Since the earlier photos were taken, Pepper has spent more than two decades offering hope to the hurting in Africa. Through the years, he and his wife, Sally, have spent countless hours at the bedsides of the hurting, leading them to the pages of the Bible and bringing them to lasting hope in Christ. They have discipled university students. They have helped new mothers get on their feet and find faith. They have started AIDS clinics and planted churches. They have seen people find spiritual life, and they have buried the ones whom physical death has overcome.