Dolpa is a mountain district, home to 38,607 people and covering an area of 2,889 km² in northwestern Nepal. There are 1,300 pregnancies reported per year. There are no roads, and plane service is unreliable at best. Our original feasibility study from 2011 reported some of the highest maternal and neonatal mortality rates in the entire world, and five times the national average of Nepal. Services and facilities were non-existent. After four years implementing the Network of Safety, the rate of deliveries with a Skilled Birth Attendant was tripled and both maternal and neonatal mortality were reduced by 97%. In addition to serving as our pilot district, Dolpa has demonstrated that implementing our model in such a remote area is feasible, and that local stakeholders support our program and mobilize their communities, proving that the Network of Safety is simple, efficient and replicable, and sustainable. Our transition phase to the local government started on schedule in 2015, and will phase out at the end of 2017.