Established in late 1998 as trust, NEEDS initiated its first intervention in selected poverty-stricken pockets of Bihar and Jharkhand. The organisation focuses on four needs-based programmatic areas: child protection and education, sexual and reproductive health and rights, WASH, as well as sustainable livelihoods, including food security. NEEDS works closely with local communities while actively conducting networking and advocacy activities on issues that impact human rights and communities' rights to decent living.