>> IT'S RUSH HOUR ON A TUESDAY MORNING IN NOVEMBER,
AND STAFF FROM THE CHILDREN'S HOSPITAL OF PHILADELPHIA
ARE HEADED TO WORK.
TRANSPORTATION IS THE BACK OF A PICKUP TRUCK.
THE ROUTE IS A DIRT ROAD BORDERED BY SUGAR CANE.
AND THE MEDICAL FACILITY WHERE THIS GROUP OF HIGHLY TRAINED
DOCTORS, NURSES, AND THERAPISTS WILL SEE PATIENTS IS A ONE-ROOM
SCHOOL BUILDING.
IT IS A WORLD AWAY FROM THE HIGH-TECH HALLWAYS
OF CHILDREN'S HOSPITAL, BUT FOR HUNDREDS OF CHILDREN
IN THE DOMINICAN REPUBLIC, THE PRESENCE OF THIS TEAM
OPENS UP A WORLD OF HOPE.
>> THE REALITY IS THAT EVERY DAY 30,000 CHILDREN DIE.
THEY DIE FROM THINGS THAT, WITH THE RIGHT INTERVENTION,
ARE PREVENTABLE--
MALNUTRITION, DIARRHEA, DEHYDRATION, PNEUMONIA, MALARIA.
CLEARLY, IF YOU OPENED UP THE NEW YORK TIMES TODAY
AND READ THE HEADLINE THAT 30,000 CHILDREN DIED YESTERDAY
IN THE UNITED STATES, THERE WOULD BE SOME CRY OF OUTRAGE.
GLOBAL HEALTH IS WHAT I LIKE TO CALL AN EMERGING FIELD OF HEALTHCARE.
>> IT'S REALLY AN EFFORT TO PROVIDE SERVICE AND CLINICAL CARE
IN THE MOST UNDERSERVED AREAS OF THE WORLD.
>> OUR ROLE IS NOT TO GO IN AND BECOME THE PROVIDER FOR THOSE
CHILDREN, BUT RATHER TO HELP ADVANCE CHILDREN'S HEALTH
BY BEING A SUPPORT, BY BEING A CATALYST,
BY PROVIDING EXPERTISE, TRAINING, EDUCATION.
>> THE CHOP TEAM CAN'T BE THERE TO PROVIDE DIRECT CARE
ALL YEAR ROUND.
THAT'S WHY STRONG PARTNERSHIPS ARE SO IMPORTANT.
>> THE PARTNERSHIPS TOUCH MANY ASPECTS OF LIFE
WITHIN THE HOST COUNTRY.
>> THE MAJOR PARTNER IN THE DOMINICAN REPUBLIC IS CALLED
THE CENTRO DE SALUD DIVINA PROVIDENCIA,
WHICH IS A SMALL COMMUNITY CLINIC STAFFED BY DOMINICAN DOCTORS
AND NURSES.
IT'S SUPPORTED THROUGH THE GREY NUNS OF CANADA WHO'VE BEEN
IN THE DOMINICAN REPUBLIC FOR 50 PLUS YEARS.
>> AS PEOPLE WHO ARE DEDICATED TO THE CARE OF THE PEOPLE HERE,
WE CAN DO JUST SO MUCH, BUT YOU BRING ANOTHER EXPERIENCE
AND ANOTHER WHOLE SET OF SKILLS THAT WE DON'T HAVE.
>> THE FOCUS HAS BEEN HOW CAN WE WORK WITH OUR DOMINICAN PARTNERS
SO THEY CAN DEVELOP PROGRAMS AND TEACH
OTHER MEDICAL PROFESSIONALS
>> SO ONE OF THE MODELS THAT WORKS VERY WELL IS TO UTILIZE
HEALTHCARE EXTENDERS.
>> EACH BATEYE HAS A HEALTH PROMOTER WORKING IN THE BATEYE.
AND THEY HAVE BEEN IDENTIFIED AS PEOPLE WHO HAVE MORE KNOWLEDGE
OR MORE LEADERSHIP, AND THEY HELP MAINTAIN THE HEALTH
RECOMMENDATIONS THAT WE MAKE.
>> [SPEAKING A FOREIGN LANGUAGE]
>> WE ARE WORKING TOWARD A BETTER QUALITY OF LIFE.
WE ARE WORKING TOWARD BETTER NUTRITION FOR THE KIDS.
WE ARE WORKING TO EXPLAIN TO THE PEOPLE--MOTHERS,
FATHERS, THE COMMUNITY OF THE BATEYES--THAT THE BETTER THEIR
EDUCATION, THE BETTER QUALITY OF LIFE THEY'LL HAVE.
>> PART OF THE PROGRAM IS TO TRAIN INDIVIDUALS WHO COULD HELP
A LOCAL POPULATION DEVELOP BETTER MEDICAL CARE,
BETTER NURSING CARE, IMPROVE THE LIVES OF CHILDREN.
>> CHILDREN'S HOSPITAL IS TRAINING A NEW GENERATION OF LEADERS
IN THE RAPIDLY GROWING FIELD OF GLOBAL HEALTH.
>> WE'VE DEVELOPED THIS VERY INNOVATIVE
GLOBAL HEALTH FELLOWSHIP--
>> --TO FIND FUTURE LEADERS IN GLOBAL HEALTH--
>> --TO KIND OF LIVE WITHIN A COMMUNITY, BE A PART OF THAT
COMMUNITY AND THEN WORK WITH THE EXISTING HEALTH SYSTEM
TO TRY TO IMPROVE PEDIATRIC HEALTHCARE.
>> LARA WALKS INTO THE BARRIO AND CHILDREN SURROUND HER.
>> SHE WILL DEVELOP A TREMENDOUS KNOWLEDGE BASE.
>> SHE HAS FORMED SUCH RELATIONSHIPS THAT OUR
RECOMMENDATIONS HAVE A MUCH BETTER CHANCE OF CONTINUING
BECAUSE SHE'S HERE.
>> WE'RE THE ONLY INSTITUTION THAT OFFERS A FELLOWSHIP
IN GLOBAL HEALTH, SO WE'RE FORTUNATE TO HAVE A DONOR,
DAVID PINCUS, WHO HAS DEDICATED MOST OF HIS LIFE
TO SERVING THESE VULNERABLE POPULATIONS.
>> TO SUPPORT THE POOREST COMMUNITIES, YOU NEED SOME
SUPPORTIVE DOLLARS,
AND THAT'S WHERE PHILANTHROPY IS KEY AND INCREDIBLY IMPORTANT.
WE COULDN'T DO IT WITHOUT DONORS LARGE AND SMALL.
>> A LOT OF PEOPLE HAVE DIFFICULTY GETTING THEIR HANDS
AROUND THE MAGNITUDE OF THE GLOBAL HEALTH ISSUE.
>> AS THE WORLD'S LEADER, WE NEED TO THINK ABOUT
THE WORLD'S CHILDREN.
>> THAT TRANSLATES TO PROVIDING THE UTMOST IN COMMUNITY BENEFIT
WITH THE COMMUNITY BEING THE WORLD.
>> WHETHER A CHILD COMES FROM HALFWAY AROUND THE WORLD
TO CHOP OR CHOP GOES HALFWAY AROUND THE WORLD TO A CHILD,
THE COMMITMENT IS THE SAME.
>> THERE HAS ALWAYS BEEN THIS CONCEPT THAT WE HAVE TO SERVE
ALL CHILDREN.
INSTITUTING GLOBAL HEALTH REALLY BECOMES AN EXTENSION
OF THAT MISSION.
>> WE CAN'T STAY IN WEST PHILADELPHIA.
WE HAVE TO BRING THAT EXCELLENCE BECAUSE WE HAVE THAT EXCELLENCE.
>> WHILE THE CHOP TEAM IS WORKING TO CHANGE CHILDREN'S
HEALTHCARE, THE EXPERIENCE ALSO CHANGES THEM.
>> THE PASSION ON THE PART OF THE PEOPLE WHO DO THIS
IS CLEARLY EVIDENT.
>> IT'S RARE THAT YOU GET TO MOVE INTO A CULTURE
AND TO EXPERIENCE THAT CULTURE.
>> TO IMPROVE THE LIVES AND RELIEVE SUFFERING OF THE CHILDREN HERE
AND TO TRAIN PEOPLE WHO WILL GO OUT AND DO MORE OF THIS WORK
IS THE BIGGEST REWARD FOR ME.
>> THERE'S QUITE A SENSE OF PRIDE ON THE PART OF THE INSTITUTION
TO BE ABLE TO REALLY HAVE GLOBAL HEALTH AS PART OF THE WORK
THAT WE DO.
>> THIS IS AN OPPORTUNITY FOR INDIVIDUALS THAT ARE HIGHLY
MOTIVATED, THAT ARE GREAT PHYSICIANS,
GREAT NURSES, TO PRACTICE MEDICINE IN AN ENTIRELY
DIFFERENT WAY AND TO BE EXPOSED TO MEDICAL PROBLEMS THAT THEY
WOULD PROBABLY NEVER SEE HERE.
>> NOT ONLY IS THERE A DRIVING FORCE OF PROFESSIONALS AND PERSONNEL
WHO WANT TO DO IT, BUT THERE'S A HUGE NEED.
>> WHEN PEOPLE FROM CHOP COME, AND EXPERIENCE LIFE IN BATEYES,
THEY CHANGE.
>> IT REALLY CHANGES THE WAY YOU THINK ABOUT THE PATIENT
POPULATION THAT YOU HAVE, WHEN YOU SEE NOT ONLY A SNAPSHOT
IN THE CLINIC, BUT YOU SEE WHERE THEY'RE LIVING.
>> IN OUR PRIMARY CARE CENTER IN PHILADELPHIA WE HAVE FAMILIES
FROM ASIA, THE CARIBBEAN--
>> --FROM SOUTH AMERICA, FROM CENTRAL AMERICA,
FROM EAST AFRICA--
>> MANY WHO DON'T SPEAK ENGLISH AND HAVE DIFFERENT
CULTURAL BACKGROUNDS.
>> AND SO THE THINGS THAT WE LEARN WORKING CROSS-CULTURALLY
REALLY IN ANOTHER SETTING LIKE THAT ARE HUGELY VALUABLE
TO THOSE OF US WHO PRACTICE HERE IN PHILADELPHIA.
>> [SPEAKING FOREIGN LANGUAGE]
>> IT'S BEEN OF GREAT HAPPINESS AND SATISFACTION TO REACH
THOSE KIDS WHO HAVE NEVER HAD THE OPPORTUNITY
TO CONSULT A PEDIATRICIAN.
>> AT THE HEART OF IT ALL, THE CHILDREN ARE LOVELY,
ENGAGING, ENTERTAINING, HARDY, STRONG-WILLED,
EVERYTHING THAT I WOULD USE TO DESCRIBE THE CHILDREN
IN WEST PHILADELPHIA.
>> IN SPITE OF THE FACT THAT THEY DON'T HAVE A LOT,
THEY HAVE AN INTERIOR HAPPINESS.
>> AND YOU SEE THEM PLAYING WITH SOME DISCARDED TOY
OR STICKS OR A BALL MADE OUT OF SOMETHING.
>> BUT THE POVERTY TAKES SOMETHING FROM THEM.
AND I THINK CHOP IS GIVING THEM SOME HOPE THAT THEIR LIVES
ARE GETTING BETTER.
>> WE'VE ALREADY SEEN FROM THE WORK, FROM OUR STAFF,
FROM OUR FELLOWS, FROM OUR TRAINEES THAT WE CAN REALLY
NOT ONLY MAKE A DIFFERENCE, BUT WE CAN LEARN
AND WE CAN SHARE THAT KNOWLEDGE.
>> IT'S NOT JUST THIS LITTLE PROGRAM IN THIS LITTLE TOWN
IN THIS REGION OF THE WORLD; THAT'S WHERE IT BEGINS.
BUT THE HOPE IS THAT IF WE DO IT RIGHT AND WE LISTEN,
WE CAN MAKE A DIFFERENCE FAR BEYOND THIS ISLAND
AND THIS COMMUNITY.