The Comprehensive Tribal and PVTG Development Programme in Attappady Block of Palakkad District initiated in the wake of the child deaths in 2014, has made significant changes in the lives and livelihoods of the three tribal communities in the block. While evolution of exclusive tribal institutions including neighborhood groups (NHGs), their hamlet level federations called OoruSamiti, and Gram Panchayat level federations called Panchayat Samiti have been the highlights of the project, methods and processes used for addressing the specific vulnerabilities faced by the three communities – one of them being a Particularly Vulnerable Tribal Group (PVTG)- have also gained wide acceptance.