Punishment of Minor Female Genital Ritual Procedures: Is the Perfect the Enemy of the Good?
Abstract Female genital alteration (FGA) is any cutting, removal or destruction of any part of the external female genitalia. Various FGA practices are common throughout the world. While most frequent in Africa and Asia, transglobal migration has brought ritual FGA to Western nations. All forms of FGA are generally considered undesirable for medical and ethical reasons when performed on minors. One ritual FGA procedure is the vulvar nick (VN). This is a small laceration to the vulva that does not cause morphological changes. Besides being performed as a primary ritual procedure it has been proposed as a substitute for more...
Source: Developing World Bioethics - November 30, 2016 Category: Medical Ethics Authors: Allan J. Jacobs, Kavita Shah Arora Tags: Original Article Source Type: research

Designing research funding schemes to promote global health equity: An exploration of current practice in health systems research
ABSTRACT International research is an essential means of reducing health disparities between and within countries and should do so as a matter of global justice. Research funders from high‐income countries have an obligation of justice to support health research in low and middle‐income countries (LMICs) that furthers such objectives. This paper investigates how their current funding schemes are designed to incentivise health systems research in LMICs that promotes health equity. Semi‐structured in‐depth interviews were performed with 16 grants officers working for 11 funders and organisations that support health s...
Source: Developing World Bioethics - November 23, 2016 Category: Medical Ethics Authors: Bridget Pratt, Adnan A. Hyder Tags: Original Article Source Type: research

Designing research funding schemes to promote global health equity: An exploration of current practice in health systems research
Developing World Bioethics, EarlyView. (Source: Developing World Bioethics)
Source: Developing World Bioethics - November 23, 2016 Category: Medical Ethics Source Type: research

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Developing World Bioethics, Ahead of Print. (Source: Developing World Bioethics)
Source: Developing World Bioethics - November 23, 2016 Category: Medical Ethics Source Type: research

Thank you to Developing World Bioethics Reviewers
(Source: Developing World Bioethics)
Source: Developing World Bioethics - November 10, 2016 Category: Medical Ethics Tags: Thank you to Reviewers Source Type: research

Ethical Issues in Health Systems Research in Low and Middle ‐Income Countries
(Source: Developing World Bioethics)
Source: Developing World Bioethics - November 10, 2016 Category: Medical Ethics Authors: Paul Ndebele, Adnan A. Hyder Tags: Editorial Source Type: research

Table of Contents
(Source: Developing World Bioethics)
Source: Developing World Bioethics - November 10, 2016 Category: Medical Ethics Tags: Issue Information Source Type: research

Power Difference and Risk Perception: Mapping Vulnerability within the Decision Process of Pregnant Women towards Clinical Trial Participation in an Urban Middle ‐Income Setting
Developing World Bioethics, EarlyView. (Source: Developing World Bioethics)
Source: Developing World Bioethics - October 20, 2016 Category: Medical Ethics Source Type: research

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Developing World Bioethics, Ahead of Print. (Source: Developing World Bioethics)
Source: Developing World Bioethics - October 20, 2016 Category: Medical Ethics Source Type: research

Power Difference and Risk Perception: Mapping Vulnerability within the Decision Process of Pregnant Women towards Clinical Trial Participation in an Urban Middle ‐Income Setting
Abstract To address the burden of maternal morbidity and mortality in low‐ and middle‐income countries (LMICs), research with pregnant women in these settings is increasingly common. Pregnant women in LMIC‐context may experience vulnerability related to giving consent to participate in a clinical trial. To recognize possible layers of vulnerability this study aims to identify factors that influence the decision process towards clinical trial participation of pregnant women in an urban middle‐income setting. This qualitative research used participant observation, in‐depth interviews, and focus group discussion wit...
Source: Developing World Bioethics - October 19, 2016 Category: Medical Ethics Authors: Geerte C. Den hollander, Joyce l. Browne, Daniel Arhinful, Rieke Graaf, Kerstin Klipstein ‐Grobusch Tags: Original Article Source Type: research

Evaluating the Usefulness of Compulsory Licensing in Developing Countries: A Comparative Study of Thai and Brazilian Experiences Regarding Access to Aids Treatments
Abstract While compulsory licensing (CL) is described in the TRIPS agreement as flexibility to protect public health by improving access to medicines in developing countries, a recent literature contends adversely that CL may harm public health. Therefore, this article intends to evaluate the usefulness of CL in the South through the prism of obligations and goals entrusted to patent holders (the effective and non‐abusive exploitation of patents in order to achieve industrial and health developments) and in light of experiences in Thailand and Brazil regarding access to antiretroviral drugs. In this way, it shows that th...
Source: Developing World Bioethics - October 3, 2016 Category: Medical Ethics Authors: Samira Guennif Tags: Original Article Source Type: research

The Vulnerability of Study Participants in the Context of Transnational Biomedical Research: From Conceptual Considerations to Practical Implications
Abstract Outsourcing clinical trials sponsored by pharmaceutical companies from industrialized countries to low‐ (middle)‐income countries – summarized as transnational biomedical research (TBR) – has lead to many concerns about ethical standards. Whether study participants are particularly vulnerable is one of those concerns. However, the concept of vulnerability is still vague and varies in its definition. Despite the fact that important international ethical guidelines such as the Declaration of Helsinki by the World Medical Association or the Ethical Guidelines for Biomedical Research Involving Human Subjects b...
Source: Developing World Bioethics - October 3, 2016 Category: Medical Ethics Authors: Helen Grete Orth, Silke Schicktanz Tags: Original Article Source Type: research

The Enemy as a Patient: What can be Learned from the Emotional Experience of Physicians and Why does it Matter Ethically?
Abstract This qualitative research examines the influence of animosity on physicians during clinical encounters and its ethical implications. Semi‐structured interviews were conducted with ten Israeli‐Jewish physicians: four treated Syrians and six treated Palestinian terrorists/Hezbollah militants or Palestinian civilians. An interpretive phenomenological analysis was used to uncover main themes in these interviews. Whereas the majority of physicians stated they are obligated to treat any patient, physicians who treated Syrians exhibited stronger emotional expression and implicit empathy, while less referring to the p...
Source: Developing World Bioethics - August 15, 2016 Category: Medical Ethics Authors: Gil Rubinstein, Miriam Ethel Bentwich Tags: Original Article Source Type: research

Reexamining the Prohibition of Gestational Surrogacy in Sunni Islam
Abstract Advances in reproductive medicine have provided new, and much needed, hope for millions of people struggling with infertility. Gestational surrogacy is one such development that has been gaining popularity with infertile couples, especially those unable to benefit from other reproductive procedures such as In Vitro Fertilization. For many Muslim couples, however, surrogacy remains a nonviable option. Islamic scholars have deemed the procedure incompatible with Islam and have prohibited its use. This paper examines the arguments presented for proscribing surrogacy arrangements in Sunni Islam in particular. These in...
Source: Developing World Bioethics - July 31, 2016 Category: Medical Ethics Authors: Ruaim A. Muaygil Tags: Original Article Source Type: research

Research Involving Health Providers and Managers: Ethical Issues Faced by Researchers Conducting Diverse Health Policy and Systems Research in Kenya
Abstract There is a growing interest in the ethics of Health Policy and Systems Research (HPSR), and especially in areas that have particular ethical salience across HPSR. Hyder et al (2014) provide an initial framework to consider this, and call for more conceptual and empirical work. In this paper, we respond by examining the ethical issues that arose for researchers over the course of conducting three HPSR studies in Kenya in which health managers and providers were key participants. All three studies involved qualitative work including observations and individual and group interviews. Many of the ethical dilemmas rese...
Source: Developing World Bioethics - July 31, 2016 Category: Medical Ethics Authors: Sassy Molyneux, Benjamin Tsofa, Edwine Barasa, Mary Muyoka Nyikuri, Evelyn Wanjiku Waweru, Catherine Goodman, Lucy Gilson Tags: Original Article Source Type: research