Most of VOICE Trust's relief and rehabilitation initiatives focused on emergency aid, coupled with long-term development schemes such as educational support for children, employability skills for youth, income generation programs for men and women farmers, and goat rearing for widows and widowers. While initial efforts included housing, clothing, and other infrastructure assistance, it later became clear that sustainable development goals could be achieved through long-term income generation schemes. VOICE Trust received support from IVI groups in Tamil Nadu and Puducherry after training of trainers (TOT) sessions held from 1999, as well as from NGO friends and former colleagues of the VOICE Trust founder in Kerala during 1987–1993.

VOICE Trust has been at the forefront of disaster relief efforts across Tamil Nadu, Puducherry, and Kerala, providing critical support during floods, cyclones, and pandemics.