PurposeAgriculture, since time immemorial, has been a major sector in reducing poverty, accelerating economic activities and source of sustainability of a nation. As most of the youth in the 21st century are targeting the youth's career in the non-agricultural sector, attracting and involving the youths in agribusinesses is the need of the hour. In this regard, the research tries to understand the awareness and involvement of youth farmers in agripreneurship in Western Nepal.Design/methodology/approachUsing a structured questionnaire, data were collected from both primary and secondary sources. On the basis of descriptive and inferential analysis, the ordered logit model is employed in the study. The research is based on explanatory research design through identifying farmers' awareness of agriculture entrepreneurship from 324 farmers of Bedkot Municipality, Kanchanpur, Nepal.FindingsStudy findings have shown that agricultural knowledge with overall awareness is statistically significant. Ordered logistic regression indicated that sex has somehow influenced technical and entrepreneur skills while agriculture information highly influenced education and training. The result shows that agricultural training is still the requirement of one-fourth of the farmers, whereas another quarter of farmers need subsidies.Research limitations/implicationsThe study suggests that in order to enhance awareness, training, subsidy, market management and development program are widely needed. In the backdrop of declining agro-products and food security challenges, the study targets to offer an understanding to policymakers and stakeholders on addressing the dire need of agripreneurship among the youths around the world.Originality/valueThe study summarizes the state of knowledge of agripreneurship of Nepalese farmers, identifies emerging issues and policy implications and priorities for future applied research.

Like the world over, Nepal was also hard hit by the second wave of COVID-19. We audited the clinical care provided to COVID-19 patients admitted from April to June 2021 in a tertiary care hospital of Nepal. This was a cohort study using routinely collected hospital data. There were 620 patients, and most (458, 74%) had severe illness. The majority (600, 97%) of the patients were eligible for admission as per national guidelines. Laboratory tests helping to predict the outcome of COVID-19, such as D-dimer and C-reactive protein, were missing in about 25% of patients. Nearly all (>95%) patients with severe disease received corticosteroids, anticoagulants and oxygen. The use of remdesivir was low (22%). About 70% of the patients received antibiotics. Hospital exit outcomes of most (>95%) patients with mild and moderate illness were favorable (alive and discharged). Among patients with severe illness, about 25% died and 4% were critically ill, needing further referral. This is the first study from Nepal to audit and document COVID-19 clinical care provision in a tertiary care hospital, thus filling the evidence gap in this area from resource-limited settings. Adherence to admission guidelines was excellent. Laboratory testing, access to essential drugs and data management needs to be improved.