Nicaragua is the second poorest country in the Western hemisphere and has the most unequal distribution of wealth. TMS Global cross-cultural workers serve alongside national pastors to develop the next generation of leaders for the church. Leadership development is integrated with efforts of holistic development for entire communities with cross-cultural workers, pastors, and young leaders helping remote communities gain access to healthcare and education. Workers are also training Nicaraguans to serve as cross-cultural workers in underserved areas of their own country, as well as reaching out to other countries.