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The Adventist Development and Relief Agency (ADRA) is a global humanitarian organization of the Seventh-day Adventist Church. ADRA started in Sudan with the health clinic in Munuki Compound of the Seventh-day Adventist Church in Juba in 1982.

The history of the Seventh-day Adventist Church in South Sudan goes back as far as 1892 when the General Conference voted to send a missionary to Sudan. However, at the time Sudan was partitioned between the Christian denominations that entered the country ahead of the Seventh-day Adventist Church. This early attempt failed because there was no space left to be allocated to the Adventist Church. The second attempt to enter Sudan was during the leadership of Neil C. Wilson when he was president of the Nile Union Mission. According to the magazine the Columbia Union Visitor, in 1950 Neil C. Wilson “was elected President of the Nile Union Mission, comprising Egypt, Sudan, Aden, and the Arabian Peninsula.”