As we move into the third millennium, it is clear that the World Health Organisation(WHO) goal of “Health for All” is yet to be achieved. Nowhere is this more evidentthan in developing countries like Nepal where the majority of people live in ruralareas, many of them caught in the poverty-ill health-low productivity downward spiral.In recent decades, most programs aimed at improving population health outcomeshave been designed and delivered with little or no involvement of medical practitionersother than specialists in specific diseases or population/public health.General practice is the medical discipline which involves the provision of continuing,comprehensive, community-based patient-centred prevention-oriented primary care.General practitioners are at the interface between: low technology/low cost and hightechnology/high cost care; medical and non-medical health and welfare services; andindividual care for illness, injury or disability and community/population healthapproaches to improving health status. This places general practice and generalpractitioners in a pivotal position to provide individuals and families with timely cost-effective care, and to provide leadership in the development and implementation ofhealth care systems which are responsive to community and societal needs.Since 1994, the WHO and WONCA, the World Organisation of Family Doctors, havebeen working together first through a landmark Invitational Conference and Reporton “Making Medical Practice and Education More Relevant to People’s Needs: TheContribution of the Family Doctor”, and more recently through a Memorandum ofAgreement and the Towards Unity for Health (TUFH) Project. TUFH promotes effortsworldwide to create unity in health service organisations particularly throughsustainable integration of medicine and public health, individual health and communityhealth related activities. Achievement of “Health for All” will require development ofbalanced, affordable and sustainable health care systems which build on the broadexpertise of general practitioners and general practice.