In general, medical facilities offering treatment or medicines to outpatients but not bed or house care. There is not always a clear line of distinction between the Seventh-day Adventist clinic and the dispensary; there is of necessity some overlapping. In general, it can be said that a clinic is a medical facility operated by an established hospital; it may be in close proximity to the hospital or remote from it. The work done at the clinic may or may not be charitable in nature; however, the word ordinarily connotes a reduction in the charges made. In contrast, dispensaries are operated in more remote areas, and the service, generally speaking, is either free or at a reduced rate. Either of these facilities may have physicians and nurses in attendance or they may be operated only by nurses and local helpers (called dressers in some areas). First North American Clinic or Dispensary . The first attempt by SDA s to set up an institution for free medical service was made in Chicago in 1893 by J. H. Kellogg, M.D., noted as the director of the Battle Creek Sanitarium, Battle Creek, Michigan. He was assisted in this venture by Drs. W. B. Holden and David and Mary Paulson and opened the Chicago Medical Mission on Custom House Place. (Later the Paulsons moved to Hinsdale, Illinois, a suburb of Chicago, and eventually developed what is now the Hinsdale Sanitarium and Hospital.) From this beginning other dispensaries were developed in the Chicago area, which were known by such names as Life Boat Mission, the Maternity Free Dispensary, and Life Boat Rescue Service. First Overseas or Foreign Clinic or Dispensary . What is said to have been the first clinic established outside the United States was opened in Guadalajara, Mexico, in 1894 by Dr. Lillis Wood and a nurse, Ida Crawford. The site for it had been selected in 1893 by D. T. Jones, representing the SDA Foreign Mission Board. The clinic prospered, and eventually a 50-bed sanitarium was established. From these humble beginnings SDA clinics and dispensaries have spread until they belt the globe. At the close of 1993, statistics showed nearly 300 separate clinics and dispensaries, including some mobile clinics, plus medical launches and airplanes. These facilities, which treat more than 1 million patients annually, are found in Africa, the Far East, Europe, North America, South America, Mexico, India, Myanmar, Pakistan, and the South Pacific Islands. The mode of transportation ranges from the airplane to the oxcart; the accommodations range from the most up-to-date buildings and equipment to the rude shelters of bush clinics on the plateaus of the Andes or of Africa, where in some cases the only protection from the sun is the shade of a spreading tree. With modest facilities, each of these clinics or dispensaries treats daily up to 100 or more patients suffering with a wide variety of diseases such as leprosy, sleeping sickness, malaria, and many others. Medical Launch. A specialized type of traveling medical facility is used in areas devoid of roads but having navigable waterways. In such areas, where live people who desperately need medical help, floating dispensaries bring help to remote villages and isolated families ( see Missionary Vessels ). List. Following is the list of clinics, dispensaries, health centers, and aid posts as listed in the 1994 Yearbook . Africa-Indian Ocean Division: Adventist Health Services-Nigeria, Nigeria Aiyetoro Ekiti Dispensary, Nigeria Arum Tumara Dispensary, Nigeria Igbobini Clinic, NigeriaIlishan Remo (ASWA) Health Centre, Nigeria Maigamo Dispensary, Nigeria Ramin Kura Health Centre, Nigeria Ugbo Clinic, Nigeria Antananarivo Adventist Dental Clinic, Madagascar Asamang Adventist Health Centre, Ghana ASSABU (Association des Services de Sante Adventistes au Burundi), Burundi Buganda Clinic, Burundi Ndora Clinic, Burundi Nyanza-lac Health Center, Burundi Nyarunasi Health Center, Burundi Rutsindu Health Center, Burundi ASSAR (Association des Services de Sante Adventistes au Rwanda), Rwanda Gitwe Dispensary, Rwanda Karora Dispensary, Rwanda Kaslala/Lubero Health Center, Zaïre Kigali Dental Clinic (Cabinet Dentaire Adventista de Kigali), Rwanda Kinunu Dispensary, Rwanda Mudende Health Centre, Rwanda Nyarwungo Dispensary, Rwanda Rwankeri Health Centre, Rwanda Bakwa-Tombe Dispensary, Zaïre Bandalungwa Dispensary, Zaïre Bazega Dispensary (Dispensaire de Bazega), Burkina Faso Beni Dispensary, Zaïre Bere Health Centre, Chad Bigobo Dispensary, Zaïre Buea Dispensary, Cameroon Buramba Dispensary, Zaïre Bushonga Dispensary, Zaïre Dibuko Dispensary, Zaïre Divuma Dispensary, Zaïre Dogba Dispensary, Cameroon Glei Adventist Clinic, Togo Kabinda Dispensary, Zaïre Kamina Dispensary, Zaïre Kanyabayongo Dispensary, Zaïre Kanyatsi Dispensary, Zaïre Kasolo Dispensary, Zaïre Katalaya Dispensary, Zaïre Kayna Dispensary, Zaïre Kikamba Dispensary, Zaïre Kinshasa Dental Clinic, Zaïre Kirundu Dispensary, Zaïre Lubilu Dispensary, Zaïre Lubumbashi Adventist Dental Clinic (Clinique Dentaire Adventiste), Zaïre Lukanga Dispensary, Zaïre Lulengele Dispensary, Zaïre Manjakaray Dispensary, Madagascar Mokambo Dispensary, Zaïre Nanga-Eboko Dispensary, Cameroon Ndjokopunda Dispensary, Zaïre Nebasa Dispensary, Zaïre Niaguis Dispensary (Dispensaire de Niaguis),Senegal Nkwanza Dispensary, Zaïre Rwese Dispensary, Zaïre Sangmelima Dispensary, Cameroon Seventh-day Adventist Clinic, Ghana Shanje Dispensary, Zaïre Yaoundé Dental Clinic, Cameroon Eastern Africa Division: Abonza Clinic, Ethiopia Adventist Dental Practice, Zimbabwe Arusha Adventist Seminary and College Dispensary, Tanzania Arusha Medical and Dental Clinic, Tanzania Better Living Centre, Zimbabwe Borabu Dispensary, Kenya Botswana Adventist Medical Services, Botswana Bugema Dispensary, Uganda Busegwe SDA Dispensary, Tanzania Bussi SDA Dispensary, Uganda Bwasi Dispensary, Tanzania Chambo Dispensary, Malawi Chebwai Dispensary, Kenya Chepareria SDA Health Centre, Kenya Chikwariro Clinic, Zimbabwe Chileka Dispensary, Malawi Chipembe SDA Rural Health Centre, Zambia Dar es Salaam Magomeni SDA Dispensary, Tanzania Dar es Salaam Temeke SDA Dispensary, Tanzania Dodoma SDA Dispensary, Tanzania Endindeni Dispensary, Malawi Eronge Dispensary, Kenya Ethiopian Adventist College Clinic, Ethiopia Gatumbi SDA Dispensary, Kenya Gesusu Dispensary, Kenya Green Lake Mission Clinic, Ethiopia Guliso Clinic, c/o Gimbie Hospital, Ethiopia Habiya SDA Dispensary, Tanzania Hanke Clinic, Zimbabwe Heru Juu Dispensary, Tanzania Iganga Dispensary, Uganda Ikizu Dispensary, Tanzania Itibo Dispensary, Kenya Kabokyek SDA Dispensary, Kenya Kagana SDA Dispensary, Tanzania Kagorogoro Dispensary, Uganda Kagwa SDA Dispensary, Kenya Kagwathi SDA Dispensary, Kenya Kaigat Dispensary, Kenya Kakoro SDA Dispensary, Uganda Kamagambo Dispensary, Kenya Kamageta SDA Dispensary, Tanzania Kameya Dispensary, Tanzania Karura SDA Dispensary, Kenya Kasamwa Dispensary, Tanzania Kasulu SDA Dispensary, Tanzania Katikamu Dispensary, Uganda Kebeneti Dispensary, Kenya Kemera SDA Dispensary, Kenya Kenya SDA Rural Health Services, Kenya Kenyenya Dispensary, Kenya Kigalama Dispensary, Uganda Kireka Dispensary, Uganda Kisongo SDA Dispensary, Tanzania Kitundu SDA Dispensary, Kenya Lake View Dispensary, Malawi Likoni Road SDA Clinic, Kenya Liumba Hill Dispensary, Zambia Lobatsi Town Clinic, Botswana Lower Gweru Clinic, Zimbabwe Lunjika Dispensary, Malawi Luwazi Dispensary, Malawi Luzira Dispensary, Uganda Makale Clinic, Ethiopia Makanya Dispensary, Tanzania Malabvi Dispensary, Malawi Manyatta SDA Dispensary, Kenya Matandani Dispensary, Malawi Matare SDA Dispensary, Kenya Mbeya SDA Dispensary, Tanzania Mitandi Dispensary, Uganda Mkundi SDA Dispensary, Tanzania Morogoro Dispensary, Tanzania Moshi SDA Dispensary, Tanzania Moshupa Dispensary, Botswana Mpanda SDA Dispensary, Tanzania Mtwara SDA Dispensary, Tanzania Mulodza Dispensary, Malawi Musoma Dispensary, Tanzania Mwagala SDA Dispensary, Tanzania Mwakaleli SDA Dispensary, Tanzania Mwanza SDA Dispensary, Tanzania Mwerahari SDA Clinic, Zimbabwe Nabingola SDA Dispensary, Uganda Najjanankumbi Dispensary, Uganda Namasalima Dispensary, Malawi Nkhorongo Dispensary, Malawi Nsambe Dispensary, Malawi Nthenje Dispensary, Malawi Ntusu SDA Dispensary, Tanzania Nyabihore SDA Dispensary, Tanzania Nyabikaye SDA Dispensary, Kenya Nyabola SDA Dispensary, Kenya Nyagesenda SDA Dispensary, Kenya Nyanchwa SDA Dispensary, Kenya Nyasore SDA Dispensary, Kenya Nyazura Clinic, Zimbabwe Oyani SDA Dispensary, Kenya Parane Dispensary, Tanzania Pemba SDA Health Service, Tanzania Ranen SDA Dispensary, Kenya Rangwe SDA Dispensary, Kenya Riakworo SDA Dispensary, Kenya Riokindo S. D. A. Dispensary, Kenya Rusaba SDA Dispensary, Tanzania Sangilo Dispensary, Malawi Segero Dispensary, KenyaSenzani Dispensary, Malawi Seventh-day Adventist Health Services, Kenya Seventh-day Adventist Health Services, Tanzania Seventh-day Adventist Orthodontic Services, Zimbabwe Sironoi SDA Dispensary, Kenya Sitoti Dispensary, Zambia Soche Dispensary, Malawi Solusi Clinic, Zimbabwe Suji SDA Dispensary, Tanzania Sumbawanga Dispensary, Tanzania Tabora SDA Dispensary, Tanzania Tarime SDA Dispensary, Tanzania Tutuo SDA Dispensary, Tanzania Twing Memorial Dispensary, Tanzania Urambo SDA Dispensary, Tanzania Utimbaru Dispensary, Tanzania Watamu SDA Dispensary, Kenya Wire Dispensary, Kenya Wollega Adventist Academy Clinic, Ethiopia Zanzibar SDA Health Services, Tanzania Euro-Africa Division: Cuale Dispensary, Angola Italian Health Center, Italy Lwena-Moxico Dispensary, Angola Portuguese Health Center, Portugal Quicuco Dispensary, Angola Euro-Asian Division: Adventist Health Center, Russia Far Eastern Division: Adventist Dental Clinic, Bangladesh Balai Kesejahteraan Ibu Anak, Indonesia Balai Pengobatan Advent (Bandar Lampung), Indonesia Balai Pengobatan Advent (Sulawesi Utara), Indonesia Balai Pengobatan Advent Ambon, Indonesia Balai Pengobatan Advent Banjarmasin, Indonesia Balai Pengobatan Advent Curup, Indonesia Balai Pengobatan Advent Kasih, Indonesia Balai Pengobatan Advent Kiaracondong, Indonesia Balai Pengobatan Advent Kupang, Indonesia Balai Pengobatan Advent, Loa Janan, Indonesia Balai Pengobatan Advent Lubuk Linggau,Indonesia Balai Pengobatan Advent Pangkal Pinang, Indonesia Balai Pengobatan Advent Ponain, Indonesia Balai Pengobatan Advent Pontianak,Indonesia Balai Pengobatan Advent Samarinda, Indonesia Balai Pengobatan Advent Samosir, Indonesia Balai Pengobatan Advent UNAI, Indonesia Bangkok Adventist Hospital Midwifery Clinic, Thailand Chiangmai Dental Clinic, Thailand Chiengkhong Clinic, Thailand Guam SDA Clinic, Guam Kaohsiung Adventist Clinic, Taiwan Klinik Gigi Advent (Dental Clinic) (Bandar Lampung), Indonesia Klinik Gigi Advent (Dental Clinic) (North Sumatra), Indonesia Kwangju Clinic, Korea Maetang Adventist Clinic, Thailand Medan Adventist Hospital Clinic, Indonesia Mountain View College Medical Clinic, Philippines Padang Sidempuan Adventist Clinic, Indonesia Palau SDA Clinic, Western Caroline Islands Philippine Union College Health Service, Manila Pokfulam Medical Clinic, Hong Kong Saipan Adventist Clinic, Saipan Taejeon Clinic, Korea Inter-American Division: Andrews Memorial Hospital Dental Clinic, Jamaica Barquisimeto Clinic, Venezuela Bella Vista Polyclinic, Puerto Rico Caracas Adventist Dispensary, Venezuela Catherine Hall SDA Health Clinic, Jamaica Cave Memorial Clinic and Nursing Home, Barbados Clínica del Noroeste, Mexico Clínica Higuera de los Vega, Mexico Dispensario Adventista de Barquisimeto, Venezuela Dispensario Medico Adventista, Mexico Family Therapy Clinic, Puerto Rico Medica y Dental Escandon, Mexico St. Kitts Dental Clinic, West Indies St. Vincent Primary Health Care and Dental Unit, West Indies St. Vincent SDA Dental Clinic, West Indies Trench Town SDA Clinic, Jamaica Walters, H. S., Health Clinic, Jamaica North American Division: Monument Valley Dental Clinic, Utah, U.S. West Shores Medical Clinic, Arkansas, U.S. South American Division: ADRA -Ecuador Dispensary, Ecuador Adventist Center for Assistance Development (Rio de Janeiro), Brazil Adventist Center for Assistance Development (Campinas), Brazil Adventist Community Development Center, East Region, Brazil Adventist Community Development Center (Brooklin Paulista, São Paulo), Brazil Adventist Community Development Center (Jardim Arpoador, São Paulo), Brazil Adventist Community Development Center (Liberdade, São Paulo), Brazil Adventist Medical Clinic, Brazil Adventist Medical Dispensary, Ecuador Adventist Welfare Center (Goiania), Brazil Adventist Welfare Center (São Paulo), Brazil Adventist Welfare Center, Olimpia, Brazil Adventist Welfare Center, South Region, Brazil Campinas Adventist Clinic, Brazil Campinas Adventist Community Development Center, Brazil Ellery Adventist Vocational Center, Brazil Good Samaritan Clinic, Brazil Healthy Living Adventist Center, Uruguay Iguape Adventist Welfare Center, Brazil Iguape Medical Base, Brazil Indaial Medical Base, Brazil La Paz Adventist Clinic, Bolivia Pan de Azucar Dispensary, Uruguay Quixada Adventist Medical-Dental Clinic, Brazil Santa Catarina Conference Medical Base, Brazil São Carlos Adventist Welfare Center, Brazil Sobral Adventist Clinic, Brazil Vida Integral Adventist Medical Center, Chile West São Paulo Medical Clinic, Brazil South Pacific Division: Ambunti Clinic, Papua New Guinea Aore Clinic, Vanuatu Balalava Clinic, Solomon Islands Batuna Clinic, Solomon Islands Bereme Clinic, Papua New Guinea Bisidia Aid Post, Papua New Guinea Borokuni Clinic, Solomon Islands Brisbane Adventist Medical Centre, Australia Dalikona Clinic, Solomon Islands Dovelle Clinic, Solomon Islands Fundue Clinic, East Vanuatu Hoiya Clinic, Papua New Guinea Honoa Clinic, Solomon Islands Kasterita Clinic, Papua New Guinea Kauma Clinic, Kiribati Kukudu Clinic, Solomon Islands Kwailabesi Clinic, Solomon Islands Madakacho Clinic, Solomon Islands Middlebush Clinic, Vanuatu Moruma Clinic, Papua New Guinea Mount Diamond Clinic, Papua New Guinea Ngarigohu Clinic, Solomon Islands Nighilani Clinic, Papua New Guinea Nodana Clinic, Solomon Islands Nuatabu Clinic, Solomon Islands Ota Clinic, Solomon Islands Pacific Adventist College Clinic, Papua New Guinea Paglum Clinic, Papua New Guinea Port Quimie Clinic, Vanuatu Port Resolution Clinic, Vanuatu Redcliff Clinic, Vanuatu Sango Clinic, Solomon Islands Sonoma Adventist College Clinic, Papua New Guinea Uhu Clinic, Solomon Islands Southern Asia Division: Seventh-day Adventist Clinic, Nepal Seventh-day Adventist Clinic, India Spicer Memorial College Dispensary, India Trans-European Division: Adventpura Health Center, Pakistan Helsinki Hydrotherapy Institute, Finland Rural Health Education Center, PakistanSeventh-day Adventist Dental Services, Pakistan Attached Fields—Southern Africa Union Conference: Bridge Clinic, Lesotho Emmanuel Clinic, Lesotho Maluti Health Centre, Lesotho Mapheleng Health Centre, Lesotho Swazi Eye Services, Swaziland