Breaking the Chains of Dependency: Impacting underserved communities through servant leadership Underserved communities, such as those in Africa, have been the long-time recipients of outside aid, yet there is little sustainable change. Dependency on outside resources and hierarchal, foreign leadership remains. Could following the example of Jesus’ use of servant leadership be a way to break dependency and bring sustainable change to these communities? A small, community-based health clinic in Mauritania, Africa, was a traditional, non-governmental run clinic for 15 years, relying heavily on foreign staff for leadership and decision-making. Desiring to empower local leadership and encourage ownership, a new leadership style was introduced. Using a servant leader, holistic approach along with cultural contextualization, education, guiding a shared vision, and instilling dignity and hope, in less than a year a shift happened. Personal ownership, critical thinking, shared-decision making, and local leadership are replacing previous dependency.