Ethical Issues in Global Health Research

Cases

Interactive Case Study: The Debate Over Clinical Trials of AZT to Prevent Mother-to-Infant Transmission of HIV in Developing Nations
An on-line interactive case study developed by by the Case Program, John F. Kennedy School of Government, Harvard University. For program participants only.

Issues in Informed Consent
Is informed consent culturally bound or is it a universal principle that cannot be compromised?

XXXXX: Persistent Diarrhea in HIV + Children
What percent of HIV+ children would have to benefit from a treatment (and to what degree) for it to be considered effective?

Confidentiality vs. Credibility in Health Services Education
Are there situations when confidentiality could/should be ignored? What, if any, are those particular circumstances?

Responsibilities of An Investigator
How can funding issues impact the dissemination of research findings? Can you imagine a scenario in which this conflicts with a researcher's responsibility to his or her study community?

What is a Study's Responsibility to the Community?
At what level of efficacy should a vaccine be considered as a useful preventative measure? Who should make this determination?

Evaluating the Use of Traditional Medicines
Are those who oppose the approval of traditional medicines biased against them, denigrating indigenous science, and trying to impose their own "Western biases" on scientific research?

XXXXX: Parental rights regarding HIV and Breast Feeding
What, if any, are the rights of a husband or father in deciding whether an an HIV+ mother can breastfeed her child?

Confidentiality in a Study of Abortion at the Community Level
Does the process of identifying individuals who have had an abortion violate confidentiality? Can oral consent substitute for written consent in a population that has high rates of illiteracy?

Should Race be Listed as a Risk Factor?
Are race and ethnicity risk factors for disease?   If so, how?  What "is" a risk factor?  What is a "biomarker"?

Testing a New HIV Vaccine
Would it be unethical to offer state-of-the-art care to seroconvertors in a vaccine study if this level of care is not available in their country?

Microbicide
What are the consent issues in a study on vaginal microbicides?



Note: Cases are fictional, but based on real events. All organization and individual names have been changed.