--- author: TED date: '2026-03-27' guest: '' layout: post.njk source: https://www.youtube.com/watch?v=7UGkIOGkbKU speaker: TED tags: - social-entrepreneurship - public-health - community-empowerment - humanitarian-aid - resilience title: 约哈尼斯·里克：重塑南苏丹的健康未来 summary: 南苏丹医生兼社会企业家约哈尼斯·里克分享了他从童兵到医者的非凡历程。他创立了Yo' Care South Sudan，致力于传染病防治与基层医疗，赋能社区。尽管面临资金中断与持续冲突等严峻挑战，里克仍对国家充满自豪，并寄望于一个稳定、健康的未来，通过社区韧性与贡献来实现。 insight: '' draft: true series: '' category: health-wellness area: life-family project: [] people: - Yohanis Riek companies_orgs: - Yo' Care South Sudan - USAID products_models: [] media_books: [] status: evergreen --- ### 命运的转折：从牧童到战士，再到医者之路 我是**约哈尼斯·里克**（Yohanis Riek），一名医生和社会企业家，目前在**南苏丹**工作。在我成长的村庄里，我的未来本是成为一名**牧牛人**。得益于**游牧文化**带来的流动性，我们在迁徙中学习并适应了新的文化。这段经历使我能够与许多人建立联系，我的未来也随着我所体验的新生活不断变化。我渴望成为一个成功的人，一个能够帮助自己社区的人。然而，在我大约十四五岁的时候——具体年龄记不清了，但估算当时的我被强行征召入伍，成为了一个**儿童兵**。那场内战的代价是每个人都在承受。于是，区域邻国决定促成双方战争势力进行谈判，这最终带来了**2005年和平协议**，并获得了**美国政府**的支持。我因此获得了政府资助去上学。谈判开始后，首要任务是解除儿童兵的武装，而解除武装后的首要活动就是重返校园。
Original English I’m Yohanis Riek, I'm a doctor and a social entrepreneur based and working in South Sudan. When I was growing up in my village, my future was to be a cattle keeper. Through being someone mobile, the nomadic culture, we became adaptive to other new culture that we learn as we migrate. And that experience enabled me to connect with a lot of other people. And so future kept changing based on the new life I was experiencing. The future was, you know, to be someone successful, someone who can be able to help that community. But when I was around 14 or 15 years, I don't know exact age, but by estimation, at that time, I was conscripted into the army forcefully. And that's how I became a child soldier. The cost of that civil war was being felt by everybody. So the regional neighbors decided to bring the two warring parties together for negotiation, which led to the peace agreement in 2005. And that was supported by the United States government. And I was sponsored by the government to go to school. When the negotiation started, the first thing first was to demobilize child soldiers from the army, and the immediate activities to do after demobilization were go to school.
### 济世悬壶：创办 Yo' Care 南苏丹 促使我成为医生的首要动机，是看到我的家人因本可治愈的疾病而逝去。我父亲，尤其是当时年幼的妹妹，在我得知有学校后，激励了我去学习能够帮助对抗社区**疾病负担**的知识。我不仅是家族第一个上学的，也是第一个成为医生的人，这不仅对我的直系亲属，也对我的整个社区而言是如此。2009年是我大学的第一年，也是我创立非营利组织——**Yo' Care South Sudan**——的开始。Yo' Care South Sudan是一个非营利性医疗保健组织，专注于传染病的控制与管理，以及**卫生系统**中的**基层医疗**环节。我们通过固定的医疗设施，以及派遣移动医疗队前往偏远社区，那里医疗资源匮乏，人们每天都在继续死去。
Original English The first immediate motivation for me to become a doctor was seeing my family members die because of diseases that could be treated. My dad, particularly my sister, who was young at the time, you know, motivated me, when I learned about school, to study something that can help fight the disease burden in my community. I was the first to go to school in my family, and also the first to become a doctor. And not only my immediate family, but in my community. 2009 was my first year at university, and that's when I also started my nonprofit organization called Yo' Care South Sudan. Yo' Care South Sudan is a non-profit health care organization that is focused on infectious disease control and management, as well as the primary-care part of the health system. Through static health facilities and also through mobile medical teams that go to communities that are far away from our health facilities, where the gaps are huge and people continue to die every day.
### 赋能社区：Yo' Care 的长效健康方案 在过去的17年里，我们取得了许多成就。我们为挽救生命而自豪。当我们为儿童**接种疫苗**时，他们得以入学，并能成长为社会的重要一员。如今，已有很多儿童接受了教育。如果我们没有进行疫苗接种，他们或许早已因那些可预防的儿童疾病而夭折。我们深知，作为一个组织，我们无法包揽一切，因此我们帮助社区自我组织。前来我们医疗设施的人们，我们会对他们进行培训。许多我们观察到的患者，最终成为了服务提供者。我们的一位患者，名叫**莉莉安（Lillian）**，后来成为了一名**同伴导航员（peer navigator）**。现在，她能够识别其他遭受病痛折磨的人，并将他们引荐至医疗中心进行检测、获取药物，同时也负责提供培训，为那些无法获得医疗服务的民众送去医疗援助。人们必须能够掌控自己的健康。幸运的是，我们的名字‘Yo' Care’，意即我们提供的关怀属于你们。无论我们走到哪里，我们都会组织社区，培训他们，使他们能够掌握自己的未来。
Original English For the last 17 years, we've had many successes. We are proud that we have saved lives. When we vaccinate children, children are able to go to school and they are able to become an important member of society. There are children that have gone to school now. If we did not do that vaccination, maybe they would have died from those childhood diseases that are preventable. We understand that as an organization, we cannot be able to do everything by ourselves, so we help communities organize themselves. The people who come to our health facilities, we train them. Many patients that we observed became service providers themselves. One of our patients, called Lillian, later on became a peer navigator. Now she is able to identify people who are also suffering and referring them to the health centers for them to come for testing and also to come to get their medication, as well as delivering the training, delivering medical services to the people who cannot access medical facilities. People must be able to take charge of their own health. Luckily, our name, Yo' Care, means the care we provide is yours. Wherever we work, we organize the community. We train them so they can take charge of the future.
### 援助骤停：Yo' Care 面临生存危机 Yo' Care 致力于提供**长期的健康解决方案**，因为我们明白健康不仅是眼前的需求，更是长远的考量。正因如此，我们提供的一些解决方案曾获得外部捐助者，如**美国国际开发署（USAID）**（United States Agency for International Development: 美国国际开发署，负责管理美国对外援助的联邦机构）或美国政府的支持。然而，当现任美国政府上台后，我们接到了一个突兀的通知：“明天起，我们将暂停所有活动。”这给我们带来了即时的影响。首先受影响的是患者。在此之前，有超过6万民众依赖我们的医疗服务；而现在，我们只能支持3.2万人。成千上万的社区无法获得基本的医疗保健服务。原本有八个直接支持的健康设施，现在仅剩两个。我们的团队从53人锐减至仅8名核心员工。当援助突然中断时，他们质问我们：“我们该去哪儿？”“我们该何去何从？”患者们也在问：“我们能去哪里？为什么你们要中断服务？”这没有给我们留出时间来准备关闭事宜，也没有给我们寻找其他融资渠道的机会。这威胁到了组织的生存本身。
Original English Yo' Care focuses on long-term health solutions because we understand that health is not just an immediate need, it's a long-term need. And because of that, some of the solutions we provide have been funded by external donors such as USAID or US government. And when the current US government came into power, we got an abrupt notification. "Tomorrow, we suspend all activities." So that had the immediate effect on us. The first immediate effect was on the patients. Before this happened, we had more than 60,000 people that were relying on our medical services. As of now, we are supporting 32,000. Thousands of communities are not able to access basic health care services. And also from having eight health facilities that were directly supporting to only two facilities right now that we are supporting. Our manpower reduced from 53 to only eight essential staff. Now when that suddenly cut, they ask us, "Where do we go?" "Where do we go?" Patients are also asking us, "Where do we go? Why did you cut this?" Didn't allow us time to prepare to close. It didn't allow us time to look for other financing alternatives. That threatens the very existence of the organization.
### 国家新生与未来愿景：坚韧前行 最值得投资的是**人民**。首先，一个国家没有人民就无法存在。我们是当今世界上最年轻的国家。**2011年，南苏丹**成为了一个独立国家。鉴于在技术、媒体及其他连通性方面，我们尚未融入全球大家庭，我们感到被忽视。我们面临持续的**冲突**，以及自然和气候问题，我们的声音未被听见。我作为一个医生，对未来的希望首先是一个**健康社会**，而这正是我们为之奋斗的目标。因为当社区稳定、社会稳定时，我们将能为世界做出有意义的贡献，人们会因我们的积极方面认识我们，而非因冲突与苦难。拥有一个**新国家**，就像拥有一个新家。你刚买了新房子，会感到无比兴奋和快乐，终于有了一个可以称之为‘家’的地方。这就是我们作为一个国家所拥有的体验。即使我们身处危机、长期危机、持续危机之中，我依然非常高兴——我个人非常自豪拥有自己的国家，因为我相信有一天，通过我或他人的贡献，我们将超越当前面临的挑战，变得更好。
Original English The most important thing to invest in is the people. There is no country without people in the first place. We are the youngest nation in the world right now. In 2011, South Sudan became an independent country. Given that it's not part of that global community yet in terms of technology, in terms of media, in terms of other connectedness, we feel neglected. We have ongoing conflict, we have natural, climate issues. Our voices are not being heard. My hope for the future, first, as a doctor, is a healthy society. And that is what we're working for. Because when the community is stable, when society is stable, we will contribute meaningfully to the world and people will know us for positive things instead of being known for conflict and suffering. Having a new country is just like when you have a new home. You just bought your new house, you are very excited, you are very happy. You finally have something you can call home. And that is the experience that we have as a nation. Even if we are in crisis, protracted crisis, persistent crisis, we are very happy that -- personally, I'm very proud that I have a country because I believe one day, through the contribution I'm making or through the contributions of others, we will be better despite the challenges we are currently facing.