The Malankara Mar Thoma Suvisesha Sevika Sangham serves as the central women's organization of the global Mar Thoma Church, playing a vital role in its spiritual and missionary life. Inaugurated in 1919 during the historic Maramon Convention under the leadership of Abraham Mar Thoma Suffragan Metropolitan, the organization operates under the guiding motto, "Service and Evangelism in the life and mission of the Mar Thoma Church." With membership open to every woman in the church above the age of 18, the central body ensures that women are equipped with a strong biblical foundation and are actively empowered to participate in the church's global evangelistic and charitable ministries.

In Canada, local branches such as the Canadian Mar Thoma Church (CMTC) Sevika Sangham operate under the guidance of the Diocese of North America and Europe to adapt this historic mission for the diaspora, with a primary focus on empowering women within the church. While remaining deeply connected to the global organization's roots in Kerala, these groups tailor their programs to the unique realities of women living in North America. By integrating Mar Thoma church traditions with local community outreach, the Canadian parish branches provide a crucial cultural bridge. They empower Indo-Canadian women to take on active leadership roles, fostering a supportive space for spiritual growth, fellowship, and meaningful service in a Western context.

The Sevika Sangham consistently acts as the spiritual backbone of the local parish, organizing a dedicated schedule of activities and major events led by women. Regular routines typically include rigorous Bible studies, active participation in parish- and diocesan-level Bible quizzes, fasting and prayer, and intercessory prayer fellowships, which are often hosted in members' homes. Beyond these core gatherings, the organization leads the church in observing major annual milestones—such as the global World Day of Prayer and the dedicated Sevika Sangham Day, where women assist and lead the Sunday worship service. Through continuous charitable initiatives—ranging from supporting local food banks to fundraising for welfare projects in Kerala and mission fields across India—the Sevika Sangham ensures that the church's compassionate, service-driven mission is lived out every day.