Panchthar is a hill district of the Mechi Zone in Nepal's Eastern Development Region. The district covers 1,241 km². The district has a reported 191,817 population of 191,817, with 4,804 pregnancies per year. 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.