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