Frequent landslides in mid-hill districts in Nepal have caused damage to productive land at the lower basin and affected human settlements and agriculture activities both upstream and downstream. Extensive areas of productive land were left fallow because of their vulnerability to landslides, and many settlements were displaced, mostly from the mid-hills to the Terai region. The communities in the mid-hills practice an integrated approach for landslide treatment, which includes a series of conservation practices strategically planned along the river.