Pre-departure cultural orientation (CO) programs, administered by the International Organization for Migration (IOM) in refugee camps in Nepal, prepared over 113,000 Bhutanese refugees for resettlement in Western countries. The multi-day courses covered topics including cultural adjustment, employment expectations, housing, healthcare, education, transportation, budgeting, and legal rights, while also addressing the emotional dimensions of leaving the camps.
Pre-departure orientation (also called cultural orientation or CO) was a structured training program provided to Bhutanese refugees in Nepal before their departure for resettlement in third countries. Managed by the International Organization for Migration (IOM) in coordination with destination country governments and resettlement agencies, the programs ran from 2007 through the early 2020s and served over 113,000 refugees. The courses were designed to prepare individuals and families for the profound cultural, social, and practical transitions they would face upon arrival in countries including the United States, Australia, Canada, and New Zealand.[1]
For a population that had spent fifteen or more years in refugee camps — many of whom had never used electricity in a home, operated modern appliances, navigated public transportation, or interacted with people outside their linguistic and cultural community — the orientation programs were an essential bridge between camp life and the realities of resettlement. The programs were widely regarded as a critical component of the Bhutanese resettlement operation's relative success, though their limitations were also acknowledged.
Program Structure
Pre-departure cultural orientation typically lasted three to five days and was conducted in classroom settings within or near the refugee camps in Jhapa and Morang districts of eastern Nepal. Sessions were later also held at IOM transit centers in Kathmandu, where refugees stayed temporarily before their departure flights. The courses were taught in Nepali by trained facilitators, many of whom were Bhutanese refugees themselves or Nepali nationals with extensive experience working in the camps. The use of Nepali-speaking facilitators who understood the refugees' cultural background was considered essential for effective communication.[1]
The curriculum was standardized by IOM but tailored for each destination country. Refugees bound for the United States received different content from those heading to Australia, Canada, or Norway, reflecting the different legal systems, cultural norms, employment landscapes, and support structures in each country. Despite these variations, all programs covered a common set of core topics. Classes were generally organized by family groups, though separate sessions were sometimes held for different demographics — youth, elderly individuals, single women, and people with specific medical or accessibility needs — to address the particular concerns of each group.
Core Topics
Housing and Daily Living
Many refugees had lived their entire lives in bamboo and thatch huts in camp settings or, before displacement, in rural homes in southern Bhutan. Orientation sessions introduced concepts including apartment living, lease agreements, utility bills (electricity, water, gas), household appliances (stoves, ovens, refrigerators, washing machines), garbage disposal systems, and building safety rules such as fire alarms and emergency exits. Facilitators used visual aids, photographs, and sometimes video to illustrate living conditions in destination countries. Practical demonstrations included how to operate a stove, how to lock and unlock apartment doors, and how to call emergency services.[2]
Transportation
Orientation covered public transportation systems (buses, trains, subways), traffic rules, pedestrian safety, and the process of obtaining a driver's license. For refugees accustomed to walking on unpaved roads in camp settings, the concept of high-speed traffic, traffic signals, and crosswalks required careful explanation. Sessions on US-bound refugees emphasized the car-dependent nature of many American cities and the importance of learning to drive.
Employment
Employment orientation was among the most critical and most difficult topics. Refugees were informed that they would be expected to seek employment quickly — in the United States, often within the first few months. Sessions covered job searching, applications, resumes, interviews, workplace behavior, punctuality, labor laws, and the concept of minimum wage. Facilitators were explicit about the types of entry-level jobs refugees were most likely to obtain — factory work, food processing, housekeeping, retail, and elder care — and managed expectations regarding income, working conditions, and the gap between aspirations and initial economic realities. For educated refugees who had held professional positions before displacement, the likelihood of underemployment was addressed directly.[2]
Language
While comprehensive language training was not feasible in a three-to-five-day program, basic English instruction was provided, focusing on survival-level vocabulary and phrases: greetings, numbers, the alphabet, emergency phrases ("I need help," "Call 911"), and essential words for navigating daily life. Refugees were informed about English language programs available in their destination countries, including ESL (English as a Second Language) classes offered by resettlement agencies, community colleges, and libraries.[2]
Laws and Rights
Legal orientation covered laws that refugees might encounter or be unfamiliar with, including domestic violence laws, child protection laws, laws regarding alcohol and substance use, tenant rights, and anti-discrimination protections. The emphasis on domestic violence and child discipline laws was particularly significant, as practices considered normal in some refugees' cultural contexts — corporal punishment of children, or a husband's authority to physically discipline a wife — were criminal offenses in destination countries. These sessions were conducted sensitively but without ambiguity: facilitators clearly stated that specific behaviors would result in arrest and potential loss of custody.[3]
Healthcare
Refugees received information about the healthcare systems in their destination countries, including how to access medical care, the role of health insurance, preventive care, mental health services, and reproductive health. For refugees accustomed to the limited medical facilities available in camps, the complexity of navigating health insurance, co-pays, and appointment systems required detailed explanation.
Education
For families with children, education orientation covered enrollment procedures, school systems, the role of parents in their children's education, and expectations regarding attendance and behavior. Adult education opportunities, including GED programs and vocational training, were also discussed.
Budgeting and Finances
Concepts of banking, budgeting, managing bills, and the dangers of predatory lending were introduced, often for the first time for participants who had lived in a cash-based camp economy for nearly two decades. Refugees learned about opening bank accounts, understanding pay stubs, and the importance of paying rent and utilities on time. The transition from a setting where food and shelter were provided by humanitarian agencies to one where every necessity had to be earned and budgeted for represented one of the most fundamental shifts in daily life.
Addressing Emotional Dimensions
The CO program recognized that resettlement was not merely a logistical process but an emotionally profound transition. The concept of culture shock was introduced, with trainers explaining that disorientation, homesickness, frustration, and emotional difficulty were normal responses to resettlement. Refugees were given strategies for coping, including maintaining cultural practices while also adapting to new norms. Trainers addressed the grief of leaving behind community members who chose not to resettle, the anxiety of entering an unknown society, and the particular burden on elderly refugees who would face the steepest cultural adjustment. Some sessions included facilitated discussions in which participants could voice their fears and hopes, and trainers attempted to normalize the ambivalence many refugees felt about leaving a place that, despite its deprivations, had been their home for nearly two decades.[4]
The decision to accept resettlement was itself fraught. Many Bhutanese refugees had long advocated for repatriation to Bhutan rather than third-country resettlement, and the shift toward accepting resettlement — catalyzed in part by the realization that repatriation negotiations with the government of Bhutan had stalled indefinitely — involved a painful surrender of the hope of return. The CO program navigated this emotional landscape carefully, acknowledging the difficulty of the transition while also presenting resettlement as an opportunity for a stable future.
Expectations Management
Perhaps the most important function of pre-departure orientation was expectations management. Facilitators worked to counter both unrealistic optimism and paralyzing fear. Some refugees imagined resettlement countries as places of automatic prosperity; others feared complete cultural erasure or hostility. Orientation sessions presented a balanced picture: emphasizing that resettlement would be difficult, that the initial period would involve hardship and disorientation, that employment would likely be in low-wage positions, and that cultural adjustment would take years — but also that, over time, refugees could build stable, dignified lives with access to opportunities that camp existence could never provide.[2]
Particular attention was given to the experiences of elderly refugees. For older individuals who had spent decades dreaming of return to Bhutan, resettlement to a distant, culturally alien country was often a source of grief rather than hope. Orientation programs acknowledged this emotional reality while explaining the practical benefits of resettlement, particularly access to healthcare and family reunification.
Post-Arrival Orientation
Pre-departure orientation was complemented by post-arrival cultural orientation provided by resettlement agencies in destination countries. In the United States, the Cultural Orientation Resource Exchange (CORE) provided standardized materials and training for resettlement agency staff who conducted post-arrival sessions. These sessions reinforced and expanded on the pre-departure content, with the advantage of being delivered in the actual environment where refugees would be living. Post-arrival orientation typically continued for several weeks or months, covering topics in greater depth as refugees encountered them in real life.[2]
Assessment and Limitations
Evaluations of the pre-departure orientation program noted several limitations. Three to five days was widely acknowledged as insufficient to prepare individuals for the magnitude of the transition. Retention of information was limited, particularly among elderly participants and those with low literacy. The classroom format could not fully replicate the sensory and emotional experience of navigating an unfamiliar city, workplace, or bureaucracy. Some topics — such as mental health and the psychological impacts of cultural adjustment — received less attention than practical skills, despite their long-term importance.[1]
Despite these limitations, research and anecdotal evidence indicated that refugees who completed pre-departure orientation demonstrated better initial adjustment outcomes than those who did not, including faster employment, fewer conflicts with landlords and neighbors, and more effective use of available services. The program was considered an essential, if imperfect, component of the resettlement pipeline.
References
- International Organization for Migration. "Cultural Orientation." https://www.iom.int/cultural-orientation
- Cultural Orientation Resource Exchange (CORE). https://www.culturalorientation.net/
- U.S. Department of State. "Reception and Placement." https://www.state.gov/refugee-admissions/reception-and-placement/
- Banki, Susan. "Bhutanese Refugees in Nepal: Anticipating the Impact of Resettlement." Forced Migration Review, 2008.
- Hyndman, Jennifer, and Wenona Giles. "Waiting for What? The Feminization of Asylum in Protracted Situations." Gender, Place and Culture, vol. 18, no. 3, 2011, pp. 361-379.
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