No one should die because they live too far from a doctor | Raj Panjabi

Prevodilac: Milenka Okuka Lektor: Mile Živković

I want to share with you something my father taught me:

Želim da podelim sa vama nešto što me je otac naučio:

no condition is permanent.

nijedno stanje nije trajno.

It's a lesson he shared with me again and again,

To je lekcija koju mi je prenosio iznova i iznova,

and I learned it to be true the hard way.

a na teži način sam shvatio da je tako.

Here I am in my fourth-grade class.

Ovo sam ja u četvrtom razredu.

This is my yearbook picture taken in my class in school

To je moja slika za godišnjak, fotografisana u mojoj školskoj učionici

in Monrovia, Liberia.

u Monroviji, Liberija.

My parents migrated from India to West Africa in the 1970s,

Roditelji su mi 1970. migrirali iz Indije u Zapadnu Afriku

and I had the privilege of growing up there.

i ja sam imao tu čast da tamo odrastam.

I was nine years old,

Bilo mi je devet godina,

I loved kicking around a soccer ball,

voleo sam da šutiram fudbalsku loptu

and I was a total math and science geek.

i bio sam skroz zaluđen matematikom i naukom.

I was living the kind of life that, really, any child would dream of.

Živeo sam život koji bi zaista, zaista svako dete sanjalo.

But no condition is permanent.

Ali nijedno stanje nije trajno.

On Christmas Eve in 1989,

Na Badnje veče 1989,

civil war erupted in Liberia.

izbio je građanski rat u Liberiji.

The war started in the rural countryside,

Rat je počeo u ruralnoj oblasti

and within months, rebel armies had marched towards our hometown.

i za nekoliko meseci pobunjenička vojska je marširala ka našem rodnom gradu.

My school shut down,

Moja škola je zatvorena,

and when the rebel armies captured the only international airport,

a kad je pobunjenička vojska zarobila jedini međunarodni aerodrom,

people started panicking and fleeing.

ljudi su počeli da paniče i beže.

My mom came knocking one morning and said, "Raj, pack your things --

Majka je jedno jutro pokucala i rekla: "Radž, pakuj svoje stvari -

we have to go."

moramo da idemo."

We were rushed to the center of town,

Sjurili smo u centar grada

and there on a tarmac, we were split into two lines.

i tu na asfaltu su nas podelili u dva reda.

I stood with my family in one line,

Stajao sam s porodicom u jednom redu,

and we were stuffed into the cargo hatch

i natrpali su nas u deo za prtljag

of a rescue plane.

na spasilačkom avionu.

And there on a bench, I was sitting with my heart racing.

I tu na klupi sam sedeo dok mi je srce lupalo.

As I looked out the open hatch,

I pogledao sam kroz otvorena vrata,

I saw hundreds of Liberians in another line,

video sam stotine Liberijaca u drugom redu,

children strapped to their backs.

decu čija je leđa povijao vetar.

When they tried to jump in with us,

Dok su pokušavala da uskoče kod nas,

I watched soldiers restrain them.

gledao sam kako ih vojnici zadržavaju.

They were not allowed to flee.

Nije im dozvoljeno da beže.

We were the lucky ones.

Mi smo bili srećnici.

We lost what we had,

Izgubili smo sve što smo imali,

but we resettled in America,

ali smo se raselili u Ameriku

and as immigrants, we benefitted from the community of supporters

i kao imigranti, imali smo pomoć zajednice i podržavalaca

that rallied around us.

koji su se motali oko nas.

They took my family into their home,

Odveli su moju porodicu u svoj dom,

they mentored me.

podučavali su me.

And they helped my dad start a clothing shop.

I pomogli su mom ocu da otvori prodavnicu odeće.

I'd visit my father on weekends as a teenager

Kao tinejdžer bih posećivao oca vikendima

to help him sell sneakers and jeans.

kako bih mu pomogao da proda patike i farmerke.

And every time business would get bad,

I svaki put kad mu posao ne bi išao,

he'd remind me of that mantra:

podsetio bi me na tu mantru:

no condition is permanent.

nijedno stanje nije trajno.

That mantra and my parents' persistence and that community of supporters

Ta mantra i upornost mojih roditelja i podrška zajednice

made it possible for me to go through college

su mi omogućili da završim fakultet

and eventually to medical school.

i, vremenom, medicinu.

I'd once had my hopes crushed in a war,

Jednom mi je rat uništio nadu,

but because of them,

ali zbog njih,

I had a chance to pursue my dream to become a doctor.

imao sam priliku da ostvarim san i postanem doktor.

My condition had changed.

Moje stanje se promenilo.

It had been 15 years since I escaped that airfield,

Prošlo je 15 godina otkad sam pobegao sa tog uzletišta,

but the memory of those two lines had not escaped my mind.

ali sećanje na ta dva reda mi nije nestajalo iz pameti.

I was a medical student in my mid-20s,

Bio sam student medicine i u srednjim dvadesetim,

and I wanted to go back

i želeo sam da se vratim

to see if I could serve the people we'd left behind.

kako bih video da li mogu da služim ljudima koje smo napustili.

But when I got back,

Ali kad sam se vratio,

what I found was utter destruction.

zatekao sam samo ruševine.

The war had left us with just 51 doctors

Rat nas je ostavio sa svega 51 doktorom

to serve a country of four million people.

da služe državi od četiri miliona ljudi.

It would be like the city of San Francisco having just 10 doctors.

Kao kad bi San Francisko imao svega 10 doktora.

So if you got sick in the city where those few doctors remain,

Pa, ako biste se razboleli u gradu gde je bila ta nekolicina doktora,

you might stand a chance.

možda biste i imali šansu.

But if you got sick in the remote, rural rainforest communities,

Ali, ako biste se razboleli u udaljenim, ruralnim zajednicama u kišnim šumama,

where you could be days from the nearest clinic --

gde je najbliža klinika udaljena danima daleko -

I was seeing my patients die from conditions no one should die from,

Gledao sam kako mi pacijenti umiru zbog stanja od kojih niko ne treba da umre

all because they were getting to me too late.

sve zato što su do mene stizali suviše kasno.

Zamislite da imate dvogodišnjakinju koji se jednog jutra probudi s groznicom

Imagine you have a two-year-old who wakes up one morning with a fever,

and you realize she could have malaria,

i shvatite da bi mogla da ima malariju,

and you know the only way to get her the medicine she needs

i znate da je jedini način da joj nabavite nužni lek

would be to take her to the riverbed,

taj da je povedete do reke,

get in a canoe, paddle to the other side

uđete u kanu, veslate do druge strane

and then walk for up to two days through the forest

i potom hodate i do dva dana kroz šumu

just to reach the nearest clinic.

samo da biste stigli do najbliže klinike.

One billion people live in the world's most remote communities,

Jedna milijarda ljudi živi u najudaljenijim zajednicama na svetu

and despite the advances we've made in modern medicine and technology,

i uprkos napretku koji smo postigli u modernoj medicini i tehnologiji,

our innovations are not reaching the last mile.

naši izumi ne stižu do najudaljenijih mesta.

These communities have been left behind,

Ove zajednice su zapostavljene

because they've been thought too hard to reach

jer se smatra da je suviše teško doći do njih

and too difficult to serve.

i da je suviše teško ih uslužiti.

Illness is universal;

Bolest je univerzalna;

access to care is not.

pristup nezi nije.

And realizing this lit a fire in my soul.

A taj uvid mi je rasplamsao dušu.

No one should die because they live too far from a doctor or clinic.

Niko ne bi trebalo da umre jer živi suviše daleko od doktora ili klinike.

No condition should be permanent.

Nijedno stanje ne bi trebalo da bude trajno.

And help in this case didn't come from the outside,

A pomoć u ovom slučaju nije došla spolja,

it actually came from within.

zapravo je došla iznutra.

It came from the communities themselves.

Stigla je iz samih zajednica.

Meet Musu.

Upoznajte Musu.

Way out in rural Liberia,

Skroz tamo u ruralnoj Liberiji

where most girls have not had a chance to finish primary school,

gde većina devojaka nije imala priliku da završi osnovnu školu.

Musu had been persistent.

Musu je bila uporna.

At the age of 18, she completed high school,

Sa 18 godina je završila srednju školu

and she came back to her community.

i vratila se u svoju zajednicu.

She saw that none of the children were getting treatment

Videla je da nijedno dete ne dobija terapiju

for the diseases they needed treatment for --

za bolesti za koje im je potrebna terapija -

deadly diseases, like malaria and pneumonia.

smrtonosne bolesti, poput malarije i upale pluća.

So she signed up to be a volunteer.

Te se prijavila da bude volonter.

There are millions of volunteers like Musu in rural parts around our world,

Ima na milione volontera nalik Musu u ruralnim delovima širom sveta,

and we got to thinking --

i mi smo pomislili -

community members like Musu could actually help us solve a puzzle.

članovi zajednice, poput Musu, bi mogli da budu pomoć u rešavanju problema.

Our health care system is structured in such a way

Naš zdravstveni sistem je tako osmišljen

that the work of diagnosing disease and prescribing medicines

da je posao dijagnostikovanja bolesti i propisivanja lekova

is limited to a team of nurses and doctors like me.

ograničen na ekipu sestara i doktora poput mene.

But nurses and doctors are concentrated in cities,

Ali sestre i doktori su koncentrisani u gradovima,

so rural communities like Musu's have been left behind.

te su ruralne zajednice, poput Musuine, zapostavljene.

So we started asking some questions:

Te smo počeli da se pitamo:

What if we could reorganize the medical care system?

šta kad bismo reorganizovali sistem zdravstvene nege?

Šta kad bismo mogli da obezbedimo da članovi zajednice, poput Musu,

What if we could have community members like Musu

be a part or even be the center of our medical team?

budu deo ili čak središte naše medicinske ekipe?

What if Musu could help us bring health care from clinics in cities

Šta ako bi Musu mogla da nam pomogne da prenesemo zdravstvo iz gradskih klinika

to the doorsteps of her neighbors?

na pragove njenog komšiluka.

Musu was 48 when I met her.

Musu je imala 48 godina kad sam je upoznao.

And despite her amazing talent and grit,

I, uprkos njenom neverovatnom talentu i rešenosti,

she hadn't had a paying job in 30 years.

nije imala plaćen posao 30 godina.

So what if technology could support her?

Šta ako bi tehnologija mogla da joj pomogne?

What if we could invest in her with real training,

Šta kad bismo mogli da uložimo u nju istinskom obukom,

equip her with real medicines,

opskrbimo je stvarnim lekovima

and have her have a real job?

i obezbedimo joj stvarni posao?

Well, in 2007, I was trying to answer these questions,

Pa, 2007. sam pokušavao da odgovorim na ova pitanja,

and my wife and I were getting married that year.

a te godine smo se moja supruga i ja venčali.

We asked our relatives to forgo the wedding registry gifts

Tražili smo od rodbine da zaborave na svadbene poklone

and instead donate some money

i da umesto toga doniraju nešto novca

so we could have some start-up money to launch a nonprofit.

kako bismo obezbedili početni novac za pokretanje neprofitne organizacije.

I promise you, I'm a lot more romantic than that.

Kunem se da sam mnogo romantičniji od toga.

(Laughter)

(Smeh)

We ended up raising $6,000,

Na kraju smo sakupili 6000 dolara,

teamed up with some Liberians and Americans

udružili smo se sa nekim Liberijcima i Amerikancima

and launched a nonprofit called Last Mile Health.

i pokrenuli neprofitnu organizaciju Last Mile Health.

Our goal is to bring a health worker within reach of everyone, everywhere.

Naš cilj je da dovedemo zdravstvenog radnika u blizinu svakoga, svuda.

We designed a three-step process --

Osmislili smo proces iz tri koraka -

train, equip and pay --

obuči, opremi i plati -

to invest more deeply in volunteers like Musu

kako bismo podrobnije uložili u volontere, poput Musu,

to become paraprofessionals,

kako bi postali profesionalci,

to become community health workers.

kako bi postali zdravstveni radnici zajednice.

First we trained Musu to prevent, diagnose and treat

Prvo smo obučili Musu da spreči, dijagnostikuje i leči

the top 10 diseases afflicting families in her village.

10 najčešćih bolesti koje pogađaju porodice u njenom selu.

A nurse supervisor visited her every month to coach her.

Nadležna sestra ju je posećivala svakog meseca kako bi je podučavala.

We equipped her with modern medical technology,

Opskrbili smo je savremenom medicinskom tehnologijom,

like this $1 malaria rapid test,

poput ovog brzog testa za malariju od jednog dolara,

and put it in a backpack full of medicines like this

i stavili smo ga u ranac pun sličnih lekova

to treat infections like pneumonia,

kako bi tretirala zaraze, poput upale pluća

and crucially,

i najvažnije,

a smartphone, to help her track and report on epidemics.

pametni telefon, kako bi joj koristio da vodi evidenciju i izveštava o epidemijama.

Last, we recognized the dignity in Musu's work.

Poslednje, prepoznali smo dostojanstvo u Musuinom radu.

With the Liberian government, we created a contract,

Sa liberijskom vladom smo napravili ugovor,

paid her

platili joj

and gave her the chance to have a real job.

i pružili joj priliku da ima stvaran posao.

And she's amazing.

A ona je neverovatna.

Musu has learned over 30 medical skills,

Musu je savladala preko 30 medicinskih veština,

from screening children for malnutrition,

od proveravanja da li su deca neuhranjena

to assessing the cause of a child's cough with a smartphone,

preko procenjivanja uzroka dečjeg kašlja uz pomoć pametnog telefona

to supporting people with HIV

do pomaganja ljudima sa HIV-om

and providing follow-up care to patients who've lost their limbs.

i pružanja dodatne nege pacijentima koji su izgubili udove.

Working as part of our team,

Radeći kao deo naše ekipe,

working as paraprofessionals,

radeći kao paraprofesionalac,

community health workers can help ensure

zdravstveni radnici iz zajednice mogu se postarati

that a lot of what your family doctor would do

za gomilu stvari koje bi obavio vaš porodični lekar,

reaches the places that most family doctors could never go.

a stižu do mesta na koja većina porodičnih lekara ne bi mogla da stigne.

One of my favorite things to do is to care for patients

Jedna od mojih omiljenih aktivnosti je nega pacijenata

with community health workers.

sa zdravstvenim radnicima iz zajednice.

So last year I was visiting A.B.,

Pa sam prošle godine bio u poseti A. B.-u

and like Musu, A.B. had had a chance to go to school.

i, poput Musu, A. B. je imao priliku da pohađa školu.

He was in middle school, in the eighth grade,

Bio je u osnovnoj školi, u osmom razredu,

when his parents died.

kad su mu umrli roditelji.

He became an orphan and had to drop out.

Postao je siroče i morao je da se ispiše.

Last year, we hired and trained A.B. as a community health worker.

Lani smo zaposlili i obučili A. B.-a kao zdravstvenog radnika iz zajednice.

And while he was making door to door house calls,

I dok je obavljao posete od vrata do vrata,

he met this young boy named Prince,

upoznao je ovog dečaka, po imenu Prins,

whose mother had had trouble breastfeeding him,

čija majka je imala poteškoće u dojenju,

and by the age of six months, Prince had started to waste away.

i do uzrasta od šest meseci, Prins je počeo da kopni.

A.B. had just been taught how to use this color-coded measuring tape

A. B. je tek bio počeo da uči kako da koristi ovu traku za merenje u boji

that wraps around the upper arm of a child to diagnose malnutrition.

koja se obmotava oko nadlaktice deteta i dijagnostikuje neuhranjenost.

A.B. noticed that Prince was in the red zone,

A. B. je primetio da je Prins u crvenoj zoni,

which meant he had to be hospitalized.

što je značilo da mora da bude hospitalizovan.

So A.B. took Prince and his mother to the river,

Te je A. B. poveo Prinsa i njegovu majku do reke,

got in a canoe

ušli su u kanu

and paddled for four hours to get to the hospital.

i veslali četiri sata da bi stigli do bolnice.

Later, after Prince was discharged,

Kasnije, kad je Prins pušten kući,

A.B. taught mom how to feed baby a food supplement.

A. B. je podučio majku kako da hrani bebu formulom.

A few months ago,

Pre nekoliko meseci,

A.B. took me to visit Prince, and he's a chubby little guy.

A. B. me je poveo u posetu Prinsu i on je debeljuškasti mališa.

(Laughter)

(Smeh)

He's meeting his milestones, he's pulled himself up to a stand,

Dolazi do svojih prekretnica, podiže se da stoji,

and is even starting to say a few words.

a čak je počeo i da govori nekoliko reči.

I'm so inspired by these community health workers.

Toliko me inspirišu ovi zdravstveni radnici iz zajednica.

I often ask them why they do what they do,

Često ih pitam zašto rade to što rade,

and when I asked A.B.,

a kad sam upitao A. B.-a,

he said, "Doc, since I dropped out of school, this is the first time

rekao je: "Doco, otkad sam se ispisao iz škole, ovo je prvi put

I'm having a chance to hold a pen to write.

da sam u prilici da držim olovku i pišem.

My brain is getting fresh."

Moj mozak se obnavlja."

The stories of A.B. and Musu have taught me something fundamental

Priče o A. B.-u i Musu su me naučile nešto temeljno

about being human.

o čovečnosti.

Our will to serve others

Naša spremnost da služimo drugima

can actually help us transform our own conditions.

nam zapravo može pomoći da preobratimo sopstvena stanja.

I was so moved by how powerful the will to serve our neighbors can be

Bio sam veoma dirnut snagom ljudske volje da služi svojim komšijama

a few years ago,

pre nekoliko godina,

when we faced a global catastrophe.

kad smo se suočili s globalnom katastrofom.

In December 2013,

U decembru 2013,

something happened in the rainforests across the border from us in Guinea.

nešto se desilo u kišnim šumama duž naše granice i Gvineje.

A toddler named Emile fell sick with vomiting, fever and diarrhea.

Novorođenče, po imenu Emil, se razbolelo od povraćanja, groznice i dijareje.

He lived in an area where the roads were sparse

Živeo je u oblasti u kojoj su putevi retki

and there had been massive shortages of health workers.

i imaju ogromni nedostatak zdravstvenih radnika.

Emile died,

Emil je umro,

and a few weeks later his sister died,

a par nedelja kasnije je umrla njegova sestra,

and a few weeks later his mother died.

a nekoliko nedelja kasnije umrla je majka.

And this disease would spread from one community to another.

A ova bolest će se proširiti od jedne zajednice do druge.

And it wasn't until three months later

I tek će tri meseca kasnije

that the world recognized this as Ebola.

svet ovo prepoznati kao ebolu.

When every minute counted, we had already lost months,

Kada je svaki minut važan, mi smo već bili izgubili mesece

and by then the virus had spread like wildfire all across West Africa,

i do tad se virus proširio poput požara širom Zapadne Afrike,

and eventually to other parts of the world.

i na kraju do drugih delova sveta.

Businesses shut down, airlines started canceling routes.

Firme su se zatvarale, avioni su počeli da otkazuju letove.

At the height of the crisis,

Na vrhuncu krize,

when we were told that 1.4 million people could be infected,

kada nam je rečeno da bi 1,4 miliona ljudi moglo da bude zaraženo,

when we were told that most of them would die,

kada nam je rečeno da će većina njih da umre,

when we had nearly lost all hope,

kad smo gotovo izgubili svu nadu,

I remember standing with a group of health workers

sećam se da sam stajao sa grupom zdravstvenih radnika

in the rainforest where an outbreak had just happened.

u kišnoj šumi gde je upravo bila izbila epidemija.

We were helping train and equip them to put on the masks,

Obučavali smo ih i opremali da stave maske,

the gloves and the gowns that they needed

rukavice i mantile koji su im bili potrebni

to keep themselves safe from the virus

da bi bili bezbedni od virusa

while they were serving their patients.

dok pomažu pacijentima.

I remember the fear in their eyes.

Sećam se straha u njihovim očima.

And I remember staying up at night, terrified if I'd made the right call

I sećam se da sam bio budan noću, preplašen da li sam doneo pravu odluku

to keep them in the field.

da ih držim na terenu.

When Ebola threatened to bring humanity to its knees,

Kada je ebola pretila da će baciti čovečanstvo na kolena,

Liberia's community health workers didn't surrender to fear.

liberijski zdravstveni radnici iz zajednice se nisu predali strahu.

They did what they had always done:

Radili su ono što i uvek:

they answered the call to serve their neighbors.

odgovarali su na pozive da služe svojim komšijama.

Community members across Liberia learned the symptoms of Ebola,

Članovi zajednice širom Liberije naučili su simptome ebole,

teamed up with nurses and doctors to go door-to-door to find the sick

udružili su se sa sestrama i doktorima i išli od vrata do vrata tražeći bolesne

and get them into care.

i pružajući im negu.

They tracked thousands of people who had been exposed to the virus

Otkrili su na hiljade ljudi koji su bili izloženi virusu

and helped break the chain of transmission.

i pomogli su u prekidanju lanca zaraze.

Some ten thousand community health workers risked their own lives

Desetak hiljada zdravstvenih radnika iz zajednice su rizikovali lične živote

to help hunt down this virus and stop it in its tracks.

kako bi pomogli u lovu na virus i zaustvaljanju njegovog širenja.

(Applause)

(Aplauz)

Today, Ebola has come under control in West Africa,

Danas je ebola pod kontrolom u Zapadnoj Africi

and we've learned a few things.

i naučili smo nekoliko stvari.

We've learned that blind spots in rural health care

Naučili smo da slepi uglovi u ruralnoj zdravstvenoj nezi

can lead to hot spots of disease,

mogu da postanu žarišta zaraze

and that places all of us at greater risk.

i to nas sve dovodi u veću opasnost.

We've learned that the most efficient emergency system

Naučili smo da najefikasniji sistem hitne pomoći

is actually an everyday system,

je zapravo svakodnevni sistem,

and that system has to reach all communities,

i taj sistem mora da ima pristup svim zajednicama,

including rural communities like Emile's.

uključujući ruralne zajednice, poput Emilove.

And most of all,

I, najvažnije,

we've learned from the courage of Liberia's community health workers

naučili smo iz odvažnosti liberijskih lekara iz zajednice

that we as people are not defined by the conditions we face,

da nas ljude ne određuju stanja sa kojima se suočavamo,

no matter how hopeless they seem.

koliko god beznadežnim se činila.

We're defined by how we respond to them.

Određuje nas to kako reagujemo na njih.

For the past 15 years,

Poslednjih 15 godina,

I've seen the power of this idea

video sam moć ove ideje

to transform everyday citizens into community health workers --

u preobražavanju običnih građana u lekare iz zajednice -

into everyday heroes.

u svakodnevne heroje.

And I've seen it play out everywhere,

I video sam to svuda -

from the forest communities of West Africa,

od šumskih zajednica iz Zapadne Afrike

to the rural fishing villages of Alaska.

do ruralnih ribarskih sela na Aljasci.

It's true,

Tačno je,

these community health workers aren't doing neurosurgery,

ovi lekari iz zajednice se ne bave neurohirurgijom,

but they're making it possible

ali omogućavaju

to bring health care within reach of everyone everywhere.

da se zdravstvena nega donese svima svuda.

So now what?

Dakle, šta sad?

Well, we know that there are still millions of people dying

Pa, znamo da još uvek milioni ljudi umiru

from preventable causes

od uzroka koji mogu da se izbegnu

in rural communities around the world.

u ruralnim zajednicama širom sveta.

And we know that the great majority of these deaths are happening

I znamo da se velika većina ovih smrti dešava

in these 75 blue-shaded countries.

u ovih 75 država obojenih u plavo.

What we also know

Takođe znamo

is that if we trained an army of community health workers

da kad bismo obučili armiju zdravstvenih radnika iz zajednice

to learn even just 30 lifesaving skills,

da nauče samo bar 30 veština za spašavanje života,

we could save the lives of nearly 30 million people by 2030.

mogli bismo da sačuvamo živote skoro 30 miliona ljudi do 2030.

Thirty services could save 30 million lives by 2030.

Trideset službi bi moglo da spasi 30 miliona života do 2030.

That's not just a blueprint --

To nije tek nacrt -

we're proving this can be done.

dokazujemo da je ovo izvodljivo.

In Liberia,

U Liberiji,

the Liberian government is training thousands of workers like A.B. and Musu

liberijska vlada obučava hiljade radnika poput A. B. i Musu

after Ebola,

nakon ebole

to bring health care to every child and family in the country.

da donesu zdravstvenu negu svakom detetu i porodici u državi.

And we've been honored to work with them,

I čast nam je da radimo s njima,

and are now teaming up with a number of organizations

i trenutno se udružujemo sa nekim organizacijama

that are working across other countries

koje rade širom drugih država

to try to help them do the same thing.

kako bismo im pomogli da urade isto to.

If we could help these countries scale,

Ako bismo mogli da pomognemo ovim državama da prošire model,

we could save millions of lives,

mogli bismo da sačuvamo milione života,

and at the same time,

a istovremeno,

we could create millions of jobs.

mogli bismo da stvorimo milione radnih mesta.

We simply can't do that, though, without technology.

Jednostavo ne možemo to da postignemo, ipak, bez tehnologije.

People are worried that technology is going to steal our jobs,

Ljudi brinu da bi nam tehnologija mogla da ukrade poslove,

but when it comes to community health workers,

ali kad se radi o lekarima iz zajednice,

technology has actually been vital for creating jobs.

tehnologija je zapravo bila ključna za stvaranje poslova.

Without technology -- without this smartphone,

Bez tehnologije - bez ovog pametnog telefona,

without this rapid test --

bez ovog brzog testa -

it would have been impossible for us to be able to employ A.B. and Musu.

bilo bi nemoguće za nas da zaposlimo A. B. i Musu.

And I think it's time for technology to help us train,

I mislim da je vreme da nam tehnologija pomogne u obuci,

to help us train people faster and better than ever before.

da nam pomogne da brže obučavamo ljude i bolje nego ikad pre.

As a doctor,

Kao doktor,

I use technology to stay up-to-date and keep certified.

koristim tehnologiju da bih bio u toku i da bih zadržao licencu.

I use smartphones, I use apps, I use online courses.

Koristim pametne telefone, aplikacije, onlajn kurseve.

But when A.B. wants to learn,

Ali kad A. B. želi da uči,

he's got to jump back in that canoe

mora da uskoči u kanu

and get to the training center.

i stigne do centra za obuku.

And when Musu shows up for training,

A kad se Musu pojavi na obuci,

her instructors are stuck using flip charts and markers.

njeni instruktori su ograničeni upotrebom tabli i markera.

Why shouldn't they have the same access to learn as I do?

Zašto ne bi imali isti pristup učenju kao što ja imam?

If we truly want community health workers to master those lifesaving skills

Ako zaista želimo da lekari iz zajednice savladaju te veštine za spašavanje života

and even more,

i više od toga,

we've got to change this old-school model of education.

moramo da izmenimo ovaj staromodni model obrazovanja.

Tech can truly be a game changer here.

Ovde tehnologija uistinu može da izmeni sve.

I've been in awe of the digital education revolution

Bio sam zadivljen revolucijom digitalnog obrazovanja

that the likes of Khan Academy and edX have been leading.

koju su predvodili Akademija Kan, edX i slični.

And I've been thinking that it's time;

I razmišljao sam da je vreme;

it's time for a collision

vreme je za sudar

between the digital education revolution

između revolucije digitalnog obrazovanja

and the community health revolution.

i revolucije narodnog zdravstva.

And so, this brings me to my TED Prize wish.

I to me dovodi do želje u vezi sa TED nagradom.

I wish --

Želim -

I wish that you would help us recruit

želim da nam pomognete da regrutujemo

the largest army of community health workers the world has ever known

najveću armiju lekara iz zajednice koju je svet ikad video

by creating the Community Health Academy,

tako što ćemo da stvorimo Akademiju narodnog zdravstva,

a global platform to train, connect and empower.

globalnu platformu za obuku, povezivanje i osnaživanje.

(Applause)

(Aplauz)

Thank you.

Hvala vam.

(Applause)

(Aplauz)

Thank you.

Hvala vam.

Here's the idea:

Ovo je zamisao:

we'll create and curate

stvorićemo i biti kustosi

the best in digital education resources.

najboljim resursima u digitalnom obrazovanju.

We will bring those to community health workers around the world,

Donećemo ih u zajednice lekara iz zajednice širom sveta,

including A.B. and Musu.

uključujući A. B. i Musu.

They'll get video lessons on giving kids vaccines

Dobiće video lekcije kako da deci daju vakcine

and have online courses on spotting the next outbreak,

i imaće onlajn kurseve kako da prepoznaju novu epidemiju,

so they're not stuck using flip charts.

kako ne bi bili ograničeni tablama.

We'll help these countries accredit these workers,

Pomoći ćemo ovim državama da akredituju radnike,

so that they're not stuck remaining an under-recognized, undervalued group,

kako ne bi ostali zaglavljeni kao nedovoljno priznata i cenjena grupa,

but become a renowned, empowered profession,

već da postanu uvažena, osnažena profesija,

just like nurses and doctors.

baš kao sestre i doktori.

And we'll create a network of companies and entrepreneurs

I stvorićemo mrežu firmi i preduzetnika

who've created innovations that can save lives

koji su stvorili inovacije koje spašavaju živote

and help them connect to workers like Musu,

i pomoći ćemo im da se povežu s radnicima poput Musu,

so she can help better serve her community.

kako bi bolje služili svojoj zajednici.

And we'll work tirelessly to persuade governments

I radićemo bez predaha kako bismo ubedili vlade

to make community health workers a cornerstone of their health care plans.

da narodni lekari budu u temelju njihovih zdravstvenih planova.

We plan to test and prototype the academy in Liberia

Planiramo da uradimo test i prototip takve akademije u Liberiji

and a few other partner countries,

i u nekoliko partnerskih država,

and then we plan to take it global,

a potom planiramo da to proširimo globalno,

including to rural North America.

uključujući ruralnu Severnu Ameriku.

With the power of this platform,

Uz snagu ove platforme,

we believe countries can be more persuaded

verujemo da još više možemo da ubedimo države

that a health care revolution really is possible.

da je revolucija zdravstva uistinu moguća.

My dream is that this academy will contribute to the training

Moj san je da će ova akademija doprineti obuci

of hundreds of thousands of community members

stotina hiljada članova zajednice

to help bring health care to their neighbors --

kako bi zdravstvenu negu doneli svojim komšijama -

the hundreds of millions of them

stotinama miliona njih

that live in the world's most remote communities,

koji žive u najudaljenijim zajednicama na svetu,

from the forest communities of West Africa,

od šumskih zajednica Zapadne Afrike

to the fishing villages of rural Alaska;

do ribarskih sela ruralne Aljaske;

from the hilltops of Appalachia, to the mountains of Afghanistan.

od brda Apalačije do planina Avganistana.

If this vision is aligned with yours,

Ako je ova vizija u skladu s vašom,

head to communityhealthacademy.org,

pođite do communityhealthacademy.org

and join this revolution.

i pridružite se ovoj revoluciji.

Let us know if you or your organization or someone you know could help us

Javite nam ako vi ili vaša organizacija ili neko koga poznajete, nam može pomoći

as we try to build this academy over the next year.

dok budemo pokušavali da sagradimo akademiju u narednih godinu dana.

Now, as I look out into this room,

Sad, dok gledam po ovoj prostoriji,

I realize that our journeys are not self-made;

shvatam da naša putovanja nisu samostalna;

they're shaped by others.

oblikuju ih drugi.

And there have been so many here that have been part of this cause.

I ovde ima mnogih koji su bili deo ovog pokreta.

We're so honored to be part of this community,

Velika nam je čast da budemo deo ove zajednice,

and a community that's willing to take on a cause

zajednice koja je spremna da se prihvati poduhvata

as audacious as this one,

odvažnog kao ovaj,

so I wanted to offer, as I end,

pa, dok privodim kraju, želim da ponudim

a reflection.

osvrt.

I think a lot more about what my father taught me.

Mnogo više mislim na to što me je otac naučio.

These days, I too have become a dad.

Ovih dana sam i sam postao otac.

I have two sons,

Imam dva sina,

and my wife and I just learned that she's pregnant with our third child.

a moja supruga i ja smo upravo saznali da je trudna s našim trećim detetom.

(Applause)

(Aplauz)

Thank you.

Hvala vam.

(Applause)

(Aplauz)

I was recently caring for a woman in Liberia

Nedavno sam u Liberiji negovao ženu

who, like my wife, was in her third pregnancy.

koja je, poput moje supruge, imala treću trudnoću.

But unlike my wife,

Ali, nasuprot mojoj supruzi,

had had no prenatal care with her first two babies.

nije imala prenatalnu negu tokom prve dve trudnoće.

She lived in an isolated community in the forest that had gone for 100 years

Živele je u izolovanoj zajednici, u šumi koja je 100 godina opstajala

without any health care

bez bilo kakve zdravstvene nege

until ...

sve dok...

until last year when a nurse trained her neighbors

sve dok je prošle godine sestra obučila komšije

to become community health workers.

da postanu lekari iz zajednice.

So here I was,

Dakle, bio sam tu,

seeing this patient who was in her second trimester,

gledao sam pacijentkinju koja je bila u drugom tromesečju,

and I pulled out the ultrasound to check on the baby,

i izvukao sam ultrazvuk da pregledam bebu,

and she started telling us stories about her first two kids,

a ona je počela da nam pripoveda o svoja prva dva deteta,

and I had the ultrasound probe on her belly,

držao sam sondu ultrazvuka na njenom stomaku

and she just stopped mid-sentence.

i ona se zaustavila u sred rečenice.

She turned to me and she said,

Okrenula se ka meni i rekla:

"Doc, what's that sound?"

"Doktore, kakav je to zvuk?"

It was the first time she'd ever heard her baby's heartbeat.

Prvi put je čula otkucaje srca njene bebe.

And her eyes lit up in the same way my wife's eyes and my own eyes lit up

I oči su joj zasijale na isti način kao i oči moje supruge i mene

when we heard our baby's heartbeat.

kada smo čuli otkucaje srca naše bebe.

For all of human history,

Tokom čitave ljudske istorije,

illness has been universal and access to care has not.

bolest je bila univerzalna, a pristup nezi nije.

But as a wise man once told me:

No, kako mi je jedan mudar čovek rekao:

no condition is permanent.

nijedno stanje nije trajno.

It's time.

Vreme je.

It's time for us to go as far as it takes

Vreme je da preduzmemo sve što je potrebno

to change this condition together.

da zajedno promenimo ovo stanje.

Thank you.

Hvala vam.

(Applause)

(Aplauz)