Many people serving in OM ministries are mobilized from this region, and there are also outreach opportunities, especially in Canada and Central America. Christians from the Caribbean and Central America, areas historically on the receiving side of missions, are taking their place in world outreach alongside believers from Canada, Mexico and the USA.

OM offices here have significant roles in raising awareness of missions, especially within North America’s sizable Christian population. There are many opportunities to use professional skills in missions here, in addition to opportunities for evangelism, medical ministry, sports outreach, etc.