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Nick is a nurse who works with an international non-governmental organization on an HIV/AIDS project.  In collaboration with the local Ministry of Health, Nick’s team is providing ARVs for AIDS patients in a rural and very poor region of the country.  After several months with this project Nick questions is increasingly concerned by two aspects of the program: 1) Along with ARVs, patients who are enrolled in the project receive food and basic medical care.  Such services are not available to those in the community who are HIV negative, and 2) Many of those receiving ARVs do not have access to clean water. They end up swallowing their medication with water that is likely contaminated.  

  • What are the implications of this situation for concerns of justice at the local and global levels?
  • What does this suggest about how humanitarian projects should be organized?


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