One Heart Worldwide (OHW) is a 501(c)3 organization with nearly 20 years' experience providing on-the-ground training in newborn and maternal health. Our mission is to save the lives and promote the well-being of mothers and their newborns in underserved areas of rural Nepal. Our vision is a locally-led health system providing equitable access to quality care for all mothers and newborns. Based on over 10 years of experience in the Tibetan Autonomous Region, OHW has established an effective, replicable and sustainable model to reduce preventable deaths related to pregnancy and childbirth among vulnerable populations in remote rural areas with limited access to care. Essential to the OHW model are integration of local resources, collaboration with local communities and providers, and respect for cultural norms and practices. OHW’s goal in Nepal is to improve access to quality MNH care for 250,000 pregnancies annually by the end of 2030 (⅓ of all annual pregnancies in Nepal) with programs focusing on the more vulnerable populations of 36 underserved rural districts. Current program sites include 24 districts of Nepal.