Human rights in Nepal: Difference between revisions
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Low health indicators continue to persist in Nepal today.<ref name="UNDP 2014" /> Health prospects vary greatly depending on where an individual lives in Nepal and to which class he or she belongs.<ref name="Singh 2005" /> Bhuttarai (2012) reports that a study revealed 50% of poor Nepalis do not live within 30 minutes of a hospital.<ref name="Bhattarai 2012" /> In addition, many areas in the country do not have adequate access to clean water and food.<ref name="UNDP 2014" /> |
Low health indicators continue to persist in Nepal today.<ref name="UNDP 2014" /> Health prospects vary greatly depending on where an individual lives in Nepal and to which class he or she belongs.<ref name="Singh 2005" /> Bhuttarai (2012) reports that a study revealed 50% of poor Nepalis do not live within 30 minutes of a hospital.<ref name="Bhattarai 2012" /> In addition, many areas in the country do not have adequate access to clean water and food.<ref name="UNDP 2014" /> |
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This is particularly problematic for rural parts of Nepal, where there are fewer doctors. The same Bhuttarai study shows that only 21% of rural Nepalis live within three hours of a public hospital; the rest must travel even greater distances to reach a doctor.<ref name="Bhattarai 2012" /> Young child mortality rates in rural areas are also higher than they are in urban areas.<ref name="Singh 2005" /> Elderly citizens also tend to live in rural areas disproportionately, which obstructs their ability to receive healthcare. |
This is particularly problematic for rural parts of Nepal, where there are fewer doctors. The same Bhuttarai study shows that only 21% of rural Nepalis live within three hours of a public hospital; the rest must travel even greater distances to reach a doctor.<ref name="Bhattarai 2012" /> Young child mortality rates in rural areas are also higher than they are in urban areas.<ref name="Singh 2005" /> Elderly citizens also tend to live in rural areas disproportionately, which obstructs their ability to receive healthcare. Finally, Bhuttarai reports that people living in rural areas tend to spend more money on health care than do city dwellers.<ref name="Bhattarai 2012" /> |
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Mental health is also a significant problem in Nepal. Researchers have measured a rise in mental health issues such as depression, anxiety, and [[posttraumatic stress disorder]], which they think may have been caused by the violence of the 1996-2006 conflict.<ref name="Singh 2006" /><ref name="Singh 2005" /> Suicide has also become more common.<ref name="Singh 2005" /> Though the demand for mental health treatment is high, there are only .22 psychiatrists, .06 psychologists, and 1.5 inpatient beds for every 100,000 people in Nepal, according to Luitel (2015). Throughout Nepal, primary care physicians don’t have supplies of psychotropic drugs that they require, mental health workers are overwhelmed, and primary care doctors do not receive the guidance and training they need to effectively treat mental illness.<ref name="Luitel 2015">{{cite journal|last1=Luitel|first1=Nagendra|last2=Jordans|first2=Mark|last3=Adhikari|first3=Anup|last4=Upadhaya|first4=Nawaraj|last5=Hanlon|first5=Charlotte|last6=Lund|first6=Crick|last7=Komproe|first7=Ivan H|title=Mental health care in Nepal: current situation and challenges for development of a district mental health care plan|journal=Conflict and Health|date=2015|volume=3|issue=9|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4331482/|accessdate=24 April 2015}}</ref> Rural areas of Nepal tend to particularly lack adequate sources of mental health treatment as well, as most mental health professionals reside in urban regions.<ref name="US State Department" /><ref name="Luitel 2015" /> |
Mental health is also a significant problem in Nepal. Researchers have measured a rise in mental health issues such as depression, anxiety, and [[posttraumatic stress disorder]], which they think may have been caused by the violence of the 1996-2006 conflict.<ref name="Singh 2006" /><ref name="Singh 2005" /> Suicide has also become more common.<ref name="Singh 2005" /> Though the demand for mental health treatment is high, there are only .22 psychiatrists, .06 psychologists, and 1.5 inpatient beds for every 100,000 people in Nepal, according to Luitel (2015). Throughout Nepal, primary care physicians don’t have supplies of psychotropic drugs that they require, mental health workers are overwhelmed, and primary care doctors do not receive the guidance and training they need to effectively treat mental illness.<ref name="Luitel 2015">{{cite journal|last1=Luitel|first1=Nagendra|last2=Jordans|first2=Mark|last3=Adhikari|first3=Anup|last4=Upadhaya|first4=Nawaraj|last5=Hanlon|first5=Charlotte|last6=Lund|first6=Crick|last7=Komproe|first7=Ivan H|title=Mental health care in Nepal: current situation and challenges for development of a district mental health care plan|journal=Conflict and Health|date=2015|volume=3|issue=9|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4331482/|accessdate=24 April 2015}}</ref> Rural areas of Nepal tend to particularly lack adequate sources of mental health treatment as well, as most mental health professionals reside in urban regions.<ref name="US State Department" /><ref name="Luitel 2015" /> |
Revision as of 07:27, 28 April 2015
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A conflict between the Nepalese government forces and the Community Party of Nepal (Maoist) occurred between 1996 and 2006, resulting in an increase in human rights abuses throughout the country. Both sides have been accused of torture, unlawful killings, arbitrary arrests, and abductions. Nepal was home to the most disappearances in the world during the conflict.
The conflict also resulted in a reduction in human rights in the realms of poverty, health, education, and gender equality. Issues in these realms continue to persist today. Nepalis face discrimination based on ethnicity, caste, and gender, and citizens living in rural parts of Nepal lack access to adequate health care, education, and other resources. Violence continues to plague the country, particularly towards women. Economic inequality is prevalent, and health issues persist—including high child mortality rates in some areas, mental illness, and insufficient health care services.
History
1996-2006 conflict
From 1996 to 2006, Nepal experienced a violent conflict between the Nepalese government and the rebel political group the Communist Party of Nepal (the Maoists). The Maoists took arms against the Nepalese government to fight against what they saw as corrupt and discriminatory regime.[1] Researchers say that ethnic, caste, gender, and rural vs. urban disparities in Nepal fueled the conflict.[2] In 2006, both sides signed the Comprehensive Peace Agreement to end the violence and form a cooperative government. However, ongoing political strife continues to obstruct peace developments.[3]
According to Parker (2013), approximately 13,000 people died (including 500 children) and 100,000-200,000 Nepalis were displaced (including 40,000 children) during the war. Child Workers in Nepal reports that 27,323 children were taken from their communities to contribute to the war, possibly as child soldiers. Nepal ranked as the country with the most disappearances worldwide from 1996-2006.[4] Both sides of the conflict engaged in torture and indiscriminate killings, and civilians often became unintentional casualties or were attacked for allegedly supporting the opposing side.[2][1]
The conflict caused deterioration in human rights conditions across Nepal.[2][5] Human capabilities in the realms of health, education, gender equality, torture, child rights and more have been obstructed.[5][4][2][1]
Torture
The government forces and the Maoists have both been accused of torturing political prisoners and those they suspect oppose their views during the 1996-2006 conflict, including children.[2][1] There is evidence that Nepalese police have also tortured, particularly during the conflict.[1]
According to Stevenson (2001), forms of torture used during the conflict include physical, sexual, and psychological methods. The government used rape as a means of torture as well.[2][1] Singh et al. (2005) reports that 70% of Nepalese inmates were tortured in prison, and the Center for Victims of Torture estimates that 16,000 people were tortured per year during the war.[2]
Both the Maoists and the Nepalese government used torture techniques to extract confessions and to force citizens to act in accordance with their dictates. Stevenson (2001) reports that 50% of torture victims stated they only confessed because of the torture they received.[1]
The long-lasting effects of torture can include physical issues such as disability, lingering pain, and weakness. Mental effects have also been documented, such as posttraumatic stress, anxiety, depression, sleep problems, eating difficulties, and dissociative disorders.[1]
Disappearances, arrests, executions
From 1996-2006, Nepal ranked as the country with the most disappearances recorded.[4] The Nepalese government also frequently arrested and killed people with no explanation and no due process. Among the arrests, disappearances, and executions were civilians who were suspected of being against the government, NGO workers, and journalists.[2]
The Maoists have been accused of arresting and killing civilians as well.[1] During the conflict, they also took students to be trained to assist the Maoist forces, and possibly to become child soldiers. According to Child Workers in Nepal, approximately 27,323 children were taken.[4] The Maoists will not admit to training and using child soldiers, however, though researchers such as Parker (2013) claim there is evidence that they did.[4] The Maoists educated the students in their political point of view as well.[4][2]
Current issues
Current human rights issues include poverty (particularly in rural areas), education disparities, gender inequality, health issues, and child rights violations.[4][6][5]
Poverty
Poverty is an ongoing detriment to human rights in Nepal. 42-45% of Nepalis are impoverished (surviving on income that falls beneath the poverty line) according to Parker (2013) and Paul (2012), while the 2014 Human Development Report for Nepal claims that 25% of Nepalis are in poverty.[4][6][7] The UN gives 64.7% as the proportion in poverty using the Multidimensional Poverty Index (MPI).[8] Bhusal (2012) reports that at least 75% of Nepal’s citizens are in poverty if the poverty line is considered to be $2 a day; according to Bhusal, this higher poverty line better accounts for the practical social and cultural obligations that Nepalis face.[8]
Some areas of Nepal lack sufficient food supply for children; in the worst areas, 60% of children live without adequate food.[5][6] According to the Human Development, the country’s Human Poverty Index (HPI) is 31.12, a relatively high number (where a higher HPI indicates increased poverty). However, Nepal’s HPI has been declining over the past years, decreasing by 21.4% from 2001 to 2011.[6]
Poverty is particularly high in Nepal’s rural regions, whose poverty levels are reported to be between 1.8 and 10 times those of cities.[4][6] Paul (2012) has measured poverty levels at 4% in the capital city Kathmandu and 56% in the rural Mountain area.[7] Paul also claims that the per capita income of people in urban areas is two times that of people in rural regions.[7] Rural areas also do not receive as much aid from NGOs as urban areas do, further contributing to the disparities.[2] In addition, researchers have observed that the most impoverished areas are slowest to show improvement. Researcher Lok P Sharma Bhattarai has stated that “[l]iving in the rural areas essentially means living in absence, struggling ‘hand to mouth’ and being powerless.” (Bhattarai 2012, 244.)[9]
Despite poor HPI numbers, levels of inequality across Nepal appear to be decreasing over time, according to the 2014 Human Rights Report for Nepal.[6] However, Bhattarai (2012) claims that the number of people in poverty is rising, and according to Bhusal (2012), 80% of Nepalis have seen their quality of life go down within the last 15 years.[9][8] Paul (2012) reports that Nepal’s Gini coefficient is .51—a higher number than those of surrounding countries.[7] Bhusal has also claimed that the top 20% of income earners brought in nine times the amount of money as the bottom 20% of income earners in 2005.[8]
Poverty is also linked with ethnicity and caste, though equality between ethnic groups and castes is increasing. However, ethnic minorities and some lower castes continue to experience higher rates of poverty.[6]
Health
The 1996-2006 conflict in Nepal had a negative impact on health in the country. The violence was especially harmful to the health of women and children. The conflict prevented essential medical supplies from reaching those who needed them, particularly children. The maternal childbirth death rate during the conflict was at the high rate of 1 in 24.[5]
Medical staff’s ability to work was also greatly impeded during the conflict, further harming the health of Nepalis. Staff was killed or arrested and hospitals were incapacitated. The violence forced many health workers to leave their jobs.[5]
Low health indicators continue to persist in Nepal today.[6] Health prospects vary greatly depending on where an individual lives in Nepal and to which class he or she belongs.[2] Bhuttarai (2012) reports that a study revealed 50% of poor Nepalis do not live within 30 minutes of a hospital.[9] In addition, many areas in the country do not have adequate access to clean water and food.[6]
This is particularly problematic for rural parts of Nepal, where there are fewer doctors. The same Bhuttarai study shows that only 21% of rural Nepalis live within three hours of a public hospital; the rest must travel even greater distances to reach a doctor.[9] Young child mortality rates in rural areas are also higher than they are in urban areas.[2] Elderly citizens also tend to live in rural areas disproportionately, which obstructs their ability to receive healthcare. Finally, Bhuttarai reports that people living in rural areas tend to spend more money on health care than do city dwellers.[9]
Mental health is also a significant problem in Nepal. Researchers have measured a rise in mental health issues such as depression, anxiety, and posttraumatic stress disorder, which they think may have been caused by the violence of the 1996-2006 conflict.[5][2] Suicide has also become more common.[2] Though the demand for mental health treatment is high, there are only .22 psychiatrists, .06 psychologists, and 1.5 inpatient beds for every 100,000 people in Nepal, according to Luitel (2015). Throughout Nepal, primary care physicians don’t have supplies of psychotropic drugs that they require, mental health workers are overwhelmed, and primary care doctors do not receive the guidance and training they need to effectively treat mental illness.[10] Rural areas of Nepal tend to particularly lack adequate sources of mental health treatment as well, as most mental health professionals reside in urban regions.[11][10]
Singh (2005) reports that towards the end of the conflict, 30% of Nepalis had some form of mental health issue.[2] According to Luitel, Nepalis with mental health problems face stigma and discrimination; such stigma can discourage people from seeking mental health care.[10]
Some attempts to improve the healthcare system in Nepal are in progress. Simkhada (2015) advocates for creating a public health protection organization in Nepal, in light of the recent global spread of disease. According to Simkhada, “This service is much needed in order to co-ordinate, strengthen, and support activities aimed at protecting the whole population of Nepal from infectious diseases, natural disasters and environmental hazards.” (Simkhada 2015, 442.) The organization would help to recruit qualified health workers, train health professionals, educate the public, improve the delivery of health resources, and promote health research.[12]
Education
Children’s access to education was greatly disrupted during the 1996-2006 conflict between the Maoists and the Nepalese government.[4] Students and teachers were attacked at school, and because of violence, some students were prevented from attending school during the conflict.[4][5] Many schools were forced to close or faced reduced attendance because of attacks or threat of attack. Schools that remained open often held class for fewer hours, and student’s time in the classroom overall decreased greatly during the war.[5]
The Maoists also occupied schools and used them as safe havens and as recruitment grounds. They taught children to be spies or messengers, and they took children to be trained to help the Maoist cause, possibly as child soldiers.[4] The Maoists forced teachers to use Maoist curricula and express Maoist political views, often compelling them to do so through violent means.[1] Though the violence brought by the conflict was greatly detrimental to education, some Nepalis lauded the Maoists for making their school more inclusive to girls and those of lower caste, and for helping the school run more smoothly.[4]
Since the 2006 Comprehensive Peace Agreement, however, the violence has abated and more children are able to attend school.[4] However, several studies report that many children are still lacking education opportunity.[4][5] Parker (2013) says that 18% of children age five to nine are not receiving an education.[4] However, the US State Department claims that 95% of boys and 94% of girls are enrolled in school.[11] Paul (2012) reports that illiteracy in Nepal is currently at 64%. This number varies widely between rural and urban areas; Paul measured the illiteracy rate at 37% in urban areas and 67% in rural areas.[7]
Girls, children of lower caste, and ethnic minorities are still not given equal education opportunity.[4][6][5] Children in rural areas also have reduced access to education, and children who were internally displaced persons (IDPs) during the war have had difficulty getting back to school.[6][11]
The quality of schools in Nepal has also been questioned. More resources are needed to fund the schools and particularly to provide better school facilities. Schools also lack skilled and competent teachers; more quality teacher training is necessary. In addition, more comprehensive curricula are needed to accommodate students from all backgrounds.[4]
Gender equality
Women’s rights
Women in Nepal continue to face discrimination, inequality, and violence.[6][11]
Violence against Nepali women takes the form of domestic abuse, sexual assault, rape, human trafficking, and general harassment.[11][6] Laws against these crimes are frequently unenforced, and as a result many perpetrators do not face legal consequences. Women also often fail to report rapes and sexual harassment. According to the US State Department, one reason for the lack of sexual harassment reports is that Nepalis do not receive adequate education concerning the definition of sexual harassment. The State Department claims that continued custom of dowry giving (which is illegal) increases violence against women as well.[11] Women also faced violence during 1996-2006 conflict; Singh (2005) reports that 5000-10,000 women were trafficked every year.[2]
In addition, women face inequalities in health, income, and education.[6] Nepali women have a lower life expectancy than men, and medical care is preferentially given to boys over girls.[6][11] Women in Nepal make 57% less than men, according to the 2014 Human Development report for Nepal, and the US State Department says that continuing violence women face limits their ability to support themselves.[6][11] Though equality in education among girls and boys has increased since 2003 according to Parker (2013), education inequalities still persist.[4][6] Researchers such as Raj et al. (2014) view these disparities as problematic, and present research that suggests girls who receive more education are less likely to be married before age 14 in Nepal.[13]
Third gender's rights
The Nepalese government, following the monarchy that ended in 2007, legalized cross dressing and a third gender option in 2007 along with the introduction of several new law sets. Cross-dressing was also illegal under various laws against public immorality but now is freely allowed. In the 2011 Nepal census, conducted in May 2011, the Central Bureau of Statistics officially recognized a third gender in addition to male and female. It also provides citizenship, passport, Ncell sim card registration, etc. with a third gender option. Yet there is not great acceptance for them in the society. Most of the violence and discrimination comes to third genders.[14]
Footnotes
- ^ a b c d e f g h i j Stevenson, Philip C. "The Torturous Road to Democracy—domestic Crisis in Nepal." The Lancet 358, no. 9283 (2001): 752-56. Accessed January 29, 2015. http://eds.b.ebscohost.com.ezproxy.rice.edu/ehost/pdfviewer/pdfviewer?sid=71173233-a9c7-4325-bccb-1d8078e03352@sessionmgr113&vid=24&hid=112.
- ^ a b c d e f g h i j k l m n o p Singh, Sonal, Khagendra Dahal, and Edward Mills. "Nepal's War on Human Rights: A Summit Higher than Everest." International Journal for Equity in Health 4 (2005). Accessed January 29, 2015. http://eds.b.ebscohost.com.ezproxy.rice.edu/ehost/pdfviewer/pdfviewer?sid=71173233-a9c7-4325-bccb-1d8078e03352@sessionmgr113&vid=21&hid=112.
- ^ Upreti, Bishnu Raj. "Nepal From War to Peace." Peace Review 24, no. 1 (2012): 102-07. Accessed January 29, 2015. http://eds.b.ebscohost.com.ezproxy.rice.edu/ehost/pdfviewer/pdfviewer?sid=71173233-a9c7-4325-bccb-1d8078e03352@sessionmgr113&vid=16&hid=112.
- ^ a b c d e f g h i j k l m n o p q r s Parker, Sara, Kay Standing, and Bijan Pant. "Caught in the Cross Fire: Children’s Right to Education During Conflict - The Case of Nepal 1996-2006." Children & Society 27, no. 5 (2013): 372-84. Accessed February 14, 2015. http://eds.b.ebscohost.com.ezproxy.rice.edu/ehost/pdfviewer/pdfviewer?sid=feb0f0d4-05d9-4492-9157-3ad4760b0ace@sessionmgr198&vid=26&hid=112.
- ^ a b c d e f g h i j k Singh, Sonal, Erik Bøhler, Khagendra Dahal, and Edward Mills. "The State of Child Health and Human Rights in Nepal." PLoS Medicine 3, no. 6 (2006): 948-52. Accessed January 29, 2015. http://eds.b.ebscohost.com.ezproxy.rice.edu/ehost/pdfviewer/pdfviewer?sid=71173233-a9c7-4325-bccb-1d8078e03352@sessionmgr113&vid=18&hid=112.
- ^ a b c d e f g h i j k l m n o p q United Nations Development Programme (UNDP). 2014. Nepal Human Development Report 2014. New York: UNDP.
- ^ a b c d e Paul, Satya; Prem, Thapa; Giovanna, Prennushi (2012). "Spatial dimensions of income inequality in Nepal". Journal of Developing Areas. 46 (1): 241. Retrieved 24 April 2015.
- ^ a b c d Bhusal, Lok Nath (2012). "Poverty Estimates and the Welfare State: the case of Nepal". Contemporary South Asia. 20 (1): 45–59.
- ^ a b c d e Bhattarai, Lok P Sharma (2012). "Older people's exclusion from healthcare services in Nepal: an analysis of the political economy of development aid, domestic policy and research". Geriatrics Gerontology International. 13 (2): 243–249. Retrieved 24 April 2015.
- ^ a b c Luitel, Nagendra; Jordans, Mark; Adhikari, Anup; Upadhaya, Nawaraj; Hanlon, Charlotte; Lund, Crick; Komproe, Ivan H (2015). "Mental health care in Nepal: current situation and challenges for development of a district mental health care plan". Conflict and Health. 3 (9). Retrieved 24 April 2015.
- ^ a b c d e f g h US State Department. "Nepal 2013 Human Rights Report." January 1, 2013. Accessed March 3, 2015. http://www.state.gov/documents/organization/220612.pdf.
- ^ Simkhada, Padam (2015). "Need and importance of health protection training in Nepal". Nepal Journal of Epidemiology. 5 (1): 441–443. Retrieved 24 April 2015.
- ^ Raj, Anita; McDougal, Lotus; Silverman, Jay G.; Rusch, Melanie L. A. (2014). "Cross-Sectional Time Series Analysis of Associations between Education and Girl Child Marriage in Bangladesh, India, Nepal and Pakistan, 1991-2011". PLoS ONE. 9 (9). Retrieved 24 April 2015.
- ^ http://www.bds.org.np/aboutus.html