PURNIMA: UK Support to Post-Earthquake Recovery in Nepal BIHANI -Building an Inclusive and dignified community by protecting Human rights, Augmenting Non-discrimination and promoting Integration of most vulnerable communities in Dhading District of Nepal Evidence Phase Report March 2019 Submitted to Mott MacDonald (MM) Submitted by DanChurchAid (DCA) 1 ACKNOWLEDGEMENTS This evidence collection study is the outcome of earnest efforts put forth by different individuals and organization. First, CREHSS would like to express its immense gratitude to DCA and Mott MacDonald for providing the opportunity to conduct the study. We would like to extend our sincere gratitude to RIMS Nepal for its support and co-operation right from the day of the training till the end of the study. We are very thankful to Mr. BidurBastola and MsMalatiMaskey for providing their guidance during tools finalization and for all the co-operation throughout the assessment. We would also like to express our gratitude to Mr. Padam Singh Thagunna for his valuable feedbacks during training and for all the co-ordination. Similarly, we would like to thank Mr. HariharKafle and Mr. Rabindra Kumar Shrestha from RIMS Nepal for all the support and co-operation. We are also very thankful to Mr. Om Pun from NSD and Mr. BishnuPokhrel form GoGo Foundation for their feedback and guidance for the training of researchers. We are very grateful to Ms. Ganga Subedi, Mr.KushalSuwal, Mr. ShekharKarki, Mr. GeevanGurung, Mr. SewantaKattel and Mr. PraveshGautam for all their support, guidance and co-ordination in respective rural municipality for information collection. We would like to express our deep sense of appreciation to all the researchers for their hard-work and sincerity during the data collection process, enabling the timely and successful completion of the study. We would also like to extend our deep sense of appreciation to all the key stakeholders and focal persons from all the rural municipality who participated in Focus Group Discussion (FGD) and Key Informant Interviews (KII) and provided their valuable views and opinions for the qualitative study. Similarly, we are thankful to all the respondents for providing their time and valuable information for the study. Study Team Center for Research on Education, Health and Social Science <[email protected]> 2 ACRONYMS CREHSS Center for Research on Education, Health and Social Science CVD Cardiovascular disease DCA DanChurchAid FCHV Female Community Health Volunteer DMC Disaster Management Committee FCS Food Consumption Score FGDS Focus Group Discussions HHs Households IDP Internally Displaced People KII Key Informant Interview LPG Liquefied Petroleum Gas NRA National Reconstruction Authority PFS Poor Families PRA Participatory Rural Appraisal PwDS People with Disability RCC Reinforced Cement Concrete 3 Table of Contents ACKNOWLEDGEMENTS .................................................................................................................... 2 ACRONYMS .......................................................................................................................................... 3 STUDY TEAM ..................................................................................................................................... 10 EXECUTIVE SUMMARY .................................................................................................................. 11 CHAPTER 1 INTRODUCTION .......................................................................................................... 15 1.1 Background for Evidence Collection .................................................................................... 15 1.2 Rationale of the Study ........................................................................................................... 16 1.3 Study Objectives ................................................................................................................... 16 1.4 Structure of the Report .......................................................................................................... 16 1.5 Study Limitations .................................................................................................................. 16 CHAPTER 2 METHODOLOGY ......................................................................................................... 17 2.1 Design of Evidence Collection ............................................................................................. 17 2.2 Sources of the Evidence ........................................................................................................ 17 2.3 Methods of evidence collection ............................................................................................ 17 2.3.1 Palika and Ward Level Meeting .................................................................................... 18 2.3.2 Face to Face Structured Interview................................................................................. 18 2.3.3 Focus Group Discussion (FGD) .................................................................................... 18 2.3.4 Key Informants Interview (KII) .................................................................................... 18 2.4. Operational definitions ............................................................................................................... 18 2.4.2 Criteria for Prioritizing Vulnerable Group ........................................................................ 19 2.5 Context of evidence collection .............................................................................................. 20 2.5.1. Finalization of the Study Methods ................................................................................ 20 2.4.2. Recruitment and Training ............................................................................................. 20 2.6 Data entry, processing and analysis ...................................................................................... 20 2.6.1 Data Collection and Quality Control............................................................................. 20 2.6.2 Data Management and Analysis.................................................................................... 20 CHAPTER 3 RESULTS ....................................................................................................................... 21 3.1 Findings from the vulnerable household ............................................................................... 21 3.1.1 Demographic characteristics of respondents ................................................................. 21 3.1.2 Affiliation with group/organization .............................................................................. 22 3.1.3 Place of original residence and resettlement in the current place ................................. 22 3.1.4 Family members by age group ...................................................................................... 23 3.1.5 Person with Disability (PWD) in home ........................................................................ 23 3.1.6 Family member with Chronic Disease in household .................................................... 25 4 3.1.7 Member of household who is single woman ................................................................. 26 3.1.8 Source of HH Income ................................................................................................... 26 3.1.9 Land holding status of HHs .......................................................................................... 28 3.1.10 Roof of the household ................................................................................................... 28 3.1.11 Household amenities ..................................................................................................... 29 3.1.12 Cooking fuel .................................................................................................................. 29 3.1.13 Domestic animals in the household............................................................................... 29 3.1.14 On Farm and Off Farm .................................................................................................. 31 3.1.15 Commercial Farming .................................................................................................... 31 3.1.16 Months of Food Sufficiency from Own Production ..................................................... 32 3.1.17 Coping strategy for those who have insufficient food for 12 months ........................... 32 3.1.18 Food Consumption Score (FCS) ................................................................................... 33 3.1.19 Presence of cooperative in village................................................................................. 33 3.1.20 Participate in savings and credit practice ...................................................................... 34 3.1.21 Taken Loan from saving and credit scheme ................................................................. 34 3.1.22 Government Service and Provision ............................................................................... 35 3.1.23 Sources of drinking water and purification techniques ................................................. 36 3.1.24 Information regarding toilets ........................................................................................ 37 3.1.25 Hand-washing practice .................................................................................................