WHAT IS WHOLISTIC MINISTRY?

1. DOES THE WHOLISTIC MINISTRY OF CHE SEE TRANSFORMATION?Stan Rowland, Medical Ambassadors InternationalCCIH Annual Conference, May 29, 2005

2. WHAT IS WHOLISTIC MINISTRY? • Where one person assists another as a whole person. Dealing with all the different aspects of their life: • Physical • Spiritual • Emotional • Social • Without the spiritual component there is no wholistic ministry. • Wholistic is more then multi-sectored.

3. WHAT IS TRANSFORMATION The progressive, ongoing, measurable and supernatural impact of the presence and power of God working in, through and apart from the body of Christ on human society and its structures. It involves seeking positive change in the whole of human life materially, socially and spiritually, as we recover our true identity as human beings, created in the image of God, and discover our true vocation as productive stewards, faithfully caring for our world and its people.

4. DESCRIPTIONS OF TRANSFORMATIONAL CHANGE • Transformation is time consuming, but at the same time can take place in an instant. • It is about breaking out of an imaginary world to see the real world ‘up close’. • Transformation is a work in process. • Transformation is not resource linked, but involves personal involvement and commitment which are costly.

5. MANAGING TRANSFORMATIONAL CHANGE Transforming Change Vision Skills Motivation Resources Action Plan Skills Motivation Resources Action Plan Confusion Vision Resources Action Plan Motivation Anxiety Gradual Change Resources Action Plan Vision Skills Action Plan Vision Skills Motivation Frustration False Start Vision Motivation Resources Skills

6. WHAT IS NEEDED FOR TRANSFORMATION? Relationship With God Able To Read Earn A Living Trans- formation Quality Curative Care Good Food Emotional Stability Immunization Family Health Clean Water Prevention of Communicable Diseases

7. ONE MODEL OF TRANSFORMA- TIONAL WHOLISTIC MINISTRY? CHE is a multifaceted, development strategy that deals with the whole person and sees transformed lives: Physically Morally Emotionally Socially Spiritually

8. CHE AS A TRANAFORMATIONAL WHOLISTIC MINISTRY • CHE stands for Community Health Evangelism. • It deals with mobilizing people to take responsibility for their own health and every area of their life. • Is concerned with the poor. • Working in small communities, generally rural, but also small neighborhoods in urban area. • It is concerned with teaching and empowering people, not doing things or giving them things.

9. CHE AS A TRANSFORMATIONAL WHOLISTIC MINISTRY • CHE empowers people to do what they feel needs to be done, for themselves, NOT providing services to, or for them. • CHE increases peoples sense of self-worth and value. • CHE equips trainers as a ‘Jack of All Trades’, not specialists, with the lesson plans providing the simplified technical information needed for technical assistance.

10. CHE AS A TRANSFORMATIONAL WHOLISTIC MINISTRY • It is DevelopmentNOT Relief • CHE deals with and tries to dispel the attitude of hopelessness. • Transformation resulting from CHE is a series of experiences done throughout the different stages of growth in a community.

11. THE GOAL OF CHE: To establish a community based development program which deals with the whole person. This is done by training local volunteers as “Community Health Evangelists.” The “CHEs” in turn serve their neighbors by teaching disease prevention, evangelism and discipleship and community development.

12. HOW CHE WORKS • CHE prevents disease by changing the conditions that cause physical and spiritual disease. • CHE equip 3 or 4 nationals as a training team who: • Raises awareness the community can solve their own problems. • Trains local leadership, chosen by the community, as a committee to oversee CHE development. • Trains volunteer CHE’s one, half day a week in physical and spiritual topics for 30 to 50 meetings. Starts the training with topics the community is interested in, not the trainers. • CHE visit 15 to 25 of their neighbors sharing what they have learned. • CHE report their activities monthly to their committee. • CHE does evangelism, and discipleship which leads to churches being started.

13. TrainingTeam CHES CHES CHES CHES CHES Committee

14. CHE IS COMMITED TOPROMOTING: *Self-help within the community. *Leadership within the community. *Local commitment for the program. *Local resources.

15. CHE concentrates on meeting priority needs felt by thepeople intheircommunity. This is accomplished with simple community projects, which are designed to teach the people to do as much as possible on their own.

16. CHE IS PRO-ACTIVE - going to the people instead of waiting for the people to come to the professional with their problems. This shows the commitment to their neighbors and causes the CHE program to be community owned.

17. CHE IS PARTICIPATORY TEACHING WHICH • At the heart of CHE is participatory teaching that: • Starts with what people already know and builds on that. • Focuses on the learner not the teacher. • People are involved in their own learning instead of being lectured to by participating in small group discussions, role plays, creating stories and songs. • All learning is turned into action and not left as head knowledge. • The teaching is guided but under the guidance of the Holy Spirit. • There are over 1100 simple participatory lesson plans to be used by the trainers on many different topics.

18. CHE brings people to a personal relationship to Christ. Disciples them in their growth. Equips them for multiplication of a wholistic ministry. As a result churches are planted. An average of a church a week!

20. CHE IS A TRANSFORMING PROGRAM INTEGRATING: *Preventive and Curative Medicine *Health Education *Agriculture *Water & Sanitation *Microenterprise *Literacy *Evangelism & Discipleship

21. DOES CHE TRANSFORM LIVES?

22. HISTORY OF CHE IN THE CONGO Growth of CHE from 1990 1997 2000 Number Villages 1 56 113 CHE’s 15 705 2,904 People Impacted 1,000 50,000 115,000 Number of Training Teams 1 3 3 • All of the noted growth took place with no out- • side visits from 1997 to 2000 because of war.

23. Congo - An Example ofCHE Model Physical Impact Child malnutrition halved

24. Child mortality halved

25. Water Sources Protected Dish Racks Built Latrines Built and Used

26. Livestock Bee Keeping Fish Farms

27. Spiritual Impact Decisions for Christ Being Discipled Tithing

28. Spiritual Findings 1990 1997 2000 • Villages 1 56 113 • Churches 2 30 57 • Decisions Christ/Yr 6,981 14,383 • Discipleship/Yr 2,124 9,273 • Ave. Dec/Village/Yr 125 127 • Ave. in FU/Village/Yr 38 82

29. CHIEFS VIEW ON THE IMPACT ON SOCIAL DEVELOPMENT Village Chief:“Before CHE entered my village, people did not now how to work in groups. Now CHE introduced them to a new way of work.” Village Chief:“I am very pleased to see that some people formed farming groups to have large farms. Now many people are going to their farms. Now some social problems that occur when people are jobless, are diminished. There is peace in the village now everyone is busy.”

30. MULTIPLICATION OF TEACHING • There appears to be significantly improved indices in all 143 aspects studied when CHE villages are compared to non-CHE villages. • In addition, there also appears to be a significant improvement in indices in CHE villages where homes are NOT visited by CHEs, as compared to non-CHE villages. • This appears to show that there may be a spread or spontaneous multiplication from those homes visited by CHE’s to their neighbors who are not being visited, because of the lower differences found between all homes in CHE villages versus far poorer data in non CHE villages.

31. AOG CHE in Cambodia • 48 Villages in 7 Provinces • More than five times as many people in the CHE community are boiling and filtering water as in the non-CHE villages. • More than seven times as many people have latrines in the CHE community as in the non-CHE village. • The rate of diarrheas among children 0-4 years is significantly lower in CHE families than in non-CHE homes and non-CHE villages. • Under 5 mortality in the program area decreased from 7.9% to 1.1%. • CHE households spent 10% to 40% less on health care than non-CHE homes and residents in non-CHE villages.

32. AOG Evaluators Conclusions • The CHE program has improved hygiene, nutrition, and sanitation among participants resulting in better health. Indicators have improved more than planned. • Participants are more confident in their health • Farming is beginning to develop, allowing villagers a better diet and income • Health expenses are decreasing and impact on wealth starting • Cooperative development is taking root and there is a beginning impact on social problems through behavioral changes

33. AOG Spiritual Observations • 100% of CHE heads of household have heard about Jesus • 72% of CHE heads of household heard the Gospel for the first time from a CHE worker • 81% of CHE heads of household are attending Bible Studies (4 out 5) • 36% of CHE heads of households have been baptized (1 out of 3) • 14% of CHE heads of households attended a worship service in the last two weeks (1 out of 7) • Only 2% of heads of household in the program area have not heard of Jesus (1 out of 50)

34. 10 GUIDING PRINCIPLES FOR TRANSFORMATION • Integration of physical, emotional, spiritually and social. • Multiplication through intensive participatory training. • Prevention before versus cure after. • Community ownership • Different approaches to enter a community.

35. 10 GUIDING PRINCIPLES FOR TRANSFORMATION 6. Building mature Christian leadership. 7. Program sustainability. 8. Look for and expect program effectiveness and impact starting from a single village spreading throughout region and country. 9. Sensitive adoption to culture and situation. 10. Attempt to maximize contact with local people in order to build trust and relationships.

36. CHE appears to be transforming nations, community by community, through the seamless combination of disease prevention, evangelism and discipleship and community based development.

37. THIS KIND OF TRANSFORMATION IS HAPPENING WORLDWIDE • 65 Nations of the world • 325 Training Teams • 100 MAI Directed Teams • 225 Teams From Other Organizations • 1200 villages • In diverse cultures, people groups, religions and government structures.

38. A FRESH WIND IS SWEEPING THROUGH TRADITIONAL MINISTRY • Word and deed are becoming integrated into one undividable whole instead of separate parts. • Belief in Jesus Christ means peoples lives are transformed in the way they believe,think and act. • A wholistic and transforming movement is beginning to sweep through the church world.