HIV prevention clinical trials' community engagement guidelines: inequality, and ethical conflicts.

20p

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Egile Nagusiak: Folayan, Morenike O, Peterson, Kristin
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Argitaratua: Global Bioethics 2024
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Sarrera elektronikoa:https://ir.oauife.edu.ng/handle/123456789/6520
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author Folayan, Morenike O
Peterson, Kristin
author_facet Folayan, Morenike O
Peterson, Kristin
author_sort Folayan, Morenike O
collection DSpace
description 20p
id oai:ir.oauife.edu.ng:123456789-6520
institution My University
language English
publishDate 2024
publisher Global Bioethics
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spelling oai:ir.oauife.edu.ng:123456789-65202024-06-14T03:00:24Z HIV prevention clinical trials' community engagement guidelines: inequality, and ethical conflicts. Folayan, Morenike O Peterson, Kristin Cambodia Cameroon HIV HIV prevention Malawi Nigeria PrEP clinical trials community engagement ethics 20p In 2004 and 2005, the first clinical trials were launched to investigate the use of tenofovir for HIV prevention in Cambodia,Cameroon, Nigeria and Thailand. Controversies erupted over the ethical integrity of the research protocol. We reflect on the events that ledto the controversies and identified that scientific and ethical concerns raised by members of local communities at each of these sites wereerased by trialists, causing crisis that led to premature shut down the early PrEP trials. In the aftermath of these trials, the World HealthOrganisation, UNAIDS, and AVAC developed ethics guidelines intended to recognize the concerns as authentic, and developed guidelines toimprove researchers' engagement of communities in biomedical HIV prevention trial design and implementation. Our findings suggest thatthe ethics guidelines are limited in its ability to address power inequalities that leads to voice erasures and non-recognition of localcompetencies. Rather the ethical documents enabled trialists to gain a new sense of authority through the interpretations of ethical researchconduct enabling trialists regain power that can further entrench inequality and voice erasures. To address concerns with what seems anintractable problem, we suggested models of engagement for off-shored research may be the option. National Science Foundation, Science, Technology and Society, USA[grant number #0829174]. 2024-06-13T08:13:44Z 2024-06-13T08:13:44Z 2020-06-05T00:00:00Z Morenike O. Folayan & Kristin Peterson (2020) HIV prevention clinical trials’ community engagement guidelines: inequality, and ethical conflicts, Global Bioethics, 31:1, 47-66, DOI: 10.1080/11287462.2020.1773061 10.1080/11287462.2020.1773061 https://ir.oauife.edu.ng/handle/123456789/6520 en application/pdf Global Bioethics
spellingShingle Cambodia
Cameroon
HIV
HIV prevention
Malawi
Nigeria
PrEP
clinical trials
community engagement
ethics
Folayan, Morenike O
Peterson, Kristin
HIV prevention clinical trials' community engagement guidelines: inequality, and ethical conflicts.
title HIV prevention clinical trials' community engagement guidelines: inequality, and ethical conflicts.
title_full HIV prevention clinical trials' community engagement guidelines: inequality, and ethical conflicts.
title_fullStr HIV prevention clinical trials' community engagement guidelines: inequality, and ethical conflicts.
title_full_unstemmed HIV prevention clinical trials' community engagement guidelines: inequality, and ethical conflicts.
title_short HIV prevention clinical trials' community engagement guidelines: inequality, and ethical conflicts.
title_sort hiv prevention clinical trials community engagement guidelines inequality and ethical conflicts
topic Cambodia
Cameroon
HIV
HIV prevention
Malawi
Nigeria
PrEP
clinical trials
community engagement
ethics
url https://ir.oauife.edu.ng/handle/123456789/6520
work_keys_str_mv AT folayanmorenikeo hivpreventionclinicaltrialscommunityengagementguidelinesinequalityandethicalconflicts
AT petersonkristin hivpreventionclinicaltrialscommunityengagementguidelinesinequalityandethicalconflicts