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The USAID Paani Program developed a three-part system-scale planning approach for Nepal to optimize energy production while protecting freshwater resources. The project identified High Conservation Value Rivers (HCVR), conducted an Energy Options Assessment (EOA) using the SWITCH model to find least-cost power pathways, and utilized System Scale Planning (SSP) to visualize tradeoffs between economic and environmental goals. Findings indicate that significant river conservation can be achieved with minimal increases in system costs by diversifying the energy mix with wind, solar, and battery storage, and by strategically siting hydropower projects.