Purpose-Although South Asia is a growing supplier of migrant labour, there is a paucity of research on the health and wellbeing of male Nepalese migrant workers. This study assessed the health and mental wellbeing of Nepalese construction and factory workers employed in Malaysia, Qatar, and Saudi Arabia. Design-A structured questionnaire administered, in and around Nepal's international airport, to 403 migrants who had worked for over six months in their host countries. Logistic regression was used to investigate factors associated with self-reported health status and mental health symptoms. Findings-Over 13% reported poor or very poor health and nearly a quarter reported mental health issues. Whilst age and exercise were (only) significantly associated with health status, poor work environments and perceived health risks at work were associated with both mental health issues and health status. Research limitations/implications-The study is limited to males only and those working in the factories and the construction industry. To improve migrant health and mental wellbeing, the Government of Nepal and host governments should consider mandatory health insurance and a range of pre-departure and arrival education around general literacy, mental health assessments and workplace health and safety. Originality/value-There have been no known studies on the health and wellbeing of Nepalese migrant construction and factory workers in the Middle East and Malaysia. The strong association between self-reported poor health and perceived work environment is an important issue that policy makers in Nepal and destination countries should address.

Background: Nepal is a growing supplier of migrant labour for factories in Malaysia and building sites in the Middle East. This study assessed the extent of workplace accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi Arabia. Methododology:A questionnaire survey was conducted at Nepal's main international airport with men who returned from working in Malaysia, Qatar and Saudi Arabia. The questionnaire was completed by 403 migrant workers from these three countries. Where possible the questionnaire was self-administered and interview-administered for those migrant workers with poor literacy skills. A logistic regression was conducted to identify factors associated with accidents at work and health risks perceived by migrant workers themselves. Results:One in six (17%) experienced accidents at work in their host country. This proportion is lower than that reported in previous studies of Nepali migrant workers. Age, country of work, doctor registration and perceived standard of work environment and accommodation are significantly associated with accidents at work. Conclusion:To help improve Nepalese men's health and well-being whilst working abroad, host countries and the Government of Nepal should ensure that migrants hold health insurance. Mandatory pre-departure and arrival health and safety training is also recommended as a way to reduce risks to the health of migrant workers.

Background: The COVID-19 pandemic has created a global health emergency requiring an effective public health response including citizen's roles in preventing spread and controlling the pandemic. Little is known about public knowledge, beliefs and behaviors in-relation to the pandemic in Nepal. This study aims to assess knowledge, attitude and practices (KAP) toward COVID-19 among the general public and to identify associated factors.Methods: A cross-sectional survey was conducted between May–June 2020 with a sample of 645, recruited from 26 hospitals across Nepal. We conducted telephone interviews using a semi-structured questionnaire related to KAP regarding COVID-19. T-test and one-way ANOVA was conducted to determine group differences for socio-demographic variables. Linear regression and correlational analysis were performed to identify associated factors and measure strength and direction of relationships.Results: Overall mean scores for knowledge, attitude and practice were 11.6 (SD 4.5), 2.7 (SD 1.8), and 9.9 (SD 1.93) respectively, but differed by socio-demographic characteristics. Positive but weak linear correlations were observed between knowledge-practice (r = 0.19, p < 0.01) and attitude-practice (r = 0.08, p < 0.05). The relationship between knowledge and education was fairly strong (r = 0.34, p < 0.01). Province, place of residence, ecological area, age, gender and caste/ethnicity were also significantly associated with KAP score of participants.Conclusion: The study found varying degrees of correlation between Knowledge, Attitude and Practice that may increase as the pandemic evolves in Nepal. Knowledge and level of education had positive associations with attitude and adherence to precautionary measures. The findings suggest a need for targeted community awareness interventions for the most vulnerable populations, men, those with no school education, the elderly and people living in rural areas.

There are many Nepali men working in the Middle East and Malaysia and media reports and anecdotal evidence suggest a high risk of workplace-related accidents and injuries for male Nepali workers. Therefore, this study aims to explore the personal experiences of male Nepali migrants of unintentional injuries at their place of work. In-depth, face-to-face interviews (n = 20) were conducted with male Nepali migrant workers. Study participants were approached at Kathmandu International Airport, hotels and lodges around the airport. Interviews were transcribed and analysed using thematic analysis. Almost half of study participants experienced work-related accident abroad. The participants suggested that the reasons behind this are not only health and safety at work but also poor communication, taking risks by workers themselves, and perceived work pressure. Some participants experienced serious incidents causing life-long disability, extreme and harrowing accounts of injury but received no support from their employer or host countries. Nepali migrant workers would appear to be at a high risk of workplace unintentional injuries owing to a number of interrelated factors poor health and safety at work, pressure of work, risk taking practices, language barriers, and their general work environment. Both the Government of Nepal and host countries need to be better policing existing policies, introduce better legislation where necessary, ensure universal health (insurance) coverage for labour migrants, and improve preventive measures to minimize the number and severity of accidents and injuries among migrant workers.

Approximately 3.5 million Nepalese are working as migrant workers in the Gulf countries, Malaysia, and India. Every year there are more than 1000 deaths and many hundreds cases of injuries among Nepalese workers in these countries excluding India. A postmortem examination of migrant workers is not carried out in most of these countries, and those with work-related injuries are often sent back to home. Uninsured migrant workers also do not have easy access to health care services in host countries due to the high medical and hospital fees. Greater efforts are needed to protect the health and well-being, labor rights, and human rights of migrant workers from Nepal and other South-Asian nations. There is a need to enforce universal labor laws in these countries and to develop accurate records of mortality and morbidity and their causes.