The development objectives of the Power Sector Reform and Sustainable Hydropower Development (PSRSHD) Project for Nepal are to strengthen the capacity of power sector agencies to: (a) plan and prepare hydropower and transmission line projects following international standards and best practices; and (b) improve the planning, policy, legal, and regulatory framework for sustainable water resource management and hydropower development. Some of the negative impacts and mitigation measures include: (1) identifying and assessing possible impacts downstream of the proposed dams; (2) undertaking detailed analysis of the type and levels of impacts upon different populations; (3) developing of a socioeconomic profile of the potentially affected communities; (4) developing necessary mitigation strategy and intervention measures based on the impact analysis; (5) undertaking an assessment of potential public health impacts of the project during pre-construction, construction, and post-construction stages; and evaluating the need for appropriate interventions; and (6) designing a project public health action plan to mitigate adverse impacts, reduce occupational hazards and health risks, and support the health and well-being of local communities.