Nepal’s geography makes it prone to natural disasters which cause significant loss of lives and property every year. 2015 was an unfortunate year for 128,000 the people of . The Individuals Benefitted April 25th Earthquake hit Nepal very hard. Gorkha, Kathmandu, and Lalitpur where GNI Nepal had on- going interventions were Total Budget among the worst affected NRs. 574,141,298 districts. Gorkha being the epicentre suffered the most. EMERGENCY RESPONSE

Sphere Standards. We reached 915 earthquake 72,430 Earthquake survivors were in immediate survivors in different parts of earthquake need of shelter, food, and non-food items with health care services through a health survivors reached (NFIs), WASH (Water, Sanitation and Hygiene) hygiene kits camp each in Soti and Aaruarbang VDCs. They 1000 in Gorkha, Kathmandu, and health care services, and protection. We distributed in Gorkha were treated for injuries, wounds, fractures, and Lalitpur districts reached 72,430 earthquake survivors (14,486 District water-borne diseases, fever, and diarrhea and households) in , Ward provided with medicine. 1,000 hygiene kits No. 4 (former Finam VDC), Dharche Rural were also distributed among survivor families. GORKHA Municipality, Ward No. 7 (former VDC) KATHMANDU and Aarughat Rural Municipality, Ward No. 1, For restoring water supply, 21 poly water LALITPUR 21 poly water 2, 3, 4, 5, 6 (former Aruarbang, and tanks were provided to communities in tanks provided 4 municipalities, VDCs) of Gorkha District; Tarkeshwor Gorkha, Kathmandu and Lalitpur districts. 109 to communities 3 rural municipalities, Municipality, Ward No. 1, 2, 7 (Sangla, temporary toilets were constructed at six health 21 wards of 3 districts Kavresthali, and Phutung VDCs), Tokha facilities, 61 schools, and in 42 communities. Municipality, Ward No. 1 (Jhormahankal GNI Nepal participated in all cluster meetings VDC) of Kathmandu District; and Godawari at the national and district levels and co-led Municipality Ward No. 3, 4, 5, 6, 7, 9, 10, 13 the Gorkha District Protection Cluster. For our 109 temporary earthquake 915 (former Godawari, Badikhel, Lele, Chapagaun, contribution to providing health care services toilets constructed survivors in Gorkha Jharuwarashi Devichour, and Chhampi VDCs) to the earthquake-affected populace of Gorkha at 6 health facilities, district recieved and Konjosom Rural Municipality, Ward District, GNI Nepal was awarded a Certifi cate 61 schools, and in 42 medical care No. 4 (former Nallu VDC) of Lalitpur District of Appreciation by the Ministry of Health and communities with life-saving relief materials based on Population (MoHP). EARLY RECOVERY INTERVENTIONS 2015 8 child friendly To help break out of dependence and start rebuilding their lives and communities, spaces GNI Nepal reached the earthquake-hit communities in Kathmandu, Lalitpur, and established Gorkha districts with the following support; 285 temporary learning centers were constructed at 90 schools

15,581 students of 57 8000 kg rice seed and benefi ted from PTSD 4200 kg wheat and green program pea seeds distributed 5262 PTSD workbooks were 80 households received Education: 163 teachers in Gorkha and distributed vegetable seeds Lalitpur districts were trained on child- friendly space (CFS) facilitation and 163 teachers identifi cation of post-Traumatic stress trained on 3500 coffee disorders (PTSD). We established 14 child- child friendly 72,430 saplings friendly spaces and conducted 15 PTSD earthquake survivors space facilitation distributed programs for children of 57 schools and and identifi cation of PTSD in were supported in 5,262 workbooks were distributed among Gorkha and Lalitpur districts Gorkha, Kathmandu and them. The objective of the CFS was to Lalitpur districts15 plastic tunnel promote the psychosocial wellbeing of materials children and protect them from potential distributed risks. Altogether, 15,581 students benefi ted from the PTSD program.

285 temporary learning centers (97 with anti-worm 3500 corrugated galvanized iron sheets and 188 tablets 39 schools received essential administered to Livelihood: In Gorkha District, 8,000 kg rice canopies) were constructed at 49 and 41 teaching learning and sports domestic animals and 4,200 kg wheat and green pea seeds were schools respectively in Gorkha, Lalitpur materials provided to farming families; 80 household and Kathmandu districts. To resume received vegetable seeds; 3,500 fruit and the teaching and learning at temporary 4300 coffee saplings were distributed; 3,500 anti- learning centers (TLCs), 39 schools in domestic worm tablets were administered to domestic Gorkha received essential teaching-learning animals animals; materials for building 15 plastic as well as sports materials. 11,864 students provided tunnels were distributed. Veterinary care received stationery and school uniform to 11,864 students received with veterinary care was provided to 4,300 domestic animals. continue their education. stationery and school uniform Health: In Gorkha District, unsanitary living female community health volunteers conditions that arose after the earthquakes (FCHVs), traditional healers, health mother posed a threat of disease outbreaks. Rapid group member were oriented. damage assessment of 13 health facilities Health-related public service announcements was conducted in May 2015. Based on the temporary health facilities were broadcast via six local FM stations for 4 assessment, four temporary health facilities established in Gorkha District worth one month. Health messages on ante-natal NRs. 2 million were established in Gorkha, and essential of essential medicines and check-up/post-natal check-up (ANC/PNC), medicines and equipment worth NRs. 2 equipment handed over to family planning, child immunization, etc. million was handed over to the District district public health offi ce were broadcast to make the earthquake Public Health Offi ce. survivors aware of the health care services We also supported the health posts and available at primary health clinic/oral health ORCs with basic equipment and furniture for clinic (PHC/ORC). Street dramas on maternal restarting regular operation. For creating and child health issues, utilization of health awareness about the health system and post and ORC services were staged in various 301 community members, instilling a sense of responsibility for parts of Gorkha District. health facility operation effective functioning and utilization of ORCs, As a continuation of the health camps, GNI management committee 301 community members including health Nepal supported to operate four temporary members, health facility staff, 4 temporary clinics facility operation management committee FCHVs, traditional healers, clinics for fi ve months. operated for fi ve months members (HFOMC), health facility staff, health mother group member were oriented JAPAN PLATFORM'S 128,000 DRINKING WATER LONG-TERM RECOVERY earthquake SCHEMES PROJECT survivors were 42 drinking water schemes benefited GORKHA were constructed in Gorkha INTERVENTIONS District

Immediately after the Earthquake, Good temporary 2016 - 2019 Neighbors Japan personnel along with a 42 toilets were Aligning with the needs of the earthquake survivors and our commitment team of engineers visited the earthquake- constructed in affected communities in Gorkha to assess Gorkha District to building back better, in 2016 we launched reconstruction and damages to infrastructures. With funding recovery interventions/projects for Gorkha, Lalitpur, and Kathmandu from our donors in Japan, we reconstructed 24,000 districts and health system recovery project for . 42 DWSs and 41 temporary toilets in , earthquake Aruarbang, Thumi, Manbu and Lapu VDCs survivors of 58 These multi-year projects benefited more than 128,000 earthquake that are directly benefi ting around 24,000 communities survivors. earthquake survivors of 58 communities. benefi ted HEALTH SYSTEM (, , , ) Kakani Rural Municipality, Ward No. 1, 2 (), RECOVERY PROJECT Dupcheswor Rural Municipality, Ward 75,000 individuals NUWAKOT No. 1 (), Panchakanya Rural benefi ted Municipality, Ward No. 3, 4 (Panchakanya, HSRP, Nuwakot covered 10 earthquake Thaprek), Likhu Rural Municipality, Ward drinking water systems affected erstwhile VDCs of Nuwakot No. 3 () and Shivapuri Rural 25 constructed District. This three-year project funded by Municipality, Ward No. 3 (Likhu). Korea International Cooperation Agency We supported health posts to improve (KOICA) and implemented in coordination maternal and child health services and 23 gender- with the District Public Health Offi ce strengthened the capacity of 190 female friendly NRs. 1,53,32,969 Nuwakot restored earthquake-damaged community health volunteers and 7 auxiliary worth of medical equip- toilet blocks nurse midwifes who were later stationed ment support to 10 health health system, strengthened the capacity constructed posts and 1 district hospital of community health workers, addressed at MCH center at the district hospital and reproductive health issues of women and six health posts. We produced and widely adolescents, and supported communities to disseminated 23 different types of IEC/BCC female 190 overcome psycho-emotional trauma induced materials on maternal and child health, 32 waste community health by the earthquakes. The Project served adolescent sexual and reproductive health, management volunteers and 75,000 individuals of Municipality, menstrual hygiene management, pyscho- systems constructed 7 auxiliary nurse Ward No. 6, 12 (Charghare), Belkotgadhi emotional wellbeing, and water, sanitation midwifes Municipality, Ward No. 1, 4, 5, 6, 7, 10, 11 and hygiene among stakeholders. capacitated 10 girls' clubs trained and 23 gender-friendly toilet blocks, 25 drinking group members were oriented on maternal 141 teachers received logistic water systems, 32 waste management child health (MCH) and ASRH, 10 health and 10 health post support systems were constructed at 32 schools facility operation and management in-charges trained benefi ting 8594 students. HSRP trained committees were strengthened and 190 on psychosocial 969 girl students trained on counseling MHM 5,235 students on adolescent sexual and female community health volunteers were reproductive health and 969 girl students on capacitated and 104 health personnel were 4525 students received 2840 menstrual hygiene management and. HSRP, trained on various aspects of health care psychosocial support adolescent girls Nuwakot encouraged 513 girls to organize such as skilled birth attendance, maternal under 10 girls' clubs and trained them to of 32 schools and neo-natal health update, implants, ASRH, serve as champions for raising awareness of infection prevention, and basic accounting 104 health received MHM kits personnel adolescent sexual and reproductive health and offi ce management. were trained (ASRH) and girls’ rights. These girls’ clubs To strengthen the psycho-social resilience received logistic support for club operation and enhance mental wellbeing of students, a 23 IEC/BCC health facility operation as well as MHM kits. In addition, school WASH training for teachers for 141 teachers and 10 10 materials and management committees and MHM kit was provided to 32 schools for health post in-charges was conducted. 4525 produced and disseminated were strengthened establishing of MHM-cum-fi rst-aid corners students received psychosocial support. and 2840 adolescent girls of 32 schools also This pyscho-social support program was 10,356 health mothers' 5235 students received individual MHM kits. designed and delivered by the experts from group members were oriented trained on ASRH In 543 sessions, 10,356 health mothers’ Seoul Women University, South Korea. on maternal child health and ASRH RECONSTRUCTION 8 school building PROJECT We also supported eight schools with constructed GORKHA, child-friendly classroom refurbishing outreach clinics constructed 8 and renovation, fencing, computer and and furnished LALITPUR, KATHMANDU 6 drinking science labs, libraries, and drinking water water systems 4 health posts constructed In an effort to revive health care services at supply systems. 1921 students have reconstructed the earthquake-wrecked health facilities, we better access to learning opportunities. 10 child- built four health posts and eight outreach We supported construction of multi- disabled- and clinics (ORC) and trained 329 health purpose cooperative building in 8 child-friendly gender- facility operation management committee Lalitpur District to facilitate the farming classroom renovated friendly toilets members. We reconstructed six drinking community to meet, collect agricultural constructed water systems and established menstrual commodities/produce and smooth hygiene management (MHM) corners at 33 operation of the cooperative. Six small 5 school schools. irrigation schemes were constructed compounds 33 schools fenced made menstrual For contributing to restore education, we in Gorkha which irrigate 61 hectares of hygiene reconstructed eight school buildings (72 land. 1 multi purpose management rooms in total) having child- and disabled- Heavy rainfall and subsequent road cooperative corners ready friendly design, gender friendly toilets blockades, labor scarcity, shortage building and ‘standard size’ classrooms, natural air of construction materials, and constructed in Lalitpur District 6 small circulation and lighting, and earthquake transportation problems delayed the irrigation resistance features. Now, 1556 students are construction work. Despite various schemes constructed continuing their education in safe and well- challenges, we are able to complete the 329 health facility in Gorkha District equipped school buildings. planned reconstruction projects. operation management committee members trained DEVELOPMENT INTERVENTIONS 2016-2019 For helping them regain livelihoods, we provided 2020 farmers with agriculture- Earthquake survivors in Gorkha, Lalitpur, and Kathmandu needed female community based skills training, 1010 potential 415 assistance to restore their lives and livelihoods. health volunteers entrepreneur with business development capacitated on various training, and 130 households with health care issues/topics agricultural implements. 374 individuals established their own enterprises under the business startup support. Based on market potential youths 2020 1010 70 demand, around 70 youths received long farmers received entrepreneur received received long-term 176 health facility agriculture based business development vocational skills term vocational skills training. operation and skills training training training In these three districts, we developed management committees institutional capacity of eight cooperatives, oriented supported two collection centers in Lalitpur with furniture and equipment to strengthen local resource person 22 297 collection and marketing of agricultural trained on cardamom and coffee school teachers trained on traditional healers produce/commodities, conducted eight 95 value chain effective teaching learning trained on health issues animal health camps and treated 6702 animals. 12,935 children had their general health check-ups. 56 schools were supported for starting menstrual hygiene management 813 children received gift (MHM) services and facilities. money We supported eight newly constructed outreach clinics with equipment and utilities required for providing basic services, and 34 health facilities with equipment. We trained 415 female community health volunteers on various health care issues/topics including maternal and child health issues children sensitized and oriented 176 health facility operation 1037 on CRC management committee/outreach clinic management committee members to make them responsible and accountable in health facility management. A total of 95 traditional healers were trained on health issues focusing on maternal and child health to 375 farmers engaged in turn them into health care referral agents. coffee and cardamom value chain

For ensuring technical support to farmers, children 22 local resource persons were trained on 12,935 had their medical cardamom and coffee value chain. In Gorkha examination 374 individuals District, the cultivation of cardamom and established enterprises coffee increased to 47 hectares, 17 nurseries 47 hectares of were established, 6 primary processing units land brought were established for coffee processing, and under coffee and cardamom 375 farmers are directly engaged in coffee farming and cardamom farming. 6702 domestic animals Children are at the heart of our work in 56 schools were supported received veterinary care Nepal and around the world. From 2015- for creating MHM services and facilities 2019, we reached more than 13,000 children of 73 schools with educational materials, gift money, teaching-learning materials, and training and sensitization programs coffee nurseries and 17 6 on DRR and Convention on the Rights of primary coffee processing health facilities provided 13,000 students received the Children (CRC). 297 school teachers 34 units established with medical equipment educational materials were trained on effective teaching-learning.