Dr. Bisomwa and Family Give Thanks

BY TIMOTHY KRATZER, MD

Dr. BISOMWA MULANDA Morgan is completing his fourth year of a pediatric residency at the University of Abomey-Calvi, the principal public university in the West African country of Benin. The university, located in the city of Abomey-Calvi in the south of the country, is a member school of the Association of African Universities. He is a medical school graduate of the Université Évangélique en Afrique (UEA)/Bukavu.

Dr. Morgan gives thanks to the Central Africa Healthcare Organization (CAHO) for supporting him for the last three years of his residency. Without this support, he would not have been able to continue this training. His goal is to care for sick children in the various health structures of the Free Methodist Church DRC. He has been trained in the care of sick children in the pediatric emergency room as well as hospitalized patients. Well-child care based in outpatient clinics was also included in his training. He also has received specialized training in neonatology, pediatric cardiology, and sickle cell disease.

Before Dr. Morgan received support for his specialization training, he found that the living conditions in Benin away from his family in DR Congo were not easy. With scholarship assistance, his wife and children have been able to join him. His wife’s name is SOLANGE BAHIZIRE Ornella. They have a daughter JOHARI MULANDA Béatrice and two boys BISOMWA MULANDA Albert and KITUMAINI MULANDA Scofiel.

Residents in African training programs do not receive a living stipend. In fact, they have fees which need to be paid to the university as well as living costs. The cost for the last year of his residency was $10,900 (see chart below), which was paid out of the CAHO scholarship fund. This account is currently in deficit, and for this reason we are asking friends and members of the Free Methodist Healthcare Fellowship for their support. You can give at www.congohealth.org or to the Free Methodist Healthcare Fellowship.

Dr. Morgan and his family are currently worshipping in a neighborhood Pentecostal Church. After completing his training, he is committed to serving the Free Methodist Church in DR Congo, providing both well-child care and care for the critically ill. It is anticipated that his primary assignment will be Deaconess Nundu Hospital, but he has served as the medical director of the Mshimbakye Hospital, south of Nundu. 

He was born at a health center in Makabola, a village 18 miles north of Nundu. He has the conviction that his training will have a positive impact in improving the care of children by ensuring a high standard of care for all children as well as training health workers who will have a shared passion for taking care of sick children.

Thank you for considering this opportunity to support Dr Morgan.

The Impact of USAID Funding Cuts on the Health System at Nundu Hospital in Eastern DRC

A reflection from Dr. Marx Lwabanya a staff at NDH, DRC

Introduction

For decades, the United States Agency for International Development (USAID) has been a cornerstone of health sector development in the Democratic Republic of Congo (DRC). Through initiatives targeting malaria, tuberculosis, maternal health, and health system strengthening, USAID has helped millions access life-saving care. However, recent funding suspensions have triggered a cascade of disruptions—particularly in the eastern provinces, where fragile health systems are now buckling under the weight of civil unrest and resource scarcity.

USAID’s Historical Role in DRC’s Health Sector

USAID has invested billions in the DRC since the early 2000s, with over $935 million disbursed in 2023 alone(1). Key programs include:

  • Integrated Health Program (IHP): Operating in 9 provinces and 179 health zones, IHP has improved access to quality care for over 47 million people(2,3). It supports maternal and child health, nutrition, immunization, and disease prevention.

  • End Malaria Project: In 2023, USAID provided $15.88 million to distribute insecticide-treated bed nets to over 28 million people(1).

  • Nutrition and Child Health: Between 2021 and 2022, USAID reached 26.7 million children with nutrition programming and vaccinations(3).

  • Emergency Response: USAID has been instrumental in responding to outbreaks of Ebola, mpox, and cholera, and in providing humanitarian aid during displacement crises.

These programs have not only saved lives but also built local capacity, improved data systems, and fostered community engagement through initiatives like Champion Communities and health development committees (CODESAs)(4).

Consequences of Funding Cuts in Nundu Health Zone

The USAID funds cuts affect different stakeholders in Africa, and the Democratic Republic of Congo, especially the eastern part, that is facing political instability. It is a moment when humanitarian aid is needed more than ever before because the suffering is at its peak, when the cuts of USAID funds hit like lightning, causing a double burden to the people. 

The impact goes beyond a single person suffering, affecting even organizations that were implementing projects with funding from the USAID, the case of the International Medical Corps (IMC) in the Nundu Health Zone in South Kivu. This disengagement of IMC from Nundu, has had immediate and far-reaching effects in the areas of their interventions including and not limited to the Reduced Community Outreach: Preventive health education, especially around family planning, has sharply declined. The Nundu health zone and hospital is struggling to manage patients in this fragile context when the pharmacy is empty for drugs that came from a program supported initially by the USAID. The main consequence on the ground is now: 

  • Stockouts of Essential Medicines: Supplies of antimalarials, anti-tuberculosis drugs, and lab reagents for TB are frequently unavailable, delaying treatment and increasing disease burden.

  • Provider Capacity Erosion: Without technical and financial support, health workers lack training, supervision, and motivation.

  • Rising Mortality Rates: Infant deaths, low birthweight deliveries, and maternal fatalities are on the rise.

At Nundu General Hospital, the situation is especially dire. Patients diagnosed with tuberculosis are placed on waiting lists for over a month due to drug shortages, increasing both mortality and community transmission. 

The lack of antimalarial drugs is even more concerning, as malaria remains the leading cause of morbidity and mortality in the region. Shortage of malaria drugs is a serious concern requiring a particular attention. 

Civil Unrest and Humanitarian Crisis in South Kivu

The health crisis is compounded by escalating violence in South Kivu. Armed clashes have displaced over 850,000 people, half of them children(5). Hospitals are overwhelmed, health workers are fleeing, and access to clean water and sanitation is severely limited(6). In this volatile context, the absence of USAID-supported health interventions is not just a setback—it’s a humanitarian emergency.

Perspective on the ground

The USAID funds cuts information was perceived differently on the ground; some analysts think it is a good thing for African leaders to learn better how to use their responsibility to better serve their people and not relying on external aid. Of course, some countries are well positioned to start thinking their way forward after the USAID funding cuts. Unfortunately, this is an overwhelming situation to manage for countries like the Democratic Republic of Congo struggling to end war and conflict, and now called to fill the gap of USAID, which is an unrealistic goal unless new alternatives for funding options emerge. 

Conclusion

The people of Nundu and surrounding areas are facing a perfect storm of disease, displacement, and dwindling resources. The shortage of antimalarial drugs at Nundu General Hospital demands urgent support to keep serving the community effectively, relying on it for appropriate care, especially as civil unrest continues to destabilize South Kivu. 

In the face of adversity, the resilience of Congolese communities endures. But resilience alone cannot fill empty shelves or treat malaria without medicine. The time to act is now.

Current challenges in International Health

BY NORMAN WETTERAU, MD

Image courtesy of Google Images

Republican President George Bush started the PEPFAR program that has saved millions of lives including the lives of children from HIV. This is only one health program of many that was supported by USAID and dropped. 

Much medical assistance for TB, HIV, and child-health was provided by USAID. Although there are charges that much of this money is wasted or misused, much is not. 

The Congressional Research Service has published a study which you can look at. Most of the money goes through other organizations. The Catholic Church is the number one group and goes for food and medical care. Look up the study if you wish (https://www.congress.gov/crs-product/IF10261). When I read some of this material, the facts did not seem to support the idea that most USAID money was inappropriately used or used for administrative overhead. In a future article we may see how the cessation of funds have affected FM women and children overseas.

USAID provides much of the money through Christian organizations that have health programs on the ground. The Free Methodist hospitals in Congo do not receive direct operating aid from USAID, but there are programs for TB and HIV that provide help through our medical facilities. 

Most USAID funding has stopped. Dr. Nichols, associate professor of Global Health at Boston University School of Public Health, estimates that there will be an unnecessary TB death every 7 min now that the TB program has been defunded. (https://www.bu.edu/articles/2025/mathematician-tracks-deaths-from-usaid-medicaid-cuts/?)

There is some potential good news. Bill Gates has pledged billions of dollars to help close this gap. The Gates Foundation said it had three priorities: reducing preventable deaths of mothers and babies, ensuring the next generation grows up without having to suffer from deadly infectious diseases, and lifting millions of people out of poverty.

So the big questions are: do Christians agree with the above three goals and will Christian Churches step up to the plate and give more for child health, malnutrition and infectious disease treatment in Africa?

As mentioned above, many Christian mission groups had received funds from USAID . Will their churches make up the lost revenue? Will Free Methodist Churches increase their giving? Some Christians have supported the cut in USAID since they think churches, not the government, should provide this. Will they provide the help?

It would be truly sad if Christian churches, some of whom supported the cessation of USAID, do not give more for these humanitarian needs. Let us, as FM health professionals, speak up in our own churches. Ask for increased giving to FM medical missions and ask our pastors to call our church to pray for our medical work overseas as well as peace in Congo and Haiti.

This article expresses fact but also opinion. Feel free to e-mail comments to normwetterau@aol.com

Loss of USAID and War in Congo. Both good and bad news.

BY NORMAN WETTERAU, MD

Image courtesy of Northwestern Now

Image courtesy of NorthwesternNow

Africa is in the news. USAID has been cut off, and due to lack of medications, children are already dying from TB and HIV. Some children may die from starvation. Other groups (church and Bill Gates) are trying to make up for the loss of USAID. According to Dr. Marx, this is affecting Free Methodists children. Could your church help make up this lost aid? (go to congohealth.org and also to gocaho.org)

Eastern Congo has been in the news. There has been a civil war and the Free Methodists have major churches there. The good news is that the rebel army stopped before reaching our hospital in Nundu and the 50 clinics in the area. The hospital and clinics remain open. However, rebels do occupy many areas further north where there are Free Methodist Churches. A truce has just been announced, and we will have to pray it will hold. 

Several years ago we had an article on the civil war and Dr. Mukwege, a Christian doctor in Eastern Congo who won the Nobel Peace Prize. He is an ob-gyn specialist who operates on women who have been sexually abused and whose sexual organs have been badly damaged. He is also outspoken in his Christian testimony and on the need for the civil war to end.

Christianity Today (May-June 2025) has a major article on the situation in Eastern Congo and on Dr. Mukwege. It is a long article and gives many details of the 30 years of war in Eastern Congo. It also details what Dr. Mukwege and his hospital are doing. In spite of all the evil, God is at work. Dr. Mukwege’s work and Nobel Peace Prize are great testimonies to Christ's work in the world today. (read from CT, May 2025, or try this link: https://www.christianitytoday.com/2025/05/inside-crowded-hospital-congo-rape-victims/

In late June, the United States brokered a treaty between Congo and Rwanda. The rebels were not asked to sign, but the two countries that back them did sign. Also, the United States was going to become involved in the mining of rare minerals which hopefully will be better than China, the rebels, and Rwanda. Because the Free Methodist Church is so involved in medical work in eastern Congo, I would encourage our members to pray for peace there and to keep up to date on what is happening.

Ask people in your church to pray. Do our members know how our brothers and sisters are suffering? On the other hand, do they rejoice because our hospital is still open? Do they rejoice over the work of Dr. Mukwege who is such a Christian witness to love and healing in that hurting region?

Where is the Free Methodist Health Fellowship Headed this Year?

BY NORMAN WETTERAU, MD

We did not have a weekend retreat last year and may not this year because our plans to bring speakers from Africa have fallen through. Our board has decided to put a special emphasis on medical missions in the next year or two. 

We will publish articles on Free Methodist medical mission efforts. We are also partnering with Friends of Hope Africa in promoting the new medical building and other improvements in their health education programs. The Friends of Hope Africa board are planning some regional dinners, and our Fellowship board would like to participate in some of these. The next issue of our newsletter will have more articles on Hope Africa. Some of the articles may address current problems our Free Methodists in Africa are experiencing. We need to know what is happening

In a second newsletter in August we will highlight some important things that are happening in our hospitals in Africa and report on a donation our board decided to give from an endowment we were given.

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