Family prayer is the reformed substitute for the monastic and sacramental apparatus the church set aside, and the Mar Thoma Church takes it more seriously than most. Households keep a set order morning and evening with a scripture reading; the parish vicar's annual visit includes asking about it. The church also organises heavily through age and sex — the Yuvajana Sakhyam for young people, the Sevika Sangham for women, the Sunday School — and these are the structures that carry the practice into the next generation. In the diaspora, where the church has dioceses in North America, Europe and the Gulf, clergy report that maintaining the discipline through shift work and long commutes is the central pastoral problem.