I take back everything I said about the drive out to the valley. On Tuesday we took the local bus to a nearby city called Besisahar. Besisahar is about a 1½ hour bus ride from Rupakot, and it has an impressive hospital to which the patients in the rural villages around the Lamjung Valley are often referred for more serious conditions. We wanted to visit the hospital there to see how we could make ours work, and for inspiration, guidance, and a little bit of assurance.
We wanted to take the local bus so we could experience exactly what the villagers experience when they have to make the journey to a better hospital. It was not an easy trip. After a long walk along the rice paddy fields and across the river, we caught the bus outside of the school. When we got on, there were no seats available, at least not inside of the bus. There were several men sitting on top of the bus, though. When we started careening around the mountain roads, I half expected to see bodies flying off the roof. It goes without saying that we chose to squeeze ourselves into the aisle like cattle.
The bus was unlike anything I had seen before. The outside is decorated in bright paints, often with the words “Handsome Man,” or other means of identification marking the front bumper. The ceiling on the inside of the bus had bright paintings plastered along it, while punched tin decorated the window frames. With the Nepali music blaring, the bus quickly made its way across a river (not by bridge) and along the bumpy road. Imagining a woman in labor or a sick child having to endure this trip was difficult. It was not an easy journey.

A Local Bus

The inside of the bus, with colorfully decorating ceilings.

Punched tin decorating the windows on the bus

The bus crossing the river (with a man washing in the background)
The hospital director at the Besisahar Hospital was extremely kind and welcoming to us. He answered all of our questions about the statistics, such as the chances of survival after a hospital delivery versus a home delivery, and gave us a tour of the facilities. We wanted to understand how they became self-sustaining and how the government and the NGO, both of which supported the hospital, worked together. The visit was very promising.
After some chicken momos, a Nepali dumpling, and naan, we took the bus back to the valley. This trip was even worse than the way there. Many of you might know that personal space is somewhat of a commodity in the United States. Here in Nepal they have no conception of it. We were fortunate to find seats on the bus, but it quickly filled. A girl about my age stood next to me in the aisle and motioned to my seat, and not understanding her, I thought she wanted to put her purse on the ground next to me to keep it safe. By now, I was used to being taken by surprise, and yet when she lifted the armrest and sat on my seat, I was dumbfounded. There was not much space left on my seat, and I hadn’t moved over, so she was, basically, sitting on my lap. Unapologetically, she forced her weight against me, until an English speaking Nepali man who had engaged us in conversation noticed me making a “is this for real?” gesture to my mom and asked the girl to stand up. I endured her dirty looks as I enjoyed my roomy seat the rest of the way home.
When we were about 15 minutes from the school where we would get off to walk home, the bus stopped on the side of the road. The driver and the money collector left the bus. It was hot and the sun was setting and we were getting restless. We waited, an entire bus full of people, without any explanation for an hour and a half. We saw one of them sitting on a rock smoking a cigarette. Some people got out to stretch their legs. But when my mom and I complained to Nabaraj, he said cheerfully “Don’t worry! There’s nothing you can do about it.” What?!? There’s nothing you can do about it? At home, this would never happen. The bus driver doesn’t just leave for a smoke and come back an hour and a half later without telling the passengers how long he would be gone. We could have walked home and had our daal bhat 2 by the time they came back. But now, we would be crossing the river in the dark after the bus dropped us off at the school again. I learned two things about the Nepali people that day. First, personal space is a luxury; second, the people have little say in what happens when other people, especially the government, are involved.