Based on two decades of experience, both as a physician and public health professional and an anthropologist, the author presents these issues through four case studies of health programme intervention in a district in central Nepal to show the inter-related aspects of the processes. The book explains how local realities align with, resist, and are complicated by globalized narratives and practices of health and development. It pays careful attention to traditional healers, infectious disease, micronutrient initiatives, mental health and the historical, ideological, and political-economic context of mission-based development work. Offering an ethnographic picture of the challenges and possibilities for action that exist in Nepal , this book is of interest to academics in the field of medical and development anthropology and those working directly in the fields of health and development.