ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846
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Voice of Silence

through the process of migration. Overall the infant mortality rates have been very high in mountains and plains, but hills have relatively low rates, yet in absolute terms it has one of the highest IMR The total fertility rate in Nepal during the 1970s has been over 6 per cent and the contraceptives are used only by about 4 per cent of the eligible couples. Consequently th?re has been a high growth, about 2.66 per cent per annum of population in spite of high mortality in Nepal. In a population predominantly dependent on land, the situation is reminiscent of the scenario in Bangladesh, presented in an earlier chapter The author suspects that many national and international efforts to salvage and improve the conditions of the masses through improving agriculture, land reform, etc, may not get translated into action and the roots of poverty lie in the distinctive economic and political structures and dynamics of the mountain kingdom.

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