Right to health still largely ignored in Nepal

“The health system remains unprepared and unlawfully in defiance of a range of orders of the Supreme Court”

A health camp in rural Nepal. PHOTO: Marty Logan

The right to health in Nepal during Covid-19 remains largely a paper promise. In June I wrote about how the government had largely ignored orders from the Supreme Court to act immediately to meet its health commitments in both international and domestic law.

Today the International Commission of Jurists, whose 2020 briefing paper was the centre point of my article, released an updated version—it is equally depressing.

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Introducing Strive podcast

Strive, a new podcast from IPS News, hosted by Marty Logan

This is a short post to announce that I’m hosting a new podcast, Strive, by IPS News. It is similar to Nepal Now, a podcast I created one year ago, but with a global vision.

Our first episode, about a civil-society led campaign to boost mask wearing to fight Covid-19 in South Asia, is online and more will soon follow.

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Nepal’s homegrown Covid-19 heroes

Nepalis are not only recipients of humanitarian aid—they lead many such efforts, disaster after disaster, including Covid-19. Watch our short video to learn more.

A few years ago my eyes were opened to the fact that international organizations provide only a fraction of aid that flows into countries after disasters—most of it comes from families, communities, religious institutions, local and national civil society organizations, and governments.

Yet, what I’ve seen online during the Covid-19 pandemic does not reflect that reality, at least not concerning Nepal. Here, for the past year I’ve watched individuals, including an immuno-compromised friend who is unable to get vaccinated, set aside work and family to serve hot food to needy strangers on the streets.

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Activists pursue the right to health in Nepal during Covid-19

As a new surge in cases overwhelms the South Asian country, people are forced to rely on a frail healthcare system and a government remiss in its duties to uphold their right to health

Getting oxygen treatment for Covid-19 in Nepal, May 2021. © Amit Machamasi/Nepali Times

On 3 May, Lok Bahadur Pariyar, 45, arrived at his local pharmacy in southern Nepal complaining of breathing difficulties. He told the pharmacist that he had been suffering from fever, severe body aches, and cold symptoms in recent days.

Suspecting COVID-19, the pharmacist called an ambulance to take Pariyar to the hospital. The next day, when the pharmacist opened his shop, he was surprised to see the man standing outside. He told him he had visited three hospitals the day before and all had turned him away.

Pariyar sat down to catch his breath, and died soon after.

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The people to the rescue in Nepal

The homepage of the citizens’-led Covid Connect Nepal initiative on 17 May. 160 volunteers are working around the clock.

There is no way to sugarcoat this – Nepal is being hammered by Covid-19. Just as in its giant neighbour, places such as the capital Kathmandu and cities bordering India have run out of intensive-care hospital beds and oxygen, extra cremation sites have been set up on the banks of rivers and fewer than 5% of people have been vaccinated, with no new jabs in sight.

Yet, as I’ve written before and talked about on the Nepal Now podcast, it is ordinary people who have stepped up to stop things from getting much much worse, while the politicians turned away from the dead and dying to engage in political power plays, as reported by Nepali Times.

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Can a developing country ‘build back better’?

Researcher Sijal Pokhrel.

Globally there are signs that some countries are taking policy decisions that will advance sustainable development post-Covid-19, including the United States under the new Biden administration, but as a non-expert I feel pretty confident to say the evidence is inconclusive that the world will be on a greener path.

So given how hard it seems to be for rich countries to turn that corner, it seems unlikely that a ‘developing’ country like Nepal could make it happen. Although it was progressing before the pandemic, the challenges were enormous and included climate change (evidenced by melting glaciers) high unemployment that was sending more and more young people abroad to find work, and stalled progress in terms of mother and child health after decades of impressive results.

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Childhood: another casualty of Covid-19

Girl facilitators in a meeting organised by UNFPA in Udaypur District. ©UNFPA.

Child marriage has risen in many countries since the world started locking down earlier this year. In fact, the UN Population Fund (UNFPA) is predicting that if conditions don’t change, the pandemic will contribute to an additional 13 million marriages of children (mostly under 18) in the next decade.

The causes of child marriage are many and complex — economic, social and cultural. In Nepal, girls are often seen as a burden: raised by their parents only to be sent away to live with their husband’s family, and on top of that a girl is usually expected to carry with her a dowry for the groom’s family, which can amount to a huge amount of cash and goods, big enough to put her family in debt for many years.

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Premature births, stillbirths rise in Nepal during pandemic — Lancet

A report in the journal The Lancet Global Health has confirmed initial figures: child deaths are rising in Nepal as anxious, pregnant women avoid health facilities during the Covid19 pandemic.

A pregnant woman undergoes a checkup at Baitadi District Hospital in June 2020 © Ganesh Shahi/ UNFPA.

This article was published in Nepali Times online, 14 August 2020.

A report published online in the journal The Lancet Global Health this week revealed that the COVID-19 pandemic has caused 50% fewer women in Nepal than usual to give birth in hospitals, resulting in higher risks for premature births, stillborn deliveries and newborn deaths.

The study, conducted in nine hospitals across Nepal found that the stillbirth rate at hospitals and birthing centres increased from 14 per 1,000 before the lockdown to 21, and the neonatal mortality increased from 13 per 1,000 livebirths to 40.

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Nepal’s labour migration trap

Malaysia-bound migrant workers at a Kathmandu-based facility, where their passports and fingerprints are scanned for Immigration and Security Clearance. ©Nepali Times

Experiences from other Asian countries show that people who have gone abroad to work can be reintegrated into the economies of their home countries but it’s a complex process that requires government leadership.

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Fears for maternal health rise in Nepal with coronavirus

Researching this article for The New Humanitarian it became clearer than ever that the status of maternal health in Nepal is cloudy at the best of times since accurate data is unavailable. In the COVID-19 pandemic, it’s really a guess.

A woman sits with her baby outside her shop in the city of Bhaktapur near Nepal’s capital, Kathmandu, in June 2014. The government says fewer women are giving birth in health facilities during the coronavirus pandemic. (Navesh Chitrakar/REUTERS)

Researching this article for The New Humanitarian it became clearer than ever that the status of maternal health in Nepal is cloudy at the best of times since accurate data is unavailable. In the COVID-19 pandemic, it’s really a guess: everyone assumes it’s getting worse but no one is sure. The local office of the UN Population Fund (UNFPA) was supposed to start an assessment with the Government of Nepal late in June but it has yet to begin. Read on:

As home births rise in Nepal, so do fears for maternal health

Home births are rising in Nepal as fewer pregnant women visit hospitals, fuelling fears that the coronavirus pandemic could reverse years of progress on maternal health in the South Asian nation.

The government says less than half of pregnancies are now taking place in health facilities, compared with about 70 percent before coronavirus lockdowns began in March. A separate survey of health facilities across Nepal, conducted by the UN Population Fund (UNFPA) in April, found that visits by pregnant women had dropped as much as 50 percent.

In June, Nirmala Joshi, 24, walked two hours to her nearest hospital in Baitadi, a mountainous district in Nepal’s remote far west, for her first prenatal check-up.

Read the full article.

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