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A problem has been that mine awareness campaigns have often been poorly structured and ad hoc , not involving mine affected communities themselves in the awareness process . " Since the beginning of the epidemic , people with HIV and AIDS have creatively developed community-based organizations ( CBOs ) to address needs which have often been poorly served by standard medical and social service programs . If you have not been back to campus for a while , you will be surprised at what is happening ! I revised the experience in my mind and decided that while my expectations had been challenged , I had not really been personally attacked . International relations have shifted and even been forever sundered in some cases .