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The COVID-19 outbreak coupled with political instability has aggravated socio-economic distress in Nepal and pushed many vulnerable families into extreme poverty. As a consequence, protection risks such as migration, trafficking, child labour, sexual exploitation and gender-based violence have increased. The pandemic has also left thousands without access to basic health services. Tdh strengthens the local child protection and health systems thanks to global expertise and innovation.

What we do

Tackling child labour

Around 34% of children are engaged in child labour in Nepal. Our team assists children working in the adult entertainment sector to escape exploitative situations. They help them build their confidence, increase their agency and raise their voice. Similarly, we strengthen the capacity of local governments and civil society organisations to deal with child labour issues through case management and provide services to vulnerable children. We also tackle child labour through a 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, control the quality of care and supply medical equipment. Pregnant and postnatal women and their family members are given advice on how to provide correct nourishment and care during pregnancy and the neonatal period via a mobile voice message and through female community health volunteers.

Children and Youth in Migration

Many children are on the move in Nepal. They leave their villages in search of better opportunities or influenced by false promises of human traffickers. Instead of a bright future, many become victims of exploitation, particularly in the adult entertainment sector. To prevent unsafe migration and to ensure that children at risk receive necessary support, Tdh and partners strengthen local child protection mechanisms and counsel children on safe migration. This is done in collaboration with the government and local communities.

Water, sanitation and hygiene

Tdh and its partners improve water quality and sanitation services in healthcare facilities, schools, and communities. We build disability friendly sanitation 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.

Terre des hommes in Nepal

Beneficiaries in 2020


79,767 people

Expatriate staff / National staff


0 / 16

Budget 2020


CHF 809,096.-


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.

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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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