The Paropakar Maternity and Women's Hospital (PMWH) in Kathmandu is the only specialist facility of its kind in the country, offering free services for complex obstetric cases. As the largest hospital, Paropakar is perceived as a "brand" and is associated with high quality care and safe deliveries. As a result, this highly specialised facility is overwhelmed by cases of uncomplicated deliveries and other simple treatments, which could easily be handled in lower-level facilities and at a shorter distance from clients' homes, thus improving the cost-effectiveness of services. The aim of the project is to decongest the PMWH and direct patients to the appropriate level of care by establishing a network of accredited satellite hospitals (SHs). These would operate under the same PMWH brand, enabling PMWH to offer highly specialised care, emergency services and referral care while providing supervision and mentoring to the teams that would run the SHs. The GFA Consulting Group and AMPC Consortium was commissioned to prepare a detailed feasibility study for this project. As part of this study, AMPC developed the functional programme and architectural design and carried out an environmental and social impact assessment of the project in collaboration with local experts.