The global health community needs to move beyond simply keeping AIDS patients alive, and focus more on improving quality of their lives. A paradox has developed in countries where large proportions of the population are dependent on antiretroviral treatments to survive the virus. These people claim that though they are being kept alive by the drugs, their “principle complaint” is still gnawing hunger. Psychiatrtist at the University of Washington, Ippolytos Andreas Kalofonos, examined this connection between ARV disbursement and food disbursement in Mozambique. Kalofonos asserts that current HIV/AIDS interventions may be procuring peoples’ lives, but they are failing to address these people’s hunger and ensuing competition over scarce resources.
An additional underlying consequence of 1st world aid disbursal to the 3rd world is that it prolongs post-colonial structures of power by disabling developing countries from independently and internally overcoming health crises. Plumpy’nut is one example of how 1st world interventions can foster dependence in the 3rd world. Critics of the “miracle peanut solution” quip “How is [Nutriset, the company that engineered Plumpy’nut] addressing the need for poor people in Haiti not to be dependent on outside intervention in the first place?”