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The population of the Dalit community in Madhes Province is larger than in any other province, making up about 18 percent of the total provincial population. Yet, despite systemic changes aimed at addressing the plight of Dalits—who remain socially, economically, politically, educationally, and culturally marginalized—their situation has barely improved.

In 2019, the Madhes Province government introduced the Dalit Empowerment Act to uplift the community. The law, brought forward under then Chief Minister Lalbabu Raut, was designed to formulate and implement programs safeguarding Dalit rights and advancing their interests. As part of the Act, the provincial government established a Dalit Development Committee tasked with creating and implementing empowerment plans across the province.

The committee was structured with the Minister for Social Development (now Sports and Social Welfare) as chairperson and a vice-chairperson selected from among Dalit community members with at least a bachelor’s degree and a record of contributing to Dalit upliftment. It also included four members—two of them women—appointed for a four-year term. However, the tenure of the last committee expired in Feb 2025, and since then, the provincial government has failed to appoint new office bearers.

Under the Act, the Council of Ministers is empowered to form the committee, drawing members from the Policy Commission, the Ministry of Economic Affairs and Planning, the Office of the Chief Minister and Council of Ministers, and the Ministry of Social Development. The vice-chairperson’s position carries the same facilities as an 11th-level officer of the provincial government. Appointments are to be made by the Council of Ministers on the recommendation of the Minister of Sports and Social Welfare.

Despite Minister Pramod Kumar Jayaswal recommending candidates to the Chief Minister’s Office two months ago, the process has stalled. Political wrangling and lack of priority accorded to Dalit issues have prevented new appointments.

“Until recently, we had only forwarded the recommendation for the vice-chairperson, but now we are preparing to send the names of all office bearers at once and finalize them in the upcoming cabinet meeting,” Minister Jayaswal said. “It has been delayed, but once new office bearers are appointed, work will move forward smoothly in the new fiscal year.”

Provincial Assembly member Lalita Tatma, however, accuses the government of neglecting Dalit issues.

The Dalit Development Committee was mandated to be consulted on all Dalit-related programs at the provincial level. It was also tasked with running income-generating and skill-development programs and carrying out research and publications on Dalit issues. But due to weak structure, poor implementation, and absence of leadership, it has achieved little.

Dalit leader Rajkumar Paswan of Saptari argues that the state’s indifference is evident in the vacant posts across commissions and institutions, including the Dalit Development Committee. “Dalits are subjected to violence, discrimination, and social oppression in Madhes Province. The committee was supposed to monitor, document, advocate, and resolve these problems, but it has been without office bearers for a long time. This reflects the government’s prejudice and political apathy,” Paswan said. “The government, which talks of inclusion, justice, and equality, has left the Dalit Development Committee headless and ineffective.”

Two years after the Dalit Empowerment Act was passed, Madhes Province formed its first Dalit Development Committee. Ram Pravesh Baitha was appointed vice-chairperson, with members including Rajkumar Das from Rautahat, Shyam Sardar from Parsa, Devi Das from Shewa, and Sunita Marik Dom. However, the committee faced criticism throughout its four-year term for failing to achieve much.

Outgoing vice-chairperson Baitha blames the government for undermining the body. “We were left stranded for a year after our appointment. In the second year, a budget of Rs 20m was provided, from which we managed to set up an office, purchase a vehicle, and conduct small-scale awareness programs. Beyond that, there was little support,” Baitha said.

The preamble of the Dalit Empowerment Act declares its aim to ensure Dalit participation in the social, cultural, political, civil, economic, and educational spheres while eliminating caste-based discrimination and untouchability. Yet in practice, the law remains largely unimplemented. The Act envisioned four monitoring committees to oversee issues of caste-based discrimination. Among them, the Caste Discrimination and Untouchability Monitoring Committee was to function at the provincial level under the Chief Minister, with responsibilities to study incidents, monitor laws, and ensure enforcement. Members included the Ministers of Internal Affairs and Law, Social Development, Dalit Assembly representatives, the Chief Justice, and others.

But according to activist Bhola Paswan, the committee has been inactive since Chief Minister Satish Singh assumed office. “The provincial committee led by the Chief Minister has not met even once. He has no interest in Dalit issues,” Paswan said. “The government treats Dalits as nothing more than a vote bank, without taking real steps for their upliftment.” The Act also required each rural municipality and municipality to establish a local monitoring committee under the mayor to tackle discrimination at the grassroots level. Yet, only 35 of Madhes’s 136 municipalities have formed such bodies.

Dalit leaders say that the hopes raised by the 2019 Act have been dashed. “When this Act was passed, Dalits in Madhes felt hopeful. We believed federalism had finally delivered for us. We thought committees would reach all eight districts, listen to our problems, and design proper programs,” said Manoj Ram, a Dalit leader. “But the reality is the opposite. Officials appointed to the committee cared more about salaries and allowances. During their four-year term, they did little for Dalits. They blame lack of government support, but the community gained nothing from leaders occupying positions just for the sake of it. Even now, I see no commitment from the government to act in favor of Dalits.”

According to the National Census 2021, Nepal’s total population is 29.1m, of which Dalits make up 13.4 percent. Madhes Province, with a population of 6.1m, has around 1.06m Dalits—about 18 percent of its residents. Data from the National Dalit Commission show a literacy rate of 77.9 percent for Dalits in Madhes, while 91 percent are considered economically active.

The Act promised a future where Dalits in Madhes Province could meaningfully participate in society and benefit from targeted programs. Instead, weak institutions, lack of political will, and half-hearted implementation have left the community frustrated. For many Dalits, the Dalit Empowerment Act of 2019 remains little more than words on paper—its committees underfunded, underrepresented, and largely inactive. Leaders and activists alike argue that without urgent government action and sincere prioritization, Madhes’s Dalit community will continue to face discrimination, exclusion, and neglect, despite making up nearly a fifth of the province’s population.

A meeting of the District Health Crisis Management Committee held on Sunday has decided not to approve the leave of the health workers except for the essential cases in view of the cholera outbreak in Birgunj, Parsa.

The meeting presided over by the Acting Chief District Officer, Suman Kumar Karki, decided to deploy the health workers from the local levels in a centralized way after the detection of cholera in some areas in the city.

Minister for Health and Population of Madesh Province, Satrudhan Prasad Singh, also attended the meeting. 

Distribution, management and management of the human resources and logistics received from the federal and province governments would be carried out from the District Health Crisis Management Committee.

Similarly, the local level would carry out the investigations for the source of infection identification of the cholera outbreak, while the federal and provincial governments would ensure technical assistance for this.

Meanwhile, a meeting of the central security committee also decided to mobilize a team of medical practitioners in the cholera-hit Bijgunj city.

The committee meeting chaired by Home Minister Ramesh Lekhak on Sunday made the decision to this effect, directing the line agencies to ensure the teams for their immediate deployment in Birgunj. 

He directed the Nepali Army, the Nepal Police and the Armed Police Force to pay adequate attention to it.  

Likewise, Minister for Health and Population, Pradip Paudel, and Minister for Drinking Water, Pradip Yadav, also discussed the ways to control and prevent the cholera outbreak in Birgunj city. 

In the city, arrangements have been made for the immediate treatment of the cholera patients for free of cost at both public and private hospitals.

Despite a large number of universities and colleges established in the country for higher studies, a hefty amount of money is spent for abroad studies by Nepali students. 

According to the Current Macroeconomic and Financial Situation of Nepal released by the Central Bank on Sunday based on annual data, travel payments from the country increased 18.1 percent to Rs 223.72 billion, including Rs 138.48 billion for education. "Such payments were Rs 189.43 billion and Rs 125.13 billion respectively in the previous year," it stated. 

According to the Nepal Rastra Bank, the net services income remained at a deficit of Rs 90.94 billion during 2024/25 compared to a deficit of Rs 55.86 billion in the previous year. Under the service account, travel income increased 7.7 percent to Rs 88.66 billion in the review year which was Rs 82.33 billion in the previous year.

According to the Birgunj Metropolitan City’s Health Division, at least 71 cases of cholera have been confirmed since Friday, with over 200 patients currently receiving treatment for diarrhea and suspected cholera in various hospitals across the city. Two deaths have been reported among patients suffering from severe diarrhea, though cholera infection has not been confirmed in those cases.

Medical experts suspect the outbreak is linked to contamination of drinking water pipelines with sewage. Samples from 11 affected locations have been collected and sent to the National Public Health Laboratory in Teku, Kathmandu, with test results expected soon.

Hospitals in Birgunj, particularly Narayani Hospital, are struggling to cope with the rising patient load. “Due to a shortage of hospital beds, we have been forced to treat patients on the floors and verandas,” said Dr Uday Narayan Singh, spokesperson for Narayani Hospital. 

The outbreak has particularly affected Birgunj Metropolitan City-11, 12, 13, and 16. With community-level spread confirmed, the municipality has ordered all schools in the city to remain closed for two days (Sunday and Monday) as a precautionary measure.

Minister for Water Supply Pradeep Yadav, who visited Narayani Hospital and other affected areas, acknowledged that sewage contamination in water pipelines may have triggered the outbreak. “Water samples from affected areas have been sent to Kathmandu for testing. Only after the results arrive can we confirm the exact cause,” Yadav said. He assured that the government is fully sensitive to the crisis and that teams with water purification materials, including chlorine solutions such as Piyush, have already been dispatched to Birgunj.

Mayor of Birgunj metropolitan city, Rajesh Man Singh, said the city office has also mobilized local health teams for door-to-door awareness campaigns, water sampling, and immediate intervention since Friday night when the first cluster of cases emerged in Murlitol of ward 12. “Strict monitoring is underway at marketplaces to ensure hygiene in the transport and sale of fish, meat, sekuwa and other animal products.” As part of the campaign, authorities have begun inspecting vendors, who display food items openly, sell products in unhygienic conditions or neglect sanitation standards, with actions being taken against violators.

Officials confirmed that this is the first major cholera outbreak in Parsa district in the past decade. Cholera, caused by the bacterium Vibrio cholerae, spreads through contaminated food and water. Symptoms include acute diarrhea, vomiting, abdominal pain, sunken eyes, dehydration, muscle cramps, and in severe cases, fever.

With patient numbers still rising, health authorities warn that the situation could worsen unless water sources are secured and mass preventive measures are enforced immediately.

The Madhes Provincial Government has supplied medicines and health materials to Narayani Hospital in Birgunj for the treatment of cholera patients. On Sunday, Dr Bipan Kumar Jha, Chief of the Health Division at the Ministry of Health and Population, Madhes Province, and Public Health Officer Santosh Thakur handed over the medicines and supplies to Dr Chumanlal Das, Medical Superintendent of Narayani Hospital. The provincial government has provided 17 types of medicines and materials needed for the treatment of diarrhea and cholera patients through the Parsa District Health Office, Thakur said. He added that the provincial government is committed to controlling the cholera outbreak in Birgunj and is prepared to provide additional medicines and supplies if required.

Meanwhile, Home Minister Ramesh Lekhak has directed security agencies to remain on high alert to support efforts in containing a cholera outbreak that has spread across Birgunj. During a meeting of the Central Security Committee on Sunday, Minister Lekhak instructed the Nepali Army, Nepal Police and the Armed Police Force to remain ready for mobilization if required. “The minister has also instructed preparations to deploy medical teams, including doctors, should the situation worsen,” said Ministry spokesperson and Joint-secretary Anand Kafle after the meeting. 

Environmentalist Ujjwal Upadhyay says the cholera outbreak in Birgunj is a direct impact of climate change. Taking to Facebook, he explained that reduced monsoon rainfall and recurring droughts have dried up water sources, creating an acute shortage of drinking water. As a result, local residents have become dependent on unsafe alternatives, such as jar water that is often not quality-tested. When water quantity declines at the source, the concentration of pathogens increases, making the water more contaminated and heightening the risk of infectious diseases.

According to the World Health Organization (WHO), every individual requires at least 100 liters of safe water per day. When supply falls below this level, the likelihood of waterborne diseases rises sharply.

As tube wells began to dry up one after another, the municipality started supplying water through new PVC pipelines, many of which run alongside sewerage canals. During times of acute shortage, people broke open these pipelines to access water but never repaired them afterward, leaving the system highly vulnerable to contamination.

While open defecation has nearly ended in the city, the lack of safe water has compounded the problem. “The bigger question,” Upadhyay stresses, “is who should bear responsibility and provide compensation for such climate-induced losses and damages caused by the excessive carbon emissions of major powers?”