REPORT - 2

HANDS Report on Nepal Earthquake Relief

May 07, 2015

Background Situation: The Nepal is administratively comprised of 5 Development Regions including Eastern region, Central

region, Western region, mid-western region and Far eastern region. The Kathmandu is located in Central

region. The regions are further divided administratively in 14 zones, which are comprised of 75 districts.

Each district is further divided into small administrative units called as Village Development Committees

(VDC).

A powerful 7.8 magnitude earthquake struck Nepal on 25 April, with the epicenter in Lamjung District

(north-west) of Kathmandu. Government reports confirm that 30 out of 75 districts in the country have

been affected in the Western and Central Regions, including Kathmandu Valley districts. This includes

mountain and hilly areas, in areas where rural populations are dispersed, as well as some very densely

populated districts and Nepal’s two largest cities – greater Kathmandu and Pokhara.

The worst affected districts include Sindulpalchowk, Kavre, Nuwakot, Rasuwa, Dolakha, Kathmandu,

Lalitpur, Bhaktapur, Dhading, Kaski, Gorkha, Lamjung, Ramechhap, Sindhuli, Makawanpur, Manang,

Chitawan and Nawalparsi. Most of these districts are located in Central region and Western region.

Highlights Updated May 7, 2015: As of May 06, the Government of Nepal reported

Population affected is > 8.1 million, among these approximately 126,000 pregnant women,

21,000 of whom will need obstetric care in the coming three months

Deaths increased to 7675 and 16,392 injured people

Total 518557 houses reported destroyed or damaged. Destroyed houses reported increased to

284455 houses and damaged houses to 234102 damaged. Most of these were constructed by

stone and mud houses in mountainous areas or old constructions in cities or slums.

Situation Overview May 7, 2015 Highest rate of destruction reported in districts Sindupalchowk and Gorkha. Across large parts of

Dhading, Nuwakot and Ramecchap districts, more than 80 per cent of houses have been

flattened.

In affected areas almost all of the population staying outside homes or in make-shift shelters,

which are mostly arranged by them.

The Government and humanitarian partners have by now reached all the affected districts and

are refining information on needs of affected people, particularly in remote and hard-to-reach

areas.

More than 70% affected population have no access to safe drinking water

About 90% affected population are forced for OFD

The most of the temples, religious and heritage sites are damaged, but the more modern

structures have withstood the severity of the quakes

National telecommunications systems and services and power supplies have been severely

damaged throughout the affected area but now gradually improving

In many of the areas people have lost the seeds for sowing or planting for next season

Earthquake Response by Governments and UN partners in Nepal The United Nations and its partners are scaling up operations as the information from all affected areas

is refining to address the most urgent needs. The Government continues to coordinate relief support

from over 16 countries. Over 10,600 metric tons (MT) of rice, sugar, salt, beans and lentils were

distributed to support communities in the affected districts. Another 7,500 MTs of food were distributed

through local government bodies. The Ministry of Health and Population (MOHP) mobilized 274

national medical teams (NMT). The Central Natural Disaster Relief Committee (CNDRC) released 1.79

billion Nepalese Rupees (equivalent to approximately US$ 17.3 million) to support relief activities at the

district level.

Humanitarian needs – including food, shelter and improve sanitation – remain cause for concern.

A scale-up of operations is required to ensure immediate and principled assistance reaches people in

desperate need within the next six weeks, in advance of the monsoon season. Shelter remains the most

critical need in the affected areas

Orthopedic equipment and sup

to support assisted discharge for earthquake injured patients who need post-operation follow-up

and rehabilitation. Only 254 surgical operations are performed in five districts.

Measles (children 6 – 59 months) and Rubella crash vaccination initiated in Kathmandu valley

districts.

An estimated 15,000 children (6 to 59 months old) with severe acute malnutrition (SAM) require

therapeutic feeding and 70,000 children (6 to 59 months) with moderate acute malnutrition (MAM)

need supplementary food.

Blanket supplementary feeding is needed for some 200,000 children and pregnant and lactating

women. Some 126,000 children (0 to 23 months) need nutritious food to avoid malnourishment

Vitamin A, micronutrient supplements and deworming pills are needed for some 362,000 children (6

to 59 months) and 185,000 pregnant and breastfeeding mothers.

There is insufficient therapeutic food for an estimated 10,000 children with SAM and supplementary

food for 70,000 children with MAM

Regarding shelter, self-recovery becoming more and more prominent but some logistic and

technical assistance is required. The issue of Tarp sheet or CGI is still confusing for the local partners.

Sanitation response seems to be very sluggish. An already poor status of improve sanitation (37%),

and a community priority, mobilization is urgently required with shelter support.

For early recovery, the local government system the Village Development Committees should be

mobilized and rehabilitated, as more than 150 VDCs offices are also damaged

HANDS Introduction: HANDS was founded by Prof. A. G. Billoo (Sitara-e-Imtiaz) in 1979. HANDS has evolved in 34 years as one

of the largest Non-Profit Organization of the country with integrated development model and disaster

management expertise. HANDS has a network of 31 offices across the country and has access to more

than 16.2 million population nearly 20,274 villages/ settlement in 44 districts of Pakistan. HANDS

strength is 18 volunteer Board Members, more than 1700 full time staff and thousands of community

based volunteers of more than 5200 community based partner organizations.

HANDS has a vast experience to deal with Emergencies during the recent disasaters in the cuntry.

1. Punjab Flood Emergency Response September 2014

Emergency response was initiated within 24 hours in District Muzzafar Garh, Multan, Mandi

Bahauddin, Jhang, Chiniot, Hafizabad, Sialkot & Rajanpur more than 12000 beneficiaries

received relief package from HANDS and are still continue.

2. Drought in Tharparkar in March 2014:

Drought in Tharparkar March 2014 Relief Packages provided to 6000 Families in 2 Months and

relief services.

Nutrition support (April to June 2014): (6 to 59 months) children total cured (MAM &

SAM) 1480

Nutrition support (July to Sep 2014): (6 to 59 months)children total cured (MAM & SAM)

5502.

3. IDPs of North Waziristan Agency 2014:

Emergency Response was initiated within 36 hours to provide assistance to IDPs at Bannu, KP.

4. Drought in Tharparkar in March 2014: Emergency Response was initiated within 5 hours and

Relief package was provided to 6,000 families in 2 months.

5. Earthquake in Awaran Balochistan in October 2013: Emergency response was initiated within 8

hours & comprehensive relief package was provided in hard conditions and conflicted areas

within two months to 10,000 families.

6. Rain Emergency 2012 in Northern Sindh, South Punjab & Balochistan: Emergency response was

initiated within 6 hours. Distribution of emergency relief package was provided to 27000

families within 2 months

7. Rain Emergency 2011 in Southern Districts of Sindh:

Emergency response was initiated within 8 hours in 8 districts. 29000 families were reached

within 2 moths

8. Flood Emergency 2010:

Emergency response was initiated within 4 hours in northern Sindh & 36,000 families were

reached within 1 month.

9. Kashmir Earthquake 2005

Emergency response was initiated within 24 hours at Batgram more than 1000 patients /

clients were treated.

10. Badin Cyclone 2002

HANDS emergency response was initiated within 6 hours at Badin and more than 700

patients / clients were treated.

ECCA Introduction: ECCA (environmental Camps for Conservation Awareness) was established in July 1987 as a nonprofit,

non-political, non-government organization. ECCA is registered in Government of Nepal, District

Administration Office, Jwagol, Kupondol-10, Lalitpur Kathmandu and affiliated with Social Welfare

Council, Kathmandu.

ECCA has been a leading organization in the sector of social mobilization and community development.

It implements various programs so as to raise the quality of life through wise-use of available local

resources and application of alternate and renewable technologies.

HANDS Relief Intervention in Nepal:

A. Situation Analysis by HANDS The process of situation analysis is continued with the relief activities. HANDS team with support and

facilitation of local partner organization ECCA conducted a quick situation analysis. The process includes

the information sharing by the ECCA team, field visits observation, information from the local

government authorities and the local resident communities.

In phase-1, the areas covered were Khokana and Bangumati, which are peri-urban slums of Patan city in

Lalitpur district, and the village development committee (VDC) Dalchoki, rural area in district Lalitpur.

In phase-2, the situation analysis was conducted along with mobile medical camps in Chautara

Municipality and Guarati ward-2 of Chautara, both are located in Sindhupalchowk district, and in VDC

Malta located in district Lalitpur.

PHASE-1

A.1 Situation in Khokana and Bangumati, district Lalitpur: 80% of the buildings and houses are demolished or badly damaged and fragile. In these areas, many

families live in fragile and vulnerable homes with outer walls and/or foundations constructed from

poor quality materials. Most of them now sitting in open places. Shelters are not provided to these

affected families.

The water supply lines are totally damaged. Now the district municipal government and other iNGOs

have installed large water storage tanks. The water is supplied by the water tankers. Few of the

NGOs are supplying chlorine solution to make the water safe for drinking purpose. The volunteers of

the NGOs are providing information and conducting awareness sessions on hygiene and use of

chlorine solution for purification of water making it safe for drinking

Most of the latrines are also damaged. But the people are sharing the latrine in safe buildings in the

neighboring area.

Medical services are provided by the Government health facilities, Thai army teams and NGOs.

There was no critical health need identified.

Majority of the families have enough food stock, which they are retrieving the rubble. For

immediate need the NGOs and citizens of Kathmandu are supplying cooked food. Nepal Army troops

are supporting the families to recover the livlihood material from the damaged or demolished

buildings and houses.

The religious sites such as temples and historical sites in these areas are also badly damaged or

totally demolished.

A.2 Situation in Dalchoki, district Lalitpur

The Dalchoki is a VCD (village Development Committee), located towards the south of Patan city (district

Headquarter of Lalitpur) in Kathmandu valley. It is spread over the mountainous area, nearly 34 Km from

the Kathmandu city. It comprised of 9 wards, which are the smallest administrative unit. Each VCD is

administered by the local people committee having representation from each ward. Here the population

is widely dispersed in the mountains. There most of the houses are located in isolation, and at few

places in small cluster of 4-6 houses. Most of the houses are made of mud and stones. The information

is based on observation, individuals community members and families including women and elders, and

the representatives of the VDC. The data and few of the relevant information is also verified by the VDC

records and Government local Health post record.

There were 299 houses in the VDC. The population is 1896.

Nearly 99% houses are fully damaged or need to be demolished for re-construction.

One death reported from the area

The people are living in open air or made temporary makeshift arrangement from the demolished

tin sheets or mats etc.

The water supply is intact. It is government arrangement. Many houses previously have tap water

supply within their homes, that have been damaged. But the community taps are functional. They

used the same water for drinking purpose as well. Considering it safe for drinking they usually did

not take any measures for its purification. Now the ECCA is supplying chlorine solution and providing

awareness regarding the methodology and significance of purification of water for drinking purpose.

It is ODF free community. Although Latrines have been damaged in many of the houses, but almost

all sharing the functional latrines within their neighborhood. No one is going for ODF.

Almost all families have food stocks, which they have recovered from the rubble.

Many animals are perished including goats, cows, and buffaloes

One Government Sub-Health Post is functional in ward 3, although it is partially damaged. Health

assistant and Nurse assistant are residing there, providing the mobile services in different wards

since the earthquake. One birthing station is also located in ward 3. One skilled birth attendant is

residing in adjacent rooms with family. The building remained unaffected. The center is functional,

usually 3-4 normal deliveries are conducted by the SBA.

Table: Ward-wise Population Distribution and Status of damages

S. No.

Ward Number

Total Population

Total Households

Post-Earthquake status Other Losses or damages

Fully Damaged

Partially Damaged

1. 1 216 36 33 3

2 2 216 36 34 2

3 3

252 42 42 0 Sub-Health post building is partially damaged

4 4 192 32 32 0

5 5 168 28 26 2

6 6 144 24 23 1 School building collapsed

7 7 204 34 31 3

8 8 210 35 32 3

9 9 192 32 31 1

TOTAL 1794 299 284 15

PHASE-2

A. 3 Situation in Malta, district Lalitpur

The VDC Malti is located 75 km in the south of Patan city, in district Lalitpur. Total 386 households

comprised population of 2045, divided in 9 wards.

Almost all housed are affected as 290 (75 %) demolished and 96 (25%) are severely damaged

There were only few latrines, which all are damaged. All people are practicing ODF

Water supply was disturbed but since one day it is rehabilitated.

Large of livestock perished including the 45 Buffaloes, 90 goats and more than 500 poultry. As many

small and one large poultry farm collapsed. Most if their livelihood depends on livestock and poultry

business

Only one death is reported and only minor injuries to few people

Many school buildings are damaged.

There was no health facility

Table: Ward-wise Population Distribution and Status of damages

S. No.

Ward Number

Total Population

Total Households

Post-Earthquake status Other Losses or damages

Fully Damaged

Partially Damaged

1. 1 166 20 15 5 Buffaloes = 45

2 2 288 60 40 20 Goats = 90

3 3 200 45 30 15 Poultry >500

4 4

548 100 80 20 Many school buildings are damaged

5 5 138 25 15 5

6 6 163 28 19 9

7 7 165 29 20 9

8 8 189 39 36 3

9 9 188 40 30 10

TOTAL 2045 386 290 96

A. 5 Situation in Chautara Municipality, district Sindhupalchowk

The district is located in Central region, north-east of district Kathmandu. It is the most affected district.

The population is 3146 comprised of 484 households.

Population Number

Children < 5 years 409

Male > 5 years 1341

Female > 5years 1396

It is also hilly and mountainous areas and most of the houses are made of red-bricks, or mud and stones.

The VDC is functional and try to facilitate the community and the aid-workers.

More than 90% houses are destroyed or severely damaged.

Still no temporary shelter is provided

Water supply remained disconnected for 8 days and is restored just one day back

Most of the population utilizes the existing latrines as most of the structure is not much damaged

Most of the families facing shortage of food

School buildings are mostly safe

One Health post is safe and functional. Medical staff and medicines are available

Other supplies or any sort of help is not arrived or provided by anyone

HANDS-ECCA team provided mobile medical services

HANDS-ECCA plan to provide food ration on request on VDC to all 484 families

A. 6 Situation in Chautara Ward-2 (Guarati), district Sindhupalchowk It is located 15 km east of city Chautara. The population is 1180 comprised of more than 200

households. The catchment areas includes the Bagh Bazar, Chaguli Tole and Baspati.

There is no health post of the government and no medical relief is provided since the earthquake.

School buildings are damaged,

Most of the families are staying in open space or in self-made makeshift shelters

Few of them have started slowly the recovery of the material for construction of temporary shelter

Many of them have lost the food stocks and seeds for next season plantation/cultivation

Majority of the families have enough stock for next 2 weeks and they are sharing food with the

other families

Livestock loss remained minimal

Water supply is intact

Sanitation facilities or latrines are usable and functional. Majority population is shairng and using

the latrine and avoided the ODF

HANDS-ECCA team provided the mobile medical services as per their need

B. HANDS Relief Interventions:

PHASE-1 After the need assessment of the area, the beneficiaries assessment was conducted in VDC – Dalchoki.

It has been selected for temporary shelter distribution.

On day one, 17 shelters tents were distributed in Ward 6 of VDC Dalchoki.

The solar lights were also distributed among the lactating women, to the Health post staff and

birthing station staff as the power supply is remained disconnected since earthquake.

Chlorine solution is distributed among the 66 families in ward 6 and 3, to purify water for drinking

purposes.

PHASE-2

Mobile Medical Services:

HANDS initiated health services through conduction of Mobile Medical Camps with financial support of

Medico International and local collaborative partner ECCA. According to the need identification, the

mobile medical camps were organized at two different sites. The first camp was organized at Chautara

Municipality. Total 43 patients have attended the camp. Almost all of them were adults. Majority of

them were suffering from Acute Respiratory Infections (ARI). Two team of volunteer doctors and

paramedic staff and field assistances were involved in the services.

The second medical camp was organized at Chautara ward-2 (Guarati). The catchment areas include

Bagh Bazar, Chagula Tole and Baspati. Total community members attended the medical services were

139 including 48 children. Most of them were suffering from acute respiratory infections (32%),

followed by the injuries (12%). Most of the injuries clients were male.

Overall report of 2 Medical Camps:

Diseases % Total

Patients

< 5 Years > 5 Years

Male Female Male Female

Diarrhea 0.5 1 1

Dysentery 0

ARI 31.9 58 5 6 12 35

Suspected Malaria 0

Suspected Measles 0

Skin Disease 7.7 14 2 1 1 10

Eye Infections 2.2 4 1 1 2

Fractures 0

Injuries 12.1 22 18 4

Others 45.6 83 3 1 24 55

Total 182 11 8 56 107

Among injured patients all were either children of more than 5 years or mostly adult males. The acute respiratory infections are mostly manifested in adult women. This might be due the lack of proper shelter availability. Many of the adult men and women are under stress and depression. They need psychosocial support. Total 182 patients were treated by HANDS-ECCA medical team in 2 days and most of them were female 59%, male 31% and children under 5 years of age 10%.

Distribution of Patients on Gender and Age basis:

Age wise proportion of Patients:

Only one case of diarrhea was reported. Highest number of cases reported was 58 of acute respiratory infections. Among these were 11 children below five years of age, 12 male and 35 female. Total 22 patients treated of injuries, mostly of minor wounds, bruises and blunt injuries. All of these were above than 5 years of age and mostly male (18).

56 31%

107 59%

19 10%

Percentage distribution of Clients =182

Male

Female

Children <5

C. HANDS Consultative Meetings: HANDS team with facilitation of ECCA team conducted many meetings with other NGOs and

Government authorities and departments. The purpose of these meetings was to gather the information

about the earthquake affected areas and the population, priority needs of the survivors and to share the

HANDS plan for the relief activities.

Meeting with Senior Management and Board Members of ECCA:

HANDS team held several meetings with the ECCA management. During the meetings both organizations

presented the introduction for greater mutual understanding. The Relief plan was discussed,

information regarding the need and situation was shared, situation analysis process was finalized. After

several discussion, MoU, Budget and detail work plan is finalized. The project team is on board.

Orientation of ECCA-HANDS Relief project Staff:

Detail orientation of the project staff was conducted by HANDS team. The training on data recording

and reporting formats, area and population assessment formats, beneficiary assessment formats, MIS

and HANDS web-based Disaster Management System was given to the team. The formats were modified

with mutual understanding according to the working modalities. The field working methodology, and

approaches were discussed and explained. The detail work plan is finalized.

Meeting of District Development Committee Lalitpur:

The district government of Lalitpur conducted meeting on May 03, 2015 at the administrative office,

with all NGOs who are involved in relief work in the district. The purpose of the meeting was to share

- - 5

- - 2 1 - - 3 - -

6

- - 1 - - -

1 - -

12

- - 1 1 -

18

24

1 -

35

- -

10

2 -

4

55

-

10

20

30

40

50

60

70

80

90 Disease Pattern among different Age groups =182

> 5 Years Female > 5 Years Male < 5 Years Female < 5 Years Male

the progress and future plan by each partner, to enhance the coordination, avoid duplication and

identification of priority needs and gaps in the services. HANDS team shared the plan, progress and

request coordination and support from the government. They district administration admire the HANDS

initiatives and committed to provide the support.

Coordination Meetings with Different cluster Partners

Several meetings were held with different cluster partners individually and jointly. The HANDS plan and

other partners progress and plans, the challenges and issues were highlighted and discussed.

Coordination meeting with UNHABITAT Team

HANDS-ECCA activities and relief plan was shared. Future possibilities for early recovery phase related to

shelter provision and appropriate models were discussed.

Challenges Current available humanitarian non-food items and shelter stocks in country are very limited, while

the need to assist IDPs staying in self-settled and formal sites is increasing.

Quality of locally available materials is also a concern and procurement time will need to be factored

in.

Main roads are open in most of the districts. However, landslides have challenged transportation of

relief items to some areas. Airlifts are required to access and deliver aid to rural areas. Many

affected villages are still without road access at all.

Fuel is urgently needed to pump ground water and to maintain services at hospitals and other

critical facilities where power outages are frequent.

There are different needs of different populations and at different geographical locations. Thereby

in relief phase the integrated approach is not feasible.

Coordination among the local NGOs need to be improved to extend the relief work span

So far, no psychosocial rehabilitation activities are initiated, thereby the people self-recollection and

recovery of livelihood items and shelter reconstruction is extremely slow.

Future Plan: PHASE-1: "Relief Activities for Nepal Earthquake Survivors" (270 families)

S

No. Item No. of units

per family Unit cost (in NRs)

Frequency (No. of

families)

USD

1 Emergency Shelter 992680 10000

1.1 Tarpaulin Sheets (15'x18') 1 299

1.2 Ropes (kg) 1 299

1.3 Nails 8 299

1.4 Bamboos (12' length) 4 299

2 Dry Food (7 persons in a family for 7 days)

819720 8300

2.1 Rice (kg) 20 414

2.2 Pulse (kg) 2 414

2.3 Cooking oil (litre) 2 414

2.4 Salt (kg) 1 414

2.5 Sugar (kg) 2 414

3 Medical Camps No. of camps 10

200000 2000

4 Management cost 200000 2000

PHOTO GALLERY

HANDS signed MoU with ECCA (Local NGO) of Nepal for Relief Project implementation

Destroyed Houses in District Sindhupalchowk

Contact Information:

In Nepal ECCA-HANDS Office:

Contact Person:

1. Yogendra Chitrakar, Executive Director, ECCA

2. Angel Chitrakar, Senior Program officer, ECCA

Address: Wise-use House, Jwagol, Kopundol, Lalitpur

P. O. Box 9210 Kathmandu, Nepal

Phone: +977 1 5550452, 5553870 Fax: 5011006

Email: ecca@mos.com.np

Website: www.ecca.org.np

In Pakistan

HANDS Head Office Contact Person:

1. Dr. Shaikh Tanveer Ahmed, Chief Executive, HANDS

Cell: +92-300-8200507

Email: tanveer.ahmed@hands.org.pk

2. Ghulam Mustafa Zaor, General Manager, IDEAS program HANDS

Cell: +92-346-8209538

Email: ghulam.mustafa@hands.org.pk

3. Muhammad Raheem Marri, General Manager Disaster Management Program HANDS

Cell: +92-346-8209561

Email: raheem.marri@hands.org.pk

Address:

H. No. 140-C, Block-2, PECHS, Karachi, Pakistan

Tel: +92-21-34552804

Email: info@hands.org.pk

Web: www.hands.org.pk,

youtube.com/handsinstitute, facebook.com/hands.org.pk, handspakistan.wordpress.com,

flickr.com/photos/handspakistan, twitter.com/handspakistan

In London

HANDS International Address:

202 South Lodge Drive, London N14 4XN, United Kingdom

Cell: 07958 39 58 01

Email: info@handsinternational.org.uk

Web: www.handsinternational.org.uk