POPULATION MOBILITY AND PUBLIC HEALTH RISK MAPPING COVID-19 Preparedness and Response Plan in Nepal (2020) Dasharathchanda Municipality International Organization for Migration 768/12 Thirbam Sadak, Baluwatar 5 - P.O. Box: 25503, Kathmandu, Nepal Te l .: +977-1-4426250. Email: [email protected]. Web: http://www.nepal.iom.int. TABLE OF CONTENTS List of Tables .............................................................................................................................................................................................ii List of Figures .......................................................................................................................................................................................... iii List of Maps .............................................................................................................................................................................................. iv 1. Introduction .......................................................................................................................................................................................1 1.1 Population Mobility Mapping (PMM) .......................................................................................................................1 1.2 Municipality Profile ......................................................................................................................................................2 1.3 Objectives ......................................................................................................................................................................3 2. Methodology ......................................................................................................................................................................................3 2.1 Preparation and Coordination for the PMM .........................................................................................................3 2.2 Data Collection ............................................................................................................................................................4 2.2.a Phase I...................................................................................................................................................4 2.2.b Phase II .................................................................................................................................................5 2.3 Challenges .....................................................................................................................................................................6 3. Results .................................................................................................................................................................................................7 3.1 Phase I ............................................................................................................................................................................7 3.2 Phase II ...........................................................................................................................................................................9 3.2.a Maps .....................................................................................................................................................9 3.2.b Points of Entry ............................................................................................................................... 12 3.2.c Health Centres ............................................................................................................................... 15 3.2.d Traditional Healers ........................................................................................................................ 22 3.2.e Schools and Colleges .................................................................................................................... 26 3.2.f Entertainment Centres ................................................................................................................. 29 3.2.g Market Centres .............................................................................................................................. 32 3.2.h Migrant Worksites ......................................................................................................................... 35 3.2.i Transport Stations ......................................................................................................................... 38 3.2.j Places of Worship ........................................................................................................................... 40 3.3 General Analysis ....................................................................................................................................................... 42 4. Conclusions, Recommendations and Lessons Learnt ............................................................................................................ 44 4.1 Conclusions ................................................................................................................................................................ 44 4.1.a Additional Findings ......................................................................................................................... 47 4.2 Recommendations ................................................................................................................................................... 47 4.3 Lessons Learnt ......................................................................................................................................................... 48 5. Annexes ........................................................................................................................................................................................... 49 5.1 Annex I ....................................................................................................................................................................... 49 5.2 Annex II ...................................................................................................................................................................... 51 Population Mobility and Public Health Risk Mapping - COVID-19 Response in Nepal (2020) Page i LIST OF TABLES Table 1.1: Full names and localities of vulnerable sites identified within the municipality ....................................................7 Table 1.2: Basic health infrastructure at the POEs ...................................................................................................................... 13 Table 1.3: Status of IPC at the POEs .............................................................................................................................................. 14 Table 2.1: Most common places people seek care from before going to the hospital ........................................................ 18 Table 2.2: Population of medical personnel at the health centres ........................................................................................... 18 Table 2.3: Status of emergency preparedness plan, IPC, and health screening at the health centres .............................. 19 Table 2.4: Water availability, the busiest days/months, and the most used health centre ................................................... 20 Table 3.1: Waste management, environmental condition, and estimated percentage of people wearing masks ........... 25 Table 3.2: Use of protective gears, isolated room, site organisation, and people coming from India .............................. 26 Table 4.1: Health checks and schools/colleges seasonality ........................................................................................................ 29 Table 4.2: Waste management system, the busiest days/months, and the nearest health centre ...................................... 29 Table 5.1: Hygiene and travellers’ status at the entertainment centres ................................................................................. 31 Table 6.1: Hygiene status at the market centres .......................................................................................................................... 33 Table 7.1: Hygiene status and the busiest days/months at the migrant worksites ............................................................... 36 Table 7.2: Tracking visitors/travellers and estimated percentage of people wearing masks ............................................... 37 Table 8.1: Health screening and tracking travellers’ status ........................................................................................................ 40 Table 8.2: Waste management system at the transports stations ............................................................................................ 40 Population Mobility and Public Health Risk Mapping - COVID-19 Response in Nepal (2020) Page ii LIST OF FIGURES Fig. 1.1: Mobility patterns across the POEs....................................................................................................................................13 Fig. 1.2: The presence of IHR and PHEIC focal points, and distance to the nearest health/referral centre .................... 14 Fig. 2.1: Mobility patterns at the health centres ..........................................................................................................................