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  A letter from Paul and Joan McLain in Haiti  
             
 

November 2004
Mombin Crochu, Haiti

Dear Friends in Christ,

It seems hardly possible that our time as mission co-workers in Haiti is nearly at an end, and that this is the last newsletter we will send from Mombin Crochu.

Looking back, we can see how richly God has provided for us and guided our time here, and how intentionally He has directed the activities of Covenant Hospital these past three years. Working together in His strength and grace the Presbyterian Church (U.S.A.), the Medical Benevolence Foundation, the Episcopal Diocese of Haiti, and supporting persons and congregations like yourselves have realized positive changes here. Covenant Hospital has now demonstrated a stable model for administration of the hospital and its various activities. This structure provides for good working relationships within the community of Mombin Crochu and while enabling a close connection with our supervision at the Episcopal Diocese.

The region of Mombin Crochu now has a working community health program emphasizing education and illness prevention by trained health workers who live in the neighborhoods where they work.

The hospital has established a strong collaborative relationship with the Haitian Ministry of Public Health. We are participating in large-scale preventive programs against Tuberculosis and HIV/AIDS and use the clinical resources of Covenant Hospital to train Haitian health professionals.

 
             
 

 

"The time has come for us to leave the hospital and the community. The people and Christ’s labor here have engaged us fully for the past three years, and we leave Haitian friends and colleagues sadly."

 

Because the capability of the hospital to serve the Haitian people will require a strong staff of Haitian physicians, nurses, and paramedical workers, we have begun a staff development program to attract, continually educate, and retain quality personnel. Covenant Hospital has been re-established as a site for visiting mission teams as they come to offer their time and skills for the needs of the Haitian people, ministering in and supporting the programs of the institution.

We have seen great benefit from maintenance, repairs, and enhancements of the facilities and equipment needed to operate a quality hospital in Haiti. Generous donations of time, work, and money have enabled us to replace two very worn-out vehicles, upgrade the solar electrical system, install a clinical laboratory with X-ray capability, and advance the communications system of the hospital.

 
             
 

Particularly important to the evangelical focus of the mission partnership has been the planting of the Episcopal Church of Mombin Crochu by the Episcopal Diocese of Haiti. This congregation now has 30 members and glorifies God and our salvation in Jesus Christ through worship, sacrament, and service. It has been an exciting process for us to witness and in which to be involved.

We believe that the healing mission of Covenant Hospital is in position to continue the momentum of its beneficial programs and to build a stronger and more stable health care institution for the benefit of poor people of the region. We see opportunities for more extensive collaboration within the parties of the mission partnership and with the leadership of the community. Doors seem to be opening especially for Covenant Hospital to establish closer connections with congregations and presbyteries called to engage in medical mission for rural Haitian people.

At the same time, we can some trends that may be obstacles to the mission at Covenant Hospital. Instability in the national government and in the society adversely affects mission effort in Haiti. Intermittent security threats hinder the planning necessary for visiting teams ministry. The worsening condition of regional roads is making logistical support of the hospital increasingly difficult and expensive.

Covenant Hospital functions under the PC(USA)’s principle of joining with a national church to do “mission in partnership.” A mission partnership can be a complicated and fragile set of relationships within which regular communication and interaction is not always easily achieved. Yet it is vital in dealing with foundational issues such as the varying levels of commitment of each partner, financial procedures and accountability, and shared vision. Uncertainties in the objectives impact the day-to-day operation of the hospital and its ability to serve the people.

The mission environment is also less than ideal in the United States, where mission support seems to be undergoing change and challenge. Our support organizations report decreasing mission contributions. The PC(USA) has been forced to reduce mission personnel in the field and are prohibited by cost constraints from recruiting replacements for our positions. Paradoxically, it seems that any funding realized by our denomination’s new mission initiative cannot be used to support mission posts already in place, such as Covenant Hospital. So there is good reason to fear that future financial support will be insufficient for the continued operation of the hospital and its outreach. Yet we continue to hear from congregations, church groups, and individuals who hunger for involvement in God’s healing ministries.

The mission at Covenant Hospital Mombin Crochu is God’s work and rests securely in His hands. To the extent that He wills and the Holy Spirit acts, it will flourish to benefit the poor people of rural Haiti.

The time has come for us to leave the hospital and the community. The people and Christ’s labor here have engaged us fully for the past three years, and we leave Haitian friends and colleagues sadly. They have a fond and honored place in our hearts. The next phase of our co-worker service is mission interpretation. During the first three months of the new year, we will travel more than 5000 miles to visit and speak with 25 interested congregations about mission work in general, about call to mission and mission opportunities, and about the work at Covenant Hospital. We look forward to rich fellowship with many new friends in Christ across the United States.

We cannot adequately express how deeply we appreciate the faithful prayer, assistance, encouragement, and love we have received from each one of you as you have participated with us in this mission over more than three years. Thank you, dear friends. God’s richest blessings and the Peace of Our Lord and Savior Jesus Christ be with you always.

In His Spirit,

Paul and Joan McLain

The 2004 Mission Yearbook for Prayer & Study, p. 136

 
             
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