A number of Reformed churches in Canada have supported LAMP, an independent mission society with Lutheran roots, since the late 70s. Churches have had a hard time establishing and maintaining work. Many people have little or no access to pastors.
Residents tend to do without medical care unless an emergency develops.
Then either a doctor is flown in or a patient is flown out. LAMPwick Thrift Stores, which sell good used clothing and other goods at reasonable prices, are located at LAMP base camps in Alberta, Manitoba, and Saskatchewan. LAMP offers a number of programs involving both the opportunity to give gifts and to become involved as a volunteer in one's own congregation or on the field.