During festival seasons Sangham sets up special service camps at important centres, where pilgrims congregate, such as Erumeli, Azutha, Inchippara Kotta, Puthussery, Karimala, Valiyanavattom, Uppupara, Chengannur, Triveni, Pampa, Appachimedu, Sannidhanam and Medical College Kottayam.
Thousands of devoted and trained volunteers render service at these camps every season. Well organised medical units with ambulances are also set up at these camps to provide all kinds of treatment to the needy pilgrims. There is also a well equipped hospital of the Sangham at Sannidhanam. In case of emergencies like fire, flood, landslides or stampede, Sangham volunteers and medical service units do their best to give relief to pilgrims. The distribution of boiled and medicated drinking water at the camps and all resting places had been acclaimed as a very vital service to the pilgrims. Apart from the above, various other services rendered by the Sangham include providing facilities for broadcasting public announcements, telephone ISD/STD facilities to all parts of the Globe, financial aid to stranded and separated pilgrims, cremation of unclaimed dead bodies, transportation of dead pilgrims to their home towns, carrying sick and disabled pilgrims to hospitals, conducting Bhajans/devotional speeches at camps etc. Now Sangham is providing `Annadanam'( provision of free food) on a regular basis at important camps.
The Sangham constructed 40 toilets and a mortuary at Pampa. 100 toilets were constructed at Valiyanavattom and 50 at Azutha.
A hospital under `Sastha Medical Mission' is functioning near Madurai under the auspices of Akhila Bharatha Ayyappa Seva Sangham State Council of Tamilnadu.
The construction of a large old age home near Madurai is in progress. It is proposed to further expand this hospital. The home is expected to be spread over an acre of land.
The above mentioned charitable and humanitarian activities are being carried on by the Sangham every year, in spite of its very limited financial resources. The huge expenditure incurred for this has to be met mainly from the generous donations of devotees. Sangham does not have any regular source for accrual of major assets or finances. The generosity and patronage of Ayyappa devotees have also enabled the Sangham to set up its own buildings at Thiruvananthapuram, Kottayam, Pampa, Erumeli and Sannidhanam.
As of now, besides extensive religious gatherings/meetings, the following charitable activities are being undertaken:-
Functional running of units engaged in active medical care / eye donation / blood donation.
Generating employment by distribution of sewing machines, iron boxes, bicycles and auto-rickshaws.
Assistance to students in the form of provision of books, bags, umbrellas and uniforms.
Construction of houses for the homeless.
Community weddings for couples belonging to different communities.
Flood and drought relief work.
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