This document is an output from a World Food Programme (WFP) initiated and Department of International Development (DFID), UK funded study. The project has been jointly implemented by IT Transport Ltd (ITT) and Nepal Development Research Institute (NDRI). Mr Farhad Ahmed of ITT and Dr Punya Prasad Regmi of NDRI have jointly prepared the report. Ms Lalita Thakali of NDRI has been involved as a Research Associate in this study and took part in data collection. The views expressed are those of the author(s) and not necessarily those of DFID or WFP.