Ethical considerations in African traditional medicine: a response to Nyika.

Abstract:

:Like other so-called 'parallel' practices in medicine, traditional medicine (TM) does not avoid criticism or even rejection. Nyika's article 'Ethical and Regulatory Issues Surrounding African Traditional Medicine in the Context of HIV/AIDS' looks at some of the issues from a traditional Western ethical perspective and suggests that it should be rejected. I respond to this article agreeing with Nyika's three major criticisms: lack of informed consent, confidentiality and paternalism. However, as traditional healers are consulted by over 70% of South Africans before any other type of healthcare professional, a blanket negation of TM is not possible, nor is it politically feasible. A pragmatic approach would be to work within the current structures for positive change. I point out that, as all cultural practices do, TM will change over time. Yet, until some regulations and change occur, the problem of harm to patients remains a major concern.

journal_name

Dev World Bioeth

authors

van Bogaert DK

doi

10.1111/j.1471-8847.2007.00184.x

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

35-40

issue

1

eissn

1471-8731

issn

1471-8847

pii

DEWB184

journal_volume

7

pub_type

评论,杂志文章
  • Research Ethics Education in Post-Graduate Medical Curricula in I.R. Iran.

    abstract::Research ethics training during post-graduate education is necessary to improve ethical standards in the design and conduct of biomedical research. We studied quality and quantity of research ethics training in the curricula of post-graduate programs in the medical science in I.R. Iran. We evaluated curricula of 125 p...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12122

    authors: Nikravanfard N,Khorasanizadeh F,Zendehdel K

    更新日期:2017-08-01 00:00:00

  • Summary: the science of genealogy by genetics.

    abstract::This summary lays out the basic science and methodology used in genetic testing that investigates historical population migrations and the ancestry of living individuals. The genetic markers used in this testing, and the distinction between Y-chromosome, mitochondrial and autosomes analysis, are explained and the shor...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1046/j.1471-8731.2003.00064.x

    authors: Johnston J,Thomas M

    更新日期:2003-12-01 00:00:00

  • Because we can: clashes of perspective over researcher obligation in the failed PrEP trials.

    abstract::This article examines the relationship between bioethics and the therapeutic standards in HIV prevention research in the developing world, focusing on the closure of the pre-exposure prophylaxis (PrEP) trials in the early 2000s. I situate the PrEP trials in the historical context of the vertical transmission debates o...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2010.00292.x

    authors: Haire BG

    更新日期:2011-08-01 00:00:00

  • Should We Formulate an Incentivized Model Facilitating Kidney Donation from Living Donors? A Focus on Turkey's Current System.

    abstract::Kidney transplantation is a lifesaving medical treatment. However, very high demand for kidneys with low kidney donation causes a black market that exploits patients' desperation and donors' vulnerability. The current kidney donation programs fail to produce promising results to avoid illegal and unethical kidney traf...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12192

    authors: Avci E

    更新日期:2018-09-01 00:00:00

  • Stakeholder perspectives on ethical challenges in HIV vaccine trials in South Africa.

    abstract::There is little published literature on the ethical concerns of stakeholders in HIV vaccine trials. This study explored the ethical challenges identified by various stakeholders, through an open-ended, in-depth approach. While the few previous studies have been largely quantitative, respondents in this study had the o...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2009.00254.x

    authors: Essack Z,Koen J,Barsdorf N,Slack C,Quayle M,Milford C,Lindegger G,Ranchod C,Mukuka R

    更新日期:2010-04-01 00:00:00

  • Commodification of human tissue: implications for feminist and development ethics.

    abstract::One effect of late capitalism--the commodification of practically everything--is to knock down the Chinese walls between the natural and productive realms, to use a Marxist framework. Women's labour in egg extraction and 'surrogate' motherhood might then be seen as what it is, labour which produces something of value....

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/1471-8847.00035

    authors: Dickenson D

    更新日期:2002-05-01 00:00:00

  • Understanding Health Research Ethics in Nepal.

    abstract::Unlike other countries in South Asia, in Nepal research in the health sector has a relatively recent history. Most health research activities in the country are sponsored by international collaborative assemblages of aid agencies and universities. Data from Nepal Health Research Council shows that, officially, 1,212 h...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12109

    authors: Sharma JR,Khatri R,Harper I

    更新日期:2016-12-01 00:00:00

  • Stem cell tourism and future stem cell tourists: policy and ethical implications.

    abstract::Stem cell tourism is a small but growing part of the thriving global medical tourism marketplace. Much stem cell research remains at the experimental stage, with clinical trials still uncommon. However, there are over 700 clinics estimated to be operating in mostly developing countries--from Costa Rica and Argentina t...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2012.00319.x

    authors: Einsiedel EF,Adamson H

    更新日期:2012-04-01 00:00:00

  • Race, science and a novel: an interdisciplinary dialogue.

    abstract::In the novel Racists by Kunal Basu (2006), two competing scientists initiate an experiment that they believe will prove which race is superior. The research subjects, one white and one black infant, are sequestered on an isolated island in the care of a mute nurse. The contest must be waged in a 'natural laboratory' w...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2007.00195.x

    authors: Burns L,Lanoix M,Melnychuk RM,Pauly B

    更新日期:2008-12-01 00:00:00

  • International service learning programs: ethical issues and recommendations.

    abstract::Inequities in global health are increasingly of interest to health care providers in developed countries. In response, many academic healthcare programs have begun to offer international service learning programs. Participants in these programs are motivated by ethical principles, but this type of work presents signif...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2011.00299.x

    authors: Reisch RA

    更新日期:2011-08-01 00:00:00

  • The therapeutic exception: abortion, sterilization and medical necessity in Costa Rica.

    abstract::Based on the case of Rosa, a nine-year-old girl who was denied a therapeutic abortion, this article analyzes the role played by the social in medical practice. For that purpose, it compares the different application of two similar pieces of legislation in Costa Rica, where both the practice of abortion and sterilizati...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2007.00200.x

    authors: Carranza M

    更新日期:2007-08-01 00:00:00

  • Four forward-looking guidance points.

    abstract::Four key guidance points in the UNAIDS guidance document, Ethical Considerations in HIV Preventive Vaccine Research, are compared with analogous statements in three other recently issued documents dealing with international research. Those documents are: the Declaration of Helsinki, as revised in 2000; the report of t...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/1471-8847.00017

    authors: Macklin R

    更新日期:2001-11-01 00:00:00

  • Off-shoring clinical research: exploitation and the reciprocity constraint.

    abstract::The last 20 years have seen a staggering growth in the practice of off-shoring clinical research to low-and middle-income countries (LICs and MICs), a growth that has been matched by the neoliberal policies adopted by host countries towards attracting trials to their shores. A recurring concern in this context is the ...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2012.00332.x

    authors: Mitra AG

    更新日期:2013-12-01 00:00:00

  • How to deal with neglected tropical diseases in the light of an African ethic.

    abstract::Many countries in Africa, and more generally those in the Global South with tropical areas, are plagued by illnesses that the wealthier parts of the world (mainly 'the West') neither suffer from nor put systematic effort into preventing, treating or curing. What does an ethic with a recognizably African pedigree entai...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12179

    authors: Metz T

    更新日期:2018-09-01 00:00:00

  • A Look at Uganda's Early HIV Prevention Strategies Through a Moderate 'African' Communitarian Lens.

    abstract::This paper seeks to highlight the benefits of prioritizing moderate African communitarian principles as partly demonstrated in the HIV prevention strategies implemented in Uganda in the late 1980s. Pertinent lessons could be drawn so as to achieve the HIV prevention targets envisioned in the post-2015 development era....

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12139

    authors: Wathuta J

    更新日期:2018-06-01 00:00:00

  • Emerging technologies and developing countries: stem cell research regulation and Argentina.

    abstract::Given its intimate relationship with the human body and its environment, biotechnology innovation, and more particularly stem cell research innovations as a part thereof, implicate diverse social and moral/ethical issues. This paper explores some of the most important and controversial moral concerns raised by human e...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2007.00217.x

    authors: Harmon SH

    更新日期:2008-08-01 00:00:00

  • Prioritising Healthcare Workers for Ebola Treatment: Treating Those at Greatest Risk to Confer Greatest Benefit.

    abstract::The Ebola epidemic in Western Africa has highlighted issues related to weak health systems, the politics of drug and vaccine development and the need for transparent and ethical criteria for use of scarce local and global resources during public health emergency. In this paper we explore two key themes. First, we argu...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12079

    authors: Satalkar P,Elger BE,Shaw DM

    更新日期:2015-08-01 00:00:00

  • A Scoping Study on the Ethics of Health Systems Research.

    abstract::Currently, health systems research (HSR) is reviewed by the same ethical standards as clinical research, which has recently been argued in the literature to be an inappropriate standard of evaluation. The issues unique to HSR warrant a different review by research ethics committees (RECs), as it does not impose the sa...

    journal_title:Developing world bioethics

    pub_type: 杂志文章,评审

    doi:10.1111/dewb.12117

    authors: Bachani AM,Rattani A,Hyder AA

    更新日期:2016-12-01 00:00:00

  • Fairness and equity in the provision of anti-retroviral therapy: some reflections from Lesotho.

    abstract::The number of people in immediate need of anti-retroviral treatment (ART) in the southern African region continues to significantly exceed the capacity of health systems there to provide it. Approaches to this complex rationing dilemma have evolved in different directions. The ethical concepts of fairness and equity h...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2009.00267.x

    authors: Armstrong R

    更新日期:2010-12-01 00:00:00

  • Exploring the organisational context of research misconduct in higher learning institutions in Malaysia.

    abstract::Due to the financial pressure caused by cutbacks in funding and the race to achieve higher university rankings, researchers are competing for limited funds. These funds enable researchers to contribute to the scientific enterprise and to secure better positions. Given this pressure, there is a need to understand how a...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12298

    authors: Olesen AP,Amin L,Mahadi Z,Ibrahim M

    更新日期:2020-11-10 00:00:00

  • Cultural conundrums: the ethics of epidemiology and the problems of population in implementing pre-exposure prophylaxis.

    abstract::The impending implementation of pre-exposure prophylaxis (PrEP) has prompted complicated bioethical and public health ethics concerns regarding the moral distribution of antiretroviral medications (ARVs) to ostensibly healthy populations as a form of HIV prevention when millions of HIV-positive people still lack acces...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12034

    authors: Fiereck K

    更新日期:2015-04-01 00:00:00

  • A Personal View: Navigating conflicting claims of legality and women's safety at a volunteer medical clinic in Guatemala.

    abstract::This paper examines the ethical considerations in a case of a 12-year-old girl seeking an abortion in Quetzaltenango, Guatemala in early 2020. The physician denied the girl care and did not refer her to a qualified provider, citing the illegality of such actions. Though abortion is illegal in Guatemala, enforcement of...

    journal_title:Developing world bioethics

    pub_type: 信件

    doi:10.1111/dewb.12276

    authors: Altshuler E

    更新日期:2020-08-02 00:00:00

  • Fair trade international surrogacy.

    abstract::Since the development of assisted reproductive technologies, infertile individuals have crossed borders to obtain treatments unavailable or unaffordable in their own country. Recent media coverage has focused on the outsourcing of surrogacy to developing countries, where the cost for surrogacy is significantly less th...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2009.00257.x

    authors: Humbyrd C

    更新日期:2009-12-01 00:00:00

  • Do aid agencies have an ethical duty to comply with researchers? A response to Rennie.

    abstract::Medical AID organisations such as Médecins Sans Frontières receive several requests from individuals and international academic institutions to conduct research at their implementation sites in Africa. Do AID agencies have an ethical duty to comply with research requests? In this paper we respond to the views and cons...

    journal_title:Developing world bioethics

    pub_type: 评论,杂志文章

    doi:10.1111/j.1471-8847.2006.00141.x

    authors: Zachariah R,Janssens V,Ford N

    更新日期:2006-05-01 00:00:00

  • Systemic Negligence: Why It Is Morally Important for Developing World Bioethics.

    abstract::In the context of clinical and non-clinical biomedical practices, negligence is usually understood as a lapse of a specific professional duty by a healthcare worker or by a medical facility. This paper tries to delineate systemic negligence as another kind of negligence in the context of health systems, particularly i...

    journal_title:Developing world bioethics

    pub_type: 杂志文章,评审

    doi:10.1111/dewb.12063

    authors: Chakraborti C

    更新日期:2015-12-01 00:00:00

  • Evolution of research ethics in a low resource setting: A case for Uganda.

    abstract:BACKGROUND:The globalization of clinical research in the last two decades has led to a significant increase in the volume of clinical research in developing countries. As of 2016, Uganda was the third largest destination for clinical trials in Africa. This requires adequate capacity and systems to facilitate ethical pr...

    journal_title:Developing world bioethics

    pub_type: 历史文章,杂志文章

    doi:10.1111/dewb.12198

    authors: Ochieng J,Mwaka E,Kwagala B,Sewankambo N

    更新日期:2020-03-01 00:00:00

  • Module six: special issues.

    abstract::The objective of this module is to cover ground that was not covered in-depth in any of the other modules, including: scientific misconduct, issues concerning the publication and ownership of research results (authorship guidelines - who is eligible to be considered an author, or contributor to a scientific paper etc....

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2005.00104.x

    authors: Schneider B,Schüklenk U

    更新日期:2005-03-01 00:00:00

  • Clinical research law in Jordan: an ethical analysis.

    abstract::An ethical analysis of Jordan's Clinical Research Law, which became effective in 2001, was performed. Accordingly, this paper discusses the major components, key strengths and weaknesses of this law. As an initial effort, the Law addresses important aspects of research ethics and, hence, should serve as an example for...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1471-8847.2007.00221.x

    authors: Ramahi I,Silverman H

    更新日期:2009-04-01 00:00:00

  • Considerations for stakeholder engagement and COVID-19 related clinical trials' conduct in sub-Saharan Africa.

    abstract::The aim of this study is to determine how stakeholder engagement can be adapted for the conduct of COVID-19-related clinical trials in sub-Saharan Africa. Nine essential stakeholder engagement practices were reviewed: formative research; stakeholder engagement plan; communications and issues management plan; protocol ...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12283

    authors: Folayan MO,Brown B,Haire B,Babalola CP,Ndembi N

    更新日期:2020-08-15 00:00:00

  • Animal research ethics in Africa: is Tanzania making progress?

    abstract::The significance of animals in research cannot be over-emphasized. The use of animals for research and training in research centres, hospitals and schools is progressively increasing. Advances in biotechnology to improve animal productivity require animal research. Drugs being developed and new interventions or therap...

    journal_title:Developing world bioethics

    pub_type: 杂志文章

    doi:10.1111/dewb.12001

    authors: Seth M,Saguti F

    更新日期:2013-12-01 00:00:00