This article was prepared for World AIDS Day and originally published at Canada’s Toronto Star website on December 1, 2011.
When Montreal’s Dr. James Orbinski was taken aback when he visited a hospital in Malawi in 2004.
“It was a living hell,” Orbinski writes in An imperfect Offering: Humanitarian Action in the Twenty-First Century. “My knees weakened as I looked around. The hospital was overrun with desperately sick patients. A hundred and fifty people were crammed into a ward that had only 30 beds. Sick people were lying under trees outside. Ninety-per cent of the sick were HIV-positive. It was not a hospital but a morgue.”
This experience inspired Orbinski and a colleague, James Fraser, to leave Doctors Without Borders in 2004 and start Dignitas International, a smaller NGO that would focus on community-based care for people living with HIV and AIDS.
Some seven years later, there’s good news to report from Malawi.
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