By Patricia Loomis Marshall, P. a. Marshall
This evaluation considers moral demanding situations to investigate layout and proficient consent in biomedical and behavioral reviews performed in resource-poor settings. A assessment of the literature explores correct social, cultural, and moral concerns within the behavior of biomedical and social health and wellbeing learn in constructing international locations. Ten case vignettes illustrate moral demanding situations that come up in foreign examine with culturally different populations. suggestions for researchers and policy-makers considering moral practices in multinational experiences carried out in resource-poor settings also are indexed.
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Additional resources for Ethical Challenges In Study Design And Informed Consent For Health Research In Resource-Poor Settings (Special Topics)
G. Woodsong & Karim, 2005). Community consultation In some culturally diverse settings throughout the world, investigators must seek approval from community leaders or tribal elders before implementing a study. Tribal leaders of American Indian populations, for example, have the power—as representatives of sovereign nations—to veto or to allow the participation of members in scientific research. g. , 2004). , 2001). Ideally, community consultation and active engagement in research represents a reciprocal and dynamic process that serves to educate both the researchers and the individuals and communities involved in a study.
Additionally, participants were also asked to do “homework” in which they practiced some of their skills and reported back to the group about what they did. Although no adverse effects were reported at any site, follow-up interviews to specifically address the experience of participants in group activities were not conducted. Respect for local values regarding appropriate gender roles: A central point of discussion among the investigators during development of the protocol was the appropriateness of including intervention sessions that required couples to attend group sessions with their partner.
Parker & Barrett (2003) explore cultural perspectives on the hazards of medical research. They describe concerns among the Iban of Malaysia that have nothing to do with particular procedures that may be involved in a research study, but everything to do with cultural rituals and practices that maintain harmony and balance within the community and with the spirit world. Parker & Barrett (2003:463) argue, “What they were really concerned about was the potential for dangerous consequences that might arise from the interaction with researchers.