Update on USAID

By Norman Wetterau MD

Image courtesy of Christianity Today

Christianity Today had a recent article addressing changes in USAID in the February 4th news issue: Is This the End of USAID? by Emily Belz.

USAID provides much assistance around the globe through religious organizations like World Vision, World Relief, and Catholic Relief. Can Churches provide for the millions of dollars that will be lost? 

The article also raised questions about what has been happening. USAID has been accused of major mismanagement, but the article asks for evidence of this. Are World Vision and Catholic Relief mismanaging many of these funds? Read the article for more information. 

We can hear stories on Fox News and NBC, but what does Christianity Today say?  Right now, due to the war, much aid will not be able to reach Eastern Congo even though help will be needed in the future. Since USAID may not be there, who will step up and provide the assistance? 

If you disagree with some of the political decisions around this that have been made, contact your political representatives. Feel free to share your views with others by emailing normwetterau@aol.com

Need for Prayer

Image courtesy of Google Images

Congo is in the news and needs to be in our prayers. The Free Methodists provide major medical services in Rwanda, Burundi and Democratic Republic of Congo. We have a medical school in Burundi and hospitals in the other two countries. They are supported through CAHO and Friends of Hope Africa, as well as other foundations and groups. 

Rebels in the north have seized major areas of eastern Congo. The UN says that Rwanda is behind it but there is debate. Regardless of who is responsible, things are terrible with people trying to flee. Our church has called for special prayer for the situation and the people. Currently the banks south of where they have invaded are closed as are stores. Disease and starvation is expected to follow. 

For updates on the Free Methodist medical facilities in Congo, go to https://congohealth.org/.


God's Provision of Light in the Darkness of the Civil War and Sexual Violence in Congo

The Christian and Free Methodist Response

BY Norman Wetterau MD

(Written in October 2024)

Image courtesy of GlobalPost

For the past 25 years the Eastern part of the Democratic Republic of Congo (DRC) has been the site of constant civil war, starvation, poverty, and death. In addition, rape is used as a weapon of war, with hundreds of thousands of woman having been victimized. The Free Methodists have a heavy presence in the area with over 150,000 members, churches, hospitals and medical clinics. Attempts to bring things under control through the United Nations, as well as other nations have been a failure.

Yet despite the continued problems, there are beacons of hope. Dr. Denis Mukwege is a Christian doctor in Eastern Congo who received the Nobel Peace Prize in 2018 for his work in helping women who were victims of sexual violence. This work includes counseling, medical support, and surgery. He also has spoken out internationally on this issue. 

Dr. Mukwege is a strong Christian who believes in prayer, but also in surgery, psychotherapy, and speaking out politically to ask for justice. In some ways he is a modern-day prophet. In May 2024, he was given the Aurora Prize, a one-million-dollar contribution to his work. According to Dr. Mukwege, this prize is a mixed blessing in that the war and and sexual violence have not decreased– it has gone on for 30 years and everyone looks the other way. Still, his Christian hospital and practice treats thousands of women.

The Nundu Deaconess Hospital and other Free Methodist Hospitals and clinics are 100 miles south of his hospital, the Panzi Hospital in Eastern Congo. Our hospitals and clinics also see many women who have been victims of this sexual violence: some psychological but in many cases physical. Soldiers on both sides use this as one way to terrorize the population. Nundu Deaconess Hospital plans to have a fully trained physician in obstetrics and gynecology there this year. The hospital’s general physicians also provide physical and psychological care.

Recently Dr. Marx, the medical director of the Free Methodist Nundu Deaconess Hospital has started a counseling program for any victims of psychological and physical trauma. Nurses and others are being trained to provide this in village clinics. In addition, many of the hospital staff have suffered vicarious psychological trauma trying to help others through this ongoing war, so the help is being offered to those members of the hospital staff. No one there has totally escaped. 

We as American Free Methodist Christians cannot solve this problem, nor can the US government or the United Nations, but we can pray and consider supporting our medical and healing work there. Someday God will bring about peace, but He often allows men to continue their evil. In the face of evil, God calls on us to pray for peace, provide help to those who are suffering, and to try to be peacemakers. There are other stories of people being saved, and soldiers who did not participate in this sexual violence. There are congregations and medical providers who speak out against what is happening and help as they are able. 

Eastern DRC seems far away but those there are our Christian brothers. Jesus said that when we help those who are suffering we are helping Jesus Himself. Stay informed, pray, and assist as you are able.

For further information or to help, go to www.congohealth.org

What is the Free Methodist Healthcare Fellowship?

By Norman Wetterau Md

The Free Methodist Healthcare Fellowship (FMHCF) was founded in the 1960s with the initial members being physicians and dentists focusing on medical missions and fellowship. Around 20 years ago Parish Nursing and their members became part of our fellowship.  

Today the fellowship is open to any healthcare professional with a degree; this could include counselors, health administrators, hospital chaplains and medical social workers. There are several components to the FMHCF’s activities including mutual support via meetings and retreats and through publishing of articles for the newsletter. Support of medical missions remains a major focus with the newsletter, containing  frequent articles dealing with health problems faced in our Free Methodist mission hospitals (e.g. see examples on our website fmhealth.org).  

Articles in the newsletter also address other current health-related topics. Zoom meetings/workshops may be added as a means of reaching more Christian healthcare professionals. Providing scholarships for overseas doctors and nurses to complete their training continues to be a critical component of the Fellowship’s activities. For example, Eric Manirakiza, Director of Nursing at Hope Africa University,  was supported as he completed his doctorate in nursing.

 

The FMHCA is committed to making changes as needed to maintain relevancy and sustainability. Around 15 years ago the FMHCF added the goal of helping our churches better address health issues; to that end conferences have been held on various subjects (see our website). Recently an outside consultant completed a thorough study of the group and identified potential future endeavors. The website is being developed as a source of information for pastors as well as our members. Health and healing were an important part of Jesus ministry; with this as a central theme, the organization strives to support Christian healthcare providers as they answer their call to be the hands and feet of Jesus.

If you know Free Methodist Health Professionals, suggest they sign up on our website fmhealth.org. If you have suggestions or want to be more involved email normwetterau@aol.com and/or call him at 585-705-8811. Interest in becoming board members is welcomed.

Our Current Board Members:

President: Norman Wetterau MD

Treasurer: David Lefler MD

Secretary: Sarah Crawford MD

Board members at Large:

Diane Destefano MSN, APRN

Susanne Mohnkern Ph.D, RN

Tim Kratzer MD

Darlene McCown Ph.D, RN

Trauma Informed Care Introduced at Nundu

by Lwabanya Marx MD

Image courtesy of Unsplash

The following is a news article from Congo:

Our history in South Kivu 

The Democratic Republic of Congo (former Zaire) faces an unprecedented humanitarian crisis. The crisis is described to be one of the world’s deadliest, longest, unfortunately less spoken and happening for decades. It has resulted in massive internal displacement of populations without adequate assistance in many cases. At the same time the DRC is home for refugees from neighboring countries.

This evolving humanitarian disaster is largely silent on the global consciousness, yet the disastrous consequences are felt by all sectors of the population. The eastern part of the country has been the most affected for years by repeated wars and conflicts, resulting in thousands of victims surviving with physical and emotional trauma. The health providers who work in this humanitarian context face many challenges, including poor salary payment contrasting with a massive overload of work while remaining largely untrained in trauma-informed care, unprepared to deal with patients’ emotional stress, and unsupported in any endeavors they personally take on. Adverse effects linked to the instability in the region seriously impact the well-being of both caregivers and patients.

The Nundu Deaconess Hospital (Nundu Hospital), located in South Kivu, has been caring for thousands of Burundian refugees based in the Lusenda Camps since 2015. More recently, in 2020, additional waves of internally displaced people have arrived in the region seeking care, resulting from instability in the middle and high plateaus. Despite desperate needs for equitable healthcare, patients are often dissatisfied with the care they receive due to lack of staff training and support. A small team of international collaborators from the Atlantic Fellows program are seeking to address these issues with the project, “Hope, Healing, Home, Humanity: Strengthening Our Circle of Belonging”

The Program

A program training health care providers on Trauma aware / sensitive / Informed Care (TASIC) was initially developed for the Staff at NDH. However, due to the observed need in the Zone it was extended to all health providers of the heath Zone including 22 health centers and 5 referral health centers and the NDH.

This training is conducted under the project: “Hope, Healing, Home, Humanity: Strengthening Our Circle of Belonging” with the aim to promote inclusive health care that improve people well-being both physical and mental for patient on one side including those in particular contexts (refugees, IDPS, etc) and health providers on the other.

A kick-off meeting at Nundu September 1-6 brought together different stakeholders including local health officials, health providers, Community health workers, Civil society leaders, traditional healers, church leaders, local NGOs, etc these different groups gathered on table and shared their stories, perceptions, root causes of mental health problems in the Nundu community. The inputs from the groups led to the development of learning materials for health providers within five days. The participants recommended this training to be extended to their peers, and shared the commitment to make their work environment a better place for them and their patient.

Addendum regarding Dr. Lwabanya I. Marx

In April, Dr. Marx will be traveling to the United States, where he will be joining 3 other members in the Atlantic Fellows program. They will all be presenting in a major conference at Duke University on April 8-10. He then plans to remain in the United States and will be speaking at the CAHO conference on April 26-27 at the Spring Arbor. During the last half of April, he will be available to speak in churches, at groups, or at one of our Free Methodist Universities. If interested, contact normwetterau@aol.com

FMHF 2023 Retreat Recap: Renewal of the Mind and Trauma Informed Ministry

Image courtesy of Unsplash

Doctors, nurses, chaplains and others gathered for our FMHF fall retreat on Oct 20-22. Our featured speaker, Robyn Florian, shared a wealth of theoretical, biblical and practical wisdom that churches can use to help promote healing of those suffering from past and current physical and emotional trauma.

Robyn graduated last May with a D.M. in Organizational Leadership from Asbury Theological Seminary. This was a culmination of a four-year season of study focused on how to help people hope through intensive, integrated soul care. She is available to do weekend workshops for churches. A full summary of the weekend talks would take many pages.

The quote on her first slide called us to our task:

“The world is in awe of the church [when] the church is in awe of God. When the church lives in awe of God, the kingdom breaks out into the world. When the kingdom breaks out into the world, the world begins to believe in God. When the world begins to believe in God, the church receives them into community.” This quote is from the sermon series Wake Up Call with J.D. Walt; “They Understood the Assignment, Acts 5:12-16”

In her presentation, she mentioned neuroplasticy, which explains why people can change. The gospel is something that can change the shame narrative. This is really what much of her talk is about. Our communities and churches are filled with people who have experienced emotional trauma, and a pastor and church that understands this can really help these people believe in God and come into the church community.

She talked about hope, healing and resilience. She provided some theological and practical ways that church can help. She also discussed the theme: Renewal of the Mind, and Romans 12:2 .

For those who have suffered physical and emotional trauma, it will take more than a sermon or even a weekend retreat to truly heal. It will take an understanding, healing community, which is one of her major themes. How can a church become that? The Free Methodist Healthcare Fellowship encourages pastors and churches to learn more about these areas and become really healing communities. Feel free to contact Robyn or the Free Methodist Health Care Fellowship for further assistance.

Nundu News Thanks Free Methodist Health Fellowship for Dr. Ebuela Mtee Baron's Scholarship

The following article was posted by Nundu News in thanks of the scholarship provided for Dr. Baren:

NUNDU NEWS:  November 20, 2023

BARON SCHOLARSHIP THANKSGIVING

Thank you, Free Methodist Healthcare Fellowship, for providing a scholarship for  Dr. Ebuela Mtee Baron to pursue a residency in OB/GYN.  Dr. Baron joined the staff of  Deaconess Nundu Hospital as a general practitioner in January 2020. Before joining DNH, Dr. Baron completed his internship at “Hopital de Baraka” funded by the MSF-Hollande, for six months. After his training, he served at Fizi Hospital for nine months, and then joined, as the only doctor, a private clinic in Baraka (Polyclinique de Dieu). 

Meeting with Dr. Baron August 2023

Dr. Baron holds a bachelor’s degree in medicine from “Universite Officielle de Bukavu”, completed in 2016.  He holds a high school diploma in biochemistry, Institut de la Fraternite, Kigoma, Tanzania in 2009, completed while he was a refugee from the conflict in his home country DR Congo. He was born at the Deaconess Nundu Hospital in 1988.  

On his arrival at Nundu from Baraka, he was assigned to the obstetrics-gynecologic service.  While serving as a general practitioner with limited training he attended to many patients who required referral to a specialist.  These patients would have to be transferred to Bukavu, the provincial capital of South Kivu, more than 250 kilometers north of Nundu.  Living away from their home village and traveling to the city was difficult, and sometimes even dangerous.  During their journey their problem would often get worse, and some patients would even die.

Deaconess Nundu Hospital medical staff and church leaders, June visit 2022

Baron is happy for the opportunity to give back to his community.  He is motivated by his desire to help a population which is suffering from very complex medical conditions.  Seeing the need for additional training, he competed successfully with 57 doctors for one of 13 scholarships in a residency program at the University of Burundi in obstetrics-gynecology. However, he found that as a Congolese he was obliged to pay $1500 per year tuition. 

With limited resources available, Dr. Baron began his training in Bujumbura, November 2022, leaving his wife Anne Marie and daughter at Nundu.  In February 2023 he and Anne celebrated two years of marriage as well as the first birthday of their only daughter Emilee. 

Connie Ebuela November 12, 2023

Emilee, Dr. Baron, Anne Marie

The need for scholarship support came to our attention in August of this year while on our mission to the DR Congo. Though Dr. Baron had received support to pay his tuition fees for one year from his brother, he was without sufficient funds to provide the basic needs of his family.  Anne was making a way for herself at Nundu by preparing meals for special events as well as taking on sewing projects.  She also learned that she was pregnant with their second baby, due in November.  The opportunity to support this couple with a scholarship was presented to the Free Methodist Healthcare Fellowship and approved.  Thank you for your support.

The Baron family is now living in Bujumbura, Burundi.  Their second daughter was born November 13 and was given the name Connie Ebuela.  We are blessed to be in relationship with this beautiful family.  Is your heart drawn to Africa?  There are other opportunities to support worthy scholarship recipients as well as to continue support for the additional three years of Baron’s residency.  To give, go to www.congohealth.org

Saving the Lives of Mothers and Babies

by Norman Wetterau, MD and Lwabanya Marx, MD

Image courtesy of Unsplash

The American Church is concerned about saving the lives of pregnant mothers, babies, and preventing neonatal deaths by discouraging abortions. In central Africa, many newborns die, and mothers die from childbirth often.

This article is an introduction to the issue of neonatal deaths, with an additional article that will follow later this year. There is much development in this area, including in some of our Free Methodist hospitals and clinics overseas. We welcome comments and additional writers.

Maternal mortality ratio (modeled estimate, per 100,000 live births)

Data Courtesy of: WHO, UNICEF, UNFPA, World Bank Group, and UNDESA/Population Division. Trends in Maternal Mortality 2000 to 2020. Geneva, World Health Organization, 2023

Worldwide, the maternal mortality ratio was 339 per 100,000 births in 2000, however currently the ratio is 223 per 100,000. In many developed countries the rate is under 20. In Canada, it is 11. The rates for 4 countries where we have Free Methodist Hospitals are: Rwanda 259, Haiti 350, Burundi 494 , and Democratic Republic of Congo; 547. These are the incidence of mothers dying from Childbirth. Rates for infant death will be presented later next year.

The Gates Foundation is making this a major project, and they published a report Sept 12, 2023 This report can be downloaded from the internet and presents several initiatives. Their report had seven recommendations:

1. A bundle of interventions that can reduce postpartum hemorrhage, the No. 1 cause of maternal death, by 60% for less than $1 per package

2. Bifidobacteria (B. Infantis), a new probiotic supplement that, when given to an infant alongside breastmilk, combats malnutrition—one of the leading causes of newborn deaths

3. Multiple micronutrient supplements (MMS) that boost survival rates for babies by helping replete nutrient stores in pregnant women and ensuring those vital nutrients are transferred to the baby

4. A new one-time infusion of IV iron for women that replenishes iron reserves during pregnancy, protecting against and treating anemia, a condition that is both a cause and effect of postpartum hemorrhage and affects almost 37% of pregnant women

5. Antenatal corticosteroids (ACS), which are given to women who will give birth prematurely to accelerate fetal lung growth, providing several weeks of maturation in just a few days

6. Azithromycin, which reduces maternal infections during pregnancy and prevents infections from spiraling into sepsis—the cause of 23% of maternal deaths in the United States—and reduces mortality when given to infants in high-mortality settings.

7. An AI-enabled portable ultrasound that empowers nurses and midwives to monitor high-risk pregnancies in low-resource settings to ensure that risks are diagnosed and addressed early

In the Nundu area of Eastern Congo most deliveries are being done by midwives and in some cases by totally untrained midwives. At-risk mothers are supposed to be referred to our hospital where there are physicians. The first problem is lack of trained midwives, but on the positive side, our nursing school there is training midwives and wants to enlarge their student body and building to make midwife training a major goal of the school.

Secondly, Dr. Marx has already instituted a program where midwifes can call by cell phone the hospital to discuss cases and get telephone consultations. For this publication he has sent the report, included below. In our next issue he can share more and we can provide more details on the midwife school.

MATERNAL AND NEWBORN HEALTH IN CONGO

by: Lwabanya Marx MD

The Deaconess Nundu Hospital, a free Methodist Facility is actively involved in the effort to provide quality care to the underprivileged community in the rural area of Nundu, Eastern Congo.  

In the last five years, more effort has been dedicated to improving maternal and newborn health care. This includes and not limited to the following: 

  • Setting up a neonatal intensive care unit, with basic equipment to provide quality health care, including two incubator, CPAP, Oxygen, blue light, radiant warmers, Infusion pumps and monitors, etc. 

  • Short training of general nurses to provide basic neonatal care, 

  • Short training of general practitioner doctors and nurses in comprehensive emergency obstetrics and neonatal care. 

Despite the above-mentioned effort maternal and newborn mortality has been oscillating and haven’t yet been close to the SDG -3. 

To address that situation, several new interventions has been initiated at Deaconess Nundu Hospital in collaboration with multiple partner organizations: 

  • Mobile Clinic, two mobile nurses are able to organize field trip in the community and reach out mothers and infant facing financial barriers, they perform clinical assessment and provide medications for common conditions like malaria, diarrhea, pneumonia, etc Children found in critical ill condition are immediately transferred to the Deaconess Nundu Hospital for appropriate care where all the care are provided for free because their bill are covered by patients care funds from CAHO. 

  • Community Health Workers (CHWs); one supervisor nurse from the Deaconess Nundu Hospital and 10 CHWs are actively involved in supporting served community to prevent common maternal and infant conditions by encouraging antenatal care visit, post-natal visit, sensitizing on hand hygiene, nutrition and contraceptive methods. The Community Health Workers program helped identify several high-risk pregnancies and decisions were made on time. 

  • Master Trainer program: as noted in many of our report late referral, poor knowledge of health providers at health centers especially in newborn resuscitation, management of common post-partum emergencies like PPH, etc. The Deaconess Nundu Hospital initiated a program to address knowledge gap at the health centers in the Nundu health District. The model is assess-train- assess- re-train. The program is supported by the Gould Family Foundation and focus on helping baby breath, essential care of small babies, essential care of every baby and helping mothers survive.

 The DRC government has also initiated free-of-charge health care to women delivering and newborn started October 1st, 2023. This program is dedicated to easier the financial burden of maternal and sick newborn. We don’t know yet what will be the next outcome. 

Renewing of the Mind and Trauma Informed Ministry: Free Methodist Heath Fellowship Fall 2023 Retreat

Image Courtsey of Unsplash

Renewing of the Mind and Trauma Informed Ministry

Free Methodist Healthcare Fellowship Retreat

Oct 20-22, 2023 | Essenhause, Middlebury Indiana

Featured Guest Speaker: Robyn Florian

We also hope to have a one hour Zoom conference on this subject with Robyn Florian in early September.

Friday Evening and Saturday Morning: Robyn will present about trauma-informed care and ways the church can participate in this. Trauma-informed care is popular in medical, psychological and other literature, yet its therapeutic principles were employed by Jesus and John Wesley. Many churches already promote trauma-informed care, even if they do not always understand how important their activities are. Robyn will share how trauma and its effects (fear, anxiety, depression) can negatively affect a person, as well as how the brain stores some of these effects as past memories capable of being triggered by present circumstances. In their hopeless, some people turn to substance abuse. Love, connection with people, forgiveness and forgiving others can be part of a healing process. There is evidence that these healing actives actually change brain activity as part of the process of recovery.

After Robyn’s presentations, there will be an open discussion as to how medical professionals—as well as churches, schools and communities—can promote healing by applying what we learn.

Saturday Evening: we will discuss healing of emotional and spiritual trauma overseas. Patrica Porter and other chaplains will talk about the chaplains training program they did at Hope Africa in February and their plans for the future. Dr. Wetterau will also share stories of some of the medical students he trained; stories of trauma, including watching their parents killed in the civil war, and stories of healing and recovery, usually facilitated through Christian friends and the church.


Our featured speaker: Robyn Florian

Robyn graduated last May with a D.Min. in Organizational Leadership from Asbury Theological Seminary and an M.A. in Christian Ministry from Liberty University, the culmination of a four-year season of study focused on how to help people hope through intensive, integrated soul care. She also holds an M.A. in Communication with an emphasis in digital engagement from Regent University (2004) and a B.S. in Education from Greenville College (1988). In 2016, God called Robyn out of a 25-year career in nonprofit communications and into the work of encouraging, equipping and empowering the Church to better tend to people in crisis and emotional brokenness. Her experiences included tenures at Greenville University and Spring Arbor University as well as investments in prison ministry, disaster relief, homeless outreach, and those dealing with medical challenges prior to her current investment in emotional healing and leadership formation.

Americans, Especially American Children, Are Not Living as Long

The Life expectancy of Americans has gone from almost 80 years to 76 years in the past three years. Homicide, suicides and drug overdose deaths are major drivers of this. Life expectancy in Europe is still over 80 year and has not decreased nearly that much with Covid.

Image courtesy of NPR

The graph depicted is from a report done by NPR and shows the life expectancy by year and by country. This report details the decline of life expectancy in the U.S. and the factors that lead into it. To read the article and view the full interactive graph, click here.

Secondly an article in the JAMA Network showed how the deaths of children under 19 have increased. Covid was only a minor cause of this. The article and graphs show that guns were a major cause, both through homicide and suicide. Other methods of suicide contributed as well as drug overdoses, although the majority of drug overdoses are in people over 19. No other country comes near to our drug overdose rate, even when adjusted for population. To read the article by JAMA Network, click here.

Physicians and other American health professionals like to show how advanced our healthcare system is, but due to these other factors, it is not helping people live longer.  This information is becoming more widely known and Americans want to know why we spend more money on health care than any other nation, yet have the lowest life expectancy of a developed nation and our life expectancy is falling.

Churches can make a difference. Those who attend church are less likely to drink excessively, if at all, and less likely to use illegal drugs. Our fall conference will address past life trauma and its effect on health including suicide. Churches can help those with lifelong trauma recover and reduce the incidence of suicide. A belief in a loving God, forgiveness and other loving people can help reduce suicide although Christians still do commit suicide.

The issue of guns is something else. Our country seems to consider gun ownership as an essential aspect of freedom. We are paying an increasing price in deaths for this belief. Evangelical Christians often oppose any gun control.  Could we support background checks and requirements that guns be locked up? Could assault weapons be stored at firing ranges and checked out for hunting? Do we really need assault weapons in our homes? I know of churches that support gun safety classes. Finally could we add these health crisis to our prayers in church: God give our country wisdom in dealing with the drug epidemic, suicide epidemic, feelings of depression and hopelessness in our teens and our fascination with guns and violence.

As members of the Free Methodist Healthcare Fellowship we can share the sad  information and encourage our church members to be aware of this and pray for the health of our nations young people. . When someone says we have the best health care and are the healthiest in the world, don’t argue but share this information. Being aware of this  is the first step.

Please e-mail your comments to normwetterau@aol.com to be shared in a future issue of our newsletter

Chaplaincy Training at Hope Africa University

Radio interview of chaplains at Hope Africa University in Burundi

We are thankful that three Kibogora Hospital chaplains and five chaplains/pastors from Nundu were able to attend an intensive week-long training conducted by the Chaplains Association of the Free Methodist Church in February.  There were in all 19 chaplains/chaplain candidates from three countries (Rwanda, DR Congo, Burundi), four hospitals (Kibogora, Nundu, Kibuye, and Van Norman), Hope Africa University and the Nundu School of Nursing. The training was hosted by the Van Norman Clinic and HAU in Bujumbura, Burundi and funded by a grant from the Butterfield Foundation.

Attendees received training on many aspects of chaplaincy, including Biblical foundations of chaplaincy, grief and bereavement counseling, trauma-informed care, pastoral crisis counseling, and spiritual assessment and formation.  The faculty traveled to Bujumbura, Burundi from Ireland and the US (Kentucky and California) with a variety of professional interests and experiences. Dr. Tim Porter and Rev. Patricia Porter, Co-Directors of the Free Methodist Chaplains Ministries USA, organized the curriculum and taught some classes including trauma-informed care. Dr. Meneely (PhD, Queens University chaplain from Belfast, Ireland – he is also a hospital chaplain) presented the theological section. Barbara Meneely (Registered Nurse (RN), Diploma of Higher Education Ulster University, Belfast) introduced issues related to hospital protocol and public health. Dr. Tony Headley from Asbury Seminary presented the emotional/mental aspects (Grief & Bereavement, Compassion Fatigue).

What were the outcomes of this chaplaincy training? Right after the classes were finished, the chaplains from the three different countries represented formed a very first chaplains association with all three countries represented!  These same chaplain leaders and Dr.Tim Porter were interviewed on the HAU radio station which was broadcast to all three Central Africa countries. The Butterfield Foundation is planning to start a chaplaincy internship program right away at the Van Norman Clinic as well as some type of chaplaincy certification program at HAU. The participants from Kibogora plan to share what they learned with the other chaplains on staff at Kibogora Hospital and so enhance the chaplaincy services provided. Dr. Marx, Medical Director of Deaconess Nundu Hospital, welcomes the impact this training will have on the spiritual care of patients and their families. Rev. Patricia Porter reports, “I think the chaplains really benefitted from the whole person care concept.  It has been a fruitful mission and I praise the Lord that it all came together!  We praise the Lord for the faithful people of DR Congo, Burundi, and Rwanda and it was a privilege for us to be part of what God is doing in Africa.”

A VIRTUAL INTERVIEW WITH REV. PATRICIA PORTER

Thank you, Rev. Porter participating in the chaplaincy training provided at Hope Africa University. As I reflect on what you have accomplished, I have some questions which come to mind. 

 

Q: How did you identify the need for training of chaplains at our hospitals in Central Africa? 

A: Tim and I started envisioning international chaplaincy when the bishop from the Philippines inquired about chaplaincy at GC’19, which gave us an idea for a new initiative for FMCA to start international chaplaincy training  in 2021.   Although the mission did not materialize in Asia, a chaplain from Kibogora who had immigrated to the US told us about chaplaincy there.  I contacted Julie Yerger, a former nurse at Kibogora, in March of 2022 and she put me in touch with Dr. Marx at Nundu and Dr. Glenn Snyder from Kibogora.  Both Dr. Marx and Dr. Snyder indicated a need for chaplaincy training at Nundu and Kibogora. 

Q: What brought your group together?    Another way to ask the same question, how did you identify those of like mind? 

A: In August ’22, Dierdre McCool (Executive Vice President of the Butterfield Foundation) and I started discussing her initiative to start spiritual care internship at Van Norman Clinic, with some concerns as to who would train the interns.  Then Dierdre sent me the newsletter written by Bishop Bates regarding the chaplains at Kibuye, so I called Bishop Bates and he had me contact Dr. Meeney who had trained chaplains individually in Burundi and had been there four times already.  We contacted Dr. Meeney and we decided to go as a team with Dierdre coordinating things in Africa and me putting a team together in the US.  It was definitely Holy Spirit-driven as everything clicked into place and the team put together according to God’s will.  Although we had two chaplains who could not go at the last moment, we were able to add recently retired professor from Asbury Seminary, Dr. Headley, to the team as he was willing to go with only a three-week notice! 

 

Q: As you came together as a faculty, did you find that your different professional interests to be complementary? 

A: It was a very complementary team as four of us were pastors, two were chaplains (university/hospital, military) and we also had medical experience (nurse & PT), and a university and a seminary professor. 

Q: When and how did you identify HAU as being a partner in this training?  How did the Butterfield Foundation join you in this program? 

A: We decided that HAU (in Bujumbura, Burundi) would be a central location for all the hospital chaplains to convene since all four hospitals are in close proximity to one another (3-5 hrs).  Butterfield assisted with meals, lodging, stipend, and travel for all the students, so they did not incur any expenses. 

Q: What did you learn about the different hospitals represented?  What are the plans for the future training?   

A: We had (the participating) chaplains share new initiatives they were doing at their hospitals which were informative and innovative.  One similarity that we observed was that all the hospital chaplains indicated that many patients ask them for monetary support which is not surprising given the economic conditions of these countries.  It was heartwarming to hear how the hospitals are trying to assist patients not only with funds but with food, especially for the young!  Tim and I were both brought on as board members of Butterfield to assist with their spiritual care initiatives and we found that Dierdre and we had the same dreams about international chaplaincy training!   

 

Our future plans are continued presence in Africa to further train the chaplains in all four hospitals as well as starting chaplaincy internship programs.   Van Norman will begin their internship program this March and Dierdre and I are already discussing possible internships at other hospitals if that is desired by their medical directors.  We would also like to see a chaplaincy certification program at HAU and Kibogora Polytechnic in the future.  We have been in discussions with FM colleges, universities, and seminaries regarding chaplaincy certification in the US as well. 

  

Q: How can we join you in your mission? 

A: At this point, what I would like to see is continued training in Africa and the formation of a chaplains association with a long-term goal of chaplaincy certification program at universities (in Central Africa).   Another thought I had was that it would be great if we could have the lead chaplains from these hospitals come to the US for three months to do  a unit of CPE at US hospitals.  I will be checking to see if the hospitals require US citizenships or if they only need student visas for CPE internships.  Both Tim and I have been inspired by the African chaplains who instantly became our brothers and sisters; their love for God and love for others in the midst of their own material needs is inspiring and amazing to say the least!   No wonder 500,000 out of 1.5 million FM members overseas are in Burundi, Rwanda and DR Congo!

 

Blessings,

Patricia

A Call to Support Eric Manirakiza in Pursuing His Doctorate

Image Courtesy of Hope Africa University

Eric Manirakiza is the director of the nursing program at Hope Africa University, and has been for 11 years. He is a graduate of the first undergraduate class of Nursing from Hope Africa University and a graduate from the first Masters-level class. In 2020, he completed a second masters in Nursing from Roberts Wesleyan College, and is now applying for the doctorate in Nursing Leadership at Spring Arbor University. He has also written a paper called Evaluation of Knowledge and Practice regarding Family Planning among Christians Pregnant Women of Gihanga Attending Antenatal Careat Vyizigiro Health Center, Bubanza, Burundi which can be accessed via the button below.

In the fall, Eric started his program at Spring Arbor University to obtain his doctorate, which is incredibly important to Hope Africa University and to Free Methodist Missions. He reached out to our medical fellowship to request assistance for tuition. Eric’s studies will enable him to provide expert leadership from an international perspective at Hope Africa University, and in his small country of Burundi in Central Africa. He is also attempting to pay tuition as well as take care of his three year old daughter and help support his younger brother and an additional orphaned lady on his limited income. Our board decided to help support him by giving him next semester’s tuition through the Thuline fund. The board also decided to have the FM fellowship set up an account to take tax deductible donations for this education, for this second year of his program. We are hoping many of our members will contribute to help support Eric in pursuing his doctorate. Friends of Hope Africa is also helping to raise support, but it is fitting that our fellowship, which includes nurses, also helps. His program is two years, so these donations will help pay for his second year. Supporting Eric will help the head of a very large FM University based nursing program an advanced degree.

If you have any questions about this, e-mail normwetterau@aol.com . Donations can be made online on our website or mailed to our treasurer, David Leffler. Mail checks out to Free Methodist Medical Fellowship and note nursing education in memo. Mail to:

David Lefler

235 Ridgewood Drive

Fort Ashby, WV 26719

Nursing Education in Central Africa: An Important Part of FM International Health Ministry

Image Courtesy of Hope Africa University

One of the gems of our church is our nursing programs in Central Africa, especially at Hope Africa in Burundi. We have nursing schools at Kibagora Hospital in Rwanda, Nundu in Congo, as well as a large University level course at Hope Africa in Congo.

When our church brought modern medicine to central Africa, there were medical missionaries and nurses, and eventually nursing schools followed. Now we have Christian Medical Schools, including our FM one in Burundi, Hope Africa.

Our April issue featured an article about the nursing department at Hope Africa, which can be accessed here. The article detailed the history of the baccalaureate program, and if you’re curious about the students that graduated, you can read about the spirit of our Hope Africa Graduates here, in an article written by Dr. Randy Bond last year.

Eric Manirakiza is the director of the nursing program program at Hope Africa, who, along with graduating from the first undergraduate program at Hope Africa University, has graduated from HSU’s first Master’s class, and has obtained his second Master’s Degree in Nursing from Roberts Wesleyan College. He plans to pursue his doctorate in Nursing Leadership at Spring Arbor University, and to read more about him, his work, and help him obtain his doctorate click here. Eric shared some more information about the Nursing Program at Hope Africa university in an update:

Q:  Around how many students graduate from Hope Africa University each year?

An average of 50 students graduate each year

Q: How many are in the graduate program?

62 students

Q: What careers have these students gone on to?

 Ministry of Public Health with its different departments and program, National

Public Health Institute, Hospitals, Health Centers and Clinics (Public and Private)

around the Country include Van Norman Clinic and Kibuye Hope Hospital, HAU,

Kibogora in Rwanda, Schools, etc…

Q:   How does the nursing program compare to other majors at HAU?

The nursing program is one the most important programs at HAU. It had trained

students from several nationalities: Haiti, Uganda, Tanzania, Cameroon, Rwanda,

Kenya, Burundi, Tchad, DRC. In 2021 and 2022 , we admitted more than 100

students each year.

Addressing Same Sex Attraction from a Christian Perspective: Fall 2022 FMHF Retreat

Image Courtesy of TripAdvisor

Our 2022 fall retreat was a success. Around 30 people gathered to explore the theme: Addressing Same Sex Attraction from a Christian Perspective. In addition to those who attended in person, around 10 people attended virtually. Unfortunately, we were not able to record and make our programs available after the conference but will provide a brief summary here and some references.

Dr. Rodney Bassett, author of Loving From Where We Stand: A Call to Biblically Faithful Ministry with the LGBTQ+ Community is an ordained elder, has a Ph.D, and had taught psychology and human sexuality at Roberts Wesleyan for many years. He provided an overview of homosexuality through the eye of a Christian psychologist. The question is often asked: is same-sex attraction genetic, or inherited, or is it related to early childhood experience? He presented various studies including twin studies that did not give a single answer. All these and other factors were involved. He also spent considerable time talking about how the younger generation views the issue. For many they see the nonacceptance of those with same-sex attraction and relationships as a justice issue. This issue also came up later when same-sex marriage was discussed. He recommended 2 books to give additional information, including Douglas E. Rosenau’s A Celebration of Sex: A Guide to Enjoying God’s Gift of Sexual Intimacy, which is a general introduction to a Christian view of sexuality (both editions are great), as well as any book by Mark Yarhouse, though the members of your association may be especially intrigued by Understanding Gender Dysphoria: Navigating Transgender Issues in a Changing Culture.

Rev. Bruce Cromwell is the author of Loving From Where We Stand: A Call to Biblically Faithful Ministry with the LGBTQ+ Community as well as an ordained elder, and has a Ph.D. His book is available at Life and Light Press, as well as on their website FreeMethodistbooks.com where one can listen to a podcast about the book and read an excellent summary by Jeff Finley. Although we do not have recordings on our retreat sessions, the book, podcast and summary will provide much information.

In the discussion at the retreat, the group struggled with the issue. Most agreed that God intended sexual activity to be between a man and women in marriage. On the other hand, simply having same sex attraction is not a sin. Also there can be much sin in heterosexual relationships. Everyone should be welcome in a church, even though the church may not approve of all that they do. The church is about forgiveness, yet one does not define forgiveness by saying that all they are doing is fine. The church is to draw all people to Jesus. We do not have to approve of all that everyone does but we are also not to judge them when there are no innocent parties being hurt that need protection. Those who are in same sex relationships are welcome in our churches although maybe not in a leadership role. A chapter in Rev. Bruce Cromwell’s book discusses this in detail. Those who come having been married outside the church are to be recognized as legally married, but the church will not marry them. Here marriage is a legal issue.

It was noted that churches can have three views toward homosexuality. One is to condemn and judge it. Those in same-sex relationships are not welcome at these churches. A second view is affirming what they are doing. But there is a third alternative, and our church is a leader in this: acceptance without affirming. Our church cannot affirm their choices or perform same sex marriages. However, we accept them as children of God and invite them to fellowship and grow as Christians in our churches. Their activity is not the unforgivable sin. Yet at the same time we do not promote same sex activity or marriage as some churches do. Pastor Cromwell noted that as the United Methodist Church struggles with this issue, a number of their churches really like our position. They have problems with those churches that totally affirm same sex activity and celebrate it, yet they do not want to judge and condemn these people. Our churches position allows us to accept the individuals without celebrating their activity. As the United Methodist Church struggles with this issue a number of these churches are very interested in our position since it is one of love but not of celebration of something which is outside Gods perfect will for humans.

Finally, there was a discussion of medical aspects of those with same sex activity. There is a wide spectrum of medical aspects. For those in relationship with just one person there may be few or no medical issues. Issues of having children could be an issue. For those in multiple relationships there are potentially many problems. Drug addiction is common in those with multiple partners but that is equally common in those with multiple heterosexual partners and in younger people in general. Males who have anal sex with multiple partners have a high incidence of HIV. Suicide rates are high, especially among transexual youth. Health care professionals need to be sensitive to the needs of all these individuals. They are all children of God. There was considerable discussion around all these issues.

This retreat was a time of fellowship but also sharing thoughts around these issues We want to take them back to our congregation. Our position: to accept but not celebrate is one that needs to be shared. Also consider ordering the recommended books, especially Rev. Dr. Bruce Cromwells book Loving From Where We Stand: A Call to Biblically Faithful Ministry with the LGBTQ+ Community; for your church library.

FMHF Receives a Bequest from Marcia and Dale Thuline

Recently the Free Methodist Healthcare Fellowship has received a bequest from the estate of Marcia and Dale Thuline. The amount is in excess of one hundred thousand dollars, and this will enable our organization to better serve our members, do new things and help reach out to our churches. Funds could also be used to help our healthcare professionals in what use to be our mission hospitals. Our board will discuss this at our annual meeting in September. We welcome suggestions and will report back at our annual retreat in September.

Marcia (Lerew) and Dale Thuline grew up in the Free Methodist Church and were very active in Bible Quizzing. They were childhood sweethearts. Both went into the medical field, Marcia a nurse, and Dale a doctor.  Once Dale completed his medical residency in Panama, they felt called to the mission field, where they served in both South Africa and Transkei in the 70’s.  After returning to the states he joined the clinic in Arlington, WA, which had a unique program whereby doctors covered for one another while one would rotate for a year or more in a FM mission hospital. Dale continued to serve through missions, with brief trips to Haiti and Africa.  Both he and Marcia lived a life of service.

In addition to mission travel, Dale & Marcia loved to travel and obtained their goal of visiting every National Park in the US and most of the National monuments. Their final foreign travel was to the Galapagos Islands off Ecuador.

Nursing Education at Hope Africa University

Image courtesy of haufriends.org

by Darlene E. McCown

Professional Nursing education at the baccalaureate level began at Hope Africa University (HAU) in 2006 with a  first class of 12 eager students (2 women and 10 men). There were no text books and limited equipment. An African nurse and a U.S. visiting professor served as the faculty.

Over the next 15 years, the baccalaureate program developed with a basic professional curriculum, additional visiting faculty, stable clinical site experiences and expanding professional recognition and East Africa accreditation. The early development of a Nursing skills laboratory with medical equipment, anatomical models, microscopes,  ophthalmoscopes, audio visual materials, etc. revolutionized the education for nurses at Hope Africa University.

In 2011, under the direction of Dr. Darlene McCown, a 2-year Masters of Nursing degree program was started with 8 students (2 women and 6 men).  Six of the students were graduates of HAU and 2 were from other institutions. A thesis written in English was required.  All the students successfully completed their program. They all serve in Africa in positions of leadership in Nursing.

To date, HAU has produced more than 650 graduates in Nursing. Currently, 196 undergraduate and 47 graduate students are enrolled.

The Nursing program is directed by Eric Manirakiza who is a graduate of the first undergraduate class of Nursing from HAU and a graduate from the first Masters-level class; in 2020, he completed a second masters in Nursing from Roberts Wesleyan College, and is now applying for the doctorate in Nursing Leadership at Spring Arbor University, The Nursing faculty at HAU  consists of Eric who also serves as director, three fulltime nurses, and some part-time faculty for general courses. Visiting faculty assist with teaching as needed.

God has provided for this educational ministry over the years since 2006 and has changed the health of the small nation of Burundi through the work of the Free Methodist church and dedicated faculty at HAU. For more information on Hope Africa go to the Dec 2021 newsletter and read: Hope Africa Graduates.