Following God’s Agenda: Todd and Patsy McGregor’s Journey in Missionary Service

Following God’s Agenda: Todd and Patsy McGregor’s Journey in Missionary Service

SAMS is excited to announce the availability of two Missions Coaches for prospective missionaries seeking counsel in their discernment journey. Missions Coach Sarah Blaine is a former missionary to Cambodia who now lives in Colorado, church-planting with her husband, Jesse. Missions Coach Bishop Todd McGregor is a former missionary to Madagascar, and now lives in Florida with his wife Patsy.

Missionary service always has its share of ups, downs, and surprises. All in all, God is faithful and has a beautiful purpose for all who surrender themselves to Him. Read about the journey God has had for Todd and Patsy McGregor below.

The one chapel service Todd McGregor missed in college turned out to be the one that changed his life. A chapel speaker at his Bible college had invited students to go to Nepal on a mission trip. The speaker caused such a buzz on campus that all his friends were talking about this call to go to Nepal, to minister in a place where it is against the law to share your faith and baptize. Despite his not going to chapel that day, the invitation caught Todd’s attention. He encouraged his friends to go, “That’s really good, you guys should do that.” He said he wasn’t interested. Yet the Lord kept bringing this back to him. Todd had felt a pull towards ministry as a teenager while exploring a remote, roadside graveyard with his father. The following words drawn from scripture were on one of the stones: My friends of mine hear my voice, you are my friends if you do what I command. “I sensed that the Lord was calling me to serve him,” Todd recalls.

He felt the call again in college: “Isn’t it interesting that the Lord showed me something earlier in life, and that He kept bringing it back. I kept hearing about Nepal, and I said no, no, I’m not going to do this, and eventually I made a deal with God. I thought it was impossible and would never work out. I said to God, ‘If you can convince my parents to say “yeah, you can go to Nepal and do what’s illegal and there’s a possibility you might get thrown in prison,” if they’ll approve it, and Lord, if you can raise this money, I will go.’ Wouldn’t you know, that the Lord worked this all out: that when I called my parents, they were very encouraging. People started giving, and the money all came in. So, I went to Nepal, trusting and really believing that it was the Lord who was calling me. I was open to whatever he wanted me to do. That was the neat part of experiencing missionary life: being open, not coming with any agenda.

“We knew there was a big risk; we knew there was a big chance we would be thrown into prison. But we trusted in the Lord. If he opened this door, then he would show the way. I was with a group that travelled through Western Nepal — we were able to pray for people, and miracles happened. We saw people come to faith. We were stopped and put in prison, but our trust was in the Lord during this whole time.” The Lord opened doors for Todd to go to Nepal, his release from prison, the Gospel to be spread, and seeds of future calling to be planted in his heart.

After Todd got back from Nepal, finished college, and met and married his wife, Patsy, the Lord continued to tug on his heart for overseas missions. As they both studied at Trinity Evangelical Divinity School in Illinois, Dr. Bill Taylor’s teaching on missions brought Todd’s mind back to his experiences in Nepal. Todd sensed a call from God to serve overseas as he studied for a Master of Divinity. Patsy, happy to take advantage of opportunities where the Lord led Todd, studied for a Master of Arts in Religion. Meanwhile, the Lord blessed them with two daughters. As they looked to the mission field, neither Todd nor Patsy could see the discouragements they were to face or the unexpected developments in their callings — but they followed their Good Shepherd.

At the time, Patsy felt one clear calling — to be married to Todd, supporting him in his calling as a missionary. Yet this was not a shallow commitment on her part. As they prepared to go to Madagascar, she brought her whole self to the support-raising process with Todd. Not all their loved ones wanted to let them go overseas, and some even opposed their plans. Yet for Todd and Patsy the call became clear. With their departure date approaching soon, they still needed to raise significant funds. They went on a bike ride to pray and process the challenge facing them. Patsy was confident: “I just believed that if God was going to have us go to the mission field, that he would raise up [the support]. We got on the phone and asked people: ‘If you believe this is what God has called us to do, then can you please send us something just to confirm that? And if you don’t, that’s all right, because we’re seeking God’s will.’ And everybody [we called] was very, very much in favor of it. But we had to ask: ‘Do you believe God’s called us? And if so, send something in. It could be 20 bucks, but it’s just saying you believe.’” After these prayerful efforts, God brought in $45,000 in 10 days! Todd and Patsy headed to Madagascar with their two young daughters, ages 11 months and two years.

Todd encourages prospective missionaries: “If God calls you, He will open up a means for this to happen. One thing we have learned over the years — A lot of people say, ‘Lord we want you to open the door.’ Maybe part of it is saying, ‘The door’s already open. Lord, if you don’t want us to go, close it.’ It means we have to step out in faith and trust Him.”

Todd originally shrank back from the idea of ordination. He wished simply to serve as a lay person among the Malagasy people. Yet during the first three years, the archbishop in Madagascar, The Most Rev. Remi Rabenirina, (who was also his bishop on the field) pushed him to get ordained. Todd submissively entered into the process. He expected to get a lot of pushback from his home bishop back in the USA, The Rt. Rev. Calvin Schofield, and thought that might be the silver lining to sidestep this calling. Indeed, Todd did experience a lot of pushback, and he was doubtful he would become ordained. He was in for a surprise, however. When Todd met with Bishop Schofield back in the USA one last time, the bishop opened up the door and said, “We’re gonna make this happen.” What a shock! The Lord had the door to ordination open, and by His grace, Todd walked through it.

Together, Todd and Patsy spent their first 11 missionary years in the capital city of Madagascar, Antananarivo (Tana), opening up health clinics, starting churches, and training leaders in evangelism. Life in a poor city required self-sacrifice and endurance. They saw Christ’s hope transform people’s lives, and the communal culture of the Malagasy began to change the McGregors deeply.

Patsy had her own share of surprises in her calling. While in Madagascar, Patsy had a dream that she was supposed to become a priest. She woke up a bit befuddled, telling Todd about it. Todd responded, “Yeah, I think so. I think that’s right.” Patsy pocketed that dream, unsure of what the Lord was doing in her. In 2002, the McGregor family moved to southern Kenya to enroll their daughters at an international high school. Patsy served at St. Julian’s Centre, an Anglican retreat and conference center, where she experienced great joy serving and equipping the Christian community.  The archbishop of the Anglican Church of Kenya, The Most Rev. Benjamin Nzimbi, saw Patsy’s ministry and encouraged her to become ordained. Patsy was already prepared for this step thanks to God’s leading in her graduate education 15 years prior. When she had studied for her Master of Arts in Religion, she didn’t have a clear purpose for it. Today she says: “I needed that training, and I didn’t know exactly why I needed that training, but I was glad for it. There’s never a scrap wasted. God will always use it, however he is equipping you.” She also followed Todd into doctoral studies through Gordon-Conwell Theological Seminary. Patsy’s attitude was: “I’ll just sort-of tag along and do the same thing. And it ended up being good because the Lord was always allowing me to be trained in ways that I wouldn’t necessarily have pursued in my own self.”

Todd was uncomfortable in Kenya at first. The ministry environment at St. Julian’s was unlike what he had been used to during their first 11 years in Madagascar. After nine months of searching for purpose, he was given the opportunity to travel to northern Kenya for a few days per week, helping with church planting and evangelism in a primarily Muslim territory. His name was put on a hit list and he needed armed guards, but the lives changed in Christ were worth it.

Rev. Todd and now Rev. Patsy were quite content and fulfilled ministering in Kenya. Yet God had more plans for them. One day, Todd got an email from a delegate of the Diocese of Antananarivo in Madagascar. They wanted him to submit his name for election to be Assistant Bishop, in view of starting a new diocese in Toliara, southern Madagascar. Todd reflects: “One has to be open minded on the mission field. Whatever you think you’re going to do — my experience has been — very seldom does it turn out that way.” Todd did submit his name and was elected. Patsy was stunned. She had just reached an exciting ministry season in Kenya. Her ministry would have to look very different in Madagascar. Their daughters were reaching adulthood, and Patsy was on the verge of empty-nesting. What would be her purpose in Toliara? How would she cope with living in an even more destitute part of Madagascar than before?


You will need to read Patsy’s book, Tamana: At Home in Africa (Xulon Press, 2013), to get the full answer to that question. However, we can put a snapshot here. Residing in Toliara tested Patsy with dramatic changes to her lifestyle. They lived in a cramped apartment, which they nicknamed “the box.” Conditions of heartbreaking poverty surrounded them in a hot, humid slum with many strange odors and activities. Yet when the joy of surrender to God’s will found Patsy, she was able to say: “Looking back on the first weeks and months in Ankilifaly [the slum in Toliara], things that had made no sense at the time became vividly clear. Had I not lived in ‘the box’ I would not have understood God’s complete calling on my life.” (Tamana, p. 102)

The McGregor's neighborhood in Ankilifary

Todd and Patsy found it exceedingly worthwhile to live among the Malagasy people again. The friendly, open-souled people of Toliara were hungry not only for food but also for the Lord. In her book, Patsy shares about one Malagasy woman:

“It wasn’t a Mercedes or even a two-wheeled bicycle. She was saving for a prayer book. Having just been given a Bible, her smile spread from ear to ear. ‘Now,’ she said in Malagasy, ‘all I need to save for is a Book of Common Prayer.’ Its equivalency in U.S. dollars would be a cup of gourmet coffee – a grande latte at a specialty shop. For her, it was a week’s wages, that is, if she had a job. In the meantime, she hoped to gather and sell a few used discarded plastic water bottles and save for a Book of Common Prayer. I don’t know how she did it. Perhaps she was able to wash some family’s clothing to bring in a few earnings. A while later, I saw her turning the crisp pages in her prized new Book of Common Prayer. I had been shown through her sacrifice and perseverance the precious value of prayer.” (Tamana, p. 110)

The Holy Spirit was poured out on the Malagasy of Toliara. When Todd and Patsy began ministering there, the diocese started with 11 churches and about 300 people. As of December 2020, when the McGregor’s moved to Florida after 14 years in Toliara, there were 110 churches and 10,000 communicants (people partaking in Holy Communion). Clergy of the Diocese of Toliara, now led by the recently installed Malagasy Bishop Samitiana Jhonson Razafindralambo, baptized 1,189 people in February 2021! [Read more, from SAMS Missionary to Madagascar Jacky Lowe, here.]

Bishop Todd and Rev. Patsy are now serving Christ’s kingdom from Florida after 30 years overseas. Patsy is Director of Spiritual Formation at St. Mary’s Episcopal Church in Stuart, a sending church that supported them on the mission field. Looking back on her challenging experiences, Patsy sees how God has equipped her to show pastoral care to American parishioners struggling through the pandemic.

Todd is continuing as a SAMS Missionary in multiple roles as a coach, discipler, and mentor. If the Holy Spirit is tugging on your heart to serve His kingdom as a missionary, then Todd, in his SAMS Missions Coach role, would love to talk with you. He is here to help you in the missionary discernment process. You may reach him at:

Get to know our other Missions Coach, Sarah Blaine, here. You may email her at

Amidst Madagascar famine, over one thousand people baptized into new life

Amidst Madagascar famine, over one thousand people baptized into new life

Matthew 25:35

I was hungry and you fed me, thirsty and you gave me a drink; I was a stranger and you received me in your homes, naked and you clothed me; I was sick and you took care of me, in prison and you visited me.

I am very grateful to be in America and continuing to heal from surgery. I still work with the people of Madagascar using technology, and once the pandemic is behind us, I hope to return. I am very grateful to those who continue to support me with prayers and financial contributions. Keep reading to see photos and updates from the women’s ministry of the Diocese of Toliara in Madagascar.

Famine in SW Madagascar

The South of the Diocese of Toliara has suffered from severe famine, there has been little rain for three years. IaIy, the Coordinator for Economic Development in the Diocese of Toliara, had family living in the area where the famine was severe. This is a story that Ialy wrote about his family in November 2020.

Ialy, the tallest man with sunglasses, at church distributing rice.

“The woman of this family is my aunt’s daughter, she’s called Anantsoa. She’s 39 years old and married and she has 3 children (10, 14, 16 years old). They lived in the town of Ambovombe. When the famine happened they used to move outside town of Ambovombe, went to the countryside, it is north and it reaches about 78 km from the town. They cut the trees and the dry forest for making charcoal and for agriculture. Every month they visit my aunt at town. The money which was earned from charcoal and agricultural, they used to buy daily food and a zebu and goat for breeding. Their place is very far from the wells, it is around 78 km (48 miles). They have not used water to wash hands, face and even their body; they rarely take a bath each semester because of lack of water.

Regarding their children education, they couldn’t send their children to school any more so they made their mind on their children to help them.

Nowadays, the severe famine happens everywhere in southern Madagascar in the region of Androy – that means no rainfall for 11 month in this year, that involves the lowest of price of livestock and to increase the price of the daily food such as rice, corn, sugar, oil, etc… A lot of zebus, goats, and sheep were dying and also no crops in the fields because of the high famine.

In addition to that, the highest red wind has happened since November. It has not stopped up to now. That wind provokes many sicknesses through people there. The severe famine including the strong red wind happens in southern of Madagascar now. Cassava from Toliara changes zebus, goat, and sheep. For instance, 10 kilos of cassava trades for one goat or sheep.

To sum up, Anantsoa’s family wanted to exit out but they could not because they are very weak so they were dying in the same day (November 7, 2020). My aunt went there by cart to take them to move to town but she couldn’t because they were already dead for three days so the local authority (chief of village) came and decided with my aunt to bury them there and encourage her.

It is horrible situation what happened to my aunt (she is widower) and our family.”

Rice distribution to all who live in the village.

In December the first stage of famine relief began and February there was a second distribution by Mr IaIy, Rev. Donne and Gaston in the South where the worst of the famine occurring: Amboasary, Ambovombe and Ft. Dauphin. Thank you to all those who contributed to the famine relief. The rice and beans are given to everyone, no matter what their religion. People in these villages are turning to follow Jesus. Gaston reports that the churches in Amboasary Parish are now packed – an “explosion of people”, he said, “with no more room to fit in people. People are being baptized because they are being touched by the love of God and asking, ‘What religion is this that cares? We want to join you.'”



The last two weeks of February there were 1,189 new baptisms in Amboasary, Ambovombe, Beloha, Tsihombe and Maroaloka. The people were baptized by Rev. Berthier (the secretary of the Province of the Indian Ocean), Rev. Donne and Gaston. The people are being fed with the nourishment of food and the love of Jesus Christ.

Oliviah and the children under an umbrella as it rains

The end of February it rained in Ambovombe and there was great celebration as rain is a blessing in Madagascar. Please pray for continued rain so the people can grow food.

Craft Inventory at the Women’s Center

Kitchen Inventory

The women at the center are busy they have formed a committee to help Chretienne and Harisoa run the center, there are four women on the committee, Nivo, Oliviah, Laurichia and Adrienne.  The women have completed an inventory of the supplies in the kitchen, the craft supplies, completed crafts and the Days for Girls kits and supplies. The committee is making decisions with Chretienne and Harisoa on how to run and organize the center. The women are not making paper beads for crafts as they have a large inventory. Oliviah has taught the women to make crafts using plastic beads.

Bead jewelry

Planting Tamarind trees

On March 8 2020, International Women’s Day, Tamarind trees were planted by the women from the center and the Mothers Union at the compound. The women at the center hosted the event outside in the compound and gave a presentation of the Days for Girls Kits using the flipcharts. After the presentation questions were asked and those who answered correctly received a gift of a POD (a DFG kit containing a shield and 2 liners), the youth were given a tooth brush and a bracelet.

Women’s Day Meeting

On Sunday March 15, 2021 the second Bishop of Toliara was elected. Bishop Samitiana was elected, he had worked as the assistant bishop with Bishop Todd  Mcgregor.

Bishop Samitiana and his wife Holy

Note from SAMS Communications Coordinator, Kate Ulrich: As Christians, we are called to walk alongside the church globally, lifting up our brothers and sisters in their suffering. Jacky Lowe works in the Diocese of Toliara, Madagascar, sharing the love of Jesus and economic skills with women. Would you partner in her ministry?

Missionaries in Honduras create job opportunities for struggling parents

Missionaries in Honduras create job opportunities for struggling parents

You’re a parent of two children in Honduras, struggling to provide for your family in a violent and poverty-stricken neighborhood. The loving education your kids receive at the local Christian school is a rare blessing. The school charges a small tuition fee, but it is a manageable cost. Then you hear news of a deadly virus circulating the world. Before you know it, your community has shut down to prevent the spread of the virus. You’ve lost your job, and soon you aren’t able to feed your kids, much less pay tuition.

Such is a scenario many families in Flor del Campo, Honduras experienced when the 2020 pandemic hit. SAMS missionaries Suzy McCall, Amanda Scott, and Stephen and Debra Buckner serve there at the LAMB Institute. LAMB is an extensive ministry with a children’s home and church, a school, and other programs to help at-risk children and youth. Students depend on that community in a place plagued by danger and destitution. The ministry infuses hope into children through Christ-centered education and spiritual nourishment. The pandemic would have threatened kids’ ability to participate. Yet LAMB, led by Suzy, knew they needed a way to keep kids in school while also empowering families to pay tuition with dignity. The solution they created gives parents a chance to work off the payments owed. That is not all – the plan also equips families with start-up small businesses and skills they can use after they have paid off tuition debt.

Suzy describes the project – “We have created jobs for family members of the students who owe money. First, we hired a coordinator for this project, which will initially run for three months. We have selected a young woman in our neighborhood who holds a university degree and is currently unemployed. Several small businesses have already started: a man is selling fresh fruits and vegetables from a cart which he pushes around the neighborhood; another family is selling paper products; another is selling plastic products. A carpenter in our youth outreach program offered to train a small group of people in woodworking, with the hope that they would eventually produce marketable goods, such as furniture. They have completed their first project: three bookcases. Our fund underwrites the start-up expenses, pays the carpenter, and provides stipends for the ‘employees.’ Again, we will underwrite the materials and pay the workers for the first three months, with the stipulation that part of their pay will be applied towards their school debt. If some of the businesses are successful in generating profit, we can turn them over to the operators, and they can continue without our help.” Empowered by God’s grace, this ministry puts legs on our Lord’s calling to proclaim good news to the poor (Isaiah 61:1). Lift up these Honduran families in prayer as they engage in these small business opportunities and interact with the Christian community at LAMB.

In 2021, SAMS World Relief Fund (WRF) provided for a grant of $4,000 for LAMB’s job creation project. SAMS WRF has helped other ministries in Honduras as well. Two severe hurricanes devastated other areas of Honduras in Fall 2020. Stay tuned to read how SAMS Missionaries are helping those communities get back on their feet.

Senders giving generously to SAMS World Relief Fund in 2020 and 2021 have enabled missionaries globally to help their communities in dire circumstances caused by the pandemic and natural disasters. In four rounds of grants, SAMS WRF has given to 18 missionary projects and five diocesan projects, totalling $80,700 since April 2020.

How my 9-week mission trip became 9 MONTHS!

How my 9-week mission trip became 9 MONTHS!

On March 7 2020,   I left Miami for Madagascar with a team from Saint Andrew’s School Boca Raton, Florida.
I was the representative from the congregation of the Chapel of Saint Andrew, which is located on the school grounds.  

We were on a short-term mission trip to visit the children in the village of Manamby, too small to find on a map.  We flew into Morondava, on the west coast, from the capital, Antananarivo, and then drove to Manamby.  This visit was part of a larger plan to someday build a school for the children there.

The team was to return to Miami via South Africa and I would continue on to Toliara for a six-week visit with the Rev Patsy and Bishop Todd McGregor and the people in the Diocese of Toliara compound.

On March 17, Mme Holy (the wife of Bishop Samitiana) and I left the capital Antananarivo on the two-day overland trip to Toliara.  Little did I know at the time that my planned 6-week mission trip in Toliara would extend to 9 months and that I would return to Miami on December 15, 2020.

While in Toliara I stayed on the Diocesan Compound in the guest room in the Women’s Center.  

The second day I arrived, I was asked to quarantine for two weeks because there was a concern that Neny Holy and I had been exposed to Covid-19 on the trip to Toliara.  During that time of quarantine, my only interaction with anyone was through the window to the outside. I loved this opportunity!

I have always wanted to visit a cloister and here I was. It was a wonderfully quiet time for reflection and rest.  Plus, it was so hot that for the first few weeks I mostly slept. I later learned that the average annual rainfall in the spiney desert of Toliara is 16 inches. This was not a challenge for me. I grew up in the Central Valley of California where the average annual rainfall was 13 inches. However, I later learned from Google sources that the dewpoint of Toliara ranged between muggy, oppressive and miserable. When I arrived in March, it was definitely “miserable” 24/7.

By April, it became clear that I would be in Madagascar indefinitely.  A few days after my arrival in Toliara, the Madagascar borders had been closed due to Covid-19.  International flights had been suspended and interior travel was curtailed to commercial transportation of food and life-giving items.

I soon settled into a routine.  Each day started with my morning wakeup call by the roosters crowing around 5 a.m.  

Due to Covid-19 there were restrictions on the number of people who could gather in a single location.  So instead of regular corporate prayer which was the normal practice on the diocesan compound, a schedule was set up so that two households would meet for daily evening prayer.  During my visit, I joined different households in prayer depending on the rotation schedule.

About a week after my quarantine time, I was able to access internet and I started to communicate with my family and church community. The typical American question arose, “what do you do all day?” So, I would say that during my time there I developed relationships, by spending time with people.  I really came to experience the saying, “God uses us just as we are and wherever we are.”

With regard to the “doing aspects” :

  • I participated in the regular schedule of corporate prayer such as the monthly days of diocesan prayer and fasting and the intermittent Sunday services.  These were special spirit-filled times that deepened my understanding and experience of prayer.
Holy ( Bishop Samy’s wife) and Emily Nell making a presentation in the Cathedral
It is hard to talk and wear a mask!
  • I offered to tutor English, teach the basic Order of Saint Luke program of Christ’s Healing Miracles to the students of the Bible College, and introduce and teach the concept of Blessing Prayer developed by Roy Godwin, Russ Parker and others.
  • I helped to write a grant proposal to continue the Rooted in Jesus program and other spiritual and leadership development programs in the diocese. We learned on Thanksgiving Day that the proposal was funded for the next two years!  What jubilations!!
  • It became clear to me that I needed to suggest projects that required a minimum of sustained attention, so I encouraged xeriscaping  —  let’s support God by growing local plants that will survive without water or much attention. 
  • I encouraged the cleaning up of the land in the compound – clearing areas around the cactus rather than pulling out the cactus.  I kept saying “let’s support the way God plants this area”.  And indeed once the grass and vines had been cleared, the cactus really popped out and they were in blossom.  So it was very effective.
  • I paid Seliny 5000 Ariary to cut grass for 3 hours as my contribution to help maintain the compound.  She took the grass home to feed her zebu.
Doing this the Malagasy way…
Emily Nell and Fiadanana, sitting on a cement bench that Jacky Lowe gifted through a grant proposal
  • I wanted to clean up the area outside of Holy’s office.  And, as a result a bench was put out there so she could sit outside.  I do not think they would have even thought to put one there till the grass and vegetation had been cleared to show off the trees and the cactus.
  • I met with Rev Patsy McGregor on a regular basis, acting as her sounding board and editor as she created several devotionals, some of which incorporate reflections on life during this worldwide pandemic.

Most of all during this time, I developed friendships that will last a lifetime.

Emily Nell Lagerquist, Missionary Bridger

This post was originally published at the website of the Diocese of Toliara, Madagascar:

The Messenger — Spring/Summer 2020 Issue

The Messenger — Spring/Summer 2020 Issue

Click on the first page of The Messenger below to access the full issue. Featured:

  • A Chilean woman’s two-day hospital stay is transformed into a miraculous gospel opportunity
  • A “forgotten” community in Honduras receives seeds of hope and a church building
  • Prayer Calendar March – August 2021
  • New missionary candidates