Humanitarian Response

Camp Coordination and Camp Management
Needs:
 Assessments in Shankarpur municipality in Sankhu revealed a high level of
destruction with internally displaced people (IDPs) scattered around the town and
sharing communal tents with up to 100 people per tent.
 In Bhaktapur, there are 10,700 IDPs with the largest camp hosting 2,500 IDPs. The camps urgently need food,
emergency shelter and regular water supply.
Response:
 Daily camp management and mapping of IDP needs in camps and spontaneous settlements are ongoing in the
Kathmandu Valley. Results of IDP profiling have been shared with clusters to support response.
Gaps & Constraints:
 Analysis of internal migration trends which will enable planning of assistance for urban IDPs moving to rural
villages is still lacking.

Early Recovery
Needs:
 Debris management is required to enable continued search and rescue and humanitarian relief operations.
 Restoring community infrastructure to deliver public services is essential.
 Cash-for-work activities in support of emergency livelihoods would be of benefit to the recovery of affected
communities.
Response:
 To coordinate and support early recovery activities, the Ministry of Federal Affairs and Local Development
assigned focal points in each district to assist the local development officers to implement funds released for
relief and recovery assistance.
 Volunteers have been mobilized to support government engineers to assess structural integrity of houses and
public buildings in order to facilitate the return of the displaced and resumption of basic social services.
 The Ministry of Federal Affairs and Local Development has appointed a joint secretary to each electoral
constituency and each district.
Gaps & Constraints:
 Many of the local government personnel, who have been affected by the earthquake, have still not reported to
duty which causes delays to delivery of basic social services.
 Monitoring and accountability mechanisms of district, village and municipal monitoring supervision committees
need to be strengthened.

Food Security
Needs:
 Over 3 million people are estimated to be in need of food assistance. Of them, an
estimated 1.4 million most affected people have been prioritized for immediate food
assistance.
Response:
 835 metric tons of food was delivered to 11 districts: Bhaktapur, Dhading, Dolakha, Kathmandu, Lalitpur,
Gorkha Lamjung, Rasuwa, Ramechhap, Nuwakot, Sindulpalchowk.
 The Cluster has agreed to standardize the food packets distributed by all partners which will include: 400g of
rice, 60g of lentils, 25g of oil and 7.5g of salt per person per day.
Gaps & Constraints:
 Access to Rasuwa and Gorkha districts continues to be a challenge. Airlifts are needed to deliver food;
however, the number of available helicopters remains limited.

 Identification of vulnerable groups to enable needs-based assistance is a challenge.

Health
Needs:
 The Government has prioritized two new districts (Makawanpur and Sindhuli) for
urgent health assistance, given the sudden increase in the numbers of injured.
 Four district hospitals in Ramechhap, Trisuli, Chautara and Rasuwa are not
functional, due to destroyed infrastructure and limited Out Patient Department (OPD)
capacity. Health supplies, including body bags, tents for temporary hospitals and
mattresses, remain limited.
Response:
 Field hospitals are being established in Dhunche (in Rasuwa District), Chautara (Sindhupalchowk) and Bidur
(Nuwakot District).
 The Cluster has provided support to establish a surveillance system for epidemics.
 The Government is investigating reports of a diarrhoeal outbreak in an IDP camp on the southern outskirts of
the Kathmandu Valley. Samples have been collected and sent for laboratory testing.
Gaps & Constraints:
 Treatment of the injured in the remote areas remains a challenge due to access issues and medical airlifts are
constrained by weather disturbance.
 Specialized health care services for groups with special needs including pregnant women and lactating mothers

and neonates is limited.

Nutrition
Needs:
 There is a need to provide therapeutic feeding to 15,000 children (6 to 59 months) old
with severe acute malnutrition (SAM) and supplementary food to 70,000 children (6
to 59 months) with moderate acute malnutrition (MAM).
 Blanket supplementary feeding is needed for 200,000 children and pregnant and
lactating women.
 Lactating mothers require support to be able to breastfeed 168,000 children (0 to 23
months). Families need nutritious food to feed 126,000 young children (6 to 23
months).
Response:
 Over 450,000 boxes of multiple micronutrient powders, 5,000 cartons of ready-to-use therapeutic food, 260 MT
of plumpy doz, and 18 MT of high energy biscuits have been mobilized for distribution in 12 districts.
 Two million doses of deworming medication have been mobilized and deworming scheduled to be completed in
21 districts by the end of May.
Gaps & Constraints:
 There is insufficient therapeutic food for 10,000 children with SAM and supplementary food for 70,000 children
with MAM.

Protection
Needs:
 Reports of unequal distribution of assistance have been received by humanitarian
partners.
 Sexual and gender-based violence cases in the Kathmandu camps have been
received by the Central Child Welfare Board.
 Cluster assessment indicate the need for dedicated spaces for women in camps to provide protection and
special services including psychosocial support.
Response:
 Psychosocial first aid was provided to 27 children and five women in Tudkhel camp (Kopila).
 300 tarpaulins and 100 blankets were distributed in Kirtipur Panga area (Itagul, Lachi, and Guth) and 240
sanitary pads were distributed in Kavre.
Gaps & Constraints:
 There is a need to ensure that humanitarian assistance is provided solely based on need irrespective of
political, social, cultural and economic background.
 There is a lack of sanitary pads and clothing for women across the affected districts.

Shelter
Needs:
 The current government figures stand as 160,786 destroyed houses. It is estimated
that the number of destroyed houses could be as high as 500,000.
Response:
 Shelter agencies have distributed approximately 30,000 tarps and other non-food items, including blankets,
household kits and solar lamps.
 Approximately 450 shelter repair kits have also been distributed in partnership with local governments.
 There are approximately 80,000 tarps in the pipeline.
Gaps & Constraints:
 Access to many remote areas remain difficult. Shelter assistance is needed to support people who are already

starting to rebuild their homes.

Water, Sanitation and Hygiene
Needs:
 The Cluster plans to provide assistance to an estimated 4.2 million people who are in
urgent need of WASH services. Out of the total population to be served, 51 per cent
are female, 49 per cent male and 40 per cent children.
Response:
 The Cluster reached more than 100,000 people with water for drinking, cooking and
personal hygiene.
 77,160 people in 7 severely affected districts (Gorkha, Dhading, Dolakha, Sindhupalchok, Kabhrepalanchok,
Lalitpur and Kathmandu) have also been reached with hygiene education and information materials.
 More than 200 water storage tanks have been provided in 14 camps in Kathmandu Valley.
 Water treatment materials to support chlorination of 300 water sources for about 73,000 people were provided
for Lalitpur District.
Gaps & Constraints:
 Currently, the water supply is being provided by private volunteers. There is an issue of sustainable water and
sanitation assistance for wards 2 and 6 in the Bhaktapur District, including an urgent need for temporary toilets,

hygiene kits and water purification tablets.