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CMAI

CMAI CENTRAL EDUCATION BOARD Allied Health Sciences (Paramedical) Courses

1. CMAI Medical Radiation Technology Training Committee (MRTTC) • 2 Year Diploma in Radiodiagnosis Technology • 2 Year Diploma in Radiotherapy Technology • 1 Year Post Graduate Diploma in Nuclear Medicine Technology • 1 Year Advance Level Tutor Diploma 2. CMAI Laboratory Training Committee (LTC) • 2 Year Diploma in Medical Laboratory Technology • 1 Year Bridge Course • 1 Year Post Graduate Diploma in Histopathology Laboratory Techniques • 1 Year Post Graduate Diploma in Medical Microbiology • 1 Year Post Graduate Diploma in Medical Virology • 1 Year Tutor Technician Course • 1 Year Diploma in Dermatology Laboratory Technology 3. CMAI Ophthalmology Technology Training Committee (OTTC) • 2 Year Diploma in Optometry and Ophthalmic Technology • 1 Year Certificate in Ophthalmology Technology 4. CMAI Anaesthesiology Technology Training Committee (ATTC) • 2 Year Diploma in Anaesthesiology & Critical Care Technology

5. CMAI Medical Record Technology Training Committee (MRTC) • 2 Year Diploma in Medical Record Technology • 1 Year Advance Level Tutor Diploma in Medical Record Technology 6. CMAI Counselling & Addiction Therapies Training Committee (CATTC) • 1 Year Post Graduate Diploma in Counselling & Addiction Therapies 7. CMAI Electrophysiology & Pulmonology Technology Training Committee (EPTTC) • 2 Year Diploma in Electrophysiology & Pulmonology Technology 8. CMAI Diabetic Education & Podiatry Technology Training Committee (DEPTTC) • 2 Year Diploma in Diabetic Education & Podiatry Technology 9. CMAI Dialysis Technology Training Committee (DTTC) • 2 Year Diploma in Dialysis Technology 10. CMAI Urology Technology Training Committee (UTTC) • 2 Year Diploma in Urology Technology 11. CMAI Gastro-Intestinal Endoscopy Technology Training Committee (GIETTC) • 2 Year Diploma in Gastro-Intestinal

Endoscopy Technology

Hospital Administration Course

CMAI Laws on Hospital Administration Course (LHAC) 1 Year Certificate Distant Learning Course on Laws on Hospital Administration

Healing Ministry Course

CMAI Diploma in Pastoral Healing Ministry (DPHM) • 1 Year Diploma in Pastoral Healing Ministry For more informations contact: Ms Indira Kurapati, Coordinator, Allied Health Professionals Section at Email: indira.k@cmai.org, Phone: 011-2559 991/2/3


OFFICE BEARERS PRESIDENT: Dr

Sudhir Joseph, Director, St Stephen’s Hospital, Delhi

VICE PRESIDENT: Captain John P Macwan, Retd Major, Salvation Army TREASURER: Mr Augustine P Aiyadurai Administrative Manager, Schieffelin Institute of Health-Research & Leprosy Centre (SIH-R & LC), Karigiri

Dr George M Chandy, Director, MIOT Advanced Centre for Gastrointestinal and Liver Diseases, Chennai

EDITOR:

GENERAL SECRETARY:

CMAI, New Delhi

CMJI

Communicating Health Since 1895

CHRISTIAN MEDICAL JOURNAL OF INDIA

www.cmai.org

A Quarterly Journal of the Christian Medical Association of India

VOLUME 28 NUMBER 1

JANUARY - MARCH 2013

Dr Bimal Charles,

COMMUNICATIONS ADVISORY COMMITTEE:

Dr Sudhir Joseph, Dr George M Chandy, Dr Bimal Charles, Mr Milind Gude, Dr John C Oommen, Dr Shobhana Bhattacharji, Mr Jacob C Varghese, Ms Jancy Johnson, Mr Stephen Victor, Mr A P Berry, Dr Priya John, Rev Sharath C David, Ms Jaya Philips

Brokenness

EDITORIAL WORKING GROUP:

Dr George M Chandy, Dr Bimal Charles, Ms Jancy Johnson, Mr Stephen Victor, Mr A P Berry, Dr Priya John, Rev Sharath C David EDITORIAL COORDINATOR: Jacob COVER DESIGN: DESIGN:

Varghese

FACET, New Delhi

Ms Lata Anthony

SUBSCRIPTIONS:

Ms Shalini Dayal

PUBLISHER AND BUSINESS MANAGER:

Dr Bimal Charles EDITORIAL OFFICE:

Christian Medical Association of India, Plot No 2, A-3 Local Shopping Centre, Janakpuri, New Delhi 110 058 Tel: 2559 9991/2/3, 2552 1502 Fax: 2559 8150 E-mail: cmai@cmai.org, cmaidel@vsnl.com, www.cmai.org BANGALORE OFFICE: HVS

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Articles and statements in this publication do not necessarily reflect the policies and views of CMAI. For private circulation only.

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Healing

Letters to the Editors

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EDITORIAL Brokenness to Healing 3 BIBLICAL REFLECTIONS Broken God for broken people Rev Sharath C David 4 FEATURE Broken, But Forgiven Rev K Vasudevan

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FEATURE Institutional Brokenness : A Paradox or a Reality Dr Sujith Varghese Thomas

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FEATURE Wounded Christ and Suffering Dalits Rev Sunil Raj Philip

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FEATURE Role Model or Wrong Model : Interpersonal Relationship at Workplace Jacob Varghese

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SPECIAL FEATURE The Journey of a Nation from Brokenness to Healing Dr Daryl Hackland

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INSTITUTIONAL FEATURE A Legacy of Dedication and Vision, 100 years of Christian Hospital, Mungeli Dr Anil Henry

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SPECIAL FEATURE CMAI Strategy Development Process: Call for Change and Introspection Fr Thomas Ninan

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BOOK REVIEW Designing Hospitals of the Future Prof Dr George M Chandy

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LETTER TO THE EDITOR Mission and Conflict... Unstoppable Reading Sir, Read the latest CMJI issue i.e October – December 2012 Vol 27.4. The articles on Mission and Conflict are thought provoking. I like the article by Dr Binayak Sen on ‘The Coming Famine in India’, which made me aware of different social justice issues in our country.

The article “The battle belongs to the Lord” focusing on Kashmir mission hospital story is inspiring as to how God has protected his people in mission hospital at Anantnag in life threatening situation. This is a proof that God protects his people even today I am truly blessed reading this testimony. The Mission and Conflict is a truly breathtaking issue that tells how much we are divided and how we need to be aware of this fact in our life to be truly successful. It also portrays we live in ugly world which can be very hurting for no major reason.

Please convey my best wishes to the people who have written these articles. They are truly a channel of inspiration to all those who are contributing to the mission work in conflict zones. In today’s world polluted by self-centeredness, this is a breath of fresh air. Thank you CMAI team.

Dr Prema David Kalyani Hospital Chennai

LETTERS / ARTICLES FOR CMJI We invite your views and opinions to make the CMJI interactive and vibrant. As you go through this and each issue of CMJI, we would like to know what comes to your mind. Is it provoking your thoughts? The next two issues are on the subjects “Brokenness to Healing” and “Nursing”. Share it with us all. This may help someone else in the network and would definitely guide us in the Editorial team. E-mail your responses to: sharath.david@cmai.org. Articles of humour, cartoons etc. are welcome.

Guidelines for Contributers SPECIAL ARTICLES CMAI welcomes original articles on any topic relevant to CMAI membership - no plagiarism please. • Articles must be not more than 1500 words. •

All articles must preferably be submitted in soft copy format. The soft copy can be sent by e-mail; alternatively it can be sent on a CD by post. Authors may please mention the source of all references: for e.g. in case of journals: Binswanger, Hans and Shaidur Khandker (1995), ‘The Impact of Formal Finance on the Rural Economy in India’, Journal of Development Studies, 32(2), December. pp 234-62 and in case of Books; Rutherford, Stuart (1997): ‘Informal Financial Services in Dhaka’s Slums’ Jeoffrey Wood and Ifftah Sharif (eds), Who Needs Credit? Poverty and Finance in Bangladesh, Dhaka University Press, Dhaka. Articles submitted to the CMAI

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should not have been simultaneously submitted to any other newspaper, journal or website for publication. •

Every effort is taken to process received articles at the earliest and these may be included in an issue where they are relevant. Articles accepted for publication can take up to six to eight months from the date of acceptance to appear in the CMJI. However, every effort is made to ensure early publication. The decision of the Editor is final and binding.

LETTERS •

Readers of CMJI are encouraged to send comments and suggestions (300-400 words) on published articles for the ‘Letters to the Editor’ column. All letters should have the writer’s full name and postal address.

GENERAL GUIDELINES •

Authors are requested to provide full details for correspondence: postal and e-mail address and daytime phone numbers.

Authors are requested to send the article in Microsoft Word format. Authors are encouraged to use UK English spellings.

Contributors are requested to send articles that are complete in every respect, including references, as this facilitates quicker processing.

All submissions will be acknowledged immediately on receipt with a reference number. Please quote this number when making enquiries.

ADDRESS FOR COMMUNICATION Head – Communications Dept. CMAI Plot No 2, A-3 Local Shopping Centre Janakpuri, New Delhi 110 058 Tel: 011 2559 9991/2/3 Email: communication@cmai.org


EDITORIAL

BROKENNESS TO HEALING

In 1 Kings, chapter 19:1-9, we read the story of one of the mightiest Prophets in history – Elijah, in a state of brokenness. This powerful prophet was threatened by Jezebel and was told that he would be killed. The Word of God says that “Elijah was afraid and ran for his life” It was in this state of brokenness that God sent an Angel to touch him, to heal him and to restore him to wholeness. I was in one such situation many years ago, where, in my brokenness I looked up to my Lord, my only support at that time and He healed me. Even recently when in my official capacity as Director of CMC, I was being blamed for a problem that I was not responsible for, I cried to God in my brokenness, presenting to Him my innocence. In the book of Psalms we read that a broken and A concrete heart, our Lord will not despise. He did just that for me. He upheld me and restored wholeness. The theme of the CMAI for the year 2013 is about “Brokenness to Healing”. If you have been through a period of crisis in your life and have been restored, I am sure that this is the theme you would love to reflect on.

in the Christian context in our work place. Dr Daryl Hackland gives us an exhaustive, insightful account of the agony and the ecstasy of the people in South Africa in his article “The journey of a Nation from Brokenness to Healing”. Dr Anil Henry, in his interesting article, gives a detailed account of the history and the current status of the Christian Hospital, Mungeli. The book review section features Mr Kunders’ most recent book “Designing Hospitals of the Future”. I hope and pray that you will be blessed as you read the articles and reflect on the theme “Brokenness to Healing”

George M Chandy

In this edition of the Journal, Rev Sharath C David’s Biblical reflections and his article “Broken God for broken people” set the tone for a brief journey of restoration after being broken – as individuals, as communities and as institutions. Rev K Vasudevan in his article “Broken, but forgiven”, reflects on his personal life and emphasises the importance of forgiveness. “Institutional Brokenness - A Paradox or a Reality” is Dr Sujith Varghese Thomas’ reflections based on his experiences at the “Broadwell Christian Hospital” in Fatehpur. Rev Sunil Raj Philip gives us an insight into the difficulties faced by Dalits and suggests a Christian response in his article “Wounded Christ and suffering Dalits”. Prof Dr George M Chandy

In “Interpersonal Relationship at Workplace”, Jacob C Varghese helps us to look into the importance of relationships and communication CMJI :: VOLUME 28 NUMBER 1 :: 3


BIBLICAL REFLECTIONS

Broken God for broken people It is difficult to imagine and fathom a God broken for us to make us well, but this is the essence of our Christian faith. Jesus tells on His way to Calvary: ‘I came for you and your children’s needs and well being.’

Rev Sharath C David

It is difficult to comprehend a God broken for us in Christ. Many faiths have rejected this idea of a broken God as Saviour. The theology of God Brokenness does not project the weakness of God, but it underlines the commitment and steadfast love of God for his creation.

The theme ‘brokenness to healing’ has helped us to focus on our own brokenness and the implications of it. Our brokenness is three fold - we as human beings are spiritually broken that leads to systemic brokenness which is internal and a third structural brokenness which is external all affecting the quality of life. The theme also helps us to understand the heart of God and His strategy to restore us. The way God sent Jesus Christ His only begotten Son to be broken for us was to remake us as new creatures. “When we see Him, There is no beauty that we should desire Him. 3 He is despised and rejected by men,... .... 4 Surely He has borne our grief’s and carried our sorrows; ....5 But He was wounded for our transgressions, He was bruised for our iniquities; the chastisement for our peace was upon Him, and by His stripes we are healed.” Isa 53:2-5,NKJV

Broken God: The Ultimate Saviour ‘By His stripes we are healed’ – the powerful imagery of God being broken for us makes us wonder the extent of repair that the broken human beings need! The brokenness in the world, society, family and individuals need a redeeming Saviour. It is difficult to imagine and fathom a God broken for us to make us well, but this is the essence of our Christian faith. Jesus tells on His way to Calvary: ‘I came for you and your children’s needs and well being.’ “ A large number of people followed him, including women who mourned and wailed for him. Jesus turned and said to them, “Daughters of Jerusalem,

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do not weep for me; weep for yourselves and for your children.” Luke 23:27-28 NIV

This is the clear message of God to focus on our brokenness, come to Him and experience healing in our life. The message is to repent and return back to God as humble followers and doers of His Word and not remain as exclaimers. It is difficult to comprehend a God broken for us in Christ. Many faiths have rejected this idea of a broken God as Saviour. The theology of God Brokenness does not project the weakness of God, but it underlines the commitment and steadfast love of God for his creation. Within the ambit of the faith we need to look differently, accommodate and accept a great God who is the creator of the universe, who was broken for us. The uniqueness of Christianity is that we take pride in a God who is broken for our sins and to restore our loss of relationship with Him. Philosophies may reiterate God is not a created being, hence cannot be annihilated or destroyed or put to death. Even our Christian faith goes with this philosophy with the difference that God is broken for us, for our salvation, healing and restoration is through God in Christ who was crucified on the cross and died for us and resurrected on the third day. It is true as it sends a strong message that we have a God who is broken for us yet alive and living with us as the resurrection of Christ confirms it to


BIBLICAL REFLECTIONS us. So we sing “He lives, Christ Jesus lives today. He walks with me and talks with me along life narrow way”.

Broken God: The Ultimate Creator and Owner The story of two women with two babies and one baby killed by accident and the challenge for Solomon in 1st Kings 3:16-28 to identify the real mother and give a proper verdict. How tactfully Solomon deals with the case and gives an appropriate judgment which is appreciated by the people of his kingdom and the world. All it says is that such kind of wisdom was rare in those days. The story goes like this: Two women fight for one child. One woman was innocent and the other manipulative and corrupt. The moment Solomon orders the child to be cut into two pieces the real mother withdraws her claim saying let the child be alive anywhere. It becomes easy for wisdom-filled Solomon to pronounce the verdict. This kind of scenario exists in the spiritual world even today. All human beings are created in the image of God; but there are other pseudo powers in the world which claim people as their children and try to destroy them in the process. It is relevant for us as children of God who are created in God’s image claim our status of son-ship and daughter-ship in Jesus, the Word who was with God and who was and is the co-Creator with the Father and pertinently died and was broken for us. The presence of evil claiming to be creator but not willing to be broken, but are happy and satisfied when the child is cut in to two pieces. The real mother’s reaction is same as a genuine God’s reaction: Let my children live and not be dead. This is the great feeling of knowing a true God in Jesus Christ who is the original and authentic mother of all creation whose heart goes on to say: Let my people live well but let me be broken. God in Christ does not want us to be punished for our sins rather offer pardon and forgiveness for our sins. He wants to nullify all that condemns us and destines for eternal damnation. It is the love of Christ that prominently

This is the great feeling of knowing a true God in Jesus Christ who is the original and authentic mother of all creation whose heart goes on to say: Let my people live well but let me be broken. stands out, becomes a source of our refuge and strength in a world which makes us guilty, puts us on a limbo and forbids us to enjoy the abundance of life available freely in Christ. 12 He has removed our sins as far from us as the east is from the west. ..........14 For he knows how weak we are; he remembers we are only dust. 15 Our days on earth are like grass; like wildflowers, we bloom and die. 16 The wind blows, and we are gone— as though we had never been here. Psa 103:12,15-16 NIV

Broken God: The Provider of Wholeness The God who is broken for us wants us enjoy life and live well as he understands pain and suffering of life. He will be rejoicing with saints when we acknowledge and confess Him as the lord of the universe, we enter into a covenant relationship with Him and receive the wholeness and abundance, of life I am the gate; whoever enters through me will be saved. He will come in and go out, and find pasture. 10 The thief comes only to steal and kill and destroy; I have come that they may have life, and have it to the full. John 10:9-10 NIV

The imagery of God in Brokenness helps us to understand our own brokenness which is universal. With Christ in us we can conquer the brokenness and have control over life and be assured of eternal life. Our brokenness with God leads to a broken life, a broken situation and life with problems that can be sorted out with the restoration of our relationship with God. What does brokenness mean? It is our alienation from our creator and the search for Him which is ongoing in every human being. It’s

important to acknowledge that we are broken and only God can restore us for the original purpose for which he has created us. This is how healing can penetrate into our lives. Alienation from God is universal as all of creation is going through the pain process of separation and an uncertain future. Paul talks in the epistle to Romans about the creation being subjected to a groaning pain for liberation and salvation. It is only the faith and hope in the Lord Jesus who is broken for us that can redeem us from an unknown future and an uncertain life which waits for God’s salvation. The creation waits in eager expectation for the sons of God to be revealed.21 that the creation itself will be liberated from its bondage to decay and brought into the glorious freedom of the children of God. 22 We know that the whole creation has been groaning as in the pains of childbirth right up to the present time. 24 For in this hope we were saved. Rom 8:20,23,24 NIV

It is the faith and hope in life that can help us escape the brunt of pain and hopelessness as Christ helps us tide over difficult situations and circumstances. The significance of a broken God for a broken people is the faith that God is there in our struggle/ in our pain. He is not only there in our good times but also in our hardships and difficult times. All that it conveys is that we have a God who will not abandon us or forsake us. God humbled himself to be broken and it is our turn to humble ourselves and receive the fruit - the salvation as a gift from God the creator who is with us as Immanuel and who is the highest in stature and position. 5 Your attitude should be the same as that of Christ Jesus: ........ taking the very nature of a servant, being made in human likeness. And being found in appearance as a man, he humbled himself and became obedient to death — even death on a cross! 9 Therefore God exalted him to the highest place and gave him the name that is above every name, 10 that at the name of Jesus every knee should bow, in heaven and on earth and under the earth, 11 and every tongue confess that Jesus Christ is Lord, to the glory of God the Father. Phil 2:5-11 NIV

Rev Sharath C David, Acting Secretary,Chaplain Section, CMAI CMJI :: VOLUME 28 NUMBER 1 :: 5


FEATURE

Broken, But Forgiven Oswald Chambers said, “You will never know that all that you need is Jesus until all that you have is Jesus.” Rev K Vasudevan

Sometime back I was reading the Gospel of John and was attracted to John 16:33, which says, “I have told you these things, so that in me you may have peace. In this world you will have trouble. But take heart! I have overcome the world.” Then it came as a revelation that in this world there are few realities nobody can escape from. They are: • • • • • •

Life is difficult. Life is not fair. In life you will be let down by people. Sometime in life you will have financial difficulties. Sometime time in life you will have health issues. Sometime you will have family problems.

Although we have a pseudo-romantic view for life in which everything should go on as we dream, interruptions towards its perfect ending is unthinkable. Tragically the unthinkable becomes reality. Oswald Chambers said, “You will grow in your spiritual life and have better understanding of reality, if you accept the fact that life in this broken world is more tragic than orderly.” As a matter of fact all of us will go through broken experiences because we live in a broken world. And the Psalmist says, “It is good for me that I was afflicted that I may learn thy statues.” (Psa.119:71) and the same in the MESSAGE translation reads as follows, “My troubles turned out all for the best -- they forced me to learn from your textbook.” In our brokenness and difficulties, which God allows into our lives may seem strange and force us to ask several questions, such as: • • •

Why does God allow this to happen? Why me? Why do good people suffer and people without principles and ethics seem to enjoy life. • People who are sincere and who truly want to love God, and desire to draw closer to Him are shattered several times in many ways. The questions we need to really ask are; • What is God trying to teach us in this? • Where is the potter at work? • Is there a stone that He is trying to remove? 6:: VOLUME 28 NUMBERS 1 :: CMJI

• • •

Is He trying to straighten me out in some way? Is He trying to change my priorities? Am I going after the wrong things in life?

C S Lewis said, “first thing first, and second thing second” and he further said, “If you go after the second thing first, you will neither get the second thing nor the first thing.” Sometimes we go after power, position, property, and the things of this world forgetting that all that we need to see is God’s kingdom and His righteousness (Matt.6:33). At other times God allows us to go through brokenness so that we may come to understand all that we need is Jesus. Oswald Chambers said, “You will never know that all that you need is Jesus until all that you have is Jesus.” It is painful when we go through it but ultimately if Christ becomes more real to us and we are drawn more close to Him. Then all our suffering and brokenness are worthwhile. Brokenness I was born in a Hindu family, baptised in the Methodist Church, became a pastor and served in the Methodist Church for 18 years. Circumstance forced me to pastor a Baptist Church for two years and thereafter I was invited to pastor another church in another state. I resigned the Baptist Church and went to this new church but to my shock and surprise another Pastor was already appointed. Suddenly I realised that as a family we did not have only three things: • I had no job • Children had no school to go • We had no place to stay Isn’t that a good combination! This reminded me of King David, when the Amalekites came in the absence of David and his men, they raided Ziklag and took women, children and spoils. When David returned, all that he saw was a burnt city. David and his men cried until no strength was left in them to weep (I Sam.30:1-4). However in spite of the tragedy we read


FEATURE “David strengthened himself in the LORD his God” (1 Sam.30:6). Although we were in trauma yet the Lord asked us as a family – “do you trust in me!” Shattered and broken but the Word of God came alive in that situation and we decided to trust in the Lord. Miraculously the Lord opened new doors of ministry for me, provided the same school for children and house for us. It is truly like what happened to

Forgiveness, first and foremost is a choice and not a feeling but an act of the will. David as he pursued the Amalekites, “so David recovered all” (1 Sam.30:18). None of us as God’s children are spared from suffering as St. Augustine said. “Only one of my sons is spared from sin but none of my sons are spared from suffering.” While experiencing brokenness there are some things God is doing in our lives, which is very important. Larry Crabb, a Christian counsellor said, “What God does in us while we are waiting is far more important for Him than for what we are waiting for.” During times of brokenness there are few things that one need to be extremely careful of, which will help avoid pitfalls, particularly your negative response to the situation. Anger Anger against God is natural. Question such as how can a loving God allow tragedy in my life? It is even normal to be angry against people for letting you down, hurting, mistreating, betraying, backstabbing and the like. Incidentally the title of a book says it very well, “Crucified by the Brethren”. Now when we are overtaken by anger, which is a normal reaction to hurt, do we let it to continue, which is a choice we make. It ferments into bitterness and in bitterness we keep re-stating the hurt verbally and mentally. Result, resentment sets in. Although anger is a normal reaction, we cross over the danger zone when

we allow resentment, bitterness, unforgiveness, and desire to get even. Tragically at this stage we lose our joy, intimacy with God, appetite, sleep, and become vulnerable to all kinds of sicknesses. Eph. 4 lrt not sun go down When hurt, we responded with hate, bitterness and unforgiveness and embrace an attitude of judgment. David Seamands, a missionary to India and pastor in the Methodist Church said, “let not other people’s sin, lead you to sin.” Often we sin more in our reaction than in our actions. Thus we justify by saying “see what they did to me, naturally I will be bitter.” Unfortunately and unknown to both of them, the devil has got both in his trap. When there is anger, God cannot give us the grace to heal our brokenness lest we forfeit the grace of God. To receive the blessing and the transformation there needs to be forgiveness. Forgiveness, what is it? Let us try to understand what forgiveness is not:

• • • •

It is not justifying the wrong others have done. It is not even excusing what they have done. It is not belittling what they have done. It is not condoning and may not necessarily all the time mean reconciliation.

When a person abuses us and does not change his actions, we can forgive that person but we need not be abused again by the same person (or an Institution or Church). We call this in counselling “drawing healthy boundaries.” Interestingly even our Lord Jesus Christ had to constantly struggle with the Pharisees, scribes, religious institutions and sects of His day. We have no doubt that He loved them, forgave them and did not harbour even an iota of resentment or unforgiveness and yet Jesus never allowed them to take advantage of Him. He always kept them in their

place; that is why forgiveness is close to reconciliation but not reconciliation all the time. What is forgiveness? Forgiveness, first and foremost is a choice and not a feeling but an act of the will. In forgiving, we choose to release the person who hurts us. Thus the basic meaning of forgiveness comes from the fact that “he owes me nothing.” When we forgive, we choose to bless the one who hurts us and we ask the Lord to forgive us for our judgment and anger, which we have harboured in our hearts. We now choose to bless them instead of cursing them and hand them over to God to take care of them. Art Matthias was allergic to hundred types of food. He tried every medicine possible in USA and even alternative medicine but nothing helped him. His sister sent him a tape on forgiveness. Guess what! He was healed completely. Later Art Matthias did come to India and visited Bihar. He ate our food and was perfectly well because forgiveness is a miracle drug and the most therapeutic factor in the whole world. After his recovery Dr. Art Matthias taught a prayer which I like to close with: “I choose and purpose to forgive (name)_________(for what he/she did). I release them and they owe me nothing. Lord Jesus forgive me for my resentment, anger, judgement I had against them. Lord Jesus I forgive myself. Satan, since I have forgiven them you have no right over me in this sin. Lord Jesus heal my spirit, soul and my body. Holy Spirit come and fill me with your love. In Jesus name, Amen.

Rev K Vasudevan, formerly a Methodist Church pastor, is now doing ministry in counselling. He specializes in inner-healing, childhood-trauma, and emotions and health. He lives in Bangalore. CMJI :: VOLUME 28 NUMBER 1 :: 7


FEATURE

Institutional Brokenness: A Paradox Or a Reality Reflections from the life of Broadwell Christian Hospital, Fatehpur

Deliverance in the midst of hopelessness

Association took it over in 1973. This transition seemed to be a breath of fresh life as the hospital started doing well under the leadership of Dr Lyall. But with the demise of Dr Lyall, BCH entered some of the most difficult years. The hospital started showing some progress by the end of 2007 under the leadership of Dr Juni Chungath and Mrs Helen Paul but the departure of Dr Juni by

Dr Sujith Varghese Thomas

recurrent submission of applications. Moreover, the staff appeared demoralized and discouraged and knew very well the critical condition of the hospital. The only option was to come to our knees in our brokenness to the One who erected this hospital a century before.

“Since you have gone against the CMO’s orders, strict action will be taken against the hospital and by 10.00 am on 29th Sept, 2008, you are expected to submit an explanation as to why you went against the CMO’s orders” This was the notice that came In July 2008, the staff started gathering to us on September 28th, 2008. The every Friday evening for a time of Chief Medical Officer of the district intercession where we not only cried had denied us permission to out to the Lord to save this do free cataract camps since Several times, the hospital from extinction but we were not willing to give in to also prayed that the Lord would the prevalent corrupt practices. authorities threw challenges lead this hospital in fulfilling When it was decided to do a and threats because of our the destiny that He had made paid eye camp instead and this unwillingness to compromise it for. By August 2008, chain was communicated to the CMO, prayers and prayer walks in he was furious again since the pairs were started among the pressure that he had used did not staff who were interested. One thing push the hospital to compromise. the end of the year again pushed the was clear – too many factors were He ordered to call off the camp and hospital into another crisis. against even the basic survival of this threatened of grave consequences. As a result of fervent prayers of hospital. But it was also clear that it is The camp was cancelled and 27th many, my wife, Sunitha and myself “Not by our might, nor by our power, of September at Broadwell Christian responded to the call to move to but by His Spirit”. BCH as a unit had Hospital was like any other day. It Fatehpur. (Fatehpur was not the to understand that it is the power of was at this juncture that we received type of place that we were getting the Lord alone that will carry us out of the notice that we conducted an eye ourselves ready to go). It did not take the crisis that we were in. camp against the CMO’s orders. us too long to understand both the It was at this juncture that the incident This was not the first time the internal and external factors that were took place. The CMO could have easily hospital was being put on the spot. choking the hospital. Several times, closed down this hospital as we really Broadwell Christian Hospital, started the authorities threw challenges and lacked many mandatory things. That by Canadian missionaries in 1909 threats because of our unwillingness evening, as I shared the incidents of was closed for 7 years from 1967 to compromise and therefore the the day to the staff, many understood (when the missionaries were asked to hospital lacked several statutory that the much-feared blow appeared leave India) until Emmanuel Hospital licenses and permissions in spite of inevitable. Many of us cried and wept 8:: VOLUME 28 NUMBERS 1 :: CMJI


FEATURE each other as well as for Fatehpur. Many patients who came to the hospital started responding to the gospel that was being preached to them every morning. Some of them took the gospel to their village and many more came to understand the love of Christ.

Renovated OPD

Wilderness wanderings

before the Lord in our brokenness that evening. As I sat at my office the next day after completing the morning rounds, I felt certain about the futility of any explanation. Just then, one of my staff entered my room and placed the morning Hindi newspaper on my table. As I read the front page news, my throat went dry and I could not control the tears that welled up. It said, “Fatehpur CMO caught redhanded in corruption�. The CMO was suspended with immediate action and an Acting CMO with a right standing was posted for a short time. In that short stint, he came to understand the sincerity and the integrity in which we had worked and thereby issued orders to make the hospital eligible for starting some of the government schemes which were some of the submitted applications that were pending. This was a major boost to all who had cried to the Lord and it was evidence to the fact that we were not alone. This was just the starting point of many more miracles. We felt encouraged to go further. In October, 2008, all the pastors and leaders of the various churches and Christian organizations of Fatehpur to intercede for the district of Fatehpur and its authorities, pray against the corrupt and unjust practices of this land and to pray for a revival among the people of Fatehpur. Since then, this time of

prayer continued on the first Sunday of every month. As a result, corruption dipped to the lowest level ever in Fatehpur. Roads and drainages were done up. The government systems started functioning according to laid down systems and in an efficient manner and so the real poor started receiving what they were eligible for, from the Government. The number of patients at the hospital steadily increased and the hospital gradually was able to make both ends meet. New residential quarters, labour room, garages and a 50,000L water tank were constructed, the outpatient department, private rooms, wards and old residential quarters were renovated and many new equipments like medical equipments, generators, ambulances, hospital management software and computer hardware were purchased with the support of various friends, churches and organizations. Everyone felt revitalized to go forward. Alongside, there was a growing sense of love and unity among the body of Christ in Fatehpur, in spite of the denominational and organizational differences. The All denomination prayer became a consistent time of intercession where all the leaders from the various churches and Christian organizations in Fatehpur and other committed members came together at the hospital every first Sunday to intercede and pray for

Obvious changes were happening all across the district especially among the body of Christ. The hospital was also growing and became busier by the day and everyone worked even more harder to keep up with the increasing patient load. The initial concerns about possibility of extinction were gradually disappearing. But as life became more comfortable, individual comfort zones gradually became established and any push beyond those zones led to gossip and grumbling which gave way to slander, confusion, bitterness and dissatisfaction. Unity among the staff started dwindling and prayer in the absence of unity became a burden and a ritual. Our witness to the patients also started dropping. On an individual note, many were doing noble things – preaching the gospel, evangelizing, getting involved in activities and so on but the spirit in which we had started was missing. About a year back, as we started searching the heart of the institution and contemplating on our vision, mission and core values, it was painful to realize that we had forgotten the path of brokenness in the midst of our blessings and successes. Moreover, our successes and achievements led us to think that we were doing well and subtly, we were being led away from relying on Him completely. Our adversary the devil, is prowling around like a roaring lion looking at who he might devour. He not only wrecks the lives of individuals but also the lives of institutions. He is in the business of deceiving us into having a false understanding about our identity, purpose of our existence and our knowledge about God. He prods us to consider self sufficiency, self-confidence and results orientation as measures of success. His deception leads us into focusing CMJI :: VOLUME 28 NUMBER 1 :: 9


FEATURE at what we can get rather than what we can give. He is not threatened by institutions or individuals doing some “good work”, as long as it does not threaten his kingdom. The moment that people understand their identity in Christ, the call of God, the purpose of their existence, the plans of the evil One, the utter futility of living a blessing focused life and the utmost importance of sharing in the sufferings of Christ (which thereby leads us into having a broken and contrite heart as individuals and as an institution), power starts erupting like a molten lava from a volcano. I believe that the only door that can take us into that power of God is brokenness.

What is brokenness after all?

Brokenness is not a quality but a way of life. It is undoubtedly, the least sought after “way of life”. As a matter of fact, it has often been one of our life goals to keep away from brokenness or to run out into “happiness and freedom” at the times when we have been made to go through brokenness. Our testimonies are predominantly about successes and achievements that are measured according to the world’s standards. Failures and the sufferings that we go through can many a times be an embarrassment to us. God showed a new way of life through the life of His Son Jesus – a way that was characterised by brokenness and suffering. From birth to death, Jesus was subjected to humiliation, anguish, pain and sorrows. He could have easily avoided each of this by some obviously easy choices and probably He would have been much more successful in the eyes of man and more acceptable to man as Saviour of the world. He could have kept quiet about the rulers and authorities of the then world such that they would not have felt threatened by him. Then, they would have exalted him themselves and would have proclaimed him Son of God. He could have boasted about the number of people who were coming after him and about the magnitude and number of the miracles that he performed. But interestingly, we do not see at any 10:: VOLUME 28 NUMBERS 1 :: CMJI

time where Jesus is giving testimony about the enormity and magnificence of the miracles that He did. I am sure that many more would have accepted Him as Lord, if He had told about the success of his ministry. Jesus does not put forward attractive baits for people to catch on to and follow him but rather the only attraction that he puts forward is the willingness to die. (Unless a grain of wheat falls to the ground and dies, it cannot bear fruit). If Jesus could say to the crippled man that his sins were forgiven, he could say the same to the entire world and their sins would have been forgiven.

If Jesus had rejected the Cross, we would have been still dangling under sin with utter hopelessness. He did not have to go through the way of the Cross in order to fulfill that. If he had avoided the Cross, then he would have lived many more “fruitful years” and many more would have known about the kingdom of God and many more sick people would have been healed and surely, the world would have crowned him King. But God’s purposes and plans were very clear and there was only one way to fulfill the plans and purposes of God – the way of brokenness. That brokenness led him to the Cross which depicted the epitome of God’s love to the fallen human race. If Jesus had rejected the Cross, we would have been still dangling under sin with utter hopelessness. We would have never been able to approach our Creator and Maker. The barrier of Sin that was erected at the time of the Fall would have still remained. The greatest thing that ever happened to the human race happened when one person decided to say “Father if you are willing, take this cup from me; yet not my will but yours be done.” God is in the process of restoring the fallen world back into the fullness that is there in Him. The same God who

said, “Let there be light” could have said “Let there be restoration” and the whole world would have been restored instantaneously. It was most grieving and painful process that God went through to see His priced creation fall for every wicked scheme of the enemy and thereby fill the earth with evil. The most powerful act that God did towards the process of restoration was to send his Son Jesus so that through His death on the Cross, the wall that separated man from God can be taken away. Jesus fulfilled this first step seeing the heart cry of His Father and thereby subjecting himself to this pathway of brokenness so that he might be a model and example for many more who receive that call to lay down their lives in brokenness to fulfill the restorative plan of God, the Father who was so in love with the human race.

Foundations of institutional brokenness Institutions are functional structures that are comprised of men and women. The institution in itself does not have life but the life of its institution are its people which are led by a set of leaders. Institutional brokenness is one in which the members especially the leaders catch a glimpse of what God is doing through their institution and submit themselves for a life of brokenness. Below are some of the principles that guide an institution to the way of brokenness and thereby fulfill God’s plan for the institution. 1. Institutional brokenness starts when each member of the institution especially the leaders come to a deep understanding that it is God who set apart this institution for the over arching purpose of restoring the corrupted and deceived world into the fullness of God’s purposes. As institutions, it is so easy to divert our main focus into just sustaining it and feel good about the some good work or achieved success by the institution. 2. Institutional brokenness can become a reality when the members understand that it is sheer


FEATURE dependence on God and His power that can help them to move them forward. It is not their knowledge, skills, wisdom or experience that takes them forward. God does use all the above but it is so easy to amputate ourselves away from our main source and use all the above to build our kingdom and thereby fulfill our purposes and plans.

against flesh and blood but against the dark principalities and powers of this world, they are bound to be deceived and derouted by the enemy’s clever tactics. Moreover, it is only a group of people living in brokenness that will be able to understand how weak they are in facing the devil on their own and how essential it is for them to depend on the Lord their God for wisdom, discernment and resisting the schemes of the devil.

3. The pre-requisite for institutional brokenness is that the institution as a 5. An institution that whole, especially the leaders is broken measures its grow in the knowledge and The usual natural course successes on the basis of their relationship with Christ and is that brokenness that weaknesses and failures but is reaching a state that they the Lord leads us into the institution that measures its realize that nothing can be successes on the basis of what done without abiding in Him. become stepping stones to the world calls as success, has The fact is that we can do many blessings and miracles already lost the battle and is on things without Him according to its way to build its own kingdom. what we want but very little of that will be directed to fulfilling the plans and purposes of 6. Members in an institution who are on the way of God. The only way in which we can understand His plans brokenness would guard themselves and their cois to walk in intimacy with Him. workers from becoming complacent people who 4. Brokenness in an institution helps the members would settle into their comfort zones. They understand as well as the leaders to understand that Satan and that one of the greatest and subtlest temptation that his entire demonic realm is prowling like roaring lions occurs in a broken individual or institution is to be to devour institutions by sowing seeds of disunity, extremely concerned about one’s own security and to pride, jealousy, immorality and greed. If the members make decisions based on what we may lose and what we of the institution do not understand that we are not fighting may gain as against the plans of God.

Staff of Broadwell Christian Hospital, Fatehpur

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FEATURE These may sound ridiculous or even too hyper-spiritual to many who read this article. I can only testify about how I have failed miserably in following the pathway I have mentioned above but I am convinced that this is the way that the Lord is calling us as individuals, institutions and organization. I can only pray for grace for me as well as all who feel convinced about what I have penned down. God wants us to enter into that path of brokenness as individuals, as leaders of institutions and as institutions and organizations. I am convinced that if we are willing to do so, then the eyes of our heart will be enlightened in order that we may know the hope to which He has called us, the riches of the glorious inheritance of the saints and his incomparably great power for us who believe – that power which is like the working of his mighty strength which He exerted in Christ when He raised Him from the dead and seated him at his right hand in the heavenly realms. (Ephesians 1:18-20). The usual natural course is that brokenness that the Lord leads us into become stepping stones to blessings and miracles and the power of God and these blessings and miracles become stepping stones to pride and comfort and security and this

becomes stepping stones to falling out of the destiny that the Lord has planned for us as individuals and institutions. This was the case with the Israelites. Similar has been the case till now in BCH, Fatehpur. I praise God for the miracles that we have experienced and the blessings that we have received but I pray that God will help us to be humble and walk as an institution in brokenness to fulfill the destiny that he planned for our hospital when He erected this hospital a century ago. I pray that many who read this will ask the Spirit of God to reveal as to how they can enter this pathway of brokenness as individuals and institutions so that we can fulfill our part of the restorative plan that God has for this world. Or else we can build a kingdom of our own and at the end of our lives look back and mourn like the wisest man that ever lived “ Vanity, vanity, everything is vanity”.

Dr Sujith Varghese Thomas is the Senior Administrator Officer & Medical Superintendent of Broadwell Christian Hospital, Fatehpur, Uttar Pradesh

CMAI CAREER OPPORTUNITIES Secretary - Treasurer for its South India Branch, Bangalore Office which offers GNM, ANM and Post Basic Diploma Courses Christian Medical Association of India (CMAI) is an association of Christian healthcare institutions and individual health Professionals in India. Board of Nursing Education South India Branch(BNESIB) of Nurses League of CMAI (Bangalore Branch) which offers GNM, ANM and Post Basic Diploma Courses requires an administrator with leadership qualities for the position mentioned above. Requirements: Should be a Christian; proficient in English and in any one of the southern regional languages having 10 years of work experience. Qualifications: 1. Must be a member of the Nurses League of CMAI 2. A registered Nurse with master’s degree in nursing 3. Minimum of 7 years teaching in a School/College of Nursing 4. Age minimum 35 years. 5. Must have proven administration abilities 6. Should be willing to travel For further details visit www.cmai.org Send detailed CV to the below address: The General Secretary, CMAI Plot No,2, A-3, Local Shopping Centre, Janakpuri New Delhi – 110 058 or email to: admin@cmai.org Last date for receiving application: 30 September 2013 12:: VOLUME 28 NUMBERS 1 :: CMJI


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Wounded Christ and Suffering Dalits The physical untouchability, which is still prevalent in many parts of India also becomes a hindrance for the Dalits to access proper health care. Hey, where is casteism in India?!

Rev Sunil Raj Philip

When Christians in India also follow casteism, they have been following the most heinous social system, which discriminates and marginalises people on the basis of their birth.

Casteism is a reality in this ‘globalised’ India. The new trend by the ‘dominant caste’ people is to negate the fact that casteism is still prevalent in India. But they practice it with all its vicious forms in their lives and take the benefits out of it. People from the lower strata of this caste- ridden society, the Dalits, have been adversely affected by this heinous system. They are looked down upon. We, in everyday life, discriminate people on the basis of caste. Caste segregates people. Even the Christian religion in India is also affected by casteism!

What is casteism? Casteism is a form of apartheid, but more complex and inhuman in nature. This system is legitimised by Hindu religious belief system. It says that people are made by god in a hierarchical order. According to this belief system, Brahmins are born from forehead or brain of god and thus handle jobs related with knowledge. The kshatriyas are born from arm or shoulders since they are supposed to be the warriors. Vaisyas are born from belly and because of that they are traders or business community. Shudras are born from feet of god and thus become servants or serving community. The ‘Panchamas’ or Dalits are not even considered as born from god, and because of that they are untouchables and they are not even considered as human beings. Their

fate makes them to do all the manual, polluted, imputed, impure jobs. Even though this five- fold hierarchical system is not in existence in its strict form, caste differentiation and castebased discrimination are still rampant in India.

You too, Christians? When Christians in India also follow casteism, they have been following the most heinous social system, which discriminates and marginalises people on the basis of their birth. By following casteism Indian Christians are becoming idol worshippers. By discriminating people they are acting against the will of God. The following passages from the bible suggest that great fact that Christianity acts against any kind of discrimination. ‘Are you not like the Ethiopians to me, O people of Israel? says the  Lord. Did I not bring Israel up from the land of Egypt, and the Philistines from Caphtor and the Arameans from Kir?’ (Amos 9:7) ‘He unrolled the scroll and found the place where it was written: ‘The Spirit of the Lord is upon me, because he has anointed me to bring good news to the poor. He has sent me to proclaim release to the captives and recovery of sight to the blind, to let the oppressed go free,  to proclaim the year of the Lord’s favour.’  (Luke 17- 19) ‘So when the Samaritans came to him, they asked him to stay with CMJI :: VOLUME 28 NUMBER 1 :: 13


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them; and he stayed there for two days.’ (John 4:40) The voice said to him again, a second time, ‘What God has made clean, you must not call profane.’ (Acts 10: 15) ‘

Casteism is like an octopus Casteism acts like an octopus which reaches out to all the spheres of human life in India. There are ample evidences of discrimination against the Dalits, the most vulnerable, in myriad forms in all spheres of societal life. Although the constitutional provisions have been in place for penalising those practising casteism are in place, access to basic amenities and social facilities have always been a concern in the context of the Dalits.

Inaccessablity to Health Care: a prominent form of Discrimination

Even in the field of health care, discrimination is rampant against Dalits. Poverty is an important determinant of access to health care services and most poor are Dalits as well as most Dalits are poor. Poverty evolves a different health culture and the stepping back of the state from the responsibility of the health care of its citizens adds salt to the wound. Dr Ambedkar had rightly cautioned about the danger involved in the withdrawal of state from its responsibilities. 14:: VOLUME 28 NUMBERS 1 :: CMJI

Liberalisation policy actually has been helping the state to shrug of its responsibilities. Health care has been becoming more and more exclusive that serves only the elites of the society and the poor and especially the poor Dalits struggle to avail the medical facilities. Even the United States realised the need of a health care policy that caters the needs of the financially vulnerable people. But India, at this juncture, actually taking a negative move by moving towards privatisation and liberalisation in the field of health care in a swift pace. The question one can raise here is that what difference it makes to the Dalits from the poor non- Dalits. Poverty is a situation, which can be changed by earning/getting money. Possibilities of having financially sound relatives or peer groups are much more for the non- Dalit poor than the Dalits since Dalits are predominantly poor. The physical untouchability, which is still prevalent in many parts of India also becomes a hindrance for the Dalits to access proper health care. All these make the lives of the poor Dalits far more miserable than the poor nonDalits.

Corruption keep dalits away

There are certain affirmative actions provided for the vulnerable communities such as Dalits and

Adivasis by the state and central governments. Crores of rupees have been pumped to these projects by the government machinery and unfortunately the money does not reach to these supposed to be beneficiaries after all the ‘trickling down’. The massive corruption involved in the level of politicians and bureaucracy becomes hindrance between the resources and the beneficiaries. A tribal colony, called Attappady in Kerala, was recently reported of deaths of children because of severe malnutrition. Mothers are also reported as with maladies because of the malnutrition. ‘Malnutrition in women and men can result in reduced productivity, slow recovery from illnesses, increased susceptibility to infections, and a heightened risk of adverse pregnancy outcomes. (A woman’s nutritional status has important implications for her health as well as the health of her children. A woman with poor nutritional status, as indicated by a low body mass index (BMI), short stature, anaemia, or other micronutrient deficiencies, has a greater risk of obstructed labour, having a baby with a low birth weight, having adverse pregnancy outcomes, producing lower quality breast milk, death due to postpartum hemorrhage, and illness for herself and her baby’1. So the communities of Dalits and Tribals are compelled to become prone to ill-health and diseases). In the official records lakhs of rupees have been spent in these places for these Tribals, but in fact it did not reach them! The similar stories are reported about Dalits also in terms of health care. The possible inabiity to be aware of the nuances of government projects and the legal rights makes the lives of the Dalit even more miserable.

Dalits at the margins Dalits in India are literary pushed away to the margins of the Indian society. Most of them are forced to live either in the rural villages, and even in the peripheries of the villages where the basic aminities like public well are inaccessible, or in the backward areas within the cities like slums.


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They are forced to do the menial jobs, without having protection from the dangers of exposing to diseases. The ‘modern India’ should be ashamed of the fact that Dalits are forced to do manual scavenging, which is the most inhuman practice exposed to all the maladies. Because most of the Dalits do not possess land or they do not have government jobs they are doing jobs at daily wages. This factor compells them to ignore illness in the early stages and are not in the position to take the proper rest needed. Being a socially marginalised community, Dalits always face these kinds of difficulties to access the proper and timely health care. The facts like the limited number of Public health Centres in the remote villages and the unwillingness of many of the doctors to work in these Centres makes things worse. The correlation of this situation with corruption and increasing privatisation in the field of health care is noteworthy. Many of the doctors who come out of the government medical colleges, supposed to do compulsory service in the remote areas, evade the responsibility using corrupt methods and on the other side the profit- oriented private medical colleges produce doctors without real social commitment. Ultimately Dalits are at the receiving end of these situations.

Dalits exposed to fatal health hazards

conducted by the Center for Human Rights and Global Justice and Human Rights Watch, Dalits are frequently refused admission to hospitals and denied access to health care and treatment2.‘The Untouchability in Rural India survey found that Dalits were denied entry into private health centers or clinics in 74 out of 348 surveyed villages, or 21.3 percent of them. Overall, the study found that in 30-40 percent of the villages surveyed, public health workers refused to visit Dalit villages. In 15-20 percent of villages, Dalits were denied admission to public heath clinics, or if admitted received discriminatory treatment in 10-15 percent of the villages. The study also reported that Dalit women deal with government officials most frequently in attempting to access healthcare for themselves and their children and often encounter discrimination from auxiliary nurse midwife (ANMs) and anganvadi workers (community development workers). Dalits are denied entry to clinics, charged fees for services that should be free, and anganvadi workers may even refuse to visit Dalit hamlets.’3 These facts are really disturbing, but unfortunately the dominant Indian society look at this as a ‘normal’ situation.

Is this a labyrinth?

Is twenty-first century India in a labyrinth of casteism? Is there no way out? To get rid of casteism and caste- based discrimination deliberate steps by the government as well as the citizens are needed. To end the discrimination against the Dalits in the field of health care he involvement of the church/ Christians is also very much needed. It is evident that the situation of the Dalits became more vulnerable because of the decline of the mission hospitals. The Indian church, Indian Christians, Christian hospitals, and the Christian doctors are called to recapitulate the ‘essence of mission’ in the field of health care. There should be confident efforts from the side of Indian church to rejuvenate the mission hospitals. It will be a Herculean task to run hospitals with a mission agenda amidst the rapidly growing commercialisation in the field of health care. But Christians should understand that they are called and set apart for doing these near to impossible things for the glory of God. Challenging the state to take up its own responsibility in health care, vehemently opposing

Caste-based occupations that Dalits are compelled to perform, such as manual scavenging, and forced prostitution, often expose them to serious and sometimes fatal health the study found that hazards, including exposure to HIV/AIDS. Dalit women, who are in 30-40 percent forced to do prostitution, are in a of the villages vulnerable situation either because of the ignorance of the possible surveyed, public dangers involved or the because health workers of the socially- imposed inability to demand the male partners to refused to visit Dalit take the necessary measures for villages. a safer sex. According to a Study

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FEATURE the corrupt practices, and giving awareness to the Dalits about their own legal and social rights are the need of the hour. Providing the right and adequate medical care for the Dalits is the responsibility of the society since the discrimination based on caste and thus the inaccessibility of health care for them are imposed upon them by casteist Indian society. Indian church do have a greater responsibility to the Dalits within the church and in the society since the greatest and most powerful prophecy portrays Jesus Christ as one who identifies with the plights of the Dalits. Are we able to see this wounded Christ in the suffering Dalits? “He was despised and rejected by others; a man of suffering and acquainted with infirmity; and as one from whom others hide their faces he was despised, and we held him of no account”. (Isaiah 53:3)

Rev Sunil Raj Philip is an ordained priest of the Madhya Kerala Diocese of the Church of South India. Currently he serves as the Executive Secertary of the Commission on Dalits in the NCCI Email: revsunilrajphilip@gmail.com

http://www.measuredhs.com/pubs/pdf/FRIND3/FRIND3-Vol1AndVol2.pdf http:www2.ohchr.org/english/bodies/cerd/docs/ngos/chrgj-hrw.pdf

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2,3

FROM OUR ARCHIVES The Journal of The Christian Medical Association of India, Burma and Ceylon Vol XII, No 5 - 1937

ASSOCIATION NOTES The Kodaikanal Medical Conference To Every Member of Associaiton Are you Aware? This is a momentous time for us. We are approaching a crisis in our affairs. We must both judge ourselves and our work and invite the judgment of others. It will not do for any of us to hide in the security of his own position. We must face up to the challenge together, for if we fail the results will affect the whole future of the Church in India and the work of medical missions... The primary and immediate interest will be the development 0 the Younger Churches as members of the universal historic Christian.

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The revised basic statement

It is our conviction that the Ministry of Healing is an integral part of the work of the Christian Church, whose mission it is to make known God as revealed in Jesus Christ. Christ affirmed that the works which He did testified that the Father had sent Him. His ministry of healing was an expression of the compassion and love of God toward man and of the worth of man in God’s sight. The Church, which is the Body of Christ, should reveal God also by that Ministry of Healing which Christ taught His disciples and commanded them to carry out in order to proclaim that the Kingdom of God is come nigh unto man. It is therefore the duty of the Church to develop Christian medical work as a natural and vital expression of the Spirit of Christ. A return to the Ministry of Healing as an integral part of the work of the Church will enrich her spiritual life and make the testimony of the Church more powerful and complete in revealing God the Father going out in love and compassion to meet human need and suffering.


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Role Model or Wrong Model: Interpersonal Relationship at Workplace Jacob Varghese

Many Christians assume that Christian offices show a greater degree of tolerance in interpersonal relations. We may often see the ‘old-man’ (Eph 4:22; Col. 3:9) still shows his ugly face in a Christian workplace as much as he does in a non-Christian office. We often talk about tolerance in devotions, meditate on it during retreats and sometimes feel guilty and generalize it; but the fact remains that we fail to live up to a certain level of expected neighbourly connection in our day-to-day life. When I asked my brethren about this, there was no-response or admittance or they brushed it off saying: ‘After all we are human, you know?’ Yes, the world’s behaviour has never changed and will not change, whether the workplace is Christian or not. What we need is a progressive refinement in our response with the help of divine help.

Level of Tolerance How do you detect signs of low-level tolerance? Many years ago, I shouted at a senior colleague for doing a sloppy work, and even after decades I couldn’t erase that ugly scene from my mind. I felt very guilty and asked for his forgiveness. Losing temper is a very visible sign of aggression and

There is no absolute solution to behavioural change except a closer walk with Jesus, who taught us how to behave. it hurts the other soul like a dagger. We are not very honest when we say ‘I didn’t mean to hurt’. In fact at that moment of losing temper, we wanted to inflict pain in the other person. We may regret about it or go into a denial mode, but irreparable damage might have already done.

Pharaoh embodied We hurt others in numerous ways, especially when we have the ammunition and the other person is defenceless. The reason could be justifiable; maybe responding to a disciplinary action or simply an attitudinal outburst . Working in hospitals for many years, I have seen superiors tongue-lashing their juniors without mercy. I always wondered whether it is the good heart of a disciplinarian school master or a hard heartened and frustrated Pharaoh at play in these contexts. We can read the latter behaviour in the parable of cruel servant in Matt. 18:21-35. C.S Lewis wrote in Essay on Forgiveness: ‘To be a Christian means to forgive the inexcusable because God has forgiven the inexcusable in you.’

Ego or Fear of being caught? Protecting a job or fear of facing punishment could be another reason

for being mean to others. The visible reaction is the blame game. ‘I did my work, and if the other person goofed it up, then don’t put me on the hot seat.’ Often we dismiss this behaviour as one’s ‘ego’ or ‘jealousy’ that pushes one to kill his brother (the ‘Cain Complex’). It may be a fear complex and an escape from facing the reality. Example: David’s reason for killing Uriah. When we assume responsibilities, we also take the risk of becoming victims of another person’s mistake. When accusations come – either admit the shortcomings and face the consequences boldly or express your innocence by placing the facts you can gather, and seek God’s intervention. We all remember Joseph’s story of being falsely accused, condemned and incarcerated. The Bible says: ‘God was with Joseph.’ God works for good for those who love Him (Rom.8:28).

Incorrigible Sticklers Perfectionism is a silent killer. A person becomes an expert in doing things by practice and by the Godgiven gift of a higher degree of intelligence. But one often forgets the road he travelled to reach that stage CMJI :: VOLUME 28 NUMBER 1 :: 17


FEATURE of perfection. An arrogant perfectionist is a terror to his or her colleagues. This is a personality disorder which I call ‘intellectual arrogance’. Many high calibre professionals kill their staff publicly, forgetting the fact that everyone takes a journey to reach a minimum level of stage of perfection. What Mr. Perfectionist forgets is that we are all imperfect in God’s eyes. A good mentor can always make a gem out of a so-called ‘incorrigible’ apprentice. There is no better example for us than our Lord - the epitome of universal perfectness – mentored His not-so-intelligent disciples. Men of repute such as Nicodemus and Joseph of Arimathea were excluded from His core staff list.

Who’s the Boss? Control freaks are everywhere around us. Imagine your manager is a control freak and doesn’t let you decide on anything, neither he shares important facts with you. Everything will be hung in limbo for his approval. In the worst case, the superior wants to do even the janitor’s work in decision making. The more qualified manager may even justify his actions with a lecture on ‘lean six-sigma’ and ‘total quality management’. Is it his sheer lack of trust in others that makes him a ‘doeverything’ disorder? Isn’t it true that some of us assume that others can’t think and can’t do anything right? As a manager, if you have a micromanagement checklist, then check out your Trust Quotient (TQ). To err is human, maybe once When do bosses get wild at you? Often it happens when you make excuses for not getting things at the right time or doing it wrong? Whatever be the reason, assume that it is a genuine performance pitfall. It is not always the superiors who stand guilty during such stormy situations. A majority

of staff tend to reduce workload and escape responsibility. Delegation is sometimes a convenient alibi to dump work on your colleague. Or we shy away from urgent and important because we are so badly organized. Or, there is lack confidence in doing a particular activity correctly. If we trace the roots and admit it to ourselves, there are ways to overcome by working on it and seek divine guidance to excel in the things you want to avoid.

When the rubber meets the road... There is a difficult moment of truth when supervisors do annual performance appraisals. To a hardworking staff, a supervisor fails to mark anything less than the best. But there is always a room for improvement. When a supervisor records a major fault in our personnel file, we get so agitated and bewildered. According to our standards, “I did everything right as required.” We would have put all efforts to make a 90% mark on our self-appraisal, but sadly we might not have touched the benchmark set by our superior. If the superior had not failed to set a benchmark for us, then it becomes more difficult to explain the comments. Sometimes we get hurt when a black mark appears in the ‘need for improvement’. Those we take such remarks positively to improve our skills, there is always hope in our career journey. The Cancer that kills a soul Keeping a grudge against someone is the worst feeling one can have in a workplace. Unfortunately, unforgiveness is unnoticed and forgetting a bitter experience is difficult. Our mind often reacts like this: ‘I will teach him a lesson, one day if not today.’ More than any other vicious thought, it is the revenge mode that kills the Christian spirit

and grows like cancer in our body and soul. Interestingly grudge could easily be camouflaged with a great smile. Then when the volcano of pent up ill-feelings erupts without warning, it leaves indelible scars for a lifetime.

Acts of brokenness: • • • • • • •

There is no better alternative than to say ‘sorry’ to mend broken relationships. It is not a cowardly act to seek forgiveness from your brethren and from Father God. It is always good to admit that you are not perfect when you see imperfection around you. It is important to be sensitive to other person’s feelings and perspectives. It is very important to correct your juniors, peers and superiors when you feel that they are in a wrong path. And pray for them. It may help to share your burden with someone who can keep it confidential. This will reduce your stress. It is better to control your anger, especially when dealing with your younger colleagues.

Think about it! People who leave an organization to join another one or retire, will tell you that the life was all over in a lightning flash. In this short span life, we cherish good feelings and regret lost opportunities to brighten another soul in your life. Surrender completely to the ‘life abundant’ promised by our Lord. Ask and ye shall receive the spirit of love. You can either be a role model, or wrong model. Enjoy God’s presence in your workplace.

Jacob C Varghese is a communication and fundraising consultant, based in Chennai

Refrences: 1 There is no gender-bias in this whole article though I used everything in masculine - Author 2 Proverbs: 16:23 The hearts of the wise make their mouths prudent, and their lips promote instruction. 3 Matt. 12:34 You brood of vipers! How can you speak good, when you are evil? 4 Essay on Forgiveness, C.S. Lewis. Macmillian Pub. NY 1960 5 Acts 7:9 Because the patriarchs were jealous of Joseph, they sold him as a slave into Egypt. But God was with him 6 Rom 8.28 And we know that in all things God works for the good of those who love him, who have been called according to his purpose.

18:: VOLUME 28 NUMBERS 1 :: CMJI


SPECIAL FEATURE

The Journey of a Nation from Brokenness to Healing History tells of a difficult, hard and very costly road – a road marked by ultimate sacrifices being made of the lives of so many. Dr Daryl Hackland

South Africa’s journey and that of her peoples zigzags along roads much traveled by so many towards a place and time when all would, as well as could proudly say “This is my home”. It’s not as if the traveling is yet done but it can justifiably be claimed that the road chosen is that road leading to the noble goal of “unity, reconciliation and reconstruction” enscribed in the clauses of the South African Constitution. History tells of a difficult, hard and very costly road – a road marked by ultimate sacrifices being made of the lives of so many. This journey is out of a complex past of Dutch and British Imperialism and Colonialism, of wars and of domination of one race and group of peoples by another. One such war was the Anglo-Boer war of 1899-1902 during which 26000 women and children died in British concentration camps and elsewhere. It is significant to note that the Royal Commission appointed thereafter never investigated crimes against the local people as did the post 1994 Truth and Reconciliation Commission. Antjie Krog asks the penetrating questions as to what might have happened if the British Commission had recorded reports of injustices during the war.? What would have happened if acknowledgements had been made of British wrongs and if forgiveness had been requested? If there had been some public

recognition of the intrinsic humanity and equality of all inhabitants, would South Africa’s subsequent history been different? However, British abuses, while never officially acknowledged and condemned by the British themselves, were officially recorded by the Afrikaners. These accounts entrenched the view of the Afrikaner as a threatened and victimized group. A determination emerged that they would never be victims again. In coming to power in 1948, the Nationalist Party won the election on the back of an ideological policy, Apartheid, this leading to the victimisation and destruction of the vast majority of South Africans. But the responsibility for such separate development of the races did not only begin with Apartheid. Divide and Rule policies had already been established and implemented by previous governments. (1)

In the Truth and Reconciliation report, security laws enacted by the South African government are listed, quoting but on of these serves to provide an example of the oppressive and soul destroying nature of Apartheid. Quote “In terms of various new and amended laws passed between 1953 and 1960, the Minister of Justice, the Commissioner of Police, magistrates and commissioned officers could

detain, ban, prohibit, place under house arrest and banish people, and prohibit public gatherings. Those affected had little recourse to the courts”.(2) The Road of Reaction and Resistance. Nelson Rolihlahla Mandela’s “Long Walk to Freedom”(3) describes this journey made within the Congress of the People and others, chief amongst which was the African National Congress(ANC). It was a journey of many years of resistance to inflicted humiliating dehumanization and of the struggle to achieve the birthright of all to the land of the fathers. This “Long Walk” began to be written clandestinely in 1974 during imprisonment on Robben Island. Having been served in 1953 with a banning order under the Suppression of Communism Act, which required his resignation from the ANC as well as the restriction of movements to the Johannesburg district and prohibiting the attending of any meetings or gatherings for 2 years, Mandela rapidly became convinced that the policies of the Nationalist government would soon make non-violence a limited and ineffective course. Plans for an armed struggle were set, this development being fuelled by banning orders being served (1955) on nearly all the non-white leaders in South Africa. To name but a few serves as CMJI :: VOLUME 28 NUMBER 1 :: 19


SPECIAL FEATURE a reminder of the stature of these leaders being thus “stifled” --- Yusuf Dadoo (S A Indian Congress), James Phillips (Pan African Congress), Walter Sisulu (ANC), Albert Luthuli (President, ANC). An important milestone on the relentless road to “brokenness” was the protests against the much hated Pass Laws. All Africans over the age of 16 were compelled to carry “native passes” issued by the Dept of Native Affairs which required showing the pass to any white policeman, civil servant or employer. Failure to do so could mean arrest, trial, jail or fine. In addition to personal details the pass recorded payment of the annual compulsory poll tax levied only on Africans (Blacks), In December 1959 a dynamic anti-pass demonstration was held, this heralding the decision to initiate a massive countrywide antipass campaign lasting for 3 months and culminating on 26 June 1960 with a great bonfire of passes. The mood of the country was grim. The State was threatening to ban all antigovernment organisations. Elsewhere in Africa the freedom struggle was marching ahead with the emergence of the independent republic of Ghana (1957Kwame Nkrumah, President). During 1960 seventeen former colonies in Africa were scheduled to gain their independence. In the same year the British Prime Minister, Harold Wilson visited South Africa, referring in a speech to Parliament to the “winds of change” sweeping Africa. Would these winds bring further suffering on the vast majority of South Africans seeking and yearning for the same freedom from “bondage” to a Whites only government. The antipass demonstrations erupted, one of these marking the most calamitous of all; one whose name still echoes with tragedy : Sharpeville. At this small township south of Johannesburg a crowd of several thousand surrounded the police station. The demonstrators were controlled and unarmed. Suddenly the police opened gunfire on the crowd. The demonstrators turned and ran in fear. Sixty-nine lay dead, most of them shot in the back as they fled. 20:: VOLUME 28 NUMBERS 1 :: CMJI

The massacre of Sharpeville created a new situation in the country. Added to the many protests against the unjust “forced removals” from homes to distant often inhospitable areas, the draconian “group areas” Act, the unjust seperation of Education and public services, a critical point was reached. Enough was enough. The people needed and outlet to their anger, frustration and grief. A call was made for a nationwide stay-athome for 28 March – to mark a day of mourning for Sharpeville. Chief Albert Luthuli (Nobel Prize winner) publicly burned his pass in Pretoria, South Africa’s Administrative Capital city. Mandela along with other leaders did the same before hundreds of people and the media. Several hundred thousand Africans observed the call. Rioting broke out in many areas The government declared a “state of emergency” and assumed sweeping powers to act against all forms of subversion. South Africa was now under martial law. Church leaders and their people became now more vocal and joined more forcibly the struggle against the now untenable political situation which had arisen after many years of tyranny, exploitation and oppression of people by the “white “regimen. International censure increased dramatically and sanctions were applied. Ensuing years brought both national and international outcries against the many atrocities wrought by Apartheid. Acts of violence against the regimen became regular happenings which “bloodied” the landscape of the land. Leaders of the struggle were arrested and charged with ‘treason’, Mandela being arrested in August 1962. At his subsequent trial he concluded his own defense speech with these words: “During my lifetime I have dedicated myself to this struggle of the African people. I have fought against white domination and I have fought against black domination. I have cherished the ideal of a democratic and free society in which all persons live together in harmony and with equal opportunities. It is an ideal for which

I hope to live for and achieve. But, if needs be, it is an ideal for which I am prepared to die”. Along with the other accused at the Rivonia Treason trial, the sentence of life imprisonment was imposed. (It was a miracle the death sentence was not imposed. For me personally I believe this to be God’s intervention for South Africa.) The 27 years of incarceration began on Robben Island. My journey from brokenness to healing So the slippery slope into more and more brokenness between the peoples of South Africa steepened. Yet I ,as a privileged white growing up in a country with such an unjust system of government, which purported to be Christian, did not full apprehend or acknowledge the degradation, pain, hurt and grief and unjust system inflicted on so many. I feel shame that I rode in a second class railway carriage whilst the ‘blacks”, my unacknowledged fellow South Africans, crowded into “third class” It is easy to blame the system which resulted in one so young to grow up thinking and accepting that “this is just how things are”. On reflection of those early days on the farm (sugar plantation) I remember, with gratefulness now, my boyhood’s closest friend, Roy Naidoo. He was the second son of Sirdar Naidoo (a descendant of the indentured labourers brought from India to work the sugar plantations – a great and warm person with a huge graying moustache) and “big” Mary. We played and romped together as one in our boyhood, sharing secrets and pranks together. Hot curry and roti became my favourite food offered so hospitably in their humble corrugated iron home. Come 6 years of age, Roy had to walk to his school separated many miles from my own to which I travelled with neighbouring farmers’ children by car. (My father didn’t own a car then). Over the years our lives drifted apart forced upon us through discriminatory laws. We began to be shaped differently through this separation. Although we both trained to be


SPECIAL FEATURE teachers, our paths seldom crossed. When they did superficial courteous enquiries about eachothers welfare filled the conversation. Gone was that close boyhood happy natural relationship stolen from us both by the system Lost was the inexperienced opportunity to grow to know that we shared the same basic human needs.

Racial discrimination deprived and destroyed almost all of what it means to be really human. Missed was the challenge to express “loving our neighbour as we love ourselves”. Racial discrimination deprived and destroyed almost all of what it means to be really human. The apartheid policy with all its accompanying legislation was destined to continue to shape lives and “whitewash” the minds of whites into thinking they were superior, different and therefore the privileged race. Following God’s call on my life to His ministry in and through the Methodist Church, I began studies in Theology at Natal University. As a member of the Students’ Christian Association I was nominated to attend the All Africa Christian Youth Assembly in Nairobi, Kenya (1961 – its theme so relevant and appropriate for the times in Africa -- “Freedom under the Cross”. It was here that I met and shared accommodation with an inspiring fellow disciple of Jesus. Aaron Mlengwa was from Malawi. Being with Aaron was as if the scales fell from my eyes and mind. I experienced a “God moment”. A new freedom was mine – a freedom truly in Christ. I was free to look Aaron straight in the eye and ‘hug’ him in greeting as some Christians do. We became “brothers” in Christ. Cherished in our home to this day stand two candleholders, a gift from Aaron from Malawi., an ever present reminder of the brilliant light coming into my life 52 years ago.

From that day on a new morning had dawned and a new journey began. Now when times came and the injustices of the apartheid system negatively and detrimentally impacted the lives of those of a different colour, culture and creed, I too was troubled and challenged. Priscilla, my wife, and I shared in this response. We attempted by all means to establish a way if life, albeit within a soul-destroying system, which reflected something of the life of Christ within us. We cannot claim to have been imprisoned for our stand but soon earned the title outside the Mission Hospital campus (Bethesda Hospital), where we served the Church for a number of years, of being the “communists on the hill”.. This engendered the ire and suspicion of the authorities, bringing the scrutiny of the security police and undercover informants to bear upon all our activities at the Hospital and beyond. How long could be tolerate this situation, when on travelling together by motor vehicle outside the Hospital precincts with colleagues and friends, we were barred from having a ‘cuppa tea’ or drink together in a cafe. Instead we would picnic together on the side of the road. How much longer would it be before South Africa became a country for all instead of relegating some people to live in ‘reserves’ and ‘homelands’. When would it be that all South Africans could hold their heads high and proudly proclaim that freedom for which so many were struggling, imprisoned and continuing to pay the ultimate sacrifice. I do thank God that for me hope was born in Nairobi. I was experiencing that freedom which the cross brings to all aspects of life. The cross is our salvation as a cry goes up – have mercy, O Lord. Hope, the companion of Change Hope too was born on Robben Island. Denominational services were held each Sunday. Although a Methodist, Nelson Mandela would attend different religious services. One Methodist Minister preached about the importance of reconciliation, over and over again – implying that

it was the inmates who needed to be reconciled to the whites. During one such sermon one of the inmates shouted out “You’re preaching reconciliation to the wrong people. We’ve been seeking reconciliation for the last 75 years” The Reverend was never seen again. The day dawned when prisoners were informed of the visit of a troika of judges who had been appointed to hear grievances. From that time on hope began to grow for change. The transfer of one of the most callous and barbaric commanding officers on the island took place and on leaving he remarked, “I just want to wish you prisoners good luck”. This remark was interpreted by the prisoners that there is another side to human nature, a side different from that which becomes so easily obscured by having an inhuman system foisted upon it leading to acts on man’s inhumanity to man”. A hope borne on a new and fresh approach accompanied the new commander. Prisoner and prison authorities began to talk together and found one another. However, despite this apparent softening of attitudes on Robben Island, the country remained in turmoil. 16 June 1976 saw some 15000 school children gather in the township south west of Johannesburg (Soweto) to protest the government’s ruling (Bantu Education Dept) that

The day dawned when prisoners were informed of the visit of a troika of judges who had been appointed to hear grievances. half of all the subjects in secondary school must be taught in Afrikaans, the language of the Afrikaner and oppressor. Pleadings and petitions by parents and teachers alike had fallen on deaf ears. Police confronted this army of earnest school; children and without warning opened fire, killing 13 year old Hector Pieterson and many others. This uprising and event CMJI :: VOLUME 28 NUMBER 1 :: 21


SPECIAL FEATURE triggered countrywide riots and violence. Fired with the spirit of protest and rebellion, students boycotted schools everywhere. The angry and audacious young people were the very progeny of Bantu Education which had now returned to haunt its creators.

the Inkatha Freedom Party(IFP) refused to be part of the election, citing non consultation as its main reason. This would mean a huge setback for the real democracy in South Africa. Deep concern was expressed at this development, especially by the Churches and religious bodies. The country was called to Prayer.

Some years after the Soweto uprising and the upheavals of riots within the prison at Robben Island, some prisoners Countrywide rallies were organized to pray for a smooth were transferred to Pollsmoor prison. The government bloodless transition into newness for all South Africans. began testing the waters for negotiation towards a future A Christian leader, Michael Cassidy of Africa Enterprise. nonracial South Africa.(1984) Simultaneously leading ,a tireless warrior for justice, righteousness and freedom, thinkers and shakers in South Africa began talks with records the event of the IFP entering on the eve of the leaders in exile, as well as the armed wing of the ANC. election as God’s grace and mercy demonstrated in this miracle which rained (Mkhonto weSizwe). Much Peace over all the discussion and parliamentary Countrywide rallies were organized land. God was at speeches over years to pray for a smooth bloodless work and He had followed but never was there the response to compromise transition into newness for all South heard the cries of His people. A deep the struggles for freedom Africans. hush seemed to for a future democratic pervade all corners nonracial South Africa. of the country as On 5 July 1989 the State President, P W Botha met with Mandela. Whilst this meeting with joy huge crowds, standing in long queues for hours, was not a breakthrough, the Rubicon talked about by talking and laughing together waiting to vote for the first P W Botha was personally crossed by him. Now there was time in a free South Africa. no turning back. The journey had begun from “brokeness Much work still needs to be done to right the wrongs of the to healing.”. past. Especially important was the challenge to dim and finally extinguish the ‘light’ of racial prejudice, hatred and On 2 February 1990, F W de Klerk, the newly instated discrimination. What road was needed to lead to Justice President of South Africa stood before Parliament. He and Reconciliation? To travel this road was an imperative dismantled the Apartheid system and laid the groundwork which could not be ignored. In a letter to the President for a “new” South Africa. He unbanned the main opposition of South Africa in 1993, the subsequent co-chairman of parties and 31 other illegal organisations, the freeing of the Truth and Reconciliation Commission with Archbishop political prisoners, the suspension of Capital punishment Desmond Tutu, Dr Alex Boraine wrote: “The past cannot and the lifting of the restrictions imposed by the State of be avoided and if attempts are made to conceal or ignore Emergency. On the afternoon of 11 February Mr Nelson past violations of human rights, it could make reconciliation Rolihlahla Mandela walked out of bandage into freedom”. even more difficult.” With others, including (now not as foe but partner) the South African government, his task was to restore dignity Furthermore “if there is to be a readiness to forgive, it is important to know what evil is being forgiven and who and healing to a waiting and expectant South Africa. caused it. If dignity is to be restored to thousands of victims who have suffered under the apartheid system, The Wholeness of Healing then these violations have to be known and acceptance of The journey out of what seemed at times unachievable this has to be public rather than private.” and hopeless would not be an easy ride. As many issues needed addressing, chief amongst which was that of The Truth and Reconciliation Commission worked its way moulding unity out of a much divided land and nation. through the horrors of the past in order that, through the Expert teams addressed the huge task of drafting the process true healing would be experienced. Archbishop new Constitution and laying the structure for the interim Tutu, fought constantly and continuously against apartheid government based on proportional representation. because of it fundamental unjustness and therefore Government Departments and structures based on unchristian seeing the spirituality in the struggle, he divisions required reorganization and restructuring. I had recognized that the Church of God needed to sustain the the privilege to participate in one of these task teams hope of the people. He believed that God was a God of to amalgamate four previous Departments of Health at ‘Liberation’. His hope was realised for the liberation which Provincial level into one effective Health administration came to South Africa was peaceful and unaccompanied by the shedding of blood. He was indeed a prophetic under the National Dept of Health. witness on the huge screen of transformation. Come the setting of the date for the very first free democratic election on 27 April,1994, saw much infighting Beyond the achievements of the Truth and Reconciliation amongst political parties and factions. One major party, Commission lies the new and dominant theme for 22:: VOLUME 28 NUMBERS 1 :: CMJI


SPECIAL FEATURE South Africa and the subcontinent-- reconstruction and development Tutu claims that to follow Christ in this context entails developing a new spirituality of reconstruction, imbued with justice and reconciliation but focused on the vision of a new creation. For Tutu it entails the learning of new skills and must bring together the advantaged and the disadvantaged, the rich and the poor, black and white, in a spirituality of co-responsibility for the building of a new society. The Journey ahead In 1998 the World Congress of the International Christian Medical and Dental Association was held in Durban South Africa, At the gala dinner during the Conference appreciation was expressed by delegates for the freedom experienced in being able to visit South Africa. For some came because at last sanctions were a thing of the past. For others, especially from other parts of Africa, a door had been opened which for so long had remained tightly closed. Praise and thanks to God reverberated through the tables as the story of transformation was shared and witness given of South Africa’s miracle transition. But almost two decades have gone since that first election. Three Presidents have led the country. The ANC has been in power, controlling the political events and happenings which direst the road ahead. There remains yet a long long way to go. Racism remains alive. Suspicion of the motives and actions of some leaders is rife. Poverty is still a major problem and the unemployment rate is unacceptably high. Fraud in high places and criminality are everyday media reportings. Murder, rape abuse of women and children is rampant. On the other hand yes, in many ways South Africa has brought relief from suffering and raised the hopes of her peoples. New laws have opened doors towards change. In sharing this journey of South Africa’s brokenness into healing, a realization is awakened that, if such a healing References (Bibliography) 1. A country Unmasked. Alex Boraine Pg 373 2. Bearing Witness. Fiona C. Ross Pg 166 3. Long walk to Freedom. Nelson Mandela. Pgs Various.

is to be a restoring of “wholeness”, then it has to be more than just a political liberation. Complete healing of brokenness requires to be enveloped in a spirituality. For the Christian this means a living faith in God who was in Christ reconciling the world to Himself and committing to each of us the message of reconciliation. 2 Corinthians 5 vs 18,19. Consider the final word to be theological rather than political. “If the Son shall make you free, you shall be free indeed” (Really free) John 8 vs 36. Becoming a healing community is to live together beneath the Cross of Christ where forgiveness rings out the call for truth and reconciliation. The healing restoration of the image of God in each of us brings a transformation which humankind searches for and will not find until being restored to God in Christ becomes a personal and individual experience. This same truth is expressed in the words of John Wesley, the fiery preacher of the Gospel in the 18th century. He claimed “Transform man and you transform society”. The theologian David Atkinson put it this way “Forgiveness is a dynamic concept of change. It acknowledges the reality of evil, wrong and injustice. It seeks to respond to wrong in a way that is creative of new possibilities. South Africa today continues to stand in much need of God and of much prayer. A soul-searching road still awaits each and every South African. Our hope is that we have the courage and will to make the journey. May it not be a road less travelled than other tempting roads!!!. Rev Dr Daryl Hackland, a medical doctor, who is also a clergy (retired) of the Methodist Church of Southern Africa. He served as the Medical Superintendent of Bethesda Hospital (founded in 1937 by the Methodists), Ubombo, South Africa from 1970 to 1981 and thereafter at the KwaZulu Government Department of Health as Director of Health Services and as Secretary for Health, playing a major role in promoting primary health care in SA. He was instrumental in engaging churches with the HIV epidemic in the 1990s. At an international level, he has been an active member of the ICMDA. He is leading a retired life with his wife Priscilla in Cape Town, SA.

4. A Country Unmasked. Alex Boraine. Page 33. 5. Tutu - Prophetic Witness in South Africa. Edited Leonard Hulley Pgs 182,183 6. The Holy Scriptures As referenced in the text.

NETWORK NEWS COMPREHENSIVE MEDICAL SERVICES INDIA (CMSI) The Essential Drugs Project of Comprehensive Medical Services India (CMSI) is a unique project in India run by Christian charity. We manufacture 65 drugs drawn primarily from the Essential Drugs list of WHO. The drugs are made available for charitable hospitals and to the Government on a no loss no gain basis. The manufacturing site has a floor space of 20, 000 sqft. which is maintained at aseptic condition. The CMSI is duly certified by teh Drug Control Authority and it has got its Good Manufacturing Practice (GMP) certification. We also have well equipped Chemical and Microbiological labs. For further details contact Project Manager at 91-44-22521876/ 22523241 ICSA - PERSPECTIVES: MAY 2013

CMJI :: VOLUME 28 NUMBER 1 :: 23


INSTITUTIONAL FEATURE

A Legacy of Dedication and Vision:

100 Years of Christian Hospital Mungeli

Dr Anil Henry

Heritage courses through the veins of the Christian Hospital Mungeli (CHM), Mungeli, Chhattisgarh. In every corridor, ward and pew, the legacy of those who had the dedication and vision to reach out to this community over 100 years ago, can be felt.

Madsen, and the Ellen Thoburn Coven Memorial Hospital in Kolar to name a few. To this distinguished list we add Dr Anna Gordon.

Our History In 1885 six missionaries, four ladies, Mr GW Jackson and Mr D Adams from the Disciples of Christ, while travelling by bullock Cart from Jabalpore to Bilaspur, rested in Mungeli on the banks of the Agar River. This is where and when it all began. In the years to come, the Agar river was used to baptize most of the early converts, the first being a man called Hira Lal followed by his wife Nan Bai, two people who would go on to become vital pillars in Mungeli's healthcare story. Two years after they arrived, Mr and Mrs G W Jackson opened the Mission Station at Mungeli. Jackson built the mission station’s “Big Bungalow” on six acres the mission purchased North of the Agar River. In 1890, Mrs Jackson operated a small dispensary at the mission bungalow. However, by 1891 Mr Jackson became too ill to remain in Mungeli. The Mission chose Reverend Evelyn Martson Gordon to replace him. Born in India, Reverend Gordon was a 20 year-old bachelor when he arrived in Mungeli. Little medical work could be done at the mission and it was only five years later in 1896, when Reverend Gordon married Dr Anna Dunn Gordon, that medical work truly began. It appears that many Mission Hospitals began with women at the helm - CMC Vellore and Dr Ida Scudder, CMC Ludhiana and Dr Edith Brown, the Clara Swain Hospital in Bareilly, Christian Hospital, Bissamcuttack and Dr Lis 24:: VOLUME 28 NUMBERS 1 :: CMJI

‘Rev E M Gordon and Dr Anna Gordon Founder, Christian Hospital Mungeli’


INSTITUTIONAL FEATURE Born in 1869 in India, Dr Gordon attended school in Bombay and Brussels, earning the “gold medal” in her class. After moving to Mungeli in 1896, Dr Gordon first held clinics in a tent and in an old school building. The following year, the Gordon's built the Christian Hospital Mungeli. Dr Gordon also began training medical assistants, including Hira Lal. The medical work grew quickly. In 1903, the hospital treated 342 in-patients and 9,698 out-patients. By 1907, Dr Gordon had also trained the hospital’s first nurse, Nanbai.

travelled to villages to perform cataract removal and other eye surgeries. The hospital conducted its first “eye camp” in 1943 at Kawardha, some 45 miles from Mungeli. Over the next 25 years, CHM held approximately 150 eye camps in more than 25 villages up to 100 miles from Mungeli, restoring sight to many thousands of the curable blind. The concept of eye camps became famous, as it was adopted in other third world countries.

After more than a decade in service, the Gordons left Mungeli in 1907. The Christian Church (Disciples of Christ) sent other missionary doctors to Mungeli, including Dr George Miller. During long periods when there was no missionary doctor at CHM, medical work was carried on under the direction of Hira Lal, who served the community in Mungeli for more than 50 years. In 1940 the Kaisar-I-Hind silver medal was awarded to Hira Lal for his services in the region. In 1925, Dr Victor Rambo became Medical Director of the Christian Hospital Mungeli. Dr Rambo was born in India in 1894, incidentally ten years after the first missionaries came to Mungeli. He was the son of missionaries of the Foreign Christian Missionary Society. During Dr Rambo’s tenure, the hospital’s facilities and its ability to deliver medical services both grew significantly. By 1932, a substantial gift from a donor in the United States allowed the construction of a large and a small operating room, a delivery room, and an examining room for eye patients. At the same time, the original hospital building was remodeled to contain an outpatient department, lab, and records room. Also, during the 1930s, the hospital constructed several new wards. An American missionary nurse, Eva Alice Springer, used her own funds to build several of these wards and also acted as the general contractor overseeing their construction. Under Dr Rambo’s leadership, CHM became known for its work in saving and restoring sight. Many of the blind could not travel to the hospital so Dr Rambo pioneered the use of “eye camps,” where surgical teams from the hospital

Dr Victor Rambo and CHM staff 1937

Christian Hospital Mungeli, 1948

In 1947, Dr Rambo began dividing his time between Mungeli and Vellore, where he taught part-time at the Christian Medical College’s Ophthalmology Department. Dr Dayal Suknandan then became CHM’s Medical Superintendent, and with on-going support from the United Christian Missionary Society, the hospital’s growth continued through the 1950s. The 40-bed Bentley Eye Ward opened in 1953. The hospital completed substantial additions to the Eye Clinic and Lab in 1961. By that time, CHM had 120 beds and averaged 368 in-patients per month. In 1971, the Christian Church (Disciples of Christ) in India joined with other denominations to form the Church of North India, bringing CHM under the administration of the Church of North India. By that time, most foreign missionaries were leaving the country, significantly reducing external funds and personnel supporting mission hospitals. Over the next 30 years, CHM struggled. During this period, the limited services provided by the hospital were made possible by continuing financial contributions from the Rambo Committee, Inc., a charitable organization originally founded in Pennsylvania during the 1920s to assist Dr Rambo’s work. In 2003, after a change in leadership, CHM began to grow again. In 2011, Christian Hospital Mungeli had 120 beds, saw approximately 30,000 out-patients, delivered 600 babies, and performed some 2,500 surgeries per year. CHM is now owned and operated by Eastern Regional Board of Health Services which is under the Church of North India. CMJI :: VOLUME 28 NUMBER 1 :: 25


INSTITUTIONAL FEATURE Today our Mission Statement is, “The whole community of Christian Hospital Mungeli is committed to providing holistic healthcare through excellent services, quality care and respectful treatment in which the spirituality of each person is honored. This is to say clearly that NO patient will be refused, all patients will be treated regardless of what religion they belong to and the hospital will always strive to provide the best of services at the least minimal cost, always being aware to serve the marginalized and needy.”

Medical Services CHM has a medical staff that includes four doctors and 28 nurses. The hospital now has 120 beds on four general wards and two Intensive Care Units equipped with state of the art monitors, ventilators, syringe pumps, and other life saving needs. All beds are subsidized to reduce the financial burden on the patients and their families. Diagnostic services are provided in-house with a modern lab having services in Hematology, Biochemistry, Microbiology and also has a licensed blood bank. The hospital is also supported by a Radiology department. CHM has a CT scanner and digital x-ray machine along with a filmless digital system (PACS). These are integrated with the hospital’s computer network, allowing the images to be viewed on computers anywhere in the hospital or through the wireless network serving the hospital’s campus. Diagnostics are also supported with two ultrasound machines with color Doppler, upper GI Endoscope, and a tracheobronchoscope. All OPD records are now kept on paperless ebooks. There are three operating rooms, where surgeries including laparoscopic, orthopedic, and urological with C-ARM facility are performed. In-patient departments are also now transitioning to electronic records. The nursery and delivery room are equipped with intra-uterine monitoring systems. Our departments include, Dental, Eye, Physiotherapy, a Burn Unit and a Cancer Department (anticipated opening late 2013).

Social Services

the state. In 2011, the nursing school was accredited by the Nursing Council of India, and takes 30 students and a full-time teaching staff of six. The first batch will graduate in 2014. The teaching atmosphere and the young blood of the students adds a positive and uplifting energy to the whole hospital.

Community Work As of 2011, community health work has begun in two villages and the survey of these villages has started. The work in the villages is growing rapidly.

Rambo Memorial English School Christian Hospital Mungeli also administers the Rambo Memorial English Medium School, which provides subsidized English Medium Education to the children of Mungeli and surrounding villages. In1994, the Church of North India opened the Rambo School in an old mission bungalow near the Hospital, named to honor the memory of Dr Victor C Rambo, who served the Christian Hospital Mungeli so diligently for 25 years. In 2004, lack of funds brought the school to the verge of closure, and the Church asked that the Hospital to take over its administration. At that time, the Rambo School had 80 students and a teaching staff that had not been paid for some time. In 2005, after much prayer and reflection, the CHM agreed and established this vision for the Rambo School: • To give English medium education to the children of the staff of the Hospital and thus aid in the Hospital’s mission by helping recruit and committed staff. • To build a secure future the next generation, including children from the surrounding villages, through providing good, low-cost, high quality English medium education. Since 2005 CHM has, among other things, repaired the school building, constructed additional classrooms including a computer lab, a school-yard, a boundary wall, and watchman’s house. A temporary addition to the bungalow now holds additional classrooms.

Many of the patients served by Christian Hospital Mungeli come from the neighboring districts and states. They are accompanied by large numbers of relatives that need to be accommodated on campus. In 2005, CHM completed major construction of facilities allowing a place for relatives of in-patients to stay, to cook for their hospitalized relatives, and to obtain meals with subsidized help provided by the government. We do not turn away the family support that is much needed for a patient's recovery.

In 2012, the School enrolled over 600 children aged 7 through age 15. Of these 600 students, approximately 400 come from the neighboring villages with the help of four school buses and one jeep operated by CHM. Because the old school building no longer can accommodate the ever-expanding student population, CHM has laid the foundation for a new three-story school building that can accommodate 1,000 children.

Nursing School

In 2005, CHM undertook the restoration and rebuilding of the Mungeli Church Parsonage. In 2012, CHM undertook the restoration and re-opening of the Church in the nearby village of Bishrampur, which was originally constructed in 1868. These two projects were done for the Church of North India.

In 2010, Christian Hospital Mungeli opened a nursing school in the hope of training nurses who will serve this mostly-rural and impoverished area. The nursing school only accepts candidates from Chhattisgarh and provides training at a lower cost than any private nursing school in 26:: VOLUME 28 NUMBERS 1 :: CMJI

Working with the Church of North India


INSTITUTIONAL FEATURE

Rambo Memorial English School 2012

Milestones

1887 1896 1897 1897 1925 1930 1935 1937 1941 1949 1956 1958 1961 1961 2003

Mungeli mission station established by Foreign Christian Missionary Society, and first medical services provided as a small clinic by Mrs George Jackson; Dr Anna Dunn Gordon arrives in Mungeli; medical work in Mungeli resumes in former government school building; First Chapel Constructed; Construction of Christian Hospital Mungeli; Dr Victor Rambo arrives to begin practice; Construction of Teachout Memorial Hospital Wing; First CHM “eye camp” held; Diamond Ward opened; Sitara Ward opened; New Hospital Chapel opened; 40-bed Bentley Eye Ward opened; Construction of Extensions of Administration Building; Construction of Deep X-Ray Addition; CHM had 120 beds and averaged 368 in-patients per month; In July 2003, CHM had 30 available beds and four in-patients;

2004 2005 2006 2007

Intensive Care Unit, two additional Operating Rooms, and Laundry built; Ultrasound machine acquired; online generator (62.5kVA) acquired; Dharamshala, Dal Bhat Kendra, and HP Rasoi Ghar built for patient relatives; Incinerator acquired; Lapraosopic surgery and TURP with Endourology, Outpatient Department renovation, C-arm, Upper GI scope, 6 New Doctor’s houses built; New Labor Room and Nursery built; second large generator (125kVA) acquired, ensuring uninterrupted power supply to growing campus; 100-bed capacity reached;

2008 Licensed Blood Bank Department open; 2009

and

Physiotherapy

Eye department machines updated and department renovated (second eye microscope, slit lamp, a scan, auto refractometer and a new OR), Mortuary Refrigerator acquired;

2010 Tracheobronchospcope and new Video gastroscope; construction of the Cancer Treatment Facility begins; 2011 CT Scanner, Digital X-ray, PACS, Paperless OPD with a new Hospital management System; 120beds, 30,000 out-patients, 650 deliveries and 2500 surgeries performed; CMJI :: VOLUME 28 NUMBER 1 :: 27


INSTITUTIONAL FEATURE Staff of Christian Hospital Mungeli

2011

Nursing School opens; construction of housing for student nurses begins; Fourth School bus bought. New Rambo Memorial School Building begun; large solar heater units for hot water put in for all the hospital;

2012

New Color Doppler and Ultrasound machine, new Incinerator, new updated and automated cooking equipment as well as, the first LIFT installed in Mungeli;

2013

New School building (inaugurated the first six ground floor classrooms) and the Cancer Centre is almost complete with machine installed.

History reminds us of where we have come from and inspires the journey ahead. As we mark 100 years of the Christian Hospital Mungeli, we are proud to be a part of this rich legacy and are dedicated to honouring it in all our future efforts. We will 'remember tonight, for it is the beginning of always.'

Dr Anil Henry, MBBS,MS General Surgery is Medical Director of Christian Hospital, Mungeli

External Links Our website:www.chmungeli.org Writeup by Gayatri Ganesh: http://nonsensegirl.wordpress.com/2013/03/17/christian-hospital-mungeli/#more-308 Driving in Mungeli: http://www.youtube.com/watch?v+YymdCCcyl-U Staff Picnic: http://www.youtube.com/watch?v=DQaVeemTIC8

HUMOUR Patient demanded, “Doc, I must have a liver transplant immediately; a kidney transplant, a cornea transplant, a lung transplant, and a heart transplant.” “WHAT?” yelled the doctor. “Tell me exactly why you think you need all these transplants.” “Well,” explained the patient, “my boss told me that I needed to get reorganized.”

28:: VOLUME 28 NUMBERS 1 :: CMJI

A plumber attended to a leaking faucet at the surgeon’s house. After a two-minute job, he demanded Rs 500. The surgeon exclaimed, “I don’t even charge that amount and I am a surgeon.” The plumber replied, “I agree. You are right! I too didn’t either, when I was a surgeon. That’s why I switched to plumbing.”


42Conference nd Biennial

Brings together Christian health professionals for a time of fellowship and renewal. Reflects on the theme to bring about social justice, peace and healing in our country. Sets CMAI's priorities and strategic plan for the next 5 years to chart a new direction and to reaffirm our commitment. Strengthens the work of member institutions

6-9 NOVEMBER 2013

CMAI ANNOUNCEMENT Theme

• Marking 100 years of nursing education in India and the centennial of the Board of Nursing Education - South India Branch • Celebrating Golden Jubilee of Allied Health Professionals Section

Venue Karunya University Campus Karunya Nagar, Coimbatore Tamil Nadu

Registe

NEED A SPRINGBOARD TO SUCCESS? Christian Medical Association of India (CMAI) is offering a unique opportunity for smart and self driven post graduates for internship in the following departments: • Human Resources • Community Health and Outreach • Health Systems and • Health Education Educational Qualifications: Post Graduates in Management, Social Work, Health Sciences, Social Science, Public Health or Biostatistics may apply. Period of Engagement: Three to six months, depending on the project assigned. Place of work: CMAI Headquarters in New Delhi, or at any of our affiliated educational institutions or member hospitals. Compensation: CMAI will provide accommodation and a subsistence allowance. Supervision and Guidance will be provided by CMAI staff. Apply to: General Secretary, CMAI Plot No 2, A - 3 Local Shopping Centre Janakpuri, New Delhi - 110058 Tel: 011-2559 9991/2/3

For details and registration form visit our website www.cmai.org

Christian Coalition for Health in India (CCHI) Christian Medical Association of India (CMAI), The Catholic Health Association of India (CHAI) & Emmanuel Hospital Association (EHA) along with 2 Christian Medical Colleges, viz., Christian Medical College, Vellore and Christian Medical College Ludhiana, have come together to form an alliance, Christian Coalition for Health in India (CCHI). The purpose of the Coalition is to undertake proactive health advocacy issues. The coalition would also advocate for policies to support and strengthen Christian Health and Medical work in India as well as to develop favourable frameworks at National and State levels.

CCHI

r By 15 O to save ctober 2013 late fee

Brokenness to Healing

www.cchi.org.in

CMJI :: VOLUME 28 NUMBER 1 :: 29


CMAI Strategy Development Process: Call for Change and Introspection! Fr Thomas Ninan

Introduction I have the privilege of sharing hereby a brief report of the CMAI Strategy Development Process that has been happening since the CMAI General Body took a decision to do so in July 2012. After two key consultations, one in Bangalore in January, 2013 and the other in Nagpur in March, 2013, engaging key representatives of the membership, the key issues raised have been put together into a document, the excerpts of which is being shared here. It has been an exciting experience for us at CMAI, New Delhi to engage in this process and grasp the key issues that the membership had been grappling with. This overview will first highlight the purpose for strategizing CMAI’s role today, secondly it will introduce the methodology that has been followed and thirdly it will briefly describe some of the key points shared. Need for Strategizing Strategizing the role of CMAI was an opportunity to introspect its mandate which is based on Luke 9: 1-2, that “preaching the Kingdom of God and healing the sick” as its mission to serve the Church in India. From the archives of CMAI, it was in 1926 at Miraj, a statement on the philosophy of Christian medical missions was drawn up at the meeting of the CMAI, which was later adopted at the Jerusalem Conference in 1928. The statement is as follows: The ministry of healing was a part of the work of the Lord Jesus who, revealing the attitude of the Father toward us, entered into fellowship with suffering men and women and exercised His power for their relief….As the Christian Church, animated by the same spirit of divine compassion….it should attempt, wherever needed, to carry on effectively the ministry of healing. Work done in this spirit is spiritual service…In the missionary enterprise the medical work should be regarded as, in itself, an expression of the Spirit of the Master, and should not be thought of as only a pioneer of evangelism or as merely 30:: VOLUME 28 NUMBERS 1 :: CMJI

a philanthropic agency. In view of the teaching of the Scriptures as to the place of the Church in healing, there ought to be closer co-operation than often exists in this work, between the medical profession and the ministers of the Christian Church.1 The strategy document recognizing the mission of CMAI as its “engagement with the church in the ministry of healing, emphasizing transformation towards a just and healthy society,” brings out key issues that were discussed in the light of such a mission and mandate.2 Much different from an evaluation process, strategizing reviews “the ability of this association of individuals and institutions to fulfill this mission, particularly in the context of the changing times” and helps find a relevant way ahead for the association. The document outlays the context within which such a strategizing process becomes essential, whereby the “widely recognized pillars of Christian service in India, namely the Church Ministries, Healing, Community Outreach and Education have been vulnerable to internal and external pressures of change.” What has caused an eventual decline in all these services? Why have we come to a situation where many of the mission hospitals are struggling to survive, churches are closing down, much of CMAI’s activities is hardly relevant to many of the churches? Is the healing ministry of Christ really understood and celebrated in a relevant way by churches and Christian hospitals today? Or rather has there been a change or a decline in how they engage in the healing ministry? The document identifies such a change as “inevitable…in the context of globalization, resource constraints, limitations in committed professionals, privatization in health care, growing inequities in socioeconomic conditions.” In addition to such changes, for the CMAI network, “the lack of adequate and shared understanding of the healing ministry, resistance to change and failure to utilize opportunities” has diminished the role and relevance of


SPECIAL FEATURE CMAI to a large extent. The inability of the CMAI network “to adapt to the changes made by the government and external health care institutions” has resulted in making it a mountainous task to recognize the relevance of CMAI amidst various health issues facing the country today. Methodology Recognizing these, the leadership within the General Body of CMAI that met in July 2012 in New Delhi, “initiated the discussions for CMAI as a network to go through a strategizing process to discern its relevance and visibility” in the present context and in the coming days. Thereafter through a consultative process, the Board of Management of CMAI that met in November 2012 proposed that the strategy development process must focus on four broad areas, namely: i. ii. iii. iv.

Justice and Equity Church Relations Capacity Enhancement Evidence, Research and Innovation

Terms of references for these broad areas were prepared for discussions that took place in two consultations, the first one being in Bangalore and the second in Nagpur. Selected members from different background and expertise from all over the country were identified and brought together in these consultations along with other experts to discuss on the TORs in four different groups. This article gives excerpts of the points suggested in these consultations followed by a tentative action plan that has been developed by CMAI staff based on the points raised. Further discussion of these points needs to happen within the network during the next few weeks, for which we seek prayerful support and active participation of the network in this crucial exercise. In this regard, we are initiating forum discussions through emails where an e-group has been created for the same. Those interested in participating may kindly intimate us by email (cmai@ cmai.org; stephen.victor@cmai.org ), so that we can send you an invite to the e-forum. A constant exercise within the CMAI staff will be happening to integrate the points suggested within the Strategy document. These will be presented by the General Secretary before the CMAI General Body meeting that happens in July, 2013 and thereafter at the CMAI Biennial Conference in November, 2013 at Coimbatore. What follows are excerpts from the Strategy document due to limitation of space. A detailed version of the document can be sent to anyone interested on request.

Justice and Equity Strategic Objective To play a leadership role in justice and equity thereby giving a voice to the voiceless and drawing the attention of the concerned authorities CMAI, “in its role as a national NGO, with an established historical background of strengths and access to expertise…being part of a number of Government

programs and committees, supported by its credibility as a network of health care providers across the country” is a potent force to bring change and uphold justice and equity. This “will depend on its ability to leverage the various strengths and opportunities available.” The following key areas and recommendations were proposed, 1.

Develop a knowledge base of the good practices and current challenges for a well informed equity focused approach in policies and implementation strategies among CMAI members. One area where the CMAI network necessarily needs to start is that of healing ministry, where exploring, studying and sharing of the theological basis of healing ministry for the current times which can form the philosophical basis for health care action. Within the existing network, one way of developing a dynamic data base that captures, shares and disseminates knowledge is by forming a coalition of CMAI, EHA (Emmanuel Health Association) and CHAI (Catholic Health Association of India) which would include the NCCI network, the CBCI network, the EMFI network, CMCs at Vellore and Ludhiana and St. John’s Medical College, Bengaluru. Initial discussions are already in process for such a coalition which will be named as Christian Coalition for Health in India (CCHI). This would serve as a common platform for Christian Health networks and churches in India to “share…and work towards the vision of Health for All...,” to be “the voice of Church and Christian health networks…on public health, health care and training,” and to “engage pro-actively with health policy design in India…to bear the Christian perspective and the voice of the marginalized.”

2. Influence CMAI members to uphold just and equitable health care. The current engagement of CMAI within the network needs to be deepened where all the health care activities being undertaken are discerned through a justice and equity lens. CMAI also needs to broaden its engagement so as to include Christian health care institutions and professionals from all church backgrounds. Strengthening of access to health care and delivery systems in and through the network can contribute much towards healthcare needs in India. Sensitization and enabling of members on government provisions for justice and equity in healthcare such as in the NRHM (National Rural Health Mission), Integrated Child Protection Scheme etc. can strategically make the network more relevant to healthcare needs in the country. Active regional structures which are well coordinated for networking and focusing on regional issues can step up responses towards justice and equity at regional and local levels. CCHI can strategically bring about such a response. Developing standards, guidelines and models for just and equitable practices in health, capturing and CMJI :: VOLUME 28 NUMBER 1 :: 31


disseminating best practices that can inspire and educate health care providers for justice and equity in health are some other areas of focus.

Church Relations Strategic Objective Empower churches in the healing ministry and encourage sustainable engagements in healthcare for the community it serves Considering that the mandate of CMAI relates specifically to “serve the Church” in India, it is strategically important to revisit how CMAI relates to the various churches in India and identify how in the present context, it can serve them effectively in the area of healing ministry. The following are excerpts of suggestions raised in this area:1. Accessibility and availability of health for all through health insurance. There is a need to understand how the people access health care in India. In a context where profit and market leads the way there is a need to understand how the membership relates to CMAI. One of the root issues in health care concerns that of health insurance which is a direct expression of realizing health for all. There is a need to demystify insurance in a way that would create a safety net which would benefit the poor, particularly in the Christian network of churches, institutions and hospitals. In a context where access to free treatment for the needy is still a challenge, how can CMAI hospitals be different? Would introducing health insurance through Christian institutions be relevant where cashless treatment readily available through the Christian network? The team recommends CMAI to explore these questions in depth. 2. Lack of engagement in healthcare at grassroots level in the church and the difficulty of CMAI to reach the unreached congregations. In a context where churches are already grappling with various issues in their own context, CMAI needs to discern whether it “is going to deal with such issues…or something else.” There is a huge need to convince the concerned bishop of the Church in order to be able to go to the pastors of his diocese / region. Often the programs that CMAI has, falls short of interest to the church, hence they are either not relevant or not marketed properly. At the grassroots level, it was felt that there is not enough information about health given to the people, where often the lack of initiative of the leadership of the particular church has been the reason. Hence there is a need to reach out to the people directly, not necessarily through their respective leadership at the diocesan level. However, there is a need to strengthen the relationship with churches, for which a regional, state-wise sensitivity towards Church leadership is essential. 32:: VOLUME 28 NUMBERS 1 :: CMJI

It is often perceived that church is a stumbling block to various issues addressed in health care, where one needs to differentiate between a part of the Church which may be a stumbling block and the larger Church which may not be related to the issue. Recognizing this, one has to find ways to enhance the mutual trust between health professionals and church hierarchy for an improved relationship. One way is to create a database of Christian health professionals who can serve on a voluntary basis in churches which will be of help for the churches. As a start up, CMAI needs to identify whether there are programs in churches relating to healing ministry where health professionals and hospitals can contribute. 3. CMAI’s role to orient churches to envision healthcare as mission. In a context where church budgets these days focus more on construction rather than ministry, many a times the worship is hardly relevant to an outsider who comes to the pastor for help. In such a context, to what extent is the mandate of CMAI to orient the churches for mission? There is a theological vacuum for a philosophical basis on healthcare in India, towards a rationale for engaging in healing ministry in India. In this regard the Healing ministry commission which was constituted at the CMAI Biennial conference at Shillong to pursue this matter had met once, with questionnaires sent to the network hospitals and churches, which yielded very thin response. One way to strategically address this is by introducing an accredited course on healing ministry in theological institutions and Christian hospitals. CMAI can facilitate training programs for theological faculty who can teach the course. Working with Sunday School Union to produce relevant materials on healing ministry is another possibility. Further suggestions are requested in this area. 4. Empower churches in mission by mapping resources within the churches for engaging in healthcare. Many churches engage in mission through their mission board, where the expectation is always on funding, hence it is money oriented and dependent. Are there possibilities of bringing together all stake holders to discuss collaboration based on Christian principles, thus making the Churches self sufficient to do mission, instead of being dependent on donors? Here, often one understands the Church as the leadership and not as a body of believers in Christ. The Church needs to be recognized as a people oriented church irrespective of denominational differences. Denominational diversity needs to be de-mystified. CMAI can build capacity of churches (to explore its own resources) to engage in healing ministry. 5. CMAI’s engagement with key issues like gender violence, people in distress, dalits, hunger and home care.


SPECIAL FEATURE Violence against women and children was suggested as a major issue to address, for which there needs to be more programs related to gender sensitization. Care of the Elderly is a huge upcoming need which the Church can respond to by being a healing community. Systems need to be developed to engage intensively with people in distress and need by starting home care, focusing the marginalized like the Dalits and to address hunger.

Capacity Enhancement Strategic objective To address the decreasing interest among health professionals in mission work and find solutions to sustain institutions engaged in the mission. In the field of Capacity Enhancement CMAI functions through Pre-service training, to prepare the participant before employment, In-service training to enhance health service skills of the employed, and Institutional Trainings, the formal programmes of CMAI accredited institutions. The Capacity building strategy is categorized as: i) Didactic Trainings and Workshops ii) Paid Services iii) Community engagement iv) Governance or administration of the institutions. i. Didactic Trainings and Workshops Through a value-based, ethical and relevant healthcare in CMAI education programmes CMAI aims to strengthen the student nurture programmes for medical, nursing and allied health students with the focus on five medical colleges. CMAI also aims to strengthen its existing courses by identifying the need and scope of new, relevant training areas in the Indian healthcare industry. On a long term CMAI aims to develop a Christian Health University which will accredit hospitals to conduct relevant certificate programmes in healthcare industry. CMAI will focus to improve organizational effectiveness, resource mobilization, and human resource development by equipping the institutions with the focus on sustainable development and information sharing and dissemination. ii. Paid Services CMAI can offer paid services in areas like conducting assessments of hospital services for quality care and treatment programmes (NABH gap analysis), offering training and mentoring hospital services, training and staff development, engaging in community health issues like HIV and AIDS, substance abuse, facilitating exchange and exposure programmes, knowledge sharing through proper documentation which can in turn feed into CMAI publications and website. iii. Community participation CMAI aims to strengthen the hospitals’ community health activities through training. Also training programmes for home based care and TOT component empowering the family is needed. CMAI strongly promotes palliative

care which is increasingly home based. Increasingly Christian mission hospitals fail to motivate committed professionals to work in remote areas. CMAI can help by creating a pool of technical experts for its member hospitals. CMAI aims to support and revive struggling member institutions by adapting to the changing times with clear and set values. CMAI prophetic role is to challenge the church and the institution to see the context in which it is functioning‌.those relating to governance, accounting, and systems. iv. Governance/administration of the hospital CMAI strategizes to conduct training programmes in law and legal aspects of healthcare and to form an expert pool to assist hospitals in administrative and financial stewardship. CMAI aims to conduct trainings and conclaves for leaders in the institutions to discuss quality assurance of service (like Clinical Establishments Act). The CMAI Institutional desk will independently function to help and support hospitals struggling with different issues. In the context of health human resources, CMAI aims to build leaders and facilitate the process to meet the need for health care professionals in the country.

Evidence, Research and Innovation Strategic Objective To establish a surveillance and monitoring system of the CMAI network. 1. Establish a surveillance and documentation system in CMAI. In the various areas of CMAI’s engagement in healthcare, it is important to adopt focused methods of knowledge management and document experience in a manner which facilitates analysis of the impact/ difference made by CMAI and to be able to contribute to the National Health Policy. A sensitization among member organizations towards reaching this goal on important health issues needs to be taken up by CMAI through forum discussions and structured sectional meetings. A data base for human resources and critical health needs has to be created. Another urgent need for CMAI is to enhance skills to disseminate knowledge using a scientific and evidence based approach. For this, it must create a feedback process (using IT) leading to carrying out quick multicentric national surveys and disseminate the results of such studies in a scientific way through prominent scientific journals, websites and magazines. This can begin by capturing simple programme data from the network of hospitals using standard formats. Data can then be collated and analyzed at national level, for which the help of bio-statisticians and data analysts is crucial. Selected members from the network can also be trained to write scientific papers which can be shared in prominent journals. Methods can be adopted to make the paper relevant to the member institutions and individual members. Identifying topics CMJI :: VOLUME 28 NUMBER 1 :: 33


SPECIAL FEATURE for research which can effect changes in health policies will make CMAI’s engagement much relevant.

2. How can CMAI leverage the network organizations’ technical/ scientific capacities?

• An easier task is to do health systems research than clinical studies which will yield quicker evidence. A national study by using a national cohort can give quick feedback. The outcome of such research can make a difference in the country with evidence based policy making. Some of the priorities in national research, particularly relating to the Millennium Development Goals involve health system strengthening, gender equity, non-communicable diseases, communicable diseases such as TB, Malaria and AIDS, HRH capacity building and poverty and hunger eradication.

A CMAI Surveillance Unit can spearhead multi-centric and qualitative studies, whereby mission hospitals, particularly the smaller hospitals can contribute much to clinical studies. Some areas which CMAI members are good at focusing are community health, rural and urban health, epidemic surveillance, health indicators and universal standards, social, economic, traditional dynamics that affect health, sanitation & hygiene, access to care and affordability.

• It is critical to disseminate results, which can include institution-based best practices, alternatives to the present systems of care delivery and creating access to care. Through publications, websites, discussion forums and capacity building on Knowledge Management, one can make a high impact.

Fr Thomas Ninan, Programme Coordinator, CMAI

References: 1. Keneth L. Parker, 1967, The history of Miraj Medical Centre at Miraj, India: 26-27, Archives at Wanless Medical Mission Hospital, Miraj. 2. Strategic Plan Document: 2013 – 2018, Christian Medical Association of India, Unpublished document, Christian Medical Association of India, New Delhi, 7 May, 2013.

AROGYAVARAM MEDICAL CENTRE Arogyavaram - 517 330, Chittoor Dist. Andhra Pradesh Applications are invited for:

For Tamilnadu candidates: MBPIC Subjects

1. 2. 3. 4.

Eligibility for PCBSc (N)

Three and half years Diploma in General Nursing & Midwifery Four Year Degree Course in BSc Nursing. Two year PCBSc (N) Course Two-Year Diploma Course in Radio-diagnosis Technology (X-Ray) Technicians Course.

Eligibility: For GNM 10+2 class passed or its equivalent preferably with Science and any group with aggregate of 40% marks. SC, ST& BC 5% relaxable. Age: 17 Years completed. Only Girls can apply. Eligibility: For BSc (N) Plus two/PUC/Intermediate Science (Physics, Chemistry and Biology) and Vocational Nursing. Age: 17 Years completed. Both Boys & Girls can apply. 34:: VOLUME 28 NUMBERS 1 :: CMJI

Pass in Diploma in Nursing (GNM) Eligibility for Radiology (Diploma Course) Plus two/PUC/Intermediate Course (2 Years) in BIPC/MPC Subjects

Note: National Institute of Open Schooling (NOS) and One sitting Intermediate is not eligible for Radiology course. Applications and prospectus may be obtained by sending Rs 500/- through DD in favour of: The Director Arogyavaram Medical Centre Madanapalli - 517 330 Andhra Pradesh Tel : 08571 – 222200, 222228


BOOK REVIEW

Designing Hospitals of the Future DESIGNING HOSPITALS OF THE FUTURE

BY G.D.KUNDERS FIRST PUBLISHED: 2012 PUBLISHED BY: PRISM BOOKS PVT. LTD. # 1865, 32ND CROSS, 10TH MAIN, BSK II STAGE BANGALORE – 560 070 PHONE: 080-26714108, TELEFAX: 080-26713979 E – MAIL: info@prismbooks.com

Mr G D Kunders, a professional hospital administrator, healthcare facilities planner and a prolific writer has served in several Christian Institutions including CMC, Vellore, St John’s Medical College, Bangalore and MOSC Medical College Hospital, Kolenchery, Kerala. His books Hospitals: Designing for Healing, Hospitals: Facilities planning and Management, Designing for Total Quality in Health Care and Hospitals: Planning, Design and Management have been well received and have proved to be a boon for hospitals and healthcare facility planning. Designing Hospitals of the future was born as a response to three recent statements of Stephen Wright, the Executive Director of the European Centre for Health Assets and Architecture – The first decade of the 21st century has ended and the time has come to make up some minds about what hospitals should look like in the near future to fulfill the requirements of modern medicine and demographic changes. A hospital is a “Modern Icon” and changing an icon is a difficult job.

modern designs and plans for hospitals. He has also endeavoured to create a paradigm shift in our thinking as we plan hospitals and healthcare facilities. Richard Sprow has presented his ideas on how to plan hospitals of the future and Kunders himself has written a chapter on the planning of hospital building projects. There are several chapters with examples of hospitals of quality. Dr Alexander Kuruvilla has looked at the importance of architecture for hospitals of the future. Ms Cherise Poulin and Ms Poornima Kuruvilla have commented on inner design as a value addition for efficient hospitals. Mr Kunders has elaborated about evidence-based health care design and the value of the green hospital movement. His chapter on current and emerging trends in health care and future challenges is very insightful. The final chapter, which is on rejuvenating and modernizing ageing hospitals, will help mission hospitals and health care centres in their plans for improvement and development. Overall, Mr Kunders’ most recent book is fascinating and a must for everyone involved in healthcare development, planning and all those involved in the exciting journey of modern healthcare in India.

And given the rapid changes that are taking place in the health care scenario, the ideal most modern hospital of today will not be an ideal hospital tomorrow. Evidence based design, designing for healing, spiritual influence, greening of campuses and sustainable health care facilities have become important developments in the healthcare sector. These concepts are just beginning to gain momentum in India. With his rich background and experience in Hospital Administration in India and overseas, Mr Kunders has put together articles with

Prof Dr George M Chandy is the Director, MIOT Advanced Center for Gastrointestinal and Liver Diseases, MIOT Hospitals CMJI :: VOLUME 28 NUMBER 1 :: 35


The Ashram Hospital, Sihora Needs Medical Leaders The Christa Panthi Ashram in Sihora was established in 1942 primarily to proclaim Good News. The Ashram, located at Darshini, Sihora, Jabalpur in Madhya Pradesh, is semi-autonomous body of Mar Thoma Evangelistic Association, a registered non-profit institution of Mar Thoma Church, Tiruvalla, Kerala. The land of Ashram, which includes the Hospital, is owned by the Mar Thoma Evangelistic Association. Being a charitable organization, the Ashram is dependent on voluntary contributions from friends and well wishers. The hospital is in a rural area, six kms away from the nearest town Sihora. From early days the hospital healing ministry had been playing an important role in evangelism. Rev John Varghese BA, BD, who was among the founding members of the Ashram, received one-year training in Medical Treatment by Dr Ernest Forrester Paton and Dr Jesudason of Tiruppattur Ashram.1 Thus began the Ashram’s outreach medical health care services. Then a trained nurse Sr Sosamma Varkey contributed her services to women patients, particularly to rural antenatal cases. With zeal and enthusiasm, Sr Varkey encouraged health education in the rural areas. During that period a lady doctor from Jabalpur attended the patients at the hospital. In 1967 Dr Sosamma Philip took over full charge of Sihora Ashram Hospital, which was a milestone in the hospital’s history. Hospital grew in strength to become a 20-bed hospital with diagnostic services and operation theatre. The hospital could afford to pay junior MBBS doctors, under service bond from CMC, who were deputed to Sihora by the medical board of Mar Thoma Church. This augmented the effectiveness of medicalcum-health services. These doctors spent one to two years at the hospital. All through the years, besides the medical services, importance was given to community health services through various projects with grants from CCF, World Vision of India, Help Age India and later on HCDI. Under community projects, services were provided in health education, nutrition programmes, and immunization for under-five children along with ante-natal, maternal and child health care. For 10 consecutive years, the hospital trained traditional village midwives (‘dais’) in ‘Aseptic Technique’ to conduct safe deliveries. In the past the base hospital and 15 peripheral clinics served about 145 villages. The Ashram continues to provide care for the abandoned and helpless old age persons. The hospital faced challenges from 1999. Dr Sosamma Philip was succeeded by junior doctors who found it difficult to give the much needed leadership in hospital and outreach services. From 2000 only the out-patient 36:: VOLUME 28 NUMBERS 1 :: CMJI

department functioned, which also came to a halt by 2011. CMAI supported a part of a doctor’s salary under a grant. Currently, the hospital doesn’t have any income. To revive the activities, the Ashram Hospital needs a senior doctor with longer term commitment and a junior doctor to re-establish medical and outreach services. The hospital has infrastructure which includes a building, water and electricity, but without trained personnel to continue services. The hospital requires a sustainable alternative financial solutions to restart medical services to the rural areas may be provided by the Ashram. God willing, the Ashram Hospital will be restored to its previous glory.

Rev Mathew M For further information please contact: Rev Mathew K Chandy Ph.08959256883 (M), 07624-260260(L), sihoraashram@gmail.com Reference: http://indiaeng.com/L4-WebChurches/Tirupattur/Christukula%20 Ashram/index-ch-ashram.htm

EVANGELICAL HOSPITAL Khariar-766107 Dist-Nuapada, Odisha Under Church Of North India Eastern Regional Board Of Health Services

Requires

PHARMACIST Qualfication: Diploma in Pharmacy Salary: As per salary scale of the board Benefit: Employees provident fund, gratuity, partial accommodation Please apply to: The Director Evangelical Hospital Khariar, Khariar - 766107 Dist - Nuapada Odisha or email at ehkhariar@rediffmail.com


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'Brokenness to Healing' CMJI January - March 2013  

A Quarterly Journal of the Christian Medical Association of India

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