In this chapter I describe how we, a group of activists, challenged the systemic failure and exclusion of disabled children within existing Indian Government programmes, and the contributions we made as one of the largest Non-Governmental Organisations (NGOs). The chapter describes how we have begun to evolve from supporting a special school system towards supporting an inclusive one, and how we have developed a unique ‘macromicro’ model of inclusion with a top-down bottom-up approach. The chapter focuses on an analysis of disability issues within the policy framework of India and moves on to the mechanisms of change that have been introduced on a macro, mezzo and micro level.