Emergency in the Sahel
Support the urgent needs of children in the Sahel affected by the food crisis  


The COVID-19 pandemic coupled with economic instability has aggravated socio-economic distress in Nepal and pushed many vulnerable families into extreme poverty. As a consequence, protection risks such as migration, human trafficking, worst forms of child labour, sexual exploitation and gender-based violence have increased. The pandemic has also left thousands struggling for access to basic health services. Tdh strengthens the local child protection and health systems thanks to global expertise and innovation.

What we do

Children and young people in Migration

Many children leave their villages in search of better opportunities or are influenced by false promises of human traffickers and become victims of exploitation. Our team assists children working in the adult entertainment sector to escape exploitative situations. They help them build their confidence and increase their agency. To prevent unsafe migration and to ensure that children at risk receive the necessary support, Tdh and partners strengthen local child protection mechanisms and support victims and survivors of human trafficking. Tdh supports local governments to build capacities of anti-trafficking committees. We also tackle child labour through the CLARISSA consortium, generating innovative solutions for children to avoid hazardous and exploitative labour.

Mother and child health

Tdh improves the provision of quality healthcare at birth and promotes health service seeking behaviours in the communities through innovative approaches. We provide government health workers, particularly midwives, with the Simulation of Essential Skills in Obstetrical and Neonatal care training (SIMESON), control the quality of care and supply medical equipment. Building on our global and regional expertise, we emphasize the use of digital solutions to improve health service delivery. In 2021, Tdh piloted a digital health project in five tertiary level public hospitals together with the Ministry of health and population; a digital healthcare solution that aims to improve the Integrated Management of Childhood Illnesses through the digitalisation of its clinical protocol.

Water, sanitation and hygiene

Tdh and its partners improve water quality and sanitation services in healthcare facilities, schools, and communities. We build disability-friendly water, sanitation and hygiene facilities including menstrual hygiene management systems, rehabilitate water and hygiene facilities and raise community awareness on water quality and hand hygiene. Our Blue Schools project inspires students to become change agents for the environment in their communities. Additionally, Tdh is conducting a study on health care facility waste in low resource settings as well as supporting municipalities for developing operation and maintenance policies for water, sanitation and hygiene in health care facilities.

Terre des hommes in Nepal

Beneficiaries in 2021


58,234 people

Expatriate staff / National staff


1 / 19

Budget 2021


CHF 906,137.-


Where we work

Supported by


Terre des hommes begins its work in Nepal by opening a hospital for physically disabled children in the Kathmandu valley. The hospital was taken over by a local partner in 1992.
Launch of a broad-ranging programme offering medical care, education and community training in 20 rural areas.
Start of a project to reduce malnutrition among children.
Launch of a child protection project in the mid-western region of Nepal.
Tdh starts working in Kathmandu to prevent the exploitation of children in the adult entertainment sector.
Launch of a community-based alternative care project in four remote mid-western districts of Nepal.
Launch of an integrated child protection programme (MCH, WASH and Child Protection) in two mid-western districts of Nepal.
Tdh coordinates emergency response and launches recovery programmes to help families and children affected by the earthquake.
Tdh launches a Child protection project targeting unsafe migration of children and young people in Nuwakot (prevention at source) and Kathmandu valley (destination).
Tdh carries out an early emergency response to the flood-affected families in Bardiya district of Terai region.
Tdh launches its Blue School project in Nepal to support school children with water and hygiene services.
Set-up of Mahila project focusing on empowerment of young women and girls affected by migration.
Set up of the project on tackling child labour in Kathmandu slums.
Start of the global WaSH Consortium on improving access to water sanitation and hygiene services in healthcare facilities, schools and communities of Bardiya District.
Start of the COVID-19 response for trafficking survivors in Jhapa and Ilam districts. This project will generate exploratory research findings that are instrumental for future human trafficking projects.

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Related publications

Annual report 2021
Courage n°66: Getting children out of the dangerous Kathmandu impasse
Courage N° 76: Népal - Children fight climate change
Infopage WASH_EN

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