In order to reach the more remote interior villages where nobody else has attempted to do developmental work, the Sangam introduced Sub Centres in the areas where the villages are often cut off for weeks during the rainy season and where the distances and high transport costs limit the amount of work that can be covered by the Sangam Health Team based at Bamhani.
In 2005 the first Sub Centre was established in Shedeshwar which is more than 35 km away from the Bamhani Base Centre over mainly unmade roads. Following this successful pilot project at Shedeshwar a second Sub Centre was set up in Gondwananagar which is adjacent to the MIDC Industrial Area and about 18 km away from the Bamhani Base Centre. In January 2008 the Sangam established a third Sub Centre in Narayanpur, 18 km south of the Bamhani Base Centre. Each of the three Sub Centres provide a kindergarten class for the village children, a sewing class for young women and a healthcare clinic base for the surrounding villages run by the Trained Birth Attendant who supports the home based Village Health and Social Workers.
Up to now the buildings in which the Sangam's Sub Centres are based have been a rented part of villager's homes but the Sangam now plans to build purpose built premises with a Development Grant from Germany as soon as they can find and purchase suitable building plots. At present the Gondwananagar Sub Centre is split between two buildings and does not even have running tap water, so the Sangam staff have to fetch water from the next well which is about 500 metres away.

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