The Gorkha epicentered earthquake of April 25th, 2015 took over 9,000 lives, and injured many thousands. In addition to the loss of human life, massive damages were caused to infrastructures in and around the epicenter area; particularly in the 14 most affected districts: Gorkha, Dhading, Nuwakot, Rasuwa, Makawanpur, Kathmandu, Lalitpur, Bhaktapur, Kavrepalanchok, Sindhupalchok, Dolakha, Ramechhap, Okhaldhunga, and Sindhuli.
Major damages of health infrastructure in the most affected districts were reported immediately after the earthquake. These reports were taken very seriously by the Ministry of Health and Population, and all such information was collected in an organized manner to get an overall view of damage caused by the earthquake to the health infrastructure.
The Health Emergency Operations Center (HEOC) started collecting data on infrastructural damage, as well as service interruptions, from the health facilities in the 14 most affected districts. These reports became the basis of sending emergency services, human resources, and supplies to the needy health facilities in the immediate aftermath of the earthquake. However, as the emergency response period ended and the reconstruction phase started, more detailed information on the damage was required in order to plan the future reconstruction efforts.
A Post Disaster Needs Assessment (PDNA) was conducted in May, 2015 in search of this detailed information. Teams of health, logistics, and engineering experts visited the District Health Offices (DHO) of each district to collect detailed damage, and service related information. The data collected from these teams were the basis of the costing, and other planning exercises conducted for the PDNA of the health sector.
However, all of this collected information was still not deemed enough to plan the reconstruction/repair/rehabilitation of the health facilities throughout the 14 districts. Detailed engineering information was required to plan the next steps for infrastructure support at the Ministry of Health and Population, which would mean that each facility would need to be visited and assessed by a trained technical person. Such a Detailed Engineering Assessment was planned and executed from September 2015 until December 2015; this report is an accumulation of the data that was collected at each of the facilities in the 14 affected districts. The data collected during the detailed engineering assessment is the basis for the costing of health infrastructural needs presented in this report.