HIV prevention research and global inequality: steps towards improved standards of care
Open Access
- 5 January 2005
- journal article
- review article
- Published by BMJ in Journal of Medical Ethics
- Vol. 31 (1) , 39-47
- https://doi.org/10.1136/jme.2004.008102
Abstract
Intensification of poverty and degradation of health infrastructure over recent decades in countries most affected by HIV/AIDS present formidable challenges to clinical research. This paper addresses the overall standard of health care (SOC) that should be provided to research participants in developing countries, rather than the narrow definition of SOC that has characterised the international debate on standards of health care. It argues that contributing to sustainable improvements in health by progressively ratcheting the standard of care upwards for research participants and their communities is an ethical obligation of those in resource-rich countries who sponsor and implement research in poorer ones.Keywords
This publication has 20 references indexed in Scilit:
- Medical researchers' ancillary clinical care responsibilitiesBMJ, 2004
- Ethical Challenges in International HIV Prevention ResearchAccountability in Research, 2004
- Not if but how? Caring for HIV-1 vaccine trial participants in South AfricaThe Lancet, 2003
- Establishing ethical trials for treatment and prevention of AIDS in developing countriesBMJ, 2003
- Women's health and human rights in HIV prevention researchThe Lancet, 2003
- Ethical challenges in efficacy trials of vaginal microbicides for HIV prevention.American Journal of Public Health, 1998
- Atrial fibrillation as a risk factor for stroke: a retrospective cohort study of hospitalized Medicare beneficiaries.American Journal of Public Health, 1998
- Social Inequalities and Emerging Infectious DiseasesEmerging Infectious Diseases, 1996
- Impact of improved treatment of sexually transmitted diseases on HIV infection in rural Tanzania: randomised controlled trialThe Lancet, 1995
- Challenges for the development of female-controlled vaginal microbicidesAIDS, 1994