IWMC: Terry Dalrymple

Terry currently serves as Coordinator of the Global CHE Network and as Vice President of the Alliance for Transformational Ministry. He provides leadership to a growing movement, equipping and mobilizing Christians to work together for effective Community Health Evangelism (CHE) ministries in rural poor communities and urban slums around the world.After a decade of service in the Philippines, Terry pioneered forĀ Medical Ambassadors in 9 countries in Southeast Asia, working together with partners to establish CHE ministries in more than 400 communities. Later as International Coordinator he guided the expansion of a growing movement that now involves more than 500 organizations serving more than 4000 communities in 118 countries.

Below are my notes from his talk entitled, “Helping Without Hurting.”

Keys to helping without hurting:

Dignity | Integration | Local Ownership | People Before Projects | Multiplication

Dignity – Recovery of our identity and vocation

  • We are all people made in the image of God.
  • We are all stewards of resources, not victims of circumstances.
    • Feeling like a victim creates hopelessness, passivity, and fatalistic thinking
  • If we are going to alleviate poverty, we have to see everyone as stewards made in God’s image.
  • When we go with the intention of fixing people:
    • For the people we are fixing, we are reinforcing a victim mentality.
    • If we think we are going to do the fixing, we are reinforcing our own god-complex.
  • Community health workers must see beyond the need
  • Different kinds of relationships between the poor and non-poor:
    • The cow and the milker
    • The horse and the rider
    • Mutually transforming – two oxen yoked equally together

Integration – working across the disciplines

  • Good health is harmony with God, self, others, and the rest of creation.
  • Complex problems require integrated solutions
  • Solutions are not just within the disciplines, they are across them.
  • The western education system teaches us there are one-dimensional solutions to every problem.
  • Integrated solutions require multi-disciplined approaches.
  • Integration begins with me. Following jesus requires complete obedience to everything he commanded.
  • We are not calling for simple solutions, we are calling for greater commitment.
  • Example:
    • In the Philippines the government had been trying for 20 years to convince people to use latrines with little luck (3% compliance). A government official explained a common belief in the area: evil spirits live in human waste and in dark corners. When you build a latrine, you were basically building a house for the evil spirits to live in. No wonder no one wanted to go in there! After a few months of integrated community development (following the CHE model), there was a significant difference in the latrines. Now they were maintained well and there were even landscaped paths to each one. The same government official explained that just after a few months they were experience 100% compliance and the whole community was healthier. This problem would still exist without integrated solutions that were multi-disciplined. It was a physical problem with a spiritual root.

Local Ownership – Locals are subjects rather than objects of development.

  • Sustainable programs are owned by the people and built on local initiative.
  • Ownership in demonstrated through volunteerism and strengthened through capacity building.
  • Communities should be guiding their own development process.

People before projects – Building capacity instead of delivering services.

Multiplication – Making movements rather than managing projects.

  • We have to go beyond sustainable.
  • Focus on simple and transferable concepts.
  • Maximize local resources.
  • Solutions should be passed along from neighbor to neighbor.

Some ways to measure this kind of development work:

  • Shared vision – the community sees a better future and has hope it can be achieved.
  • Leadership – Godly Christian leaders are equipped and position to lead.
  • Ownership – People are taking responsibility for their own health.
  • Cooperation – People are united and working together for the common good.
  • Volunteers – Significant numbers of people are taking initiative and acting sacrificially to meet the legitimate needs of others.
  • Dignity – People have recovered their identify as made in the image of God.
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