Every school in Nepal, including government schools, expects a child to arrive with their own uniform, books, notebooks and pencils. In rural areas where families are already struggling to eat, that puts education last on the list.
Sickness does the same damage from the other direction. There is no national health service, so one illness in the family can mean selling the land and the house to pay the medical bills.
Then the 2015 earthquakes took the houses anyway. Families lost land in the landslides, and unless they can afford a costly reinforced building there is nowhere safe to rebuild. More children than ever are being abandoned, sold or trafficked.