Being discovered to be a Christian in North Korea is effectively a death sentence. Either believers will be deported to labour camps as political criminals, where they face a life of hard labor which few survive, or they are killed on the spot. The same fate awaits family members. There are believed to be tens of thousands of Christians held in labor camps across the country.

Through secret networks outside the country, Open Doors secret workers are helping around 100,000 North Korean believers by providing vital food and aid, shelter and discipleship training for North Korean refugees at safe houses in China, and training through radio broadcasting from outside the country.