Over a decade ago, Ruan and his family moved from Cape Town to the village of Zithulele in the Eastern Cape province of South Africa, just miles away from the place Nelson Mandela was raised. His wife had secured a job as a physician at a local hospital and he was looking forward to working in youth ministry.

He read When Helping Hurts soon after his arrival, but over the next five years, he made many of the mistakes he read about. Despite hosting many Bible studies, outreach teams, and events – all of the things he brought with him from westernized Cape Town – they still weren’t seeing transformation in their rural village.