Tuesday, September 18, 2012

Food for Thought

Derek, Olive, & I will be attending the Health, Agriculture, Culture & Community course at the ECHO (Educational Concerns for Hunger Organization) campus in south Florida in 2 weeks. We are thrilled to get time away and all that we will learn during the week! In preparation, we were asked to answer some questions to make us start thinking about the root causes of the health disparities we will encounter in our specific environments, and I thought I would share our answers with you. You may or may not agree with the answers we came up with, but nevertheless it is good food for thought... 

{disclaimer} 
sorry it is so lengthy- you will get a treat if you make it all the way to the end 
(NO CHEATING!!)




Health problems to address

What are the most important diseases where you will be or are working?

According to CDC, the region in which we will be working experiences a high prevalence of tropical diseases, including Lymphatic filariasis, Onchocerciasis, Schistosomiasis, Soil transmitted helminths, Trachoma. According to our colleagues on the ground, they treat a high rate of sickle cell disease, malaria, and malnutrition, and some meningitis. Occasionally they have outbreaks of measles, cholera, and typhoid.


Why are these diseases so serious and widespread?

One local gentleman describes the problem quite well: “We, here in Bundibugyo, are third world of the world- we’re the ninth world.” Often forgotten even by the rest of their country (which is itself considered “developing”), this region is lacking in many, many resources. Most of the diseases seen in the health clinic are preventable, but there is a lack of government assistance (even with basic things such as immunizations and diagnostic tools), a lack of organized infrastructure, and especially a lack of education. There is plenty of opportunity for people to grow nutritious foods (and generate an income in doing so), and obtain clean drinking water. However, the society has not adopted the mindset that their current health conditions are directly related to their poverty and cultural norms/traditions. Additionally, there is a high genetic predisposition for certain diseases such as sickle cell anemia, and the remote tropical climate of the region lends itself to tropical disease. Again, without proper assistance, these diseases become very difficult to treat.


What has to change in order to deal with the causes of these diseases and problems?

On a practical level, education is needed on how to grow nutritious foods, how to acquire clean drinking water, how to generate an income with resources that are readily available in the community, and how to prevent certain diseases and illnesses.

However, in order to deal with the root cause of these issues that contribute to the health disparities and diseases, a cultural shift must take place in the society’s worldview. Being missionaries first and health clinicians second, we understand that the physical needs we see in the health clinic are mostly symptoms of a deep spiritual need the people have to be reconciled with God. That takes 1) a willingness to learn, and 2) a willingness to teach. The interchange goes both ways, however. We must be willing to learn their culture to understand why certain diseases and problems exist, and they must be willing to teach us how things have “always been done”; additionally, they must be willing to learn new ways of living, and we must be willing to teach in a culturally appropriate context (ie: not the “American way”). It is only when both parties recognize that they are equal in their need for reconciliation and heart change that the cultural worldview & lifestyle will begin to change.


Why are human behavior and life style so difficult to change?

Human behavior and lifestyle are so difficult to change because of our natural proclivity toward self-centeredness. In other words, because of SIN. When we have learned a certain way of doing things and adopted a certain way of living, we take pride in carrying forth the traditions of our families and are actually blinded to ways that our beliefs might be damaging to ourselves and to our society. It takes great humility to acknowledge the errors in our worldview and cultural belief systems, and a great willingness to learn something new. Even then, our cultural “norms” still drive much of our innate behavior, and it takes much discipline, determination, and courage to change.


What does transformation of beliefs and behavior require of us?

Transformation of beliefs requires an acknowledgment of our deep-rooted sinful nature and our complete inability to change this nature by our own strength. It requires humility before our Creator and a desire for Him to change us from inside out. Our behavior is simply an outward expression of our beliefs. Because our beliefs will always be in need of transforming while we are here on earth, our behavior will always require change as well. Therefore, as we struggle inwardly, we must also be in a constant state of repentance outwardly.


Where does this fit into the Gospel of Jesus Christ?

The Gospel of Jesus Christ is both good news & bad news. The bad news is that we are severely flawed because of sin and we have no means within ourselves to fix the problem. The good news is that God has provided a means for us to be reconciled back to Him through His Son, Jesus Christ. Additionally, He has provided a means for our belief system, and thereby our behavior, to be transformed as well. This is through His Holy Spirit.

In working in a cross-cultural context, we are daily faced with the fallacies of our belief system that otherwise would probably remain hidden in the sea of cultural normalcy. Therefore, we are constantly faced with our inadequacies and need for change and renewal. While a difficult and challenging thing to daily face our sin in such a raw context, it provides the humility necessary to learn the culture we are now in, and communicate the Gospel message in a culturally appropriate context. Once we recognize that while we are messengers of the Good News, we are also desperately in need of the Good News, then and only then can true change can begin to take place not only in our hearts but in the hearts of those whom we have come to serve.


What can the church do about these problems? Are any churches trying to do anything?

One thing the church can be doing is to engage. I believe a blind spot the church has (at least in America) is our willingness to remain ignorant of the issues going on around the world (other than the ones that get public media attention). Once faced with issues of severe poverty, malnutrition, disease, human rights violations, etc., they are hard to ignore and we do feel propelled to do something about them. However, also a fallacy of our American belief system, we want to “fix the problem”, “do it right”, and “do it quick”. The behavior that results from this belief system has oftentimes done more harm than good. This is because we treat symptoms and not the actual cause. As the church, we must be willing to get to the root of these issues (which is a lot messier than any of us would like to believe), and we must be willing to confront our own sin and errors in worldview while doing so. This takes time, and lots of it. As the extension of the body of Christ, we need to go to those places where suffering prevails, and before trying to alleviate the suffering that is there, we must be willing to enter in and experience the suffering for ourselves. It is then and only then that we can offer true hope in Jesus Christ in a culturally acceptable way.


Read Mark 1: 21 – 38 : The first real clinic in history
Why did Jesus refuse to go back to the clinic the next morning? Be ready to discuss this

Jesus refused to go back to the clinic the next morning because His primary ministry was to preach the word of God. His healing gave authority to His preaching (Mark 1:27), but the ministry of healing was not to replace the ministry of preaching. Additionally, healing people was spiritually exhausting, even for the Son of God, and He had to get away to pray in order to be replenished (a noteworthy example for aspiring missionaries!) He recognized that there would always be people in need of healing and the more people He healed, the more who would come for healing. But ultimately, His example shows us that it is not physical healing that must be the primary focus of medical ministry. Preaching the word of God must take precedence in order for lasting change to take place.


YAY!
you made it!! here's your treat :)

Lucy & her new umbrella!


 Little Miss Diva


 Weekend with YaYa & Poppy


 Olive figuring out the jumperoo (or just suspending from it!)


 Olive Mae with future hubby Garett Henry :)


my sweet little 3-month old :)

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