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Pollinator declines in the Himalayan region are leading to negative impacts on people’s livelihoods and health as the yields of nutritious, high-value crops decline. We have proved that these trends can be reversed at a local-scale, if farmers, researchers and policymakers work together. Scaling up in extent and ambition, we will deliver a national-level regime-shift in pollinator awareness, farming and beekeeping practices, research capacity, and conservation policy in Nepal leading to healthier people, economies and ecosystems across the Himalayan region.