It has been found that most of the health institutions that conduct health examinations of workers going for foreign employment do not meet the government standards. According to the high-level expert task force on health, such organizations make fake medical reports for labor approval without conducting health tests.

Additional Secretary of the Ministry of Health Dr. In the report published by the working group headed by Dipendra Raman Singh on Wednesday, it is mentioned that due to the wrong practices of health institutions, the destination countries have started to distrust Nepal's medical reports.

Giving medical report without health examination is injustice to workers. It is to play serious games with their health,' said the coordinator of the working group. Singh said, "Health check-up is to be done to minimize the health risk of the workers. The test determines whether or not to go to the workplace. It should not be played with.

Two hundred and fifteen health institutions are listed in the Ministry of Labor to ensure the quality health examination of workers going for foreign employment. Among these, Malaysia itself is conducting 36 health examinations, Saudi Arabia, Kuwait, Bahrain and Oman (Gamka) 19, and Korea 4 through institutions. America conducts health screening through IOM. 

The testing of workers going to Qatar is being done by the Qatar Visa Center. The remaining 157 health institutions have been testing more than 100 workers going to the country. When the expert team monitored last year, 30 percent of health institutions did not reach the standard. 

Accordingly, after the Ministry of Labor was recommended to take action, the business of 67 organizations was stopped. The working group suggests that the government should implement a one-door system to make all health institutions uniform according to international standards. It is written in the

report, 'It seems appropriate to have a health examination based on the demand and needs of the destination country and to provide medical reports accordingly.' It is mentioned in the report that 1000 people died due to famine. According to the report, workers are at increased risk due to 'heat stress' on the heart and kidneys due to high temperatures.

According to the records of Foreign Employment Board, 14 thousand 666 workers died from 2008/9 to 2021/22 (14 years). Most of them died from heart attack 19, 19.5 from natural causes and 7 from workplace accidents, 12.7 from road accidents, 11 from suicide and the remaining 30.8 percent died from other causes. 

The report also states that it is necessary to clearly disclose the cause of death in foreign employment. The cause of death is not clearly mentioned in the death certificate submitted to the Board for compensation. Most of the certificates contain words like 'Natural, Sudden Death, Heart Attack, Unnatural'.

"Nowadays, heart problems have increased among workers due to kidney failure, to prevent this, a mechanism should be developed to keep the complete health details of the workers by digitally tracking them from the time they go to the workplace until they stay at the workplace," said Dr. Singh said.  According to the

report, among migrant workers, mainly 'sleeping death' (dying while sleeping), women working as cleaners, uterus-related, infertility in gas plant workers, diabetes in domestic workers, 'heat stress', 'sleeping death' in construction workers. Health problems such as

It is mentioned in the report that due to reasons such as not drinking water, stopping urination, many people living in the same place, working outside, and different temperatures in the place of residence, the problem of kidney failure is increasing.  The

report has stated that it is necessary to make health institutions, doctors and workers responsible to ensure quality health examinations and to 'digitize' health institutions to completely end the wrong practice of giving medical fitness reports.

"The government should effectively and strictly monitor the health examination mechanism to create an environment for health examination with the mandatory presence of a doctor by adjusting the periodic fees," the report states. 

Currently, the health examination fee for Israel, Korea, Japan, America, Australia and other countries is at least 12 thousand rupees. A fee of 6,500 has been set for workers going to the Gulf and Malaysia. The fee for going to the Qatar Visa Center is paid in advance by the employer. It is mentioned in the labor contract that workers going to Malaysia will be paid the first month's salary.  According to the

report, the number of skilled and unskilled laborers in the financial year 2080/81 was around 750,000. There is also a large number of people who go to foreign employment without getting a labor permit. It is mentioned in the report that about 74 lakh went to other countries besides India for foreign employment through formal and informal means. Every day around 1500 Nepalis fly abroad for employment. The number of Nepalis who died while they were employed is also significant. 

On August 13, the Ministry of Labor studied and suggested the health examination of Nepalis going abroad for employment. A 30-member study task force comprising experts was formed under the leadership of Singh. In which there are expert doctors like Veer, Teaching, Patan, Shaheed Dharmabhakta, Shukraraj Topical, Kist Medical, Tilganga Eye Hospital etc. Member of the