Nirmala Joshi of the first Sisters of the institute to head a foreign mission when she went to Panama. In 1976, Joshi started the contemplative branch of the Missionaries of Charity and remained at its head until 1997, when she was elected to succeed Mother Teresa as Superior General of the institute. The government of India bestowed the Padma Vibhushan, the second highest civilian award, on Sister Joshi on Republic Day (26 January) 2009 for her services to the nation. Her term as Superior General ended on 25 March 2009, and she was succeeded by German born Sister Mary Prema Pierick. Joshi
Missionaries of the Precious Blood not take vows but are held together by the bond of charity only and by a promise of "fidelity to the Congregation of Missionaries of the Precious Blood in accordance with its Constitution and Statutes, giving [themselves] entirely to the service of God". (see the formula of incorporation found in C37 of the Normative Texts 2008.) The stated charism of the Society is to bring the Word of God to where it is most needed. Saint Gaspare del Bufalo founded the Society at the request of Pope Pius VII, who was shocked by the spiritual situation in Rome after he