Taplejung is a mountain district located in the Mechi Zone of Northeastern Nepal. The district covers 3,646 km². The 2011 census counted 127,461 people and they report 3,129 pregnancies per year. This district is home to the third highest mountain in the world. Taplejung has an airstrip with commercial flights to Biratnagar and Kathmandu. A road connects the district headquarters with the Tarai plains. Most of the population is involved in subsistence agriculture, and the vegetation zones range from sub-tropical to mountainous. This district is home to a diverse range of ethnic groups including the Limbus, Tibetans, Sherpas, Rai, Gurung, Magars, Newars and Tamangs. Most inhabitants practice subsistence farming. The rate of childbirth with a Skilled Birth Attendant, the single most effective intervention to reduce maternal mortality, is less than 25%. Most facilities lack power, running water and are under-staffed. Estimates of maternal and neonatal mortality are twice the national average.