This week we learned that there's some monkey business of a different kind taking place within the healthcare sector. Medical products - specifically vaccines and syringes have shown up with forged paperwork to falsify ownership suggesting that the supplier obtained the goods from an unreliable source. A truckload of condoms arrived - from an organization who shall remain nameless lest any of us question how our tax dollars are being spent - 5 mm larger than is appropriate for the Nepali population indicating that something is awry in the procurement of these items. [Who'd have thought that such personal anatomic data actually exists allowing for objective comparison of men around the globe?] And tens of thousands of contraceptive products ranging from the single-use type to the long term implantable are arriving in quantities so great that if used according to package instructions without waste could bring the growth of the population of Nepal to a screeching halt faster than a stupa monkey could snatch a banana from your hip pocket.

Fortunately for me, I have some terrific colleagues - native Nepalis who can teach me the ropes like Suresh who studied and received his PhD in Public Health in Canada. He and his lovely wife Asa invited me to their home last weekend where we went trekking in the hills around their home - despite the morning's monsoon, the weather cleared up as they predicted in time for a great hike following a great traditional Nepali lunch which included dahl bhat - lentils and rice (among a smorgasbord of other assorted local delicacies).

Yes, it's all around us - from the stupas to the merchants to the washroom, at the taxi stand and even ... or should I say and most certainly at the ministry. It's monkey business and as benign as it may sound, it can be rather painful if you find yourself on the wrong end of the deal.
By the end of May, Nepal will find itself at a crossroads - the government that is in power has been promising the people a new constitution for 2 years now with a deadline of May 28th. It's hard to know exactly what will happen if the Maoists who came to power after a civil war cannot present a new constitution by month end, but from here, you can feel the pressure that they are under. Key government and ministry positions that have been unfilled for months were filled just the other night - 12 or more of them! Fortunately a new Minister of Health is among them. It's too soon to know what this means for the ministry, the constitution or the stability of Nepal, but I can assure you that you will be among the first in the western world to know if this will be the precursor to real change - or just monkey business as usual. All the best from Kathmandu.
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