POPULATION MOBILITY AND PUBLIC HEALTH RISK MAPPING COVID-19 Preparedness and Response Plan in Nepal (2020) Bheemdatta 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 ............................................................................................................................... 14 3.2.d Traditional Healers ........................................................................................................................ 20 3.2.e Schools and Colleges .................................................................................................................... 22 3.2.f Entertainment Centres ................................................................................................................. 26 3.2.g Market Centres .............................................................................................................................. 28 3.2.h Migrant Worksites ......................................................................................................................... 31 3.2.i Transport Stations ......................................................................................................................... 35 3.2.j Places of Worship ........................................................................................................................... 37 3.3 General Analysis ....................................................................................................................................................... 39 4. Conclusions, Recommendations and Lessons Learnt ............................................................................................................ 41 4.1 Conclusions ................................................................................................................................................................ 41 4.1.a Additional Findings ......................................................................................................................... 45 4.2 Recommendations ................................................................................................................................................... 46 4.3 Lessons Learnt ......................................................................................................................................................... 47 5. Annexes ........................................................................................................................................................................................... 48 5.1 Annex I ....................................................................................................................................................................... 48 5.2 Annex II ...................................................................................................................................................................... 49 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 ........................................................ 16 Table 2.2: Population of medical personnel at the health centres ........................................................................................... 17 Table 2.3: Status of emergency preparedness plan, IPC, and health screening ...................................................................... 17 Table 3.1: Waste management, environmental condition, and estimated percentage of people wearing masks ........... 21 Table 4.1: Waste management, suspected COVID-19 cases, and schools/colleges seasonality ......................................... 25 Table 5.1: Hygiene and travellers’ status at the entertainment centres ................................................................................. 28 Table 6.1: Hygiene status at the market centres .......................................................................................................................... 29 Table 7.1: Hygiene status at the migrant worksites .................................................................................................................... 32 Table 7.2: Tracking visitors/travellers at the migrant worksites ................................................................................................ 34 Table 8.1: Hygiene status and health challenges at the transport stations ............................................................................ 37 Table 9.1: Waste management and health screening capacity ................................................................................................... 38 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....................................................................................................................................12 Fig. 1.2: The presence of IHR and PHEIC focal points at the POEs ......................................................................................... 13 Fig. 2.1: Mobility patterns across the health centres ................................................................................................................... 15 Fig. 2.2: Number of inpatients, outpatients and stalls (toilet facility) at the health centres ............................................... 15 Fig. 2.3: Distance to the nearest water source and health centre, and number of stalls for staffs and patients ........... 16 Fig. 2.4: Mode of transport