Next months sees the publication of our latest article on research ethics in developing countries [1]. Our paper argues that despite a significant increase in health research activity in low-and middle-income countries (LMICs) in recent years, only limited work has been done to address ethical concerns. Most ethics committees in LMICs lack the authority and/or the capacity to monitor research in the field. This is important since not all research, particularly in LMICs region, complies with ethical principles, sometimes this is inadvertently or due to a lack of awareness of their importance in assuring proper research governance. With several examples from Nepal, this paper reflects on the steps required to obtain informed consents and highlights some of the major challenges and barriers to seeking informed consent from research participants. At the end of this paper, we also offer some recommendations around how can we can promote and implement optimal informed consent taking process.
The paper is co-written by six authors, and interestingly five are graduates of the University of Aberdeen. These Aberdeen University graduates are currently affiliated with five different universities. Four of who are based in the UK at: the University of Liverpool, the University of the West of England, the University of Oxford, and in Bournemouth University’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and one in the USA: Georgetown University. The sixth co-author, Nirmal Aryal, is currently a PhD student at the University of Otago in Dunedin (New Zealand). Whilst Liverpool-based researcher Dr. Pramod Regmi is heading back for Bournemouth University to become a lecturer in International Health in the Faculty of Health & Social Sciences this autumn.
Prof. Edwin van Teijlingen
CMMPH
Reference:
- Regmi, P.R., Aryal, N., Kurmi, O., Pant, P.R., van Teijlingen, E., Wasti, P.P. (2017) Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal, Developing World Bioethics 17(2):84-89