India has lifted 400 million people out of poverty, but regional inequality remains stark. At AVPN, Mark Suzman, Ajay Piramal and Amit Chandra discuss Sangam - a philanthropic collaborative aiming to reach 70 million people across Bihar, Jharkhand, Assam, Odisha and Chhattisgarh. From working with government to building systems that last, they explore what it takes to create real, sustainable impact.