Critical hour: Preventing COVID-19 transmission in Nepal’s west

In view of the particular vulnerabilities of the Sudur Paschim and Karnali Provinces, UNICEF is supporting the Government of Nepal and partners to boost efforts to prevent local transmission of COVID-19

Preena Shrestha
09 April 2020

As the nation-wide lockdown runs into its third week, the Government of Nepal – at all three tiers – and humanitarian partners including UNICEF, have been gearing up efforts to prevent the local transmission of COVID-19 among communities.

Concerns are especially high in the Sudur Paschim and Karnali Provinces, given the number of cases that have tested positive in the former recently, and the high inflow of people returning from India and other countries into the latter.

This image shows UNICEF staff and provincial health officials in Sudur Paschim province examining supplies provided by UNICEF as part of the COVID-19 response. The supplies include surgical masks, gloves, hand sanitizers, along with blankets and bed nets for people staying in quarantine, and tents to establish a fever clinic in the provincial hospital, among other materials. ©UNICEF Nepal/2020
UNICEF Nepal/2020
UNICEF staff and provincial health officials in Sudur Paschim province examining supplies provided by UNICEF as part of the COVID-19 response. The supplies include surgical masks, gloves, hand sanitizers, along with blankets and bed nets for people staying in quarantine, and tents to establish a fever clinic in the provincial hospital, among other materials.

To support provincial governments of both Sudur Paschim and Karnali Provinces in preventing infection and managing cases at this critical hour, UNICEF recently provided 60,000 surgical masks, 10,000 pairs of disposable gloves, 2,000 bottles of hand sanitizers, along with blankets, bed nets, packets of oral rehydration salts, as well as tents to establish fever clinics at the Seti Province Hospital and Birendranagar Provincial Hospital.

This image shows UNICEF staff and provincial health officials in Sudur Paschim province unloading supplies provided by UNICEF as part of the COVID-19 response. The supplies include surgical masks, gloves, hand sanitizers, along with blankets and bed nets for people staying in quarantine, and tents to establish a fever clinic in the provincial hospital, among other materials. ©UNICEF Nepal/2020
UNICEF Nepal/2020
UNICEF staff and provincial health officials in Sudur Paschim province unloading supplies provided by UNICEF as part of the COVID-19 response. The supplies include surgical masks, gloves, hand sanitizers, along with blankets and bed nets for people staying in quarantine, and tents to establish a fever clinic in the provincial hospital, among other materials.
This image shows UNICEF staff handing over supplies to health officials in Sudur Paschim as part of the COVID-19 response. The supplies include surgical masks, gloves, hand sanitizers, along with blankets and bed nets for people staying in quarantine, and tents to establish a fever clinic in the provincial hospital, among other materials.
UNICEF Nepal/2020
UNICEF staff handing over supplies to health officials in Sudur Paschim as part of the COVID-19 response. The supplies include surgical masks, gloves, hand sanitizers, along with blankets and bed nets for people staying in quarantine, and tents to establish a fever clinic in the provincial hospital, among other materials.

The supplies also included water, sanitation and hygiene materials - such as hygiene kits and water-purifying tablets and sachets, among others. 

This image shows a store of supplies provided by UNICEF to the Sudur Paschim Province as part of the COVID-19 response. The supplies include surgical masks, gloves, hand sanitizers, along with blankets and bed nets for people staying in quarantine, and tents to establish a fever clinic in the provincial hospital, among other materials.
UNICEF Nepal/2020
Store of supplies provided by UNICEF to the Sudur Paschim Province as part of the COVID-19 response. The supplies include surgical masks, gloves, hand sanitizers, along with blankets and bed nets for people staying in quarantine, and tents to establish a fever clinic in the provincial hospital, among other materials.

Another aspect of the government’s response has been the establishment of quarantine sites to isolate returnees from India and other countries. One such site has been set up on the Nepal-India border in Banke District to host a total of 181 returnees from India who made the crossing after the lockdown came into effect.

This image shows representatives of the government and security forces and other partners, including UNICEF, during a monitoring visit to the quarantine site set up on the Nepal-India border in Banke District to house recent returnees from India.  ©UNICEF Nepal/2020
UNICEF Nepal/2020
Representatives of the government and security forces and other partners, including UNICEF, during a monitoring visit to the quarantine site set up on the Nepal-India border in Banke District to house recent returnees from India.

As part of UNICEF’s efforts to map existing quarantine facilities, including information on total capacity and conditions of these sites – together with disaggregated data on those being quarantined – UNICEF staff were recently part of a monitoring team, comprising representatives of the government and security forces and other partners, that visited the Banke site.

This image shows a UNICEF staff member during a monitoring visit– conducted together with representatives of the government and security forces and other partner - to the quarantine site set up on the Nepal-India border in Banke District to house recent returnees from India.

UNICEF staff were also engaged in monitoring and providing technical support provincial and local governments  for a mass contact tracing effort conducted in Jumla District in Karnali Province and Achham District in Sudur Paschim on 7 April, where a total of over 550 throat swabs were collected from people who are quarantined and those who were in contact with them.

This image shows health officials in Jumla District collecting throat swabs from people in quarantine and those in contact with them as part of a mass contact tracing effort by the government, with monitoring and technical support from UNICEF and other partners
UNICEF Nepal/2020
Health officials in Jumla District collecting throat swabs from people in quarantine and those in contact with them as part of a mass contact tracing effort by the government, with monitoring and technical support from UNICEF and other partners
This image shows people in quarantine and those in contact with them line up on the airport runway in Jumla District to give throat swabs as part of a mass contact tracing effort by the government, with monitoring and technical support from UNICEF and other partners
UNICEF Nepal/2020
People in quarantine and those in contact with them line up on the airport runway in Jumla District to give throat swabs as part of a mass contact tracing effort by the government, with monitoring and technical support from UNICEF and other partners

The samples were taken by airplane and helicopter to Surkhet and have now been brought to Kathmandu, the capital, for testing.