James Kitengu is licensed by the government to operate a medical clinic and also trained at NGCS to preach the gospel. He travels on his motorcycle or by bus to the three congregations to treat patients and preach the gospel. The famine in 2006 and 2008 resulted in low or no payment from patients. Many health problems are associated with poor nutrition and contaminated water. James treats a wide range of problems from malnutrition to malaria, pulls teeth, dispenses eye glasses, etc. He also does Aids Prevention programs from time to time at local schools.
In 2007 James trained community health care workers at each congregation to deal with simple illnesses. These community-based workers are under Jamesí oversight and dispense medicine from a locking cabinet at the church building and to call him for serious cases. James spends one day/week at Kavonge, Masaani, and Zombe congregations. James would like to establish a diagnostic lab to help with diagnosis of diseases. He would also like to have the services of a lab technician to help with diagnosis.