Home Institution

Binghamton University, Williams College

Publication Date

Fall 2010

Program Name

Nepal: Tibetan and Himalayan Peoples


The Tsum Valley, opened to visitors in 2008, has only recently begun the process of modernization. The health of the population is still not stable with regards to nutrition, and the health care system is still inadequate due to geographic conditions of remoteness and difficulty of access. The health condition is further exacerbated by political interactions affecting iodine consumption. This paper presents original information collected via interviewing processes throughout the valley and in Kathmandu over the course of a four-week period. The results include the inadequacy of health care facilities in treating endemic health issues and of the failure of Universal Salt Iodization (USI) programs in reaching the area. The main conclusions are the need to establish an adequate primary health care center in the valley in order to administer iodine oil injections regularly due to the unreliability of salt iodization in containing iodine deficiency disorders in the coming years.


Community Health and Preventive Medicine | Public Health


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