0:00:00.120,0:00:04.176 (Music) 0:00:04.200,0:00:06.056 Raj Panjabi: Illness is universal, 0:00:06.080,0:00:08.296 access to care is not, 0:00:08.320,0:00:11.016 and realizing this lit a fire in my soul. 0:00:11.040,0:00:14.960 No one should die because[br]they live too far from a doctor or clinic. 0:00:17.040,0:00:18.496 I wish that you would help us 0:00:18.520,0:00:21.936 recruit the largest army[br]of community health workers 0:00:21.960,0:00:23.576 the world has ever known 0:00:23.600,0:00:26.416 by creating the Community Health Academy, 0:00:26.440,0:00:29.880 a global platform[br]to train, connect and empower. 0:00:34.270,0:00:36.350 [Great Big Story[br]in partnership with TED] 0:00:36.400,0:00:38.880 Narrator: They had a big idea[br]to change the world. 0:00:40.760,0:00:42.736 But they couldn't do it alone. 0:00:42.760,0:00:46.056 (Voices overlapping)[br]So, my wish ... My wish ... I wish ... 0:00:46.080,0:00:48.560 And now, here's my wish ... 0:00:48.808,0:00:51.068 [Torchbearers] 0:00:51.102,0:00:53.222 [Ideas in action] 0:00:56.840,0:01:01.416 RP: Epidemic diseases[br]like Ebola, HIV, Zika, 0:01:01.440,0:01:03.976 emerge from remote, rural communities 0:01:04.000,0:01:06.680 including the rain forests[br]of West and Central Africa. 0:01:07.280,0:01:09.656 These are the hotspots of disease. 0:01:09.680,0:01:11.536 They're the hotspots of infections. 0:01:11.560,0:01:13.256 They're the hotspots of death 0:01:13.280,0:01:17.496 that are located in the blindspots[br]of the global health system. 0:01:17.520,0:01:21.416 The idea that disease anywhere[br]can be a threat to people everywhere 0:01:21.440,0:01:22.656 is very real. 0:01:22.680,0:01:24.336 So how do we stop this? 0:01:24.360,0:01:27.336 Well, it's to enable[br]community health workers 0:01:27.360,0:01:31.560 to prevent, detect and respond[br]to outbreaks at their very source. 0:01:33.440,0:01:36.200 (Music) 0:01:43.120,0:01:45.616 There are a billion people 0:01:45.640,0:01:47.976 who live in the world's[br]most remote communities. 0:01:48.000,0:01:54.016 And while we've made great advances[br]in medicine and in technology, 0:01:54.040,0:01:57.096 our innovations[br]are not reaching the last mile. 0:01:57.120,0:01:59.960 They're not reaching[br]these remote communities. 0:02:03.440,0:02:06.776 We launched a nonprofit[br]called Last Mile Health, 0:02:06.800,0:02:09.536 and Last Mile Health's mission 0:02:09.560,0:02:13.800 is to bring a health care worker[br]within reach of everyone everywhere. 0:02:15.200,0:02:17.376 Woman: Hello. How are you? 0:02:17.400,0:02:19.376 RP: A community health worker 0:02:19.400,0:02:22.736 is someone who lives[br]in one of these communities 0:02:22.760,0:02:26.056 that's cut off, several days[br]away from the nearest clinic, 0:02:26.080,0:02:29.336 and they may not have had a chance[br]to finish even high school. 0:02:29.360,0:02:31.256 Woman: I'm just listening to her lungs. 0:02:31.280,0:02:36.360 RP: They're trained to perform[br]medical skills that can save lives. 0:02:42.600,0:02:45.920 Their job is to go door to door[br]to provide health care. 0:02:53.400,0:02:56.936 Serrena Kun: When I was little,[br]I had a passion of becoming a nurse. 0:02:56.960,0:02:58.656 I loved taking care of children. 0:02:58.680,0:03:03.176 So when the community[br]came here to find people, 0:03:03.200,0:03:04.416 I put my hand up. 0:03:04.440,0:03:06.360 I said I wanted to help little children. 0:03:07.720,0:03:10.896 RP: What these community health workers[br]like Serrena are doing 0:03:10.920,0:03:15.296 is trying to bring the kind of health care[br]your family doctor may provide 0:03:15.320,0:03:17.840 but in places your[br]family doctor may never go. 0:03:28.280,0:03:30.896 Prince Pailey: When I wake up[br]in the morning, 0:03:30.920,0:03:32.160 I put my bag on my bike. 0:03:37.160,0:03:39.656 The distances that I work 0:03:39.680,0:03:42.840 is sometimes two hours,[br]three hours in a forest. 0:03:45.840,0:03:47.296 Some areas, some creeks, 0:03:47.320,0:03:48.576 they drown with the ocean, 0:03:48.600,0:03:51.080 so that every crossing[br]you find it so difficult. 0:03:53.400,0:03:55.816 RP: Community health workers[br]are trained to address 0:03:55.840,0:03:57.856 the health problems[br]of their own community. 0:03:57.880,0:03:59.176 In a country like Liberia, 0:03:59.200,0:04:04.256 it could mean helping a mother[br]get treatment for her child 0:04:04.280,0:04:05.696 suffering from malaria. 0:04:05.720,0:04:08.536 Man: This is paracetamol. 0:04:08.560,0:04:10.136 This is ACT. 0:04:10.160,0:04:13.160 So the only time you're going to give it[br]is in the evening time. 0:04:13.184,0:04:16.224 PP: In Liberia, the children[br]die more than the adults, 0:04:17.480,0:04:20.255 because we have[br]some people in the villages, 0:04:20.279,0:04:22.120 they don't sleep under a mosquito net. 0:04:26.000,0:04:28.096 RP: We already know[br]community health workers 0:04:28.120,0:04:30.776 can help health care systems[br]save more lives. 0:04:30.800,0:04:33.016 Their ability to do that is strengthened 0:04:33.040,0:04:35.216 when they're enabled[br]with modern technology. 0:04:35.240,0:04:38.176 Woman: Now, she's saying[br]that the child has improved 0:04:38.200,0:04:39.856 and went to school today. 0:04:39.880,0:04:44.016 RP: If community health workers[br]were equipped with smartphones, 0:04:44.040,0:04:45.936 this would increase their ability 0:04:45.960,0:04:50.120 to prevent, detect and respond[br]to outbreaks and epidemics. 0:04:51.160,0:04:54.776 It's time for technology[br]to help reinvent health care 0:04:54.800,0:04:56.240 on a game-changing scale. 0:04:57.600,0:05:01.856 We are building the world's first[br]education platform 0:05:01.880,0:05:04.576 for community health workers 0:05:04.600,0:05:07.560 that allows them to see the condition. 0:05:08.080,0:05:09.656 There's instruction on the phone 0:05:09.680,0:05:12.080 to help the worker decide[br]what treatment to give. 0:05:13.920,0:05:20.096 But equipping 50,000[br]community health workers with smartphones 0:05:20.120,0:05:22.816 is an extraordinarily ambitious effort, 0:05:22.840,0:05:26.856 larger than what our organization[br]alone could take on. 0:05:26.880,0:05:28.400 It required collaboration. 0:05:34.120,0:05:38.560 We realized that working together[br]with other partners like Living Goods 0:05:40.800,0:05:43.416 would help us truly solve that problem. 0:05:43.440,0:05:46.136 (Child crying) 0:05:46.160,0:05:49.736 And then we learned[br]about The Audacious Project, 0:05:49.760,0:05:53.736 a new opportunity that TED[br]and a group of visionary philanthropists 0:05:53.760,0:05:58.736 had been working on[br]to fund some of the boldest, 0:05:58.760,0:06:01.336 most audacious ideas in the world. 0:06:01.360,0:06:02.776 So that's all very exciting, 0:06:02.800,0:06:06.056 because many, many more[br]millions of children and families 0:06:06.080,0:06:08.216 are now going to have[br]a chance of getting it, 0:06:08.240,0:06:10.736 and they're going to get it[br]from their own neighbors. 0:06:10.760,0:06:14.176 Man: They say a health worker[br]for everyone, everywhere, every day. 0:06:14.200,0:06:15.416 Thank you. 0:06:15.440,0:06:16.816 RP: Community health workers 0:06:16.840,0:06:21.176 become the very people[br]who can make a difference. 0:06:21.200,0:06:24.936 SK: I love children, I love my community,[br]and my community loves me. 0:06:24.960,0:06:28.840 PP: I have love and passion for the job,[br]so I will continue to work for my people. 0:06:29.400,0:06:32.536 RP: We could by 2030 save 30 million lives 0:06:32.560,0:06:35.840 by training these workers[br]to do 30 services. 0:06:37.160,0:06:40.656 We as people are not defined[br]by the conditions we face, 0:06:40.680,0:06:42.856 no matter how hopeless they seem. 0:06:42.880,0:06:45.336 We're defined by how we respond to them. 0:06:45.360,0:06:48.376 And our response has to demand 0:06:48.400,0:06:50.800 a health worker for everyone everywhere. 0:07:00.309,0:07:05.029 [Support the big ideas of[br]the Audacious Project] 0:07:05.053,0:07:10.846 [AudaciousProject.org]