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Mission Hospitals vs Health Service Support: A View from Nepal

Dr Rod MacRorie answers the question why mission hospitals are valuable.
Introduction:
Why mission hospitals are valuable.
  1. They provide a focus of expertise
    • expertise from accumulated knowledge and experience
    • expertise from international short- and long-term personnel
    • expertise from mission IT and information access
  2. They provide a focus for training
    • training in curative & preventative, public health & community
    • training for doctors, paramedics and managers
    • training in attitudes of compassion and service
  3. They provide a focus for witness
    • witness to patients, eg literacy classes, charity fund
    • witness to community and church, eg social action programmes
    • witness to governments and other aid agencies, eg rural priority
  4. Weaknesses in the mission hospital concept
    • sustainability (but is this an appropriate criterion for mission anyway?)
    • non-integration of services (need for government to govern)
    • non-accountability to local communities (need for participation)
  5. Mission hospitals: the way forward
    • re-focus supporting agencies and donors to the long term
    • listen to local stakeholders for locally appropriate futures
    • be pro-active to affirm their place in the health system and place in the Kingdom strategy
Conclusion:
Missions cannot afford NOT to have mission hospitals.
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