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“...temporary absence of infrastructure, increased or new demands (operational costs) due to the disaster, lost revenues, higher expenditures and the cost of maintaining service provision. In addition to reconstruction costs, recovery needs are identified to build back better and are costed accordingly. Each sector has also examined issues of vulnerability and marginalisation, and the need for specific targeting in the implementation of the recovery strategy.
The report covers the following sectors:
A. Social
1. Housing and Human Settlements
2. Health and Population
3. Nutrition
4. Education
5. Cultural Heritage
B. Productive
6. Agriculture
7. Irrigation
8. Commerce and Industries
9. Tourism
10. Financial Sector
C. Infrastructure
11. Electricity
12. Communications
13. Community Infrastructure
14. Transport
15. Water, Sanitation and Hygiene
D. Cross-Cutting
16. Governance
17. Disaster Risk Reduction
18. Environment and Forestry
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“...19. Employment and Livelihoods
20. Social Protection
21. Gender Equality and Social Inclusion
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“...Section A: Social Sectors
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“...housing sector is proposed to be based on principles of equity, inclusion and participation of communities through an owner driven reconstruction approach while ensuring 'build back better' considerations. However, taking into account that only 19.7% of women own land and houses, recovery efforts will take account of the needs of female headed houses, senior citizens and other vulnerable social groups who may not have land ownership. The affected families will be supported to reconstruct, repair and retrofit their houses depending on the extent of damage with financial support, technical guidance, social mobilization and skill up gradation. Financial support in tranches will be based on compliance to disaster resistant construction guidelines. For difficult/remote areas, heritage settlements and urban areas, special assistance package may be defined to top up the basic recovery package. The handholding support to owners will require a well defined human resource setup of master artisans...”
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“...scale cadastral maps. There are three official land tenure systems in Nepal.
State land: This includes Government land that is owned by government offices, forest, national highways and other government agencies, and Public land owned by local bodies such as rural marketplaces, cemeteries, temples, playgrounds, etc.
Private land: Ownership certificate or title ensures formal rights to all owner-registered land.
Guthi land: Owned by trusts and community groups, used for religious, cultural and social events. In heritage settlements, this tenure system may be significant.
In addition to these, additional tenure types include i) unidentified religious and traditional tenure types which are not recorded in the land register; ii) informal tenure in the form of informal and squatter settlements, including riverside and highway-side slums and those established on the periphery of urban areas; and iii) dual ownership with tenancy where the tenant does not have absolute right and ownership over the...”
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“...should provide an opportunity for the poor to upgrade their living conditions.
5. Ensuring sustainable and environmentally friendly reconstruction processes, taking account of climate change, natural resource management and scientific risk assessments.
6. Rehabilitation should be equitable inclusive, and ensure that marginalized groups such as women, elderly people with disability and caste-based and ethnic minorities are able to participate and benefit from house reconstruction.
4.2 Gender and Social Inclusion
Gender: The recovery and reconstruction process must pay considerable attention to women-headed households, significant in earthquake affected districts. The women heading the family are already overburdened with their routine household activities including accessing basic services and their contribution to the farm. In such an environment, any role in the recovery and reconstruction process will only add more responsibilities and raise their workload to unsustainable levels. This situation...”
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“...planning and environmental considerations, so as to avoid blocking waterways or damaging agricultural lands.
Planning for Reconstruction: Planning for reconstruction will require a comprehensive, rigorous and transparent house-to-house damage assessment and eligibility survey to understand the nature and extent of damage and eligibility for the government reconstruction assistance program. Detailed policy packages for reconstruction of houses, repairs and retrofitting covering all types of affected social groups particularly the poor and vulnerable, tenants and women households, and families living in difficult
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“...remote areas will be required. Other early activities for long-term recovery include large-scale communication of the reconstruction program, communication of safe construction practices (since many have already started rebuilding) and the setting up of the cascading social-technical facilitation mechanism for recovery (at the national, district and local level).
4.6.2 Reconstruction Phase
The entire housing reconstruction process is likely to take up to 5 years. The reconstruction process will empower communities and households to take charge of their own recovery through an "owner-driven" reconstruction process wherever possible. Households will be facilitated with significant technical assistance to manage reconstruction. Housing reconstruction grants will be provided in tranches, conditional on compliance to safe building standards. Large scale cascading training programs will be needed to build the necessary pool of trained masons, carpenters and artisans.
Particular strategies will...”
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“...East. This sector of the labor market need to be augmented through large scale geographically distributed training.
5.3 Financial and Socio-Technical Facilitation
There is a need to develop a project implementation and management structure for socio-technical facilitation for house-owners undertaking reconstruction, repairs and retrofitting. National, District and VDC level mechanisms will have to be setup to help people for access to banking, material supplies, training, technical guidance, social mobilisation for community level efforts, timely grievance redressal, quality assurance and disbursement support mechanism. The financial and socio-technical facilitation will also create mechanisms for providing targeted support to marginalised households as well as facilitating house ownership for the landless.
5.3.1 Financial Facilitation:
The government shall devise a financing policy clearly stating the modalities of grant, loan and owner contribution expected for rebuilding private houses...”
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“...in place by the Government and will have to be explained the whole mechanism and modalities.
A socio-technical facilitation team should provide interface between the owners and government assisted reconstruction program. This mechanism will support the owners at each stage of construction, making them aware of recovery program and their entitlement, handholding them through the administrative processes to avail the assistance as per modalities defined by government policy, provide appropriate social and technical advice at the time of construction, identify and support owners in redressal of bottlenecks and grievances, assist in certification of stages of construction for financial disbursement.
About 22,250 houses are identified for the process of clustering due to likelihoods of hazards at the current locations. Any such effort will have to be evolved only with community involvement and consensus, as place of residence is strongly linked to their agriculture and other forms of livelihood...”
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“...such buildings during reconstruction.
Tier 3 training - This training will provide skills on quantitative assessment and strengthening of complex medium to large buildings to limited number of structural engineers. These engineers will be senior professionals from the structural engineering fraternity. The training should be practical and hands-on so that it could be immediately used for advising on such buildings during reconstruction.
Training for Community Organisers: Separate trainings on social facilitation for community organisers will be developed and implemented. These trainings would include simple modules on key technical aspects
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“...for the technical orientation of community organisers. Similarly the technical trainings would have simple modules on key aspects of social mobilisation for the proper orientation of technical staff training.
Certification of trainees: Candidates meeting the minimum requirements should be awarded certificate. Only such artisans should be encouraged to work as lead artisans on the construction site. Engineers/ Junior Engineers/ sub-engineers/ master masons working on the project must also be certified accordingly. This also means that instituting a training certification program at the earliest so that adequate number of artisans are trained before reconstruction takes off.
House-owners Awareness Programme: As the recovery is going to be largely owner led, it is essential to make them aware of need of disaster resistant construction. There will be need to guide them on choice of building typologies, materials and costing in addition to minimum disaster resistant features. As the owners hire...”
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“...also be responsible for ensuring communication with the district.
6 Engineer (62) and Senior Engineer (14) It is estimated that four (4) engineers and one (1) senior level engineer will be required for each district to provide support and consultation, and help ensure smooth operation of reconstruction program. The Engineers and Senior Engineers will be full time employees of the project and based in the district headquarter
7 District Coordinator (31) District coordinator will be a management/ social development professional to coordinate the district team of engineers, senior engineer and manage the district level reconstruction program.
8 Project Director -1 The Director will provide leadership to the whole project on Built Back Better on support, consultation and liaison with the Governance.
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“...Immediate Response: Ministry of Health and Population together with international and national partners, voluntary and social organizations have been actively engaged in health sector's response after the earthquake. MoHP organized a meeting to manage the health sector response on 25th April just after the earthquake when Health Emergency Operation Centre (HEOC) was also activated. At the same time, the high level committee chaired by Secretary of the MoHP was formed to oversee and guide the overall health sector response in the aftermath of the mega earthquake.
Health emergency and operation centre started to coordinate with the affected districts and updated the situation for the necessary decision and action such as deployment of medical teams and supply of drugs and other logistics. Pre identified six emergency hubs within Kathmandu valley were activated for medical services to the injured including those referred from other districts. High level committee mobilized teams at the central...”
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“...effect even though the response activities will be focused to mitigate such needs. The access to care if affected and thus effect will be seen in programs for regular follow up for antenatal, post-natal care, neonatal care, DOTS and ART services which can result in high morbidity and mortality of the disease status. The negative affect on health is also expected due to effect on the nutritional status of the vulnerable population in these districts. However, estimates of life years lost and other social impacts of the earthquake in the health sector have not been estimated in money value due to the complicated methodologies involved.
Recovery Needs and strategy
Ministry of Health and Population formed a coordination committee for the assessment of needs and planning for recovery and reconstruction of the health sector under the chair of Chief of Policy, Planning and International Cooperation Division. Based on the information available from the districts an initial set of necessary activities...”
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“...are injured; and two health workers are missing5. Nearly SO percent of public health facilities are damaged due to the earthquake and many of the government offices providing social services have been destroyed6. While a relatively small number of FCHVs died or were injured, many are seriously affected, were found to be under stress, and may not be in a position to carry out their functions like before, negatively impacting nutrition services. Primary Health Care and Out Reach Clinics are still functional in most of the places.
There are approximately 73,000 pregnant women and 62,000 lactating women in the earthquake-affected areas. Field visit observations found that many of these women are suffering from a) reduced food intake and dietary diversity, b) stress and trauma caused by the earthquake and the subsequent disruption to their lives. This is likely to negatively affect not only their own nutritional situation, but may also affect exclusive and continued breastfeeding among their...”
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“...population in Nepal. Experiences from other countries show that in the month after a natural disaster occurs, the likelihood of acute illness, such as acute respiratory infections, diarrhea and fever increase by 9-18 percent in children under-five.10 The negative impact of natural disasters on linear growth is also well documented in countries such as China, Indonesia, Ethiopia,
10 Datar A, Liu J, Linnemayr S, Stecher C. The Impact of Natural Disasters on Child Health and Investments in Rural India. Social science & medicine (1982). 2013;76(l):83-91. doi:10.1016/j.socscimed.2012.10.008.
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“...Promote optimal child development through implementation of child care activities, in coordination with Ministry of Women Children and Social Welfare (MoWCSW) 279 231 children under five years 100 27 923 100 279 231
Intensify the promotion of optimal Maternal Infant and Young Child Nutrition (MIYCN) and hygiene including Behaviour Change Communication (BCC). [Breastfeeding and complementary feeding] 10 000 000 100 000
Intensify monitoring of compliance and Nepal Breast Milk Substitute (BMS) Act & Regulation to ensure that unsolicited BMS is not distributed and used 14 Districts 1 000 000 14 000 000 140 000
Management of severe acute malnutrition
Establish and maintain management of severe acute malnutrition (SAM), including preventive and treatment services 10 000 children under 5 years 15 000 150 000 000 1 500 000 Caseload of SAM patients requires ongoing treatment services and commodities are available to support this treatment.
Micronutrient supplementation
Replenish...”
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“...above suggested activities will be implemented by the sectoral ministries ensuring intra and intersectoral coordination within the government system. Resources will be mobilised through effective partnership with the development partners.
Food production activities will be led by agriculture sector, with strong collaboration, advocacy and promotion activities led by the health sector. The health sector will conduct child care activities in close collaboration with education and women children and social welfare sector.
Assessment Methodology
This Nutrition Sector PDNA is part of the broader PDNA conducted for all sectors under the overall leadership of the National Planning Commission. It is a joint exercise of the Government and the development partners. A combination of qualitative and quantitative tools from primary as well as secondary sources have been used.
On May 24, the National Planning Commission (NPC) deployed four teams to Gorkha, Dhading, Sindhuli, Ramechhap, Rasuwa, Nuwakot, S...”
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“...education). While there is no reported casualty to the non-teaching personnel, many teachers from the affected areas have lost their homes and family members, and household burdens to female teachers have increased. In the field visits, teachers stated that they would be able to resume teaching-learning activities once schools reopen. However, they raised concerns regarding availability of housing, need for advance payment, and additional training to facilitate children's return to schools, psycho-social counseling, and their management in multi-grade settings.
Effects on service delivery and governance mechanisms
During consultations with various central level agencies, it was reported that there have been no major damages to physical infrastructures of these institutions, and therefore the effects on the functioning of the key central level agencies is deemed to be minimal. At the district level, there has been some damage to DEOs, particularly in the most affected districts. The cumulative...”
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