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Global Health

What Sparks Change? How Can We End Poverty?

Jim Yong Kim's picture
Also available in: العربية

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What will it take to end poverty?What inspires change? What has impact on policy? What really motivates us to do social good?

Here’s one story from my past that I’ll never forget.

In 1987, Dr. Paul Farmer and I and a few others helped start a group called Partners in Health to provide access to quality health care to the poor. In the beginning, the majority of our work was centered in Haiti. Seven years later, in 1994, we set up a program in Carabayllo, a settlement on the outskirts of Lima, Peru.

We began our program in Peru because a good friend of ours -- Father Jack Roussin – said we must. He said the area needed a much stronger primary health system, and so we helped build a cadre of community health workers. Our organization there, Socios en Salud, worked to improve the health care of people in the community, employed 20 local young people, built a pharmacy, and then conducted a health assessment for the town.

Then Father Jack became ill. He started losing weight. I urged him to return to his home in Boston. When he finally did, tests revealed that his lungs were full of tuberculosis (TB). And it wasn’t any TB. It was multi drug-resistant TB (MDR-TB). His disease was resistant to the four major drugs used to treat TB. Soon after, Father Jack died.

We went back to Carabayllo and investigated. Why did he have drug-resistant TB? We found an alarming number of cases of MDR-TB. We did two things: First, we immediately started looking for supplies of the drugs that could treat TB cases we discovered. We gave those to patients, and to our great relief we were able to cure most of them. Second, we started to push for a global program to treat poor people everywhere suffering from drug-resistant TB.