Each district consists of several village development committees (VDCs) in rural areas or municipalities in urban areas. We selected one of these local units from each district by a lottery sampling technique. Before doing this in the five districts in the Mountain division, VDCs or municipalities below 2,000 m were excluded so that sampling was done only from those above 2,000 m (representative of the mountainous terrain). In the Hill division, we applied an element of convenience sampling: two VDCs were selected purposively because access was very difficult to districts above 2,000 m in the selected districts (Ramechap and Rukum).