The Far West of Nepal as a remote area

Remoteness, as a subject for multi-disciplinary analysis, remains largely under-studied and under-theorised. Though the idea of remote areas is familiar in Nepal, thanks to the government’s long-running ‘Remote Area Development Programme (1966-2017), there has hardly been any conceptual work on the subject in the Nepalese context. We ask who defines ideas of remoteness and for whom it is an issue. Data were collected through two Focus Group Discussions (FGDs), organized in Bajhang and Kanchanpur in 2022, as well as through interviews, informal discussion, and observations during fieldwork in the region between 2020 and 2022. The paper suggests that remoteness: (a) is both a fact of geography and a state of mind and culture; (b) thus, is an idea imposed from outside, but also a condition of lived reality; (c) is a relative concept, defined in relation to multi-layered hierarchical power centres located elsewhere; and (d) is a development category. Therefore, we argue, the very notions of ‘sudūr’ and ‘remote’ (durgam) are imposed political constructs, symbolizing (more than spatial position) the loci of power elsewhere, and can have detrimental consequences: persistent neglect, the reproduction of marginalization, and increasing dependency

Usefulness of hospital emergency department records to explore access to injury care in Nepal

© 2016, Bhatta et al. Background: Injuries are a major public health problem worldwide. Despite increasing morbidity and mortality from injuries in Nepal, it is not recognised in the government’s policy and programmes and few population-based studies have been published. This study describes the usefulness of hospital emergency department records to explore access to injury care in Nepal. Methods: A retrospective ED-based study was conducted at a governmental hospital in Nepal to review the routinely collected data for 1year (1 January 2010 to 31 December 2010). The study was designed to provide cross-sectional data to describe the distribution of injuries by age, gender, ethnic group and injury mechanism. Results: Results showed that twice as many males as females attended the emergency department (14.6 vs. 7.0 per 1000), attendance varied by age with most (39.8%) attendances in young adults of working age and over half of attendances were from just two ethnic groups (Brahmin (26%) and Tamang (25.5%). Road traffic injuries were the most common cause of injury (37.6%). Conclusions: This study therefore showed the feasibility of using routinely collected hospital emergency department data to monitor injury inequalities in Nepal

Reconceptualizing Profit-Orientation in Management: A Karmic View on "Return on Investment" Calculations

From the perspective of the present day, Puritan-inspired capitalism seems to have succeeded globally, including in India. Connected to this, short-term profit-orientation in management seems to constrain the scope of different management approaches in a tight ideological corset. This article discusses the possibility of replacing this Puritan doctrine with the crucial elements of Indian philosophy: Karma and samsara. In doing so, the possibility of revising the guiding principles in capitalist management becomes conceivable, namely the monetary focus of profit-orientation and its short-term orientation. This perspective allows a detachment of the concept of profit from the realm of money, as the seemingly only objectifiable measure of profit. Furthermore it allows a removal of the expectation that every "investment" has to directly "pay off". A karmic view offers management a possible facility for being more caring about the needs and fates of other stakeholders, as profit-orientation would no longer be attached as a factual constraint to merely accumulate money. (author's abstract

Blood pressure and hypertension in people living at high altitude in Nepal

This study aimed to describe blood pressure (BP) and hypertension (HT) in samples of high altitude populations of Nepal and to explore associations of systolic BP, diastolic BP and HT with altitude. This was a cross-sectional survey among 521 people living at four different altitude levels, all above 2800 m, in the Mustang and Humla districts of Nepal. Data on BP was available for all 521 participants. Systolic and diastolic BP levels were highest at the altitude of 3620 m (the highest area surveyed) but did not consistently increase with altitude. Using the cut-point of ≥140/90 mmHg (systolic/diastolic), the prevalence of HT (or on anti-hypertensive medication) was 46.1%, 40.9%, and 54.5% respectively at 2800 m, 3270 m and 3620 m of Mustang district, and 29.1% at 2890 m of Humla district. In a multivariate model adjusting for potential confounders there was moderate evidence of a relationship between systolic BP and altitude; mean systolic BP increased by 14.1 mmHg (95% CI 2.6 to 25.5), P=0.02 for every 1000 m elevation. Although diastolic BP and the probability for HT (or on anti-hypertensive medication) also tended to increase with increasing altitude levels, there was no evidence of a relationship. In the present study three out of four communities living at higher altitude levels showed a greater prevalence of HT among those aged 30 years or older compared with the overall national data. These findings indicate a probable high risk of raised BP in high altitude populations in Nepal

The persistence of hierarchy: paradoxes of dominance in Nepal and beyond

MN Srinivas’ concept of ‘the dominant caste’ has rightly been highly influential. The forms that dominance takes have changed a good deal since his day, but inequality and hierarchy have persisted. Modern ideological justifications of dominance are frequently at variance with those of former times, leading to plenty of paradoxes. These paradoxes are illustrated with examples from Nepal, but their application is much wider. Thanks to Nepal’s different political history, the Nepali case can very usefully be contrasted with India and other parts of South Asia to highlight how, and in which contexts, hierarchy as a value persists even when equality is written into numerous constitutional provisions and laws

Afterword: So what is the anthropology of Buddhism about?

This afterword considers the history of the subfield of the anthropology of Buddhism in light of the essays in this special section of Religion and Society. Anthropologists have sought to combat conventional assumptions about Buddhism and have long made contributions to the study of Buddhism, the state, nationalism, and politics. As part of a maturing field, they have also made contributions through the study of Buddhism to many other subfields of anthropology, including morality, spirit possession, the emotions, and materiality. It is no longer necessary for the anthropology of Buddhism to be overwhelmingly concerned with the authenticity and identity of its subjects