In this paper, we focus on a Digital Library Initiatives taken by India’s largest one of the six medical universities -- Rajiv Gandhi University of Health Sciences (RGUHS).   (Karnataka).  The paper presents a brief background on the health science education in India, and the status of IT and Internet access infrastructure in the health science colleges.  The Digital Library resources and activities at RGUHS are presented in detail. The paper underlines various WHO projects carried out in the Digital Library. The formation and role of HELINET, the first  resource sharing network and e-journal consortium in the medical education sector is discussed in details.   The problems encountered in the formation of  the e-journal consortium and the strategies being followed for a sustained development of the consortium are discussed