In 1893, North-American missionaries Walter Gowans, Roland Bingham, and Thoma Kent founded the Sudan Interior Mission(SIM) with the aim to spread Christianity in West Africa.

[6] Bingham University, Karu was started in 2005 as a way of meeting the need for both secular and Christian education.

[4] ECWA's Medical Department coordinates a wide network which includes four hospitals, a Community Health Program with over 110 health clinics, a Central Pharmacy and the School of Nursing and Midwifery.

[8] It is also involved in radio, publications for outreach and discipleship, rural development, urban ministries, and cross-cultural missions.

[3] There has been a serious confrontation between evangelical Christians standing in opposition to the expansion of Sharia law in northern Nigeria by militant Muslims since 1999.