepal government and politicians do not do anything. Nepali migrant workers make a great contribution to the country's economy, but their health is overlooked and their suicides are ignored," Dahal says.The Nepal Embassy in Seoul offers counseling services for migrant workers, but Udaya Rai of the Migrant Trade Union questioned its effectiveness. "They are not interested in addressing these deaths and suicides, they fear the South Korean government might slash the quota for Nepalis if we start to speak up. That is why they stay silent and hurriedly send bodies back to Nepal." <figure><img width="960" height="720" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141152/636a5f7d9c7e80680e056e30jpeg.jpg" alt=""><figcaption>Wrapped in cardboard, the coffin containing the remains of Kedar Timalsina arrives at Kathmandu airport in September.</figcaption></figure>Kedar Timalsina, 28 A coffin was rolled out of the arrival area of Kathmandu airport recently. Inside was the body of Kedar Timalsina who hanged himself on 20 July in Busan inside the warehouse of the seafood processing factory where he worked."This paper doesn't say anything about why Kedar killed himself," family members at Kathmandu airport said, examining his death certificate from South Korean police.Kedar’s family could not understand why he would kill himself. It had been only 25 days since his wife Bandana gave birth to their first son. "I even heard Kedar threw a big party in Korea to celebrate the birth of the baby. Why would such a man kill himself? It doesn't make any sense," said Bandana’s brother. Kedar had an aging mother who just turned 60, and would need his care more than before.What further frustrates the grieving family is the silence and indifference from both their government and the Korean authorities. For the Nepal Embassy in Seoul its responsibility was over after shipping the coffin to Kathmandu. South Korean police never investigated surveillance camera footage at the factory, or forensics on Kedar’s phone. <figure><img width="960" height="720" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141152/636a5f809c7e80680e056e31jpeg.jpg" alt=""><figcaption>Bandana Timalsina with her son in her lap at their home in Dong Kharka village in September. The baby was only 25 days old when her father Kedar Timalsina took his own life while working at a factory in South Korea. </figcaption></figure>According to South Korean police, Kedar’s co-worker had told them he had recently purchased some land in Nepal, which turned out to be a fraud. Kedar’s family says that is not true because the land he bought two years ago had nearly doubled in price. None of Kedar’s personal belongings were returned to his family, and Korean police said the Embassy had told them the family did not want them back. The family said the Embassy had never contacted them about his belongings."We are responsible for confirming the identity and death certificate in order to promptly return the body back to family in Nepal. The Embassy does not send back items unless they are important," the Embassy of Nepal replied when asked about it.At the cremation site in Pashupati, Bandana wept as she caressed her husband’s face for the last time. “What do I do with our baby?” she cried. It took four hours for the fire to consume Kedar’s body, and with it his ‘Korean Dream’. <figure><img width="960" height="720" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141152/636a5f829c7e80680e056e32jpeg.jpg" alt=""><figcaption>Maiya Gurung looks at a picture of her daughter with her husband Bal Bahadur Gurung, who committed suicide by jumping off a bridge in Seoul in June. After failing to secure a new job, Gurung was facing deportation back to Nepal. </figcaption></figure>Bal Bahadur Gurung, 32 "He really loved the children. These kids remind me of my husband every time I see them," said Maiya Gurung, 28, wiping tears with a tissue under her shades.Maiya's husband Bal Bahadur Gurung jumped off the Wolleung Bridge in Seoul, on 12 June, and died instantly after being hit by a passing vehicle. CCTV footage showed Bal Bahadur walking nervously back-and-forth over the bridge several times, hesitating. He had become an ‘unregistered’ migrant two days ago, and feared deportation.Bal Bahadur entered South Korea with a proper work visa in October 2017. In March, he left the company and registered himself at the Ministry of Labor to find another job. Migrant workers automatically lose their right to stay in the country if they fail to secure employment within three months. Bal Bahadur went back to Nepal to spend a short time with his family then returned to Korea, but had no luck finding a job within the three month deadline.Maiya Gurung came to South Korea to take her husband’s remains. Her neighbours tell her that her husband looked so happy when he was visiting Pokhara two months before his suicide. Shocked by his youngest son’s tragic death, Bal Bahadur’s father, a former soldier, is suffering from amnesia.Maiya’s seven-year-old daughter asks her: “Did Daddy die?”“No,” she replies, “your father has gone abroad to work." Maiya Gurung weeps as she tells us later, “I want to die, too. But when I think of these poor children, I can't." <figure><img width="720" height="960" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141152/636a5f859c7e80680e056e33jpeg.jpg" alt=""><figcaption>Dhan Raj Ghale’s hand-written suicide note in English. He took his own life eight years ago in Korea after an altercation with a Mongolian worker.</figcaption></figure>Dhan Raj Ghale, 40 ‘I am enocent. I have no mistake. Company cheating me. I am no crazy […] company take my signiture [...] please investigation please’ This is the note left by Dhan Raj Ghale’s hand-written suicide note in English before he hanged himself in 2011 while working at a futon factory in Daegu City. Dhan even had a plane ticket booked to go back to Nepal.Upon seeing a Korean reporter in August in Pokhara, Dhan’s wife Man Maya Ghale, 48, and Dhan’s younger brother Bhim Raj Ghale, 36, recalled the events of eight years ago.Bhim said his older brother was a hard-working man who loved his family more than anything else in the world. “After seeing the letters, I thought Dhan must have been bullied at work,” Bhim recalled.Dhan also left another short letter written in Nepali: ‘I’ve done nothing wrong. I once fought with another worker from Mongolia. I don’t know what that Mongolian guy told Korean people…’He also wrote twice to the manager of the company: ‘You don’t talk to me anymore. I don’t understand. Please tell me why.’ <figure><img width="960" height="720" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141152/636a5f879c7e80680e056e34jpeg.jpg" alt=""><figcaption>Dhan Bahadur Ghale's brother Bhim with his suicide note at the family home in Pokhara in September.</figcaption></figure>The company, however, denied there was bullying, and that Dhan was never asked to sign any document. Dhan may have found Korea’s alternate day and night shifts difficult, and had been working night shifts for two months before his death. “My husband told me he could not sleep when he was working night shifts,” Man Maya recalled.Dhan’s daughter and son were ten and five at the time of their father’s death. Now they are in college and school. "I will never forgive those people who mistreated my father,” Dhan's son vows revenge, and the siblings have made joint promises to themselves they will never go overseas to work no matter what.Nevertheless, Man Maya and Bhim said they did not hate Koreans. “You see in South Korea, as well as in Nepal, there are good people and bad people. Sadly, my husband met bad people. I don’t want to blame all Koreans because of them. I just want those bad ones to be punished.”Some names have been changed.Ki Mindo is a reporter for The Seoul Shinmun key5088@seoul.or.kr These articles are reprinted under special arrangement with the Seoul Shinmun which published the <a href="https://www.seoul.co.kr/news/newsView.php?id=20191001500198">stories</a> in Korean on 23 September, 2019 as part of a Special Series titled 'The 2019 Migrant Report: Betrayed Korean Dreams'.More stories from Nepali Times on Nepalis in Korea:<a href="https://archive.nepalitimes.com/article/nation/Korean-kafala-migrants-in-Korea,4025">Korea Kafala</a> by Om Astha Rai and Seulki Lee in Seoul<a href="http://archive.nepalitimes.com/article/nation/Korea-treating-Nepali-migrant-workers-right,2813">Doing it the right way</a> by Seulki Lee<a href="http://archive.nepalitimes.com/article/interview/interview-with-Korean-ambassador-Choi-Yong-Jin,2767">“Hope Nepal’s difficulties end soon” </a> Interview with Korean Ambassador hoe Yong Jin

Dead end of the Korean Dream

<h2>The conflict and earthquake added to Nepal’s hidden epidemic of mental disorder</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110710114/6368ca479c7e80680e02f2fejpeg.jpg" alt="" width="1400" height="1050"/><figcaption>MEMORIES: Nani Maiya Prajapati was serving lunch to her husband, daughter, son-in law and two grandchildren when the earthquake struck three years ago. She survived, but the rest of her family did not. The 2015 tragedy left mental scars on thousands of survivors like her that will take time to heal. ROJITA ADHIKARI</figcaption></figure><a href="http://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486">One-third of Nepalis</a> were already suffering some form of psychiatric disorder, but mental health experts say the numbers <a href="http://archive.nepalitimes.com/article/nation/psychological-scars-of-maoist-conflict-on-young-survivors-take-longer-to-heal,1519">went up significantly during the Maoist conflict</a> and rose again after the <a href="http://archive.nepalitimes.com/blogs/kundadixit/2015/05/27/a-month-that-felt-like-a-year/">2015 earthquake</a>.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110710114/6368ca4a9c7e80680e02f2ffjpeg.jpg" alt="" width="130" height="101">Besides existing psychological disorders in the general population, there are now torture victims, child soldiers, combatants with post-traumatic stress disorders (PTSD), <a href="http://archive.nepalitimes.com/article/nation/Mental-cost-of-migration,3159">mistreated migrant workers</a>, and lately earthquake survivors who had narrow escapes or lost family members.Read Also: <a href="https://www.nepalitimes.com/?p=4261&amp;preview=true">Time heals</a>, Prabin DhungelArun Bhattarai was lying down for a nap that Saturday three years ago when a deep underground rumble followed by a big jolt woke him up. His house in Dhading collapsed, and his family became earthquake refugees in Kathmandu. Bhattarai, now 46, suffered from insomnia and anxiety attacks for months afterwards. The trauma drove him to drink, but today after treatment he has beaten his alcoholism.“A lot of people suffered from anxiety, <a href="http://archive.nepalitimes.com/article/editorial/the-republic-of-insomnia,3311">post-traumatic stress disorder</a> and depression following trauma and bereavement during the earthquake, some even attempted suicide,” says mental health specialist Kapil Dev Upadhyay. “The disaster aggravated the psychosocial condition of many patients who were already recovering.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110710114/6368ca4b9c7e80680e02f300jpeg.jpg" alt="" width="500" height="715"><figcaption> </figcaption></figure><a href="https://reliefweb.int/sites/reliefweb.int/files/resources/Hidden-Aftershocks_Summary-Report.pdf">A survey</a> of earthquake-affected districts of Rasuwa, Nuwakot and Makwanpur for the Nepal Red Cross Society, conducted by the group Transcultural Psychosocial Organisation (TPO),  showed that nearly 40% of respondents suffered from <a href="http://archive.nepalitimes.com/regular-columns/all-in-mind/the-silent-scream-depression-is-common-but-only-few-get-treatment,588">depression</a> and anxiety for a year-and-half after the earthquake. Another 22% said they had suicidal thoughts, and a quarter had taken to drinking heavily. More women than men were affected by the symptoms (see chart).Sunita KC was out for a Saturday walk with her husband at Kathmandu Darbar Square when nearby <a href="http://archive.nepalitimes.com/article/nation/Monumental-loss,2215">monuments swayed and collapsed</a> in clouds of dust. The 23-year-old was plagued with nightmares and lost the will to live. She got better after medication, but three years later her symptoms have returned. This week KC was in a clinic in Kathmandu with her family for consultation where she was diagnosed with severe depression.At the Psychiatric Department of Teaching Hospital, Rishav Koirala estimates that every family has at least one member afflicted with some form of mental illness after the earthquake.“In a way, the earthquake was a blessing in disguise because it raised public awareness about mental health and partially removed the <a href="http://archive.nepalitimes.com/news.php?id=14138#.WthaP26FPIU">stigma</a>. The government was also forced to address mental healthcare.”Indeed, the government trained MBBS doctors to provide psychiatric help to survivors in the primary health care systems and district hospitals. Nepal’s Mental Health Policy, adopted in 1997 but rarely implemented, is finally being revised.At an <a href="http://mentalhealthconferencenepal.com/programme/">international conference on mental health in Kathmandu</a> in February, the government pledged to prioritise mental health, increase investment for a mental health focal unit in each provincial health ministry, and to recognise alcohol and substance abuse as mental health problems.“School level psychological education can help change societal attitudes towards mental disorders, and since Nepalis are resilient and family-oriented there is a support system,” says psychiatrist Namrata Pradhan at Model Hospital.Nepal has one of the lowest patients to psychiatrists ratios in the world. In addition, society has entrenched stigma about ‘mad’ people who are often ostracised, often by family members. Even before the earthquake, patients were left to fend for themselves.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110710114/6368ca4d9c7e80680e02f301jpeg.jpg" alt="" width="878" height="516"><figcaption> </figcaption></figure>Rabi Shakya, professor of psychiatry at the Patan Academy of Health Sciences agrees that the public is more aware of mental disorders after the earthquake. “There has been a visible change in terms of awareness and general acceptance level regarding mental health, and as a result patients are coming out and seeking treatment,” he told Nepali Times this week.Post-earthquake studies have shown higher rates of psychiatric disorders, but the major limitation is the lack of a baseline study. The Nepal Health Research Council is now preparing a nationwide mental health survey later this year to help develop a longterm plan to upgrade psychiatric care.Says mental health activist and former patient Jagannath Lamichanne: “We need public awareness and acceptance so that people are comfortable with sharing their experiences, and that can be the most powerful tool for prevention.”Name of patients have been changed.Read also:<a href="http://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486">Stigma and silence</a>,  Ketan Dulal<a href="http://archive.nepalitimes.com/article/editorial/the-republic-of-insomnia,3311">The republic of insomnia</a>,  Editorial<a href="http://archive.nepalitimes.com/article/nation/psychological-scars-of-maoist-conflict-on-young-survivors-take-longer-to-heal,1519">Post-conflict stress syndrome</a>,  Taylor Caldwell<a href="http://archive.nepalitimes.com/article/nation/down-and-out,3158">Down and Out</a>,  Smriti Basnet

Sonia Awale

It’s all in the mind

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110710114/6368ca509c7e80680e02f302jpeg.jpg" alt="" width="1500" height="844"/><figcaption>Pic: Gopen Rai</figcaption></figure>Immediately after <a href="http://archive.nepalitimes.com/blogs/kundadixit/2015/05/27/a-month-that-felt-like-a-year/">the earthquake</a>, there was a <a href="http://archive.nepalitimes.com/article/editorial/the-republic-of-insomnia,3311">sudden surge of patients with mental disorders</a> in Kathmandu’s psychiatric clinics.But since 2016, records at the Nepal Mental Hospital and Bir Hospital show a sharp decrease in the number of patients with post-traumatic stress disorders. Doctors say the reason is that most patients with earthquake-related psychosocial issues received medication, counselling and support from families in the last three years.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110710114/6368ca539c7e80680e02f303jpeg.jpg" alt="" width="130" height="101">Even so, some survivors still have anxiety attacks during an aftershock or when they hear loud noises. Pukar Gautam was a college student who found himself in the narrow alleys of Patan when the earthquake struck.Read Also: <a href="https://www.nepalitimes.com/?p=4260&amp;preview=true">All in the mind</a>, Sonia Awale“I was terrified and took cover below a sturdy beam,” Gautam remembers. He was traumatised for months afterwards, and even today feels claustrophobic in narrow, crowded alleys.Many traumatised children had to be counselled when schools reopened two months after the earthquake in 2015. They could not concentrate on their studies, had difficulty sleeping and looked distracted.Niroj Mali is a teacher at Chantal Mauduit Academy in Taukhel, and remembers students were still in shock when they came back to school. Instead of regular classes he had the children sing, dance and watch cartoons. “They are doing well now, the earthquake seems like a bad dream,” Mali says.Sandeep Bista, 32, works for the Red Cross and was trapped in a room in Bhaisepati with a visiting aunt when the earthquake struck. He was treated for persistent anxiety, and feels much better now. But his aunt suffers relapses and has to regularly visit the district hospital in Ramechhap.Chief Psychiatrist Lata Shrestha at the Nepal Mental Hospital confirms that the number of patients with psychological trauma has declined to levels before the earthquake. “I have seen more people now seeking psychological help and counselling for trauma and this is a positive side-effect of the earthquake,” she says.Nawal Jha was posted to hospitals in earthquake affected districts and remembers treating many survivors with <a href="http://archive.nepalitimes.com/article/nation/down-and-out,3158">mental disorders</a>. Younger patients who had seen much death and destruction were even <a href="http://archive.nepalitimes.com/regular-columns/all-in-mind/suicide-after-earthquake,496">suicidal</a>, he remembers.Purnima Lama was in a building in Bungamati and suffered a fracture when the house she was in collapsed. She needed medical treatment, but was reluctant to seek psychological counselling. “I was scared <a href="http://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486">others would think I was mad</a>,” she says, recalling how a relative was ostracised from her village in Dhading after she was mentally traumatised after a brother was killed during the conflict.Psychiatrist Basu Dev Karki also says societal attitudes towards mental disorders are changing: “People now look at mental health at par with other medical conditions. That is a positive step in ensuring the mental wellbeing of the people.”Some names have been altered.  Read also:<a href="http://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486">Stigma and silence</a>,  Ketan Dulal<a href="http://archive.nepalitimes.com/article/editorial/the-republic-of-insomnia,3311">The republic of insomnia</a>,  Editorial<a href="http://archive.nepalitimes.com/article/nation/psychological-scars-of-maoist-conflict-on-young-survivors-take-longer-to-heal,1519">Post-conflict stress syndrome</a>,  Taylor Caldwell<a href="http://archive.nepalitimes.com/article/nation/down-and-out,3158">Down and Out</a>,  Smriti Basnet

Time heals

Nepal’s only international aviation gateway, at Kathmandu airport, will cut night-time operation hours to allow construction of taxiways, and airlines have been told to curtail flights. This is expected to lead to more than normal chaos during the height of peak autumn and spring tourist seasons at an airport that is congested even at the best of times. The airport will close from 10PM to 8AM from 8 November-31 March 2025. The taxiways will now connect to the thresholds at both ends of the runway, making the airport more efficient in handling higher frequencies of landings and takeoffs. The parallel taxiway extension will allow international flights to land every 4 minutes instead of the current every 7 minutes. At present planes have to wait to land until a plane taking off backtracks along the runway.&nbsp; Kathmandu is Nepal’s only airport with international operations, and it has only one runway that is only one way in from the south over the mountains. With the taxiway improvement, the airport will be able to handle 42 aircraft landings and takeoffs per hour — double the current capacity.&nbsp; The Civil Aviation Authority of Nepal (CAAN) has been trying to entice international airlines to also start flying to and from the other two international airports at Pokhara and Bhairawa (Lumbini) by slashing landing and handling charges. But so far only Nepal Airlines operates a weekly flight to Bhairawa from Kuala Lumpur.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241018161016_046569e53d1d66cd445cc66c697c0ef724810aec9f54bdf827481e3cd6b80c32.jpg" data-media-id="editor_0" data-image-id="20241018161016_046569e53d1d66cd445cc66c697c0ef724810aec9f54bdf827481e3cd6b80c32" data-rendition-name="original" width="2356" height="1134" loading="lazy" alt="Kathmandu airport expansion"> <figcaption>Kathmandu Airport Expansion plan with extension of taxiways to the thresholds of runways 02 and 20 that will limit airport operations from 8 November 2024 - 31 March 2025. Areas in blue are existing structures, including the international terminal which in future will be the domestic airport, and the new international terminal near the north end of the runway,</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241018121028_6e17cc2ee87c1b02d78cb54905825b7aa15299b7a00f5eddb01a59579ab85c1a.jpg" data-media-id="editor_1" data-image-id="20241018121028_6e17cc2ee87c1b02d78cb54905825b7aa15299b7a00f5eddb01a59579ab85c1a" data-rendition-name="original" width="1353" height="1328" loading="lazy" alt="Kathmandu airport NT"> </figure>  CAAN has reportedly told international airlines to cut their flight frequency to Kathmandu citing the shorter operation hours and has told budget airlines to shift some of their flights to Pokhara or Bhairawa, or face cuts. Many airlines currently operate regular flights to and from Kathmandu between 10PM and 8AM: Air Arabia to Sharjah, Fly Dubai to Dubai, Jazeera Airways to Kuwait, Cathay Pacific to Hong Kong, Singapore Airlines, several Nepal Airlines flights, and one of four daily flights by Qatar Airways to Doha. Jazeera Airways, FlyDubai, and Thai AirAsia have applied and got permission from CAAN to begin regular flights to Bhairawa’s Gautam Buddha International Airport. Starting 9 November, FlyDubai will start making a stopover in Bhairawa before flying on to Kathmandu. Immigration, customs and security are all fully functional in Bhairawa. In Kathmandu, the next phase of the airport upgrade includes converting the current international terminal for domestic operations, the construction of a new international terminal where the domestic departure area is now, as well as moving the hangars and the Nepal Army Air Wing to the eastern side of the runway. The apron area will also double its parking space for widebody jets. This is part of a Airport Capacity Enhancement Project that was initially funded through a $80 million loan from the Asian Development Bank (ADB), and the entire masterplan is expected to cost $800 million. This project is the latest upgrade to Nepal’s only international airport since it saw its first flight in 1949. The current international and domestic terminals are too small to handle the current annual traffic volume of 8.5 million passengers a year that is growing at 20% a year.

Kathmandu airport to cut flight hours

As Kathmandu becomes more congested and polluted, and with remote online work becoming the norm, many professional Nepalis are planning to retire in Pokhara, or move there.&nbsp; With its stunning mountain panorama, balmy winters and proximity to a profusion of wilderness areas, builders are responding to this demand with new townhouses, housing development and apartments. One such block of flats is the 10-storey <a href="https://sungavaapartment.com/">Sungava Apartment</a> located at Phulbari above the Seti River, near the point where it flows into and under Pokhara. The imposing structure near Manipal Hospital is almost complete, and on a recent visit the site was strewn with huge boulders unearthed while digging the foundation.&nbsp; The Seti brought down these boulders during a gigantic flood that geologists estimate happened 800 years ago when a chunk of Annapurna IV broke off and ploughed into the glacier below. Today, Sungava (means ‘orchid’) sits safely on a high terrace, 100m above the blue-green Seti and commands a view of Dhaulagiri, Annapurna South, Machapuchre, Annapurna III and IV.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024102411104_5f8fc736c86ea3c08d7bef43bb727081d3cc1a2caa55ae2b441717e6044de7e9.jpg" data-media-id="editor_1" data-image-id="2024102411104_5f8fc736c86ea3c08d7bef43bb727081d3cc1a2caa55ae2b441717e6044de7e9" data-rendition-name="original" width="2016" height="1512" loading="lazy" alt="High living below the Himalaya NT"> </figure>  The soil here is conglomerate that has solidified like concrete, and the boulders were extracted by heavy earthmovers. It is intriguing to think that these metamorphic rocks as big as cars, rounded by glacial grinding, were once a part of a much higher Annapurna IV. Even for those with little interest in geology, Sungava is an ideal place to contemplate the tectonic forces that pushed these peaks into the sky to be sculpted into delicate shapes by wind, snow, earthquake and avalanche over millions of years. The view of the Himalayan panorama from Sungava’s many balconies are breathtaking when not obscured by clouds, or the haze that drifts in from across the southern border. On most days, just watching the towering pyramid of Machapuchre (Tamu name: कतासुँ क्लिको) play hide and seek with the clouds is mesmerising. There are rocks aplenty at Phulbari, and it is probably the flowers that grew along the flat terraces e that gave the place its flowery name. The boulders will hopefully be turned into a rock garden while landscaping. An nearby restaurant complex is making the best use of the stones in its design, using flat rocks as outdoor benches and tables. Sungava was designed by the husband-wife architect team of Deepak Sherchan and Jyoti Joshi of <a href="https://thedarkmermaidamarbshrestha.blogspot.com/2013/12/creative-builders-collaborative-cbc.html">Creative Builders Collaborative (CBC)</a>, which also built Heritage Plaza, Indreni Apartment and numerous other projects in Nepal. Sadbhavana retains CBC’s trademark Newari-style masonry and here it borrows from the orange brickwork of the old town of Pokhara, integrating it with modern design elements. A few of those heritage houses are still standing in Ganesh Tole and Ram Krishna Tole in Pokhara’s old quarter.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024102411108_5eb64a4885961b6d30781cefeb1e8a313da313ac5227c7a66b60f0c7d48d6fab.jpg" data-media-id="editor_3" data-image-id="2024102411108_5eb64a4885961b6d30781cefeb1e8a313da313ac5227c7a66b60f0c7d48d6fab" data-rendition-name="original" width="1362" height="595" loading="lazy" alt="High living below the Himalaya NT"> </figure>  About 400m from the apartment past a bend on the river, and down below three tiers of terraces in the canyon is a suspension bridge. Below it, the Seti is still swollen with post-monsoon flow as it tumbles away in a hurry to head down south.&nbsp; Back at the apartment, it is quiet, far away from the hubbub of Lakeside a 15 minute drive away, and in the lap of greenery. There are 52 units at Sungava and it already has a close-knit prospective community of professionals, including doctors, publishers, engineers, and businesspeople from the renewable energy and IT sectors.&nbsp; Some residents say they opted for a second home in Pokhara to make it a ‘base camp’ to explore the Annapurnas with its many hiking trails made newly accessible with new roads. With the NRN citizenship law, overseas Nepalis can now also buy the flats. &nbsp; The floor plans include options for north and south-facing 3-bedroom apartments with verandas, and the facility has underground parking has EV charging, heated pool, sauna and gym. There are still some unsold apartments with panoramic views of the mountains and one can imagine oneself at the kitchen with its huge window, humming a ditty while preparing breakfast: “खाना पकाउँ हिमाल हेरेर...”

High living below the Himalaya

When the United Nations held its Summit of the Future at its headquarters in New York in September, many world leaders, including Nepal’s Prime Minister K P Oli, highlighted the effect of climate breakdown in increasing the frequency and intensity of natural disasters. What did not get as much attention was the long term impact of the climate crisis on food production. In fact, heat stress, weather extremes and the consequences on rain-fed agriculture is already being felt worldwide, undermining the chances of the <a href="https://unstats.un.org/sdgs/">UN’s Sustainable Development Goals (SDGs)</a> being met by 2030.&nbsp; The SDG’s 17 targets commit countries like Nepal to reduce poverty and inequality, end malnutrition, protect the natural environment, and ensure that citizens all enjoy health, justice and prosperity without leaving anyone behind.&nbsp; However, besides the impact of climate breakdown on agricultural production, in Nepal the area under cultivation is impacted by urban expansion, falling productivity and the need for expensive inputs like fertiliser and pesticides.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_626413c5baf4dae407ac9579231b41daeb51510aa636b75aeb7489d94cca6a62.jpg" data-media-id="editor_1" data-image-id="20241019041052_626413c5baf4dae407ac9579231b41daeb51510aa636b75aeb7489d94cca6a62" data-rendition-name="original" width="999" height="1500" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>Kathmandu's urban sprawl is eating into its fertile cultivable lands. Photo: TAYLOR MASON</figcaption> </figure>  Now, a new study led by Nepali researcher Prajal Pradhan at the University of Groningen in The Netherlands looks at how urban agriculture may offer a solution to falling food production and meeting SDG targets. The researchers evaluated 1,450 publications exploring the contributions of urban agriculture with both positive and negative effects, and published their findings in the journal Cells Report Sustainability. Urban agriculture can help achieve 17 SDGs, positively influencing 81 targets. However, it could also undermine 51 goals.&nbsp; Read also: <a href="https://nepalitimes.com/here-now/the-vanishing-land">The vanishing land</a>, Taylor Mason “Urban agriculture offers immense potential for sustainable development, but realising this potential depends crucially on adopting practices that minimise its adverse effects while maximising its benefits,” Pradhan explains. Urban agriculture can substantially enhance urban food security, provide employment to the urban poor, serve as ground water recharge in built-up areas, and preserve open spaces that can serve as safe havens during disasters like earthquakes. However, it also presents problems like the potential health risks from contamination and the need for expensive inputs. &nbsp; “Urban agriculture plays a definitive role in advancing the SDGs, but achieving this requires tailored, context-specific solutions that address the unique challenges of different regions,” says Yuanchao Hu of Wuhan University in China and who is a researcher at the Potsdam Institute for Climate Impact Research. “But it needs equitable access and rigorous management of environmental risks.”&nbsp; Rapid urbanisation is eating into Nepal’s most fertile agricultural land, which means farming in remaining open spaces inside cities can be a viable alternative, especially as food prices rise.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_7b7c9413086226fbdc630d45acf772cfa1ced77a8970b9056ec5ec7e5226fdf8.jpg" data-media-id="editor_3" data-image-id="20241019041052_7b7c9413086226fbdc630d45acf772cfa1ced77a8970b9056ec5ec7e5226fdf8" data-rendition-name="original" width="1500" height="999" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>A vegetable patch in between new houses in Thimi. Photo: TAYLOR MASON</figcaption> </figure>  “The conversion of Nepal’s most fertile land into cities is a severe problem,” Pradhan told Nepali Times. “Crop cultivation, horticulture, agroforestry, beekeeping, livestock rearing, or aquaculture can all be farming activities within and around cities.”&nbsp; The study makes recommendations for sustainable practices that build on the positive aspects of urban agriculture while mitigating the downsides, thereby promoting more resilient cities in future. Research shows that urban agriculture has been helping many countries attain SDG targets by enhancing food security and biodiversity while helping education and preservation of open spaces.&nbsp; Indeed, many farmers from the hinterland who have settled in Kathmandu Valley or other urban areas of the country have been practicing urban agriculture, leasing neighbourhood patches or cultivating roof gardens both out of necessity because of inflation and falling income to grow their own food, and also as a fulfilling hobby. Saurav Dhakal, a sustainability advocate with Story Cycle and now research fellow at the Asian Institute of Technology in Thailand, says there are socio-economic and environmental benefits of urban agriculture. “It provides benefits to all urban dwellers, regardless of their income status,” says Dhakal, “families get fresh food, and there are many other benefits like water retention, heat regulation and biodiversity. These are all public goods, so special government incentives may be needed.” It is not unusual to see vegetable patches and even paddy fields within inner city Kathmandu where an older generation of farmers are using available fertile land and <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/rooftop-gardens-kathmandu,1415">roof gardens to produce fresh, nutritious food </a>to reduce their dependence on food items that have to be bought after being trucked in from large distances.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024101905100_1291ce98dbbb8caed8702ac4b1d469b3e13016d7ecaaf3bfd5f91c974d3c0c77.jpg" data-media-id="editor_5" data-image-id="2024101905100_1291ce98dbbb8caed8702ac4b1d469b3e13016d7ecaaf3bfd5f91c974d3c0c77" data-rendition-name="original" width="1500" height="999" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>An older generation of farmers are using any available fertile land to continue farming but it is getting more and more difficult. Photo: TAYLOR MASON </figcaption> </figure>  Nepal’s urban population grew rapidly from only 3.6% in 1991 to 25% today. There is large outmigration from the mountains to peri-urban areas of the Tarai, to Kathmandu Valley and Pokhara, with many young men then moving abroad for work. Kathmandu Valley’s population has swelled to nearly 3 million, and is growing at 6.5% a year. Dilip Shrestha, 71, used to work for Nepal Food Corporation, so he knew firsthand about inflation, shortages and vegetables with pesticide residue. So, when he designed his new house in Kathmandu, he built a spacious roof where he grows cucumber, ginger, garlic, coriander, onions, tomatoes, chili, beans, okra, pumpkin and lettuce. His family eats healthier, and he has reduced dependence on the market.&nbsp; The co-author of the Cell Reports Sustainability journal article, Daya Raj Subedi who is a PhD candidate at Beijing Forestry University, says urban agriculture also promotes inclusion and psycho-social wellbeing.&nbsp; He says, “A crucial finding of the study is the identification of opportunities and challenges associated with urban agriculture, it can promote sustainable transformation of society.” In Banepa, 55-year-old Bijaya Manandhar in her lifetime has watched the fertile farms of her neighbourhood that used to supply vegetables to Kathmandu, now completely built up with no open space left. The pandemic lockdown prompted her to turn to the family’s <a href="https://nepalitimes.com/banner/rooftop-agriculture-on-the-roof-of-the-world">ancestral livelihood by growing food</a> not on terrace farms, but on the roof terrace. Manandhar is now a part of <a href="https://nepalitimes.com/banner/rooftop-agriculture-on-the-roof-of-the-world%5C%5C">कौसी खेती र करेसाबारी क्रान्ती</a> (Rooftop Farming and Garden Revolution) which has an online membership of 52,000, and awards annual prizes to women who excel in urban agriculture.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_7257f5def8f823f35a799fa6f6825e153f2ffa406ac11325d4fe74049b79e96d.jpg" data-media-id="editor_8" data-image-id="20241019041052_7257f5def8f823f35a799fa6f6825e153f2ffa406ac11325d4fe74049b79e96d" data-rendition-name="original" width="1600" height="736" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>Rooftop farming is gaining popularity as a form of urban agriculture. </figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_beff1a4494ce896dd8fd383ee1f518e5448bcf7ea8bb138255391c7bcb9769ed.jpg" data-media-id="editor_9" data-image-id="20241019041052_beff1a4494ce896dd8fd383ee1f518e5448bcf7ea8bb138255391c7bcb9769ed" data-rendition-name="original" width="4000" height="3000" loading="lazy" alt="urban agriculture in Kathmandu"> </figure>  Pradhan says the challenge now is to upscale such examples of successful urban agricultural practices so they support Neal’s efforts to meet SDG targets. He adds, “Crop cultivation around cities can be protected by land use plans and regulations. Promoting community-based agriculture, including rooftop gardens, requires community engagement and public-private partnerships across the food value chain.”&nbsp; Such support would accelerate the popularity of existing rooftop farming and community gardens in Kathmandu Valley, or kitchen garden initiatives in Pokhara, and building on traditional farming practices that are preserved and integrated into urban settings like in Bhaktapur and Banepa. In Lalitpur, the Women Entrepreneurship Facilitation Center promotes urban farming enhancing both sustainability and empowerment.&nbsp; Another co-author of the report, Yuanchao Hu from China says followup research of the team will aim to identify good practices in local urban agriculture practices. He adds, “There are examples of urban agriculture that optimise sustainability, ensuring that it remains a viable solution for cities globally while countries try to meet SDG targets.” Prajal Pradhan, Daya Raj Subedi, Kshitij Dahal, Yuanchao Hu, Prakriti Gurung, Sijal Pokharel, Sagar Kafle, Biplav Khatri, Sudeeksha Basyal, Monika Gurung, and Aruna Joshi. Urban Agriculture matters for sustainable development. Cell Reports Sustainability, 1:100217, 2024. [DOI: 10.1016/j.crsus.2024.100217] Prajal Pradhan (<a href="mailto:p.pradhan@rug.nl">p.pradhan@rug.nl</a>) This article is brought to you by <a href="https://nepalitimes.com/" target="_blank">Nepali Times</a>, in collaboration with <a href="https://inpsjapan.com/en/" target="_blank">INPS Japan</a> and <a href="https://sgi-peace.org/" target="_blank">Soka Gakkai International</a>, in consultative status with UN ECOSOC.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240630110640_30c3782f9c09219bf1c249b51483a3cfb7a53a06d117d2aebd23ca7080d12758.jpg" data-media-id="editor_14" data-image-id="20240630110640_30c3782f9c09219bf1c249b51483a3cfb7a53a06d117d2aebd23ca7080d12758" data-rendition-name="original" width="680" height="103" loading="lazy" alt="SDG logo"> </figure>

Back to the land in the cities

The 700-year-old Lakshmi Narasingha temple in Bhaktapur houses a rare half-lion and half-human incarnation of Lord Vishnu carrying the Goddess Lakshmi. The temple was destroyed in the 1934 mega earthquake that killed 10,000 people and destroyed many monuments in Kathmandu Valley. It was rebuilt by a German project in the 1980s, but as a single-storey structure instead of its original two-tier pagoda design.&nbsp; With new findings from in-depth research, Bhaktapur municipality began re-restoring the temple in 2021, preserving its original architecture.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_2fae38cce543ad7b1f6de632feb3e212e08ed1acedd747830e949d7b8e878f18.jpg" data-media-id="editor_0" data-image-id="20241017131016_2fae38cce543ad7b1f6de632feb3e212e08ed1acedd747830e949d7b8e878f18" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “Our temples and heritage sites hold deep meaning. It is disheartening to witness how often they lose their original elements, whether by design or accident,” explains Kumar Chawal of the Consumer Committee of Bhaktapur. “There is a need to preserve our architecture and protect its historical value for future generations. Otherwise, we risk losing a vital part of our identity.” The Laksmi Narsingha restoration is similar to the Bhai Dega temple in Patan Darbar Square which also collapsed in 1934, but was rebuilt with a Moghul-style dome by the Rana government at the time. Only two months before the 2015 earthquake, heritage conservationists had started to rebuild Bhai Dega as the original three-tier based on early photographs. But priorities shifted when four other temples in the square were brought down by the 7.8M earthquake on 25 April 2015.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_697ea707d9ad163be5de5f2efbf5b70d3cab771adcc22f0fae6bf937c6cb0130.jpg" data-media-id="editor_1" data-image-id="20241017131016_697ea707d9ad163be5de5f2efbf5b70d3cab771adcc22f0fae6bf937c6cb0130" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  This showed how damage to monuments in Kathmandu Valley spanned from one earthquake to the next. Bhai Dega restoration remains half-complete to this day because money for its restoration ran out.&nbsp; Whereas Bhai Dega restoration was done by the Kathmandu Valley Preservation Trust with grants from western embassies and international foundations, in Bhaktapur it is the municipality itself that allocated the Rs30.7 million needed to restore the Lakshmi Narasingha temple. The expected date of completion is early 2025. The municipality and local communities are focusing on two main aspects: preserving the past and promoting localisation. The restoration team has designed a blueprint for the temple by using historical photographs and insights from older generations.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_182882fdc393c99e70d1d0490319e415229563666c4934e3a582426ebf00ca30.jpg" data-media-id="editor_2" data-image-id="20241017131016_182882fdc393c99e70d1d0490319e415229563666c4934e3a582426ebf00ca30" data-rendition-name="original" width="1200" height="560" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “At first, the Lakshmi Narasingha temple had only one entrance, but during the demolition process, we uncovered the foundations of four doors. Now, we are restoring all of them. This is an example of how our ancient structures have changed over time, often without our knowledge,” says Chawal. “Constructing temples is not like building houses. They carry historical and spiritual values, which is why they hold a special place in our hearts,” he adds. By replicating ancient design elements and rebuilding the temple as accurately as possible to its original form, the team has stayed true to Bhaktapur’s soul. But the restoration also revived ancient techniques that were in danger of being forgotten, generating employment for woodcarvers, masons, and contractors. The community of Bhaktapur’s Gahiti neighbourhood near the famous Nyatapola Temple has also set aside specific days for locals to volunteer in the reconstruction work. This has encouraged young people to take pride in ownership of their heritage. Families have also supported the effort by donating funds for bells, the temple pinnacle, and other structural features to the temple.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_db850ec0c084cdbe54f65bee92dad2ad8122d20fd60ec87ec086fbb9d2f72bd6.jpg" data-media-id="editor_3" data-image-id="20241017131016_db850ec0c084cdbe54f65bee92dad2ad8122d20fd60ec87ec086fbb9d2f72bd6" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “I feel at peace knowing I have contributed my sweat to restoring this temple,” said one volunteer. “It is our duty to preserve our temples and heritage. The Nyatapola area will look magical once this temple is completed.” Community mobilisation is a long-standing tradition in Bhaktapur. In the past, locals have actively participated in the restoration of other temples in the city, such as Bhairav and Nyatapola fostering a strong sense of ownership. This collective engagement has not only been crucial in preserving the city's historical monuments but also in strengthening the bond between local communities and their heritage, says officials at the municipality. While securing funding is essential, and the municipality showed it values heritage conservation, the Lakshmi Narasingha restoration is proof that active involvement and sense of responsibility of the local community is as important, if not more. Local involvement also means that the monuments will be cared for into the future, When locals take ownership of these efforts, the restored monuments are not only protected in the present but are also cared for in the future.