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Child & Family Tracker Child & Family Tracker Tracking the Socio-Economic Impact of COVID-19 on Children and Families in Nepal 3rd Monthly Household Survey August 2020 Findings © UNICEF Nepal/2017/NShrestha© Household characteristics Content (gender, ethnicity, caste, place of residence, employment, income, disability) • This is the third in a series of monthly household surveys to track the Livelihood losses Migration Immediate needs socio-economic multi-sectoral impact of COVID-19 on children and families in Nepal. Social protection Nutrition Health services • Where available, the monthly household survey data is supplemented by relevant child-related data from other sources. WASH Education Protection COVID-19 risk perception, * Baseline of 7,655 respondents. 6,128 respondents in all three rounds. awareness and 587 respondents dropped out since May. 547 respondents in baseline did not behaviour participate in July but did again in August. 393 respondents were in baseline and July survey but not in August. Hence total August sample = 6,675 Survey Design • Telephonic survey and interactive voice responses with follow up questions. • Sample size: 6,675 households with children below the age of 18. Households are selected through random and purposive sampling. • The sample covers 80+% of municipalities (624). Strong geospatial representation to allow interpolation to non- observed areas. • Sample remains nationally and provincially representative of households with children. 1 (turquoise blue) = locations covered in the sample. 0 (dark blue) = locations not covered in the sample. • Interviewed caregivers: 49% female and 51% male. Highlights in Findings • Poverty has deepened and expanded. In August • Critical knowledge gaps identified. Approximately 6 45% of the families sampled had no earnings in 10 respondents know that the disease can be during the past month, with the number of passed through close contact with an infected families below the poverty line marked by 10,000 person. NPR having increased from an estimated 11-14% • Worrying gaps in practice identified: 55% of in May to 59-65% in August. respondents wash their hands all the time. Only 4 • Families are struggling to meet basic needs out 10 are wearing masks all the time. A minority (food, medicine, fuel, hygiene), with almost double of 2 in 10 are observing the two metres physical the number of households reporting shortages of distancing guidance. essential supplies, from an estimated 36% in May to 74% in August. • 26% of respondents with children having a fever experienced challenges in getting treatment. • Approximately 1 in 5 households are struggling Majority from lower-income groups with higher to meet key dietary requirements, mostly due to numbers in Gandaki, Karnali & Province 5. a lack of purchasing power (cash). More families have now reduced food intake for children in • 22% of respondents, drawn largely from lower- August (26%) compared to July (21%). By August, income groups, reported that students are not 10% of respondents (with children under 2 years studying (either home school, online or private old) reported that their children were not eating classes) compared to 17% in July. their usual diet compared to 3-4% in July. Income Losses Continue 46% of respondents had no earnings since July 2020 – an increase of 11%. The distribution of income shifted downwards signaling increased risk of poverty. • Continued drop in the share of respondents Reported Monthly Earnings (NPR) belonging to the top quintile. Hence, since the May, July, August 2020 beginning of the first lockdown, the income None <10K 10-20K 20-30K 30-50K 50K+ distribution has shifted downward significantly. • An increase in the percentage of low-income households since May 2020 - suggests that Aug 46% 18% 18% 11% 5%2% higher-income households might be moving downward to this group. • 48% of respondents in the bottom quintile reported having no earnings in July, which Jul 35% 14% 19% 17% 11% 4% increased to 46% in August. • Most respondents from low-income families are more likely to borrow funds while middle- and high-income families choose to use their May 15% 29% 28% 20% 9% savings to cope with financial difficulties. Family and friends continue to provide financial 0% 20% 40% 60% 80% 100% support. Tight Labour Market Conditions: Earnings/Livelihood Losses Continue Karnali 31% Gandaki 43% • In August, 51% of households reported a loss of livelihood Province 1 47% and earnings a decrease of 14% since July. This could be Bagmati 48% Province 5 48% Province explained by easing of lockdown during July and August All 51% when some respondents were able to recover their Sudurpaschim 52% livelihood and return to their jobs. Province 2 73% 50K+ 23% 30-50K 33% • Only 2% of respondents who were unemployed were able 20-30K 40% 10-20K 42% to find jobs in August, yet 64% remain unemployed. Income <10K 53% None 62% • 68% of male heads of households lost their employment 9 63% compared to 9% of female heads of households. 8 57% 7 58% 6 54% 5 51% • Moreover, 1.5% of children in the interviewed households SizeHH reportedly lost jobs. This suggests that the percentage of 4 46% 3 40% working children during lockdown could be higher if they 2 43% had not lost their employment. Percentage of respondents who lost earnings and livelihood by province, income and household size Migration: Largely Unchanged Except for Middle East Returnees Percentage of respondents reporting returnees Percentage of returnees experiencing stigma by province and place of origin 10% 9% Karnali 3% 8% 0% Province 1 4% 7% 3% 6% Bagmati 4% 7% 5% 0% Province 2 8% 4% Province 5 0% 9% 3% 1% 0% 3% 0% 5% 2% 0% Sudurpaschim 11% 1% 0% 3% 3% 1% 0% 2% 2% 1% Gandaki 18% 1% 0% Bagmati Gandaki Karnali Province 1 Province 2 Province 5 Sudurpaschim 0% 5% 10% 15% 20% Internal India Mid East Others • Since April 2020, family members of 4.5% of surveyed households returned home from other provinces in Nepal, India, the Middle East and other countries. • 47% of returnees came from different locations in Nepal, 39% from India and 10% from the Middle East. • Sudurpaschim and Karnali had the highest percentage of returnees. • Of 300 returnees in the survey, 8% reported experiencing stigma on their return. Returnees from Sudurpaschim and Gandaki are more likely to experience stigma. In household surveys, given the sensitivity to report, stigmatization tends to be under reported. Immediate Needs of Respondents’ Households Percentage of households with immediate needs (May–August 2020) • The percentage of households reporting food as an immediate need increased from 21% in July to 34% in August. • Medication/medical treatment, soap and toothpaste remain among the top immediate needs of households. The percentage of those needing medication/medical treatment increased in August. • The greatest immediate needs of families overall were employment, children's education and financial support. These are new categories that were added to the August survey. • Children's education, food, financial support and employment, also evident from the response rate on the need for cash, are most likely to be the immediate needs of low-income households with children. *question was modified in the August survey with added possible answers. *the percentage of households needing menstrual hygiene products and water for handwashing decreased from 2% in May to below 1% in August. 1% of households continue reporting water among the top immediate needs from May to August. Social Protection 92% of respondents need additional cash to support their children • Over 90% of surveyed families reported need for additional cash to support their children. Over 90% of households in the lowest income groups, including those who had no earnings, emphasized this need. • 60% of highest-income households also reported needing additional cash for their children. Most of them could be among those who lost employment and had no earnings during lockdown. • Bank transfer is more popular than services such as Esewa and other money transfer mechanisms. This is especially important to know for planning cash-based interventions and risk mitigation measures as not all services might be available during emergencies. Social Protection 21% of households with children received financial/material assistance from the government since lockdown Percentage of households receiving financial/material assistance Percentage of households receiving financial/material assistance – by income - by province 35% 30% Gandaki 7% 30% Bagmati 8% 25% 23% 23% Karnali 10% 20% 18% Province 1 16% 15% All 21% 10% 5% Province 5 23% 5% 3% 0% Sudurpaschim 24% 1 Province 2 47% None <10K 10-20K 20-30K 30-50K 50K+ • 21% of households received financial/material assistance from the government after the first lockdown was imposed. • More low-income families compared to higher-income groups receive government financial/material assistance. • Province 2 has the highest percentage of households receiving government financial/material assistance. Nutrition – Challenges to Provide Food Daily Variation in % struggling for food by income, province, household size and education status of head of household • The percentage of households struggling to provide food on a daily basis decreased from 28% 12+ 13% 9 to 5 15% in July to 19% in August. 5 to 9 20% Head 1 to 5 22% None • Households in the lowest income group and Education Status: 27% 9 26% in Province 2 are more likely to struggle to provide 8 19% food on a daily basis. 7 21% 6 20% 5 21% • The top three reasons for caregivers reporting not SizeHH 4 16% being able to provide food are the absence of 3 18% 2 15% money, increased food prices and unavailability of 2 15% essential food items at shops. A small percentage Gandaki 12% Bagmati 14% of caregivers are also experiencing fear of going Karnali 15% out to buy food. Province 1 15% Province 5 16% Province All 19% • 40% of households reporting food as an immediate Sudurpaschim 27% need also reported struggling to provide food daily.
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