The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm

With increasing calls for global health research there is growing concern regarding the ethical challenges encountered by researchers from high-income countries (HICs) working in low or middle-income countries (LMICs). There is a dearth of literature on how to address these challenges in practice. I...

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Autores Principales: Breilh, Jaime, Yassi, Annalee, Dharamsi, Shafik, Lockhart, Karen, Spiegel, Jerry M.
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Publicado: Springer 2013
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Acceso en línea:http://hdl.handle.net/10644/3289
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spelling ir-10644-32892016-04-04T19:30:32Z The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm Breilh, Jaime Yassi, Annalee Dharamsi, Shafik Lockhart, Karen Spiegel, Jerry M. SALUD PÚBLICA PAÍSES EN DESARROLLO INVESTIGACIÓN CIENTÍFICA ÉTICA EN SALUD ESTUDIOS DE CASOS GLOBAL HEALTH RESEARCH ETHICS LOW AND MIDDLE-INCOME COUNTRIES With increasing calls for global health research there is growing concern regarding the ethical challenges encountered by researchers from high-income countries (HICs) working in low or middle-income countries (LMICs). There is a dearth of literature on how to address these challenges in practice. In this article, we conduct a critical analysis of three case studies of research conducted in LMICs.We apply emerging ethical guidelines and principles specific to global health research and offer practical strategies that researchers ought to consider. We present case studies in which Canadian health professional students conducted a health promotion project in a community in Honduras; a research capacity-building program in South Africa, in which Canadian students also worked alongside LMIC partners; and a community-university partnered research capacity-building program in which Ecuadorean graduate students, some working alongside Canadian students, conducted community-based health research projects in Ecuadorean communities.We examine each case, identifying ethical issues that emerged and how new ethical paradigms being promoted could be concretely applied.We conclude that research ethics boards should focus not only on protecting individual integrity and human dignity in health studies but also on beneficence and non-maleficence at the community level, explicitly considering social justice issues and local capacity-building imperatives.We conclude that researchers from HICs interested in global health research must work with LMIC partners to implement collaborative processes for assuring ethical research that respects local knowledge, cultural factors, the social determination of health, community participation and partnership, and making social accountability a paramount concern. 2013-06-28T14:04:53Z 2013-06-28T14:04:53Z 2013 article Breilh, Jaime y otros. The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm. Journal of Medical Ethics, (publicado en línea: 19 abril 2013) http://hdl.handle.net/10644/3289 eng openAccess http://creativecommons.org/licenses/by-nc-sa/3.0/ec/ application/pdf HONDURAS SUR AFRICA ECUADOR Springer
institution ANDINA
collection Repositorio UASB
universidades ANDINA
language
format Artículos
topic SALUD PÚBLICA
PAÍSES EN DESARROLLO
INVESTIGACIÓN CIENTÍFICA
ÉTICA EN SALUD
ESTUDIOS DE CASOS
GLOBAL HEALTH RESEARCH ETHICS
LOW AND MIDDLE-INCOME COUNTRIES
spellingShingle SALUD PÚBLICA
PAÍSES EN DESARROLLO
INVESTIGACIÓN CIENTÍFICA
ÉTICA EN SALUD
ESTUDIOS DE CASOS
GLOBAL HEALTH RESEARCH ETHICS
LOW AND MIDDLE-INCOME COUNTRIES
Breilh, Jaime
Yassi, Annalee
Dharamsi, Shafik
Lockhart, Karen
Spiegel, Jerry M.
The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
description With increasing calls for global health research there is growing concern regarding the ethical challenges encountered by researchers from high-income countries (HICs) working in low or middle-income countries (LMICs). There is a dearth of literature on how to address these challenges in practice. In this article, we conduct a critical analysis of three case studies of research conducted in LMICs.We apply emerging ethical guidelines and principles specific to global health research and offer practical strategies that researchers ought to consider. We present case studies in which Canadian health professional students conducted a health promotion project in a community in Honduras; a research capacity-building program in South Africa, in which Canadian students also worked alongside LMIC partners; and a community-university partnered research capacity-building program in which Ecuadorean graduate students, some working alongside Canadian students, conducted community-based health research projects in Ecuadorean communities.We examine each case, identifying ethical issues that emerged and how new ethical paradigms being promoted could be concretely applied.We conclude that research ethics boards should focus not only on protecting individual integrity and human dignity in health studies but also on beneficence and non-maleficence at the community level, explicitly considering social justice issues and local capacity-building imperatives.We conclude that researchers from HICs interested in global health research must work with LMIC partners to implement collaborative processes for assuring ethical research that respects local knowledge, cultural factors, the social determination of health, community participation and partnership, and making social accountability a paramount concern.
author Breilh, Jaime
Yassi, Annalee
Dharamsi, Shafik
Lockhart, Karen
Spiegel, Jerry M.
author_facet Breilh, Jaime
Yassi, Annalee
Dharamsi, Shafik
Lockhart, Karen
Spiegel, Jerry M.
author_sort Breilh, Jaime
title The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
title_short The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
title_full The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
title_fullStr The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
title_full_unstemmed The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
title_sort ethics of ethics reviews in global health research: case studies applying a new paradigm
publisher Springer
publishDate 2013
url http://hdl.handle.net/10644/3289
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score 11,871979