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Never been disappointed with a meal here. Rickshaw Cafe and Bar New on the scene, this cool bar cum restaurant serves great western food. Upstairs Cafe Quieter, and slightly cheaper than most western-style restaurants in Thamel, serves very good quality, fresh food. If travelling over peak periods, book flights months in advance as routes fill up.

Depending on the time of year, the cost of airfares vary. When travelling out of Kathmandu, be prepared for a long, slow journey. Tourist buses are your best option for travel within Nepal. Expect a day hrs to travel to any of these destinations. We found Greenline tours to be the best bus company in Nepal. Tourist buses can be booked through agents or accommodation providers, or at bus stations. We do recommend purchasing at least two days in advance, especially in peak periods. This means a far more comfortable journey, even with the incredibly long travel times. We found bus travel in Nepal the perfect time to read a book, listen to a podcast or sleep.

Like the photos in this post? You can now buy our presets and edit just like us! Our Nepal Preset Lightroom Desktop and Mobile Packs were inspired by the breathtaking peaks, chaotic cities, and vibrant beauty of Nepal. Travelling through Nepal comes with a unique set of needs. We use the Grayl water purification bottles , which allows us to fill up from any water source, anywhere in the world including train taps!

Overland to Kathmandu . . .

We have a heap of essential reading before visiting or trekking in Nepal! Anything missing from our Kathmandu travel guide? Tell your fellow travellers in the comments below! Some of the links in this Kathmandu travel guide are affiliate links. If you choose to purchase using the above buttons we receive a small commission at no extra cost to you. The Common Wanderer. Below is the best form of transport in Kathmandu: BY BUS If you want to experience the chaos of Kathmandu, look no further than catching a local bus to any of the tourist sites out of the city, including Boudhanath, Bhaktapur and Swayambhunath.

We use the Grayl water purification bottles , which allows us to fill up from any water source, anywhere in the world Biodegradable Wet Wipes Keep clean without destroying the planet! A spork to cut down on unnecessary plastic usage at meal times Power bank power does drop out… often! READ Our comprehensive guide to the best places to stay in Kathmandu On the whole, accommodation in Nepal is pretty standard read our guide to Nepal accommodation here. Never been disappointed with a meal here Rickshaw Cafe and Bar New on the scene, this cool bar cum restaurant serves great western food.

BOOK Book Greenline bus tickets here Tourist buses can be booked through agents or accommodation providers, or at bus stations. Nepal Lightroom Mobile Preset Pack. PIN IT! May 25, May 22, Oct 1, Read this before hiking the Annapurna Circuit: 21 essential things to know. Sep 15, How to travel responsibly in Nepal: everything you need to know.

Sep 8, How to trek ethically in Nepal: guidelines, tips and etiquette.

Fast facts about Kathmandu, Nepal

Aug 30, Aug 9, Where to stay in Kathmandu, Nepal: hotels, guesthouses and hostels for every budget. Jul 31, How to get from Kathmandu to Pokhara: the ultimate guide. Jun 14, Jun 13, Panauti Community Homestay: how these inspiring women are breaking barriers in rural Nepal. Sep 2, Our essential Annapurna Circuit packing list: everything you need for a successful trek. Aug 19, Jun 27, Mar 12, Nepal travel tips: everything you need to know before visiting.

Feb 2, The best of Nepal: 21 incredible things to see and do in Nepal. Aug 17, The Garden of Dreams - an oasis in the heart of Kathmandu. May 2, Apr 24, The ultimate Nepal travel guide: what to see, know and do in Nepal. Dec 19, It means if there is a change such as decrease in percentage change in alcohol consumption behavior, it will reduce the number of or percentage change in motorbike accidents.

From the survey data, the ratio of percentage change in alcohol consumption and percentage change in motorbike accident was estimated. The ratio was used to estimate possible effects of reducing motorbike accidents due to the reduction of alcohol consumption. Questionnaire was pretested to ensure its suitability and feasibility, and necessary adjustments were made.

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Field researchers were given 2 days of orientation training where purpose of study, tool being used, and techniques of administering questionnaire were discussed. They were monitored while practicing and immediate feedback was also given to ensure proper data collection. Questionnaire was translated into Nepalese language and retranslated into English in order to assess whether same meaning was retained or not.

Informed verbal consent was taken as it was assumed that taking written consent was not feasible from all the participants considering their literacy level. Information sheet was prepared, and it was read to all participants prior to interview. The participants who agreed to participate and can do signatures were asked for it, while for those who cannot sign, a tick mark was put by the researcher and study was proceeded based on a procedure approved by NHRC for obtaining the consent.

Participation was absolutely voluntary, and confidentiality as well as anonymity of respondents was maintained. Sometimes in lack of proper filing system of medical records in individual level, exact amount of medical expenses could not be calculated. Memory bias or aggregation of information among motorbike death cases by family members and not remembering many details in case of minor injuries could be other potential biases. As the costs calculated in the study were totally based on reporting by victims, there might be underestimation or overestimation of the cost.

All the calculations relied on self-reports of respondents. However, wherever feasible and available, bills and records were reviewed. This study did not include travel time cost lost by other travelers and intangible cost pain, suffering, etc. From the table, it is evident that trauma occurred between the age of 18 and 53 years with majority being in the age range of 25—40 years, i. Table 1. Majority of the victims had lacerations Figure 1. Patterns of injuries associated with motorbike accidents in Kathmandu Valley.

Figure 2 represents the proportion of different types of injuries sustained in motorbike accidents. On average, single slight injury cases required Rs. In case of productivity loss, in a single incidence of injury of serious nature, the victim and his family lost an average of Rs.

Accounting both direct and ICs, on an average, a single accident of serious nature incurs Rs. About four-fifths of TC is due to direct cost involved in accidents in case of victims who have survived the accident. However, in case of fatal injury, a larger portion of TC is borne by IC and productivity loss due to fatalities was found to be Rs. Average life lost due to fatal accident was calculated, and it was found to be around 36 years per individual. Proportion of direct cost was minimum 9. Table 2. Total cost TC associated with motorbike accidents according to types of injury.

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Disability-adjusted life years is used to show the overall burden of disease and is a health gap measure for disease and injury. One DALY represents the loss of 1 year of equivalent full health. It was found that This gives total DALYs as Table 3. Total disability-adjusted life years DALYs lost due to motorbike accidents. Disability-adjusted life years lost due to motorbike accidents is in increasing trend, which highlights the increasing burden of motorbike accidents and huge economic loss for the country.

High DALY loss can be hypothesized as large number of premature deaths and disabilities was due to accident or injury. Table 4. National estimation of disability-adjusted life years DALYs loss due to motorbike accidents. Estimation in accidents reduction was made from the collected data. Large number of fatal and serious injuries can be averted if the alcohol consumption during accident is controlled Figure 3. This study examined different types of costs incurred by person and their families involved in motorbike accidents.

In consistent to other studies, in this study too, majority of people of productive age group were involved in road traffic crashes. This predominance is evident in studies conducted in other countries of the world as well 8. It can have enormous negative economic consequences to the families and nation as a whole.

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This finding is in accordance with global findings as well as findings from several countries 4 , 8 , Furthermore, it can be hypothesized that males are more involved in risk-taking behavior such as alcohol consumption, mobile in nature, and engage in outdoor activities more than their female counterparts resulting in heightened risk of accidents.

As a study by Michael Kudebong, a large chunk of accident victims were students suggesting that preventive interventions need to be targeted in young adult males 4. Several causes of accidents identified in this study go in agreement with findings given in paper by Thapa 6 , 10 , where negligence of the driver stood as the primary cause, followed by high speed and overtaking.

It stresses the persistence of negligence and violation of traffic rules by drivers and pedestrians and dire need of strict investigation, law enforcement, awareness program, and punishment in case of any violation. Though fatalities in motorbike accidents are high in this study, the results cannot be directly compared with other findings as it includes fatalities due to all types of accidents. Similar to our findings, hospital-based studies from Nepal showed fracture as the most common injuries sustained during accidents followed by muscle injuries 7 , This study showed large variation in costs as reported in the previous national and international studies.

However, it confirms the significant financial burden to victims, family, and community. However, ICs in terms of productivity loss outweigh direct costs in the case of disabilities and treatment, highlighting its huge long-term impact on economic welfare of nation. Furthermore, as this study was based on recall, people might have forgotten the costs they have paid in hospitals resulting lower estimation. Another probable explanation for these variations in costs may be difference in health-care delivery systems, insurance pattern, service costs, driving culture, and many other factors across countries.

Economic cost calculated for motorbike accidents are just the tip of iceberg of total individual killed, crashed or disabled by motorbike accidents, and there is higher cost associated with the expenses of prolonged medical care, loss of family breadwinner, or the added burden of caring for the disabled.

Consistent to our study, a study done by Miller et al. This study is limited to small sample size due to communication and financial constraints and lack of proper recording mechanism. Despite its small sample size, it is the first study of its kind in our setting and provides useful information regarding economic burden, which can be used as a reference for conducting further researches and program designing.

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