Document Detail


Ethics committees for biomedical research in some African emerging countries: which establishment for which independence? A comparison with the USA and Canada.
MedLine Citation:
PMID:  20338938     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
CONTEXT: The conduct of medical research led by Northern countries in developing countries raises ethical questions. The assessment of research protocols has to be twofold, with a first reading in the country of origin and a second one in the country where the research takes place. This reading should benefit from an independent local ethical review of protocols. Consequently, ethics committees for medical research are evolving in Africa.
OBJECTIVE: To investigate the process of establishing ethics committees and their independence.
METHOD: Descriptive study of 25 African countries and two North American countries. Data were recorded by questionnaire and interviews. Two visits of ethics committee meetings were conducted on the ground: over a period of 3 months in Kigali (Rwanda) and 2 months in Washington DC (USA).
RESULTS: 22 countries participated in this study, 20 from Africa and two from North America. The response rate was 80%. 75% of local African committees developed into national ethics committees. During the last 5 years, these national committees have grown on a structural level. The circumstances of creation and the general context of underdevelopment remain the major challenges in Africa. Their independence could not be ensured without continuous training and efficient funding mechanisms. Institutional ethics committees are well established in USA and in Canada, whereas ethics committees in North America are weakened by the institutional affiliation of their members.
CONCLUSION: The process of establishing ethics committees could affect their functioning and compromise their independence in some African countries and in North America.
Authors:
Jean-Paul Rwabihama; Catherine Girre; Anne-Marie Duguet
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of medical ethics     Volume:  36     ISSN:  1473-4257     ISO Abbreviation:  J Med Ethics     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7513619     Medline TA:  J Med Ethics     Country:  England    
Other Details:
Languages:  eng     Pagination:  243-9     Citation Subset:  E; IM    
Affiliation:
Joffre-Dupuytren Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), 91210 Draveil, France. jean-paul.rwabihama@jfr.aphp.fr
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