DOCSLIB.ORG

A Population-Based Developing World Study in the Bhaktapur District, Nepal

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Population-Based Developing World Study in the Bhaktapur District, Nepal Clinical and Experimental Ophthalmology 2011; 39: 851–857 doi: 10.1111/j.1442-9071.2011.02576.x Original Article Outcomes of cataract surgery: a population-based developing world study in the Bhaktapur district, Nepal Suman S Thapa MD,1 Shankar Khanal PhD,2 Indira Paudyal MD,1 Shankha N Twyana MPH,1 Sanduk Ruit MD1 and Ger HMB van Rens MD PhD3 1Nepal Glaucoma Eye Clinic, Tilganga Institute of Ophthalmology, 2Central Department of Statistics, Tribhuvan University, Kathmandu, Nepal; and 3Vrije Universiteit Amsterdam, Amsterdam, The Netherlands ABSTRACT of visual impairment after best correction in all eyes. There was no significant association in visual Background: To evaluate the visual outcome after outcome based on age, sex, literacy and the duration cataract surgery in a population of Nepal. of surgery. Design: Population-based cross-sectional study. Conclusion: Correction of refractive errors, preopera- Participants: Forty years and above residing in Bhak- tive screening of coincidental diseases, reduction in tapur district. surgical complication rates and monitoring of post- operative follow-up care has to be addressed seri- Methods: Subjects were selected from 30 clusters ously in order to improve the outcome of cataract using cluster sampling procedure. All underwent a surgery to meet standards proposed by the World detailed examination at the base hospital, including Health Organization. In the future, longitudinal logarithm of minimal angle of resolution visual studies need to be undertaken to provide specific acuity, refraction, applanation tonometry, cataract information on the outcomes of cataract surgery in grading, retinal examination and perimetry when this community. indicated. Key words: cataract surgery, Nepal, population based Main Outcome Measures: Visual acuity after cataract study, visual outcome. surgery. Results: Out of 4003 subjects examined, 151 had NTRODUCTION undergone cataract surgery. Pseudophakia was I present in 142 (94.0%), aphakia in nine (6%). Pre- Cataract blindness is the leading cause of blindness senting and best-corrected visual acuity Ն6/18 was in developing countries. The Nepal Blindness achieved in 123 (54.4%) and 164 (72.4%) eyes, Survey (NBS) of 1981 estimated that 0.84% were 1 respectively. Among the pseudophakic eyes, at pre- blind from cataract. Based on data from this nation- wide survey, the Nepal Blindness Prevention and sentation 122 (57.5%), 72 (33.9%), 18 (8.5%) and Control Project worked to implement eye-care ser- after best correction 162 (76.2%), 33 (15.8%), 17 vices in Nepal. Several eye hospitals and community Ն < Ն (8.0%) had visual acuity of 6/18, 6/18– 6/60 eye centres were established throughout the and <6/60, respectively. Retinal disease (35.5%), country with the help of governmental and non- surgical complications (27.4%) and posterior capsu- governmental organizations. Eye camps were lar opacification (14.5%) were the principle causes designed to provide eye care to people residing in ᭿ Correspondence: Dr Suman S Thapa, Nepal Glaucoma Eye Clinic, Tilganga Institute of Ophthalmology, PO Box 561, Kathmandu, Nepal. Email: [email protected] Received 13 December 2010; accepted 28 March 2011. © 2011 The Authors Clinical and Experimental Ophthalmology © 2011 Royal Australian and New Zealand College of Ophthalmologists 852 Thapa et al. very remote areas. Population-based studies that published earlier.25 In brief, the survey involved the were conducted in different parts of the country after selection of 4800 subjects aged 40 years and above, the NBS of 1981 have estimated cataract blindness to using a WHO 30 cluster sampling procedure.26 In the range from 1% to 6% among people 40 years and first stage of sampling, a list of all the wards or above.2–5 In these studies severe bilateral blindness clusters (n = 161) from 16 VDCs and two municipali- was defined as visual acuity (VA) of less than 3/60 in ties was obtained from the 2001 Nepal national both eyes. The conclusion derived was that the census data. These clusters were arranged in order of prevalence of blindness had decreased slightly from population size and 30 of these clusters were that estimated in the 1981 national survey, both sampled with probability proportionate to the size. overall and cataract-related. Thereafter, field workers conducted a house to house The prevalence of blindness and cataract surgery census in the selected 30 clusters and a total of in Bhaktapur district has been reported in a compan- 11 232 eligible subjects were identified and an eligi- ion paper.6 The prevalence of blindness in Bhaktapur bility list prepared. For the second-stage sampling, was 0.73% at presentation and 0.43% after best cor- the names of all the eligible subjects (n = 11 232) rection that was lower than studies conducted in were recorded and a database prepared from which Nepal,2–5 neighbouring countries7–10 and the estimate 4800 subjects were selected using EPI-INFO soft- of 3.4% for the South-East Asian region.11 The preva- ware, version 3.5.1. The selected subjects were then lence of cataract blindness was lowest (1.5%) with revisited by the field workers and referred to the the highest cataract surgical coverage (90.36%) in base hospital in Kathmandu for a comprehensive eye comparison with all the other studies of Nepal. examination. Visual outcomes of cataract surgery have been The VA was measured using logarithm of reported by several population-based studies con- minimum angle of resolution tumbling E charts ducted in South Asia.12–18 In Nepal there are only two placed at 4 m. External eye examination and the studies that have reported the visual outcomes of pupillary reaction were assessed with a hand-held cataract surgery in a large population.19,20 In both flashlight and then the anterior segment was exam- studies the visual outcome did not meet the stan- ined with a slit-lamp biomicroscopy (Haag Streit BQ dards proposed by the World Health Organization 900, Bern, Switzerland). The peripheral anterior (WHO). A few studies in Nepal have also reported chamber depth was graded according to the van Her- the outcome of cataract surgery under different rick’s technique.27 The intraocular pressure was mea- settings.21–23 sured and gonioscopy performed on all subjects. Bhaktapur district does not have an eye hospital Intraocular pressure was measured using a Gold- and the delivery of eye-care service is through mann applanation tonometer, and gonioscopy was primary eye-care centres affiliated to tertiary level done with a Zeiss 4 mirror lens. Gonioscopy was eye hospitals in the capital city Kathmandu. The carried out in ambient light conditions with a short- main purpose of this paper is to report the visual ened slit beam that did not fall upon the pupil. All outcomes after cataract surgery and to investigate subjects had their pupils dilated unless contraindi- factors responsible for poor outcomes among sub- cated because of risk of angle closure. After dilata- jects residing in Bhaktapur district of Nepal. tion, the lens was examined and the cataract graded using the Lens Opacities Classification System II.28 Stereoscopic fundus examination was done at the METHODS slit-lamp using a 90-diopter lens. The clinical exami- Bhaktapur district is one of the three districts within nation was carried out by two glaucoma specialists. Kathmandu valley and is situated approximately This study was approved by the Institutional 15 km away from the capital city Kathmandu. It is Review Board and Ethics Committee and conducted located within the mid-mountainous region of in accordance with declaration of Helsinki. Informed Nepal. Bhaktapur is divided into two municipalities consent was obtained from all subjects after being and 16 village development committees (VDC). explained in detail about all the procedures to be Although the municipalities are urban areas, the undertaken. The informed consent was written in VDCs are rural regions. The municipalities and the the vernacular. The consent form was read out for VDCs are further divided into wards. A ward is those unable to read. Upon agreement by the subject, the smallest administrative unit and each generally they were asked to sign the consent form. For those contains approximately 200 households. According unable to sign, thumb impressions were taken. to the 2001 Census, the population of Bhaktapur was 225 461 with a population density of 1895 per Data and statistical analysis square kilometre.24 The present study is part of the Bhaktapur Glau- The visual outcomes were categorized as ‘good’ (6/18 coma Study, the methodology of which has been or better; logMAR, Յ 0.30), ‘borderline’ (worse than © 2011 The Authors Clinical and Experimental Ophthalmology © 2011 Royal Australian and New Zealand College of Ophthalmologists Outcomes of cataract surgery 853 Table 1. Demographics of cataract surgery group Age (years) Number Gender Literate Illiterate Pseudophakia Aphakia (male : female) (male : female) (male : female) (male : female) (male : female) 40–49 3 (2.0) 2:1 1:0 1:1 2:0 0:1 50–59 19 (12.6) 7:12 4:6 3:6 6:12 1:0 60–69 37 (24.5) 18:19 9:8 9:11 16:18 2:1 70–79 66 (43.7) 27:39 16:20 11:19 25:38 2:1 Ն80 26 (17.2) 9:17 1:10 8:7 9:16 0:1 Total 151 (100.0) 63:88 31:44 32:44 58:84 5:4 Table 2. Visual outcome of cataract operated subjects by presenting visual acuity† Presenting visual acuity Aphakic unilateral/ All bilateral Pseudophakia/aphakia Bilateral pseudophakia Unilateral pseudophakia No (%) No (%) No (%) No (%) 6/18 0 (0) 1 (50) 30 (43) 10 (14.2) 41 (27.2) <6/18 6 Ն 6/60 2 (22.2) 0 (0) 23 (32.9) 16 (22.9) 41 (27.2) <6/60 (worst eye) 3 (33.3) 0 (0) 15 (21) 29 (58.6) 47 (31.1) <6/60 Ն 3/60 (best eye) 1 (11.1) 0 (0) 0 (0) 1 (1.4) 2 (1.3) <3/60 3 (33.3) 1 (50) 2 (2.8) 2 (2.8) 8 (5.3) All 9 (5.3) 2 (1.3) 70 (46.4) 70 (46.4) 151 (100) †Data are given as number (%) of people Table 3.
Load more

Recommended publications
  • Scope of Payment for Ecosystem Services Mechanism for Better Water and Watershed Management in Bhaktapur
    Scope of Payment for Ecosystem Services Mechanism for better water and watershed management in Bhaktapur A Dissertation Submitted For Partial Fulfillment of the Requirement for the Degree of Master of Science in Environmental Science Submitted By Medinee Prajapati Khwopa College Submitted To Department of Environmental Science Khwopa College (Affiliated to Tribhuvan University) Kathmandu, Nepal March, 2012 Scope of Payment for Ecosystem Services Mechanism for better water and watershed management in Bhaktapur A Dissertation Submitted For Partial Fulfillment of the Requirement for the Degree of Master of Science in Environmental Science Submitted By Medinee Prajapati TU Registration No: 5-2-408-18-2004 Roll No: 558 Supervisor Dr. Laxman Joshi PES Specialist, ICIMOD Co-Supervisor Mr. Kamal Raj Gosai Submitted To Department of Environmental Science Khwopa College (Affiliated to Tribhuvan University) Kathmandu, Nepal March, 2012 Acknowledgements I extend my first and foremost gratitude to my respected supervisor Dr. Laxman Joshi of ICIMOD for his guidance, valuable suggestions, comments and encouragements during the period of my field study and thesis writing. I also express my sincere gratitude to my research co-supervisor Mr. Kamal Raj Gosai (M.Sc. Incharge, Khwopa College) for his support and inspiration. I appreciate the support that I received from Prof. Dr. Siddhi Bir Karmacharya (Chairman, Research Committee, Khwopa College). My sincere thanks also to thank Mr. Uttam Banju (Lab Assistant) for providing necessary materials for my thesis
    [Show full text]
  • Analysis of Renewable Energy Project Implementation: Biogas and Improved Cook Stoves in the Village of Chhaling, Bhaktapur District, Nepal
    ANALYSIS OF RENEWABLE ENERGY PROJECT IMPLEMENTATION: BIOGAS AND IMPROVED COOK STOVES IN THE VILLAGE OF CHHALING, BHAKTAPUR DISTRICT, NEPAL BY MARJORIE D. ELY Submitted in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE IN FORESTRY Michigan Technological University 2005 The thesis: “Analysis of Renewable Energy Project Implementation: Biogas and Improved Cook Stoves in the Village of Chhaling, Bhaktapur District, Nepal” is hereby approved in partial fulfillment of the requirements for the Degree of MASTER OF SCIENCE IN FORESTRY. School of Forest Resources and Environmental Science Signatures: Advisor:______________________________ Blair Orr Dean:______________________________ Margaret Gale Date:______________________________ ii PREFACE After completing my Bachelors degree, I knew I was not destined for the business career it was assumed I would follow. I moved to the Sierra Mountains in California and began working outdoors. It would have been difficult for me not to become impassioned about the environment there. When I found the Master’s International Program in Forestry at MTU, it seemed the program was created for me. I was ready to learn how to make a difference in both community development and natural resource conservation……. A Community Development Story: Once upon a time, a development office helped build grain storage sheds in a community. Field workers observed rats getting into the sheds and spoke with the villagers about killing the rats. The villagers did not believe it was worth the effort. The agency staff decided to give a small fee for each dead rat as an incentive to kill them. So, people began killing rats and getting paid by the office.
    [Show full text]
  • NEPAL: Bhaktapur - Operational Presence Map (Completed and Ongoing) [As of 30 Sep 2015]
    NEPAL: Bhaktapur - Operational Presence Map (completed and ongoing) [as of 30 Sep 2015] 92 Partners in Bhaktapur Changunarayan Nagarkot 1-10 11-20 21-40 41-60 61-80 Chhaling Bageshwari Duwakot Jhaukhel Health 33 Sudal Madhyapur Thimi Municipality Protection Bhaktapur Municipality 28 Tathali Shelter and NFI 23 Balkot Katunje WASH 21 Sirutar Chitapol Sipadol Food Security 9 Dadhikot Nangkhel Gundu Education 6 Early Recovery 1 IMPLEMENTING PARTNERS BY CLUSTER Early Recovery Education Food Security 1 partner 6 partners 9 partners Nb of Nb of Nb of organisations organisations organisations 1 >=5 1 >=5 1 >=5 Health Protection Shelter and NFI 33 partners 28 partners 23 partners Nb of Nb of Nb of organisations organisations organisations 1 >=5 1 >=5 1 >=5 WASH 21 partners Want to find out the latest 3W products and other info on Nepal Earthquake response? visit the Humanitarian Response website at http:www.humanitarianresponse.info/en/op erations/nepal Nb of organisations Note: send feedback to Implementing partner represent the organization on the ground, in the affected district doing operational work, such as [email protected] 1 >=5 distributing food, tents, water purification kits, etc. Creation date: 13 Oct 2015 Glide number: EQ-2015-000048-NPL Sources: Cluster reporting The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the U nited Nations. Bhaktapur District Include all activity typesTRUE in this report?Showing organizations for all activity types Showing
    [Show full text]
  • DREF Final Report Nepal: Earthquake
    DREF Final Report Nepal: Earthquake DREF operation n° MDRNP005 GLIDE n° EQ-2011-000136-NPL Final report 11 July 2012 The International Federation of Red Cross and Red Crescent (IFRC) Disaster Relief Emergency Fund (DREF) is a source of un-earmarked money created by the Federation in 1985 to ensure that immediate financial support is available for Red Cross and Red Crescent emergency response. The DREF is a vital part of the International Federation’s disaster response system and increases the ability of National Societies to respond to disasters. Summary: On 21 September 2011, CHF 172,417 was allocated from the International Federation of Red Cross and Red Crescent Societies’ (IFRC) Disaster Relief Emergency Fund (DREF) to support Nepal Red Cross Society (NRCS) to conduct rapid assessments and deliver immediate assistance to some 1,500 families in five districts affected by the earthquake which occurred on 18 September. A further allocation from DREF was approved for an additional CHF 263,762 to scale up the relief distributions to an additional 2,000 families in an additional seven districts and support the volunteer mobilization and transport costs to enable relief teams and goods to each people affected in very remote areas. The total budget Affected people receiving non-food relief items from NRCS has become CHF 436,179 for serving 3,500 in Tehrathum district. Photo: NRCS. families (21,000 beneficiaries). The Belgian Red Cross and government, the Netherlands Red Cross and government, the Canadian government and the European Commission Humanitarian Aid and Civil Protection (ECHO) have replenished the DREF for this allocation.
    [Show full text]
  • ZSL National Red List of Nepal's Birds Volume 5
    The Status of Nepal's Birds: The National Red List Series Volume 5 Published by: The Zoological Society of London, Regent’s Park, London, NW1 4RY, UK Copyright: ©Zoological Society of London and Contributors 2016. All Rights reserved. The use and reproduction of any part of this publication is welcomed for non-commercial purposes only, provided that the source is acknowledged. ISBN: 978-0-900881-75-6 Citation: Inskipp C., Baral H. S., Phuyal S., Bhatt T. R., Khatiwada M., Inskipp, T, Khatiwada A., Gurung S., Singh P. B., Murray L., Poudyal L. and Amin R. (2016) The status of Nepal's Birds: The national red list series. Zoological Society of London, UK. Keywords: Nepal, biodiversity, threatened species, conservation, birds, Red List. Front Cover Back Cover Otus bakkamoena Aceros nipalensis A pair of Collared Scops Owls; owls are A pair of Rufous-necked Hornbills; species highly threatened especially by persecution Hodgson first described for science Raj Man Singh / Brian Hodgson and sadly now extinct in Nepal. Raj Man Singh / Brian Hodgson The designation of geographical entities in this book, and the presentation of the material, do not imply the expression of any opinion whatsoever on the part of participating organizations concerning the legal status of any country, territory, or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. The views expressed in this publication do not necessarily reflect those of any participating organizations. Notes on front and back cover design: The watercolours reproduced on the covers and within this book are taken from the notebooks of Brian Houghton Hodgson (1800-1894).
    [Show full text]
  • Developing a Tourism Opportunity Index Regarding the Prospective of Overtourism in Nepal
    BearWorks MSU Graduate Theses Fall 2020 Developing a Tourism Opportunity Index Regarding the Prospective of Overtourism in Nepal Susan Phuyal Missouri State University, [email protected] As with any intellectual project, the content and views expressed in this thesis may be considered objectionable by some readers. However, this student-scholar’s work has been judged to have academic value by the student’s thesis committee members trained in the discipline. The content and views expressed in this thesis are those of the student-scholar and are not endorsed by Missouri State University, its Graduate College, or its employees. Follow this and additional works at: https://bearworks.missouristate.edu/theses Part of the Applied Statistics Commons, Atmospheric Sciences Commons, Categorical Data Analysis Commons, Climate Commons, Environmental Health and Protection Commons, Environmental Indicators and Impact Assessment Commons, Meteorology Commons, Natural Resource Economics Commons, Other Earth Sciences Commons, and the Sustainability Commons Recommended Citation Phuyal, Susan, "Developing a Tourism Opportunity Index Regarding the Prospective of Overtourism in Nepal" (2020). MSU Graduate Theses. 3590. https://bearworks.missouristate.edu/theses/3590 This article or document was made available through BearWorks, the institutional repository of Missouri State University. The work contained in it may be protected by copyright and require permission of the copyright holder for reuse or redistribution. For more information, please
    [Show full text]
  • FUTURE ENERGY SCENARIOS of HOUSEHOLD in BHAKTAPUR DISTRICT Yogesh Bajracharya Abstract 1. Introduction 2. Research Objective
    FUTURE ENERGY SCENARIOS OF HOUSEHOLD IN BHAKTAPUR DISTRICT Yogesh Bajracharya Department of Electronics and Communications Engineering, Khwopa Engineering College, Libali-2, Bhaktapur, Nepal Abstract Energy plays a pervasive and critically important role in economic and social development. So, energy planning is important area of study. For Bhaktapur district energy plan, the survey was done by using the questionnaire. Total of 91 samples from rural area and 112 samples from urban area were taken to prepare primary database. The total energy demand was 952 TJ in rural area and 458 TJ in urban area in 2013. LEAP (Long-Range Energy Alternative Planning System) software was used for energy planning. Five scenarios, Business as Usual (BAU), Reference (REF), Accelerated Growth Rate (ACC), and Sustainable Energy for All (SE4ALL) in REF and ACC case scenarios were developed. Total energy demand in 2030 will be 2,748 TJ for BAU, 3,799 TJ for REF and 6,203 TJ for ACC case whereas total demand limits from 766 TJ and 1,241 TJ in SE4ALL scenario in REF and ACC case respectively. Again the total energy demand for 2045 will be 4,945 TJ, 9,104 TJ and 22,592 TJ for BAU, REF and ACC case respectively. Total energy demand for SE4ALL scenario will be 1,807 TJ and 4,381 TJ for REF and ACC case respectively. The GHG reduction up to 2045 by SE4ALL approach is 1.79 million metric tons of CO2 equivalent in REF and 3.54 million metric tons of CO2 equivalent in ACC Scenario. Keywords: Bhaktapur, LEAP, Energy, scenarios 1.
    [Show full text]
  • Brief Analysis of Preliminary Results
    Brief Analysis of Preliminary Results 1. Total number of establishments was 922,445 in Nepal. (Refer to Table 1 and Map 1.) The preliminary results of the National Economic Census 2018 (NEC2018) provide the current situation of establishments in Nepal in the recovery process after the huge earthquakes which occurred in April and May 2015. The figures were aggregated from the enumerator’s control forms (summary sheets) which were filled in by enumerators and checked by supervisors. Therefore, the preliminary results might slightly be different from the final results which are based on Form B and will be released around June 2019. There were 922,445 establishments in Nepal as of 14 April 2018 as the preliminary results of the NEC2018 implemented by the Central Bureau of Statistics (CBS). The NEC2018 covered all areas in the country without exception and all establishments excluding the following establishments: non-registered establishments which belong to “Agriculture, forestry, and fishery” (Section A) of International Standard Industrial Classification (ISIC) Rev. 4; and all those establishments which belong to “Public administration and defense; compulsory social security” (Section O), “Activities of household as employers” (Section T), and “Activities of extraterritorial organizations and bodies” (Section U) of ISIC. In addition, Mobile establishments were also excluded. These exclusions are in accordance with international common practices in economic censuses. (Refer to Outline and Appendix 2.) Nepal has 922,445 establishments and the number of establishments per 1,000 persons is 31.6 establishments. As compared with other countries, Japan has 5.8 millions and 45.4; Indonesia 26.7 millions and 104.6; Sri Lanka 1.0 million and 50.3; and Cambodia 0.5 million and 34.6; respectively.
    [Show full text]
  • City Marketing in Local Governance in Nepalese Perspectives: a Comparative Study Between Chagunarayan and Suryabinayak Municipal
    Pravaha Journal-2018 City Marketing in Local Governance in Nepalese Perspectives: A Comparative Study between Chagunarayan and Suryabinayak Municipality Rajeshwor Neupane Associate Professor, Nepal Commerce Campus Abstract This Paper discusses city marketing in local governance in Nepalese perspectives and gives an overview of the city marketing technique and how it is used in various marketing research designed and applications. A basic outline of how the technique works and its criteria, including its main assumptions are discussed as well as when it should be used in various geographical locations. City marketing is promoted to enlighten readers on how place marketing strategies works, an example of how to run city marketing on municipalities is provided. This will allow readers to develop a better understanding of when to employ city marketing and how to interpret the role of city marketing in the output. By keeping a view of this reality, this study tries to identify the difference between city marketing in local governance on the basis of gender and household size of Changunarayan and Suryabinayak municipalities. Keywords: Place marketing, local governance, socio-economic development Introduction Governance as a composite function of the state, private sector and civil society. Governance includes the state, but transcends it by taking in the private sector and society. All three are critical for sustaining human development. The state creates a conducive political and legal environment. The private sector generates jobs and income. And civil society facilitates political and social interactions (Mehata, 1998). Local Government is a confluence of two philosophical 'self-government' and 'good' government. Self-government is both a psychological and pragmatic necessity.
    [Show full text]
  • SN Photo Caption 1. Nepal Red Cross Society, Banke District Chapter In
    SN Photo Caption 1. Nepal Red Cross Society, Banke District Chapter in coordination with the Government of Nepal and UNICEF has establish ahelp desk with food and water support to returnees from India. It was started on 4 June 2020 and continues until 28 June 2020. NRCS in coordination with the Government, UNICEF and other stakeholders has established similar help desks in other districts adjoining the border with India. (Photo: NRCS Banke District Chapter). 2 NRCS is distributing IEC materials to promote awareness against COVID-19 infection among the people in local communities. One of the NRCS volunteers is distributing the IEC material to a woman in Kaski district on 2June, 2020. As of 11 June 2020, NRCS has distributed 675,993 IEC materials including pamphlets, flex, stickers, flyers, brochures, banners and other awareness materials. 3 A Red Cross volunteer of Bhaktpur District Chapter checking the temperature of pedestrian on 4 June 2020inThimi, Bhaktapur. A total of four volunteers per day are being mobilized to support the health desk. (Photo: NRCS Bhaktapur District Chapter) 4 Nepal Red Cross Society Nuwakot District Chapter in coordination with the local government distributed seven sets of disaster management response equipment sets on 11 June 2020. (Photo: Nuwakot District Chapter) 5 Nepal Red Cross Society, BhojpurDistrict chapter has supported the establishment of the quarantine site Jaryotar, one of the programme areas of NRCS being supported by NRCS. NRCS supported non- food items such as tarpaulin, water tanks, etc. for the quarantine sites. One of the governance volunteers of Bhojpur district chapter visited and monitored the site on 7 June 2020.
    [Show full text]
  • Risk Sensitive Land Use Plan of Changunarayan Municipality
    Risk Sensitive Land Use Plan of Changunarayan Municipality चााँगुनारायण नगरपालिकाको िागी जोखिम संवेदनशीि भू-उपयोग योजना December 2018 Prepared for Implemented by Changunarayan Municipality Office DanChurchAid Kharipati, Bhaktapur Jhamsikhel, Lalitpur NEPAL NEPAL In partnership with Imadole Mahalaxmi Municipality, Ward 9 Lalitpur NEPAL Prepared by Genesis Consultancy (P) Ltd. Sai Marg, Shree Mahal, Pulchowk-3 Lalitpur NEPAL Risk Sensitive Land Use Plan (RSLUP) of Changunarayan Municipality Acknowledgement <to be inserted > चााँगुनारायण नगरपालिकाको िागी जोखिम संवेदनशीि भू-उपयोग योजना December 2018 This report entitled “Risk Sensitive Land Use Plan of Changunarayan Municipality” is an outcome of the study “Prepare Integrated Risk Sensitive Land Use Plan (RSLUP) and GIS based Evacuation Route Modelling for Changunarayan Municipality” undertaken for Changunarayan Municipality by DanChurchAid (DCA) and implementing partner Friends Service Council Nepal (FSCN) with technical support by GENESIS Consultancy (P) Ltd. The opinions, findings and conclusions expressed herein are those of the consultant/author(s) and do not reflect those of Changunarayan Municipality nor DCA or FSCN. Data Sources and Credits GIS datasets and their associated attributes used in the study are developed by GENESIS Consultancy (P) Ltd. for the study. Building footprints, road network and land use data were extracted from Pleiades 0.5m MSS satellite imagery dated 3 January 2018. Geological and geotechnical investigation was undertaken during October-November 2018, community level data were collected from ward level consultative meetings during November 2018 for the study. Sources of other data and maps are cited in the report.
    [Show full text]
  • Nepal Earthquake Response
    NEPAL – EARTHQUAKE FACT SHEET #11, FISCAL YEAR (FY) 2015 MAY 11, 2015 NUMBERS AT HIGHLIGHTS HUMANITARIAN FUNDING A GLANCE In coordination with the GoN, national TO NEPAL TO DATE IN FY 2015 and international relief actors continue USAID/OFDA1 $21,000,000 8,046 response and early recovery efforts in Nepal. USAID/FFP2 $2,500,000 Fatalities Resulting from the Earthquake International donors have contributed 3 Government of Nepal (GoN) – more than $139.3 million—including DoD $7,573,288 May 11, 2015 $42.3 million toward the $423 million flash appeal for Nepal—for humanitarian $31,073,288 17,866 activities in response to the April 25 TOTAL USG HUMANITARIAN ASSISTANCE TO NEPAL People Injured by the earthquake. Earthquake GoN – May 11, 2015 KEY DEVELOPMENTS As of May 11, the GoN reported more than 8,000 deaths, nearly 18,000 injured people, and 288,798 approximately 543,000 damaged or destroyed houses resulting from the April 25 Houses Destroyed by the earthquake. While Sindhupalchowk remains the most-affected district with more than Earthquake GoN – May 11, 2015 3,100 deaths and an estimated 63,300 damaged or destroyed houses, Kathmandu District has reported the highest number of earthquake-related injuries—more than 4,600—to date. The GoN provided 2.84 billion Nepalese rupees—approximately $21 million—to support 254,112 humanitarian response and recovery efforts in affected communities on May 10. The contribution follows a May 8 announcement that those who lost their houses during the Houses Damaged by the Earthquake earthquake may be eligible for assistance from the GoN.
    [Show full text]