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
Mother Teresa like angels—loved and wanted." She opened a hospice for those with leprosy, calling it Shanti Nagar (City of Peace). The Missionaries of Charity established leprosy-outreach clinics throughout Calcutta, providing medication, dressings and food. The Missionaries of Charity took in an increasing number of homeless children; in 1955 Teresa opened Nirmala Shishu Bhavan, the Children's Home of the Immaculate Heart, as a haven for orphans and homeless youth. The congregation began to attract recruits and donations, and by the 1960s it had opened hospices, orphanages and leper houses throughout India. Teresa then expanded the congregation abroad, opening a house in Venezuela