Search Results (39)

Glacier inventories are critical for monitoring glacier response to climate change, providing constraints for glacier modeling studies and for assessing the impacts of glacier retreat on ecosystems and human societies. In the Bhutanese Himalaya, an up-to-date glacier inventory and a systematic analysis of decadal-scale glacier changes is lacking. Here, we present three glacier inventories (1976, 1998, and 2024) for this region. Manual mapping of glacier outlines from multi-source satellite imagery and the Copernicus digital elevation model (DEM) are used to derive a glacier inventory with associated topographic attributes. We found that 1871 glaciers existed in this region in 1976, covering an area of 2297.07 ± 117.15 km². By 1998 this number had reduced to 1803 glaciers, covering 2106.99 ± 90.60 km². In 2024, only 1697 glaciers remained, covering 1584.18 ± 36.37 km². A total of 89 (1976–1998) and 435 (1998–2024) glaciers became extinct in the Bhutanese Himalaya during these two time periods, and glacier area decrease accelerated from ~0.38% yr⁻¹ to ~0.95% yr⁻¹. Lake-terminating glaciers retreated almost three times faster (~32.2 m yr⁻¹) than land-terminating (~10.4 m yr⁻¹) glaciers during the observation period. Debris-covered glacier area increased from 112.79 ± 11.50 km² in 1976 to 128.89 ± 10.50 km² in 2024. Glaciers on the South Bhutanese Himalaya (draining into Bhutan) experienced faster glacier retreat than the glaciers of the North Bhutanese Himalaya (draining into the Tibetan Autonomous Region). ERA5-Land reanalysis data show that summer decadal average temperature in this region increased by 0.003 °C yr⁻¹ between 1976 and 1998 and 0.020 °C yr⁻¹ between 1998 and 2024, with the increase in warming rate coinciding with accelerated glacier retreat after 1998. Our updated glacier inventories will be useful for assessments of global sea level change, mountain hazards, and water resources. Full article

In Bhutan, information on rickettsiae is limited to a few epidemiological studies. There is no information on ticks and tick-associated rickettsiae. Ticks were collected opportunistically from domestic animals residing in eight districts where a seroprevalence study had been carried out previously. Morphological identification of the ticks was performed in the United States National Tick Collection and testing for rickettsiae was carried out in the Australian Rickettsial Reference Laboratory. Samples positive for rickettsiae by qPCR were subjected to conventional PCR followed by DNA sequencing and phylogenetic analysis. A total of 200 ticks were sampled from 155 domestic animals including cattle, dogs, goats, horses, yaks, sheep and cats. The ticks belonged to twelve different species, the commonest being Rhipicephalus microplus, followed by Rhipicephalus haemaphysaloides, Haemaphysalis sp. near ramachandrai, Haemaphysalis tibetensis, Haemaphysalis bispinosa, Haemaphysalis sp., Haemaphysalis sp. near davisi, Rhipicephalus sanguineus, Haemaphysalis shimoga, Haemaphysalis hystricis, Ixodes ovatus, and Amblyomma testudinarium. Rickettsial DNA sequence analysis showed that the rickettsiae infesting ticks in Bhutanese domestic animals aligned with R. gravesii, R. canadensis, R. honei, R. africae, R. felis, R. akari, R. australis, R. japonica, R. africae, R. heilongjiangensis, R. conorii, R. peacockii, R. honei, R. massiliae and R. rhipicephali. However, these may not be conclusive due to low bootstrap values in the phylogenetic tree. Bhutan will benefit from larger studies on ticks and tick-borne infections, burden and damage assessment to livestock and human health, public health interventions and clinical guidelines to reduce morbidity and mortality in human and animal health. Full article

This study evaluated emergency preparedness, covering knowledge, challenges, and culturally and linguistically appropriate resources among five resettled refugee communities in Central Ohio: Afghan, Bhutanese, Congolese, Ethiopian/Eritrean, and Somali. It also explored youth perceptions of community engagement and the effectiveness of current crisis support initiatives. A mixed-methods approach was used, consisting of a cross-sectional quantitative survey of 266 adults and a qualitative 60-min focus group discussion with 10 youth from the resettled communities. Quantitative data was analyzed with descriptive statistics and Chi-square tests assessing differences in preparedness across communities. Quantitative findings showed that the Bhutanese group reported the highest familiarity with preparedness concepts (33.3%), while Afghan and Congolese communities showed significant gaps. Of the 266 overall respondents, only 39.5% had an emergency plan, and 15.8% felt extremely confident in handling emergencies. Language barriers were major challenges, along with those related to race and ethnic identity, religious practices, and cultural norms. Effective platforms for engagement included community meetings, religious sites, and social media, with text messages and phone calls preferred for emergency communication. Youth discussion highlighted key public health concerns, particularly gun violence, substance abuse, and mental health crises, with stigma and limited resources further hindering preparedness efforts. Participants emphasized the need for culturally relevant interventions and stronger community engagement. Full article

Soil health and fertility are essential components of sustainable land management. In Bhutan, where agricultural practices range from organic to conventional systems, and natural vegetation areas persist across varied elevations. Understanding how these factors influence soil properties is essential for advancing sustainable agriculture and fostering environmental stewardship. Thus, the objectives of this study were to evaluate some soil chemical properties across land use practices and their relationship to soil texture. Soil organic carbon (SOC) and macro-nutrients in three land use types (organic fields—OrgF; conventional fields—ConF; and natural vegetation—NatV) were studied across high-, mid-, and low-altitude sites in the Wangdue Phodrang, Chhukha, and Dagana districts of Bhutan. The effects of land use practices on soil properties varied with altitude. While available P responded significantly at both high- and mid-altitude locations (p < 0.01), SOC content was influenced only at high altitude (p < 0.001). In contrast, soil pH (p < 0.01) and available K (p < 0.001) showed clear sensitivity to land use at low altitude but were unaffected at higher elevations. Total N content and C:N ratios remained relatively stable across management practices within each altitude category. Silt and clay content had positive relationship with SOC (R² ≥ 0.13), whereas sand content had a significant negative relationship (R² = 0.23, p < 0.001). These findings are pertinent to providing guidelines for sustainable land management, improving agricultural practices, and shaping policies to protect and restore soil health across varied agro-ecological zones. Full article

Older adults with a refugee life experience have a disproportionate burden of mental health problems compared to non-refugee aging populations. Community-based participatory research (CBPR) is a promising approach to identify the challenges and strengths of older refugee adults and identify solutions to mental health disparities. We present a case study of one such CBPR program of research with older ethnic Nepali Bhutanese adults resettled in North America, Project Bhalakushari. We highlight the many opportunities to integrate older adults and members of the broader Bhutanese community in activities throughout the research process, starting with forming academic–community partnerships, identifying the needs and strengths of the community, conducting research, and sharing study findings with a broad audience of community members, health practitioners, policy-makers, and academics. Our case study emphasizes that a successful, culturally informed partnership should consider the involvement of the entire community, regardless of age, in the initiative to secure buy-in and support and maximize the positive impact of the work. We identify concrete strategies to overcome challenges specific to conducting research, with a focus on recruitment, outreach, and data collection. Full article

Digital transformation has become a strategic imperative for micro and small enterprises (MSEs) in emerging economies, yet the mechanisms linking digitalization to performance outcomes remain underexplored. This study examines how the strategic emphasis on digital transformation and the breadth of technology adoption influence firm performance among MSEs in Bhutan. Drawing on an integrative theoretical framework combining diffusion of innovations theory, the resource-based view, and institutional theory, survey data from 217 MSEs were analyzed using regression and interaction modeling techniques. The findings indicate that firms with stronger digital strategic emphasis adopt a broader range of technologies and achieve superior performance. However, unstructured or excessive knowledge sharing negatively moderates these relationships, potentially creating cognitive overload and impeding digital strategy execution. Furthermore, tourism enterprises exhibit significantly higher levels of digital engagement compared to non-tourism counterparts, highlighting the role of sector-specific institutional pressures. By uncovering the systemic dynamics between strategic orientation, technology adoption, and knowledge flows, this study contributes to a deeper understanding of how digital transformation processes can be optimized in resource-constrained environments. These findings not only offer practical insights for enhancing digital readiness and organizational resilience among small enterprises but also contribute to the broader theoretical discourse on how strategic orientation and contextual moderators shape the effectiveness of digital transformation in emerging markets. Full article

Bhutan is a developmental success story that since the 1960s has consistently used five-year national development plans to make substantial socio-economic progress and promote sustainability. Many other developing countries had abandoned medium-term national planning by the 1980s, but Bhutan continued using these instruments as the principal mechanisms for developing the country and making substantial welfare gains for its population while attending to the sustainability of its development path and environment. Poverty has been greatly reduced, incomes have grown in real terms, life expectancy has markedly increased, there has been enormous growth in the provision of education and the country has become a world leader in environmental protection with 71% of Bhutan still under forest, making it the first carbon negative country in the world. The reasons for Bhutan’s success include always working within the capabilities of government, economy, and society; a demonstrated capacity to reorient development strategies with new plans; a stable political environment; good governance; the gradual inclusion of multiple stakeholders into the development process; a strong supportive relationship with neighbouring India; and the wise use of income from hydropower to fund development. Though there have been disruptions, mistakes, and failures in planning in Bhutan, the general trajectory of solid progress and continued attention to sustainability has been maintained; however, there are considerable challenges ahead for the ambitious Thirteenth Five-Year Plan (2024–2029). To investigate the Bhutanese experience, this article adopts a qualitative case study approach. Full article

The complexities of refugee resettlement in the U.S. require comprehensive mental health and psychosocial support (MHPSS) strategies, yet significant gaps persist due to resettlement policies prioritizing short-term self-sufficiency over long-term mental health and well-being. This study explores the shift from traditional “burden sharing” to “task sharing” models that emphasize community-initiated care (CIC). Using a two-phase qualitative method, 27 refugee leaders and bilingual service providers from 14 refugee communities, including Afghan, Bhutanese, Burmese, Congolese, Somali, and Sudanese communities, across four states participated in focus groups or key informant interviews. Thematic analysis revealed that peer support models play a critical role as bridges between cultures, service sectors, and formal and informal networks. However, peer support remains insufficient without structural reform, as refugees face barriers such as lack of professional development and power imbalances with professionals while managing their own life challenges. This study emphasizes formalizing CIC models that empower refugees to lead the sharing process in collaborative care. Intersectoral collaboration and supportive policy frameworks are necessary to sustain peer support and build long-term leadership capacity. The findings highlight the need for a system-level shift to ensure equitable responsibility for care, fostering sustainable, community-driven MHPSS solutions in refugee resettlement. Full article

In this original research manuscript, we examined how gender, race, and ethnic heritage shape the science, technology, engineering, and mathematics (STEM)-related and higher education aspirations of different communities of refugee youth and families participating in university–community organization partnerships. Families from various ethnic-based community organizations in Arizona (serving Bhutanese, Burundian, Congolese, Somali, and Syrian people) participated in this study. Using social cognitive career theory as our conceptual framework and a qualitative research approach, we conducted interviews and focus groups with 27 families over two years to better understand their experiences. We found that the youth and families in our study experienced the following: (1) a recognition of the value of STEM education; (2) the value of consistent support from parents and community members; and (3) appreciation for the practical interventions provided by the university–community partnership. Additionally, families communicated conflicting perceptions of the salience of race and gender. We concluded by discussing the implications of the study findings for higher education scholarship and practice. Full article

This paper examines the role of the Medicine Buddha in the healthcare system in Bhutan, a bipartite system where allopathic and Bhutanese Traditional Medicine co-exist. Discussion is informed by a wider study that explored the use of mindfulness practices by nurses across both sectors. An emergent theme from this narrative inquiry is that health practitioners across the sectors spoke of the importance of the Medicine Buddha in their professional practice. To better understand this centrality, we provide a historical overview of the long-standing presence of the Medicine Buddha in Bhutanese society and the materiality and spirituality of Medicine Buddha practice, and review how this healing aspect of Awakened Mind (Buddha) is integrated into nurse training. We then explore how this unique holistic education is integrated into the lives and practices of nurses and their workplaces. While recognizing that empirical proofs remain elusive, this paper is also informed by our own reflective practice and individual experience with the Medicine Buddha in affirming a healing heuristic in our own lived experiences. To wit, we can see value in the pivotal role of Medicine Buddha in the Bhutanese health system, and, more broadly, the health of Bhutanese society. Full article

This qualitative study investigates the behaviors and strategies of effective leadership teams within ethnic community-based organizations (ECBOs) operating in the United States that consist of leaders who are themselves former refugees. Through analysis of four focus group interviews, each with three to five leaders from local Bhutanese, Burundian, Congolese, and Syrian communities, we identified ways in which these leaders exhibit transformational leadership behaviors proposed by established frameworks. Results reveal that effective ECBO leaders exhibit strong transformational leadership qualities, such as empowering community members, modeling behavior, and projecting a community vision. The study emphasizes the unique context of ECBOs and their leaders, showcasing their thoughtfulness, competency, and profound awareness of community members’ backgrounds. The implications include recognizing and valuing the skills of ECBO leaders and considering formal support mechanisms. This study contributes insights into the leadership exhibited within local community organizations serving refugee populations—enhancing our understanding of quality leadership among grassroots refugee organizations. Full article

Background. The resettlement and post-resettlement quality of life of refugees is often marred by chronic health/mental health conditions. To adequately care for refugees suffering these conditions, a promising strategy is the use of refugee Family Health Brokers (FHBs). FHBs are safe and trusted family members functioning as intermediaries between one’s family and health care providers. Although FHBs are known to positively influence health care utilization in their families, little is known about them and this aspect of their family caregiving role and experiences, particularly with health care providers, necessitating further research. Methods. Fourteen Bhutanese and three Bosnian refugee FHBs participated in a 2-hr focus group discussing their experiences with health care providers after being surveyed about their FHB role. Results. Thematic analysis yielded five themes centered around perceptions, knowledge, communication, behavior, and responsibilities reflective of FHBs’ experiences, which can be understood as symptoms of existing structural inequalities. Conclusions. FHBs primarily conveyed problems, struggles, and dilemmas they experienced more so than rewarding aspects of being an FHB. Suggestions are provided on how to avert these negative experiences from occurring and becoming barriers to developing allyship with FHBs in the context of existing structural inequalities. Full article

Innovation contexts and associated elements determine the type of innovation and adoption. This study aimed at the understanding of the innovation policy and intervention mechanism within the Bhutanese Department of Agriculture (DoA). We developed a conceptual model from the themes and the OECD evaluation criteria based on the conceptual model. The national issues and opportunities related to the agriculture and forestry of Bhutan were defined, and policy gaps were identified between the national plan and the institutional programs that were implemented. A total of 67 government documents from the relevant agencies were collected, of which, 33 documents were included, based on the inclusion criteria that matched with the conceptual, thematic analytical model. Our results from the document analysis show that the institutional innovative interventions appeared relevant to the Bhutanese context; however, inadequate coherence (mapping and alignment) of the institutional intervention programs with the national issues and goals suggested the need for the Bhutanese agricultural innovation system to enhance the effectiveness and efficiency of the program results. Similarly, coordination and collaboration were found to be necessary to extract the synergistic impact of the innovative interventions at the various levels of administrative hierarchy. Institutional accountability and interventional coherence at different organisational levels needs reviewing in order to achieve the sustainability of the outcome in Bhutanese agricultural research. Full article

Data on factors influencing multiple sexual partners that can inform cost-effective interventions are limited in Bhutan. This study examined factors associated with multiple sexual partners among adolescents. We analyzed the data of 7437 school-going adolescents from the 2016 Bhutan Global School-based Student Health Survey. Multivariable logistic regression stratified by sex was conducted. The prevalence of sex with multiple partners was 7.39%, with a much higher prevalence among males than females. In the overall sample, males, those >15 years of age, who smoked, consumed alcohol, used drugs, exhibited truancy, and were unmonitored by parents, had higher odds of having sex with multiple partners. In both males and females, being >15 years old, smoking, and drug use were associated with having multiple sexual partners. Alcohol use and truancy were significant only among males, whereas a lack of parental monitoring was significant only among females. The findings suggest that reducing substance use and enhancing parental support, and targeting males and older adolescents may yield larger gains. Full article

The digital divide proved a critical barrier to accessing information and healthcare during the COVID-19 pandemic and negatively impacted the Bhutanese refugee community. Moving beyond a technological model of the digital divide that highlights a lack of access to computers and the internet, we engaged the community to co-produce a dynamic approach that identifies the impact of socio-cultural and socio-environmental factors as well. Our paper reports on our community-academic research partnership and explores how the digital divide exacerbates health disparities in a midwestern Bhutanese refugee community. Combining the efforts of the community, anthropologists and social workers, this paper reports on the health disparities that confront the community as well as interventions designed to mitigate social inequities. Full article