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SAATH was registered as a Public charitable Trust in 1989, started the Integrated Community Development Programme, an approach that seeks to turn slums into vibrant neighbourhoods. SAATH caters to the multiple needs of the poor at once by providing them with one-stop centres, through which slum residents have access to basic services. Saath invests in human capacity of persons to manage Saath programmes in their communities. Communities co-invest with Saath and donors for the programmes, deciding and implementing them. Saath engages institutions, corporates and individuals throughout the world as partners and supporters of integrated development in India.

Saath works with slum residents, migrants, minorities, children, women, youth and vulnerable people in urban and rural areas. In the last 25 years Saath has expanded into Gujarat, Rajasthan and Maharashtra (Mumbai) and has affected more than 4,60,576 individuals. Saath runs programs in various sectors which include Livelihoods  (Udaan, Nirman, Urmila, Youth Force, RWeaves), Health and Education (Child Friendly Spaces, Balghars, Sujal), Governance (Urban Resource Centre, Night Shelter), Human Rights (Child Rights for Change, Housing Rights), Affordable Housing, Rehabilitation and Resettlement and Microfinance (Saath Savings and Credit Cooperative Society Ltd. and Saath Mahila Savings and Credit Cooperative Society Ltd.).