posted on January 1, 2026
aXcess: Opening Doors with Women’s Medical Care in Africa
This position is ideal for a nurse who has a strong interest in opening doors with home visits in a creative-access country by using her medical skills to care for women with high-risk obstetrical concerns, such as diabetes or high blood pressure. She would work alongside other team members on the ground, including an obstetrician. Responsibilities may include home visits with medical assessments, nutrition education, counseling, and follow-up postpartum care. The ideal individual will desire to form strong relationships within the community and thus build bridges for the gospel.
Position Type
- International worker (IW)–aXcess –Vocational Track
- Creative-access country (CAC)
- Single or couple
- Church planting, discipleship, education, evangelism, medical
Responsibilities:
- Build strong relationships with women in the community through home visits
- Partner with obstetrician to identify and optimize care for women with high-risk pregnancies
- Obtain medical assessments as needed (assessing blood glucose, measuring blood pressure, etc.)
- Counsel and educate women with high-risk pregnancies (nutrition, concerning signs and symptoms, breastfeeding, etc.)
- Pray and listen to the Holy Spirit’s guidance regarding when and how to share the gospel in a creative access context
Ministry Location Information:
We are situated in a large urban environment with many stores and shops available. Power and water are available through the public system. There are infrequent power cuts for short durations. Appliances such as stoves, refrigerators, air conditioners, and smaller kitchen appliances are readily available here. Currently, there is little-to-almost-no Kingdom presence with the majority population. While it may exist, we do not know of any groups of believers in the majority population. The city is located along the coast in between desert and coastal climates.
Characteristics of International Workers:
- Spiritual maturity
- Holistic health
- Confirmation of call
- Ministry experience
- Education and work experience
- Cross-cultural awareness
Required Qualifications:
Vocational Track
- Completion of Alliance Polity course
- Completion of the World Perspectives Mission Course (minimum of certificate level) or equivalent
- Minimum of two years of ministry experience
- Minimum of two years of relevant work experience
- A recognized bachelor’s degree
- A minimum Modern Language Aptitude Test (MLAT) score of 65
- Appropriate certification for nursing profession—certified nurse midwives or nurse practitioners should also consider applying
- Disclosure of any issues with licensure or malpractice at time of application
- Maintenance of certification/continuing medical education as required by your certification
Preferred Qualifications:
- Certification in obstetrics or maternal-fetal medicine nursing is not required, although consideration will be given to candidates holding prior experience in these fields.
Language Expectations:
Language is an essential part of ministry. Those who do not know the language will attend a language study program. The goal will be to speak, read, and write the language at a functional level in order to mentor, teach, and train others.
The international worker will be expected to complete a year of formal French training in a language school in France. After this, they will complete two years of intensive language and culture study in the local dialect.
Health Considerations:
There are some local health clinics and hospitals within the city, however the quality of care is not on par with what one would expect in a developed country. For example, most international workers leave the country to deliver their babies safely elsewhere. Some medications are available at local pharmacies.
Expectations for Spouse:
Spousal roles vary based on the spouse’s gifts, training, and abilities as well as the needs of the team. It is expected that both spouses will be meaningfully involved in meeting ministry objectives depending on the nature of family roles, children, etc.
Children’s Education:
There are good international and French schools available in the city. Families have also enjoyed homeschooling and participating in homeschool co-ops. The team already includes several children, and they are more than willing to discuss educational options that would fit the candidate’s needs.
Compensation Package
The successful applicant(s) will receive a full compensation package with the expectation that, once appointed, efforts will be made to raise a portion of support costs through the applicant’s network of friends, family, local church, or other resources. Information on support costs will be made available upon application. Training and/or coaching in fundraising is available.
Whole-Life Health
As part of an evangelical denomination, we are committed to biblical holism, which is modeled and reflected through our work. Due to this commitment, part of the required qualifications includes optimal emotional, spiritual, and physical health. These will be assessed during the application process.
Important Clarification
Applicant(s) should be aware that serving in the international world often requires a higher degree of grace and flexibility. For example, overseas teams can be suddenly and unexpectedly impacted by illness, government decisions, financial realities, team changes, or other factors beyond the team’s control. The challenge for applicants is that these factors can sometimes necessitate the sudden redefining of a position, which may take place before, during, or after the application/interview process has begun or is completed.
Questions?
Please email the IPO office at [email protected].