Duncan Maru is a physician, epidemiologist, and cofounder of Nyaya Health. He has worked extensively with the team since 2005. He currently works as a resident physician in internal medicine and pediatrics at the Harvard University Combined Program where he is a fellow in the Global Health Equity Program.

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Gross inequalities exist in access to effective health care—chasms that lead to unnecessary suffering, harsh indignities, and “stupid deaths.”1 When Nyaya Health started working in the Achham district of remote Far Western Nepal in 2006, at the end of a brutal civil war, there were no allopathic physicians for a population of over 500,000 …

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