Christian Subversion And Missionary Activities - 4

[G.Subramaniam]

Community Health evangelism

http://www.globalconnections.co.uk/

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THE COMMUNITY HEALTH EVANGELISM (CHE) APPROACH
Medical Ambassador’s Community Health Evangelism (CHE) Program is broadly aimed
toward the whole community. We do this by training local villagers to share spiritual,
physical, emotional and social truths with their fellow villagers.
Through CHE, we desire to reach the greatest possible number of people with physical
and spiritual help, and we have learned that we can do so by training Community Health
Evangelists. The approach includes the following primary characteristics:
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1. Concentration on meeting priority needs keenly felt by the village in simple
community projects---designed to teach the people to do as much as possible on
their own. We attempt to begin at the ability level of the people in relation to
their leadership, initiative, and self-reliance.
2. An aggressive initiative of going to the people.
3. An integration of preventive medicine, health education, and sometimes curative
care, into a total program. The emphasis is on prevention and education, with
expected results in changed lifestyles and conditions.
4. A vision and goal to reach the most people as possible.
5. A program of instruction which shows the people how they can participate in
their own development. Lessons are developed, which are aimed at simple
health education, identification or major diseases, recognition of the need for
medical care, and care of the sick (especially children).
6. Community self-help and community leadership emanating from the peoples’
commitment to the program.
7. A commitment to delegate most of the tasks to local church leaders, community
leaders, and the CHEs, who can best generate local support and commitment
for the program.
8. An understanding that the content of the training must be transferable and
multipliable.
9. A commitment that readily available local resources should be used as much as
possible.
10. Provision for good working relationships with the nearest available back-up
hospital for necessary obstetrical, surgical and medical care of severely ill
patients.
11. Mass inoculation programs for measles, BCG, DPT, and polio. Such programs
should be community-sponsored programs.
12. Provision for sanitation training, with an emphasis on safe water and proper use
of pit latrines.
13. Provision for easily accessible family planning instruction materials.
An underlying foundation for a CHE Program is that the community sees a project as
their own, not outsiders who initiated it. Too many times organizations have come from
the outside to do something for the people, but when the outsiders leave, what had
been accomplished disintegrates. There is no sustainability. The people expect the
outsiders to provide the funds, parts or labor to maintain and repair the project.
When we do things for people in the community, then the people always see what has
been done as belonging to the outsiders. The emphasis from the beginning must be on
the community, saying this is ours and we will make it happen. We need to be enablers
of people, so that they take responsibility for the work health under God’s direction.
There is not one action, but many that enables community ownership to happen.

CORE ELEMENTS OF CHE
Community Health Evangelism is made up of three essential groups:
The CHE Training Team
The training team is the group that initiates the program. They usually come from
outside the area. There should be two to four people on each training team, including
potential combination of the following skills---nursing, public health, teaching,
agriculture, nutrition, water development, and sanitation. At least one member should
be a nurse, but not all members should be medical personnel. The training team’s
expertise should be any combination of---nursing, public health, agriculture, sanitation,
nutrition, social work and teaching. Because the team of trainers works full-time, they
are nearly always salaried.
The Community Health Committee
The key to a successful Community Health Evangelism Program, that will be multi
pliable, transferable, and ongoing, is that the program must be community-based, rather
than outside agency-based. The program must be integrated around community
committees, which are chosen from community members.
The committee should, preferably, be community-based. The members should be
mature, well-respected people, who represent different segments of the community; i.e.,
education, government, business, agriculture and health.
Volunteer Community Health Evangelists
The Community Health Evangelism volunteer is the major worker in the program.
Adequate attention to their ministry will require about two half-days of work a week.
Once the communities have chosen such people and they have been trained, their job
is as follows:
1. Put into practice what they have learned around their home and with their family;
that is, they model what they have learned.
2. Promote good health, prevent disease, and model abundant Christian life as a
volunteer.
3. Practice evangelism and discipleship with individuals and groups.
4. Do home visiting on a regular basis, sharing the spiritual and physical truths they
have learned.
5. Initiate and coordinate local community self-help projects.
6. Teach in a way that will help others to become teachers, themselves, and
thereby, repeat the instructional process and expand the circle of learning.


PROGRAM DESCRIPTION
Community Health Evangelism has the following elements:
1. A team of three to four trainers works with the community to assess their needs
and establish community health committees. These committees choose workers
(CHEs) who have an average community education.
2. A group of CHE trainers normally train 12 to 18 people from five to eight areas
within walking distance of the training location. Training sessions normally are
conducted two days per week, until 40 to 50 sessions have been completed.
Half of each training day will be spent on health teaching and the other half on
spiritual teaching. All the teaching must be transferable, so that the people
being trained will be able to teach others who, in turn, can teach others.
3. The CHE trainees then teach what they have learned in their community by
means of story-telling, discussions and example. Their main roles are teaching
in the home, assisting in community health projects, and having a spiritual
ministry. A part-time CHE worker can work with up to 400 people.
4. Each training team works in a given area for three to five years, establishing
projects in three to six geographically adjoining areas. They will be involved in
training 150 to 200 CHEs, covering 15 to 25 villages serving 80,000 to 100,000
people.
5. It is best for the CHEs to be volunteers, but remuneration, if desired, may be
given by the Community Health Committee. If so, it must be a community’s
responsibility to provide funds. Remuneration in kind; i.e., doing work for the
CHE worker, is a good method of reward.
6. The program is begun first in one area and then expanded into adjacent areas.
Additional workers may need to be trained in the original area to obtain a better
ratio of CHE to the population.
7. The goal is for each initial training team to be replaced by three to six, especially
bright and gifted, local CHEs. These will be chosen from those trained by the
initial outside training team to become trainers, themselves. These local training
teams will expand the program into adjacent areas within the country.
8. As much as possible, funding for the individual project needs to come from the
local communities, but where local resources are insufficient funds may be
solicited from in-country agencies who are interested or working in community
health, agriculture, etc.
9. Major expansion of the CHE Program best takes place by training multiple
national community health teams. In each country, models are developed to
show how to integrate a spiritual ministry into an already existing community
health program. This enables other communities to learn by observation how to
establish an integrated program from the beginning.
In the decade of the 90's, it is our vision to establish training teams in 80 countries of the
world to train 100,000 people as CHEs. They will be models for their country in how to
help people help themselves--both physically and spiritually. The training teams are not
only to be Medical Ambassador workers, as the major multiplication of the CHE strategy
will take place by training other organizations to implement their own CHE projects.
MAI provides the lesson plans, problem-posing pictures, picture books, and Bible study
materials, which they can use in their own program.

The CHE Program has been used
mainly in rural areas and with people
open to the Gospel. We have different
models for starting a CHE Program in
different situations. The Community-
Based CHE Program, which we have
described above, is most commonly
used in our 45 projects in 25 countries.
The MOST DESIRABLE MODEL is a
Community-Based model, which
enhances the probability of success.
But there are also Family-Based,
Feldscher-Based and Church-Based
CHE projects. These other three
alternative approaches depend on the
nature of the target area.
MODIFYING THE CHE STRATEGY
We are now working in an area called the 10/40 window, which requires different
approaches. This area stretches from 10 to 40 degrees North latitude. It reaches from
Japan on the east through North Africa and Southern Spain on the west. Europe and
Northern Russia are not in this window, but Russian’s old Muslim republics are
included.
It is in the 10/40 window that 60 percent of the world’s population lives, with 82 percent
of the poorest of the poor living there. Eighty-four percent of these people have the
lowest quality of life. Also, 97 percent of the people in the 55 le ast evangelized
countries live there, but 8 percent of the world’s missionaries work among these people.
A number of changes have been made to CHE so it would be better accepted by the
medical professionals and religious forces in these closed countries. In these countries,

CHE stands for Community Health Education, instead of Evangelism, and the workers
are called Community Health Educators.
But to implement changes, the following non-negotiables must be present as we adapt
the CHE Program for these closed, un-reached countries.
First - The integration of physical and spiritual ministry.
Second - Multiplication of all work through intensive training.
Third - Community ownership of a program, which is directed by the
villagers, themselves, with a minimum of resources from the
outside.
Fourth - An emphasis on prevention of disease rather than cure.
Fifth - The program is sustainable after the training team leaves.
Sixth - The program is effective in helping people physically and spiritually.
Seventh - The program is sensitively adapted to meet the needs of a
particular people.

A FAMILY-BASED CHE PROGRAM is
used in closed, un-reached countries,
where there are no Christians. It is a
precursor to establishing a normal
Church-Based CHE Ministry. A
Christian family, trained as CHEs,
moves to an un-reached village and
begins to minister as CHEs. As people
come to Christ, experience God’s love,
and see the benefits of an integrated
ministry, a normal Community-Based
CHE Program is begun.
The families’ training is a combination
for a CHE and a Trainer, but their main
role is as a CHE, not a trainer. Their
goal will be to fill the role of CHEs,
themselves, until their work bears fruit
and they have made disciples, many of
who, in turn, may become CHEs.
The Christians may invite their neighbors in
for a weekly class on health and spiritual
topics on Moral Values. Those that are
spiritually open are invited to a
chronological approach Bible study. They
begin with commonly held concepts as a
bridge to Christianity.
Training Team
Homes Homes
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Groups
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Homes
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Growth
Groups
Growth
Groups
Chur ch
CHE family
(one per
community)
CHE family
(one per
community)
CHE family
(one per
community)
Community-Based Program

We are using this model in over 120 villages in Eastern Nepal and Northern India, with
all Buddhists and Hindu communities in the foothills of the Himalayan Mountains, where
over 105 fellowships/churches have been started.

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and much much more

every wicked evangelism trick spelled out