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Home Southern Asia Nepal

Coming Home, Struggling Within: Mental Health of Returnee Migrants in Nepal

by Asia Today Team
May 18, 2026
in Nepal
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Yearly, numerous Nepalis go away the nation searching for higher employment alternatives overseas. The Division of International Employment (DoFE) issued over 600,000 labor permits in Fiscal 12 months 2079/80 BS (2022/23 AD) alone. Nepal is closely reliant on international employment as a major financial exercise, with an estimated 3.5 million to three.8 million Nepalis working abroad. Their contribution to the economic system stays vital. In 2022/23 AD (2079/80 BS), Nepal obtained NPR 1.24 trillion (USD 9.3 billion) in remittances, a 21.2 % enhance from the earlier yr, making remittances the nation’s largest supply of international change and an vital pillar of the nationwide economic system.

Whereas a lot emphasis is placed on the remittance Nepal receives, migrant staff returning to the nation face neglect in lots of facets. Annually, Nepali migrant staff return in massive numbers, particularly throughout crises. Through the COVID-19 pandemic, an estimated 700,000 returned in 2020/21 AD (2077/78 BS). These returnees carry with them bodily and psychological trauma on account of exploitative or unsafe working circumstances overseas. Such hurdles make reintegration into society troublesome for a lot of, resulting in isolation and psychological well being points. Nepal can not afford to disregard these points, as they point out a structural failure with severe financial, social, and public well being penalties.

The Weight Returnees Carry

The difficulties for Nepali migrant staff begin earlier than they even go away the nation. Securing international employment is itself a expensive and bureaucratically demanding course of; staff should navigate manpower companies, pay documentation charges, endure medical examinations, and full pre-departure orientation, all earlier than they set foot on a aircraft. Labor migration prices are estimated between NPR 200,000 (USD 1,302.68) and NPR 500,000 (USD 3,256.69) for every migrant, nearly all of which is taken as a debt at excessive rates of interest round 24-36% each year. With a major debt already accrued, even earlier than they begin incomes overseas, migrant staff arrive at their locations beneath instant strain to earn sufficient to service it.

These pressures worsen from the circumstances staff face overseas. Staff report withheld wages, passport confiscation, unsafe working circumstances, and restricted entry to justice. This has a severe psychological affect. Research by the Worldwide Group for Migration (IOM) and Nepal’s Nationwide Human Rights Council have discovered that returnee migrant staff generally expertise excessive ranges of despair, nervousness, stress, and trauma-related signs, largely linked to exploitative working circumstances, debt burdens, and troublesome reintegration processes.

Returning residence additionally turns into troublesome for a lot of migrants. Households typically make investments closely in migration, anticipating remittances to repay money owed and enhance their future. Nonetheless, many returnees come again with out financial savings or monetary stability, dealing with social stigma, particularly in hill and Terai communities, the place unsuccessful migration is usually seen as a private failure. This sense of disgrace contributes to social isolation, despair, and untreated psychological well being issues, significantly when monetary insecurity prevents entry to correct help and care.

The Financial Repercussions

The WHO estimates that despair and nervousness alone price the worldwide economic system USD 1 trillion annually in misplaced productiveness, a determine that interprets straight into misplaced livelihoods, decreased family incomes, and weakened native economies in communities like these Nepal’s returnees come residence to. Districts with the very best international migration charges in Nepal, reminiscent of Sindhupalchok, Ramechhap, and Bajura, face a quiet financial disaster at residence. With a lot of the working-age inhabitants overseas, agricultural productiveness has been declining for years as fields go untended and rural labor shortages deepen. Returnees signify a major share of the native working-age inhabitants, and whether or not they can reintegrate productively has a direct bearing on the financial future of those districts. If a big proportion of those returnees flip unproductive on account of despair, nervousness, or PTSD, the productiveness of complete communities might be jeopardized.

Poor reintegration additionally creates a cycle of repeated migration. Many staff return residence with debt, restricted job alternatives, and little psychological well being help. With out secure incomes in Nepal, going overseas once more typically turns into the one possibility. This retains households trapped in debt, persevering with lengthy intervals of separation and rising Nepal’s dependence on remittances. In response to the Nepal Labor Migration Report 2024, round 37% of labor approvals issued in FY 2079/80 BS (2022/23 AD) and FY 2080/81 BS (2023/24 AD) have been renewals, exhibiting that many staff migrated repeatedly as a substitute of having the ability to settle again residence.

Returnee households expertise greater charges of substance abuse, household battle, and youngster neglect. These issues enhance healthcare bills, cut back productiveness inside households, and have an effect on youngsters’s well-being and growth. In the long term, these social and financial prices turned a burden not just for households, however for the state as effectively.

Nepal’s Response and What Different Nations Did Higher

Nepal’s psychological well being system stays weak, even in comparison with different South Asian nations. In response to WHO information from 2021, round 90% of psychiatrists and psychologists have been primarily based in Kathmandu, whereas rural districts with excessive migration charges had little or no entry to skilled psychological well being providers. Authorities spending on psychological well being additionally stays among the many lowest within the area.

For returnee migrants, help techniques stay much more restricted. Insurance policies such because the International Employment Act 2007 AD (2064 BS) and the International Employment Welfare Fund (FEWF) primarily concentrate on sending staff overseas somewhat than supporting them after they return. Though the FEWF collects cash from migrant staff, it prioritizes areas reminiscent of insurance coverage and expertise coaching, whereas giving little consideration to psychosocial help and reintegration counseling.

Some civil society organisations have tried to fill these gaps. Transcultural Psychosocial Group (TPO) Nepal works on community-based psychological well being packages and trains native well being staff, although its attain amongst returnee migrants stays restricted. 

Different labor-exporting nations have developed stronger reintegration techniques. The Philippines has a broader rehabilitation program that mixes livelihood help, psychosocial counseling, and peer help from former migrants. The Bureau of International Employment in Sri Lanka additionally gives returnee help packages, although on a smaller scale. Bangladesh adopted a Recognition of Prior Studying (RPL) system to formally acknowledge expertise gained overseas, serving to returnees discover jobs extra simply after coming residence. Although Nepal has mentioned related RPL frameworks for years, these haven’t come to fruition. 

The Approach Ahead

Nepal already possesses establishments and mechanisms to help the psychological well being and reintegration of returnee migrants; they simply require correct implementation. The nation already has a community of round 52,000 Feminine Neighborhood Well being Volunteers (FCHVs) working in rural areas the place many returnees stay. With correct psychosocial help coaching, developed along with organizations reminiscent of TPO Nepal, these group well being staff can present psychological well being help on the native degree at a comparatively low price.

The International Employment Welfare Fund (FEWF), financed by contributions from migrant staff, has accrued substantial monetary sources through the years. Nonetheless, a lot of the fund has primarily been used for compensation associated to dying, damage, and resettlement, whereas comparatively little has been directed towards psychological well being and reintegration help. Even allocating a small portion of the fund for these providers might help set up district-level reintegration centres, practice counsellors, and increase tele-counseling providers. With Nepal’s cellular penetration exceeding 130% in 2023, mobile-based help stays attainable even in distant areas.

The International Employment Act additionally wants main reforms. The legislation has remained largely unchanged since 2007 AD (2064 BS) regardless of main modifications within the scale and affect of labor migration. Psychosocial screening and reintegration planning might be included as commonplace help providers for migrant staff. Worldwide help additionally presents alternatives. For instance, the World Financial institution’s Sustainable and Inclusive Finance grant for labor market growth and small companies can help reintegration packages for returnees.

In the long term, Nepal can not proceed relying closely on remittances alone. Constructing a productive workforce contained in the nation requires correct help for returnee migrants and their reintegration into society. Supporting returnees’ psychological well being isn’t merely a social welfare challenge; it’s an funding within the nation’s human capital and long-term financial future.





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