Each year in Nepal, 1,500 mothers and 12,000 newborns die from preventable causes related to pregnancy or childbirth. 94% of these deaths occur in remote underserved areas, where most could have been prevented with simple interventions such as the presence of a well-trained Skilled Birth Attendant (SBA) at delivery. To improve SBA training and improve the quality of essential obstetric and newborn care services in rural Nepal, this Rotary Global Grant supports an innovative simulation-based training and mentorship program for rural health providers.