The ultimate goal of SEWA Rural was not limited to the four walls of the hospital. It was soon realized that due to a numbers of complex social & cultural factors, the hospital remains inaccessible to the vast majority, very often until it is too late.

A baseline survey of the surrounding villages in the year 1982 revealed the gross neglect of health services. Children often suffer from measles, diarrhoea, malnutrition, high incidence of anaemia, malaria and TB beside an apathy towards women's health. As a result there is a high mortality rate among women & children. Many of these deaths were related to diseases which were unfortunately preventable.

The above mentioned rural health scenario prompted SEWA Rural to formulate & commence project of health care at door steps initially in 10 villages in 1982. Later on it was expanded to cover 40 villages and Govt. entrusted Jhagadia PHC was managed for more than 10 years. This happened for the first time in the country. The targets of Health for all by 2000 were achieved by SEWA Rural much before the target deadline due to new approaches and innovations. It included reduction in infant mortality rate and birth rate and substantial increase in coverage of maternal care & vaccination.