by Lim Soon Hock, Empowering Churches
INTRODUCTION
The subject of church health is less precise than the subject of church growth. Unlike the latter the former does not have the coherence of the Church Growth Movement (CGM) nor does it have formidable spokesmen that Donald McGavran and Peter Wagner had been for the latter. As a result, each advocate of church health has his own definition and set of characteristics for what constitutes church health.
The purpose of this review of church health literature is to scope from among the significant authors on this subject for their understanding and criteria of church health. These views of church health may be classified under three broad categories: The Principle, the Biblical, and the Organic-Missional approaches.1 This is not to say that the principle approach is unbiblical or non-missional. It is. However, its emphasis is on the principles of church health. The same can be said of the other two approaches that make much of their own emphasis.
In this article I will review two significant publications that represent each of these approaches. Due to the limitation on the length of the article, the second book in each approach is given less treatment than the first book. I conclude this review of church health literature with a discussion on how all three approaches together may help toward a greater understanding of church health.
THE PRINCIPLE APPROACH TO CHURCH HEALTH
The principle approach looks at what constitutes church health characteristics from both Scripture and practice of church life and ministry. Then it looks at how a church is to improve along the quality scale of these characteristics so that it becomes a healthier church.
Christian A. Schwarz is one of the most quoted proponents for this approach on church health.2 His teaching on church health is found in his basic text titled Natural Church Development: A Guide to Eight Essential Qualities of Healthy Churches3 and a later publication called Color Your World with Natural Church Development: Experiencing all that God has designed you to be which was written for Christians to apply NCD principles at the personal level.4 Arising from his extensive research that covered churches around the globe,5 he determined that there are eight quality characteristics that all churches must have. They are: (1) empowering leadership, (2) gift-oriented ministry, (3) passionate spirituality, (4) functional structures, (5) inspiring worship service, (6) holistic small groups, (7) need-oriented evangelism, and (8) loving relationships.
The health of a church is reflected in the overall quality of these characteristics found in the church. The health is determined through a quantitative survey done among selected members of the church.6 Furthermore, NCD research reveals that if every quality characteristic scores 65 and above on their rating scale then the church is inevitably a growing church. This is known as the “65 hypothesis.”7 The point of this approach to church health is for a church to keep improving on the quality of all eight characteristics. The greatest attention, though, is to be given to the lowest quality characteristic because the growth of the church cannot rise beyond the level of that characteristic. This is termed the “minimum factor.”8
The strategy also calls for the incorporation of NCD’s six biotic principles: (1) interdependence, (2) multiplication, (3) energy transformation, (4) multi-usage, (5) symbiosis, and (6) functionality. These principles are biotic in nature because a church is an organism and not a machine.9 When these principles are applied they “create an environment that will allow God’s growth automatisms—with which He Himself builds the church.”10 NCD stresses the development of an environment in a church where the church can grow. In other words, church health naturally11 or automatically12 leads to church growth. Schwarz terms it “The ‘all-by-itself’ principle”13 found in the parable of the growing seed (Mark 4:26-29).
Another principle approach to church health is found in Stephen A. Macchia’s Becoming a Healthy Church: 10 Characteristics.14 The ten characteristics were determined from a survey done among the Vision New England churches15 where Macchia served as its president from 1989 to 2003. The study did not only help Macchia and his team to determine the ten characteristics, it also helped them rank the characteristics. They are: Level 1 – How I relate with God: (1) God’s empowering presence, (2) God-exalting worship, (3) spiritual disciplines. Level 2 – How I relate with my church family: (4) learning and growing in community, (5) a commitment to loving and caring relationships, (6) servant-leadership development. Level 3 – How my church ministers and manages: (7) an outward focus, (8) wise administration and accountability, (9) networking with the body of Christ, and (10) stewardship and generosity.16
One of the key concepts for church health advocates is “balance”—a balanced pursuit and presence of all the essential elements or characteristics of a church. Macchia stresses it.17 Schwarz speaks of the “harmonious interplay of all eight elements.”18 Rick Warren posits that “the five New Testament purpose of the church must be in equilibrium with the others for health to occur.”19 Nelson Searcy who takes a systems-approach to church health states that “The eight systems of every church are interconnected. While some may be more developed than others, none of these systems can stand alone.”20 Hence, there is a need to ensure that all the systems in the church are functioning properly at a high level and in balance with one another.
Church health proponents have varying opinions as to what constitutes the essential characteristics of church health. Sometimes it is simply the use of different terminologies or different ways of classification. Barring this, the principle approach rightly recognises that the quality level of these characteristics in a church determine the overall health of the church. Since they are all important, a high quality level for every characteristic and balance among them are key to the health of the church.
One of the features of the principle approach is that it is not simply theoretical and descriptive about what a healthy church should look like. Many of them have developed tools to evaluate the health of the church based on their criteria of church health characteristics. NCD has its 91-question Natural Church Development Survey.21 Macchia, who went to found Leadership Transformation Inc., developed the Church Health Assessment Tool (CHAT) with 72 questions covering the ten characteristics.22 These objective instruments are necessary to produce quantifiable data and measurable results to accurately assess the health of a church.
While Wagner’s shift did not in itself precipitate the diversification of church growth teaching, it however, left an open field for new ideas about church growth to be introduced
The second question I posed was: what are the irreducible principles for church growth? From the review of church growth literature, I believe they would be:
As a result, the teaching on church growth that was already evolving became even more diversified. Thom S. Rainer’s The Book of Church Growth (1993) provides a very helpful overview of the history and diversification in church growth teaching.
In a later book Strategies for Church Growth (1987) Wagner starts by revisiting some of the basic church growth principles. He explains how the advocates of CGM understand the terms commonly used in Christian circles. For example, what does “make disciples” mean? Wagner says that “The raw material of making disciples in the Great Commission sense is unbelievers who need to commit their lives to Christ for the first time. The raw material of modern ‘disciple making’ is Christians who need to be helped along the continuing road of Christian discipleship.”
While pastoring I had read many books including Peter Wagner’s works on church growth, Rick Warren’s Purpose Driven Church, Christian Schwarz’s Natural Church Development, Thom Rainer’s and Eric Geiger’s Simple Church, Gary McIntosh’s One Size Doesn’t Fit All and Aubrey Malphurs’ Advanced Strategic Planning. They were instrumental in shaping my philosophy of church ministry. The way I led the churches under my care reflected my convictions. I had come to the conclusion that it was critically important for churches to be healthy so that they can grow. On hindsight, the Lord was already preparing me for a ministry of church consultation with a focus on church health.
The work of church consultation in Malaysia faces a number of challenges.
Let me give you four factors that will help you determine what you may write about, especially if it’s your first book.

The event that sparked the writing of the book was a seminar I did for a young people’s church in October 2019. It was not my first time teaching the material. However, an evaluation the seminar made me realise that there was just too much material for the participants to digest. I decided that it would be better for me to put the teaching into a book so that people can read it at their own pace. They can also take time to think through the principles and apply them into their lives.
Then, the final part—printing the book. A slot for early March had been set with the printer to print the book. It was rush time for the layout artist to get everything print ready by the deadline. We managed to do that by a whisker. The printer sent me a mock-up of the book for one final check. And even at that final stage there were still typo-errors. Corrections were made and the file was sent to the printers again with a go-ahead. Then came the MCO!…and a wait of nearly three months!
What constitutes a large gathering? According to a report in TheEdgeMarkets it is anything above 250 people (13 March 2020). However, according to theStar online it is anything above 50 people (4 April 2020). On top of this the authorities may still require people to keep a distance of at least one metre (maybe even two metres) from one another. If this is implemented the capacity of a church’s worship hall will immediately be reduced to hold at most one third of the usual crowd at any one time.
Clearly, church is not just about the worship service. Church ultimately is about relationships (vertical and horizontal), discipleship (or discipling) and reaching out to the world (to win the spiritually lost and to impact our world). If worship services are cut shorter to cater for multiple services and the live-stream “audience”, coupled with social distancing and quick exits from the church building, the worship services are not going to cut it as far as the above mentioned objectives are concerned.
A few days ago I asked some pastors and church leaders how they are: 1.Connecting with their members, 2. Conducting their small group and prayer meetings, and 3. Doing their “corporate” worship service. I was particularly interested to know how they are using online facilities to help them accomplish the above objectives.
I know of at least one church that is providing daily video devotions for its members. The pastors record a short devotional message using their smartphone and upload it onto google drive. The link is sent to the members for them to view the video anytime of the day. Whether you do it daily or once during mid-week it helps your church member feel connected to you as their pastor during this time of no face-to-face contact.
In the context of Jeremiah 29:13, obviously seeking God is not simply about hearing what the Lord has to say—they had just heard from Him. Seeking God in this case was about the exiles aligning themselves to Him and His purpose. It is one thing to know what the Lord wants—it is another thing to align ourselves to what He says.