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The Synod of the Nile Evangelical (Presbyterian) Church is the minority of the Christian minority. Around 90% of the population is Muslim with the remaining 10% population of Christians mostly Coptic Orthodox. American Presbyterian missionaries began their ministry in Assiut, Upper Egypt in 1854. Much of the Evangelical Church’s strength and reputation has grown from the schools and hospitals founded by the early church workers of the American Mission in Egypt. The Church has significant outreach and evangelism programs that focus on new church development and on church redevelopment particularly in rural and urban settings.