In the wake of shattering earthquakes and devastating chaos, I experienced glimmers of hope and healing.

By Meagan Cain

Since my return from Nepal in August, I’ve had a lot of people ask me how it went. It seems an easy enough question but the answer is far more complicated.

I’d been to Nepal before and had seen a side of this small Himalayan nation that tourists often miss. I spent the summer of 2014 setting up and running basic public health workshops for sexually-exploited women and children in Kathmandu.

That summer, I learned a lot about what people are capable of, from women who had been sold into prostitution by their husbands, to young girls who had been gang-raped by strangers. I witnessed horrendous human cruelty and depravity, but left Nepal inspired by the glimmers of hope and resilience these individuals exuded. It was an experience that left me raw and humbled and aching to do more with vulnerable women there.

It was from this yearning that “Girls Moving Mountains” emerged.

Editor's Note:

When UNC's Colorado School of Public Health graduate student Meagan Cain heard about the April 25 earthquake in Nepal, she realized that it might mean some changes in her plans for Girls Moving Mountains, her health education and human-trafficking avoidance program for young girls living in the Kumari, a rural district in the center of the country. But Cain, whose degree emphasis is community health, didn't realize just how big the changes would be, or how her three-month experience in Nepal would change her. Here is her story, in her own words.

The rural district of Kumari faces many challenges, including extreme poverty, disease, child marriage, lack of opportunity and human trafficking. Years ago, a group of trekkers aspired to help this somewhat hopeless situation by building the first medical clinic in the Kumari. They called their organization “Health & Ed 4 Nepal.”

The Sukoman Memorial Polyclinic was the first attempt at introducing Western medicine into a rural, tribal area of Nepal that had long been forgotten by its own government. With help from the clinic staff and the unwavering support of Health & Ed 4 Nepal, we laid the foundation for the women’s health program, and I booked my ticket into Kathmandu for mid-May 2015. It was almost a fairytale start.

Then, on April 25, a massive, 7.9 earthquake changed everything. Media images poured in showing collapsing buildings, frantic searches for survivors and once-beautiful temples reduced to rubble. The organization I’d worked with had its safe house for exploited children completely cracked and many of the women I had worked with — who were already on the fringes of society — simply disappeared.

The shock and indescribable sadness I experienced upon hearing the news and, often unsuccessfully, trying to contact survivors, reminded me in some ways of Sept. 11, 2001. Bad news continued to hit Health & Ed 4 Nepal like turbulent waves: the clinic was destroyed, there weren’t enough supplies, all schools had been destroyed, aftershocks continued to hit daily, no government help was coming, the village was completely exposed to the elements and freezing in the rain.

Within days of mass evacuations, the U.S. Department of State issued an official travel advisory for Nepal, urging all U.S. citizens to avoid travel there for at least the next six months. With my departure date just weeks away, Health & Ed 4 Nepal and I discussed canceling my proposed plans for a health program.

There were many concerns: unstable and crumbling buildings, outbreaks of cholera and other diseases, reports of rape, and rumors of civil unrest. The biggest scare was that a stronger quake was still to come. Given these very real concerns, it might have been smartest to cancel my plans. However, there were still reasons to go. The village needed health information now more than ever and Health & Ed 4 Nepal needed a contact on the ground who could carry supplies past government seizures and report back on the situation.

Two days before I departed to Kathmandu, the second earthquake hit. The last time I talked to my family before boarding the plane, they told me that a U.S. military helicopter had been found with no survivors and it would be insane to get on the plane.

With four duffel bags filled with medical supplies (marked as personal baggage to slip by the Nepali government’s new blockade of supplies), plus a small tent and sleeping bag, I said goodbye to everything I’d known and stepped on board.

I arrived in Kathmandu on May 15. The descent into this Himalayan nation was starkly different than my previous trip. Tent cities littered the ground and the airport was almost empty, except for relief aircrafts and crates of emergency supplies that filled the tarmac.

My first obstacle was finding a place to stay in the city until I journeyed on to the Kumari. While most buildings still stood, many individuals had fled to the crowded IDP (Internally Displaced Persons) camps. These were set up around Kathmandu because of the uncertainty over which buildings were deemed safe and which were at risk for collapse.

While I waited, there was a certain protocol for staying in Kathmandu that one quickly became accustomed to. At the onset of an aftershock — which usually occurred at the most inconvenient and unexpected of times, like in the middle of the night or upon stepping into a shower — your first option is to throw yourself into a doorway and hope the walls fall away from the frame. However, the best response is to bolt outside and continue to run until you’ve found open sky, at which point you roll into the classic fetal position. (Even after returning to Colorado, my heart still races to my throat when a door is slammed too hard or when someone running down the hallway causes small vibrations on the floor.)

The journey to the Kumari was its own adventure. Not long after I arrived, landslides and monsoonal rains washed away the only road to this remote area. Mosquitoes, intense heat, a roaming tiger, falling rocks and infections were just some of the everyday, “average” concerns.

My first weeks in the remote outpost were lonely and quiet, occasionally interrupted by a villager coming in for medical care. Even a month after the latest aftershock, villagers still came in with infected wounds, broken bones or other maladies allowed to worsen in the inhospitable environment.

There was the elderly man who had been buried under rubble for four days until he was able to dig himself out and limp the day’s journey to the remains of the clinic; there was the woman who had miscarried from stress when the ground first shook; there was the young man who had severe gangrene spreading across his side because his wound had gone untreated and infected for weeks. And there was the young pregnant girl whose abdominal pains remained undiagnosed due to not having access to any ultrasound equipment. Every day in the village was a lesson in humanity and accepting the things that were beyond my abilities to help.

I struggled through landslides, constant aftershocks and a nagging doubt that maybe Nepal would never be whole again. One evening in Kathmandu, after staying out past dark, I was followed into an alley by two men on a motorbike. After ignoring their repeated attempts to engage my attention, they pulled in front of my path and shut the bike off. With only a small pocket knife held in front of me, I kept my voice steady while yelling Chiana! (No!) as loud as I could.

It was only when I pulled out my cellphone (with its long-dead battery), and feigned calling the police, that the two men left in search of an easier target. When I told my Nepali friend of the incident, she laughed, telling me that a group of men had recently accosted a landlord in the same alley and forcibly spread out his ring-laden fingers to be cut off with their knives.

Despite the constant threats that kept my heart racing, I had little victories that overshadowed even the worst of days. I participated in numerous relief supply distributions, most of them led by women and girls. I traveled with a 12-year-old survivor of rape, who had been banished from her village for voicing the crime committed against her, to deliver the only aid to the very community that had shamed her. In Kathmandu, I distributed supplies to street-based sex workers and their children who were being re-victimized by the police and other agencies after the earthquakes. I helped pull a supply-laden truck through the muck to get to a cut-off village in the Everest District. And in the Kumari, the village youth and I got together daily at 5 a.m. to build a community greenhouse and to have open discussions about women’s health.

It was challenging, heartbreaking, unpredictable and an incredible experience for anyone who has ever wondered how life continues in the most despairing of situations. When people ask me how my trip to Nepal was, I have learned to gauge my response depending on the situation and the person. When I first returned to Colorado in August, I would try to quickly blurt out the complexities of emotions I experienced — both good and sometimes very bad. However, as I told my story again and again, I began to notice that the unfortunate soul who had asked wasn’t really looking for a long-winded, emotional novel. Answering about “Nepal” has become a lot like answering how your weekend went — keep it short and always end on a positive. So now I have learned to answer with a simple “Great,” and then we can move on.

A lot of people here in the United States who only watched the devastation unfold from a TV screen or a newspaper headline have very much moved on to the next story. And I cannot blame them. I take solace in knowing that even if my efforts were very small drops against a large ocean of despair, I have perhaps become more human through witnessing this struggle. Nepal taught me a lot about others, but it taught me even more about myself. I’ve learned that my story doesn’t start, nor does it end, with an earthquake. It was one small journey Nepal allowed me to be part of.


Shortly after she returned from Nepal, Cain received the Colorado Public Health Association’s first-ever Student Award for Excellence in Public Health Practice at the group’s annual conference in Vail. The award recognized her efforts in Nepal as well as her work with refugees in Greeley. For more photos and commentary from Cain, search Girls Moving Mountains on Facebook.