Delivering proper maternal-newborn care in Nepal is challenging for many reasons. In remote villages these issues are even more pronounced, as it takes hours to days of hiking through treacherous mountain terrain to reach adequately staffed and supplied medical facilities. As a result, women and their newborns do not always receive quality care. To improve the current conditions, we partner with Nepal-based organizations (public and private). Working together, we have created a shared-responsibility program to elevate the level of care and to establish functional birthing centers. Our approach to accomplishing this operates at many levels: