High mountains, coffee trees, bananas, cotton fields, sugar cane, coconut palms, and tropical fruit characterize the country of Honduras in the heart of Central America. Honduras is the site of the first Reformed Church in America mission program in Central America outside of Mexico. The work of the Reformed Church is located in Ahuas and Cauquira. Ahaus is an isolated village near the Patuca River. Travel to Ahuas is by outboard motorboat or small plane. Cauquira is a peninsula in the extreme southeastern corner of the country. There are no roads. Travel in the area is by foot, dugout canoe along coastal waterways, or Wings of Mercy flights. The isolation of both Ahaus and Cauquira makes every resource precious, especially fresh fruits and vegetables.

The RCA partners with the Evangelical Moravian Church in Honduras, the Moravian Church in the U.S.A., and Moravian medical programs in Honduras. The U.S. Moravian Church began mission work in Honduras in 1930. The majority of the Indian people among whom RCA mission partner personnel work are Moravian in faith.

The RCA entered into medical mission work among the Miskito Indians in Cauquira in 1983. The Cauquira medical work had been closed for a number of years because there was no missionary doctor. When it reopened in 1983, it mushroomed because of the great need in the region. The RCA supports three medical doctors who serve as mission partner personnel; they work in the medical clinic in Cauquira, as medical director for the Moravian medical programs in Honduras, and as medical director of the hospital in Ahuas. They also train health leaders and nurses. The Reformed Church also supports a missionary pilot with Wings of Mercy (formerly a Mission Aviation Fellowship program in Honduras) and has contributed finances and work groups to the building of the Bible Institute in Puerto Lempira. It also helps support a divers' school that teaches local people how to be safe while diving to harvest seafood.

In addition to providing medical services at the clinic in Cauquira and the hospital in Ahuas, doctors travel in a dugout canoe to make house calls in the surrounding communities. Educational programs, provided by a doctor or a nurse, are available in Cauquira, Ahuas, and in towns along the River Patuca and in Zona Recuperada (the Recovered Zone), which has a high incidence of malaria and cholera. (The area is called the Recovered Zone because it was recovered from Nicaragua.)

The Ahuas and Cauquira programs are a true partnership in mission. The medicine, local health workers, and maintenance of the clinic and hospital buildings are underwritten by the people served. The missionary homes, some field expenses, and benefits are underwritten by the Moravian Church. Mission partner personnel receive salary and expenses for deputation from the Reformed Church in America. Educational material and funds for travel to Zona Recuperada are also provided by the RCA.

Ahuas Clinic

Exotic birds squawk and bounce from tree to tree in the tropical rainforest. At the same time, poisonous snakes and insects crawl along the rainforest floor, while crocodiles slip into the river. The lush wall of flora has kept cars and modern-day technology from reaching the Miskito people of the Mosquitia region of Honduras. It has also kept the gospel from reaching them, and it isolates people from the nearest hospital—more than 12 hours away by canoe.