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"SEA also represents the possibility of local movement for care and change, supported by adaptive policy and practice. I am a faith-motivated facilitator who happens to be a medical doctor, sensitised to local community strength by the AIDS epidemic onset in Africa in the mid 80's. At the time I was leading the development of the Chikankata Hospital in the Mazabuka district in Zambia, and the 'home care to community change' link was discovered, forming a foundation for hope for national response that remains undiminished in me personally, and shared with many colleagues in all continents. The formation of regional and national facilitation teams from 1990 to help link local response to organisational change has been a vibrant preoccupation and intense learning experience."