Status of Global Health: Growing Health Disparity Growing Disparity in Life Expectancy US > 78 years of age Some African Nations < 35 years of age Growing Disparity in Health Professional Capacity More MD’s at one US hospital than 4 African Nations Growling Disparity in access to the medical advances driven by 21st century science

Status of Global Health: Strategy Change Awakening of wealthy Nations to provide support to combat leading causes of death and morbidity (HIV, TB and malaria) PEPFAR reauthorization $48 billion and Global Fund Awakening of the community of faith that the Church is to play a central role in the realization of Global Health The PEACE Plan driven by Saddleback Church

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Transformation of Health Care Delivery: Full engagement of the Local Church Proactive engagement of the full capacity of the local church in strategy with linkage to existing health system driven to work together for a common purpose - community health. Transition from the end product being Treatment of Disease to the end product being Health and Healing Transition bulk of the health delivery capacity centralized hospital system to decentralized health care in the community enabled by the fully engaged local Church

Reflection Who are the best treatment experts to deliver ARV treatment throughout Africa?

Who are the best treatment experts? Men and Women with HIV infection successfully treated after 15 months on ARVS pretreatment

Development of New Army of Health Workers Embedded in the Community and Organized by the Local Church Level 1: Teach primary health within the Church to all members Level 2: Engage members of Church to serve as treatment guardians to aid an individual to success in their treatment (such as HIV, TB, diabetes, HTN etc) Level 3: Development of persons with specific illnesses who have been successful on their treatment to serve as treatment specialists for patient/guardians teams Level 4: Development of community health specialists within the Church. These individuals help coordinate church based health activities Level 5: Church based nurse – expands health capacity of the Church as a key point of service within the broader health system

Path to realization of Global Health Full proactive engagement of the Local Church will be the key to an era of true Global Health for all Effective Partnership between Church leadership, medical leadership, government, and business Development, implementation, refinement, and reproduction of transformation models of health care for specific regions; then Nationwide; and then beyond