<img width="1584" height="1108" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26569c7e80680e043a0djpeg.jpg" alt=""/>At <a href="https://www.international-alert.org/" target="_blank" rel="noopener">International Alert</a>, as a global peacebuilding organisation, we often point to Nepal alongside <a href="https://www.google.com/url?q=http://archive.nepalitimes.com/article/Nepali-Times-Buzz/%2520identical-political-trajectories-in-Nepal-and-South-Africa,4057&amp;sa=U&amp;ved=0ahUKEwj1r8WljLjgAhVBP48KHQScCPYQFggFMAA&amp;client=internal-uds-cse&amp;cx=011870630917993763279:opm7uqsat-4&amp;usg=AOvVaw2RTo4ewDKjXsEgz2vOJ76F" target="_blank" rel="noopener">South Africa</a> or Northern Ireland as a country working through a peace process successfully, proving that peace can be writ large.  Of course, all three countries are still beset by troubles and the peace is far from perfect. In Northern Ireland, for example, today <a href="http://archive.nepalitimes.com/blogs/thebrief/2016/06/24/implications-of-brexit-for-nepal/" target="_blank" rel="noopener">Brexit</a> threatens the peace agreement, while in South Africa entrenched economic apartheid persists. But the guns have fallen silent, and stayed silent. Given that globally, half of all peace deals fall apart within 5 years, that is quite an achievement.Recently, International Alert and our partner <a href="http://fwld.org/" target="_blank" rel="noopener">Forum for Women, Law and Development</a> (FWLD) held a meeting in Nepalganj for victims to meet with the local service providers – local government, district administration, the hospitals, businesses and social services. The aim was to get practical help at the local level, while still pushing for a national solution.And <a href="https://www.nepalitimes.com/here-now/the-struggle-for-transitional-justice/" target="_blank" rel="noopener">the scars of war</a>, still unresolved, were still fresh: One man told us how on 8 July 2001, the Maoists cut off his leg, suspecting him of being an informer. Six times he has approached the government offices seeking medical support, but no-one listened to him. <img width="1949" height="777" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a265a9c7e80680e043a0ejpeg.jpg" alt="">The man sitting next to him told us that his leg was cut off the very next day on 9 July 2001: “My house was destroyed and I was tortured by the Maoists. I get interim relief but not adequate compensation. I registered my case with the <a href="https://www.nepalitimes.com/banner/12-years-later-justice-is-a-mirage/" target="_blank" rel="noopener">Truth and Reconciliation Commission</a> and so want to know what is going to happen next.” He wears an artificial leg, but has to treat himself.  Read also: <a href="https://www.nepalitimes.com/banner/12-years-later-justice-is-a-mirage/" target="_blank" rel="noopener">12 years later, justice is a mirage</a>, Sewa Bhattarai<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/opinion/justice-in-transition/" target="_blank" rel="noopener">Justice in transition</a>, David SeddonCalmly, patiently, a woman spoke up for all those waiting for men who have disappeared, calling simply for the truth, another for a lost son, another for a missing father. A woman said she was blindfolded and raped by security forces in the barracks. Severely traumatised and suffering from serious uterus problems to this day, she needs medical support and psychosocial counselling. But like too many others, she is left without support and justice.These victims and their families are struggling to be heard by the Truth and Reconciliation Commission, and the Commission of Investigation on Enforced Disappeared Persons (CIEDP), the two bodies in charge of pushing forward transitional justice in Nepal. Both have so far failed to deliver, despite having registered 63,000 complaints. This week, the four-year tenure of both <a href="https://www.nepalitimes.com/opinion/justice-in-transition/" target="_blank" rel="noopener">transitional justice commissions</a> were extended, and new Commissioners will be appointed.The <a href="https://www.nepalitimes.com/here-now/no-country-for-women/" target="_blank" rel="noopener">victims of sexual assault, rape</a> and torture, for example, have not received any support – no recognition that they are victims, no interim relief, no compensation. That is deeply demoralising for the victims and International Alert has been calling on the Nepal government to support a gender responsive <a href="https://www.nepalitimes.com/here-now/just-not-justice/" target="_blank" rel="noopener">transitional justice process</a>.  Read also: <a href="https://www.nepalitimes.com/here-now/no-country-for-women/" target="_blank" rel="noopener">No country for women</a>, Shreejana Shrestha <img width="1280" height="720" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a265d9c7e80680e043a0fjpeg.jpg" alt="">These initiatives desperately need substantial funds with matching political will to ensure progress. The wounds of war cannot be left to fester and must be proactively addressed. If the Nepal government seems <a href="https://archive.nepalitimes.com/article/editorial/state-of-impunity,2976" target="_blank" rel="noopener">lacklustre to prioritise</a> these issues, the victims’ groups are full of gritty determination. People are more than ready to mobilise to find the truth, support victims to receive compensation and find new work or to mourn their loved, lost ones. To be more effective, the civil societies and victim groups must come under one common platform to take the <a href="http://archive.nepalitimes.com/article/editorial/justice-delayed-justice-denied-transitional-justice,3556" target="_blank" rel="noopener">transitional justice advocacy</a> ahead.Read also: <a href="https://www.nepalitimes.com/here-now/just-not-justice/" target="_blank" rel="noopener">Just not justice</a>, Om Astha Rai<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/editorial/rocky-transition-to-justice/" target="_blank" rel="noopener">Rocky transition to justice</a>, EditorialNepal still has an opportunity to move forward the transitional justice process constructively in the coming months and to address truth, justice and reparation for victims. But this work needs the Government of Nepal to step up, and it needs donors to commit. If we want peace to last (and who does not?) then it needs long term, patient investment.Which is why the long time frame of the US Global Fragility and Violence Reduction Act is so vital. The bi-partisan Act was passed overwhelmingly through the House of Representatives on 28 November. If it passes the Senate, it commits the US Government to invest in 10 countries (five  already at war, five fragile) over 10 years, with coordination across all government departments from USAID to the military.Too often, governments lose interest in countries once the crises are past. NGOs are left with one or two-year projects sputtering to an end and no donors in sight to continue investing in building everyday peace. But that is to ignore the evidence and misread the public.Read also:<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://archive.nepalitimes.com/article/editorial/state-of-impunity,2976" target="_blank" rel="noopener">State of impunity</a>, Editorial<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="http://archive.nepalitimes.com/article/editorial/justice-delayed-justice-denied-transitional-justice,3556" target="_blank" rel="noopener">Justice delayed, justice denied</a>, EditorialEvidence shows that peacebuilding is effective, and also cost-effective. Every $1 spent on peacebuilding saves $16 in the costs of war, according to the Institute for Economics and Peace. A 2018 global poll undertaken by International Alert with the British Council found the public strongly favour ‘dealing with the reasons why people fight in the first place’ and ‘supporting societies to deal with conflict peacefully’, as effective means of creating long-term peace.So in 2019, the community of peacebuilding organisations will be pushing for the US Act to be passed into law, for other governments to adopt the approach, and for concrete progress for victims in Nepal as another building block of lasting peace.Harriet Lamb, CEO of International Alert and Rabina Shrestha, Manager of International Alert Nepal

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Nepal’s transition to peace needs justice

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937b49c7e80680e03fe56jpeg.jpg" alt="" width="1400" height="993"/><figcaption>Baburam Tamang, Maoist activist, one of the 21 killed execution-style by the army in Doramba in August, 2003.</figcaption></figure>It is just over 12 years since the <a href="http://archive.nepalitimes.com/news.php?id=12806#.XB82xVUzaUk" target="_blank" rel="noopener">Comprehensive Peace Agreement (CPA)</a> charted a way forward after a decade of civil war. One feature of the CPA was its explicit recognition of the need for a comprehensive ‘peace process’ that included the establishment of specific institutions dedicated to uncovering the truth about war crimes and human rights abuses during the conflict, to discovering what happened to those who had ‘disappeared’, and to bringing those responsible to justice.There were already at that time well-known and well-documented examples of atrocities committed during the conflict by the Royal Nepal Army and Nepal Police, the Armed Police Force (APF), the Maoist PLA and the Communist Party of Nepal (Maoist). It was anticipated that other crimes would be discovered and pursued, and instances of disappearance, ill-treatment, torture and extra-judicial killings would be revealed and dealt with, sensitively but with due process.Read also:<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/editorial/rocky-transition-to-justice/" target="_blank" rel="noopener">Rocky transition to justice</a>, Editorial<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/just-not-justice/" target="_blank" rel="noopener">Just not justice</a>, Om Astha Rai<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://archive.nepalitimes.com/article/nation/truth-about-truth-commission,3565" target="_blank" rel="noopener">Two Commissions</a> were to be established, but it took two years for them even to be formally constituted. Supposedly ‘independent’ they were in fact ‘multi-party’ bodies (not the same thing) and were wracked by party, political and personal divisions. They have proved to be almost totally ineffective as vehicles for establishing ‘the truth’, promoting ‘reconciliation’, or bringing the perpetrators of war crimes and human rights abuses to justice.The victims of conflict have been poorly served by these Commissions, and it is not surprising that there is pressure to dismantle and not to extend their terms of office. But the proposal to establish a new ‘independent’ entity raises further questions.‘Independent’ cannot again mean a cross-party entity because it would then include members whose independence cannot be taken for granted. To be truly independent it should have a membership entirely unrelated to the political parties: respected figures from the academic community and/or the judiciary perhaps, and certainly representatives of the victims.Of course, those who fear that ‘<a href="https://www.nepalitimes.com/editorial/rocky-transition-to-justice/" target="_blank" rel="noopener">transitional justice</a>’ would lay them open to shame and dishonour, and more crucially to judicial proceedings not only in Nepal but also in other jurisdictions (given that war crimes can be tried outside the country in which they were committed) have been and remain fearful of the work any effective independent commission might do. They and those who protect them have done everything possible so far to block effective progress on all fronts. They have been successful.The officers and men of the Nepal Army and Police, on the one hand, and the Maoist leadership and cadres of the PLA and the Party, on the other, have the most to fear from a serious enquiry into each of the many thousands of alleged incidents and instances of human rights abuses and war crimes. It is they, and those who speak for them and protect them, who bear the greatest responsibility for the blockage of the peace process, the perpetuation of the suffering experienced by the victims and their families, and the injustice done to them. And for the fact that the country still bleeds from this running wound.Successive governments have failed to provide necessary support to the two Commissions to enable them to act effectively as legitimate independent bodies, immune from the pressure of vested interests and particularly of those individuals who were liable to investigation and prosecution. Indeed, they have been responsible for initiatives to undermine due process within Nepal and abroad.No effort was spared, for example, by the government of Nepal, first to prevent and then to subvert the trial in London of Colonel Lama who was accused by two Nepalis of torture,  when the British police and Crown Prosecution Service (CPS) had charged him with war crimes. Eventually, that trial was brought to an inconclusive halt when the CPS withdrew its proceedings against Colonel Lama.Also, the so-called ‘international community’, while calling for the completion of the peace process started by the CPA in November 2006 and taken forward over the next two years –and even supervising aspects of it (like integration via UNMIN) -- has tended all too often to regard transitional justice as a barrier to the peace process rather than a necessary part of it. The political parties appear to wish to model the new proposed entity on the integration process, but UN involvement has been ruled out on the advice of one foreign delegation in December 2017.More recent secret initiatives by the Swiss and German representatives in particular (and possibly others as well) which seem to propose resolving the issue by effectively sweeping the whole thing under the carpet certainly run counter to the thrust of the CPA and to the rights of the victims and their families to be heard, to be heeded and to secure justice. Few of those demanding justice will agree that the CIEDP has almost completed its work.It is time for transparency, for a truly independent body, perhaps with judicial oversight, to investigate fully and process properly the claims and allegations of the victims of human rights abuses and war crimes, and for those found guilty of perpetrating such abuses and crimes to be brought to justice, in Nepal and, if considered appropriate, in the International Criminal Court (ICC) at The Hague.Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="http://archive.nepalitimes.com/article/editorial/justice-delayed-justice-denied-transitional-justice,3556" target="_blank" rel="noopener">Justice delayed, j</a>ustice denied, Editorial<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/the-struggle-for-transitional-justice/" target="_blank" rel="noopener">The struggle for Transitional Justice</a>, Hari Phuyal

Justice in transition

<figure><img width="1400" height="1050" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171136/636934429c7e80680e03dfe6jpeg.jpg" alt=""/><figcaption>HAMMERS AND SICKLES: Basanta Mahatara (left) and Nirmala Thapa’s husbands were murdered by opposing forces during the Nepal conflict. Twelve years later, both are now fighting for the same cause: truth and justice. Pic: Om Astha Rai</figcaption></figure>Basanta Mahatara was just 22 and pregnant with her second child when her husband, a policeman, was executed by the Maoists after being captured during a raid in Pyuthan in 1999.After that, police began hunting down Maoists in reprisal attacks among Pyuthan’s mountains. Nirmala Thapa’s husband was a Maoist, and was dragged out of his house and later shot in 2002. Like Mahatara, Thapa was also pregnant with her second child when her husband was killed. <img width="640" height="605" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171136/636934459c7e80680e03dfe7jpeg.jpg" alt="">The two war widows, both from Dharmawati village of Pyuthan, struggled to raise their children. They met after the signing of <a href="http://archive.nepalitimes.com/news.php?id=12806#.W_aXRjgzbIU" target="_blank" rel="noopener">the Comprehensive Peace Accord</a> in November 2006, and were united for a cause: truth and justice. They say their husbands were both summarily killed in detention, and not during battles.Mahatara and Thapa were among 200 conflict victims who came to Kathmandu this week on the 12th anniversary of the peace accord seeking truth, justice, reparations, and a guarantee of non-recurrence. They have issued a charter, pressing the government to reboot the lingering transitional justice process. Bhagi Ram Chaudhary of Conflict Victims’ Common Platform says: “We want the government to give the process a fresh start, involving us and respecting international norms.” Transitional justice has been the most neglected component of the peace process. After the peace accord of 2006, political leaders were preoccupied with <a href="http://archive.nepalitimes.com/news.php?id=12499#.W_aXqTgzbIU" target="_blank" rel="noopener">demobilising and disarming the guerrillas</a>, reintegrating them into the Nepal Army, and <a href="http://archive.nepalitimes.com/blogs/thebrief/2015/09/20/peoples-constitution/" target="_blank" rel="noopener">writing the new Constitution</a>. They <a href="http://archive.nepalitimes.com/article/editorial/justice-delayed-justice-denied-transitional-justice,3556" target="_blank" rel="noopener">delayed investigating war crimes</a>, waiting for victims to tire out and give up. It took the government a decade to even form the Truth and Reconciliation Commission (TRC) and Commission on Investigation of Enforced Disappeared Persons (CIEDP). Conflict victims questioned the legitimacy and intention of these bodies from the beginning, arguing that a mechanism led by political appointees would serve the perpetrators, and not victims. Chaudhary told us: “As we predicted, the TRC and the CIEDP have failed. We now need to dismantle them, and form a new mechanism that involves conflict victims and civil society.”He adds: “So far, we have looked at transitional justice just as a technical issue. It should be dealt with as a political problem. We need to forge a political consensus to resolve it.” Civil society leaders, human rights activists and conflict victims began discussing the need for a new mechanism, also owned by political leaders allegedly involved in war-time atrocities, after <a href="https://www.nepalitimes.com/here-now/just-not-justice/" target="_blank" rel="noopener">the controversial draft of the new TRC law</a> was out. The draft bill, if passed, will allow perpetrators to wash their hands of blood by doing time in open jails or community service.Conflict victims say it is not just the content of the TRC bill that is problematic but also the process of drafting it. But won’t the new mechanism settle conflict-era cases by just doling out compensation to victims and granting amnesty to perpetrators? Chaudhary answers: “We will not allow amnesty for those involved in gross human rights violations.”Read also:<a href="https://www.nepalitimes.com/here-now/just-not-justice/" target="_blank" rel="noopener">Just not justice</a>, Om Astha Rai<a href="http://archive.nepalitimes.com/article/editorial/justice-delayed-justice-denied-transitional-justice,3556" target="_blank" rel="noopener">Justice delayed is justice denied</a>, Editorial

Peace on a war footing

<figure><img width="1500" height="844" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111152/6368e4019c7e80680e0333b4jpeg.jpg" alt=""/><figcaption>Victims of the conflict sign up for a debate on the draft amendments to the 2014 Transitional Justice Act in Kathmandu on Tuesday. Photo: OM ASTHA RAI</figcaption></figure>A few months ago a group of <a href="http://archive.nepalitimes.com/article/editorial/state-of-impunity,2976" target="_blank" rel="noopener">transitional justice</a> experts from Colombia came to Kathmandu, sharing their country’s experience in post-conflict reconciliation with Nepal’s government attorneys and human rights lawyers. Colombia’s ability to resolve its long-running FARC insurgency, and how it has grappled with transitional justice, has lessons for Nepal even though our conflict ended long before Colombia’s.  Soon after the visit, the government proposed <a href="https://www.nepalitimes.com/here-now/just-not-justice/" target="_blank" rel="noopener">amendments to the Transitional Justice Act</a>, which was previously condemned by conflict victims and the international community for not adhering to accepted human rights values, of which Nepal is signatory. It had provisions for blanket pardon of war crimes, but families of conflict victims have doubts that, even with the new changes, they will ever get justice.  The draft amendment is heavily influenced by Colombia's 'restorative justice' practice, which focuses on reconciliation and reparation rather than punitive measures. Even so, the amendments are much better than the existing law (The Enforced Disappearances Enquiry, <a href="http://archive.nepalitimes.com/article/nation/truth-about-truth-commission,3565" target="_blank" rel="noopener">Truth and Reconciliation Commission</a> Act 2014), which is full of loopholes allowing former guerrilla commanders and state security personnel to go scot-free. Read also: <a href="https://www.nepalitimes.com/here-now/just-not-justice/" target="_blank" rel="noopener">Just not justice</a>, Om Astha RaiThe proposed law is an improvement because it is broadly in tune with a 2015 Supreme Court verdict on a case filed by <a href="http://archive.nepalitimes.com/article/nation/Commissions-of-convenience,1530" target="_blank" rel="noopener">Suman Adhikari</a>, whose father was dragged from a class he was teaching and <a href="http://archive.nepalitimes.com/news.php?id=16781#.WzHctVUza70" target="_blank" rel="noopener">executed by the Maoists in Lamjung in 2002</a>. The Apex Court had denied amnesty for perpetrators of four types of crimes: extra-judicial killings, enforced disappearances, rapes and torture.This means Maoist cadres who tied Adhikari to a tree and shot him in the head can be taken to the court. The army officers who detained, raped and killed 14-year-old Maina Sunar in Kavre will also have to face prosecution. Ex-rebels or security personnel charged with similar atrocities cannot be pardoned. However, just like the existing Act, the draft amendment is so loophole-laden that it can be abused by powerful politicians to get themselves off the hook. For example, if passed by Parliament into law, it will allow transitional justice bodies to reduce the severity of sentencing if perpetrators help with the investigation, or apologise and express a commitment to not repeat their crimes. Read also: <a href="https://www.nepalitimes.com/banner/when-our-son-was-killed/" target="_blank" rel="noopener">When our son was killed</a>To put it more precisely, if ex-rebels are convicted of abducting and murdering a civilian and slapped with a 10-year jail term, they will have to spend only four years in jail. And the draft amendment also has provisions for 'open jail' or 'community service'. War criminals could easily walk free even if found guilty, and there isn’t much clarity on what constitutes 'community service'. Will joining a political party and contesting polls be defined as 'community service'? The Act leaves a lot of elbow room. That is exactly why conflict victims are reluctant to accept the draft amendment: they suspect that culpable politicians will cunningly manipulate the law and get themselves off the hook. They are seeking some foundational laws based on which justice can be delivered. For example, they want to know beforehand whether all will get 75% discounts in sentencing, or if there will be criteria determining who deserves reduced punishment. They want to know whether convicted criminals will be able to walk free. Read also: <a href="https://www.nepalitimes.com/here-now/the-struggle-for-transitional-justice/" target="_blank" rel="noopener">The struggle for Transitional Justice</a>, Hari Phuyal <a href="https://www.nepalitimes.com/banner/yesterdays-enemies-todays-comrades/" target="_blank" rel="noopener">Yesterday's enemies, today's comrades</a>, Om Astha Rai<a href="https://www.nepalitimes.com/editorial/united-we-stand/" target="_blank" rel="noopener">United we stand</a>, Editorial <a href="https://www.nepalitimes.com/banner/doors-closed/" target="_blank" rel="noopener">Doors closed</a>, Om Astha Rai<a href="https://www.nepalitimes.com/here-now/the-struggle-for-transitional-justice/" target="_blank" rel="noopener">After waiting nearly two decades for truth and justice</a>, families of conflict victims are at the end of their tethers. They are lonely and helpless. Some do not expect the government to do anything, so they have given up even demanding justice. The <a href="https://www.nepalitimes.com/banner/yesterdays-enemies-todays-comrades/" target="_blank" rel="noopener">former enemies are now the state</a>, and they do not want to revisit wartime atrocities. The main opposition NC is led by someone who let the army detain and murder innocent people by imposing a state of emergency in 2002.  They feel neglected, and passing the new TRC law without addressing their concerns will be a blunder.Conflict victims had always pinned their hopes on the UML, which was not directly involved in the war and played a strong role in advocating for transitional justice after the 2006 ceasefire. But <a href="https://www.nepalitimes.com/banner/doors-closed/" target="_blank" rel="noopener">the UML no longer exists, and the Maoists have subsumed themselves and their conflict-era atrocities into the merged Nepal Communist Party</a>. Prime Minister K P Oli, who also co-chairs the new party along with ex-Maoist supremo Pushpa Kamal Dahal, has already gone back on his justice commitment for conflict victims. He recently endorsed the <a href="https://www.nepalitimes.com/editorial/united-we-stand/" target="_blank" rel="noopener">presidential pardon to Balkrishna Dhungel</a>, a convicted murderer. Oli has not been pressing Dahal to arrest one of the accused in the <a href="http://archive.nepalitimes.com/article/nation/dead-and-dying,3955" target="_blank" rel="noopener">murder of Krishna Ahdikari, whose mother Gangamaya is in frail health on her hunger strike</a>. Replicating Colombia's restorative justice formula in good faith could work in Nepal if conflict victims were backed by leaders with political will, and a strong civil society. But they are all alone, and the state is indifferent to their pain. Photo: Bikram RaiRead also:<a href="http://archive.nepalitimes.com/article/editorial/state-of-impunity,2976" target="_blank" rel="noopener">State of Impunity</a>, Editorial<a href="http://archive.nepalitimes.com/article/nation/dead-and-dying,3955" target="_blank" rel="noopener">The dead, and the dying</a>, Om Astha RaiThe <a href="http://archive.nepalitimes.com/news.php?id=14983#.WzIIAdUza70" target="_blank" rel="noopener">Editorial in Nepali Times ten years ago this week</a> (#406, 27 June - 3 July 2008) dealt with the new government's promise of prosperity. Sound familiar? Here is an excerpt:'There isn't much left to say about the political disarray that we haven't already said in the past two years. Dispensing advice from this pulpit is a pretty futile exercise. In the end, it looks like whatever anyone says, the political parties will always be obsessed with their game of musical chairs.There is apprehension that Nepal's regime change also represents an ideological shift, and there will be a temptation to flirt with utopian undertakings and showcase populism. No matter who comes to power, out of enlightened self-interest if nothing else, please keep your dirty politics out of the economy.Actually, the country's economy is in such a precarious state because of past abuse. It will need a dose of realism in the short-term, hard-nosed determination in the medium-term and visionary pragmatism in the long-term.' <img width="579" height="904" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111152/6368e4059c7e80680e0333b5jpeg.jpg" alt="">

Rocky transition to justice

Prime Minister Oli’s fence-mending trip to India is not getting into the touchy subject of Gorkha recruitment<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110710110/6368c9bd9c7e80680e02f2ccjpeg.jpg" alt="" width="1400" height="853"/><figcaption>Bhanu Bhattarai</figcaption></figure>Five years ago, a young man showed his identity card and was allowed to enter the Indian Embassy in Kathmandu. In the office of the Defence Attache, he put a neat envelope on the table. The contents made the officer nearly jump off his chair.I was that nervous young man, and I had done what seemed to be the most normal thing a citizen of Nepal could do. I was serving as a Major in the Indian Army, and had decided to resign my commission because I felt it was principally wrong to<a href="http://archive.nepalitimes.com/article/editorial/Nepalis-waited-200-years-for-country-to-be-proud-of,2939"> serve in a foreign military</a>. In a letter to the President of India, I wrote: ‘My conscience does not allow me to serve in the Indian Army anymore. Hence, I would request you to release me from the service.’The Defence Attache was furious: “I don’t know what you are up to, but let me tell you: if you do not take this back, the moment you are out of my office the system will get after you. There will be severe consequences. It’s not a threat. It is a concern and a personal advice.”Eight months of legal limbo, two years of isolation within the military, months of illegal military custody, and a Court Martial led to my conviction on the charge of ‘desertion’ and dismissal from service. I returned to Nepal in 2016.A week before the deadline for the promulgation of the Constitution in September 2015, Indian Foreign Secretary S Jaishankar flew to Kathmandu as a special messenger of Prime Minister Narendra Modi. India wanted to delay the promulgation of the constitution to accommodate Madhesi demands.Sushil Koirala of the Nepali Congress, Pushpa Kamal Dahal of the Maoists and K P Oli of the UML, used each other as scapegoats. When he got a sense that Nepal was not listening, Jaishankar warned: “Modiji is not Manmohan Singh. Strict measures will be taken. There will be consequences.”The rest is now history, and a black page in the relationship between the two countries. The <a href="https://www.nepalitimes.com/opinion/aftershocks-of-the-blockade/">Blockade</a> that immediately followed the 2015 earthquake<a href="http://archive.nepalitimes.com/blogs/kundadixit/2015/05/27/a-month-that-felt-like-a-year/"> was a foreign</a> policy blunder at par with, if not worse than, the LTTE war in Sri Lanka in 1988-89.From the time when the <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/the-rana-reign-a-recap-of-history,3751">Ranas</a> leaned on British India with a clear ‘strategy for survival’, right to the present day, Nepal’s relations with the south has seen many transformations. Nepal’s dependence on India has helped preserve a colonial strategic and security mindset in the Indian establishment long after the British left.This security framework in New Delhi treats Nepal as a country that has to be saved from Chinese influence. Therefore the concept of <a href="http://archive.nepalitimes.com/article/editorial/Equidistance-or-asymmetry-nepal-geopolitics,3850">equidistant foreign policy</a>, which has been the elusive goal of many Nepali strategists, is not taken very seriously in New Delhi. Every time Nepal wants to move towards equidistance, India has warned of the consequences.When Prime Minister K P Oli lands in New Delhi on Friday, he will be received as one of the most powerful leaders in Nepal’s history. Oli has support of nearly three-fourths of parliament, a majority rarely enjoyed by any other leader in recent times.Despite this, it will be virtually impossible for Oli to ask the difficult questions. The visit will be limited to tokenism, where the Modi government’s focus will be on reducing the political damage of the Blockade and the consequences to his party in next year’s elections. And Oli too, will be happy to play along.One of the main agendas of the Maoists, laid out in their 40-point demand to the royal government in 1996 before launching the armed struggle, was scrapping the 1950 treaty and the issue of <a href="http://archive.nepalitimes.com/article/nation/More-warlike,1023">Gorkha recruitment</a>. Now, the Maoists are in power with the UML, but none of the comrades wants to be reminded of those demands anymore.The reason why I took that step five years ago, and why I felt so strongly that it was time to stop Gorkha recruitment was that it is a scar on our national self-esteem. At the core of it, <a href="http://archive.nepalitimes.com/article/nation/Gurkhas-dying-for-others,2938">Gorkha recruitment into the Indian and British armies</a> sends out the message to the world: ‘If you pay us enough, we are even ready to die for you.’But however powerful K P Oli may be, and despite his nationalism narrative, even he will not dare raise this issue in New Delhi.Read also:<a href="http://archive.nepalitimes.com/article/editorial/Nepalis-waited-200-years-for-country-to-be-proud-of,2939">Looking back to the future</a> ,  Editorial<a href="http://archive.nepalitimes.com/article/nation/Gurkhas-dying-for-others,2938">Dying for others</a>,  Om Aatha Rai<a href="http://archive.nepalitimes.com/article/nation/More-warlike,1023">More warlike</a>,  Deepal Aryal<a href="http://archive.nepalitimes.com/article/editorial/Equidistance-or-asymmetry-nepal-geopolitics,3850">Equidistance or asymmetry</a>,  Editorial

Asking the difficult questions

Besides multiple <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">street demonstrations </a>that gridlocked Kathmandu’s traffic for the past weeks, public discourse in Nepal has also been dominated by dangerously <a href="https://nepalitimes.com/here-now/air-pollution-is-more-dangerous-than-smoking">high air pollution levels</a>. Caused mostly by hundreds of <a href="https://nepalitimes.com/news/wildfire-season-starts-early-in-nepal">forest fires </a>raging across the country, the smoke contains suspended soot particles that harms <a href="https://nepalitimes.com/opinion/playing-with-poison">human health</a>. Thursday’s rain have cleared the air somewhat, and many people will soon forget how bad the air quality was. But the time to address the roots of next summer’s fire season is now.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524.jpg" data-media-id="editor_4" data-image-id="20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524" data-rendition-name="original" width="502" height="540" loading="lazy" alt="Wildfires"> <figcaption>EXTINGUISHED: Forest fires raging all over Nepal in the week after 3 March (above) reduced air quality, creating a public health hazard in Kathmandu and across the country. Each red dot is a fire detected by infrared sensors on the NASA Fire Information for Resource Management System (FIRMS) satellite. But the rain on Thursday doused most of the fires (below) with more rain forecast over the weekend.</figcaption> </figure>  The reason everyone was talking about air pollution was because the<a href="https://nepalitimes.com/banner/nepal-is-going-up-in-smoke"> smoke from wildfires</a> was visible. But much more toxic are the invisible and odourless <a href="https://nepalitimes.com/news/nepal-doubles-its-carbon-footprint">gases from vehicular and industrial emissions </a>which have always been there. The theme of World Health Day on 7 April this week was ‘Healthy Beginnings, Hopeful Futures’ dedicated to <a href="https://nepalitimes.com/opinion/comment/saving-more-mothers-and-babies">preventing maternal and newborn deaths</a>. It is estimated that in Nepal, 30% of neonatal mortality can be blamed on air pollution. But that is only part of the story. Harmful as fine particulate matter is to human health, carbon monoxide, nitrogen dioxide, ground-level ozone and other gases in vehicular emissions are more hazardous to health. While the concentration of suspended particulate matter tinier than 1.5 microns (PM2.5) is closely monitored, these toxic gases are invisible, not measured much, and the public is not aware about the dangers they pose. Surface ozone is produced by the interaction of various gases found when <a href="https://nepalitimes.com/news/fossil-fuels-poison-air">burning fossil fuels</a>. Besides being poisonous, ground level ozone contributes up to 0.23°C to <a href="https://nepalitimes.com/here-now/nepal-s-mountains-are-melting">global warming</a> because it is also a greenhouse gas. A new policy brief by the Clean Air Fund titled The Case for Action on Tropospheric Ozone blames surface ozone for a half a million premature deaths every year, 54.8% of which are in South Asia. Ozone also stunts plant growth and reduces crop yields by 26% globally, and 11% loss in <a href="https://nepalitimes.com/news/economic-benefits-of-saving-the-ecology">forest productivity</a>, the report adds.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85.jpg" data-media-id="editor_11" data-image-id="20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85" data-rendition-name="original" width="998" height="724" loading="lazy" alt="Gas Chambers"> </figure>  Read also: <a href="https://nepalitimes.com/here-now/bad-air-and-polluted-politics">Bad air and polluted politics</a>, Sonia Awale Ground-level ozone is not emitted directly into the air like other gases, but is formed when oxides of nitrogen (NOx), carbon monoxide (CO) and volatile organic compounds (VOCs) released from automobile tailpipes or industry smokestacks react chemically with each other in the presence of sunlight. The main source of carbon monoxide in Kathmandu Valley are its 1.2 million two-wheelers. “Usually the concentration of carbon monoxide is 200-500 parts per billion (ppb), this has increased up to 3,000 in Kathmandu. Meanwhile, ground-level ozone has gone from 70-80 ppb to 150 ppb,” says Ravi Sahu, regional air quality specialist with the Kathmandu-based International Centre for Integrated Mountain Development (ICIMOD).&nbsp; Sahu says <a href="https://nepalitimes.com/news/no-smoke-without-fire-p7vb9dcj">rampant forest fires of the past weeks</a> have also added to carbon monoxide and ozone in the air, not just the fine particles that make up the visible smoke. He adds, “There isn’t much awareness about <a href="https://nepalitimes.com/banner/poisoning-the-air-we-breathe">ground-level ozone and carbon monoxide</a>, we need to urgently look into it.” A distinction must be made between good and bad ozone. Stratospheric ozone protects living beings from harmful ultraviolet (UV) radiation from the sun.&nbsp; Tropospheric ozone can again be separated into two types: ozone in the free atmosphere which is a greenhouse gas much more potent than carbon dioxide, and ground-level ozone which has adverse impacts on health and agriculture. ‘Cutting tropospheric ozone presents a unique challenge as it requires smart and fast action across multiple greenhouse gases and air pollutants, as well as multiple economic sectors,’ notes the Clean Air Fund's policy briefing. ‘It is a growing and neglected problem that needs an integrated approach on both a local and global level to tackle climate change and air pollution together.’ Dying young There was a time when Nepal made it to international news bulletins only if there were fatalities on Mt Everest. Now, Kathmandu’s bad air frequently makes headlines all over the world. This past week, the concentration of PM2.5 that harms human health was up to 40 times the WHO recommended guideline — adding to the poisonous gases already present from vehicle emissions. The Department of Environment says 40% of the pollution in the past weeks was from wildfires sparked by nearly 6 months without substantial rain over central Nepal. Most of the rest is from vehicular and industrial emissions from Kathmandu itself and across the southern border. NASA’s Fire Information and Resource Management System (FIRMS) which issues daily maps of fires, showed hundreds of blazes raging across Nepal on Wednesday, mainly in Chitwan, Parsa and along the East-West Highway.&nbsp; “If we look at the figures for the last few years, it is clear that wildfires have become the biggest source of air pollution, they are seasonal but have overtaken vehicular emissions,” says urban planner and environmentalist Bhushan Tuladhar. “Forest fires, stubble burning, and open burning of garbage are the bigger problems now. Nepal, India, Bangladesh, and Pakistan are at risk every year, we shouldn’t further delay in finding solutions,” warned air quality expert Bhupendra Das during an event on air pollution organised on 7 March by the Nepal Forum of Environmental Journalists (NEFEJ).&nbsp; Indeed, studies have shown that in winter 60% of the air pollution over Kathmandu is transboundary from the south, and in November it is compounded by smoke from crop residue burning by farmers in India and Pakistan blown in by prevailing winds. Forest fires are a regular pre-monsoon occurrence in Nepal, often intentionally set by farmers and herders to stimulate new grass growth for livestock. Winter rains have failed for eight of the past ten years, and this means the fires often spread out of control. The other reason for the increase in wildfires is the doubling of forest fires to 46% of the country’s area in the past 25 years. But this has happened simultaneously with outmigration, with some mountain districts losing 30% of their population between 2011-2021. With less pressure on forests for fodder and firewood, the undergrowth of community forests is loaded with dry fuel just waiting for a spark. The bowl-shaped topography of Kathmandu, Pokhara and other valleys further concentrates pollutants as they are trapped by surrounding mountains. But a year with a high number of wildfires is usually followed by a year or two with fewer incidents. For example: there were 6,537 fires in 2021 but the following year the number was down to 1,528. There were 5,216 fires last year, this year the number has already reached 1,800, and the trend is likely to be broken. Heavy rains forecast for the coming days are expected to douse some of the fires and clean up the air. But the damage has been done: Kathmandu residents of all age groups this week crowded clinics and hospitals with burning eyes, itchy throats, difficulty breathing, headaches, and dizziness. But in the longer term, soot particles that are tiny enough to jump the blood-air divide in lung capillaries do not just cause Chronic Obstructive Pulmonary Disease (COPD), asthma, but also cancers, heart attacks, strokes, birth defects and other chronic diseases. The latest Air Quality Life Index (AQLI) report by the University of Chicago shows that the annual concentration of PM2.5 in Kathmandu’s air rose from 17.87µg/m3 in 1998 to 31.33µg/m3 in 2022. Air pollution has got worse by 75% in Kathmandu in 25 years. During this time, air pollution has reduced the average life expectancy of Kathmandu’s residents by 3.5 years. According to the Health Effects Institute in Boston, dirty air is among the biggest public health concerns in Nepal killing over 42,100 a year. The adverse impact of high levels of air pollution is not limited to public health, it is seriously affecting tourism. Operators in Pokhara this week said that there were many negative online posts by visitors unable to see the famous panorama of Machapuchre and the Annapurnas even from Sarangkot. Aviation is also affected, as planes have to circle sometimes for hours burning a lot of fuel because of runway visibility being below minima at Kathmandu airport. The higher fuel cost is just passed down to customers, making air tickets in and out of Kathmandu some of the highest in the world. Kathmandu, with a population of four million, has not implemented a concrete policy to curb toxic air despite having formulated various action plans and repeated commitments by the government to protect the environment and control air pollution. The Department of Environment’s 2017 Air Quality Management Action Plan for Kathmandu put forward a policy to reduce air pollution caused by vehicles which was approved by the Cabinet, but has yet to be put to practice. The action included the immediate implementation of the Euro 5 emission standard to reduce pollution emitted by vehicles. However, Nepal has not even been able to implement Euro 4 standards so far. India, meanwhile, has already moved forward with the implementation of the Euro 6 standards. Says Ravi Sahu: “Air pollution in Nepal is not just about air pollution, it has ties to tourism, aviation, the economy so we must be prepared for annual conditions like forest fires, and this requires urgent interdisciplinary collaboration.” &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742.jpg" data-media-id="editor_15" data-image-id="20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742" data-rendition-name="original" width="839" height="784" loading="lazy" alt="Silent Killers"> </figure>  &nbsp;

What is invisible is more dangerous

On Tuesday, leader of the monarchist RPP once again gathered on Kathmandu’s streets to deliver fiery speeches, but this time there was no arson and looting and no need for riot police to fire live rounds or tear gas.
RPP leaders demanded the release of their members including vice-president Rabindra Mishra and MP Dhawal Shamsher Rana were arrested during the violent <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">28 March protests at Tinkune </a>which left two dead. 
They denounced the current leadership of the main parties, demanding the <a href="https://nepalitimes.com/editorial/nepal-party-reincarnating-hindu-monarchy">restitution of Nepal as a Hindu kingdom</a>. They also said the government was responsible for the fatalities on 28 March because it provoked its rally with a tear gas attack even before it started.
It has now been revealed that the police fired at least 100 live rounds from high powered assault rifles at the crowd. Twenty-one of the 120 injured received bullet wounds, and most of them were bystanders and people trying to reach home. 
Tuesday protest on the Ring Road in Balkhu was much more subdued, and comparatively fewer RPP supporters showed up. The arson and vandalism in the previous protest appears to have cost some support for <a href="https://nepalitimes.com/news/the-ghost-of-monarchy-returns-to-haunt-nepal">former king Gyanendra </a>especially for the anointment of medical tycoon and bank defaulter <a href="https://nepalitimes.com/news/street-politics">Durga Prasai </a>as ‘commander’ of the Tinkune rally.
Some monarchists acknowledge Gyanendra’s mistakes when was king 2001-2008, but say he has had a lot of time to reflect on his shortcomings and seems more disciplined and committed. His supporters have tried to build on nostalgia among some Nepalis for<a href="https://nepalitimes.com/news/why-invest-in-nepal"> domestic stability </a>and international respect that <a href="https://nepalitimes.com/here-now/if-birendra-was-alive-nepal-could-still-be-a-monarchy">the monarchy</a> commanded. 
“Nepalis were promised better service delivery, opportunities for the underserved, as well as better, more honest use of state resources, but the <a href="https://archive.nepalitimes.com/news.php?id=16992">people in leadership </a>have not been able to deliver on their commitments,” says RPP leader Prakash Chandra Lohani. “The gap between their rhetoric and reality has widened, the people feel betrayed, and the respect Nepali people had previously had for them has changed to revulsion.” 
Indeed, many commentators have warned the three main parties and their <a href="https://nepalitimes.com/editorial/politics-as-usual">serial prime ministers</a> who have ruled Nepal for much of the past 30 years should address rising public anger with them, and see the writing on the wall.
‘<a href="https://nepalitimes.com/news/nepal-government-changes-again">The UML, NC and Maoists</a> must introspect about their conduct,” warns Gunaraj Luitel, editor of Nagarik, in an op-ed this week. ‘These leaders for life may save themselves from simmering public anger, but they will not be able to save the system. The monarchist wave can only be dispelled when citizens are assured of <a href="https://nepalitimes.com/here-now/nepal-s-local-election-gives-power-back-to-people">better governance</a> through <a href="https://nepalitimes.com/latest/real-world-training-for-youth-leaders">younger leaders</a>, and reforms.’ 
Rifts between radical royals who are gunning for a return to <a href="https://nepalitimes.com/here-now/mob-movement-and-mayhem">Panchayat-style absolutism </a>and moderate monarchists who favour a constitutional king have also weakened the movement somewhat. The split between the RPP and RPP-Nepal cost the royalists numbers in Parliament in 2022, and both parties denounced the violence last month, albeit shifting the blame on the government.
The irony is that the same royalists who want to scrap the republican Constitution had formed electoral alliances with the UML during the 2022 elections. RPP-Nepal chair Kamal Thapa contested the 2022 election with the UML. Thapa has not taken part in the last two rallies, saying he will only be a part of a movement under a national flag, and not a RPP party banner.
For his part, the RPP’s Rajendra Lingden is said to be hesitant to censure some of his party’s more radical royalists for fear of fissure within his ranks, despite his aversion to Durga Prasai’s role. 
Analysts have questioned why <a href="https://nepalitimes.com/news/old-is-still-gold-in-nepali-politics">supporters of the monarchy </a>have decided to reestablish an institution that would not ultimately have executive decision-making power. There are doubts about whether authoritarian-minded Gyanendra will be satisfied being a <a href="https://archive.nepalitimes.com/news.php?id=13957">ceremonial king</a>. 
Read also: <a href="https://nepalitimes.com/news/nepal-s-deja-vu-on-black-friday">Nepal’s déjà vu on Black Friday</a>, Sonia Awale
"The Nepali people will not accept <a href="https://nepalitimes.com/here-now/forgotten-woman-who-sheltered-communist-activists">an absolute monarchy </a>at this point of time, and both the public as well as <a href="https://archive.nepalitimes.com/news.php?id=8371">king Gyanendra</a> are fully aware that there is no other possibility beyond a constitutional monarchy," asserts the RPP’s Lohani. “The traditional monarchy’s institutional capacity might have been enough to meet the needs of feudal Nepal, but an absolute monarchy is impossible both in concept and practice in the context of <a href="https://archive.nepalitimes.com/regular-columns/Economic-Class/waiting-for-an-industrial-revolution,784">modern day Nepal</a>.”

New year revolutions

82 in २०८२

Here in the mountains of far-western Nepal, the biggest threat to life and limb is gravity. Women collecting fodder fall from trees, boys grazing goats fall off cliffs, heavily loaded tractors plunge from dirt roads carved out of steep slopes. There is nothing to be done about those who die on the spot. But for the severely wounded there is only one hospital: Bayalpata. And it is there that <a href="https://www.youtube.com/watch?v=CJzWlnYd0ZM&amp;t=8s" target="_blank">orthopaedic surgeon Mandeep Pathak</a> is the last hope for many wounded people. Pathak, 42, is too modest to tell us how many lives he has saved over the past 10 years he has worked at Bayalpata. But hospital records show he has performed more than 4,000 operations in the past decade, many of them so patients did not suffer permanent physical disabilities. Pathak also did 800 major life-saving surgeries in that time. “I treat patients with injuries, but I wish I could also treat poverty,” Pathak says, emerging from Bayalpata’s surgical theatre one recent afternoon. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/CJzWlnYd0ZM?si=s_rkbU4YDaw87gqH" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> Sudurpaschim Province in Nepal’s far-west is far away from everything: from Kathmandu, from adequate medical care, from food security, and far from the reach of government services. It has suffered state neglect for centuries, its men mainly migrating to India for seasonal work to families who depend on subsistence agriculture. Pathak remembers the searing sadness he felt when a patient once told him, “Doctor, I sold the last of my rice to pay to come here, please give me a medicine that I can take on an empty stomach.” Pathak was born in Kathmandu, and after getting his MBBS from Kathmandu University, he got an MD from The Philippines. At a time when many Nepali doctors and staff nurses were emigrating, Pathak did not just return to Kathmandu but decided to go to one of the remotest districts in Nepal to serve those most in need. The hospital was established in 2009 in the village of Bayalpata, and has been managed by the non-profit <a href="https://www.nyayahealthnepal.org/" target="_blank">Nyaya Health Nepal (NHN)</a> as a public-private partnership treating 100,000 patients a year for no fees at all. NHN is now preparing to hand over the running of the hospital to the Sudurpaschim provincial government so its <a href="https://nepalitimes.com/banner/this-is-how-to-upgrade-nepals-rural-health" target="_blank">model of hospital management</a> can be replicated.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae.jpg" data-media-id="editor_4" data-image-id="20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Bayalpata hospital"> <figcaption>Bayalpata hospital in Achham.</figcaption> </figure>  People from not just Achham but surrounding districts, and from as far away as Humla, bring patients to Bayalpata, sometimes walking for days. Some with complicated pregnancies are brought in stretchers, young children with broken arms walk into the emergency, and sometimes there are mass casualties when a tractor or bus falls off a road. And Pathak is always there with his team performing triage, and doing orthopaedic surgeries that would be difficult even in Kathmandu. Recently, his team did a hip replacement at <a href="https://nepalitimes.com/banner/state-of-the-art-rural-hospital" target="_blank">Bayalpata Hospital</a>. Mild mannered, modest, soft-spoken, hard-working, professional are the words families of patients who have been treated at <a href="https://nepalitimes.com/here-now/nepal-s-rural-lifeline" target="_blank">Bayalpata Hospital </a>use to describe Mandeep Pathak. But the surgeon is too busy to let all this get to this head.&nbsp; Asked why he does not emigrate like his peers or get a lucrative position at a private hospital in Kathmandu, Pathak answers simply, without a trace of self-importance, “I do not think I could get the satisfaction or sense of fulfilment anywhere else.” When travelling to attend medical congresses overseas or visit family in Kathmandu, Bayalpata has other doctors to take care of patients, but many wait patiently till Pathak returns for their consultation or surgery.&nbsp; When he returns from seminars abroad after learning the latest skills, Pathak’s suitcases are not full of clothes or presents, but titanium bone implants, external fixation rods, or intramedullary nails to be used in <a href="https://nepalitimes.com/news/altruistic-healthcare-models-in-nepal" target="_blank">surgeries at Bayalpata</a>.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80.jpg" data-media-id="editor_8" data-image-id="2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80" data-rendition-name="original" width="2048" height="1368" loading="lazy" alt="surgery"> </figure>  Before Bayalpata Hospital was established, most people suffering broken bones had to travel down to Dhangadi or Nepalganj for treatment. No more. Although Pathak’s specialisation is orthopaedic oncology, he is mostly treating fractures and rejoining broken bones.&nbsp; Now as Bayalpata’s Hospital Director, Pathak also has administrative and fundraising duties. He has to take the 10-hour ride down to Dhangadi often to meet various Sudurpaschim ministries to release the hospital’s budget — that is sometimes more difficult than the most complicated surgery. Recently, he had to cancel an appointment with the Chief Minister to rush back to Bayalpata because there was a patient who needed emergency surgery. “I told myself, let me save this patient first, then I will try to save the hospital,” he recalls.&nbsp; Once, when he had to be away for a month on emergency surgery training in the US, the family of a 90-year-old woman who had dislocated her hip after falling from a staircase was waiting for him to return. Her son told Pathak: “Doctor, either put her out of her suffering, or cure her.” Pathak told him it was too dangerous to operate at her age, but the son said his mother was in so much pain it was worth the risk. The operation was touch-and-go, but it was successful. The woman who had been brought in on a stretcher, walked out of the hospital three days after the operation.&nbsp; A few months later, a 27-year-old woman was brought into the ER bleeding profusely from an arm mangled by a thresher machine. Even in that state, she was breastfeeding her baby. Pathak welled up seeing this display of selfless motherhood, as he wheeled her into surgery. She needed three operations, but now has full use of her hand. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/xJdxLD0hBqo?si=mOpM2R_DsYL88Lfg" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> It is the sense of achievement from such recovery that keeps Mandeep Pathak here in this isolated village in the middle of nowhere. Bayalpata Hospital has not just saved lives, it also saves families from poverty because they do not have to take sick relatives to expensive city hospitals.&nbsp; In January, a woman was brought to Bayalpata with both hands broken. She said she had taken a fall, but Pathak did not believe her. When alone in the surgery, she finally admitted that her husband had beaten her.&nbsp; It was her husband who had brought her to hospital for treatment, but she refused to file a police report. Pathak quietly put both her arms in casts, thinking about the poverty, patriarchy and injustice in society that he is unable to treat.

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