“…[30], on the negative influence of market liberalisation; [19], on the downward spiral of poverty and environmental degradation). Many studies also consider intersecting vulnerabilities based on caste, class, gender and—of particular relevance here—generation, creating conditions of particular disadvantage for the most vulnerable members within mountain communities [20, 22, 49, 67]. Consequently, many advocate a child rights based approach [47, 48, 61, 67] and investment in improved accessibility, quality, and cultural appropriateness of services [1, 9, 50, 52, 66, 69].…”