NIRPHAD was established in 1978, as a project for the Agra Conference of the Methodist Church in India. NIRPHAD provides community-based health services (primary, secondary and tertiary). The coverage includes Primary Health Care to approximately 118 villages in Mathura District. Primary and secondary Eye Care Services to the whole district and tertiary and specialty services to the 118 villages of Mathura District (through SJSH). NIRPHAD programmes are need-based, flexible and involve the full participation of the community. NIRPHAD works to usher a silent revolution by empowering the rural poor to find solutions to their own problems and grow to their full potential so that their quality of life may improve.