Characterizing the global context for cross-cultural healthcare work by regions of the world


  • Mark A. Strand North Dakota State University
  • Eckert Paulson Country Director for NGO in Central Asia
  • Timothy Myrick University of Missouri at Kansas City Family Medicine, Kansas City, MO



Global health, medical missions


Healthcare missionaries (n=393) from 18 different English-speaking countries, serving in 67 countries were surveyed. With an average of 11 years of field experience, and working primarily in the local language, participants in this study were able to report on the healthcare situations and the experience for expatriate healthcare missionaries in their countries of service. The healthcare institutions in most countries of the world are reported to be improving.  Most countries remain hospitable to the presence of expatriate missionaries, but there also exists some resistance to expressions of Christian faith in the workplace. As mission organizations consider where to place healthcare professionals for medical service, consideration should be given to the trends and opportunities present in different regions of the world, so as to achieve the greatest outcomes, and to provide the best match between the missionary and the context they are going to work in. This paper provides assistance in this process.

Author Biographies

Mark A. Strand, North Dakota State University

Professor, School of Pharmacy and Department of Public Health, North Dakota State University, Fargo, ND.

Eckert Paulson, Country Director for NGO in Central Asia

Country Director for NGO in Central Asi

Timothy Myrick, University of Missouri at Kansas City Family Medicine, Kansas City, MO

University of Missouri at Kansas City Family Medicine, Kansas City, MO


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How to Cite

Strand, M. A., Paulson, E., & Myrick, T. (2015). Characterizing the global context for cross-cultural healthcare work by regions of the world. Christian Journal for Global Health, 2(2), 23–38.

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