National Context: deliveries at Provincial Hospital stood at 4,170 • The districts with COVID-19 active positive cases have now from April to November. The number was about 9,000 climbed up to 75 out of 77, with 1,508 deaths. In the past last year in the same period. According to the statistics of week alone, there were more than 150 COVID-19 relat- the provincial hospital, 11,200 people received maternity ed deaths across (Ministry of Health and Population – services last year (WHO Focused C19 Media Monitoring Ne- MoHP). pal, 29 Nov 2020). • The MoHP is preparing to forward technical details to au- • A meeting of the cabinet on 25 November has decided thorities concerned to procure COVID-19 vaccine under to resume flights to India and Bangladesh. The cabinet the COVAX facility. The government’s move follows CO- meeting endorsed the proposal of the Ministry of Cul- VAX’s request to its 186 member countries to forward de- ture, Tourism and Civil Aviation to resume flights in those tails, including the status cold chain and communication in- countries following the protocol related to aviation and frastructure, at the earliest. The MoHP says vaccines enough public health. Likewise, the cabinet meeting has also de- to immunize 20 per cent of Nepal’s population will come cided to issue arrival and visit visas to tourists and other under the COVAX facility. The vaccine is expected to cost citizens coming to Nepal. around US $ 2 per dose. • With the addition of a new testing site this week, the • Many pregnant women have stopped going to the hospital MoHP has approved the establishment of 77 RT-PCR test- for maternity services due to the COVID-19 pandemic in ing facilities. Among these facilities, approximately 40 per Province-2. According to a study, the number of hospital de- cent are from the private sector. On an average 10,000 liveries during the COVID-19 period has dropped by 55 per tests are conducted nationally every day (SITREP #294, cent in the province. According to the study, the number of MoHP).

Local Context: , Achham, Dailekh, Kailali, Kanchan- response plan for upcoming cold wave. Every year, around pur, Banke, Bardiya and Dhading 100 people die of cold wave in Nepal’s southern plains. • As the wedding season in Nepal has started , Kanchanapur The DDMCs are preparing for the worst situation given District Administration Office has circulated the notice ask- the COVID-19 crisis and are also assessing the availability ing people to follow health and safety protocol when organ- of health gears in the district. ising and participating in a wedding events. • The Regional hospital in , Bheri Hospital, • The LGs in close coordination with DCA and its partners invited all the local NGOs and other CSOs on 13 No- are supporting towards income generating activities target- vember 2020 and have requested for the PPE sets and ing the urban poors through Multi-purpose Cash Assistance, masks contribution as the hospital is experiencing scarcity quick-impact economic recovery activities, and business of these equipment. plans development. • The LGs in has opened a grant to • Most of the Local Governments (LGs) in these districts have purchase agricultural devices for migrant returnees and decided to resume schools, however the flow of students are seeking technical support from DCA partners. coming to schools is very few. And most of the schools are • A study “COVID-19 Impact on Migrants Workers” in still not following government’s health and safety protocol - Kanchanpur, Doti, Achham and , with 1572 Social Distancing, Mask and Sanitization - SMS, posing risk to migrant returnees” conducted by DCA, a Danish Devel- the increase in the COVID-19 positive cases. opment and Humanitarian Agency through its local part- • District Disaster Management Committees (DDMCs) in ners in Sudur Paschim Province shows that 98.7% of mi- Bardiya, and Kanchanpur called for a stakeholder meeting grant’s returnee have lost their household livelihood due including DCA partners in the district, to discuss on the to COVID-19. For more on the migrants’ situation https:// www.spotlightnepal.com/2020/11/30/nepalese-migrant-workers/ DCA HUMANITARIAN RESPONSE:

DCA in Nepal has supported in nine districts so far in , , Lumbini Province, Sudurpaschim Province and .

Other activities in- cluding hygiene support, and risk communication will continue this week.

Moving towards the recovery of HHs affected from COVID-19:

DCA’s Early Recovery interventions are focused on economic recovery, protection of the most vulnerable HHs/individuals and WASH.

#Facebook https://fb.watch/1d8PUvVVs0/ https://purnimanepal.com/stories_posts/combatting-psychosocial-issues/ Previous SITREPs: https://reliefweb.int/organization/dca Socio-economic Impact Assessment of COVID-19: reflection of the key findings https://reliefweb.int/report/nepal/covid-19-socio-economic-sur- vey-report-humanitarian-response-team-dca-nepal-office-june DCA COVID-19 Response: Post Distribution Monitoring (PDM) Highlights: https://reliefweb.int/report/nepal/dca-covid-19-response-post-distri- bution-monitoring-highlights DCA integrated flood and COVID-19 response in Kailali district: Post Distribution Monitoring Highlights: https://reliefweb.int/report/nepal/dca- integrated-flood-and-covid-19-response-kailali-district-post-distribution

For further information, Please write us to [email protected] Samjhana Bista, DCA in Nepal, [email protected]