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Nepal faces a number of challenges to improving the health and survival of its newborns, but they are challenges that are being successfully addressed elsewhere in the developing world and which do not, by and large, require either high-tech or high-cost interventions. With the help of targeted assistance, aimed mainly at the home and the rural community and at the critical link between healthy mothers and their babies, Nepal can expect a brighter future for its newborns. The Saving Newborn Lives initiative (SNL) of Save the Children US, a worldwide effort of the Bill & Melinda Gates Foundation, can make an important contribution to this cause in four key areas.