In 1984, Dr.
Palacas and his wife shifted focus to Africa, where he became the
first field director for Mission Moving Mountains to develop efforts
in community empowerment. In 1989 he moved under the leadership
of the Church of Uganda, the state church, to serve as Minister
of Reconciliation, Consultant in Medical-Spiritual Ministries, and
Provincial CHE (Community Health Education) Coordinator. He trains
the trainers-of-trainers of CHEs (Community Health Educators), who
bring door-to-door health education to families in villages and
urban areas alike. To date, CHEs have been established in eleven
of Uganda’s dioceses with potential to reach 13,000,000 people,
or 45% of Uganda’s population. Also, a CHE curriculum has
recently been established in a Ugandan university, and CHE-clubs
are appearing in high schools.
By training
community health educators, who in turn train others, CHE offers
a strategy for the promotion of a healthy lifestyle. As the influence
of CHEs spreads in a community, water jugs and collections tanks
appear in one home after another, as well as fuel-saving stoves
and chimneys, and important sanitation measures such as rubbish
pits, covered latrines and composting piles. Homes become more conducive
to healthy living with lowered incidences of bronchitis and cancer
from smoke inhalation, and more resistance to the spread of cholera
and other gastro-intestinal diseases. Education in double-dig gardening
results in high-production kitchen gardens, while nutritional training
helps to optimize the nutritional value of vegetable proteins. Education
in disease prevention serves to combat illness early in the stream
of causality , and timely assistance in linking expectant mothers
to health services contributes to a reduction in both maternal and
infant mortalities. CHEs also help motivate communities to collectively
solve infrastructure problems, especially in regard to water acquisition.
And they encourage the many faces of microenterprise, as well.
Dr. Chris works
side by side with his wife Jane, RN and co-encourager.