An international working group has filled a global programming gap with the release of a tested and validated ethical decision-making tool for use in community-based HIV organizations. The tool, called ‘Difficult Decisions’, is the result of a rigorous three-year process, and is designed for an employee or peer support worker to use when faced with an ethical dilemma. But it was designed—in consultation with leading ethicists—by populations uniquely affected by HIV: people who use drugs, sex workers, transgender people and gay men or other men who have sex with men. And, notably, it includes reference to dilemmas involving their children.
The toolkit is also available in French, Russian, and Spanish.
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