Although the Indian government runs many health care programs, the benefit of such programs rarely reaches these communities. Due to illiteracy, differences of language, social isolation and isolation caused by poor transport infrastructure, levels of health education awareness are very low. As a result, the burden of disease, disability and unnecessary deaths are high in these villages and frequently lead to extreme economic hardship that affects the wider family group. Sadly the social isolation of these villages has not been any protection against the rapid rise of HIV/AIDs cases brought in by the return of labour that migrates to the cities in search of work, but lack of health education and services is helping to spread it even wider in these communities. Birds Heal and Jagruthi Staff are working to identify people suffering from HIV/AIDs and encouraging them to seek the regular medical and food supplement support that is being provided through the Birds Heal dispensary.