<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc2c9c7e80680e0a0b73jpeg.jpg" alt="" width="1500" height="1000"/><figcaption>Photo: MONIKA DEUPALA</figcaption></figure><ul><li>Two years ago after going through a bad relationship, a 36-year-old Kathmandu-based doctor started getting suicidal thoughts. During the long months of lockdown, he would be on the rooftop and imagine jumping off to end it all. But before long he realised that he was causing self-harm, and sought help. He was diagnosed with depression, eight months into treatment he is rid of suicidal thoughts and is back to his outgoing ways.</li> <li>The bubbly young woman used to be the life of every party, but few of her friends and relatives realised what was going on inside her mind. As the pandemic hit, she started having violent thoughts about harming others and herself. The 22-year-old tried to deal with it herself, but two months ago she sought help from a mental health doctor. She was diagnosed with Obsessive Compulsive Disorder (OCD) and started treatment. Looking back, she advises others to also seek professional help in time.</li> <li>The young woman felt worthless, lacked confidence, avoided crowds and had self-inflicted cuts on her arm. Her inability to come in terms with her sexuality aggravated her sense of insecurity. When the pandemic foiled her plans, she blamed everything on herself, she felt irritated and uncertain, stopped attending virtual classes and her eating habits changed. She finally sought help for her depression and she is now under regular psychiatric counselling and medications. Grounding exercises in particular have helped her overcome self-harm and feelings of inadequacy. “I am okay now,” she says.</li></ul>As the pandemic turns lives upside down, there has also been a global <a href="https://www.nepalitimes.com/here-now/post-pandemic-mental-health-epidemic/" target="_blank" rel="noopener noreferrer">outbreak of mental health disorders</a>, and Nepal has reported a rise in suicides. However, as these cases show, professional counselling and medication can save lives.Recoveries rarely make news, only suicides do.“Most of my patients who attempted suicide have gone on to lead normal lives after they get treatment, and oftentimes they look back to their mental health crisis as nothing more than a lapse of judgment,” says psychiatrist and researcher Rishav Koirala.There has been a sharp rise in <a href="https://www.nepalitimes.com/latest/have-suicides-increased-during-nepal-lockdown/" target="_blank" rel="noopener noreferrer">suicides in Nepal</a> since the Covid-19 pandemic in March 2020 and subsequent lockdowns. Nepal Police data shows that in the last 12 months, there have been 7,141 reported deaths due to suicides nationwide, up from 6,252 the year before.Do not shy away from seeking help. If you, or anyone you know, would like to speak to a trained mental health professional, please contact:TUTH Suicide Hotline: 9840021600Transcultural Psychosocial Organisation-Nepal Crisis Hotline: 1660 0102005Mental Health Helpline Nepal: 1660 0133666Centre for Mental Health and Counselling Nepal Toll-free: 16600185080, Hotline: 1145Koshish Toll-free helpline: 166001-22322 (Bagmati Province)Patan Hospital Helpline: 9813476123National Suicide Prevention helpline operated by Mental Hospital Lagankhel and TPO: 1166<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc2e9c7e80680e0a0b74jpeg.jpg" alt="" width="640" height="475"><figcaption> </figcaption></figure>In a survey last year, <a href="http://www.tponepal.org" target="_blank" rel="noopener noreferrer">Transcultural Psychosocial Organisation (TPO) Nepal</a> which works with mental health compared five years of suicide data for March-July to see if there was any change during the lockdowns in 2020 and 2021.The results are revealing: suicides have been increasing steadily at an average rate of 8.5% every year, but it spurted to 19.4% in the first four months of the lockdown. Researchers also conducted key informant interviews across Nepal, who reported witnessing an increase in <a href="https://www.nepalitimes.com/latest/suicide-watch/" target="_blank" rel="noopener noreferrer">suicidal behaviours</a> in the community as well as health facilities.“We now have both quantitative and qualitative evidence that mental health problems have increased following the pandemic,” says TPO Nepal’s executive director Kamal Gautam. “And given that the majority of suicides are caused by psychological problems, we can say that Covid-19 has significantly contributed to its increase.”Mental health professionals have long been warning of an epidemic of psychological disorders following the Covid-19 crisis. They have reported an increase in anxiety, depression, post-traumatic stress disorder (PTSD), hypochondria, obsessive disorders and psychotic symptoms among the general population in the last two years.Economic collapse, job loss and slashed income due to the pandemic as well as <a href="https://www.nepalitimes.com/latest/in-nepal-lockdown-a-domestic-violence-spike/" target="_blank" rel="noopener noreferrer">increased domestic and sexual violence</a> and added workload during the lockdowns have all acted as contributing factors. In addition, those afflicted do not have normal social interactions that used to be a safety valve during more normal times.Moreover, many patients on treatment and medication have relapsed due to the limited access to health services, counselling and psychotropic drugs during the pandemic, and in many cases because of Covid phobia.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc319c7e80680e0a0b75jpeg.jpg" alt="" width="1052" height="690"><figcaption> </figcaption></figure>Up to 80% of suicides have mental health disorders as an underlying cause. A significant portion of cases are also a result of impulsive behaviour.Experts agree that the official <a href="https://www.nepalitimes.com/here-now/nepals-suicide-rate-vastly-underestimated/" target="_blank" rel="noopener noreferrer">numbers on suicides are vastly underestimated</a> due to a lack of suicide registry. Official figures are based solely on police data and post-mortems, and because of stigma associated with mental health, many families also often refrain from revealing the actual cause of death.Official records also do not take into account <a href="https://www.nepalitimes.com/here-now/in-the-minds-of-nepals-migrant-workers/" target="_blank" rel="noopener noreferrer">suicides of Nepali migrant workers overseas</a>, mainly Malaysia and South Korea. Similarly, suicides among those in the LGBTIQ community who have lost their limited sources of livelihood during the pandemic have been largely neglected.“Reported cases alone are not conclusive, but given that we now have a year and a half long trend and data, we have seen a significant increase in mental health disorders, and can assume that pandemic has played a crucial part in the rise in the number of suicides,” adds Rishav Koirala.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.who.int/news-room/fact-sheets/detail/suicide" target="_blank" rel="noopener noreferrer">More than 700,000 people die by suicide</a> every year around the world, that is one in every 100 deaths -- more than HIV, malaria, breast cancer, or war and homicide. And for every suicide, there are many more who make attempts to end their lives.Nepal is among the countries with the highest suicide rates in the world and consistently ranks within the WHO’s top 10 list. The Nepal Health Research Council (NHRC)’s <a href="http://nhrc.gov.np/wp-content/uploads/2020/09/Factsheet-Adults-1.pdf" target="_blank" rel="noopener noreferrer">National Mental Health Survey</a> published earlier this year found the prevalence of suicidality (current suicidal thoughts, lifetime suicidal attempt and future likelihood of suicidal thoughts) to be high at 7.2% among Nepalis.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc339c7e80680e0a0b76jpeg.jpg" alt="" width="1464" height="752"><figcaption> </figcaption></figure>The first of its kind survey in Nepal interviewed 15,088 participants and was carried out before <a href="https://www.nepalitimes.com/opinion/coping-with-anxiety-in-new-lockdown/" target="_blank" rel="noopener noreferrer">the pandemic</a> from January 2019 to January 2020. The study revealed that 10% of Nepal’s adult population had mental health problems in their lifetime with 4.3% experiencing some disorders at present.Mood disorders and neurotic and stress-related disorders were among the most common <a href="https://www.nepalitimes.com/latest/tackling-nepals-mental-health-pandemic/" target="_blank" rel="noopener noreferrer">psychological problems among Nepalis</a>. The prevalence of lifetime disorders was found the highest in Province 1 (13.9%), in the age group 40-49 years (13.3%) and among males (12.4%). As for current disorders, Bagmati scored the highest (5.9%) as well as those in the age group 40-49 years (6.3%) and females (5.1%).These figures correlate with Nepal’s suicide data of the past five years. Despite fewer attempts, men accounted for 57% of total suicides, against 43% of women. Among minors, however, more girls died by suicide, which experts ascribe to possible victimisation and a higher prevalence of borderline personality disorder among younger females.Suicide deaths are also disproportionately distributed across Nepal with Province 1 recording 65 deaths per 100,000 populations. Lumbini and Gandaki follow closely with 58 and 52 per 100,000 respectively. Traditionally neglected by the state and economically disadvantaged Karnali, Far West and Province 2 regions have lower suicide rates.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc369c7e80680e0a0b77jpeg.jpg" alt="" width="2287" height="1816"><figcaption> </figcaption></figure>More people are dying of suicides in urban centres such as Kathmandu Valley and Ilam district, which reported 32 and 38 suicide deaths respectively per 100,000 populations last year against Rautahat’s 18 and Humla’s 6.This is in direct contrast with the global trends where 77% of suicides occur in low and middle-income countries. Unemployment and poor economic condition have long been associated with a high risk of suicides, but only up to a certain point, as proven by recent data. Japan, <a href="https://www.nepalitimes.com/here-now/dead-end-of-the-korean-dream/" target="_blank" rel="noopener noreferrer">South Korea</a> and Hungary with their higher per capita GDPs have some of the highest suicide rates in the world.“Poorer nations have weaker education and health systems, which translates into delayed or even lack of diagnosis but poverty is not a sole factor for suicides,” says Kamal Gautam. “Suicide is complex and there are multiple factors at play which means a linear approach to prevention would be incomplete, it needs an integrated approach.”Addressing underlying mental health disorders is the most effective way to prevent suicides. This means increased awareness and education about psychological disorders, which in turn can help <a href="https://www.nepalitimes.com/here-now/all-in-the-family/" target="_blank" rel="noopener noreferrer">reduce societal stigma</a>. An introduction to and discussion on mental health in the school curriculum can further sensitise the public.In addition to medication and counselling, societal structure and family dynamics is an important support system for individuals suffering from psychosis, trauma and depression. Telemedicine in particular has been essential in preventing self-harm during the pandemic-induced restrictions but mental health services need to be scaled up across the country.On the other hand, a strict regulation must be implemented on the <a href="https://www.nepalitimes.com/here-now/suicide-by-pesticide-in-nepal/" target="_blank" rel="noopener noreferrer">availability of pesticides</a>, an easy means of suicide for many. Access to alcoholic products must also be supervised with Nepalis known to self-medicate to cope with stress and trauma, in turn increasing the risk of self-harm and suicide.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc399c7e80680e0a0b78jpeg.jpg" alt="" width="1280" height="853"><figcaption> </figcaption></figure>But most of all, analysing suicide attempts can be a powerful tool for prevention. On average, there are six attempts behind every suicide. Up to 80% of people with suicidal ideation reveal their intention to either a family member, friends or their doctors within a month before their attempt.“We forget that even before the pandemic suicide rates were very high in Nepal and while the pandemic might have added to the problem, the figures alone don’t mean anything if we fail to also study suicide attempts to find a stronger link between the prevalence and the contributing factors,” says Rabi Shakya, psychiatrist and director of Patan Academy of Health Sciences.He adds: “Historically, there have been more suicides after than during the crisis due to the long-term socioeconomic impacts. So we must start preparing for the pandemic of mental health problems including suicides post-Covid. Our health care workers must be trained and fanned out across the country.”Nepalis are not new to mental health problems induced by a crisis. The 10-year-long Maoist insurgency killed 17,000 people but many more continue to suffer from <a href="https://www.nepalitimes.com/here-now/the-mental-scars-of-violence/" target="_blank" rel="noopener noreferrer">PTSD, depression, anxiety and distress</a>. A 2017 report published in the journal Lancet found as high as <a href="https://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486" target="_blank" rel="noopener noreferrer">37.5% of the general public</a> had some form of psychological disorder.The <a href="https://www.nepalitimes.com/here-now/its-all-in-the-mind/" target="_blank" rel="noopener noreferrer">2015 earthquake</a> further added to Nepal’s epidemic of mental disorders. Survivors who had narrow escapes or lost family members reported increased panic attacks, anxiety and trauma.But <a href="https://archive.nepalitimes.com/article/editorial/the-republic-of-insomnia,3311" target="_blank" rel="noopener noreferrer">conflicts, disasters</a> and pandemics have shined a light on mental health with an increased national and foreign investment in prevention and management. With larger chunks of the population impacted, there is now more acceptance and the field is starting to get the priority it warrants.Says Rishav Koirala, WHO focal person for mental health post-2015 earthquake: “The best way to prevent suicides is to address underlying psychological disorders and crises, despite adding to the burden has helped normalise them because many more people can now relate and understand that they are treatable.”

Sonia Awale

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Nepal sees spike in suicides during pandemic

<figure><img width="1440" height="960" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce7419c7e80680e0967b2jpeg.jpg" alt=""/><figcaption>Photo: UNICEF NEPAL</figcaption></figure>Just over a year of living with the pandemic, Nepalis were just starting to get back on their feet, their income and nutrition status was improving, when <a href="https://www.nepalitimes.com/latest/kathmandu-locks-down-again/" target="_blank" rel="noopener noreferrer">another lockdown was announced this week</a> to contain the <a href="https://www.nepalitimes.com/banner/unmasking-the-second-wave/" target="_blank" rel="noopener noreferrer">second wave</a>.According to the latest round of the nationwide poll, the loss of jobs and livelihoods was down from 61% in July and 55% in May 2020 to 19% in January. However, 40% of Nepali households are at risk of falling back into poverty with earnings less than Rs10,000 per month.The recovery however is uneven, families where members have lost jobs, that have persons with disabilities and <a href="https://www.nepalitimes.com/latest/nepali-women-survive-pandemic-economy/" target="_blank" rel="noopener noreferrer">headed by the females</a> are earning none or less than 10K. <figure><img width="1318" height="1070" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce7439c7e80680e0967b3jpeg.jpg" alt=""><figcaption>All graphs: UNICEF and SHARECAST INITIATIVE</figcaption></figure><img width="2194" height="1078" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce7469c7e80680e0967b4jpeg.jpg" alt="">This was the sixth in a series of periodic household surveys conducted by Sharecast Initiative Nepal on behalf of UNICEF to track the socio-economic multi-sectoral impact of Covid-19 on children and families in Nepal, and was conducted before the current surge. Nepali Times has been tracking the outcomes of these surveys which were previously conducted in May, July, August and October and December.The latest survey in December also found out that 97% of the children were going to school with 89% of them taking classes online. Only 5% were being homeschooled. Bagmati and Gandaki provinces had most schools offering distance learning facilities.  Even as more parents gain confidence to send their children back to physical classrooms, up to 61% from as low as 38% back in October, <a href="https://www.nepalitimes.com/latest/learning-during-the-pandemic-in-nepal/" target="_blank" rel="noopener noreferrer">remote learning will continue to be the norm</a> as schools close again following the latest surge in new cases and the new lockdowns from Thursday in 10 of the most populous districts, including Kathmandu, Lalitpur, and Bhaktapur.  <figure><img width="856" height="1054" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce7499c7e80680e0967b5jpeg.jpg" alt=""><figcaption>Increase in parents' confidence levels to send their children back to physical classrooms.</figcaption></figure>In another decreasing tread, only 8% of households reported not getting <a href="https://www.nepalitimes.com/latest/quarter-of-nepalis-still-hungry-during-pandemic/" target="_blank" rel="noopener noreferrer">sufficient food</a> in January down from 19% back in<a href="https://www.nepalitimes.com/latest/1-in-5-nepal-families-lack-food/" target="_blank" rel="noopener noreferrer"> August 2020</a>. The improvement is visible across all income groups, but less so for those in lower quantiles.On the nutrition front, 6% of respondents reported that their children were eating only 2 meals a day. These are mainly families struggling for food, with job losses, or from lower-income groups.Another 70% said their children were eating three meals a day, and a quarter of families said they could afford more than 3 meals a day. <img width="2398" height="1056" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce74c9c7e80680e0967b6jpeg.jpg" alt=""><img width="980" height="968" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce74f9c7e80680e0967b7jpeg.jpg" alt="">How are Nepali families doing in terms of <a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/latest/free-soap-to-fight-covid-19/" target="_blank" rel="noopener noreferrer">safety measures against Covid-19?</a>The survey showed that 52% practised handwashing for 20 seconds or more all the time. Only 37% wore a mask in public at all times while only 10% practised 2m safe distancing every time they were out. Province 2 respondents scored lowest on all the fronts.There is a decreasing trend in the share of respondents reporting all the time or most of the time, with increases in those saying 'rarely' and 'never'. Lack of infrastructure and jobs were the main reasons given for not being able to practise protective measures. <img width="1050" height="970" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121156/636ce7519c7e80680e0967b8jpeg.jpg" alt=""><a href="https://www.nepalitimes.com/latest/in-nepal-lockdown-a-domestic-violence-spike/" target="_blank" rel="noopener noreferrer">Violence against women and children</a> on the other hand has steadily picked up with 6% witnessing violence against women and/or children in January.Interestingly, the top income group is the most likely to witness domestic violence against women while the lowest two income groups are more prone to abandon a child.Some 6%of respondents also noticed or heard of children being trafficked, the number went up to 26% with regards to child marriage and 6% for child labour or migration. Respondents from Province 2 were most likely to report all three.Read also: <a href="https://www.nepalitimes.com/latest/nepals-economic-downturn-1-year-after-lockdown/">Nepal’s economic downturn, 1 year after lockdown</a>, Ramesh Kumar

New Nepal lockdown may cancel gains

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181140/636be64c9c7e80680e087799jpeg.jpg" alt="" width="1500" height="922"/><figcaption></figcaption></figure>The UK government has contributed $5.75 million to help Nepal’s most vulnerable 160,000 families to cope with the <a href="https://www.nepalitimes.com/latest/covid-19-impact-on-food-and-school-in-nepali-children/" target="_blank" rel="noopener noreferrer">impact of the pandemic</a> in the country’s remote and under-served districts.The contribution from the British Foreign, Commonwealth &amp; Development Office (FCDO), will allow WFP to support 65,000 people with cash-based assistance in Sarlahi, Rautahat, Kalikot, Dailekh and Bajura districts. It will also provide 73,000 vulnerable young mothers and their children in all eight Province 2 districts with nutritious food and counselling.Meanwhile, more than 19,000 people will have jobs working on <a href="https://archive.nepalitimes.com/article/nation/Dolakha-rebuilding-bridges-after-quake,3702" target="_blank" rel="noopener noreferrer">trails and bridge improvements</a> in Gorkha, Dhading and Rasuwa districts that were hit hard by 2015 earthquake. Community-based projects will provide employment, and UKAid says earnings will help provide a much needed boost to the local economy.“Over the very long relationship between the people of Nepal and the British public, the UK has provided help in times of crisis. The Covid-19 crisis is no exception,” says Lisa Honan, Development Director at the British Embassy Kathmandu. “I am proud that we are providing UKaid to help some of the poor and vulnerable people of Nepal, particularly mothers and children, who have been especially hard hit.”The pandemic has destroyed work and livelihood opportunities for many households, particularly in rural Nepal. Hundreds of thousands of <a href="https://www.nepalitimes.com/here-now/workers-return-to-jobless-nepal/" target="_blank" rel="noopener noreferrer">migrant workers have returned home from India</a> and the Gulf. Others have lost their small businesses or daily wage jobs.According to the second household survey by Ministry of Agriculture and WFP Nepal, over 20% of households in Nepal are severely <a href="https://www.nepalitimes.com/latest/1-in-5-nepal-families-lack-food/" target="_blank" rel="noopener noreferrer">food insecure</a>, meaning they struggle to buy or produce enough food to live a healthy life, while 43% of children between 6-23 months do not have enough variety in their diet.Sudurpaschim, Karnali and Province 2 are the most <a href="https://www.nepalitimes.com/latest/nepalis-eating-less-due-to-lockdown-hardships/" target="_blank" rel="noopener noreferrer">food insecure</a> with 23.8%, 23.3% and 22.1% of households consuming inadequate diet. Similarly, 11% of households reported job loss and 31.2% a reduction in income (highest in province 1 at 40.5% and 38.8% and 38.3% in Sudurpaschim and Province 2).Families with disabled, elderly, children, Covid-19 patients or with pre-existing medical conditions, as well as pregnant women and breast-feeding mothers, have been most severely affected.WFP will provide these households with unconditional cash support so that they don’t have to resort to eating fewer and smaller meals, child labour or <a href="https://www.nepalitimes.com/latest/child-marriages-up-during-nepal-lockdown/" target="_blank" rel="noopener noreferrer">child marriage</a>, undermining Nepal’s dramatic progress in <a href="https://www.nepalitimes.com/banner/children-are-collateral-damage-in-nepal-lockdown/" target="_blank" rel="noopener noreferrer">public health</a> and education.“We are thankful for this timely commitment from the United Kingdom when the most vulnerable and food-insecure families in Nepal are facing an increase in food prices, decrease in income and large-scale unemployment,” says Pippa Bradford, WFP Nepal Country Director.The latest contribution from the UK Government follows aid over $4.4 million from 2017-2021 to the Emergency Preparedness and Response Project to help WFP build logistic bases across the country.

UK aid for Nepal’s Covid-affected

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110919118/636bed674b0ad905ca02eee2jpeg.jpg" alt="" width="1500" height="922"/><figcaption></figcaption></figure>The UK government has contributed $5.75 million to help Nepal’s most vulnerable 160,000 families to cope with the <a href="https://www.nepalitimes.com/latest/covid-19-impact-on-food-and-school-in-nepali-children/" target="_blank" rel="noopener noreferrer">impact of the pandemic</a> in the country’s remote and under-served districts.The contribution from the British Foreign, Commonwealth &amp; Development Office (FCDO), will allow WFP to support 65,000 people with cash-based assistance in Sarlahi, Rautahat, Kalikot, Dailekh and Bajura districts. It will also provide 73,000 vulnerable young mothers and their children in all eight Province 2 districts with nutritious food and counselling.Meanwhile, more than 19,000 people will have jobs working on <a href="https://archive.nepalitimes.com/article/nation/Dolakha-rebuilding-bridges-after-quake,3702" target="_blank" rel="noopener noreferrer">trails and bridge improvements</a> in Gorkha, Dhading and Rasuwa districts that were hit hard by 2015 earthquake. Community-based projects will provide employment, and UKAid says earnings will help provide a much needed boost to the local economy.“Over the very long relationship between the people of Nepal and the British public, the UK has provided help in times of crisis. The Covid-19 crisis is no exception,” says Lisa Honan, Development Director at the British Embassy Kathmandu. “I am proud that we are providing UKaid to help some of the poor and vulnerable people of Nepal, particularly mothers and children, who have been especially hard hit.”The pandemic has destroyed work and livelihood opportunities for many households, particularly in rural Nepal. Hundreds of thousands of <a href="https://www.nepalitimes.com/here-now/workers-return-to-jobless-nepal/" target="_blank" rel="noopener noreferrer">migrant workers have returned home from India</a> and the Gulf. Others have lost their small businesses or daily wage jobs.According to the second household survey by Ministry of Agriculture and WFP Nepal, over 20% of households in Nepal are severely <a href="https://www.nepalitimes.com/latest/1-in-5-nepal-families-lack-food/" target="_blank" rel="noopener noreferrer">food insecure</a>, meaning they struggle to buy or produce enough food to live a healthy life, while 43% of children between 6-23 months do not have enough variety in their diet.Sudurpaschim, Karnali and Province 2 are the most <a href="https://www.nepalitimes.com/latest/nepalis-eating-less-due-to-lockdown-hardships/" target="_blank" rel="noopener noreferrer">food insecure</a> with 23.8%, 23.3% and 22.1% of households consuming inadequate diet. Similarly, 11% of households reported job loss and 31.2% a reduction in income (highest in province 1 at 40.5% and 38.8% and 38.3% in Sudurpaschim and Province 2).Families with disabled, elderly, children, Covid-19 patients or with pre-existing medical conditions, as well as pregnant women and breast-feeding mothers, have been most severely affected.WFP will provide these households with unconditional cash support so that they don’t have to resort to eating fewer and smaller meals, child labour or <a href="https://www.nepalitimes.com/latest/child-marriages-up-during-nepal-lockdown/" target="_blank" rel="noopener noreferrer">child marriage</a>, undermining Nepal’s dramatic progress in <a href="https://www.nepalitimes.com/banner/children-are-collateral-damage-in-nepal-lockdown/" target="_blank" rel="noopener noreferrer">public health</a> and education.“We are thankful for this timely commitment from the United Kingdom when the most vulnerable and food-insecure families in Nepal are facing an increase in food prices, decrease in income and large-scale unemployment,” says Pippa Bradford, WFP Nepal Country Director.The latest contribution from the UK Government follows aid over $4.4 million from 2017-2021 to the Emergency Preparedness and Response Project to help WFP build logistic bases across the country.

<figure><img width="747" height="600" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141112/636ba78a9c7e80680e07378cjpeg.jpg" alt=""/><figcaption></figcaption></figure>In the past week, two photojournalists and several reporters at a digital news portal have tested positive for SARS-CoV-2. The group Photo Journalists Nepal is organising PCR tests for all its members in the coming weeks.    Being on-site on the frontlines is also exerting a mental strain on journalists across the country as they have the constant fear of exposure and transmitting to elderly family members at home. They are also worried about losing their jobs, as media companies start laying off staff.This in turn is affecting the quality and quantity of news delivered by agencies. On the other hand, the financial fragility of media companies also affects their independence as they come to depend more on government support or advertising revenue.  A nation-wide survey carried out by the Nepal Press Institute and the University of Bournemouth found a rise in mental strain complaints among Nepali journalists. The poll was conducted between 10-24 July, and involved 1,134 journalists from all seven provinces. Of those surveyed, 83% said they worried about increased risk of infection, 75% said they feared the situation would get worse – as it did in the subsequent weeks after the survey was conducted. And 62% reported personal discomfort, and 28% were even losing sleep.https://www.youtube.com/watch?v=L7-w7_jXD1EAside from worry about their health, reporters also said the uncertainty about their jobs and not getting salary on time was also causing mental stress. As many as 74% of the journalists polled said they had already suffered financially from the crisis, while 6.3% lost their jobs altogether, while 38% had salary cuts. These numbers are now higher because several more publications have shut down in the past month.  Even in July, the survey already showed that mental health was becoming a problem among frontline media practitioners. A quarter of those polled reported experiencing bouts of depression or frustration, and 60% constantly worried about their ability to support their families.   Finance Minister Yubaraj Khatiwada has proposed an aid package for cash-strapped journalists through the Coronavirus Relief Fund, and discussions with media support organisations are said to be underway.   <a href="https://www.nepalitimes.com/latest/in-locked-down-nepal-print-is-still-king/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/latest/in-locked-down-nepal-print-is-still-king/&amp;source=gmail&amp;ust=1598416952991000&amp;usg=AFQjCNEm4pi2b_c74e39buscgy9bCs1qCQ">Print publications</a> have been particularly affected by the pandemic, with 55% journalists reporting a drop in the number of pages in their outlets, while 48% said there was a reduction in frequency of their editions. Many news agencies have also been forced to go online only, even as readership migrates from print to <a href="https://www.nepalitimes.com/here-now/nepalis-are-drifting-to-digital-media/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/here-now/nepalis-are-drifting-to-digital-media/&amp;source=gmail&amp;ust=1598416952991000&amp;usg=AFQjCNFr3phi8yhoDHvT49nzYXRb3561DQ">online sites and internet coverage grows. </a>The survey reported a drop in the quality of audio and visual news broadcasts, as 20% of journalists felt they were spending less time doing their reporting or editing work.UPDATE 28 August: The Federation of Nepalese Journalists revealed that 71 media persons across Nepal have tested positive. Of them,  the most (27) are in Province 2.

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UK aid for Nepal’s Covid-affected

UK aid for Nepal’s Covid-affected

Nepal’s journalists are also on the frontlines