TED2017
Raj Panjabi: No one should die because they live too far from a doctor
Radž Pandžabi (Raj Panjabi): Niko ne bi trebalo da umre jer živi predaleko od doktora
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Readability: 3.9
1,337,947 views
Bolest je univerzalna - ali dostupnost nege nije. Lekar Radž Pandžabi ima hrabru viziju da donese zdravstvenu negu svakome, svuda. Uz pomoć TED nagrade za 2017, Pandžabi gradi Akademiju narodnog zdravstva, globalnu platformu koja ima za cilj da modernizuje način na koji zdravstveni radnici uče veštine od životnog značaja, usput stvarajući poslove.
Raj Panjabi - Physician
A billion people around the world lack access to health care because they live too far from a clinic. 2017 TED Prize winner Raj Panjabi aims to extend health services to the last mile. Full bio
A billion people around the world lack access to health care because they live too far from a clinic. 2017 TED Prize winner Raj Panjabi aims to extend health services to the last mile. Full bio
Double-click the English transcript below to play the video.
00:12
I want to share with you
something my father taught me:
something my father taught me:
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Želim da podelim sa vama
nešto što me je otac naučio:
nešto što me je otac naučio:
00:17
no condition is permanent.
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nijedno stanje nije trajno.
00:21
It's a lesson he shared with me
again and again,
again and again,
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To je lekcija koju mi je prenosio
iznova i iznova,
iznova i iznova,
00:24
and I learned it to be true the hard way.
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a na teži način sam shvatio da je tako.
00:28
Here I am in my fourth-grade class.
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Ovo sam ja u četvrtom razredu.
00:31
This is my yearbook picture
taken in my class in school
taken in my class in school
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To je moja slika za godišnjak,
fotografisana u mojoj školskoj učionici
fotografisana u mojoj školskoj učionici
00:35
in Monrovia, Liberia.
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u Monroviji, Liberija.
00:37
My parents migrated from India
to West Africa in the 1970s,
to West Africa in the 1970s,
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Roditelji su mi 1970. migrirali
iz Indije u Zapadnu Afriku
iz Indije u Zapadnu Afriku
00:41
and I had the privilege
of growing up there.
of growing up there.
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i ja sam imao tu čast da tamo odrastam.
00:45
I was nine years old,
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Bilo mi je devet godina,
00:46
I loved kicking around a soccer ball,
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voleo sam da šutiram fudbalsku loptu
00:48
and I was a total math and science geek.
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i bio sam skroz zaluđen
matematikom i naukom.
matematikom i naukom.
00:51
I was living the kind of life
that, really, any child would dream of.
that, really, any child would dream of.
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Živeo sam život koji bi zaista,
zaista svako dete sanjalo.
zaista svako dete sanjalo.
00:57
But no condition is permanent.
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Ali nijedno stanje nije trajno.
01:00
On Christmas Eve in 1989,
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Na Badnje veče 1989,
01:03
civil war erupted in Liberia.
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izbio je građanski rat u Liberiji.
01:07
The war started in the rural countryside,
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Rat je počeo u ruralnoj oblasti
01:09
and within months, rebel armies
had marched towards our hometown.
had marched towards our hometown.
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i za nekoliko meseci pobunjenička vojska
je marširala ka našem rodnom gradu.
je marširala ka našem rodnom gradu.
01:12
My school shut down,
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Moja škola je zatvorena,
01:14
and when the rebel armies captured
the only international airport,
the only international airport,
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a kad je pobunjenička vojska zarobila
jedini međunarodni aerodrom,
jedini međunarodni aerodrom,
01:17
people started panicking and fleeing.
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ljudi su počeli da paniče i beže.
01:21
My mom came knocking one morning
and said, "Raj, pack your things --
and said, "Raj, pack your things --
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Majka je jedno jutro pokucala
i rekla: "Radž, pakuj svoje stvari -
i rekla: "Radž, pakuj svoje stvari -
01:25
we have to go."
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moramo da idemo."
01:26
We were rushed to the center of town,
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Sjurili smo u centar grada
01:29
and there on a tarmac,
we were split into two lines.
we were split into two lines.
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i tu na asfaltu
su nas podelili u dva reda.
su nas podelili u dva reda.
01:34
I stood with my family in one line,
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Stajao sam s porodicom u jednom redu,
01:37
and we were stuffed into the cargo hatch
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i natrpali su nas u deo za prtljag
01:39
of a rescue plane.
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na spasilačkom avionu.
01:41
And there on a bench,
I was sitting with my heart racing.
I was sitting with my heart racing.
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I tu na klupi sam sedeo
dok mi je srce lupalo.
dok mi je srce lupalo.
01:44
As I looked out the open hatch,
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I pogledao sam kroz otvorena vrata,
01:46
I saw hundreds of Liberians
in another line,
in another line,
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video sam stotine Liberijaca
u drugom redu,
u drugom redu,
01:49
children strapped to their backs.
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decu čija je leđa povijao vetar.
01:52
When they tried to jump in with us,
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Dok su pokušavala da uskoče kod nas,
01:55
I watched soldiers restrain them.
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gledao sam kako ih vojnici zadržavaju.
01:58
They were not allowed to flee.
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Nije im dozvoljeno da beže.
02:01
We were the lucky ones.
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Mi smo bili srećnici.
02:03
We lost what we had,
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Izgubili smo sve što smo imali,
02:05
but we resettled in America,
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ali smo se raselili u Ameriku
02:07
and as immigrants, we benefitted
from the community of supporters
from the community of supporters
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i kao imigranti, imali smo pomoć
zajednice i podržavalaca
zajednice i podržavalaca
02:10
that rallied around us.
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koji su se motali oko nas.
02:13
They took my family into their home,
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Odveli su moju porodicu u svoj dom,
02:15
they mentored me.
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podučavali su me.
I pomogli su mom ocu
da otvori prodavnicu odeće.
da otvori prodavnicu odeće.
02:18
And they helped my dad
start a clothing shop.
start a clothing shop.
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02:20
I'd visit my father
on weekends as a teenager
on weekends as a teenager
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Kao tinejdžer bih posećivao oca vikendima
02:22
to help him sell sneakers and jeans.
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kako bih mu pomogao
da proda patike i farmerke.
da proda patike i farmerke.
02:25
And every time business would get bad,
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I svaki put kad mu posao ne bi išao,
02:27
he'd remind me of that mantra:
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podsetio bi me na tu mantru:
02:29
no condition is permanent.
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nijedno stanje nije trajno.
02:32
That mantra and my parents' persistence
and that community of supporters
and that community of supporters
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Ta mantra i upornost mojih roditelja
i podrška zajednice
i podrška zajednice
02:37
made it possible for me
to go through college
to go through college
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su mi omogućili da završim fakultet
02:39
and eventually to medical school.
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i, vremenom, medicinu.
02:42
I'd once had my hopes crushed in a war,
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Jednom mi je rat uništio nadu,
02:46
but because of them,
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ali zbog njih,
02:47
I had a chance to pursue my dream
to become a doctor.
to become a doctor.
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imao sam priliku da ostvarim san
i postanem doktor.
i postanem doktor.
02:51
My condition had changed.
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Moje stanje se promenilo.
02:54
It had been 15 years
since I escaped that airfield,
since I escaped that airfield,
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Prošlo je 15 godina
otkad sam pobegao sa tog uzletišta,
otkad sam pobegao sa tog uzletišta,
02:57
but the memory of those two lines
had not escaped my mind.
had not escaped my mind.
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ali sećanje na ta dva reda
mi nije nestajalo iz pameti.
mi nije nestajalo iz pameti.
03:00
I was a medical student in my mid-20s,
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Bio sam student medicine
i u srednjim dvadesetim,
i u srednjim dvadesetim,
03:02
and I wanted to go back
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i želeo sam da se vratim
03:04
to see if I could serve
the people we'd left behind.
the people we'd left behind.
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kako bih video da li mogu da služim
ljudima koje smo napustili.
ljudima koje smo napustili.
03:07
But when I got back,
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Ali kad sam se vratio,
03:08
what I found was utter destruction.
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zatekao sam samo ruševine.
03:10
The war had left us with just 51 doctors
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Rat nas je ostavio sa svega 51 doktorom
03:12
to serve a country of four million people.
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da služe državi od četiri miliona ljudi.
03:15
It would be like the city of San Francisco
having just 10 doctors.
having just 10 doctors.
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Kao kad bi San Francisko
imao svega 10 doktora.
imao svega 10 doktora.
Pa, ako biste se razboleli u gradu
gde je bila ta nekolicina doktora,
gde je bila ta nekolicina doktora,
03:19
So if you got sick in the city
where those few doctors remain,
where those few doctors remain,
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03:22
you might stand a chance.
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možda biste i imali šansu.
03:23
But if you got sick in the remote,
rural rainforest communities,
rural rainforest communities,
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Ali, ako biste se razboleli u udaljenim,
ruralnim zajednicama u kišnim šumama,
ruralnim zajednicama u kišnim šumama,
03:27
where you could be days
from the nearest clinic --
from the nearest clinic --
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gde je najbliža klinika
udaljena danima daleko -
udaljena danima daleko -
03:30
I was seeing my patients die
from conditions no one should die from,
from conditions no one should die from,
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Gledao sam kako mi pacijenti umiru
zbog stanja od kojih niko ne treba da umre
zbog stanja od kojih niko ne treba da umre
03:34
all because they were
getting to me too late.
getting to me too late.
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sve zato što su do mene
stizali suviše kasno.
stizali suviše kasno.
Zamislite da imate dvogodišnjakinju
koji se jednog jutra probudi s groznicom
koji se jednog jutra probudi s groznicom
03:36
Imagine you have a two-year-old
who wakes up one morning with a fever,
who wakes up one morning with a fever,
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03:39
and you realize she could have malaria,
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i shvatite da bi mogla da ima malariju,
03:42
and you know the only way to get her
the medicine she needs
the medicine she needs
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i znate da je jedini način
da joj nabavite nužni lek
da joj nabavite nužni lek
03:45
would be to take her to the riverbed,
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taj da je povedete do reke,
03:46
get in a canoe, paddle to the other side
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uđete u kanu, veslate do druge strane
03:49
and then walk for up to two days
through the forest
through the forest
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i potom hodate i do dva dana kroz šumu
03:51
just to reach the nearest clinic.
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samo da biste stigli do najbliže klinike.
03:54
One billion people live
in the world's most remote communities,
in the world's most remote communities,
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Jedna milijarda ljudi živi
u najudaljenijim zajednicama na svetu
u najudaljenijim zajednicama na svetu
03:57
and despite the advances we've made
in modern medicine and technology,
in modern medicine and technology,
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i uprkos napretku koji smo postigli
u modernoj medicini i tehnologiji,
u modernoj medicini i tehnologiji,
04:00
our innovations are not
reaching the last mile.
reaching the last mile.
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naši izumi ne stižu
do najudaljenijih mesta.
do najudaljenijih mesta.
04:03
These communities have been left behind,
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Ove zajednice su zapostavljene
04:05
because they've been thought
too hard to reach
too hard to reach
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jer se smatra
da je suviše teško doći do njih
da je suviše teško doći do njih
04:07
and too difficult to serve.
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i da je suviše teško ih uslužiti.
04:10
Illness is universal;
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Bolest je univerzalna;
04:11
access to care is not.
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pristup nezi nije.
04:14
And realizing this lit a fire in my soul.
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A taj uvid mi je rasplamsao dušu.
04:16
No one should die because they live
too far from a doctor or clinic.
too far from a doctor or clinic.
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Niko ne bi trebalo da umre jer živi
suviše daleko od doktora ili klinike.
suviše daleko od doktora ili klinike.
04:21
No condition should be permanent.
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Nijedno stanje
ne bi trebalo da bude trajno.
ne bi trebalo da bude trajno.
04:25
And help in this case
didn't come from the outside,
didn't come from the outside,
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A pomoć u ovom slučaju nije došla spolja,
04:28
it actually came from within.
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zapravo je došla iznutra.
04:29
It came from the communities themselves.
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Stigla je iz samih zajednica.
04:32
Meet Musu.
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Upoznajte Musu.
Skroz tamo u ruralnoj Liberiji
04:33
Way out in rural Liberia,
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04:34
where most girls have not had
a chance to finish primary school,
a chance to finish primary school,
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gde većina devojaka nije imala priliku
da završi osnovnu školu.
da završi osnovnu školu.
04:39
Musu had been persistent.
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Musu je bila uporna.
04:42
At the age of 18,
she completed high school,
she completed high school,
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Sa 18 godina je završila srednju školu
04:44
and she came back to her community.
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i vratila se u svoju zajednicu.
04:46
She saw that none of the children
were getting treatment
were getting treatment
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Videla je da nijedno dete
ne dobija terapiju
ne dobija terapiju
04:49
for the diseases
they needed treatment for --
they needed treatment for --
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za bolesti za koje
im je potrebna terapija -
im je potrebna terapija -
04:51
deadly diseases, like malaria
and pneumonia.
and pneumonia.
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smrtonosne bolesti,
poput malarije i upale pluća.
poput malarije i upale pluća.
04:53
So she signed up to be a volunteer.
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Te se prijavila da bude volonter.
04:57
There are millions of volunteers like Musu
in rural parts around our world,
in rural parts around our world,
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Ima na milione volontera nalik Musu
u ruralnim delovima širom sveta,
u ruralnim delovima širom sveta,
05:01
and we got to thinking --
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i mi smo pomislili -
05:03
community members like Musu
could actually help us solve a puzzle.
could actually help us solve a puzzle.
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članovi zajednice, poput Musu, bi mogli
da budu pomoć u rešavanju problema.
da budu pomoć u rešavanju problema.
05:08
Our health care system
is structured in such a way
is structured in such a way
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Naš zdravstveni sistem je tako osmišljen
05:10
that the work of diagnosing disease
and prescribing medicines
and prescribing medicines
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da je posao dijagnostikovanja bolesti
i propisivanja lekova
i propisivanja lekova
05:14
is limited to a team of nurses
and doctors like me.
and doctors like me.
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ograničen na ekipu sestara
i doktora poput mene.
i doktora poput mene.
05:18
But nurses and doctors
are concentrated in cities,
are concentrated in cities,
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Ali sestre i doktori
su koncentrisani u gradovima,
su koncentrisani u gradovima,
05:21
so rural communities like Musu's
have been left behind.
have been left behind.
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te su ruralne zajednice,
poput Musuine, zapostavljene.
poput Musuine, zapostavljene.
05:24
So we started asking some questions:
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Te smo počeli da se pitamo:
šta kad bismo reorganizovali
sistem zdravstvene nege?
sistem zdravstvene nege?
05:26
What if we could reorganize
the medical care system?
the medical care system?
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Šta kad bismo mogli da obezbedimo
da članovi zajednice, poput Musu,
da članovi zajednice, poput Musu,
05:29
What if we could have community
members like Musu
members like Musu
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05:32
be a part or even be the center
of our medical team?
of our medical team?
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budu deo ili čak središte
naše medicinske ekipe?
naše medicinske ekipe?
05:35
What if Musu could help us bring
health care from clinics in cities
health care from clinics in cities
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Šta ako bi Musu mogla da nam pomogne
da prenesemo zdravstvo iz gradskih klinika
da prenesemo zdravstvo iz gradskih klinika
05:39
to the doorsteps of her neighbors?
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na pragove njenog komšiluka.
05:43
Musu was 48 when I met her.
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Musu je imala 48 godina
kad sam je upoznao.
kad sam je upoznao.
05:46
And despite her amazing talent and grit,
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I, uprkos njenom neverovatnom
talentu i rešenosti,
talentu i rešenosti,
05:49
she hadn't had a paying job in 30 years.
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nije imala plaćen posao 30 godina.
05:53
So what if technology could support her?
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Šta ako bi tehnologija
mogla da joj pomogne?
mogla da joj pomogne?
05:56
What if we could invest in her
with real training,
with real training,
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Šta kad bismo mogli da uložimo u nju
istinskom obukom,
istinskom obukom,
06:00
equip her with real medicines,
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opskrbimo je stvarnim lekovima
06:03
and have her have a real job?
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i obezbedimo joj stvarni posao?
06:08
Well, in 2007, I was trying
to answer these questions,
to answer these questions,
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Pa, 2007. sam pokušavao
da odgovorim na ova pitanja,
da odgovorim na ova pitanja,
06:12
and my wife and I were
getting married that year.
getting married that year.
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a te godine smo se
moja supruga i ja venčali.
moja supruga i ja venčali.
06:16
We asked our relatives to forgo
the wedding registry gifts
the wedding registry gifts
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Tražili smo od rodbine da zaborave
na svadbene poklone
na svadbene poklone
i da umesto toga doniraju nešto novca
06:20
and instead donate some money
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06:22
so we could have some start-up money
to launch a nonprofit.
to launch a nonprofit.
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kako bismo obezbedili početni novac
za pokretanje neprofitne organizacije.
za pokretanje neprofitne organizacije.
06:26
I promise you, I'm a lot
more romantic than that.
more romantic than that.
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Kunem se da sam
mnogo romantičniji od toga.
mnogo romantičniji od toga.
06:28
(Laughter)
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(Smeh)
06:30
We ended up raising $6,000,
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Na kraju smo sakupili 6000 dolara,
udružili smo se sa nekim
Liberijcima i Amerikancima
Liberijcima i Amerikancima
06:32
teamed up with some
Liberians and Americans
Liberians and Americans
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06:34
and launched a nonprofit
called Last Mile Health.
called Last Mile Health.
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i pokrenuli neprofitnu organizaciju
Last Mile Health.
Last Mile Health.
06:37
Our goal is to bring a health worker
within reach of everyone, everywhere.
within reach of everyone, everywhere.
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Naš cilj je da dovedemo zdravstvenog
radnika u blizinu svakoga, svuda.
radnika u blizinu svakoga, svuda.
06:42
We designed a three-step process --
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Osmislili smo proces iz tri koraka -
06:44
train, equip and pay --
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obuči, opremi i plati -
06:45
to invest more deeply
in volunteers like Musu
in volunteers like Musu
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kako bismo podrobnije uložili
u volontere, poput Musu,
u volontere, poput Musu,
06:49
to become paraprofessionals,
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kako bi postali profesionalci,
06:50
to become community health workers.
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kako bi postali
zdravstveni radnici zajednice.
zdravstveni radnici zajednice.
06:53
First we trained Musu to prevent,
diagnose and treat
diagnose and treat
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Prvo smo obučili Musu
da spreči, dijagnostikuje i leči
da spreči, dijagnostikuje i leči
06:57
the top 10 diseases afflicting
families in her village.
families in her village.
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10 najčešćih bolesti
koje pogađaju porodice u njenom selu.
koje pogađaju porodice u njenom selu.
07:01
A nurse supervisor visited her
every month to coach her.
every month to coach her.
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Nadležna sestra ju je posećivala
svakog meseca kako bi je podučavala.
svakog meseca kako bi je podučavala.
07:05
We equipped her with modern
medical technology,
medical technology,
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Opskrbili smo je savremenom
medicinskom tehnologijom,
medicinskom tehnologijom,
07:08
like this $1 malaria rapid test,
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poput ovog brzog testa
za malariju od jednog dolara,
za malariju od jednog dolara,
07:11
and put it in a backpack
full of medicines like this
full of medicines like this
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i stavili smo ga u ranac
pun sličnih lekova
pun sličnih lekova
07:15
to treat infections like pneumonia,
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kako bi tretirala zaraze,
poput upale pluća
poput upale pluća
07:18
and crucially,
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i najvažnije,
07:20
a smartphone, to help her track
and report on epidemics.
and report on epidemics.
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pametni telefon, kako bi joj koristio da
vodi evidenciju i izveštava o epidemijama.
vodi evidenciju i izveštava o epidemijama.
07:25
Last, we recognized
the dignity in Musu's work.
the dignity in Musu's work.
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Poslednje, prepoznali
smo dostojanstvo u Musuinom radu.
smo dostojanstvo u Musuinom radu.
07:28
With the Liberian government,
we created a contract,
we created a contract,
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Sa liberijskom vladom
smo napravili ugovor,
smo napravili ugovor,
07:30
paid her
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platili joj
07:32
and gave her the chance
to have a real job.
to have a real job.
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i pružili joj priliku
da ima stvaran posao.
da ima stvaran posao.
07:34
And she's amazing.
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A ona je neverovatna.
07:35
Musu has learned over 30 medical skills,
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Musu je savladala preko
30 medicinskih veština,
30 medicinskih veština,
07:39
from screening children for malnutrition,
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od proveravanja da li su deca neuhranjena
07:41
to assessing the cause
of a child's cough with a smartphone,
of a child's cough with a smartphone,
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preko procenjivanja uzroka dečjeg kašlja
uz pomoć pametnog telefona
uz pomoć pametnog telefona
07:45
to supporting people with HIV
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do pomaganja ljudima sa HIV-om
07:48
and providing follow-up care
to patients who've lost their limbs.
to patients who've lost their limbs.
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i pružanja dodatne nege
pacijentima koji su izgubili udove.
pacijentima koji su izgubili udove.
07:53
Working as part of our team,
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Radeći kao deo naše ekipe,
07:56
working as paraprofessionals,
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radeći kao paraprofesionalac,
zdravstveni radnici iz zajednice
mogu se postarati
mogu se postarati
07:57
community health workers can help ensure
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07:59
that a lot of what
your family doctor would do
your family doctor would do
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za gomilu stvari
koje bi obavio vaš porodični lekar,
koje bi obavio vaš porodični lekar,
08:02
reaches the places that most
family doctors could never go.
family doctors could never go.
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a stižu do mesta na koja većina
porodičnih lekara ne bi mogla da stigne.
porodičnih lekara ne bi mogla da stigne.
08:06
One of my favorite things to do
is to care for patients
is to care for patients
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Jedna od mojih omiljenih aktivnosti
je nega pacijenata
je nega pacijenata
sa zdravstvenim radnicima iz zajednice.
08:09
with community health workers.
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08:10
So last year I was visiting A.B.,
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Pa sam prošle godine bio u poseti A. B.-u
08:12
and like Musu, A.B. had had
a chance to go to school.
a chance to go to school.
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i, poput Musu, A. B.
je imao priliku da pohađa školu.
je imao priliku da pohađa školu.
08:16
He was in middle school,
in the eighth grade,
in the eighth grade,
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Bio je u osnovnoj školi, u osmom razredu,
08:19
when his parents died.
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kad su mu umrli roditelji.
08:20
He became an orphan and had to drop out.
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Postao je siroče i morao je da se ispiše.
08:24
Last year, we hired and trained
A.B. as a community health worker.
A.B. as a community health worker.
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Lani smo zaposlili i obučili A. B.-a
kao zdravstvenog radnika iz zajednice.
kao zdravstvenog radnika iz zajednice.
08:30
And while he was making
door to door house calls,
door to door house calls,
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I dok je obavljao posete
od vrata do vrata,
od vrata do vrata,
08:33
he met this young boy named Prince,
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upoznao je ovog dečaka, po imenu Prins,
08:35
whose mother had had trouble
breastfeeding him,
breastfeeding him,
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čija majka je imala poteškoće u dojenju,
08:38
and by the age of six months,
Prince had started to waste away.
Prince had started to waste away.
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i do uzrasta od šest meseci,
Prins je počeo da kopni.
Prins je počeo da kopni.
08:41
A.B. had just been taught how to use
this color-coded measuring tape
this color-coded measuring tape
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A. B. je tek bio počeo da uči kako
da koristi ovu traku za merenje u boji
da koristi ovu traku za merenje u boji
08:45
that wraps around the upper arm
of a child to diagnose malnutrition.
of a child to diagnose malnutrition.
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koja se obmotava oko nadlaktice
deteta i dijagnostikuje neuhranjenost.
deteta i dijagnostikuje neuhranjenost.
08:49
A.B. noticed that Prince
was in the red zone,
was in the red zone,
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A. B. je primetio da je Prins
u crvenoj zoni,
u crvenoj zoni,
što je značilo da mora
da bude hospitalizovan.
da bude hospitalizovan.
08:51
which meant he had to be hospitalized.
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08:53
So A.B. took Prince
and his mother to the river,
and his mother to the river,
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Te je A. B. poveo Prinsa
i njegovu majku do reke,
i njegovu majku do reke,
08:56
got in a canoe
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ušli su u kanu
08:57
and paddled for four hours
to get to the hospital.
to get to the hospital.
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i veslali četiri sata
da bi stigli do bolnice.
da bi stigli do bolnice.
08:59
Later, after Prince was discharged,
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Kasnije, kad je Prins pušten kući,
09:02
A.B. taught mom how to feed baby
a food supplement.
a food supplement.
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A. B. je podučio majku
kako da hrani bebu formulom.
kako da hrani bebu formulom.
09:07
A few months ago,
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Pre nekoliko meseci,
09:09
A.B. took me to visit Prince,
and he's a chubby little guy.
and he's a chubby little guy.
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A. B. me je poveo u posetu Prinsu
i on je debeljuškasti mališa.
i on je debeljuškasti mališa.
09:13
(Laughter)
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(Smeh)
09:14
He's meeting his milestones,
he's pulled himself up to a stand,
he's pulled himself up to a stand,
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Dolazi do svojih prekretnica,
podiže se da stoji,
podiže se da stoji,
09:17
and is even starting to say a few words.
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a čak je počeo i da govori nekoliko reči.
Toliko me inspirišu
ovi zdravstveni radnici iz zajednica.
ovi zdravstveni radnici iz zajednica.
09:19
I'm so inspired by these
community health workers.
community health workers.
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09:22
I often ask them why they do what they do,
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Često ih pitam zašto rade to što rade,
09:24
and when I asked A.B.,
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a kad sam upitao A. B.-a,
09:26
he said, "Doc, since I dropped out
of school, this is the first time
of school, this is the first time
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rekao je: "Doco, otkad sam se ispisao
iz škole, ovo je prvi put
iz škole, ovo je prvi put
09:30
I'm having a chance
to hold a pen to write.
to hold a pen to write.
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da sam u prilici da držim olovku i pišem.
09:34
My brain is getting fresh."
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Moj mozak se obnavlja."
09:38
The stories of A.B. and Musu
have taught me something fundamental
have taught me something fundamental
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Priče o A. B.-u i Musu
su me naučile nešto temeljno
su me naučile nešto temeljno
09:41
about being human.
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o čovečnosti.
09:44
Our will to serve others
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Naša spremnost da služimo drugima
09:47
can actually help us
transform our own conditions.
transform our own conditions.
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nam zapravo može pomoći
da preobratimo sopstvena stanja.
da preobratimo sopstvena stanja.
09:51
I was so moved by how powerful
the will to serve our neighbors can be
the will to serve our neighbors can be
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Bio sam veoma dirnut snagom ljudske volje
da služi svojim komšijama
da služi svojim komšijama
09:55
a few years ago,
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pre nekoliko godina,
09:58
when we faced a global catastrophe.
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2003
kad smo se suočili
s globalnom katastrofom.
s globalnom katastrofom.
10:00
In December 2013,
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U decembru 2013,
10:02
something happened in the rainforests
across the border from us in Guinea.
across the border from us in Guinea.
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nešto se desilo u kišnim šumama
duž naše granice i Gvineje.
duž naše granice i Gvineje.
10:05
A toddler named Emile fell sick
with vomiting, fever and diarrhea.
with vomiting, fever and diarrhea.
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Novorođenče, po imenu Emil, se razbolelo
od povraćanja, groznice i dijareje.
od povraćanja, groznice i dijareje.
10:10
He lived in an area
where the roads were sparse
where the roads were sparse
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Živeo je u oblasti u kojoj su putevi retki
10:12
and there had been massive
shortages of health workers.
shortages of health workers.
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i imaju ogromni nedostatak
zdravstvenih radnika.
zdravstvenih radnika.
10:16
Emile died,
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Emil je umro,
a par nedelja kasnije
je umrla njegova sestra,
je umrla njegova sestra,
10:18
and a few weeks later his sister died,
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10:19
and a few weeks later his mother died.
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1920
a nekoliko nedelja kasnije umrla je majka.
10:21
And this disease would spread
from one community to another.
from one community to another.
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A ova bolest će se proširiti
od jedne zajednice do druge.
od jedne zajednice do druge.
10:25
And it wasn't until three months later
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I tek će tri meseca kasnije
10:27
that the world recognized this as Ebola.
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svet ovo prepoznati kao ebolu.
10:30
When every minute counted,
we had already lost months,
we had already lost months,
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Kada je svaki minut važan,
mi smo već bili izgubili mesece
mi smo već bili izgubili mesece
10:33
and by then the virus had spread
like wildfire all across West Africa,
like wildfire all across West Africa,
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3453
i do tad se virus proširio
poput požara širom Zapadne Afrike,
poput požara širom Zapadne Afrike,
10:36
and eventually to other
parts of the world.
parts of the world.
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i na kraju do drugih delova sveta.
10:38
Businesses shut down,
airlines started canceling routes.
airlines started canceling routes.
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Firme su se zatvarale,
avioni su počeli da otkazuju letove.
avioni su počeli da otkazuju letove.
10:41
At the height of the crisis,
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1416
Na vrhuncu krize,
10:43
when we were told that 1.4 million
people could be infected,
people could be infected,
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kada nam je rečeno da bi
1,4 miliona ljudi moglo da bude zaraženo,
1,4 miliona ljudi moglo da bude zaraženo,
10:47
when we were told
that most of them would die,
that most of them would die,
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3503
kada nam je rečeno
da će većina njih da umre,
da će većina njih da umre,
10:51
when we had nearly lost all hope,
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2414
kad smo gotovo izgubili svu nadu,
10:55
I remember standing with a group
of health workers
of health workers
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sećam se da sam stajao
sa grupom zdravstvenih radnika
sa grupom zdravstvenih radnika
10:58
in the rainforest where
an outbreak had just happened.
an outbreak had just happened.
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2758
u kišnoj šumi gde je upravo
bila izbila epidemija.
bila izbila epidemija.
11:01
We were helping train and equip
them to put on the masks,
them to put on the masks,
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Obučavali smo ih i opremali
da stave maske,
da stave maske,
11:04
the gloves and the gowns that they needed
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rukavice i mantile
koji su im bili potrebni
koji su im bili potrebni
11:06
to keep themselves safe from the virus
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1995
da bi bili bezbedni od virusa
11:08
while they were serving their patients.
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2308
dok pomažu pacijentima.
11:10
I remember the fear in their eyes.
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2301
Sećam se straha u njihovim očima.
11:14
And I remember staying up at night,
terrified if I'd made the right call
terrified if I'd made the right call
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4586
I sećam se da sam bio budan noću,
preplašen da li sam doneo pravu odluku
preplašen da li sam doneo pravu odluku
11:20
to keep them in the field.
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da ih držim na terenu.
11:22
When Ebola threatened to bring
humanity to its knees,
humanity to its knees,
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3885
Kada je ebola pretila
da će baciti čovečanstvo na kolena,
da će baciti čovečanstvo na kolena,
11:27
Liberia's community health workers
didn't surrender to fear.
didn't surrender to fear.
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liberijski zdravstveni radnici
iz zajednice se nisu predali strahu.
iz zajednice se nisu predali strahu.
11:31
They did what they had always done:
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2328
Radili su ono što i uvek:
11:34
they answered the call
to serve their neighbors.
to serve their neighbors.
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2954
odgovarali su na pozive
da služe svojim komšijama.
da služe svojim komšijama.
11:37
Community members across Liberia
learned the symptoms of Ebola,
learned the symptoms of Ebola,
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3768
Članovi zajednice širom Liberije
naučili su simptome ebole,
naučili su simptome ebole,
udružili su se sa sestrama i doktorima
i išli od vrata do vrata tražeći bolesne
i išli od vrata do vrata tražeći bolesne
11:41
teamed up with nurses and doctors
to go door-to-door to find the sick
to go door-to-door to find the sick
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3553
11:44
and get them into care.
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1556
i pružajući im negu.
11:46
They tracked thousands of people
who had been exposed to the virus
who had been exposed to the virus
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3410
Otkrili su na hiljade ljudi
koji su bili izloženi virusu
koji su bili izloženi virusu
11:49
and helped break
the chain of transmission.
the chain of transmission.
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2423
i pomogli su u prekidanju lanca zaraze.
Desetak hiljada zdravstvenih radnika
iz zajednice su rizikovali lične živote
iz zajednice su rizikovali lične živote
11:52
Some ten thousand community
health workers risked their own lives
health workers risked their own lives
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3310
11:55
to help hunt down this virus
and stop it in its tracks.
and stop it in its tracks.
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kako bi pomogli u lovu na virus
i zaustvaljanju njegovog širenja.
i zaustvaljanju njegovog širenja.
11:59
(Applause)
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707527
5885
(Aplauz)
12:06
Today, Ebola has come
under control in West Africa,
under control in West Africa,
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3510
Danas je ebola pod kontrolom
u Zapadnoj Africi
u Zapadnoj Africi
12:10
and we've learned a few things.
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1621
i naučili smo nekoliko stvari.
12:12
We've learned that blind spots
in rural health care
in rural health care
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2598
Naučili smo da slepi uglovi
u ruralnoj zdravstvenoj nezi
u ruralnoj zdravstvenoj nezi
12:14
can lead to hot spots of disease,
245
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1798
mogu da postanu žarišta zaraze
12:16
and that places all of us at greater risk.
246
724793
2416
i to nas sve dovodi u veću opasnost.
12:19
We've learned that the most efficient
emergency system
emergency system
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2692
Naučili smo da najefikasniji
sistem hitne pomoći
sistem hitne pomoći
12:22
is actually an everyday system,
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2028
je zapravo svakodnevni sistem,
12:24
and that system has to reach
all communities,
all communities,
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2726
i taj sistem mora da ima pristup
svim zajednicama,
svim zajednicama,
12:27
including rural communities like Emile's.
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2275
uključujući ruralne zajednice,
poput Emilove.
poput Emilove.
12:30
And most of all,
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1151
I, najvažnije,
12:31
we've learned from the courage
of Liberia's community health workers
of Liberia's community health workers
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3461
naučili smo iz odvažnosti
liberijskih lekara iz zajednice
liberijskih lekara iz zajednice
12:35
that we as people are not defined
by the conditions we face,
by the conditions we face,
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3721
da nas ljude ne određuju
stanja sa kojima se suočavamo,
stanja sa kojima se suočavamo,
12:38
no matter how hopeless they seem.
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2064
koliko god beznadežnim se činila.
12:42
We're defined by how we respond to them.
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2132
Određuje nas to kako reagujemo na njih.
12:46
For the past 15 years,
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2051
Poslednjih 15 godina,
12:49
I've seen the power of this idea
257
757249
2003
video sam moć ove ideje
12:51
to transform everyday citizens
into community health workers --
into community health workers --
258
759276
4097
u preobražavanju običnih građana
u lekare iz zajednice -
u lekare iz zajednice -
12:55
into everyday heroes.
259
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1863
u svakodnevne heroje.
12:58
And I've seen it play out everywhere,
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766124
1802
I video sam to svuda -
12:59
from the forest communities
of West Africa,
of West Africa,
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2058
od šumskih zajednica iz Zapadne Afrike
13:02
to the rural fishing villages of Alaska.
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2245
do ruralnih ribarskih sela na Aljasci.
13:04
It's true,
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1150
Tačno je,
13:06
these community health workers
aren't doing neurosurgery,
aren't doing neurosurgery,
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3049
ovi lekari iz zajednice
se ne bave neurohirurgijom,
se ne bave neurohirurgijom,
13:09
but they're making it possible
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ali omogućavaju
13:10
to bring health care within reach
of everyone everywhere.
of everyone everywhere.
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da se zdravstvena nega donese svima svuda.
13:15
So now what?
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Dakle, šta sad?
13:17
Well, we know that there are still
millions of people dying
millions of people dying
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Pa, znamo da još uvek milioni ljudi umiru
13:21
from preventable causes
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od uzroka koji mogu da se izbegnu
13:23
in rural communities around the world.
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u ruralnim zajednicama širom sveta.
13:25
And we know that the great majority
of these deaths are happening
of these deaths are happening
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I znamo da se velika većina
ovih smrti dešava
ovih smrti dešava
13:29
in these 75 blue-shaded countries.
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u ovih 75 država obojenih u plavo.
13:31
What we also know
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799849
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Takođe znamo
13:33
is that if we trained an army
of community health workers
of community health workers
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da kad bismo obučili armiju
zdravstvenih radnika iz zajednice
zdravstvenih radnika iz zajednice
13:36
to learn even just 30 lifesaving skills,
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804491
3333
da nauče samo bar 30 veština
za spašavanje života,
za spašavanje života,
13:40
we could save the lives of nearly
30 million people by 2030.
30 million people by 2030.
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mogli bismo da sačuvamo živote
skoro 30 miliona ljudi do 2030.
skoro 30 miliona ljudi do 2030.
13:45
Thirty services could save
30 million lives by 2030.
30 million lives by 2030.
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Trideset službi bi moglo da spasi
30 miliona života do 2030.
30 miliona života do 2030.
13:50
That's not just a blueprint --
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818321
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To nije tek nacrt -
13:52
we're proving this can be done.
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dokazujemo da je ovo izvodljivo.
13:53
In Liberia,
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821907
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U Liberiji,
13:55
the Liberian government is training
thousands of workers like A.B. and Musu
thousands of workers like A.B. and Musu
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823091
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liberijska vlada obučava
hiljade radnika poput A. B. i Musu
hiljade radnika poput A. B. i Musu
13:59
after Ebola,
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827380
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nakon ebole
14:00
to bring health care to every
child and family in the country.
child and family in the country.
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828562
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da donesu zdravstvenu negu
svakom detetu i porodici u državi.
svakom detetu i porodici u državi.
14:04
And we've been honored to work with them,
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I čast nam je da radimo s njima,
14:06
and are now teaming up
with a number of organizations
with a number of organizations
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834118
2508
i trenutno se udružujemo
sa nekim organizacijama
sa nekim organizacijama
14:08
that are working across other countries
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836650
2222
koje rade širom drugih država
14:10
to try to help them do the same thing.
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838896
2023
kako bismo im pomogli da urade isto to.
14:14
If we could help these countries scale,
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842005
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Ako bismo mogli da pomognemo
ovim državama da prošire model,
ovim državama da prošire model,
mogli bismo da sačuvamo milione života,
14:17
we could save millions of lives,
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845550
1632
14:19
and at the same time,
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847206
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a istovremeno,
mogli bismo da stvorimo
milione radnih mesta.
milione radnih mesta.
14:20
we could create millions of jobs.
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14:23
We simply can't do that, though,
without technology.
without technology.
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851875
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Jednostavo ne možemo to da postignemo,
ipak, bez tehnologije.
ipak, bez tehnologije.
14:27
People are worried that technology
is going to steal our jobs,
is going to steal our jobs,
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855286
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Ljudi brinu da bi nam tehnologija
mogla da ukrade poslove,
mogla da ukrade poslove,
14:30
but when it comes
to community health workers,
to community health workers,
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858398
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ali kad se radi o lekarima iz zajednice,
14:32
technology has actually
been vital for creating jobs.
been vital for creating jobs.
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tehnologija je zapravo
bila ključna za stvaranje poslova.
bila ključna za stvaranje poslova.
14:35
Without technology --
without this smartphone,
without this smartphone,
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2416
Bez tehnologije -
bez ovog pametnog telefona,
bez ovog pametnog telefona,
14:38
without this rapid test --
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866341
2722
bez ovog brzog testa -
14:41
it would have been impossible for us
to be able to employ A.B. and Musu.
to be able to employ A.B. and Musu.
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bilo bi nemoguće za nas
da zaposlimo A. B. i Musu.
da zaposlimo A. B. i Musu.
14:47
And I think it's time
for technology to help us train,
for technology to help us train,
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875464
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I mislim da je vreme
da nam tehnologija pomogne u obuci,
da nam tehnologija pomogne u obuci,
14:50
to help us train people faster
and better than ever before.
and better than ever before.
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878170
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da nam pomogne da brže obučavamo ljude
i bolje nego ikad pre.
i bolje nego ikad pre.
14:54
As a doctor,
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1150
Kao doktor,
14:55
I use technology to stay up-to-date
and keep certified.
and keep certified.
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koristim tehnologiju da bih bio u toku
i da bih zadržao licencu.
i da bih zadržao licencu.
14:59
I use smartphones, I use apps,
I use online courses.
I use online courses.
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Koristim pametne telefone,
aplikacije, onlajn kurseve.
aplikacije, onlajn kurseve.
15:01
But when A.B. wants to learn,
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889986
2212
Ali kad A. B. želi da uči,
15:04
he's got to jump back in that canoe
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892222
2095
mora da uskoči u kanu
15:07
and get to the training center.
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895152
1640
i stigne do centra za obuku.
15:08
And when Musu shows up for training,
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896816
2192
A kad se Musu pojavi na obuci,
15:11
her instructors are stuck using
flip charts and markers.
flip charts and markers.
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899710
3605
njeni instruktori su ograničeni
upotrebom tabli i markera.
upotrebom tabli i markera.
15:16
Why shouldn't they have the same
access to learn as I do?
access to learn as I do?
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904147
4533
Zašto ne bi imali isti pristup
učenju kao što ja imam?
učenju kao što ja imam?
Ako zaista želimo da lekari iz zajednice
savladaju te veštine za spašavanje života
savladaju te veštine za spašavanje života
15:22
If we truly want community health workers
to master those lifesaving skills
to master those lifesaving skills
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910384
3628
15:26
and even more,
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914036
1252
i više od toga,
15:28
we've got to change this old-school
model of education.
model of education.
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916098
3254
moramo da izmenimo
ovaj staromodni model obrazovanja.
ovaj staromodni model obrazovanja.
Ovde tehnologija uistinu
može da izmeni sve.
može da izmeni sve.
15:32
Tech can truly be a game changer here.
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920282
1898
15:34
I've been in awe of the digital
education revolution
education revolution
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922204
3545
Bio sam zadivljen revolucijom
digitalnog obrazovanja
digitalnog obrazovanja
15:37
that the likes of Khan Academy
and edX have been leading.
and edX have been leading.
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925773
3160
koju su predvodili
Akademija Kan, edX i slični.
Akademija Kan, edX i slični.
15:42
And I've been thinking that it's time;
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930041
2493
I razmišljao sam da je vreme;
15:44
it's time for a collision
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932558
1391
vreme je za sudar
15:45
between the digital education revolution
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933973
2311
između revolucije digitalnog obrazovanja
15:48
and the community health revolution.
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936308
2150
i revolucije narodnog zdravstva.
15:51
And so, this brings me
to my TED Prize wish.
to my TED Prize wish.
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939483
3220
I to me dovodi do želje
u vezi sa TED nagradom.
u vezi sa TED nagradom.
15:55
I wish --
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943759
1801
Želim -
15:57
I wish that you would help us recruit
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945584
2206
želim da nam pomognete da regrutujemo
15:59
the largest army of community health
workers the world has ever known
workers the world has ever known
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947814
3928
najveću armiju lekara iz zajednice
koju je svet ikad video
koju je svet ikad video
16:04
by creating the Community Health Academy,
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952068
2825
tako što ćemo da stvorimo
Akademiju narodnog zdravstva,
Akademiju narodnog zdravstva,
16:06
a global platform to train,
connect and empower.
connect and empower.
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954917
3205
globalnu platformu za obuku,
povezivanje i osnaživanje.
povezivanje i osnaživanje.
16:10
(Applause)
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958797
1166
(Aplauz)
16:11
Thank you.
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959988
1162
Hvala vam.
16:13
(Applause)
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961175
3602
(Aplauz)
16:16
Thank you.
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964801
1158
Hvala vam.
16:19
Here's the idea:
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967816
1544
Ovo je zamisao:
16:21
we'll create and curate
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969384
2070
stvorićemo i biti kustosi
16:24
the best in digital education resources.
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972066
3875
najboljim resursima
u digitalnom obrazovanju.
u digitalnom obrazovanju.
16:28
We will bring those to community
health workers around the world,
health workers around the world,
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976802
4635
Donećemo ih u zajednice
lekara iz zajednice širom sveta,
lekara iz zajednice širom sveta,
16:33
including A.B. and Musu.
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981461
1253
uključujući A. B. i Musu.
16:34
They'll get video lessons
on giving kids vaccines
on giving kids vaccines
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982738
2802
Dobiće video lekcije
kako da deci daju vakcine
kako da deci daju vakcine
16:37
and have online courses
on spotting the next outbreak,
on spotting the next outbreak,
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985564
3213
i imaće onlajn kurseve
kako da prepoznaju novu epidemiju,
kako da prepoznaju novu epidemiju,
16:40
so they're not stuck using flip charts.
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988801
1883
kako ne bi bili ograničeni tablama.
16:42
We'll help these countries
accredit these workers,
accredit these workers,
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990708
3836
Pomoći ćemo ovim državama
da akredituju radnike,
da akredituju radnike,
16:46
so that they're not stuck remaining
an under-recognized, undervalued group,
an under-recognized, undervalued group,
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994568
4707
kako ne bi ostali zaglavljeni
kao nedovoljno priznata i cenjena grupa,
kao nedovoljno priznata i cenjena grupa,
16:51
but become a renowned,
empowered profession,
empowered profession,
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999299
2737
već da postanu uvažena,
osnažena profesija,
osnažena profesija,
16:54
just like nurses and doctors.
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1002060
1761
baš kao sestre i doktori.
16:57
And we'll create a network
of companies and entrepreneurs
of companies and entrepreneurs
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1005406
3323
I stvorićemo mrežu firmi i preduzetnika
17:00
who've created innovations
that can save lives
that can save lives
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1008753
2276
koji su stvorili inovacije
koje spašavaju živote
koje spašavaju živote
i pomoći ćemo im da se povežu
s radnicima poput Musu,
s radnicima poput Musu,
17:03
and help them connect
to workers like Musu,
to workers like Musu,
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1011053
2380
17:05
so she can help better
serve her community.
serve her community.
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1013457
2575
kako bi bolje služili svojoj zajednici.
17:08
And we'll work tirelessly
to persuade governments
to persuade governments
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1016959
3206
I radićemo bez predaha
kako bismo ubedili vlade
kako bismo ubedili vlade
17:12
to make community health workers
a cornerstone of their health care plans.
a cornerstone of their health care plans.
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1020189
3982
da narodni lekari budu
u temelju njihovih zdravstvenih planova.
u temelju njihovih zdravstvenih planova.
17:17
We plan to test and prototype
the academy in Liberia
the academy in Liberia
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1025734
3789
Planiramo da uradimo test i prototip
takve akademije u Liberiji
takve akademije u Liberiji
17:21
and a few other partner countries,
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1029547
1872
i u nekoliko partnerskih država,
a potom planiramo
da to proširimo globalno,
da to proširimo globalno,
17:23
and then we plan to take it global,
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1031443
1787
17:25
including to rural North America.
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1033254
2223
uključujući ruralnu Severnu Ameriku.
17:28
With the power of this platform,
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1036103
1590
Uz snagu ove platforme,
17:29
we believe countries can be more persuaded
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1037717
2562
verujemo da još više možemo
da ubedimo države
da ubedimo države
17:32
that a health care revolution
really is possible.
really is possible.
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1040303
3325
da je revolucija zdravstva uistinu moguća.
17:36
My dream is that this academy
will contribute to the training
will contribute to the training
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1044470
4088
Moj san je da će ova akademija
doprineti obuci
doprineti obuci
17:40
of hundreds of thousands
of community members
of community members
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1048582
2212
stotina hiljada članova zajednice
17:42
to help bring health care
to their neighbors --
to their neighbors --
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1050818
2899
kako bi zdravstvenu negu
doneli svojim komšijama -
doneli svojim komšijama -
17:45
the hundreds of millions of them
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1053741
1610
stotinama miliona njih
17:47
that live in the world's most
remote communities,
remote communities,
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1055375
2621
koji žive u najudaljenijim
zajednicama na svetu,
zajednicama na svetu,
17:50
from the forest communities
of West Africa,
of West Africa,
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1058785
2081
od šumskih zajednica Zapadne Afrike
17:52
to the fishing villages of rural Alaska;
361
1060890
2140
do ribarskih sela ruralne Aljaske;
17:55
from the hilltops of Appalachia,
to the mountains of Afghanistan.
to the mountains of Afghanistan.
362
1063054
4062
od brda Apalačije do planina Avganistana.
17:59
If this vision is aligned with yours,
363
1067140
2690
Ako je ova vizija u skladu s vašom,
18:01
head to communityhealthacademy.org,
364
1069854
3221
pođite do communityhealthacademy.org
18:05
and join this revolution.
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1073740
1680
i pridružite se ovoj revoluciji.
18:08
Let us know if you or your organization
or someone you know could help us
or someone you know could help us
366
1076536
4653
Javite nam ako vi ili vaša organizacija
ili neko koga poznajete, nam može pomoći
ili neko koga poznajete, nam može pomoći
18:13
as we try to build this academy
over the next year.
over the next year.
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1081213
3231
dok budemo pokušavali da sagradimo
akademiju u narednih godinu dana.
akademiju u narednih godinu dana.
18:17
Now, as I look out into this room,
368
1085574
1956
Sad, dok gledam po ovoj prostoriji,
18:20
I realize that our journeys
are not self-made;
are not self-made;
369
1088310
2706
shvatam da naša putovanja
nisu samostalna;
nisu samostalna;
18:23
they're shaped by others.
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1091040
1509
oblikuju ih drugi.
18:24
And there have been so many here
that have been part of this cause.
that have been part of this cause.
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1092573
3843
I ovde ima mnogih
koji su bili deo ovog pokreta.
koji su bili deo ovog pokreta.
18:28
We're so honored to be part
of this community,
of this community,
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1096440
3210
Velika nam je čast
da budemo deo ove zajednice,
da budemo deo ove zajednice,
18:31
and a community that's willing
to take on a cause
to take on a cause
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1099674
2683
zajednice koja je spremna
da se prihvati poduhvata
da se prihvati poduhvata
18:34
as audacious as this one,
374
1102381
1368
odvažnog kao ovaj,
18:35
so I wanted to offer, as I end,
375
1103773
2075
pa, dok privodim kraju, želim da ponudim
18:37
a reflection.
376
1105872
1222
osvrt.
18:39
I think a lot more about
what my father taught me.
what my father taught me.
377
1107986
2987
Mnogo više mislim na to
što me je otac naučio.
što me je otac naučio.
18:43
These days, I too have become a dad.
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1111726
2201
Ovih dana sam i sam postao otac.
18:45
I have two sons,
379
1113951
2016
Imam dva sina,
18:47
and my wife and I just learned
that she's pregnant with our third child.
that she's pregnant with our third child.
380
1115991
3988
a moja supruga i ja smo upravo saznali
da je trudna s našim trećim detetom.
da je trudna s našim trećim detetom.
18:52
(Applause)
381
1120003
1008
(Aplauz)
18:53
Thank you.
382
1121035
1067
Hvala vam.
18:54
(Applause)
383
1122126
1551
(Aplauz)
18:56
I was recently caring
for a woman in Liberia
for a woman in Liberia
384
1124056
2828
Nedavno sam u Liberiji negovao ženu
18:58
who, like my wife,
was in her third pregnancy.
was in her third pregnancy.
385
1126908
2725
koja je, poput moje supruge,
imala treću trudnoću.
imala treću trudnoću.
19:02
But unlike my wife,
386
1130371
1709
Ali, nasuprot mojoj supruzi,
19:04
had had no prenatal care
with her first two babies.
with her first two babies.
387
1132958
2999
nije imala prenatalnu negu
tokom prve dve trudnoće.
tokom prve dve trudnoće.
19:09
She lived in an isolated community
in the forest that had gone for 100 years
in the forest that had gone for 100 years
388
1137549
4392
Živele je u izolovanoj zajednici,
u šumi koja je 100 godina opstajala
u šumi koja je 100 godina opstajala
19:13
without any health care
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1141965
1389
bez bilo kakve zdravstvene nege
19:16
until ...
390
1144513
1628
sve dok...
19:18
until last year when a nurse
trained her neighbors
trained her neighbors
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1146165
3383
sve dok je prošle godine
sestra obučila komšije
sestra obučila komšije
19:21
to become community health workers.
392
1149572
1711
da postanu lekari iz zajednice.
19:23
So here I was,
393
1151307
1292
Dakle, bio sam tu,
19:24
seeing this patient
who was in her second trimester,
who was in her second trimester,
394
1152623
4240
gledao sam pacijentkinju
koja je bila u drugom tromesečju,
koja je bila u drugom tromesečju,
19:28
and I pulled out the ultrasound
to check on the baby,
to check on the baby,
395
1156887
3272
i izvukao sam ultrazvuk da pregledam bebu,
19:32
and she started telling us stories
about her first two kids,
about her first two kids,
396
1160183
3539
a ona je počela da nam pripoveda
o svoja prva dva deteta,
o svoja prva dva deteta,
19:35
and I had the ultrasound
probe on her belly,
probe on her belly,
397
1163746
3198
držao sam sondu ultrazvuka
na njenom stomaku
na njenom stomaku
19:38
and she just stopped mid-sentence.
398
1166968
2268
i ona se zaustavila u sred rečenice.
19:43
She turned to me and she said,
399
1171221
1541
Okrenula se ka meni i rekla:
19:44
"Doc, what's that sound?"
400
1172786
2294
"Doktore, kakav je to zvuk?"
19:49
It was the first time she'd ever heard
her baby's heartbeat.
her baby's heartbeat.
401
1177371
3178
Prvi put je čula otkucaje srca njene bebe.
19:54
And her eyes lit up in the same way
my wife's eyes and my own eyes lit up
my wife's eyes and my own eyes lit up
402
1182111
5060
I oči su joj zasijale na isti način
kao i oči moje supruge i mene
kao i oči moje supruge i mene
19:59
when we heard our baby's heartbeat.
403
1187195
2135
kada smo čuli otkucaje srca naše bebe.
20:03
For all of human history,
404
1191544
2153
Tokom čitave ljudske istorije,
20:05
illness has been universal
and access to care has not.
and access to care has not.
405
1193721
4532
bolest je bila univerzalna,
a pristup nezi nije.
a pristup nezi nije.
20:10
But as a wise man once told me:
406
1198277
1886
No, kako mi je jedan mudar čovek rekao:
20:13
no condition is permanent.
407
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nijedno stanje nije trajno.
20:17
It's time.
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Vreme je.
20:18
It's time for us to go as far as it takes
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Vreme je da preduzmemo sve što je potrebno
20:21
to change this condition together.
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da zajedno promenimo ovo stanje.
20:23
Thank you.
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Hvala vam.
20:24
(Applause)
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(Aplauz)
ABOUT THE SPEAKER
Raj Panjabi - PhysicianA billion people around the world lack access to health care because they live too far from a clinic. 2017 TED Prize winner Raj Panjabi aims to extend health services to the last mile.
Why you should listen
Raj Panjabi was nine when civil war broke out in his native country, Liberia. His family resettled in High Point, North Carolina, but he returned to Liberia as a medical student in 2005. He was shocked to find a health care system in total devastation. Only 50 doctors remained to treat a population of four million.
With a team of Liberian civil war survivors, American health workers and $6,000 he'd received as a wedding gift, Panjabi co-founded Last Mile Health. The organization saves lives in the world's most remote communities by partnering with governments to deploy, sustain and manage national networks of community health professionals. They currently support the Government of Liberia's deployment of more than 4,000 health workers to provide life-saving healthcare to 1.2 million people and protect against the next epidemic. Last Mile Health's network of community health workers can be leveraged in a crisis -- in the fight against Ebola, the organization aided government response by training health workers in southeastern Liberia.
Panjabi is a physician in the Division of Global Health Equity at Harvard Medical School, Brigham and Women's Hospital. He is a recipient of the Skoll Award for Social Entrepreneurship and was named to TIME's list of the "100 Most Influential People in the World" in 2016. As the winner of the 2017 TED Prize, Panjabi is creating the Community Health Academy, a global platform to train, connect and empower community health workers. The Academy aims to reinvent the education of community health workers -- and the leaders who support them -- for the digital age.
Raj Panjabi | Speaker | TED.com