Document Detail


HIV vaccine research--South Africa's ethical-legal framework and its ability to promote the welfare of trial participants.
MedLine Citation:
PMID:  16201004     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An effective ethical-legal framework for the conduct of research is critical. We describe five essential components of such a system, review the extent to which these components have been realised in South Africa, present brief implications for the ethical conduct of clinical trials of HIV vaccines in South Africa and make recommendations. The components of an effective ethical-legal system that we propose are the existence of scientific ethical and policy-making structures that regulate research; research ethics committees (RECs) that ethically review research; national ethical guidelines and standards; laws protecting research participants; and mechanisms to enforce and monitor legal rights and ethical standards. We conclude that the ethical-legal framework has, for the most part, the necessary institutions, and certain necessary guidelines but does not have many of the laws needed to protect and promote the rights of persons participating in research, including HIV vaccine trials. Recommendations made include advocacy measures to finalise and implement legislation, development of regulations, analysis and comparison of ethical guidelines, and the development of measures to monitor ethical-legal rights at trial sites.
Authors:
Ann Strode; Catherine Slack; Muriel Mushariwa
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  95     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-10-04     Completed Date:  2005-10-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  598-601     Citation Subset:  IM    
Affiliation:
Faculty of Law, Pietermaritzburg centre, University of KwaZulu-Natal. strodea@ukzn.ac.za
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MeSH Terms
Descriptor/Qualifier:
AIDS Vaccines / administration & dosage*,  economics*
Clinical Trials, Phase I as Topic
Developing Countries
Ethics, Research
Female
HIV Infections / economics,  epidemiology,  prevention & control*
Humans
Male
Patient Selection / ethics
Risk Assessment
Social Welfare / economics*
Socioeconomic Factors
South Africa
Chemical
Reg. No./Substance:
0/AIDS Vaccines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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