Our Plan

Our Plan

Our Plan (2026-2029)

Building a Sustainable Healthcare Ecosystem

Drawing on five years of immersive work and building of community trust, Sangwari is now moving toward a long-term, self-reliant healthcare model anchored around a Rural Resource Centre for Health and Nutrition. We see ourselves as a publicly committed  but a non-state formation working for comprehensive primary health care. Not as — not as a replacement for the public system, but as an ally of the public health system as well as a catalyst for ensuring comprehensiveness, equity, dignity, and local empowerment in the Surguja division. While being committed to comprehensive primary health care, we will focus and work on the important yet hitherto neglected areas such as serious NCDs, animal bites, syndemic of tuberculosis and severe undernutrition, palliative care, under 3 child malnutrition and other nutrition related illnesses. We will like to explore strategies that support health personnel who pursue generalism, task shifting and sharing from the Community health worker to the family medicine specialised generalist. We will work on understanding structural and social determinants of health and develop concrete strategies on addressing them. The triple strategies of training health personnel in the non-profit sector as well as in the public health system, research on questions important to the people here in order to generate knowledge and advocating for evidence based strategies to be implemented at scale would be girding our service work.

1. Establishing the Sangwari Resource Centre in rural health

Our upcoming  campus at Judwani in  rural Surguja will serve as a hub for compassionate, high-quality care. The campus will house:

  •  A 50-bed inpatient facility, developed phase wise with specialized units for severe tuberculosis, palliative care, and chronic disease management.
  •  A comprehensive outpatient department offering primary and secondary care, including 24/7 emergency and first-aid services.
  •  A Training & Resource Centre with guest houses, dormitories, and meeting spaces to nurture future health leaders and host learning exchanges.
  •  Staff residential quarters to ensure 24/7 availability and retention of dedicated medical and support teams.

The facility will be built incrementally, beginning with modular interim clinics and expanding based on community needs and organizational capacity.

2. Delivering Lifecycle-Based, Clinical Excellence

Our clinical services prioritize the whole person across their entire life — with a special focus on those most neglected:

  • Women and girls:  comprehensive antenatal, postnatal, menstrual, and reproductive care, including safe abortion and cancer screening.
  • Children and adolescents:  management of acute illness, severe malnutrition, and chronic conditions like sickle cell disease, epilepsy and other chronic diseases, school health programs.
  • The elderly and chronically ill:  integrated care for diabetes, hypertension, stroke, disabilities, and age-related frailty, coupled with physiotherapy, nurse-led counseling, and social support.
  • Palliative and end-of-life care:  dedicated inpatient beds for symptom control, caregiver respite, and dignified, culturally safe death — with morphine and essential pain relief available near home.
  • Climate-sensitive diseases:  prevention and treatment of heat-related illness, vector-borne diseases (malaria, scrub typhus), and animal bites that disproportionately affect Adivasi communities.

At Sangwari clinics, chronic conditions are managed through a social prescription approach: medical treatment is seamlessly linked with social support to help families access Ayushman Bharat, disability pensions, food entitlements, and other schemes that tackle the root causes of poor health.

3. Deepening Community Health and Engagement

Healthcare cannot be confined to a hospital. We are strengthening our community health program across 48+ villages, focusing on:

  • Trained community health workers:  to complement ASHAs and CHOs in the public health system, we would be training and supporting additional  hamlet level health workers as well as mid-level Health workers who detect, treat, and refer common illnesses, run awareness sessions, and serve as trusted bridges to the clinics.
  • Participatory monthly dialogues:  with adolescent girls, women, and the elderly to collectively address health, nutrition, and social security needs.
  • Home-based screening and follow-up:  for hypertension, diabetes, TB, and disability among the elderly, reducing out-of-pocket expenses and late complications.
  • Decentralized outreach camps:  in the most difficult-to-reach hamlets, ensuring antenatal care, child nutrition screening, and chronic disease management are not luxuries but rights.
  • Community oversight (“SAMVAAD”) meetings:  every quarter, where residents review our work and hold us accountable — guaranteeing that nothing about them happens without them.

4. Strengthening the Public System and Generating Knowledge

We remain a committed partner to the government health system. Our plan includes:

  • Training over 1,000 health workers annually:  from Mitanins and nurses to medical officers — in areas like heat illness, animal bites, geriatric care, and palliative support.
  • Scaling our proven care coordination models:  for sickle cell disease, childhood diabetes, and other complex chronic conditions, aiming for state-wide adoption.
  • Rigorous documentation and research:  producing peer-reviewed publications, training manuals, and local-language audio-visual aids to bridge the “health data poverty” in Adivasi areas and advocate for policy change.

5. The Road Ahead (2026–2029)

Figure 7 — Three-year roadmap to a fully functional Resource Centre

  • Year 1:  Begin campus construction; relocate the Amgasi clinic into interim modular units; operationalize the first 10 inpatient beds.
  • Year 2:  Complete the 30-bed hospital with TB and palliative care units; launch the Training Centre and staff residences.
  • Year 3:  Expand to a fully functional 50-bed Resource Centre; initiate residential training programs; consolidate as a replicable model of rural health equity.

This plan is our collective response to a medical desert — not a temporary project, but a lasting commitment to walk alongside the people of Surguja toward a future where geography, income, and identity no longer determine who gets to live in good health.