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After completing high school, Joanava left the island of Barbados in 1967 to study nursing in England. In 1972, she graduated as a Registered Nurse from Middlesex Hospital, located in London, England. In 1983, she resigned from her position with the Ministry of Health in Barbados, and moved to the U.S. Since her arrival, Joanava has worked in various positions as a professional nurse. She belongs to The Royal Society for the Promotion of Health, in England, and is a Fellow of the World Health Organization and the Pan American Health Organization. Over the past decade, she worked as a missionary nurse, assisting in conducting health care clinics, and establishing schools and churches in Haiti. Her missionary nursing activities was acknowledged by Sigma Theta Tau International Honor Society of Nursing, and documented in the 2004 issue of "Ordinary People, Extraordinary Lives-The Stories of Nurses". In 2000, she founded and currently presides over Project WORD Foundation, Inc., a non-profit mission’s oriented organization in Pennsylvania. In 2009, she published her book, "Walk and Talk, A guide to Missions", which can be purchased in-stores and online. She is currently completing a master’s degree in theology at the Palmer Theological Seminary,