The ethics of health systems research in low- and middle-income countries : A call to action

Journal article

Hyder, Adnan A., Pratt, Bridget, Ali, Joseph, Kass, Nancy and Sewankambo, Nelson. (2014). The ethics of health systems research in low- and middle-income countries : A call to action. Global Public Health. 9(9), pp. 1008-1022. https://doi.org/10.1080/17441692.2014.931998
AuthorsHyder, Adnan A., Pratt, Bridget, Ali, Joseph, Kass, Nancy and Sewankambo, Nelson
Abstract

The increasing conduct of health systems research (HSR) in low- and middle-income countries (LMICs) has not been matched by concurrent work to clarify the field's ethical dimensions. To begin to address this gap, a two-day workshop on the ethics of HSR in LMICs was convened at Johns Hopkins University in June 2013. Participants included health systems researchers, philosophers, lawyers, bioethicists and institutional review board members from Botswana, Uganda, the UK, USA and Zambia. Based on discussions from the workshop, the paper affirms that, while HSR in LMICs raises ethical issues in relation to constructs (i.e. consent, risk, equipoise) common to international clinical research, the nature of the issues that arise often differ between the two fields. Three salient features of HSR and the ethical considerations associated with each of them in LMICs are described to demonstrate this point. Recommendations for institutional review boards’ oversight of HSR in LMICs are presented. Finally, a call is made for further action to develop thinking and guidance around the ethics of HSR in resource-poor settings.

Keywordshealth systems research; ethics; IRB oversight; developing countries
Year2014
JournalGlobal Public Health
Journal citation9 (9), pp. 1008-1022
PublisherRoutledge
ISSN1744-1692
Digital Object Identifier (DOI)https://doi.org/10.1080/17441692.2014.931998
Scopus EID2-s2.0-84912045082
Research or scholarlyResearch
Page range1008-1022
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
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All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online07 Aug 2014
Publication process dates
Accepted17 Apr 2014
Deposited28 Oct 2021
Grant IDNHMRC/1052346
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