25/10/2017 The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm | SpringerLink

The Ethics of Ethics Reviews in Global

Health Research: Case Studies Applying a
New Paradigm
Journal of Academic Ethics

June 2013, Volume 11, Issue 2, pp 83–101 | Cite as

Annalee Yassi (1)

Jaime Breilh (2)
Shafik Dharamsi (3) (4)
Karen Lockhart (1) Email author (karen.lockhart@ubc.ca)
Jerry M. Spiegel (1) (4)

1. School of Population and Public Health (SPPH) in the Faculty of Medicine, University
of British Columbia, Vancouver, Canada
2. Department of Health, University of Andina Simon Bolivar (UASB), Quito, Ecuador
3. Department of Family Practice in the Faculty of Medicine, University of British
Columbia, Vancouver, Canada
4. Liu Institute for Global Issues, University of British Columbia, Vancouver, Canada
5. Global Health Research Program, SPPH, University of British Columbia, Vancouver,
Canada
6. Global Health Research Program (GHRP), University of British Columbia, Vancouver,
Canada
7. Liu Institute for Global Issues, University of British Columbia, Vancouver, Canada

Article
First Online: 19 April 2013

12 Citations

Abstract

With increasing calls for global health research there is growing concern regarding the
ethical challenges encountered by researchers from high-income countries (HICs)
working in low or middle-income countries (LMICs). There is a dearth of literature on
how to address these challenges in practice. In this article, we conduct a critical analysis
of three case studies of research conducted in LMICs. We apply emerging ethical
guidelines and principles specific to global health research and offer practical strategies
that researchers ought to consider. We present case studies in which Canadian health
professional students conducted a health promotion project in a community in
Honduras; a research capacity-building program in South Africa, in which Canadian
students also worked alongside LMIC partners; and a community-university partnered

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research capacity-building program in which Ecuadorean graduate students, some

working alongside Canadian students, conducted community-based health research
projects in Ecuadorean communities. We examine each case, identifying ethical issues
that emerged and how new ethical paradigms being promoted could be concretely
applied. We conclude that research ethics boards should focus not only on protecting
individual integrity and human dignity in health studies but also on beneficence and
non-maleficence at the community level, explicitly considering social justice issues and
local capacity-building imperatives. We conclude that researchers from HICs interested
in global health research must work with LMIC partners to implement collaborative
processes for assuring ethical research that respects local knowledge, cultural factors, the
social determination of health, community participation and partnership, and making
social accountability a paramount concern.

Keywords

Global health research ethics Low and middle-income countries Ethical review

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Yassi, A., Breilh, J., Dharamsi, S. et al. J Acad Ethics (2013) 11: 83. https://doi.org/10.1007/s10805-013-9182-y

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