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The Doctor on a Mission to Build a Healthier South Sudan | Yohanis Riek | TED
The Doctor on a Mission to Build a Healthier South Sudan | Yohanis Riek | TED
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0:03
I’m Yohanis Riek,
0:05
I'm a doctor and a social entrepreneur
0:07
based and working in South Sudan.
0:10
When I was growing up in my village, my future was to be a cattle keeper.
0:15
Through being someone mobile, the nomadic culture,
0:18
we became adaptive to other new culture that we learn as we migrate.
0:22
And that experience enabled me to connect with a lot of other people.
0:26
And so future kept changing based on the new life I was experiencing.
0:30
The future was, you know, to be someone successful,
0:34
someone who can be able to help that community.
0:37
But when I was around 14 or 15 years,
0:41
I don't know exact age, but by estimation, at that time,
0:44
I was conscripted into the army forcefully.
0:47
And that's how I became a child soldier.
0:51
The cost of that civil war was being felt by everybody.
0:55
So the regional neighbors decided to bring the two warring parties together
1:02
for negotiation,
1:03
which led to the peace agreement in 2005.
1:06
And that was supported by the United States government.
1:10
And I was sponsored by the government to go to school.
1:13
When the negotiation started,
1:15
the first thing first was to demobilize child soldiers from the army,
1:20
and the immediate activities to do after demobilization were go to school.
1:25
The first immediate motivation for me to become a doctor
1:28
was seeing my family members die
1:31
because of diseases that could be treated.
1:33
My dad, particularly my sister, who was young at the time,
1:37
you know, motivated me, when I learned about school,
1:40
to study something that can help fight the disease burden in my community.
1:46
I was the first to go to school in my family,
1:49
and also the first to become a doctor.
1:51
And not only my immediate family, but in my community.
1:54
2009 was my first year at university,
1:57
and that's when I also started my nonprofit organization
2:01
called Yo' Care South Sudan.
2:02
Yo' Care South Sudan is a non-profit health care organization
2:06
that is focused on infectious disease control and management,
2:10
as well as the primary-care part of the health system.
2:14
Through static health facilities
2:16
and also through mobile medical teams that go to communities
2:20
that are far away from our health facilities,
2:22
where the gaps are huge and people continue to die every day.
2:27
For the last 17 years, we've had many successes.
2:31
We are proud that we have saved lives.
2:33
When we vaccinate children, children are able to go to school
2:37
and they are able to become an important member of society.
2:41
There are children that have gone to school now.
2:43
If we did not do that vaccination,
2:45
maybe they would have died from those childhood diseases
2:48
that are preventable.
2:50
We understand that as an organization,
2:53
we cannot be able to do everything by ourselves,
2:55
so we help communities organize themselves.
2:58
The people who come to our health facilities,
3:00
we train them.
3:01
Many patients that we observed became service providers themselves.
3:06
One of our patients, called Lillian, later on became a peer navigator.
3:11
Now she is able to identify people who are also suffering
3:15
and referring them to the health centers for them to come for testing
3:19
and also to come to get their medication,
3:22
as well as delivering the training,
3:25
delivering medical services to the people who cannot access medical facilities.
3:30
People must be able to take charge of their own health.
3:33
Luckily, our name, Yo' Care, means the care we provide is yours.
3:37
Wherever we work, we organize the community.
3:39
We train them so they can take charge of the future.
3:44
Yo' Care focuses on long-term health solutions
3:47
because we understand that health is not just an immediate need,
3:51
it's a long-term need.
3:53
And because of that, some of the solutions we provide
3:56
have been funded by external donors such as USAID
4:00
or US government.
4:01
And when the current US government came into power,
4:04
we got an abrupt notification.
4:07
"Tomorrow, we suspend all activities."
4:10
So that had the immediate effect on us.
4:13
The first immediate effect was on the patients.
4:16
Before this happened,
4:19
we had more than 60,000 people that were relying on our medical services.
4:24
As of now, we are supporting 32,000.
4:28
Thousands of communities
4:30
are not able to access basic health care services.
4:33
And also from having eight health facilities that were directly supporting
4:38
to only two facilities right now that we are supporting.
4:43
Our manpower reduced from 53
4:47
to only eight essential staff.
4:50
Now when that suddenly cut, they ask us, "Where do we go?"
4:54
"Where do we go?"
4:55
Patients are also asking us, "Where do we go?
4:57
Why did you cut this?"
4:59
Didn't allow us time to prepare to close.
5:01
It didn't allow us time to look for other financing alternatives.
5:06
That threatens the very existence of the organization.
5:11
The most important thing to invest in is the people.
5:14
There is no country without people in the first place.
5:18
We are the youngest nation in the world right now.
5:21
In 2011, South Sudan became an independent country.
5:25
Given that it's not part of that global community yet
5:29
in terms of technology, in terms of media, in terms of other connectedness,
5:33
we feel neglected.
5:36
We have ongoing conflict,
5:38
we have natural, climate issues.
5:41
Our voices are not being heard.
5:44
My hope for the future,
5:45
first, as a doctor, is a healthy society.
5:48
And that is what we're working for.
5:50
Because when the community is stable, when society is stable,
5:53
we will contribute meaningfully to the world
5:55
and people will know us for positive things
5:58
instead of being known for conflict and suffering.
6:01
Having a new country is just like when you have a new home.
6:05
You just bought your new house,
6:07
you are very excited, you are very happy.
6:09
You finally have something you can call home.
6:12
And that is the experience that we have as a nation.
6:15
Even if we are in crisis, protracted crisis, persistent crisis,
6:20
we are very happy that --
6:21
personally, I'm very proud that I have a country
6:24
because I believe one day,
6:26
through the contribution I'm making
6:27
or through the contributions of others,
6:29
we will be better
6:31
despite the challenges we are currently facing.
