Explainer

Change

16 June 2023

5 min read

Finding an answer to poverty

A new TV ad challenges stereotypes around how to help the poor. Tarryn Pegna unpacks the impact of one of the most effective ways to eradicate poverty.

Tarryn Pegna

Tarryn Pegna is a writer for aid and development charity, Tearfund. She helps to communicate where, why and how the organisation works.

A woman carries a plastic bucket on her head and held by raised arms and hands.

We’ve all seen them – haunting images of starving children, flies on their faces, begging for help – powerless to change the cruel lot they’ve landed in life… There’s more to the story, though. More to the people in the pictures.

Extreme poverty is a very real problem. The living conditions faced by many around the world are, indeed, truly devastating, and in hoping to urge a response and to help, we can fall into a clichéd portrayal (and understanding) of need that strips people of a sense of dignity and agency.

But, the answer to poverty can be uplifting, sustainable, restorative and empowering: the answer can be the Church.

You may have seen Tearfund’s new TV ad. If not, you can watch it now. With some humour it challenges some of the stereotypes about how those in the developed world go about trying to eradicate poverty elsewhere.

The ad shows a number of excellent things that a community in Burundi has achieved which have transformed the lives of the people living there. It features them talking about the training that made it possible – but what is this training? And what does it have to do with Tearfund or the church?

Well, here’s how it works:

It all starts with Bible studies. These are designed to help people identify the skills and resources that already exist within their community, and to see new ways they can use them to respond to their needs.

Local church members (or leaders) receive training to facilitate these Bible studies and share the message within their community.

Each Bible study ends with a call to action. This may be something small to start with – like a change in a harmful way of thinking – but can quickly grow in scale to things like improving or building schools, health centres and roads.

Tearfund and our local partner organisations help to provide the practical knowledge and skills training needed to make it possible to carry out these plans.

In this way, churches and communities can find themselves working together to lift themselves out of poverty for good and to realise their God-given potential and thrive.

I played my part in the construction, even if I was not strong, I worked with others in digging the road and moving rocks.

The ad features Cecile, a young married mum with one daughter. She tells us her experience:

‘We understood the power of coming together as a church and working together for our own development. A changed church changes the community for the better. Our congregation was able to build a health centre, a road and bring up water.

‘I am happy to be part of this church as I come to know God and see his hand. I now have a church family, we love and support one another. I played my part in the construction, even if I was not strong, I worked with others in digging the road and moving rocks, and we also contributed some money.

‘It is like an awakening. People are more engaged, we have been inspired to change and to change our community and we are now active.

‘Apart from building the health centre, more people are working hard to change their situation. Some have started small businesses, I’ve also been selling vegetables and I hope that once I get enough capital, I’ll be able to start a small business at the market and earn more money to help [me and my husband] improve our lives and build a house.’

Every day, thousands of people around the world suffer and die because of poverty. Christians don’t believe that this is God’s plan. At Tearfund we believe that the church is part of his plan to respond – and that we all have a part to play in ending extreme poverty.

Is the church even still relevant though?

Here in the UK, it might seem strange to be so focused on faith and the church. The most recent census showed that, as a nation, we have a steadily declining affiliation with Christianity, and the news last year made much of the fact that only around ten per cent of the population regularly attend a church service. It might be worth wondering whether the church has lost some of its ability to influence change.

Almost three million UK adults sought help from churches or faith organisations because of the cost-of-living crisis.

In England, Anglican bishops are still members of the House of Lords, so they have some voice, but for the rest of us…why the faith? Where does God fit into things and is the church even practical or relevant in society these days?

It actually works

In spite of the declining number of worshippers, in 2022 almost 3 million UK adults sought help from churches or faith organisations because of the cost-of-living crisis.

During the worst of Covid, churches across the country provided a hub for making sure the most vulnerable in their communities were fed and provided for. Many church buildings became food preparation and distribution centres and local church members became temporary delivery drivers.

The local church around the world

In the same way, around the world, the church is often first on scene in times of need.

From its unique position right within a community, the local church knows intimately the needs of the people it serves.

And in many places where Tearfund works, the church has a significant and trusted influence, giving it a voice for change and for justice in society.

The church, as a vehicle for transformation, has the capability to work powerfully and effectively in a way that lasts.

No matter where it is, the Christ-following church has always been about the transformation of lives and about community: called by Jesus to first love God (allowing him to transform Christians’ own lives), and then to love our neighbours as ourselves (bringing transformation to our communities).

More than could, the church should be the answer to poverty.

The church is a sustainable, efficient, empowering and highly cost-effective way of helping whole communities lift themselves out of poverty.

The church (in all its various forms and denominations) is the largest non-governmental, non-profit organisation on the planet. Tearfund itself was born out of the church, and recently an independent study that we commissioned confirmed in numbers what our own experience, stretching back over 50 years, had already shown us: the church is a sustainable, efficient, empowering and highly cost-effective way of helping whole communities lift themselves out of poverty.

By equipping the local church within a community facing poverty to find solutions to their needs, the people being supported can become agents in their own rescue.

Like many charities, there are questions about the impact they have. Just how effective is working through the church really?

In fact, researchers discovered that a social value of £28 was released for every pound invested in community transformation work through the church.

Practically, that means that when compared to people in communities that had not received training and equipping through the church, those that do are:

27% more satisfied with their lives in general
113% more likely to work with others on shared projects
51% more likely to have maintained or increased their income in the last year
46% more likely to speak up and raise issues with decision-makers
62% more likely to have invested in assets, such as property or livestock in the last year
and 26% more likely to feel confident they could cope with unexpected events in the future.

Working through the local church has the power to bring positive, whole-life transformation which spreads throughout a community – so that even those who aren’t directly involved in the activities still experience some benefits.

Article

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.