[uoaei]

The trolley problem is set up in a specific way for a specific reason: the person standing next to the lever has no barriers to action, and comprehends the immediate consequences of their choice. This is not so for the kids in Africa example you give.

The trolley problem does not extend readily to systems involving incomplete information or some kind of inaccess to enacting a solution. That is why moral philosophers despise it as an illustrative example -- armchair ponderers apply it with gross negligence to the context and nuance present, so it ends up illustrating nothing much except ignorance for the details of the thought experiment.

[nurettin]

Can this person pulling the lever with no barriers to action ask if the lone victim wants to sacrifice themselves?