Ethical and Social Dilemmas in Community-based Controlled Trials in Situations of Poverty: A View from a South African Project

Journal of Community and Applied Social Psychology

Volumn 12, Issue 4, 2002, Pages 286-297

  Nama, Nosisana ^a,b   Swartz, Leslie ^b  

^a STELLENBOSCH UNIVERSITY   (South Africa)

^b HUMAN SCIENCES RESEARCH COUNCIL   (South Africa)

Author keywords

Cultural factors; Developing countries; Early intervention; Ethics; Infancy; Poverty; Randomized controlled trials; Research design; South Africa

Indexed keywords

ADULT; ARTICLE; BEHAVIOR; BEHAVIORAL RESEARCH; BIOMEDICAL AND BEHAVIORAL RESEARCH; CHILD; CHILD ADVOCACY; CLINICAL TRIAL; COMMUNITY CARE; CONTROLLED CLINICAL TRIAL; CULTURAL ANTHROPOLOGY; DEMOGRAPHY; DEVELOPING COUNTRY; ETHICS; FEMALE; GIFT GIVING; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; HUMAN RELATION; METHODOLOGY; MOTHER; MOTHER CHILD RELATION; NEGRO; NEWBORN; PATIENT REFERRAL; POVERTY; PREGNANCY; PREGNANT WOMAN; PSYCHOLOGICAL ASPECT; PUERPERAL DEPRESSION; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUBJECT; SOCIAL PSYCHOLOGY; SOUTH AFRICA; WITCHCRAFT;

BIOMEDICAL AND BEHAVIORAL RESEARCH;

ADULT; AFRICAN CONTINENTAL ANCESTRY GROUP; BEHAVIORAL RESEARCH; CHILD; CHILD ADVOCACY; COMMUNITY HEALTH SERVICES; CULTURE; DEPRESSION, POSTPARTUM; DEVELOPING COUNTRIES; FEMALE; GIFT GIVING; HIV INFECTIONS; HUMANS; INFANT, NEWBORN; MOTHER-CHILD RELATIONS; MOTHERS; POVERTY; POWER (PSYCHOLOGY); PREGNANCY; PREGNANT WOMEN; PSYCHOLOGY, SOCIAL; RANDOMIZED CONTROLLED TRIALS; REFERRAL AND CONSULTATION; RESEARCH DESIGN; RESEARCH SUBJECTS; RESEARCHER-SUBJECT RELATIONS; RESIDENCE CHARACTERISTICS; SOUTH AFRICA; WITCHCRAFT;

EID: 0142023224     PISSN: 10529284     EISSN: None     Source Type: Journal    
DOI: 10.1002/casp.682     Document Type: Article

References (44)

1. American Psychological Association. (1992). Ethical principles of psychologists and code of conduct. Retrieved April 23, 2002, from http://www.apa.org/ethics/code.html
2. Arnot, D. E., Jepsen, S., & Kilama, W. (2000). Health research ethics in Africa. Parasitology Today, 76(4), 136-137.
3. Azar, B. (2002). Ethics at the cost of research? Monitor on Psychology, 33(2), 1-6. Retrieved April 23, 2002, from http://www.apa.org/monitor/feb02/ethicscost.html
4. Baldwin-Ragaven, L., de Gruchy, J., & London, L. (1999). An ambulance of the wrong colour: Health professionals, human rights and ethics in South Africa. Cape Town: UCT Press.
5. Benatar, S. (2001). Commentary: justice and medical research: a global perspective. Bioethics, 15, 333-340.
6. Benatar, S. R. (2002). Reflections and recommendations on research ethics in developing countries. Social Science and Medicine, 54, 1131-1141.
7. Birckmayer, J. D., & Weiss, C. H. (2000). Theory-based evaluation in practice: what do we learn? Evaluation Review, 24, 407-431.
8. British Psychological Society. (2000). Code of conduct, ethical guidelines and principles. Leicester: BPS.
9. Burger, A. P. (Ed.). (1996). Ubuntu: Cradles of peace and development. Pretoria: Kagiso.
10. Cooper, P. J., Landman, M., Tomlinson, M., Molteno, C., Swartz, L., & Murray, L. (2002). The impact of a mother-infant intervention in an indigent peri-urban South African context: a pilot study. British Journal of Psychiatry, 180, 76-81.
11. Cooper, P. J., Tomlinson, M., Swartz, L., Woolgar, M., Murray, L., & Molteno, C. (1999). Postpartum depression and the mother-infant relationship in a South African peri-urban settlement. British Journal of Psychiatry, 175, 554-558.
12. Dawes, A. R. L. (1985). Politics and mental health: the position of clinical psychology in South Africa. South African Journal of Psychology, 15, 55-61.
13. De Gruchy, J., & Lewin, S. (2001). Ethics that exclude: the role of ethics committees in lesbian and gay health research in South Africa. American Journal of Public Health, 91, 865-868.
14. Desjarlais, R., Eisenberg, L., Good, B., & Kleinman, A. (Eds). (1995). World mental health: Problems and priorities in developing countries. Oxford: Oxford University Press.
15. Fetterman, D. N., Kaftarian, S. J., & Wandersman, A. (Eds). (1996). Empowerment evaluation: Knowledge and tools for self-assessment and accountability. Thousand Oaks, CA: Sage.
16. Galano, J., Credle, W., Perry, D., Berg, S. W., Huntington, L., & Stief, E. (2001). Developing and sustaining a successful community prevention initiative: the Hampton Healthy Families Partnership. Journal of Primary Prevention, 21, 495-509.
17. Gibson, K., Swartz, L., & Sandenbergh, R. (2002). Counselling and coping. Cape Town: Oxford University Press.
18. Hall, G. C. N. (2001). Psychotherapy research with ethnic minorities: empirical, ethical, and conceptual issues. Journal of Consulting and Clinical Psychology, 69, 502-510.
19. Haney, W., & Lykes, M. B. (2000). Practice, participatory research and creative research designs: the evolution of ethical guidelines for research. In F. T. Sherman, & W. R. Torbert (Eds.), Transforming social inquiry, transforming social action: New paradigms for crossing the theory/practice divide in universities and communities. Norwell, MA: Kluwer Academic Publishers.
20. IJsselmuiden, C. (1997). Ethical aspects of epidemiological research. In J. Katzenellenbogen, G. Joubert, & S. Abdool-Kariem (Eds.), Epidemiology: A manual for South Africa. Cape Town: Oxford University Press.
21. Isaakidis, P., Swingler, G. H., Pienaar, E., Volminck, J., & Ioannidis, J. J. A. (2002). Relation between burden of disease and randomized evidence in sub-Saharan Africa: survey of research. British Medical Journal, 324, 1-5.
22. Jesus, J. E., & Higgs, E. S. (2002). International research ethics: progress but not perfection. Trends in Molecular Medicine, 8(2), 93-95.
23. Joubert, G., & Katzenellenbogen, J. (1997). Study design. In J. Katzenellenbogen, G. Joubert, & S. Abdool-Kariem (Eds.), Epidemiology: A manual for South Africa. Cape Town: Oxford University Press.
24. Khan, J. P., Mastroianni, A. C., & Sugarman, J. (Eds). (1998). Beyond consent: Seeking justice in research. Oxford: Oxford University Press.
25. le Page, D. (2000). Politicians unwilling to accept stubborn science. Mail & Guardian. 14 March, 15.
26. Leach, A., Hilton, S., Greenwood, B. M., Manneh, E., Dibba, B., Wilkins, A., & Mulholland, E. K. (1999). An evaluation of the informed consent procedure used during a trial of a Haemophilus influenzae type B conjugate vaccine undertaken in The Gambia, West Africa. Social Science and Medicine, 45, 139-148.
27. Lindegger, G., Richter, L. M. (2000). HIV vaccine trials: critical issues in informed consent. South African Journal of Science, 95, 313-317.
28. Macklin, R. (2001). International clinical trials with applicability to mentally impaired individuals: the conundrum of third world sites. Schizophrenia Research, 51, 87-92.
29. Mash, R. (1998). Khayelitsha District Annual Report for 1996. Cape Town: Health Information Pilot Project.
30. Maslow, A. H. (1954). Motivation and personality. New York: Harper & Row.
31. Murray, L., & Cooper, P. (Eds). (1997). Postpartum depression and child development. New York: The Guilford Press.
32. Murray, L., Fiori-Cowley, A., Hooper, R., & Cooper, P. (1996). The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome. Child Development, 67, 2512-2526.
33. Nchinda,T.C. (2002). Research capacity strengthening in the South. Social Science and Medicine, 54, 1699-1711.
34. Olds,D., Henderson,C., Kitzman,H., Eckenrode,J., Cole,R., & Tatlebaum,R. (1998). The promise of home visitation: results of two randomised trials. Journal of Community Psychology, 26, 5-21.
35. Rothman,K.J. (1986). Modern epidemiology. Boston, MA/Toronto: Little, Brown and Company.
36. Rugemalila,J.B., & Kilama,W.I. (Eds). (2001). Proceedings of a seminar on health research ethics in Africa. Acta Tropica, 78, S1-S126.
37. Schüklenk,U. (2000). Protecting the vulnerable: testing times for clinical research ethics. Social Science and Medicine, 51, 969-977.
38. Swartz,L. (1998). Culture and mental health: A southern African view. Cape Town: Oxford University Press.
39. Tshabalala-Msimang,M.E. (Minister of Health). (2000). Overview of the national HIV sero-prevalence survey of women attending public antenatal clinics in South Africa: 1999. Pretoria: Department of Health. Retrieved September 12, 2000, from http://www.aidsinfo.co.za/html/stats.htm
40. Wandersman,A. (2000). Community mobilization for prevention and health promotion can work. InN. Schneiderman,M.A. Speers,J.M. Silva,H. Tomes, &J.H. Gentry (Eds.), Integrating behavioural and social science perspectives with public health. Washington, DC: American Psychological Association.
41. Westmarland,L. (2001). Blowing the whistle on police violence: gender, ethnography and ethics. British Journal of Criminology, 41, 523-535.
42. Wood,C.S. (1990). Maori community health workers: a mixed reception in New Zealand. InJ. Coreil, &D. Mull (Eds.), Anthropology and primary health care. Boulder, CO: Westview Press.
43. World Bank. (2001a). Health. World Development Report 2000/2001. Retrieved March 6, 2002, from http://www.worldbank.org/poverty/wdrpoverty/report/tab7.pdf
44. World Bank. (2001b). Quality of life. World Development Report 2000/2001. Retrieved March 6, 2002, from http://www.worldbank.org/poverty/wdrpoverty/report/tab2.pdf