Social Welfare Centre
Elderly’s Home, Pashupatinah
Report by Mr. Udaya Lal
Shrestha, General Secretary, ULBA-Youth Wing
Nepal
March 2006
Social Welfare Centre Briddhashram is
the only Elderly's Home operated by His Majesty's Government in the
Kingdom Nepal. It was established in 1882 A.D and operated as being
the Panchadeval Pakshala in the regime of His Majesty Surendra Vir
Vikram Shah. Now at present it is being operated by the name of
Social Welfare Centre Elderly's Home, Pashupati since 1977 A. D. The
total sheltering capacity of this Elderly Home is 230 persons.
Criteria of entrance/description and procedures to have been
submitted for getting the shelter in the Elderly's Home are:
- The Nepalese citizenship certificate of completion of the age of
65 years
- A clear recommendation letter from the concerned Village
Development Committee or Municipality, stating that the person is
orphan, helpless, poor and he has on body to take care of.
- The concerned person should submit an application to the Ministry
of Women, Children and Social Welfare requesting for permission to
live in Elderly's Home.
- After application is approved, admission shall be made if there is
vacancy.
- The services and facilities provided by this Elderly's Home is:
- Maintenance and housing provision
- Health care and sanitation provision
- Clothing provision twice a year
- Celebration of traditional festivals
- Pilgrimage provision from time to time
- Provision of singing the songs of pray and other religious
programmes in every morning and evening
- Provision of funeral rites after death and death anniversary
social tradition
If any organization or a person intends to assist this center in
case of cash, it can be put into the saving account of Elderly's
Home Welfare fund in Rastriya Banijya Bank, Gaushala, Kathmandu.
If somebody intends to provide voluntarily in kinds or any other
commodities for the old people, the donor may provide by contacting
the office chief. If any organization or a person intends to provide
any kind of service (for example taking care of medicine and health
check up, religious discourse etc.) he can provide by getting
permission from the office chief.
Regarding the situation we, members of ULBA Youth Wing and United
ULBA Free Clinic decided to offer some food and money to old people
of Elderly's Home. We distributed two packets of Biscuits and NRs.
5/- each to whole 230 old people. It felt so good and peaceful to
give something from your heart and we got many blessings from them,
which were very precious to us. If given a chance to serve helpless
people we will do more of these programmes.
Life and
Death in Pashupatinath: Elders Find a Home on the Banks of Kathmandu’s
Bagmati
By
Dave Baldridge
Executive Director, American Association for International Aging
Nepal
November 7, 2005
It’s our first day in
Kathmandu and we are leaving Nepal’s only government-sponsored senior
citizens home. Charles Englebert, our Colorado-based Himalayan mountain
bike guide-to-be for the next two weeks, suddenly looks away, tears in
his eyes. His voice is choked, so we save our questions, not wanting to
intrude.
Back in the U.S. a month
later, we learn more of the story by email from Charles’ brother, Kevin:
When
guiding in Nepal in 2004, Charles discovered an older man living (or
rather dying) under a bridge. The man could not see due to infection in
his eyes and he could not walk due to a crushed hip sustained in some
sort of accident. He was starving and freezing. Charles estimates the
man had only a few more days before he would have died.
For several days, Charles brought food and water to him, nursing him
back to strength and trying to convince him to get some care. The man
was reluctant to seek help. Eventually, however, he agreed to move into
the shelter. The cab ride from the bridge to the shelter was unpleasant,
as the old man had not bathed or had adequate toiletries for quite some
time--truly a desperate situation. Charles felt that he had done all he
could, and this last act was probably a lifesaver.One year later, while
on our trip, Charles returned to the same shelter to find out if the
elderly man, named Dona Badu, had survived. He has, and is thriving! His
sight is back, his hip has healed, he is almost completely mobile, and
he has made many new friends at the shelter. Dona Badu cried when he saw
Charles, and told him that he “had brought him back from the dead.” He
proclaimed “all these people are my friends,” pointing to the many
people he has met at the shelter.
The Siddhi Shaligram Briddhashram (Home for the Elderly) lies 4.8
kilometers northeast of the heart of the city, but also an abode for
frolicking monkeys and sadhu santas with tangled hairs who come from
across the Indian subcontinent.”
Through the complex, the
Bagmati River flows quietly past the ghats where ghutiyars cremate human
remains daily, dumping the ashes into the river where they flow
downstream, eventually to the sacred Ganges. For Hindu faithful, to die
and be cremated means release from the cycle of repeated birth and
death.
On one particular day,
floating on her back, a woman, wearing a brilliant red dress and
carrying an urn under one arm, is chanting. Nearby, two Ramanandi sadhus
(ascetic pilgrims), themselves elders with faces painted brightly behind
long tangled beards--are posing for tourists. They pay scarce attention
to the woman who, apparently in the midst of her own personal epiphany,
exits the water, still chanting, her eyes cast upward to a hazy,
polluted sky.
A few yards across the
river, the Briddhashram houses some 180 destitute Nepali elders. Founded
by Mother Theresa’s Missionaries of Charity, the order still supports
some sisters who, along with intermittent volunteers, operate one wing
there. According to EasyTravel.com, the English-speaking sisters need
help each morning “changing and cleaning sheets, helping residents wash,
clipping nails, scrubbing pots, etc.”
The rest of the center—the
only home for seniors supported by the monarchy-- is run by the
government. In order to gain admission, elders endure a lengthy and
hectic process of verification from the District Administration Offices,
Municipalities or Village Development Committees, and sometimes the
Social Welfare Council. As we stroll through the grounds, a few elders
look at us curiously. They are eating their noon meal of rice, scooped
from bowls with their fingers. They sit on concrete ledges around a
garden that they tend. In the middle of the garden, a miniature Shiva
temple presides over bell and datura flowers the elders have planted
around it.
Sustained mostly by
donations that provide just over $200/person—the average annual income
for a Nepalese citizen--the Briddhashram residents consider themselves
some of the most fortunate elders in all of Nepal. In truth, they are.
Briddhashram residents represent close to one in every 7,000 Nepalese
elders. They are keenly aware that they survive daily against enormous
odds.
Western perceptions of the
Briddhashram sometimes reflect a different perspective. One Australian
visitor found residents “living in very basic and cramped living
conditions . . .so dark that we stumbled along walkways. We were amazed
to see that parts of the accommodation included open air porches that
must have been extremely cold in winter.”
Briddhashram residents are
less critical. One elder told a reporter, “I am very happy here. They
give us food, clothing and take care of us, which is all we need because
after all we are going to die one day.” Another--an 80-year-old who has
lived in shelters since 1946--said, “Our daily routine is so simple and
peaceful. We are served good food and then we go for prayers in the
morning and in the evening. It’s better to live here on the lap of Lord
Pashupatinath than at my son’s house which is filled with hatred.”
“There are very few
options for the elders in Nepal, a caregiver told the Kathmandu Post:
“In the absence of a center providing good old age care, they live as a
liability and a headache for their families. Even at this, Nepal’s
flagship senior home, “many elders . . . simply . . . have nowhere else
to go.”
Given such overwhelming
in-your-face levels of need, Pashupatinath Briddhashram employees and
volunteers get high marks from residents and supervisors alike. “Our
staff members here work day in and day out,” says office chief Arjun
Prasad Gautam. “They start working from as early as six a.m. ‘til eight
p.m.” But it’s not enough to stem the overwhelming, unrelenting need
apparent in the eyes of elders and children everywhere in Kathmandu.
Nepal’s entire working class population, not just the elderly, find
themselves in crisis.
Landlocked by Pakistan,
India, Tibet, and China, Nepal is among the poorest and least developed
countries in the world, with nearly half of its population living below
the poverty line. Subsistence agriculture is the mainstay of the
economy, providing a livelihood for more than 80% of the population.
In general, the forces
driving Nepalese quality of life are out of control. These include an
autocratic monarchy, lack of an industrialized infrastructure, a
fertility rate of 4.19 children per woman, one of the highest infant
mortality rates in the world (nearly 67/1,000), and a population of
which only 45.2 percent over the age of15 are literate. A Nepal Multiple
Indicator Survey by Community Information and Epidemiological
Technologies (CIET) indicated that only two percent of Nepalese women
over the age of 61 could read or write a simple letter.
The only official Hindu
state in the world, Nepal is home to nearly 28 million people and 50
ethnic groups speaking 25 different languages. These
minorities—including Newars, Gurungs, Magars, Tamangs, and Sherpas—coexist
more or less peacefully. Not so Nepal’s political entities--the Maoists
and the ruling monarchy. Nepal’s ongoing political crisis—with Maoists
controlling large chunks of the Nepalese countryside—contributes to
health problems as well as the simmering potential for civil war. Often,
Nepal’s estimated 1? million elders aren’t able to navigate the ongoing
conflict effectively.
The Kathmandu Post
reported in 2002 that “an increasing number of elderly have left their
homes following their children’s enlistment in Maoist militant groups.”
A U.S. Department of State report on human rights practices states that
up to 200,000 persons have been displaced since the start of the
insurgency, and that in 2003 alone 38,000 Nepalese of all ages left
their villages out of fear.
Seventy-nine-year-old
Kirtiman Thami reportedly left his home after his only surviving son
joined the Maoists. “Before his enlistment, the Maoists harassed us,” he
said. “After his enlistment, I had no choice but to leave.” After
wandering and begging for weeks, Thami finally gained admission to the
Briddhashram.
The Post reported that an
elder in tears said, “Many families have disintegrated and several
thousand are displaced due to the conflicting demands of both the
security forces and the Maoists. Most people of my generation have left
the village. There is no work and no safety there.”
If safety is ever to come
to Nepalese elderly—whether they are lost in the busy streets of
Kathmandu or eking out subsistence livings in remote villages--it is
seemingly unlikely to happen in the near future without dramatic
political and economic reforms.
Whether or not the
Nepalese government has the political will to enact broad reforms
remains to be seen. Based on the government’s health care track record,
the world shouldn’t hold its breath. Now in its second long-term health
plan and soon to begin its tenth five-year health plan, the poorest
nation in Asia continues to issue optimistic reports and establish
enthusiastic goals. This despite the fact that Nepal spends only 3.7
percent of its annual budget on health care.
That translates to about
$3/person (including donor funding), whereas the World Bank estimates
that $12/person is needed for basic health care in a developing nation
(the U.S. government spends $4,000/person annually). Nepal’s investment
in health is the lowest of any country in Asia. The result, as assessed
by the Nepal Health Economics Association (NHEA) is that “a large
segment of the population is still denied access to adequate health
care.”
In Nepal, even the concept
of adequate health care stumbles against the nation’s shambles of a
public health infrastructure. More than a third of Nepal’s citizens lack
access to safe drinking water (UNICEF1994) or adequate sanitation. The
British Medical Journal estimated in 2004 that 72% of Nepal’s human
waste was not disposed of properly. That same year, a Water for Nepal
Health (NEHWA) spokesperson said that contaminated water and unhygienic
conditions causes 80% of all diseases. NEHWA also noted that less than
30% of Nepal’s citizens wash their hands in safe water before meals,
resulting in high rates of diarrhea, dysentery, worms, and cholera.
The resulting health
statistics are grim. Recent diarrhea occurs in 15% of children, and in
one hospital, gastroenteritis has been responsible for 63% of
fatalities. Stunted growth due to malnutrition affects 47% of kids under
age five.
The lives of Nepali
elders, too—even apart from health considerations--remain especially
difficult. A Nepal Community Based Action Group (NIPAN) study in 2001
revealed that “A majority of the elderly persons in poverty-stricken
rural areas work five to ten hours and elderly women up to 16 hours a
day to make a living. Elders or women from poor families work as porters
or farm wage earner(s), while some are involved in breaking stones,
sewing shoes and dresses as far as allowed by their physical capacity
irrespective of gender and caste.”
The 2001 study pointed out
that, with the emergence of financial difficulty in the family, “there
seems to be wide disparity in the care provided for elders.” The report
also stated that “elderly persons from all kinds of families list food,
clothing, accommodation and health services” as their basic needs.
There currently exists
little or no data reflecting a systematic assessment of Nepali elders’
health status or their needs. NGO recommendations for improving their
lives consistently involve considerations of familial responsibility,
inheritance, labor force issues, and long-term care. While these are all
familiar to America’s aging network, locally they lack coherent,
organized support from other Nepalese advocates or the government. The
government continues to endure strong criticism for its continuing
inability to coordinate initiatives with NGOs or other potential sources
of help.
In retrospect, the images
of Pashupatinath continue to burn through the jumble of images, smells,
and sounds that linger in a Westerner’s mind after a Third World visit.
The continued existence of the center, like that of the towering
Himalayas a hundred miles away, perhaps poses more questions than it
answers.
For more information about the
Pashutpatinath Briddhashram and how you can make a donation, contact:
American Association for International Aging (AAIA)
4220 Indian Springs, NE, Albuquerque, NM 87109
Tel: 505/232-9908 or 505/239-4793
Website:
www.aaiainfo.org
Bio
A
59-year-old Cherokee, Dave Baldridge hopes “to give back something to
the Nepali elders who changed my world view of aging in poverty.” A
long-time board member of the American Society on Aging, Baldridge ,
executive director of the American Association for International Aging,
also consults for the CDC’s Native Diabetes Wellness Program in
Albuquerque, NM.
Ousted Parents Find Solace at Pashupatinath
By Tashi Dolma Thinley, The
Kathmandu Post
September 21, 2001
The temple vicinity of Lord Pashupatinath is not just a famous
pilgrimage for Hindu pilgrims from around the world, but also an abode
for frolicking monkeys and sadhu santas with tangled hairs who come from
across the Indian subcontinent.
And that is not all. It is also a home to
those unfortunate elderly people who are either kicked out of their
houses by their offspring or feel neglected at home. Seventy-year-old
Dhana Laxmi of Terai Region is one of them. She says, "I am very happy
here. They give us food, clothing and take care of us, which is all we
need because after all we are going to die one day".
She is not the only one. The Pashupati
Briddhashram, a old-age shelter home run by the Ministry of Women,
Children and Social Welfare Council, since B.S 1938, shelters around 180
elderly people with its homes dotting the Pashupati area landscape. Most
of them are genuinely happy for the basic fact that they have "no
problems, no tensions and an easy life".
Adds 80-year-old Shombare Giri, who has been
living in the shelter home since 1946 says, "Our daily routine is so
simple and peaceful. We are served good food and then we go for prayers
in the morning and in the evening. It’s better to live here on the lap
of Lord Pashupatinath than at my sons house which is filled with
hatred."
On the right hand side flows the holy
Bagmati River, on whose banks sit the crematoriums where the funeral of
dead Hindus is carried out.
With the change in time and attitude of new
generation, sociologists say, more and more elderly people are finding
it difficult to stay at their homes and thus landing in such shelter
homes and even in the streets. It is due to this fact that certain
number of elderly parents has been at the receiving end of sorrow and
pain.
Says Chaitanya Mishra, a renowned
sociologist: "Though the number is very low compared to the west, it is
growing due to rapid urbanization, social changes, economical reasons
and the generation gap."
The situation here too is resembling like
that of some western countries where parents have to go and live at old
age homes like the Pashupati Briddhashram when they become old and
helpless. General people having the notion that old age homes are
"pathetic places" meant for neglected parents is slowly turning into a
shredded notion today.
Many still feel sorry for those parents who
live in these old age homes as they are the ones who are not cared, and
not looked after and have landed there as if they are burden to the
society. But those who are there in the Pashupati Briddhashram have left
their past and bitter memories far behind and getting on with life in a
zest.
Shambu Singh Basnet, 72, was of a well-off
family of 16 members. He thought he was the happiest person in the world
as his family grew. But with time, his own family members made him feel
unwanted and a burden in his own home. It was his nightmare when his
sons suggested him stay in the Ashram.
But today, he says, "Had I not left my
family, I would be disturbing their peace of mind and hurting myself
too, today there is nothing that bothers me, there is hundred percent
peace here".
The Pashupati Briddhashram is not the only
shelter home in the capital city. Experts say there are about 15-20
charity homes that are run by various non-governmental organizations.
The Mother Teresa Charity Home (MTCH), in Mitra Park run by the
Missionaries of Charity is also one of them, which provides shelter to
about 200 aged and 45 children. The MTCH also sends volunteers - both
Nepalese and foreigners – to the Pashupati Briddhashram for services.
But it comes as a surprise to many that the
Briddhashram is the only one old age home run by the government. But to
actually seek shelter in the Briddhashram, ‘grandfathers and
grandmothers’ need to go through a lengthy and hectic process of
verification from the District Administration Offices, Municipalities or
Village Development Committees and even the Social Welfare Council.
The bitter truth is that there are much more
people out there who need such services in the country. Says Sister
Celia of the MTCH, "There are ample number of people who are in need of
help and shelter and they are just neglected because there is no place
for them."
Even the government officials at the ashram
are more than keen to extend their services to more people by adding
more beds in the Ashram. "This is more like a service-oriented
organization than a government office, " says Arjun Prasad Gautam, the
Office Chief of the Briddhashram. "Our staff members here work day in
and day out. Though they are supposed to work between 9 a.m to 5 p.m.
they start working from as early as 6 a.m. in the morning till 8 p.m. at
night."
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