DOES THE WHOLISTIC MINISTRY
OF CHE SEE TRANSFORMATION?
Stan Rowland, Medical Ambassadors International
CCIH Annual Conference, May 29, 2005
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.
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.
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.
MANAGING TRANSFORMATIONAL CHANGE
Vision
Motivation
Resources
Action Plan
Skills
Motivation
Resources
Action Plan
Confusion
Motivation
Resources
Action Plan
Anxiety
Resources
Action Plan
Gradual
Change
Vision
Vision
Skills
Vision
Skills
Motivation
Skills
Motivation
Vision
Transforming
Change
Skills
Action Plan
Resources
Frustration
False
Start
WHAT IS NEEDED FOR
TRANSFORMATION?
Earn A Living
Relationship
With God
Able To Read
Quality
Curative Care
Good Food
Immunization
Emotional Stability
Family Health
Clean Water
Prevention of
Communicable Diseases
ONE MODEL OF TRANSFORMATIONAL WHOLISTIC MINISTRY?
CHE is a multifaceted,
development strategy that
deals with the whole person
and sees transformed lives:
Physically
Morally
Emotionally
Socially
Spiritually
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.
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.
CHE AS A TRANSFORMATIONAL
WHOLISTIC MINISTRY
• It is Development NOT 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.
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.
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.
Training Team
Committee
CHES
CHES
CHES
CHES
CHES
CHE IS COMMITED TO PROMOTING:
*Self-help within the community.
*Leadership within the community.
*Local commitment for the program.
*Local resources.
CHE concentrates on meeting
priority needs felt by the
people in their community.
This is accomplished with
simple community projects,
which are designed to teach the
people to do as much as possible
on their own.
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.
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.
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!
CHE IS A TRANSFORMING
PROGRAM INTEGRATING:
*Preventive and Curative Medicine
*Health Education
*Agriculture
*Water & Sanitation
*Microenterprise
*Literacy
*Evangelism & Discipleship
DOES CHE TRANSFORM LIVES?
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
Number of Training Teams 1
50,000 115,000
3
3
• All of the noted growth took place with no outside visits from 1997 to 2000 because of war.
Congo - An Example of
CHE Model
Physical Impact
Child malnutrition halved
Child mortality halved
Water Sources Protected
Dish Racks Built
Latrines Built and Used
Livestock
Bee Keeping
Fish Farms
Spiritual Impact
Decisions for Christ
Being Discipled
Tithing
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
• Ave. in FU/Village/Yr
125
38
127
82
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.”
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.
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 nonCHE 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.
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
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)
10 GUIDING PRINCIPLES FOR
TRANSFORMATION
1. Integration of physical, emotional, spiritually
and social.
2. Multiplication through intensive
participatory training.
3. Prevention before versus cure after.
4. Community ownership
5. Different approaches to enter a community.
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.
CHE appears to be
transforming nations,
community by community,
through the seamless
combination of disease
prevention, evangelism and
discipleship and community
based development.
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.
A FRESH WIND IS SWEEPING
THROUGH TRADITIONAL
MINISTRY
 A wholistic
and transforming
movement is beginning to sweep
through the church world.
• 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.