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There is no doubt that child birth is a life changing event. Unfortunately, as wonderful and joyful experience as it is for many, it can also be a difficult period, bringing with it new problem as well as potential of suffering. In the most extreme cases, the mother or the baby or both may die; these deaths are only the tip of the iceberg. Many health problems are laid down in the critical hours of child birth. Many more continue to unfold the days and weeks after the birth. The suffering related to child birth adds up to a significant portion of the world's over all tally of ill health and death. Most of the deaths and disabilities attributable to child birth are avoidable because the medical solutions are well known. The challenges that remain are therefore not technological, but strategic and organizational. The objective of the study was to explore the home delivery care practices and neonatal health outcome in Jhangad community of Sunsari district. Total population of the district is 710842 with 49 Village Development Committees (VDCs), and 3 municipalities. There is a district hospital, five primary health care centers, seven health posts and 40 sub-health posts.