Tag Archives: Christian Missions

Managing Christian Mission Hospitals – Lessons from the life of Jesus

26 Nov

Christian mission hospitals today face a plethora of external and internal challenges. Some are flourishing inspite of the challenges, several have closed and many are just holding on.

In 1992, within a year of our marriage, my wife, Ann and me visited the Makunda Christian Leprosy & General Hospital in a remote rural part of Assam in northeast India. The hospital had been closed for the previous 10 years and faced severe problems that appeared almost insurmountable. We felt that God was leading us to join this hospital because it was in a remote rural thickly populated area with no other high-quality healthcare facility nearby – thereby having a high potential for transformational impact. We restarted medical work in March 1993 with a commitment to stay on till January 2022. (1) Today, Makunda is a thriving community bringing transformation in many areas, especially to the poor and marginalized.

How did a hospital with severe local problems and enormous challenges renew itself to become a transformer of many communities? It is all because of the grace of God and the hard work of numerous staff who joined us – especially those who had no obligation to do so and in the early years with all its difficulties.

Our main contribution to the work at Makunda was perseverance. Many mission-hospital workers give up too soon in the face of adversity – we simply stayed on, doing the best we could each day, plodding on till major changes started to happen. We also learnt to put ourselves in the shoes of the people we are called to serve as well as the people we had been given to work with. We thank God for each other – Ann and me complemented each other in our work, God had blessed each with an unique set of strengths and we played our roles, Ann with her gift of empathy and comfort and me with my gift of analysis and planning. As we go through Christian life, we yield ourselves to the Master, to be chipped and shaped into what He wants us to be, learning through trials and mistakes, becoming better each day. As a couple, Ann took on more of the soft role of prayer and personal involvement with people while I took on more of the hard role of being blunt and uncompromising when required. Both roles have their place in Christian management and must be administered in the correct doses.

A few days ago, I was invited by the Dr. Jyothsna M.J., Medical Superintendent of Unicorpus to speak to the “Healthcare Community Fellowship”. The Unicorpus Health Foundation was started in 2015 by 4 alumni of the Christian Medical College, Vellore and is today growing in many areas providing services to people in Hyderabad and beyond. I thank them for inviting me – may God bless their work and make them a blessing to many.(2)

Through our 29-year experience at Makunda, we have been guided by verses from the Bible in developing the correct attitudes. Successful mission hospital work happens when we are able to interact with our staff, students, patients and partners in the correct manner – this brings people to us, to join us as staff or use our services as poor patients, thereby fulfilling the mandate for which we exist. In the short video that follows ( a recording of my talk to the Healthcare Community Fellowship), I have reflected on key Bible verses, “golden drops of wisdom” that guided us to the right attitudes to adopt and which led to the major changes at Makunda. May these verses be a source of wisdom, strength and encouragement to others working in missions across the world and help them become ‘salt and light’ to the communities they serve.

References:

  1. https://the-sparrowsnest.net/2018/05/12/early-days-at-makunda/
  2. https://www.youtube.com/watch?v=skTMoXiEB2s

Please click on the link below to view the video:

St. Andrew’s Kirk Chennai – Bicentenary Sermon on Medical Missions

4 Apr

When I did my undergraduate medical studies in Madras (present-day Chennai) in the early 1980s, I had the privilege of attending the St. Andrew’s Church (The Kirk). There, I met Pastor David Singh with whom I had many long talks over several years. He was one of my early mentors and introduced me to community health work at the church’s community health program at Thirupalaivanam village. Many years later (in 2007), Ann and me met him again in Richmond, Virginia where he was pastoring a church. This resulted in him visiting us in Makunda and to several years of partnership between his church and organization in the USA with our hospital – yearly staff and student retreats as well as financial support to the expansion of the hospital’s work in obstetrics and paediatrics.

The St. Andrew’s Church (fondly called the Kirk) was built by Scottish missionaries and has a rich legacy over 200 years. Its building and architecture are unique and many great men and women were associated with it over the two centuries of its existence. A brief account of its work has been presented as a documentary here: https://www.youtube.com/watch?v=780_668IGG0 – further details of the church and its ministry can be found on its website: https://www.thekirk.in/index.php

As part of the Bicentenary Celebrations of the church, March 2021 was dedicated as “Healing Month” with sermons centered around the healing ministry of the church. Ann and me were privileged to be invited to sing/speak at the morning service (with the theme verse John 15:16) on the 14th of March 2021. I used this opportunity to talk about my association with the church, share a personal testimony and challenge healthcare professionals and the church to missionary service. Ann and me thank the pastor and the church committee for inviting us to speak at this great church on “Medical Missions – Journeys in Faith”.

Mission hospitals were established by the church in remote and needy parts of the world where they transformed healthcare, bringing life and healing to numerous poor people who had no other options. Unfortunately, a large number are sick today and many have closed. We need a new impetus to healing sick hospitals and starting new ones in areas of need. May God place this vital burden on the hearts of church elders and the congregation so that the medical ministry of the church is a blessing to many. May young men and women in our churches today consider medical missionary work as a part of their career when God puts them into healthcare courses.

This video is made by the media team of the church and starts with organ prelude, worship led by my college junior Dr. Anita Chelliah and welcome by the Pastor, Rev. Isaac Johnson with announcements and introduction at 24:27 by the Secretary of the church and my school classmate, Mr. Dulip Singh. A short documentary on the “Healing Ministry in Chennai” is shown from 32:20 and my sermon starts at 52:47 with Ann singing the song, “His Eye is on the Sparrow” at 1:43:50. This is followed by intercessory prayer and the closing part of the program. You may listen to the entire program or parts of it by clicking on the link below:

Chat with Eby

8 Mar

In this post, I wish to introduce my blog-readers to Dr. Eby Daniel, a physician working at the Christian Fellowship Hospital at Rajnandgaon in the Chattisgarh state of India. He has started a podcast with each episode containing an interview with someone working in Christian missions and has called it “Chat with Eby”. There are also other playlists containing Christian meditations, Mission hospital videos etc. – you can see all of them on his YouTube channel here: https://www.youtube.com/channel/UC9BiQMPpSkgIl2ecTtXJ8fg

I had the privilege of being interviewed by him in his latest podcast, responding to thought-provoking questions that are relevant to young medical (and other) people considering a career in missions.

In this interview, questions have been raised on several topics on which I have written earlier (references in brackets to earlier blog-posts and external links) including finding God’s will for our lives (1,2), early days at Makunda (3), strategic planning(4), the “Makunda Model” and poor-centric strategies (5,6), preventing “Mission Drift” (7), my experience with leprosy (8) and myocardial infarction (9), biodiversity documentation (10,11), choosing a life partner (12), excelling in studies (13) and concluding remarks on decisions relating to missions (14).

I hope that you will like listening to Eby’s channel and his interviews with other people – I’m sure that you will (like me) subscribe to his channel too. Please click on the video link after the following references to listen to this podcast containing Eby’s latest Chat – with me.

References:

  1. https://the-sparrowsnest.net/2017/09/13/obeying-a-call-to-medical-missions-a-testimony/
  2. https://the-sparrowsnest.net/2020/09/30/a-journey-of-faith/
  3. https://the-sparrowsnest.net/2018/05/12/early-days-at-makunda/
  4. https://the-sparrowsnest.net/2021/02/03/medical-missionary-work-strategic-planning-and-stock-taking/
  5. https://www.researchgate.net/publication/342551561_The_Makunda_Model_An_Observational_Study_of_High_Quality_Accessible_Healthcare_in_Low-Resource_Settings
  6. https://the-sparrowsnest.net/2021/02/19/medical-missionary-work-poor-centric-strategies/
  7. https://www.peterkgreer.com/mission-drift/
  8. https://the-sparrowsnest.net/2019/01/30/a-wrestle-with-leprosy/
  9. https://the-sparrowsnest.net/2011/11/01/an-encounter-with-a-myocardial-infarction/
  10. https://the-sparrowsnest.net/2020/04/29/all-things-bright-and-beautiful/
  11. https://the-sparrowsnest.net/2020/05/27/all-creatures-great-and-small/
  12. https://the-sparrowsnest.net/2012/05/22/wisely-choosing-a-life-partner-for-an-aspiring-medical-missionary/
  13. https://the-sparrowsnest.net/2012/04/15/excellence-in-studies-for-an-aspiring-medical-missionary/
  14. https://the-sparrowsnest.net/2021/02/23/suggestions-for-medical-missionary-work/

Suggestions for Medical Missionary Work

23 Feb

Christian mission hospitals should be God’s institutions of healing in a world of suffering. They have the potential to ‘close the gap’ in access to healthcare and provide high quality accessible services in the most remote and needy parts of the world to those who need them the most – the poor and marginalized.

In 1993, my wife Ann and me moved to a remote part of Assam in northeast India. We were led by verses in the Bible (Jeremiah 29:11-13 for me and Isaiah 6:8 for Ann) to what God wanted us to do with our lives. Over the following 27 years, God took us by our hands and provided us with all the encouragement, strength and wisdom required to transform a closed-down hospital to a thriving institution bringing healing and transformation to many surrounding communities. (1) We were not alone, God brought many committed staff to join us over the years to make this possible.

I was privileged to be invited to speak at six sessions on “Medical Missions” at the (virtual) South Asian regional conference of the International Christian Medical and Dental Association in November 2020. I am not an expert on medical missions but spoke from our experience in walking with God and witnessing a great transformation take place in our hospital.

The six talks can be viewed here along with a seventh talk given at the Annual Conference of the Allied Health Professionals section of the Christian Medical Association of India. Each link opens a blog-post with a short description of the content of the video that follows:

  1. An introduction to medical missionary work, its promise and the attitudes that are important to be successful: https://the-sparrowsnest.net/2021/01/31/medical-missionary-work-introduction-attitudes-and-promise/
  2. Strategic Planning for a mission hospital (for pioneering work as well as for existing hospitals) and stock-taking to finetune future plans: https://the-sparrowsnest.net/2021/02/03/medical-missionary-work-strategic-planning-and-stock-taking/
  3. Leadership in our hospitals, management/governance structure, recruitment and retention as well as succession planning for mission hospitals: https://the-sparrowsnest.net/2021/02/07/medical-missionary-work-leadership-and-human-resource-management/
  4. Nurturing and motivating students and staff so that they may be well prepared and work to their full potential in medical missions: https://the-sparrowsnest.net/2021/02/18/medical-missions-nurturing-and-motivating-students-and-staff/
  5. Sustainable trategies to make good quality healthcare accessible to the poor and marginalized: https://the-sparrowsnest.net/2021/02/19/medical-missionary-work-poor-centric-strategies/
  6. Other work that can be done in mission hospitals and concluding thoughts: https://the-sparrowsnest.net/2021/02/22/medical-missionary-work-non-medical-work-and-concluding-thoughts/
  7. Medical missionary work for the allied health professional – our technicians, pharmacists and other hospital support staff: https://the-sparrowsnest.net/2021/02/02/medical-missionary-work-for-the-allied-health-professional/

These talks are based on my experience of nearly 40 years in medical mission hospitals and medical college campuses. I hope that some of them may be applicable to every situation. May God be the source of all wisdom, strength and encouragement to the listeners to these messages and help us to plan our God-given work wisely.

Medical Missionary Work – Nurturing and Motivating Students and Staff

18 Feb

Christian mission hospitals should be God’s institutions of healing in a world of suffering. They have the potential to ‘close the gap’ in access to healthcare and provide high quality accessible services in the most remote and needy parts of the world to those who need them the most – the poor and marginalized.

In 1993, my wife Ann and me moved to a remote part of Assam in northeast India. We were led by verses in the Bible (Jeremiah 29:11-13 for me and Isaiah 6:8 for Ann) to what God wanted us to do with our lives. Over the following 27 years, God took us by our hands and provided us with all the encouragement, strength and wisdom required to transform a closed-down hospital to a thriving institution bringing healing and transformation to many surrounding communities. (1) We were not alone, God brought many committed staff to join us over the years to make this possible.

I was privileged to be invited to speak at six sessions on “Medical Missions” at the (virtual) South Asian regional conference of the International Christian Medical and Dental Association in November 2020. I am not an expert on medical missions but spoke from our experience in walking with God and witnessing a great transformation take place in our hospital.

The video starts with a short clinical illustration to show why we need to have all our faculties focused on our work lest we miss a vital observation (a point discussed in the previous day’s question and answer session).

Where will our staff come from? – this is a burning question facing most mission hospital leaders. We cannot wait for people to apply for jobs in our hospital, we need to get involved in the lives of medical, nursing and paramedical students in their colleges. Only then will we have sufficient numbers of high-quality committed staff joining us. From experience 33 years earlier to the present, I talk about suggestions on how this can be done. A slip of the tongue at 6.30 – in the illustration, I meant “my mother” not “my wife”!

Mission minded students start their missionary work as students in colleges, I have mentioned several observations on how good practices lead to transformational impact in college fellowships.

What about staff who join our hospitals today? How can we engage with them so that they live and work to their full God-given potential? How do we retain committed staff in our institutions? How can we make our hospitals professionally challenging places for our staff – where they feel that their skills and knowledge are being fully utilized?

How can we provide a pleasant and fulfilling life on campus to our staff? I close the session with a story that illustrates how God can surmount the greatest obstacles and provide us with the staff we need.

  1. https://the-sparrowsnest.net/2020/09/30/a-journey-of-faith/

Medical Missionary Work – Leadership and Human Resource Management

7 Feb

Christian mission hospitals should be God’s institutions of healing in a world of suffering. They have the potential to ‘close the gap’ in access to healthcare and provide high quality accessible services in the most remote and needy parts of the world to those who need them the most – the poor and marginalized.

In 1993, my wife Ann and me moved to a remote part of Assam in northeast India. We were led by verses in the Bible (Jeremiah 29:11-13 for me and Isaiah 6:8 for Ann) to what God wanted us to do with our lives. Over the following 27 years, God took us by our hands and provided us with all the encouragement, strength and wisdom required to transform a closed-down hospital to a thriving institution bringing healing and transformation to many surrounding communities. (1) We were not alone, God brought many committed staff to join us over the years to make this possible.

I was privileged to be invited to speak at six sessions on “Medical Missions” at the (virtual) South Asian regional conference of the International Christian Medical and Dental Association in November 2020. I am not an expert on medical missions but spoke from our experience in walking with God and witnessing a great transformation take place in our hospital.

The video (link below) starts with a few comments on questions raised by participants in the previous day’s session (this can be skipped by starting the video at 04.30). The first comment is on cost vs benefit of different healthcare interventions.  I have explained the expenditure against population covered using 3 slides – maybe difficult to understand without the background discussion! This is followed by a few points on Christian private practice and marriage before the talk on leadership and human resource management.

In this third session, we will look at leadership in mission hospitals – please skip to 04.30 on the video.  In this talk, I have spoken about ‘Title’ and ‘Towel’ leaders, management/governance structure, suggestions for recruitment and retention of staff and succession planning.

I have made a few references in the session – on marriage (2), online course on governance in health (3)

  1. https://the-sparrowsnest.net/2020/09/30/a-journey-of-faith/
  2. https://the-sparrowsnest.net/2012/05/22/wisely-choosing-a-life-partner-for-an-aspiring-medical-missionary/
  3. https://www.globalhealthlearning.org/course/governance-and-health-101

In the question and answer session at the end, only the answers have been put into the video. The questions were:

  1. Should I consider Government service or a corporate hospital as a place of work if God is calling me there?
  2. How important is Quiet Time?
  3. Who were your mentors?
  4. What is the place of Urban Medical Missions?

Medical Missionary Work – Strategic Planning and Stock-taking

3 Feb

Christian mission hospitals should be God’s institutions of healing in a world of suffering. They have the potential to ‘close the gap’ in access to healthcare and provide high quality accessible services in the most remote and needy parts of the world to those who need them the most – the poor and marginalized.

In 1993, my wife Ann and me moved to a remote part of Assam in northeast India. We were led by verses in the Bible (Jeremiah 29:11-13 for me and Isaiah 6:8 for Ann) to what God wanted us to do with our lives. Over the following 27 years, God took us by our hands and provided us with all the encouragement, strength and wisdom required to transform a closed-down hospital to a thriving institution bringing healing and transformation to many surrounding communities. (1) We were not alone, God brought many committed staff to join us over the years to make this possible.

I was privileged to be invited to speak at six sessions on “Medical Missions” at the (virtual) South Asian regional conference of the International Christian Medical and Dental Association in November 2020. I am not an expert on medical missions but spoke from our experience in walking with God and witnessing a great transformation take place in our hospital.

In this second session, we will look at areas of medical mission work that are not taught in medical college. How do we take stock of the situation in our hospitals and make wise plans for the future?

At the end of the session, I have answered questions from the group. Unfortunately, the recording does not include the questions (only the answers). The questions are:

  1. How do we manage burnout in our staff? – sometimes we really are physically exhausted beyond out capacity but often there are other reasons.
  2. How do we manage differences in opinion with other senior officers of the institution? – we can’t win arguments, but we need to win hearts.
  3. What can we do if there are irreconcilable differences with our partners? – we can list out our differences and give time for change, sometimes we may need to break the partnership.
  4. What do you do when workloads become too much to bear? – God will give strength from above – through verses, songs, people…
  5. Do we need to be serious about our work at all times, can we entertain ourselves too? – it is a tremendous responsibility to treat patients, their lives are in our hands and we cannot afford to be careless.
  6. When can we stop learning? – Never!
  1. https://the-sparrowsnest.net/2020/09/30/a-journey-of-faith/

Medical Missionary Work – for the Allied Health Professional

2 Feb

Allied Health Professionals (pharmacists, laboratory and other technicians, optometrists, neurophysiologists etc.) are often the unheard and unseen background support system of our mission hospitals. I thank the Christian Medical Association of India for inviting me to speak to them at their 2020 Annual Conference for Allied Health Professionals. I have spoken from our experience at the Makunda Christian Leprosy and General Hospital over 27 years – a testament to God’s blessings and the hard work of numerous co-workers (1). I hope that this video is an encouragement to allied health professionals (and students) in Christian mission hospitals all over the world. May God bless them and make them a blessing to many. I apologize for short segments of the recording that are inaudible (it was recorded over the internet).

  1. https://the-sparrowsnest.net/2020/09/30/a-journey-of-faith/

A Journey of Faith

30 Sep

My wife Ann and me were privileged to speak last year at the LEADTalks 2019 conference (1) in Bangalore – a forum that challenges and encourages young Christian people to live lives of purpose, integrity and excellence – we thank the organizers for the opportunity and pray that God would continue to bless their initiative in the years to come.

In 1992, within a year of our marriage we set out from Tamil Nadu in South India to Assam in northeast India (2,3). We were searching for a place that would provide us with an opportunity to be of the greatest transformational impact with the time, talents and treasure that God had blessed us with. For this, I had developed a simple formula to choose a location – the potential for the greatest transformational impact by an individual = the total population (in that location) that could avail his/her services divided by the total number of other people with his/her qualifications / skills etc. So, we were looking for a place that was thickly populated with few healthcare institutions which meant somewhere far away from home in urban Tamil Nadu.

28 years have passed since our first visit to Makunda, God took us by our hands and blessed us with wisdom, strength and encouragement. A small start in 1993 (4) has become a thriving institution today, providing services to many (5). It was all due to God’s grace and the hard work of many highly committed co-workers who laboured with us. Mission institutions provide transformational impact across the world in areas of great need and are key to ‘closing the gap’ in access to services to the poor and marginalized (6). Unfortunately, many are sick and the story of Makunda is an example of how God can revive and rebuild one of His institutions if we are willing to go with Him on a “Journey of Faith”. This is a short video of our talk:

References:

  1. https://www.leadtalks.org/
  2. https://the-sparrowsnest.net/2016/02/19/short-video-of-our-work-made-by-emmanuel-hospital-association/
  3. https://the-sparrowsnest.net/2017/09/13/obeying-a-call-to-medical-missions-a-testimony/
  4. https://the-sparrowsnest.net/2018/05/12/early-days-at-makunda/
  5. https://www.researchgate.net/publication/342551561_The_Makunda_Model_An_observational_study_of_high_quality_accessible_healthcare_in_low-resource_settings
  6. https://www.researchgate.net/publication/322476512_’Closing_the_Gap’_-_Using_Global_Health_Doctors

A Christian Hospital in the time of Covid19

5 Apr

            This post is based on a message I gave today (through videoconferencing) to the staff of our hospital, Makunda Christian Leprosy and General Hospital (1) – the numbers in brackets refer to links given in the references at the end of this post:

            Today is Palm Sunday, the beginning of the Christian “Passion Week”. Normally, today, Christians all over the world would have walked streets outside their churches with palm fronds, enacting Jesus’s entrance into Jerusalem, leading on to the train of events that led to His death and resurrection. Palm Sunday 2020, however, is different. Churches all over the world are closed. Most villages, towns and cities are under various restrictions – from social distancing to lockdowns. People are on their phones – talking, chatting and posting on social media, the discussions are all about one thing – the Covid19 pandemic. Till today, over 1.2 million people are infected and over 65,000 have died (2).

            Instead of a Palm Sunday message, today’s talk will be about our response to a crisis situation. The Jewish world is about to start their Passover festival – this year it will also be celebrated across the world in similar conditions as Passion Week – from the 8th to the 16th of this month.

            We read the story of the Passover in Exodus 12:12-18 (3). The nation of Israel was in bondage to the Egyptians. The ruler of the Egyptians, the Pharaoh, would not let them free – they were his source of cheap labor. The early chapters of Exodus talk about this situation, the story of Moses and God using him to deliver the Israelites from the clutches of the Egyptians through 10 plagues. The last plague was the death of every firstborn in the land. The Israelites were pre-warned of the impending plague and were told to anoint their doorposts with blood from a sacrificial lamb. When the Angel of Death swept through the land killing the firstborn, he “passed over” the homes where there was blood on the doorposts. We too, like the Israelites, should put our faith on the shed blood of the Lamb. The world today is gripped by a powerful pestilence, killing large numbers of people from even the wealthiest and most powerful of nations – all their power and wisdom is unable to stop it. We too have no power over this pestilence, but like the Israelites, we can put our faith on our God, who made heaven and earth. He sends His angels to watch over His people and like the Israelites in the days of Moses, we too can be at peace and without fear.

            Let us look at a Biblical model for our hospital as we approach this crisis situation. For our meditation today, I have taken the first 6 chapters of the book of Nehemiah.

            Nehemiah starts his story from the city of Susa, where he hears about the sad predicament of the people of Judah and the city of Jerusalem. It is like our situation today, as we hear about the worsening crisis across the world. He knows that this situation is due to the disobedience of God’s people (Nehemiah 1:8) (4) but at that point in time, the problem was to restore the integrity of the city and its walls. He approached the king and is given supplies and assistance to complete this task. He is given authority, in fact, he is made the governor. He (Nehemiah 2:12-16) (5) inspects the city and its walls and takes stock of the situation. We too should understand and take stock of the situation. Through electronic mass media, we are uptodate on what is happening around the world. We know that this pandemic originated in China and then rapidly spread across the world through traveling infected people. It is now spreading from person to person. Each infected person is expected to spread the disease to two others, if given the opportunity to interact with uninfected people. If nothing is done, millions will be infected and many will die. Scientists are constantly studying this disease as it evolves and we are learning how to manage the situation and minimize morbidity and mortality.

            Having understood what he was up against, Nehemiah made elaborate plans. He appointed key leaders to take responsibilities for rebuilding different parts of the walls of Jerusalem. When faced with ridicule by his enemies, he responded by ignoring them, showing single-minded determination to complete the task given to him and by prayer. When there was a threat of physical violence (Nehemiah 4:15-16) (6) he arranged for workers to continue working – with construction materials in one hand and a weapon in the other. We too have the responsibility of treating our patients while protecting ourselves and others from getting infected. At our hospital, the local government has designated us as a non-Covid emergency hospital. People need a safe place to go for their deliveries, strokes and heart attacks, bowel perforations and obstructed hernias. In the future, we may be called upon to work with Covid patients too – if government facilities are overwhelmed. Our hospital has created a task force that has readied the hospital to tackle this situation. Separate teams have been formed, personal protective equipment (PPE) is being made with what we have, different areas have been designated for different patients and protocols are in place – we too are preparing to fight on two fronts.

            In the 5th chapter of the book of Nehemiah (7), we see him hearing about the plight of the poor and needy. Although his task was to repair the walls, that could not be his only priority. His target population was suffering and they were the focus of the exercise, not the stone walls and wooden gates. Therefore, he steps in and asks people to forgive the debts of the poor and give loans without interest. In this moment of crisis, let us also consider the people we have been called to serve. Many of them were already poor and marginalized, this situation will make them destitute – they have just become financially vulnerable and in danger of losing their vital assets. If we force the poor to pay their bills – for bringing their loved ones to our hospitals and their children to our schools, we would inflict greater pain than the virus. Let us think about how we can be a blessing to the underprivileged communities that we have been called upon to serve. We may ask, aren’t we running out of money too? We don’t have enough to pay our bills and salaries. We must remember that God is no man’s debtor. The Bible tells us that when we treat the poor, He will pay their bills and reward us (Proverbs 19:17) (8)

            Later in the 5th chapter, we see Nehemiah counting the costs of the work entrusted to him. He finds that resources are short and the task is great. He decides to set a personal example by not claiming what is his due as a governor. When crisis situations arise, we (and our families and friends) should consider a period of austerity and sacrifice for the people we are called to serve. Makunda went through periods of severe crisis in the past. Each time, bills accumulated, due amounts were demanded by various people – salaries were deferred and many staff donated from what they had to keep the work going. Projects had been started which could not be closed – staff contributed to enable them to continue, today they are institutions on their own, the 1200 student Makunda Christian Higher Secondary School, the School of Nursing and the branch hospital at Ambassa in Tripura – to enable these to become reality, staff were willing to wait for 14 years for running water and electricity to be supplied to their homes. Some staff did not take their eligible leave so that the hospital did not have to spend on paying for replacements. Today, we too have an opportunity to help our institution continue to serve its target people by giving of our time, talents and treasure. We are lending to God and will be repaid with things that money cannot buy – peace and contentment in this world and riches in heaven.

            We read in Chapter 6 (9) that Nehemiah firmly denied lies from his enemies and finally completed the task in 52 days. Only then did he start working on solving the root causes of the problem – the disobedience of God’s people. We too need to work hard and diligently to get through this crisis now, when we have got over it we can study the entire experience and put in place protocols and practices to help us do better the next time we face another crisis.

            We now come to the last part of today’s message. We hear about fear in people facing this crisis, but we have nothing to fear. Romans 14:8 (10) says that whether we live or die, we are the Lord’s. For us, Christians, life does not end with our physical death but continues on forever. We are God’s ambassadors from the kingdom of Heaven, temporarily posted to this world. We will all die one day but we are at peace. We have handed over our lives into the hands of our loving Commanding Officer – we are dispensable and He can choose the manner and timing of our deaths. Our only concern is that during the time given to us in this world, we live lives that find approval in His sight by trust and obedience and complete the tasks given to us.

            Let me close with a few verses from that much loved chapter in the Bible, Psalm 23 (11). In verse 4 we read, “Even though I walk through the valley of the shadow of death, I fear no evil, for thy rod and thy staff, they comfort me”. I remember suffering an acute myocardial infarction (12), rolling about in pain on the 12th of October 2008 – I felt as if someone was trying to pull the life out of me but I was holding on because God was telling me that He had some more work for me to do before I go to be with Him. In verse 6, we read, “ Surely goodness and mercy will follow me all the days of my life and I will live in the house of the Lord forever” – may we submit our lives to Him as we face this crisis and be worthy of this promise, for this world and the one to come.

References:

  1. http://www.makunda.in/
  2. https://infographics.channelnewsasia.com/covid-19/map.html
  3. https://www.biblegateway.com/passage/?search=Exodus+12&version=NIV
  4. https://www.biblegateway.com/passage/?search=Nehemiah+1&version=NIV
  5. https://www.biblegateway.com/passage/?search=Nehemiah+2&version=NIV
  6. https://www.biblegateway.com/passage/?search=Nehemiah+4&version=NIV
  7. https://www.biblegateway.com/passage/?search=Nehemiah+5&version=NIV
  8. https://www.biblegateway.com/passage/?search=Proverbs+19%3A17&version=NIV
  9. https://www.biblegateway.com/passage/?search=Nehemiah+6&version=NIV
  10. https://www.biblegateway.com/passage/?search=Romans+14%3A8&version=NIV
  11. https://www.biblegateway.com/passage/?search=Psalm+23&version=NIV
  12. https://the-sparrowsnest.net/2011/11/01/an-encounter-with-a-myocardial-infarction/