Considering Medical Missions in all its Different Forms: A Viewpoint from the Asia-Pacific Region

  • Dr. Nyalpi Nungarai -
  • Dr. Matthew Paul
  • Prof. Nathan G John
  • Dr. Wei-Leong Goh
Keywords: Christian missions, low- and middle-income countries, Asia-Pacific region, healthcare

Abstract

Whereas some medical missionaries may already have moved away from “traditional” models of medical mission, in the experience of the authors from the Asia-Pacific region, many potential medical missionaries in the region still imagine a stereotypical generalist medical missionary who runs a mission hospital. 

The authors argue that with the economic and socio-political development of low- and middle-income countries (LMICs) in recent decades, the landscape for medical missions has changed.  Hence, contemporary medical missionaries should be well-advised to have specialist qualifications and be more likely to teach, mentor, and do research rather than only doing hands-on clinical work.  Professionalism and quality, rather than “make-do,” should be the norm.  There are more opportunities to partner with and strengthen existing local institutions rather than setting up a Christian health service.  Furthermore, mission opportunities may be available in academia, government, or secular organisations, including places where Christianity has a hostile reception.  Multi-disciplinary expertise and collaboration within health services are increasingly important and provide another opportunity for missions.  Medical missionaries may also come from other LMICs, or from within the same country.  Job-sharing, self-funding, or fly-in-fly-out, may be a viable and legitimate means of sending more medical missionaries. 

These non-traditional models of medical mission that incorporate a diversity of approaches, but without sacrificing the “traditional” missional values and practices, should allow even more people to serve in medical missions. The purpose of this paper is to survey this topic in hope of stimulating discussions on non-traditional medical mission opportunities in the Asia-Pacific region and beyond.

Author Biographies

Dr. Nyalpi Nungarai, -

Medical Doctor from the Asia-Pacific region, pseudonyms used for security purposes

Dr. Matthew Paul

Medical Doctor from the Asia-Pacific region, pseudonym used for security purposes

Prof. Nathan G John

Medical Doctor from the Asia-Pacific region, pseudonym used for security purposes

Dr. Wei-Leong Goh

Medical Doctor from the Asia-Pacific region

References

Johnson TM, Bellofatto GA, Hickman AW, Coon BA, Crossing BF, Krause M, et al. Christianity in its global context, 1970-2020: society, religion and mission [Internet]. Center for the Study of Global Christianity. 2013 [cited 2021 March 5]. Available from: https://www.gordonconwell.edu/center-for-global-christianity/christianity-in-global-context/

Tracking universal health coverage: 2017 global monitoring report [Internet]. World Health Organization and The World Bank. 2017 [cited 2021 Mar 5]. Available from: https://www.who.int/healthinfo/universal_health_coverage/report/2017/en/

Tennent C. Invitation to world missions: a trinitarian missiology for the twenty-first century. Grand Rapids: Kregel Publications; 2010.

Mettes S. The new faces of medical missions [Internet]. Christianity Today. 2020 Jan 6 [cited 2021 Mar 5]. Available from: https://www.christianitytoday.com/ct/2020/january-february/medical-missions-africa-paacs.html

Varghese P, editor. On the wings of dawn: medical mission in India today. Chennai: Evangelical Medical Fellowship of India; 2015.

O’Donnell K, editor. Doing member care well: perspectives and practices from around the world. Littleton: William Carey Library; 2013.

Wood PB. The evolution of church/missions hospitals in Africa. Evangel Missions Q. 2011;47(3):336-40.

Kruk ME, Gage AD, Joseph NT, Danaei G, García-Saisó S, Salomon JA. Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. Lancet. 2018;392(10160):2203-12. http://doi.org/10.1016/S0140-6736(18)31668-4

O’Brien BC, Forrest K, Wijnen-Meijer M, Cate O tenien BC, editors. A global view of structures and trends in medical education. In: Understanding medical education: evidence, theory, and practice, 3rd edition. Edinburgh: The Association for the Study of Medical Education; 2019. p. 7-22. http://doi.org/10.1002/9781119373780

Transforming and scaling up health professionals’ education and training [Internet]. World Health Organization; 2013 [cited 2021 Mar 5]. Available from: https://www.who.int/hrh/resources/transf_scaling_hpet/en/

Rigby PG, Gururaja RP. World medical schools: the sum also rises. JRSM Open. 2017; 8(6):2054270417698631. http://doi.org/10.1177/2054270417698631

Krztoń-Królewiecka A, Švab I, Oleszczyk M, Seifert B, Smithson WH, Windak A. The development of academic family medicine in central and eastern Europe since 1990. BMC Fam Pract, 2013;14:37. http://doi.org/10.1186/1471-2296-14-37

Ng CJ, Teng CL, Abdullah A, Wong CH, Hanafi NS, Phoa SSY et al. The status of family medicine training programs in the Asia Pacific. Family Med. 2016;48:194-202.

Flinkenflögel M, Essuman A, Chege P, Ayankogbe O, De Maeseneer J. Family medicine training in sub-Saharan Africa: South-South cooperation in the Primafamed project as strategy for development. Fam Pract. 2014;31(4): 427-36. http://doi.org/10.1093/fampra/cmu014

Nambiar B, Hargreaves DS, Morroni C, Heys M, Crowe S, Pagel C, et al. Improving health-care quality in resource-poor settings. Bull World Health 2017;95:76-8.

Smits H, Supachutikul A, Mate KS. Hospital accreditation: lessons from low- and middle-income countries. Glob Health. 2014;10(65). http://doi.org/10.1186/s12992-014-0065-9

Lankester T, Grills N, editors. Setting up community health and development programmes in low and middle income countries, 4th edition. Oxford: Oxford University Press; 2019.

Taylor S. ‘Global health’: meaning what? BMJ Global Heal. 2018;3:e000843. http://doi.org/10.1136/bmjgh-2018-000843

Williams R. Canterbury Sermon [Internet]. 2006 [cited 2021 Mar 5]. Available from: http://news.bbc.co.uk/2/hi/uk_news/6208653.stm

Vellore Christian Medical College Foundation, CMC – a historic view [Internet]. [cited 2021 Mar 8]. Available from: https://www.vellorecmc.org/about/introduction-to-cmc-vellore/history/

Christian Medical College and Hospital, Ludhiana, Our Story [Internet]. [cited 2021 Mar 8]. Available from: https://www.cmcludhiana.in/our-story/

Ackers HL, Ackers-Johnson J. ‘First do no harm’: deploying professional volunteers as knowledge intermediaries. In: Mobile professional voluntarism and international development. New York: Palgrave Pivot; 2017. Pages 21-50. http://doi.org/10.1057/978-1-137-55833-6

Dawson AJ, Nkowane AM, Whelan A. Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: a systematic review. Hum Resour Health. 2015;13(97).

Rehm J, Sheild KD. Global burden of disease and the impact of mental and addictive disorders. Curr Psych Rep. 2019;21(2):10. http://doi.org/10.1007/s11920-019-0997-0

World report on disability [Internet]. World Health Organization; 2011 [cited 2021 Mar 5]. Available from: https://www.who.int/disabilities/world_report/2011/report/en/

Knaul FM, Farmer PE, Krakauer EL, De Lima L, Bhadelia A, Kwete XJ, et al. Alleviating the access abyss in palliative care and pain relief – an imperative of universal health coverage: the Lancet Commission Report. Lancet. 2018;391(10128):1391-454. http://doi.org/10.1016/S0140-6736(17)32513-8

Lescano AG, Cohen CR, Raj T, Rispel L, Garcia PJ, Zunt JR, et al. Strengthening mentoring in low- and middle-income countries to advance global health research: an overview. Am J Trop Med Hyg. 2019;100(1_Suppl): 3-8. http://doi.org/10.4269/ajtmh.18-0556

Mormina M, Pinder, S. A conceptual framework for training of trainers (ToT) interventions in global health. Glob Health. 2018;14(100). http://doi.org/10.1186/s12992-018-0420-3

Gilson L, Agyepong IA. Strengthening health system leadership for better governance: what does it take? Health Policy Plann. 2018;33(suppl_2): ii1–ii4. http://doi.org/10.1093/heapol/czy052

Scott J, Morales DR, McRitchie A, Riviello R, Smink D, Yule S. Non-technical skills and health care provision in low- and middle-income countries: a systematic review. Med Educ. 2016;50(4):441-55. http://doi.org/10.1111/medu.12939

Heiby JR, Armbruster D, Jacobs TA. Better care for every patient, every time: improving quality in low-resource health systems. BJOG. 2014;121(Suppl. 4):4-7. http://doi.org/10.1111/1471-0528.12903

Beran D, Byass P, Gbakima A, Kahn K, Sankoh O, Tollman S, et al. Research capacity building – obligations for global health partners. Lancet Glob Health. 2017;5(6):E567-E568. http://doi.org/10.1016/S2214-109X(17)30180-8

Primary health care on the road to universal health coverage, 2019 global monitoring report [Internet]. World Health Organization, 2019 [cited 2021 Mar 5]. Available from: https://www.who.int/healthinfo/universal_health_coverage/report/2019/en/

Jefferson L, Bloor K, Maynard A. Women in medicine: historical perspectives and recent trends. Brit Med Bull. 2015;114(1): 5-15. http://doi.org/10.1093/bmb/ldv007

Russo G, Gonçalves L, Craveiro I, Dussault G. Feminization of the medical workforce in low-income settings; findings from surveys in three African capital cities. Hum Resour Health. 2015;13(64). http://doi.org/10.1186/s12960-015-0064-9

Sykes KJ. Short-term medical service trips: a systematic review of the evidence. Am J Public Health. 2014;104(7): e38–e48. http://doi.org/10.2105/AJPH.2014.301983

Published
2021-07-30
How to Cite
Nungarai, N., Paul, M., John, N., & Goh, W.-L. (2021). Considering Medical Missions in all its Different Forms: A Viewpoint from the Asia-Pacific Region. Christian Journal for Global Health, 8(1), 42-52. https://doi.org/10.15566/cjgh.v8i1.523