COVID-19 led to health emergency situation of an unprecedented magnitude across the globe. Strong health systems of the most developed countries also struggled to cope with the increasing demand for intensive care generated due to COVID-19 infection. Countries with poor health system were unable to comprehend its own coping mechanisms. For Nepal, this was the first large scale crisis since establishment of federalism in 2015 and eventually the country entered into an early lockdown on 24 March, 2020. Stringent restrictions on movement and economic activities resulted in disruption of health services and loss of jobs, particularly affecting people living on daily wages.