Terhathum is part of the Kosi Zone. The district, with Myanglung as its district headquarters covers an area of 262 sq mi / 679 sq km, has a population of 101,371 and reports 2,700 pregnancies per year. Most practice subsistence farming, black cardamom being the major cash crop. 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.