NLT sends out a monthly prayer letter by email. If you would like to receive it, please email us on and let us know your email address. We will include you in the distribution. Please be assured that we will not share your email address with any third party. If you don’t have email, we do post a few prayer letters out to those who particularly request them. Telephone or write to ask for the prayer letter by post. (Tel: 020 8940 1200, Nepal Leprosy Trust, 10A The Vineyard, Richmond, Surrey, TW10 6AQ)


Nepal Leprosy Trust is a Christian Charity and has relied greatly on the prayers of many supporters over nearly 50 years.

Prayer has kept our staff safe, it has protected us during difficult times, it has helped our work to flourish and make a real impact on the lives of those we are helping. It has opened God’s treasure house at times of particular need, and it has helped to make sure that God is honoured in our work in many ways. Prayer remains a very important way of supporting the work of NLT and we are grateful for all those who do pray for NLT. The list below includes some of the key issues that currently need your prayer:

  • Like other countries, Nepal has suffered a third wave of Covid, which began at the start of August. It did not reach the levels of the second wave, peaking at about 3000 cases per day and slowly reducing until it is now about 1000 new cases per day. The real figures will be higher as many cases in village settings go unreported. The death rate has also dropped steadily from the peak of 250 per day in May, to the current rate of about 12 deaths per day – reported. Vaccinations have been slow, and even now – 18 months into the pandemic – Nepal has still not reached 20% of its population double-vaccinated. This has been a tough time for Nepal which is not equipped at any level to handle this sort of emergency.
  • Lalgadh is able to provide medical services, but medical staff are still operating with vigilance caution and the use of PPE for all activity. Patient numbers have increased over the last 3 months and about 400 people ae coming for medical help each day. Please pray for our staff, and for families in the surrounding communities, many of whom have been touched by tragedy during this time, and many have been in difficult economic circumstances.
  • In Kathmandu, our Fairtrade workshops have struggled with greatly reduced workloads as regular custom has tailed off due to many sales outlets themselves being adversely affected by the Pandemic. The reduced income is therefore having a hard impact on staff in Kathmandu, and for a couple of months they were on a reduced salary. We are enormously grateful for the generosity of many supporters who have donated towards running costs – both at Lalgadh and Kathmandu. It has helped enormously and it has encouraged our colleagues there that they are not forgotten. Please pray that the Lord will continue to supply what is needed to get us through in Nepal. Please also pray for  NLT products to become more widely known and for our customer base to grow during 2021. Many of our staff come from marginalised backgrounds and some are affected by leprosy themselves.
  • Government hospitals have had a hard time although things have eased as the country has had time to adapt to the new ‘normal’. Please continue to pray for the recovery of the health system in Nepal, as it is always the poor who are worst affected by these problems.
  • The lockdown has continued to impact the poor who rely on daily waged employment, and food stocks in many poor villages have become dangerously low. NLT’s Community Team have been helping with supplies of relief aid to the poor communities around Lalgadh, but the demands are high. Pray that our help (and other help) will get through to the right places.
  • The lockdown has also impacted mother and child health seriously, as many mothers were not able, or sometimes even willing, to go to hospital for pre and post-natal checks, or even delivery. This has led to a doubling of the mortality rates for infants and mothers over this period.
  • Education in Nepal has been badly affected as many children, with only online lessons available, and often lacking the equipment to access this online education, have missed out. Many children – especially from the  poorer communities – have effectively lost a year’s education, and this is echoed across India.
  • Please pray for Dr Clugston and his wife Meena as they continue to serve at Lalgadh in the midst of the pandemic, and cannot yet fly out. Being older, they are possibly more at risk from the effects of Covid-19 if they are infected. Pray for good health and the Lord’s protection. Dr Clugston is preparing the medical team for the expanded work as he approaches his retirement from NLT in less than a year.
  • Our patients need much prayer as some of them have suffered terribly before they arrive at Lalgadh. Pray that our staff can help them to heal physically, mentally and spiritually.
  • The ongoing official registration process of the hospital with the government is still not complete, although it has been making very slow progress for several years. Please pray that the government offices will finish this process off and make the way straight for the work to go forward unhindered.
  • Travel in Nepal is often unsafe due to poor roads, landslides, dangerous driving conditions, especially at this monsoon time. Please pray for our staff as they move around the region in the course of their work.
  • Please pray for favour for NLT with the municipal and provincial authorities as the new federal structure in Nepal is established.
  • Nepal can be a challenging place health-wise, and our staff would appreciate your prayer support in this regard.
  • The government of Nepal has been very unstable for some time, as politicians have struggled for the key places in power. There are now 97 active political parties, and this is very difficult for the country. It has also contributed to the problems posed by the pandemic, as efforts are uncoordinated and unfocused, and people have not been adequately prepared or protected from this disease. Please pray for a stable and healthy government in Nepal.
  • Please pray for the little church at Lalgadh – that it continues to be a light for the Gospel in a difficult place. There have been some wonderful testimonies of healing and deliverance in recent months, as people in need have reached out for hope and help. People are also coming to faith, which is a continuing encouragement and source of joy.
  • Please pray for the staff and particularly the senior managers in NLT Nepal: as they face many daily challenges in their work for people affected by leprosy and many other illnesses; and as they develop NLT Nepal to cope with the growing demands on its services.
  • Please pray that our God will be glorified in all the work areas of NLT, and that the people we serve will be blessed by that work.
  • Please continue to pray for the widow and daughter of Mainudin Dafali, a hero of our stigma elimination work who unexpectedly passed away at the end of April 2021 in India. Please pray that Mainudin’s land will be secured for his widow Sakila and their child Upsana, so that they continue to have a secure home.
  • Please pray for a retired member of staff – a shoemaker called Ram Nanda – who had leprosy himself and then served in our footwear department for many years. He has recently been weakened by TB, and has been struggling financially. We are looking for a sponsor to help him with a small monthly allowance equivalent to about £20 per month. We have several sponsors supporting vulnerable older people who have been affected by leprosy, and Ram Nanda needs one now.
  • Please pray for some funds to improve the single nurses’ accommodation on site at Lalgadh. We need to renew the roof, which after 25 years has been damaged by the wild monkeys that come for food, and by the heavy rains of the monsoon. The accommodation units are also rather too small for comfort and need some extension of the kitchen and bathroom areas. The total needed is about £18,700.