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Church-Based Ministry to People with Disabilities in Malawi: A Case Study and Program Evaluation Cover

Church-Based Ministry to People with Disabilities in Malawi: A Case Study and Program Evaluation

Open Access
|Mar 2025

Figures & Tables

Table 1

Techniques Used for Worship at the Cross as listed in the Training Manual

Key ElementsActivity
SongsSelect common and simple songs to sing together.
Pace of speechUse a slow pace of speech to ensure everyone is following.
Checking for understandingAsk simple yes/no questions and repeat ideas if something isn’t understood.
Visual imagesUse pictures, visual aids, or dramas to help grasp concepts or theme of the day.
Length of lessonsThe lesson should be short (less than 20 minutes) to accommodate people with varying attention spans.
Simple languageUse simple words to make it easier for all people to remember the theme of the day.
RepetitionRepeat key points that need to stick into the minds of the participants.
Encourage participationAllow participants to ring a bell, start a song, or take part in activities during the session.

Photograph. Community based Worship at the Cross service held in rural Malawi

Figure 1

Map of Malawi with data collection districts highlighted (From https://www.worldatlas.com/maps/malawi)

Table 2a

Worship at the Cross (WatC) Responses (N=73).

Information about the Person with DisabilityN (%)
Person Completing Survey
 Adult with Disability37 (51%)
 Caregiver27 (37%)
 Did not respond/missing9 (12%)
Type of Disability*
 Physical Disability24 (33%)
 Epilepsy16 (22%)
 Cerebral Palsy7 (10%)
 Blind/Difficult to See7 (10%)
 Deaf/Difficult to Hear5 (7%)
 Intellectual Disability3 (4%)
 Other3 (4%)
 Did not respond/missing15 (21%)
Assistive Device*
 Crutches/Walker7 (10%)
 Wheelchair/tricycle4 (5%)
 Cane4 (5%)
 Hearing aid1 (1%)
 Adaptor chair1 (1%)
 None41 (56%)
 Did not respond/missing15 (21%)
How Often Attends WatC
 More than monthly42 (58%)
 Monthly19 (26%)
 Less than Monthly5 (7%)
 Did not respond/missing7 (10%)
How Long to Travel to WatC
 Less than 30 minutes7 (10%)
 30 min but less than 1 hour41 (56%)
 1 hour or more14 (19%)
 Did not respond/missing11 (15%)
Member of a church
 Yes, this church15 (21%)
 Yes, another church41 (56%)
 Did not respond/missing17 (23%)
Attend Regular Church Services
 Every Week20 (27%)
 Occasionally45 (62%)
 Never1 (1%)
 Did not respond/missing7 (10%)
Believe Jesus Died for Sins
 Yes46 (63%)
 Somewhat/Not Sure9 (12%)
 Did not respond/missing18 (25%)
Been Baptized
 Yes44 (60%)
 No11 (15%)
 Did not respond/missing18 (25%)
Table 2b

Worship at the Cross (WatC) Responses (N=73).

Information about Program ImpactN (%)
How Participates in WatC*
 Sing60 (82%)
 Clap Hands/Play Instrument4 (5%)
 Answer Questions12 (16%)
 None/missing9 (12%)
Why Attends WatC*
 Learn God’s Word63 (86%)
 Worship God47 (64%)
 Prayer/Seek God’s Intervention18 (25%)
 Able to Attend with Disability15 (21%)
 Did not respond/missing4 (5%)
Treated like others before WatC
 Yes24 (33%)
 Sometimes35 (48%)
 No4 (5%)
 Did not respond/missing10 (14%)
Treated like others since WatC
 Yes54 (74%)
 Sometimes9 (12%)
 No0 (0%)
 Did not respond/missing10 (14%)
Relationship with God Changed by WatC*
 Stronger Relationship with God56 (77%)
 Learning God’s Word44 (60%)
 Improved Spiritual Life22 (30%)
 Receiving Blessings15 (21%)
 Improved Physical/Social Life15 (21%)
 Don’t Know1 (1%)
Satisfied with WatC Services
 Satisfied or Very Satisfied58 (79%)
 Neutral7 (10%)
 Unsatisfied or Very Unsatisfied0 (0%)
 Did not respond/missing8 (11%)

Note.

* Question allowed for multiple selections, so totals exceed 100%

Table 3

Volunteer Survey Responses (N=82)

N (%) or Mean (SD)
Program Volunteer
 Worship at the Cross82 (100%)
 Home Based Care41 (50%)
How Long a Volunteer
 Less than a year5 (6%)
 1-2 years14 (17%)
 3-5 years29 (35%)
 6-8 years18 (22%)
 9-11 years16 (20%)
Satisfaction With (scale of 1=strongly agree to 5=strongly disagree)
 Training1.9 (0.69)
 Volunteer Appreciation1.8 (0.96)
 Community Acceptance of program1.5 (0.71)
 Results of Home-based Care3.1 (2.4)
Comfortable Training Someone (scale of 1=very comfortable to 5=very uncomfortable)
 To Lead Worship at the Cross Service1.5 (0.76)
 About Disabilities2.3 (0.83)
 To Assess Disabilities2.5 (1.24)
 To Design a Home Based Program3.9 (1.91)
 To Provide Home Based Care4 (1.96)
Agree with the following statements
 God loves everyone82 (100%)
 Christians should serve those in need82 (100%)
 Disabilities are punishments for sins22 (27%)
 Because of my volunteer work, I am better at reaching people with disabilities81 (99%)
How often Gospel Shared
 Every Visit17 (21%)
 Most Visits49 (60%)
 Occasionally14 (17%)
 Never2 (2%)
Table 4

Selected Home Based Care Evaluation Results (N-47).

N (%)
Age of Child
 Under 513 (28%)
 5 to 915 (32%)
 10 to 1415 (32%)
 15 to 204 (9%)
Primary Disability
 Cerebral Palsy31 (66%)
 Difficulty hearing/speaking4 (9%)
 Epilepsy2 (4%)
 Downs Syndrome2 (4%)
 Other8 (17%)
Able to Sit
 Unaided34 (72%)
 With assistance11 (23%)
 Cannot2 (4%)
Stand
 Unaided14 (30%)
 With assistance20 (43%)
 Cannot13 (28%)
Feed Self
 Unaided18 (38%)
 With assistance11 (23%)
 Cannot17 (36%)
 Did not answer/missing1 (2%)
Use Toilet
 Unaided10 (21%)
 With assistance12 (26%)
 Cannot24 (51%)
 Did not answer/missing1 (2%)
Child responds to*
 Speaking47 (100%)
 Touching44 (94%)
 Recognizing Family40 (86%)
 Watching/Playing with Others36 (78%)
 Does not respond0 (0%)
Number of Words Able to Speak
 017 (36%)
 1-1011 (23%)
 11-254 (9%)
 26-503 (6%)
 51+12 (26%)
Able to Move
 Walking15 (32%)
 Crawling13 (28%)
 Bottom Shuffling5 (11%)
 Unable to move14 (30%)
Child Generally Feels
 Happy20 (42%)
 Somewhat Happy14 (31%)
 Neutral11 (23%)
 Somewhat Sad2 (4%)
 Sad0 (0%)
Household Belongs to Church
 Yes, this church7 (15%)
 Yes, another church35 (74%)
 No answer/missing3 (6%)
 Did not answer/missing2 (4%)
Attend Worship at the Cross
 Yes10 (21%)
 No37 (79%)
Child Attends School
 Too young12 (26%)
 Yes13 (28%)
 No/Did not answer22 (47%)
Frequency of Volunteer Visits
 A few times per week or weekly11 (23%)
 A few times per month or monthly29 (62%)
 A few times per year7 (15%)
Caregiver Confident with Exercises
 Yes39 (83%)
 No/Did not answer8 (17%)
Child Improved
 Yes36 (77%)
 No/Did not answer11 (23%)
Child Enjoys Visits
 A Lot22 (46%)
 Mostly18 (38%)
 Somewhat6 (13%)
 Not very1 (2%)
 Not at all0 (0%)
Trust the Volunteer
 A Lot20 (43%)
 Mostly19 (41%)
 Somewhat7 (14%)
 Not very1 (2%)
 Not at all0 (0%)

Note.

* Question allowed for multiple selections, so total exceeds 100%

Figure 2

Social inclusion among PWDs since attending Worship at the Cross

Language: English
Page range: 83 - 95
Submitted on: Jun 1, 2024
Accepted on: Dec 24, 2024
Published on: Mar 19, 2025
Published by: Global Health Institute at William Carey International University
In partnership with: Paradigm Publishing Services

© 2025 Kingsley Matope, Davie Mitumbu, Tendai Lucio, Hamilton Kambalame, Rebecca Porinsky, Jennifer Hatzfeld, published by Global Health Institute at William Carey International University
This work is licensed under the Creative Commons Attribution 4.0 License.