Approximately 87% of Nepal's total final energy is consumed by households. This paper analyzes the patterns of household energy use and associated air pollutant emissions in Nepal based on LEAP framework for thirteen analytical regions and three end-uses. Four scenarios involving different growth paths for socio economic and energy system development through the year 2040 are considered. The study finds that household energy use is heterogeneous across the regions and biomass for cooking dominates the country's energy-mix. Households' CO2 emissions are less significant but their local indoor pollutant emissions will continue to rise in the future. To help strengthen government's commitment to the UN's sustainable energy for all initiative, this study devises an energy development index (EDI) to assess country's energy access, and poverty across the regions. The results reveal that the current level of both energy access and energy poverty in the country is below the basic human needs and this situation will improve by little in next 30 years. The paper argues that to improve these situations require more coordinated and innovative plans and policies from the government. The paper suggests that greater emphasis will be needed in reducing dependence of biomass for cooking, promoting domestic alternative energy sources, scaling up biomass improved cookstoves programs and developing periodic regional level energy database. (C) 2013 Elsevier Ltd. All rights reserved.