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Nepal

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Active in Nepal since 1985, Terre des hommes (Tdh) runs projects dealing with health, nutrition, water supply, sanitation and hygiene promotion and child protection. In 2012, more than 63’000 people benefited from the activities implemented.

Context

After years of turmoil, the political situation in Nepal is still unstable with frequent strikes that regularly paralyse the economy. Climate change also leads to food shortage deepening the population’s already weakened situation. Children are especially vulnerable. Health and WASH wise, they suffer from malnutrition, poor standards of care and environmental hazards. Mothers lack the knowledge to recognise the early signs of illness and are often powerless to treat or prevent them. The lack of antenatal and postnatal care is responsible for thousands of preventable deaths every year, with one out of 25 children dying during the first month of their life. Education wise, many poor families are unable to cope with the costs involved. Gender and social discrimination deepens the vulnerability of girls and Dalits. Children are moreover faced with violence, abuse, exploitation and trafficking.

Centered at 84.12408 28.394857 6

Children's situation

  • 7 million of adolescents live in the country (aged 10-19)
  • 50 children out of 1000 die before the age of 5 (CH: 5‰)
  • 19% of birth are attended by skilled health personnel
  • 34% of the children work
  • 51% of the children marry before 18

Delegate: Jason Squire
Expatriate staff: 1
National staff: 17
Budget: 939'206 CHF

In collaboration with: Hospital & Rehabilitation Center for Disabled Children (HRDC), Chhimeki, RICOD, Center for Mental Health & Counselling, Shakti Samuha

Orthopaedic rehabilitation – Trainings, mobile camps, specific treatments and follow-up home visits enable physically disabled children to reach optimal functional independence and to facilitate their social reintegration.

Anti-child trafficking –Tdh in partnership with Shakti Samuha has been running a holistic anti-trafficking project addressing prevention, legal services, safe and voluntary repatriation and rehabilitation, integration and alternative care. This project aspires to prevent children vulnerable to trafficking; aid trafficking survivors to get justice; pave a safe and protected way for trafficking survivors to return and ensure them protected rehabilitation and effective integration.

Integrated Child Protection Programme – Following a decade of child protection programming in the Mid-West Region (MWR) of Nepal, Tdh is intensifying its intervention in order to meet the needs of some of the country’s most vulnerable children and communities. Based on the outcomes of action-oriented research conducted in 2012, Tdh has devised an integrated model that aims to create synergies between actions in the fields of protection, health and WASH, with a view to strengthening the protective environment at national, district and village level.

*Thanks to Terre des hommes, 1296 children were able to escape from sexual exploitation.
*The adolescent group supported by Tdh carried out prevention activities against child trafficking in villages and 96 child victims received psychosocial support.

  • In Kathmandu, the health of migrant workers was improved, and 719 children and 2640 family members benefited from access to drinking water and sanitation structures.
  • In total, 1604 children received nutritional aid and 6300 expectant mothers were able to obtain medical treatment.
  • In 20 communities, child-protection systems were strengthened and 1949 children were taken into care.
  • A total of 2905 reconstructive surgeries were carried out to treat handicapped children, and Tdh used community based rehabilitation activities to improve living conditions for 12,247 children.

Testimonial

Sita Thapa (name changed), a married woman working as transporter in brick kiln of Kathmandu became pregnant after she was raped by a relative. She knew that she would be treated badly and even physically abused if she returned to her home.

- Sita Thapa, Tdh beneficiary in Nepal

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