zambia health partnership - mennonite health services
TRANSCRIPT
Company
LOGO
Zambia Health Partnership:
Macha Mission Hospital,
Macha Research Trust and
the Zambian Brethren in
Christ Church
Mennonite Health Summit
20 – 21 July 2015
Presented by Bishop T Hamukang’andu
and Dr P Thuma
Outline of Presentation Introduction
1. Define components of a healthy partnership
2. History and time-line of BICC Zambia and its
health ministries
3. Development of clinical research program
4. Organogram showing various partners
5. Roles played by those fostering the
partnership
6. Collaborating for a shared vision and mission
7. Benefits and values + challenges and rewards
8. Questions for discussion
The Great Commission
Matt, 28:18-20 • Then Jesus came to them and said, “All
authority in heaven and on earth has been given to me. Therefore go and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything I have commanded you. And surely I am with you always, to the very end of the age.
• This gives us the what we should do and probably the time frame as well.
How do we carry out the Great Commission?
• BICC-Z is involved in Education, Health
and Humanitarian ministries in response to
the Great Commission
• All these ministries are not an ‘end in
themselves’ – they are an effort to carry
out the command of our Saviour and Lord
Jesus Christ (Luke 9:1-2; Luke 10:9)
How do we carry out the Great Commission?
• He sent them out to preach the Kingdom
of God and to heal the sick.
• How do we do that today?
• One way is through the health and
educational institutions, in addition to
church planting - i. e. a holistic ministry
• The mandate is clear and we need to
continue to work on the “How?”
1. What is a healthy partnership?
• Partnership implies working together
• Components:
– Open dialogue is a key component
– Understanding various cultural perspectives
– Mechanism must be available for settling
disputes and differences
– Concentrating on the similarities rather than
the differences
– Develop consensus in agreements
• How to address ‘unequal’ partnerships
2. History and Time-Line: Early Years
• 1906 - Macha Mission founded by Francis
Davidson, Adda Engle, Ndhlalambi Moyo
and Gomo Sibanda as a BIC church ‘plant’
Pictures from BIC History and Life Vol 33:3 Dec 2010
Sources: South and South Central Africa. H Frances Davidson, 1915; BIC History and Life Vol 17:2, 1994
Zambian BIC Church Growth
• 1909: first baptism
takes place at
Macha
• 1956: first two
national
overseers
appointed
(Peter Munsaka &
Sampson
Mudenda)
Zambian BIC Church Transitions
• 1920 - Sikalongo Mission established
• 1954 - Nahumba Mission established
• 1954 - BIC mission policy to move
Africans into leadership positions
• 1964 - Church transitioned from
American-based denomination to
an African-based denomination
with missionary as Bishop
• 1978 - first Zambian national elected
as Bishop
Time - Line of Health Work
• 1924 – Health care offered at Macha by missionary nurse
• 1957 – Macha Mission Hospital opened by first missionary doctor
• ~ 1964 – first African nurse joined hospital staff
13
Time - Line of Health Work
• 1960’s – building of rural health centers
• 1970’s – hospital expanded to 208 beds
including separate maternity, TB and
pediatric wards, operating theatre and
radiology unit
• 1980’s – increased public health emphasis
with immunization outreach, water and
sanitation program and expanded eye
clinic
14
3. Clinical research program
• Hospital kept excellent records and carried
out annual review of causes of morbidity
and mortality
• Malaria was number one cause of
pediatric morbidity and mortality and major
cause of adult morbidity
• Due to providential circumstances, the
door opened to begin a malaria research
program at Macha in 1989
Malaria, 24%
Protein Energy Malnutrition, 14%
AIDS, 10%
Pneumonia, 8%
Anemia, 7%
Other, 18%
Macha Hospital 2000
Causes of Death - All AgesTotal = 596
Malaria Protein Energy Malnutrition AIDS Pneumonia
Anemia Pulmonary TB Cardiovascular Disease Meningitis
Diarrhea Digestive - non infectious Other
Malaria Institute at Macha
• Program began as part of the hospital and
church’s ministry
• As it grew and attracted secular partners
including academic and pharmaceutical
interests, a decision was made to form an
independent entity registered in Zambia
but located on church-owned property
adjacent to the hospital
• Macha Research Trust registered as a
Zambia non profit company in 2009
Macha Research Trust
• Governed by a Board of Directors that
includes the Bishop of Zambian BICC
• Senior staff chosen because of their
Christian commitment as well as their
scientific or administrative abilities
Time - Line of Research Work
• 1989 - Malaria research activities began at hospital
• 2005 – Malaria Institute at
Macha (MIAM) officially opened by Zambian Deputy Minister of Health.
• 2009 – Research Institute renamed Macha Research Trust to include work on
HIV, TB, etc. 21
Summary: what is at Macha Mission today?
• In addition to the church, there are now:
– two high schools and two primary schools
– 208 bed hospital
– health center for outpatients and care of HIV patients
– public health program
– nursing school
– research institute
– youth sports ministry
4. Organogram of Partners
• Zambia has been fortunate to have a long
history of the church-administered
(mission) hospitals working as part of the
Ministry of Health program
• In addition to support of staff salaries and
“bed grants” to hospitals from MoH, there
is an on-going relationship between the
two - under the umbrella organization
called “Churches Health Association of
Zambia” (CHAZ)
Brethren in Christ Church,
Zambia
Johns Hopkins Malaria Research
Institute
Zambian Government Ministry of
Health
Macha Mission Hospital
Macha Research Trust
Macha Malaria Research
Institute - USA
Brethren in Christ Church, North America
Church’s Health Association of
Zambia (CHAZ)
WHO, NIH, Academic &
Pharmaceutical Institutions
BICC-Z Administration of Health Work
• BICCZ has also had an administrative
framework not only for its health ministry,
but also its educational and theological
training ministries
• This creates accountability and authority
• General Conference
– Church Executive Board
• Medical Administrative Committee
– Hospital Executive Director
» Hospital Management Board
5. Fostering Roles Played by
Individuals
• Founding doctor of Macha Mission
Hospital was well liked and appreciated,
indicated by how many people have been
named after him, even to this day
• Many other doctors, nurses and others,
both foreign and nationals, have poured
their lives into the health ministry of the
church
Roles played by individuals
• Commitment
– to the church and its vision
– to holistic ministry of the church
– willing to work together, not individually
– service to others, not themselves
• Vision
– able to dream of larger programs
– seeing the needs and working to solve them
• Result: long term service by many
6. Collaboration: a shared mission
and vision • Each partner and participant must feel
valued and appreciated
• Working to build up one another, not
tearing each other down
• BICC-Z Medical Administrative committee
guides the mission and vision of the health
ministry, with input from non-medical
people in the church
• Medical Admin committee answers to
church Executive board
Collaboration
• Involves
– respecting and valuing one another’s opinions
and abilities
– working towards a common goal
– allowing others to take the lead
• Motivated by a common belief in God’s
work here on earth
7 (a). Benefits and Values
• Each partner in any partnership must both
receive and contribute in order for the
partnership to be effective
• Both the church and the health ministry
must perceive value in the relationship
• The church has allowed the health
professionals to provide leadership in the
health ministry
7 (a). Benefits and Values • BICC-Z Receives:
– recognition as being involved in well-
respected health care delivery in the country
– local church benefits (financially and
otherwise) from many professionals in
attendance as members
– community acceptance as provider of care
• BICC-Z contributes:
– church-owned land for the health ministry
– appoints a chaplain to minister at the hospital
– its own history of a well-respected church in
Zambia
–
7 (a). Benefits and Values
• Macha Mission Hospital receives:
– support through the church
– recognition as a part of CHAZ
• Macha Mission Hospital contributes:
– financial help to the church
– enhances reputation of the BICC-Z
7 (b). Challenges and Rewards
CHALLENGES:
• To be able to provide quality services to
all, especially those poor and vulnerable in
society - who can’t access other services
• The donor demands sometimes tend to
push away from the mandate of God
• Tendency to divide the mandate due to
professionalism and a desire not to look to
God
CHALLENGES:
• Services are demanded by many people
even outside the hospital catchment area,
making staff and resources strained
• Consensus in agreement is not always
easy among partners
7 (b). Challenges and Rewards
REWARDS:
• Creates job opportunities for people
• The church is respected in her holistic
approach to ministry
• People are able to access health services
within their reach
• The disease burden is reduced among
communities while personal needs are
being addressed
7 (b). Challenges and Rewards
REWARDS
• Health staff can be part of church outreach
programs and church planting groups
• Hospital chaplain can contribute to
spiritual care of patients
8. Questions for discussion
A. The great commission – does it apply ?
- Does it apply to all churches in all
countries?
- If so, how to we put it into practice?
- Can we expect other groups or
organizations to carry out part of the “great
commission for us?
8. Questions for discussion
B. Partnership implies working together
– Can there be a ‘senior’ and ‘junior’ partner, or
is the best design to have co-equal partners
from the beginning?
– Can the partnership change over time?
– If a former partner sees things falling apart
(from their viewpoint), how should they react?
– How should a partner react when they feel
like a former partner is being manipulative?
8. Questions for discussion
C. Health care programs: asset or burden?
- Do they help or hinder the growth of the
church?
- In what ways can they work together to
show the love of Christ to others?
- How should church leaders interact with
those leading church health programs?
- How should health care program leaders
interact with church leaders?
8. Questions for discussion
D. Can the church work with scientists?
- is there inevitable conflict between
their world views?
E. Can scientists with with the church?
- are there examples of outstanding
Christian scientists?