2026 MediAccess
Summer Outreach Report

Seven teams reported 4,171 patient visits in total. Rapha’s figures had not arrived when the report went to print, hence the “+” on the page. The bars show each team’s patients by department; the three largest departments are listed here.

Team	Patients	Largest departments
Zion	1,168	Obstetrics and gynecology 306 · orthopedics 246 · family medicine 187
Tov & Herb	206	Ophthalmology 79 · pain medicine 65 · orthopedics 40
Shalom	412	Internal medicine 120 · dentistry 100 · orthopedics 77
BEE	1,163	Pediatrics 234 · internal medicine 202 · acupuncture (Korean medicine) 178
Manoah & Songpa B	349	Family medicine 198 · pain medicine 94 · dentistry 57
Dream	743	Internal medicine 137 · ENT 134 · family medicine 119
Mahanaim	130	Not broken down by department

Detailed clinical data, by team

The lower half of this page and the lower half of the next one record, team by team, the figures that feed the KOICA and WHO indicators MediAccess is adopting: chronic conditions found, hospital referrals, surgery, screening and health education.

Zion · Malawi

• Chronic conditions identified: hypertension 202 · diabetes 2 · respiratory disease 222 · suspected reflux esophagitis 123
• Hospital referrals: 1 suspected cancer (rule out adenoid cystic carcinoma); 3 others (otohematoma, cataract, deafness)
• Patients found to need surgery: 24. “A patient with a giant keloid covering the whole face, and a patient with uterine fibroids. Both underwent surgery at Daeyang Luke Hospital.”
• Health screening: 171 children and adolescents
• Expecting many diabetes cases, the team brought an HbA1c analyzer, but few residents were aware of the condition and only 2 cases were found. What the team actually met was hypertension (202) and respiratory disease (222), with suspected reflux esophagitis also high at 123.

Tov · Laos

• Chronic conditions identified: hypertension 10 · diabetes 10 · respiratory disease 5
• Health screening: 6 older adults
• Pain relief treatment: 100. “Many patients at the pain clinic showed herniated disc or spinal stenosis symptoms brought on by heavy physical labor. Ultrasound-guided injection therapy often relieved the pain immediately. We also taught them about oral medication and posture.”
• WASH and health-promotion education: roughly 200–300 residents (handwashing and dental hygiene)
• Surgery: around 40 procedures. “About 40 procedures were performed, including cataract surgery. We had planned screening that included endoscopy and ultrasound, but patients were afraid of endoscopy, which they had never had before.”

Shalom · Bohol, Philippines

• Hospital referrals: 1 suspected cancer. “A woman came for an ultrasound. She had had a mass in her breast for several years; the lesion was hard with some necrosis, so skin cancer was suspected and she was advised to go to hospital.”
• Diabetes: counts not recorded (HbA1c readings of 13% and 14% noted)
• WASH and health-promotion education: about 150 local primary and middle school students
• What the team saw: “Skin disease, numbness in hands and feet, diabetes, hypertension; skin tags, lipomas, warts; pregnant women (about half of the women seen), uterine fibroids, ovarian cysts, amenorrhea, uterine cancer; around 100 tooth extractions.”

BEE · Bekasi, Indonesia

• Health screening: 120 children (vision, hearing, height, weight)
• WASH and health-promotion education: about 100 people
• “Dental caries leading to extraction was the most common. In 2025 there were many obstetric patients; this year there were fewer, and last year’s many dental patients were surpassed by this year’s far larger caseload overall.”

Across six countries the teams met the same three barriers, and in most places the same chronic diseases. The lower half of the page continues the team-by-team data from page 2.

What keeps people from treatment

• Cost. “Most of the patients struggle even to eat a proper meal, so paying hospital fees is hard for them.” (Zion · Lilongwe, Malawi) — “Most said the cost was too high for them to visit a hospital.” (BEE · Bekasi, Indonesia)
• Mistrust and low awareness. “There is a health post, but it is rarely used and trust is low.” (Dream · Kathmandu, Nepal) — “People rely on folk remedies rather than Western medicine. Awareness of chronic disease management is low, so they take medicine while they have it and then stop. Education is needed.” (Mahanaim · Bandung, Indonesia)
• Infrastructure. “Hospitals are far away and there are very few hospitals or doctors. Transport is poor, so getting to a hospital is hard.” (Zion · Lilongwe, Malawi) — “There is a clinic, but it is a remote village where a doctor cannot always be present.” (Manoah · Lampung, Indonesia) — “Medical infrastructure is insufficient, so after surgical treatment patients seemed to need training in dressing their own wounds.” (Shalom · Bohol, Philippines)

Even within Indonesia the awareness barrier varied: in Lampung, where the partner hospital makes regular outreach visits, only 0.5% of households turn first to traditional treatment. The barrier was lower where hospital and village already meet.

Conditions seen most often

Condition	Teams	Where
Hypertension	5	Malawi · Philippines · Indonesia (Bekasi, Lampung, Bandung)
Diabetes and high blood glucose	4	Philippines · Indonesia (Bekasi, Lampung, Bandung)
Musculoskeletal pain (arthritis, disc problems)	4	Malawi · Laos · Indonesia (Bandung) · Nepal
Gastrointestinal (reflux, gastritis, abdominal pain)	3	Malawi · Indonesia (Bandung) · Nepal
Dental (caries, many extractions)	2	Philippines · Indonesia (Bekasi)
Skin disease	2	Philippines · Indonesia (Bekasi)
Respiratory (colds, suspected COPD)	2	Malawi · Indonesia (Bandung)
Dyslipidemia (measured by blood test)	1	Indonesia (Lampung)
Cataract (around 40 surgeries)	1	Laos
Obstetrics and gynecology	1	Philippines

Chronic disease was the most common category at every site. Five of the seven teams named hypertension, and four named diabetes and pain, as what they saw most. Pain from physical labor ranked high. In an area without electricity (Malawi), suspected reflux esophagitis stood out.

Detailed clinical data, continued

Manoah · Lampung, Indonesia

• Chronic conditions identified: 20 newly found with hypertension (172 above the threshold); 13 with high blood glucose (6 with random glucose of 200 or above, 7 with fasting glucose of 126 or above); 172 with dyslipidemia (86.9%)
• High cardiovascular risk: 41 identified (20.7%); hospital follow-up recommended
• Hospital referrals: 1 (reduced cardiac function; linked to treatment at Mardi Waluyo Hospital). “A patient whose heart function was much weakened. We connected him to Mardi Waluyo Hospital so that further drug treatment could continue.”
• Health screening: 198 adult residents (M-Care cardiovascular screening). “Among hypertension and hyperlipidemia patients, after blood testing the prevalence of hyperlipidemia was far higher than expected.”
• Health workers who completed NCD management training: about 70 at the medical seminar

Dream · Kathmandu, Nepal

• Hospital referrals: 1 suspected cancer (kidney cancer suspected on ultrasound); 20 others. “Someone who came simply wanting an ultrasound turned out to have findings suggestive of kidney cancer. We urged them to go to a referral hospital.”
• Health screening: 93 children and adolescents
• WASH and health-promotion education: 100 people
• “The largest share complained of right upper quadrant pain, but ultrasound and blood tests showed nothing remarkable. Many complained of musculoskeletal conditions.”

Mahanaim · Bandung, Indonesia

• “Hypertension, diabetes, gastritis (gastric ulcer), anemia, vomiting and diarrhea, pain, and shortness of breath (smoking-related COPD suspected).”

Indicators under consideration

Aligned with WHO and KOICA frameworks:

• Number (share) of people receiving diagnosis or treatment for major communicable diseases (SDG 3.3): tuberculosis, malaria. Zion already ran malaria rapid tests on febrile patients this year.
• Number of residents receiving education on prevention of and response to communicable and neglected tropical diseases (for example, TB education)
• Number of health workers trained on those diseases
• Number of participants in sexual and reproductive health and maternal and child health campaigns and education
• Number of health workers who completed health-promotion and NCD management training
• Hypertension prevalence and diabetes prevalence (outcome indicators). Hypertension: 140/90 or above, or taking antihypertensive medication. Diabetes: fasting glucose 126 mg/dl or above, or physician diagnosis, or use of glucose-lowering drugs or insulin. Prevalence: cases at a given point × 100 ÷ population aged 18 and over at the same point. Disaggregation by sex and occupation is recommended.
• The four WHO NCD pillars: cardiovascular disease, cancer, diabetes, chronic respiratory disease.

Six teams ran handwashing and toothbrushing sessions with MediAccess’s health education booklets, including local-language editions. Pages 4 to 6 record who taught, whom, and what the field said back.

Zion · Malawi

• Instructor: Noh Hee-won
• Participants: 24 Zion team members and missionaries. Local staff and children could not be taught because of the schedule.
• Field response
  • We discussed how to wash hands in Malawi, where water is scarce, and how to teach the more than a thousand children who visit on Sundays.
  • Education is needed because touching one’s face with dirty hands leads to gastrointestinal disease and to eye and respiratory infections.
  • There is an urgent need for tuberculosis teaching materials.
  • Requested: the handwashing guide translated into Chichewa with locally adapted illustrations (delivered).

Shalom · Bohol, Philippines

• Instructors: Lee Gun-hee, Han Jin-hee, Cho Eun-saem, Jeong Ha-rang, Jeong Ha-neul, Park Gyeom-hee
• Participants: about 150 local primary and middle school students
• Field response
  • We led them through the handwashing steps together; everyone joined in, and it was impressive to see them all practicing at once.
  • We would like it shorter, with only the essentials. For children the content was long and felt drawn out.

Tov · Laos

• Instructors: young adults from the Herb community; medical students led the sessions
• Participants: roughly 200–300 local children
• Field response
  • “The children were highly engaged, and the parents who came with them responded very positively.”
  • “They are so well made in the local language. Thank you.”

BEE · Bekasi, Indonesia

• Instructor: Kim Gun-jung (Joshua community)
• Participants: about 100 students at Calvary Cinyosing School
• Field response
  • “The local teacher told us this was the first health education the children had ever received. We explained handwashing and toothbrushing step by step with visual materials, and had them practice brushing on the dental model we brought. The children enjoyed it enormously and followed along well. It was a highly effective session.”
  • “Feedback from someone at the local church: the handwashing and dental materials are really good, but materials on chronic conditions such as hypertension, diabetes and hyperlipidemia would be genuinely needed when we see adult patients. Materials in Indonesian in particular would be good.”

Dream · Kathmandu, Nepal

• Instructor: local interpreting assistant
• Participants: 100 local children
• Field response
  • “The children listened seriously, and when asked to put it into practice they agreed and said they would do their best.”
  • “One regret: we wish we could have handed out soap or toothbrushes so the children could act on what they had been taught.”

Rapha · Chonburi, Thailand

• Participants: students of El Dream International School

Materials requested next

• Indonesia: materials on non-communicable diseases (NCDs), which could also serve as preparatory education for Tov’s challenge around screening acceptance.
• Malawi: tuberculosis materials.

Both tie to formal KOICA indicators: NCD education counts toward participants in health-promotion and NCD prevention and management programs, and TB education toward residents receiving education on prevention of and response to communicable and neglected tropical diseases.

In Lampung the Manoah team taught the hospital’s clinicians, then went with the hospital’s nurses into patients’ homes. Kind Cut haircuts and children’s ministry ran alongside every team’s clinic and are counted separately.

Medical seminar for Mardi Waluyo Hospital staff

1. Hypertension, Dyslipidemia & Cardiovascular Disease — Ahn Chul-Min, MediAccess board member (Professor, Cardiology, Yonsei University College of Medicine)
2. Medication-Related Osteonecrosis of the Jaw (MRONJ) — Hwang Yun-jeong (Oral and Maxillofacial Surgery, Catholic Kwandong University International St. Mary’s Hospital)
3. DM & HTN Medications: Get the Basics in 30 Minutes — Lee Si-eun, pharmacist

One-to-one home care visits

Mardi Waluyo Hospital’s nurses run Home Care, a CSR program that visits treated patients in each village twice a month. The team joined it in two villages, Batu Badak (Aug 13) and Sekampung (Aug 15), going to the homes of patients who cannot easily leave them.

“From the home visits I still vividly remember a man in his sixties, paralyzed in his legs and hands and unable to speak after a brain hemorrhage, and an 81-year-old — the tears on their faces as they were moved and gave thanks.”

“In Batu Badak, during a home visit, I met someone born in 1971, the same year as me, who has had limited mobility for two years after a brain hemorrhage … I prayed earnestly for that soul.”

“The Indonesian medical staff who came with us to Batu Badak and Sekampung. Perhaps because these are homes they visit regularly, the way they sat at the bedside and listened was as natural as family who are together every day, and it was heartwarming to see the patients at ease under their warm hands and gentle gaze.”

In June, two months before the summer outreach, MediAccess and Mardi Waluyo Hospital surveyed two villages in East Lampung to prepare a KOICA public-private partnership incubating project: improving access to primary health care by strengthening the Kader–Posyandu system (community health volunteers and the monthly integrated health post).

Dates	June 16–21, 2026 (6 days in the field)
Villages	Purwo Kencono (1,350 households) · Batu Badak (800 households)
Household survey	189 households, one-to-one interviews during home visits
Group and key informant work	4 focus group discussions (FGD/FGI) · 3 key informant interviews (KII) · 16 Kaders surveyed
In-depth household cases	3, plus field observation

The work was done with the hospital’s UPKM (community service) team. Afterwards the hospital and MediAccess reviewed the findings together and discussed what to do next.

1. Health awareness: basic knowledge is high, chronic disease understanding is low

Statement	Answered correctly	What is true
“Hypertension is a natural part of getting older”	13%	Age is a risk factor, but hypertension is manageable
“Taking jamu (traditional herbal medicine) alone cures hypertension”	39%	Jamu cannot replace medication and measurement
“Blood pressure and blood glucose should be checked regularly even without symptoms”	83%	Hypertension and diabetes usually have no symptoms
“Secondhand smoke is harmful to health”	89%	Yet 56% of households smoke indoors

2. Barriers to access: distance and cost account for 85%

Barrier ranked first	Share
Geography, distance, transport	43%
Economic, cost	42%
Trust	11%
Information	3%
Culture, family does not permit	0.6%

3. The gap between knowing and doing

• Knows but does not act — diabetes. 81% know blood glucose should be measured, but only 64% actually do. The gap is access to, and the cost of, testing.
• Knows and acts — blood pressure and smoking. 85% are having their blood pressure taken (maintain this). 89% know smoking is harmful, yet 56% smoke indoors.
• Does not know and does not act — seeing hypertension and diabetes as aging. Only 13% (hypertension) and 24% (diabetes) think aging is not the cause.
• Does not know but acts. No cases in this quadrant.

4. Program direction: focus on chronic disease management

What residents wanted most, and where the research found the greatest need, were the same thing: management of non-communicable diseases. Following what the household survey pointed to, the program will improve access to blood glucose testing and use education to make good chronic-disease management a habit.

What residents want from the Posyandu (up to three)	Share	People
Blood pressure and glucose testing	57%	107
Older people’s health	47%	89
Child immunization and growth monitoring	41%	78
Referral and accompaniment support	31%	59
Counseling for pregnant women	27%	50

Support Kaders find most helpful (up to two)	Kaders
Equipment and supplies	12
Regular health education	11
Higher monthly allowance	5
Kader network	3
Certification by level	1

The two villages have received regular service visits from Mardi Waluyo Hospital and missionaries for years. Distance and cost remain barriers, but basic health understanding was high: only 1 household in 189 turns first to a dukun (traditional healer) when ill, and eight in ten know that blood pressure and blood glucose should be checked even without symptoms. Bandung, where the Mahanaim team served this year, still leans heavily on traditional treatment and folk remedies.

Above all, in these two villages, and in Bekasi where the BEE team served, there is no concept of “managing” a chronic condition. After a diagnosis, people do not take their medication consistently and do not come back for regular measurement. Taking medication and having check-ups regularly whether or not there are symptoms; eating food that is not too sweet or too salty; teaching these ordinary things is where the program starts.

Two months later, in August, the first cardiovascular (heart disease and stroke) screening pilot, M-Care, began with the medical staff of Mardi Waluyo Hospital. See the next page.

The June research showed a gap in the management of non-communicable diseases. The director of Mardi Waluyo Hospital committed to an NCD focus, a missionary on the ground proposed a screening, and in August the Manoah and Songpa B teams and the hospital’s clinicians ran the first M-Care pilot together.

People screened and counseled	198 (Batu Badak 88 on Aug 13 · Sekampung 110 on Aug 15)
Tests	Blood pressure · point-of-care lipid and glucose testing (POCT) · echocardiography for 39 · on-site prescriptions
Average age	60.3 years (range 26–100)
Cost	KRW 2,000,000 for test kits and all field operations

From village to hospital and back

1. Found in the village. Kaders visited high-risk residents aged 40 and over in advance and handed out coupons for detailed testing. Of 550 people targeted, 198 came.
2. Measured and counseled on site. Lipid and glucose POCT plus blood pressure. One-to-one counseling and on-site prescriptions based on the results; referral letters for urgent cases.
3. Diagnosed and treated at the hospital. Carotid ultrasound and tailored drug treatment at Mardi Waluyo Hospital; emergency cases go to the cath lab at the city hospital.
4. Managed back in the community. Kaders check blood pressure and medication adherence at the monthly Posyandu (to be designed).

Who came

People in their 50s and 60s made up more than half of those screened (195 with age recorded).

Age	People
Under 40	9
40s	21
50s	59
60s	58
70s	42
80 and over	6

Hypertension: 167 people, almost none controlled

• Aware: 167 know they have hypertension (have been diagnosed)
• On treatment: 23 of them (14%) currently take blood pressure medication
• Controlled: 0 have reached the target (under 140/90) on medication

144 people (86%) have stopped their medication, and even the 23 who take it have not reached target blood pressure.

Underlying conditions	People
Hypertension only	147
Hypertension and diabetes	20
Diabetes only	9
No diagnosis	22

Lipids: low HDL in seven out of ten

Result	Share
HDL cholesterol under 40	70%
Triglycerides 150 or above	34%
LDL cholesterol 130 or above	23%
Total cholesterol 200 or above	22%

On-site prescriptions

Medication	People
Antihypertensives (amlodipine, ARB class)	154
Analgesics (paracetamol, NSAIDs)	102
Lipid-lowering drugs (simvastatin)	61
Vitamins	52
Antidiabetics (metformin and others)	15

Budget for the first field screening

Planned budget, total KRW 2,000,000.

Item	KRW
Lipid strips (14 tubes, 210 tests)	560,000
Contingency (unforeseen needs, extra strips)	570,000
Field operations (Kaders’ advance work, result sheets, drinking water)	400,000
3 meters (reusable equipment)	210,000
Glucose strips (12 tubes, 600 tests)	160,000
Blood-sampling consumables (lancets, capillary tubes, alcohol swabs, sharps containers)	100,000

Echocardiography: 39 people, half with abnormal findings

Performed for residents with a clinical indication.

Finding	People	Detail
Normal	20	WNL 10 · normal 9 · normal valves and function 1
Left ventricular hypertrophy	6	LVH 3 · mild LVH 2 · LVH with normal function 1
Valvular abnormality	3	Aortic valve calcification · MR · AR
Reduced cardiac function	2	Ejection fraction 25% and 40%
Other	8	Atrial enlargement and similar

The 2 with reduced cardiac function were linked to hospital follow-up. A hypertension education leaflet in Indonesian was distributed alongside.

The teams’ proposals for next year, and a check on how far last year’s eleven improvement points got.

Proposals for improving outreach

1. The next generation. Give medical students a chance at primary care through linked health centers; create a Junior Shalom team. “About ten medical students took part, but with no primary care on offer they had no chance to learn basic clinical skills as aspiring doctors.”
2. Too few medical staff. “If we return to the same place (Bekasi, Indonesia), we need to recruit 4–5 dentists.”
3. A healthier environment. Provide supplies (soap, toothbrushes) so people can act on their health education; work out how to wash hands where water is scarce and how to teach children in large groups. “We wish we could have handed out soap or toothbrushes so the children could act on what they had been taught.” “More than a thousand children visit on Sundays. How do we teach them?”
4. Lawful ways to serve. Ask “where is it legal and sustainable?” before “which country?”; bring Korean medicines and medical devices in through official channels. “We need to research and prepare thoroughly in advance: whether overseas medical outreach is possible in the area, what the local medical law and licensing system are, and what permits and partnerships are required.”
5. Disease prevention education.
   • New materials requested. Tuberculosis: “We hope they can be produced urgently.” Chronic disease: “Materials on hypertension, diabetes and hyperlipidemia are strongly needed for adult consultations.”
   • Education at the point of care. Self-dressing after surgery; habits that prevent reflux esophagitis; stopping medication arbitrarily (“people take medicine while they have it and then stop; education is needed”); explaining tests beforehand (“they are afraid of a procedure, endoscopy, they have never had before”).
   • Training for Kaders. “Residents ask the Kader when they are ill. It would be good if we knew about the condition from the start, chronic disease, diabetes … since we might answer wrongly, we would like hospital staff to run something like health education for us.” (Lampung field research, Kader FGI)

Last year’s improvement points, this year

1. Recruiting more medical staff — partial progress; varies by team
2. Adding equipment — partial progress
3. Purchasing medicines locally — partial progress, through cooperation between the pharmacy team, each outreach team and missionaries on the ground
4. Supplying Korean medicines via a local partner hospital — partial progress. Tov bought equipment in advance and shipped it as freight to Vientiane Provincial Hospital, “procuring and receiving via a local partner medical institution.”
5. A lawful system for bringing in medicines and devices; official outreach procedures — partial progress; varies by team. For five sites (Nepal, Laos, the Philippines, Bekasi in Indonesia, Thailand) the secretariat sent official letters requesting cooperation on clinical work and the import of supplies, through workers on the ground during preparation. For the other three, the partner hospitals (Daeyang Luke, Mardi Waluyo, Kartini) handled the permit applications. Mahanaim used a two-track structure: Kartini Hospital and a local doctor applied for permission for foreign nationals to provide care and dispense medicines, while a local seminary obtained permission from the district and village heads. Customs clearance and medical licensing in the destination country remained difficult; many matters cannot be resolved with letters and customs paperwork alone. The secretariat will record each region’s preparation and outcome, centered on customs and licensing, as reference for the next outreach, and will help teams without a partner hospital find one. The criterion for choosing a site is, as the teams proposed, “where is it legal and sustainable?”
6. Advance training for general volunteers — to be taken up as needed
7. Seminars as symposia; tailored education — to be taken up as needed
8. Extending clinic hours and service days — applied according to each team’s situation
9. Joint consultations with local doctors — progress. Four Mardi Waluyo doctors joined Manoah’s clinic; Mahanaim worked with nine Kartini Hospital staff; Tov performed some 40 operations, including cataract surgery, inside Vientiane Provincial Hospital.
10. Time to hear how local hospitals are run and what they struggle with — partial progress
11. A campaign on daily habits for reflux esophagitis — ongoing

Note on Korean customs. In principle no declaration is required for medical equipment when leaving or entering Korea (Enforcement Decree of the Customs Act, Article 246(4)1; the Notice on Travelers’ Personal Effects). Korean customs checks aim to identify taxable goods newly bought abroad, so take the nothing-to-declare channel and, only if asked, prove the equipment was bought in Korea with serial numbers and photographs (a Korean purchase receipt for new equipment). Declaring items on departure and obtaining an export declaration certificate makes declaration compulsory on return, so it is not recommended.

Two teams wrote up a method other teams can copy: Mahanaim’s partnership with a local hospital, and Zion’s way of running the reception desk.

Proposal 1. An outreach model built with a local hospital

Mahanaim team · Bandung, Indonesia · with Kartini Mother and Child Hospital (Rumah Sakit Ibu dan Anak Kartini)

1. Local needs first. From the first planning meeting with the missionary on the ground, the team gave priority to the views of the local hospital, Kartini, directed by the husband-and-wife doctors Dr. Eisen and Dr. Lucy.
2. Working with the hospital. The hospital and a local doctor chose the site, a local seminary. Hospital, missionary and outreach team kept coordinating throughout.
3. Advance needs survey. The conditions and the care wanted by the seminary students and by residents around the seminary were surveyed in advance.
4. Medicines and equipment bought locally, on the basis of that survey.
5. Official medical permission. Kartini Hospital and a local doctor applied for permission for foreign nationals to provide care and dispense medicines; the seminary obtained permission from the district and village heads for the site. Administrative risk was removed before the team arrived.
6. Joint clinic. Nine Kartini Hospital staff joined: 4 doctors, 4 nurses and 1 midwife. Together with a local pharmacist, a colleague of the missionary, they led the work.

“An Onnuri missionary who is a pharmacist, together with the local hospital and pharmacist, laid the foundation for running the medical work the area needs on a continuing basis, and they agreed to form a local medical mission team going forward. Because permits, venue and needs assessment became the responsibility of local institutions, the legal and administrative exposure of foreign medical staff was removed in advance. In that sense I believe this sets out one model of medical outreach to aim for.” — Mahanaim team · Bandung, Indonesia

Proposal 2. Running the reception desk

Zion team · Lilongwe, Malawi · with Daeyang Luke Hospital

1. Numbered stickers. Handed out in advance by the hospital; patients are registered in sticker order. A different color each day.
2. A simple intake desk. Local staff enter name, age and sex on the chart first.
3. Three reception desks, each staffed by a Korean and a local: blood pressure, temperature, history and department number. A dedicated desk for infants and toddlers skips the two-step registration and takes weight and an accurate temperature in one place.
4. Posted rules for assigning departments, with one coordinator managing the queue. When a department is free, its waiting patients are asked to raise their hands and are sent in first. When the waiting area is full, registration pauses until the bottleneck clears.

Seating at the reception desk. The patient sits in the right-hand seat first and moves to the left-hand seat once measurements are done. Right: Korean reception staff take and record blood pressure and temperature. Left: local health workers take the history in the local language and write down the department number.

God works all things together for good. Eleven voices from the eight teams.

“Looking back, this journey was a true blessing. We thought we were going to serve Malawi, but in fact Malawi was serving us. Their pure smiles taught us again the gratitude we had forgotten, and their lives reminded us again that God alone is our true hope.” — Elder Song Ky Sun · Zion, Malawi

“It was a place where everyone worked together for good. It was precious work that made me think once again that each one of you is a beloved child of God.” — Elder Park Yong-won · Zion, Malawi

“During the outreach I felt the peace God gives. Assisting in the clinic was great fun, and because it was hard to communicate in Korean with an elderly man in his sickbed, I felt sorry toward him and wanted to speak Korean better.” — Han Jin-hee, student · Shalom, Bohol, Philippines

“In the home care work in Batu Badak and Sekampung I found both a strong sense of kinship with the residents and a heart of compassion. In the hard living conditions of people God created in His own image, and in how little medical care reaches them, I could see ourselves in the 1950s, in my own childhood.” — Deacon Yoon Jae-hyun · Manoah, Lampung, Indonesia

“Last year (2025) the team was made up of 13 people and the work left something to be desired, but this year a team of 30, including 12 doctors, made for an outreach that was powerful and full of grace. It was all the more graced by working jointly with the Jakarta Korean Union Church. Despite a sudden flight schedule change, a lost passport and other setbacks before we left, we saw around 1,100 people and the children’s ministry went well too. Worshiping at the local church and our team’s special music were precious experiences.” — Lee Seong-yoon, team leader · BEE, Bekasi, Indonesia

“For people whose monthly wage is about 15,000 won, an ultrasound costing 100,000 won was unimaginable. To give them even one more chance to be seen, every member of the MediAccess medical staff worked without rest in heat that left them dripping with sweat, and from the earnest eyes of the patients watching them, and their eyes watching the patients, an earnest prayer welled up.” — Deacon Yeo Seon-hwa · Manoah, Lampung, Indonesia

“I joined wanting to do something good, but honestly it weighed on me to go on an outreach with people I had never once met. Now that the outreach is over and I am back, a warmth still remains in my heart.” — Lee Si-eun, pharmacist · Manoah, Lampung, Indonesia

“It was a real shame that the blood analyzer we brought from Korea broke down after only about two patients. The anemia analyzer, the HbA1c analyzer and the ultrasound, though, were all put to very good use. We worked alongside the Jakarta Korean Union Church, and its members interpreted during consultations, so we were able to finish the work well and with grace.” — BEE team · Bekasi, Indonesia

“It was good that so many residents took an interest, and team members returning to outreach after a long gap were glad they could deliver better care with better equipment. The head of the health post said local trust in the post is low and few people come, so he was pleased that many came because of the outreach team. People were amazed that they could get results quickly for tests that take a long time locally.” — Dream team · Kathmandu, Nepal

“Every generation, youth, middle-aged and older, was made one in the Holy Spirit and served with joy, and the praise, worship and sharing grew richer. It was good, too, to gather in the evenings to hear from the missionary about the realities of the work, to see the church construction site and to pray. Each team worked together beautifully in its role and brought about good. I am grateful for all of it: the long labor of the pharmacist and the missionary in preparing medicines locally, the local staff who interpreted for us and prepared meals with such care, and the secretariat’s attentive help. A family of four from outside our congregation joined us, and through that too it was a good time of confirming that we are one family in the Lord, and of coming to know more deeply the God who works all things together for good.” — Chu Jeok-geum, team leader · Shalom, Bohol, Philippines

“What I felt again this time is that medical mission does not only have meaning when it cures a serious disease. Looking at where someone hurts, listening to their story, comforting a body and mind worn down: that too can be a small act of love.” — Seo Dal-won, team leader · Rapha, Chonburi and Bangkok, Thailand