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15Strengthening Howick's Argument Against The Alleged Superiority of Placebo-Controlled TrialsAmerican Journal of Bioethics 9 (9): 62-64. 2009.No abstract
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14Stakeholders’ experiences of ethical challenges in cluster randomized trials in a limited resource setting: a qualitative analysisResearch Ethics 20 (1): 64-78. 2024.Although the use of the cluster randomized trial (CRT) design to evaluate vaccines, public health interventions or health systems is increasing, the ethical issues posed by the design are not adequately addressed, especially in low- and middle-income country settings (LMICs). To help reveal ethical challenges, qualitative interviews were conducted with key stakeholders experienced in designing and conducting two selected CRTs in Malawi. The 18 interviewed stakeholders included investigators, cli…Read more
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13Medical Scholarships and the Social Determinants of HealthAmerican Journal of Bioethics 12 (5): 38-39. 2012.The American Journal of Bioethics, Volume 12, Issue 5, Page 38-39, May 2012
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12Stakeholder views on informed consent models for future use of biological samples in Malawi and South AfricaBMC Medical Ethics 24 (1): 1-10. 2023.BackgroundCurrent advances in biomedical research have introduced new ethical challenges in obtaining informed consent in low and middle-income settings. For example, there are controversies about the use of broad consent in the collection of biological samples for use in future biomedical research. However, few studies have explored preferred informed consent models for future use of biological samples in Malawi and South Africa. Therefore, we conducted an empirical study to understand preferre…Read more
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12Review of Health for Sale, By Mannut Film (review)American Journal of Bioethics 9 (12): 83-84. 2009.
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11HIV Molecular Epidemiology: Tool of Oppression or Empowerment?American Journal of Bioethics 20 (10): 44-47. 2020.Volume 20, Issue 10, October 2020, Page 44-47.
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11Tinkering With the Health of the PoorAmerican Journal of Bioethics 14 (2): 43-44. 2014.No abstract
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11Ethics of pursuing targets in public health: the case of voluntary medical male circumcision for HIV-prevention programs in KenyaJournal of Medical Ethics 47 (12). 2021.The use of targets to direct public health programmes, particularly in global initiatives, has become widely accepted and commonplace. This paper is an ethical analysis of the utilisation of targets in global public health using our fieldwork on and experiences with voluntary medical male circumcision initiatives in Kenya. Among the many countries involved in VMMC for HIV prevention, Kenya is considered a success story, its programmes having medically circumcised nearly 2 million men since 2007.…Read more
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11Enhancing ethics review of social and behavioral research: developing a review template in EthiopiaResearch Ethics 15 (3-4): 1-23. 2019.Background:Africa is increasingly becoming an important region for health research, mainly due to its heavy burden of disease, socioeconomic challenges, and inadequate health facilities. Regulatory...
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10The Infrastructure Effect: Scientific Conjecture or Wishful Thinking?American Journal of Bioethics 16 (6): 12-13. 2016.
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10The Ethics of Globalizing BioethicsEthics in Biology, Engineering and Medicine 2 (2): 147-156. 2011.
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10Corrigendum: Scraping the Web for Public Health Gains: Ethical Considerations from a ‘Big Data’ Research Project on HIV and IncarcerationPublic Health Ethics 13 (3): 314-314. 2020.
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10Penile transplantation as an appropriate response to botched traditional circumcisions in South Africa: an argument againstJournal of Medical Ethics 44 (2): 86-90. 2018.Traditional male circumcision is a deeply entrenched cultural practice in South Africa. In recent times, there have been increasing numbers of botched circumcisions by untrained and unscrupulous practitioners, leading to genital mutilation and often, the need for penile amputation. Hailed as a world’s first, a team of surgeons conducted the first successful penile transplant in Cape Town, South Africa in 2015. Despite the euphoria of this surgical victory, concerns about the use of this costly i…Read more
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8Ethical considerations for HIV remission clinical research involving participants diagnosed during acute HIV infectionBMC Medical Ethics 22 (1): 1-12. 2021.HIV remission clinical researchers are increasingly seeking study participants who are diagnosed and treated during acute HIV infection—the brief period between infection and the point when the body creates detectable HIV antibodies. This earliest stage of infection is often marked by flu-like illness and may be an especially tumultuous period of confusion, guilt, anger, and uncertainty. Such experiences may present added ethical challenges for HIV research recruitment, participation, and retent…Read more
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7The Ethics of Stigma in Medical Male Circumcision Initiatives Involving Adolescents in Sub-Saharan AfricaPublic Health Ethics 14 (1): 79-89. 2021.Ongoing global efforts to circumcise adolescent and adult males to reduce their risk of acquiring HIV constitute the largest public health prevention initiative, using surgical means, in human history. Voluntary medical male circumcision (VMMC) programs in Africa have significantly altered social norms related to male circumcision among previously non-circumcising groups and groups that have practiced traditional (non-medical) circumcision. One consequence of this change is the stigmatization of…Read more
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5Corrigendum: Scraping the Web for Public Health Gains: Ethical Considerations from a ‘Big Data’ Research Project on HIV and IncarcerationPublic Health Ethics 13 (3): 314-314. 2020.
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4Engaging with research ethics in central Francophone Africa: reflections on a workshop about ancillary carePhilosophy, Ethics, and Humanities in Medicine 7 (1): 10. 2012.Research ethics is predominantly taught and practiced in Anglophone countries, particularly those in North America and Western Europe. Initiatives to build research ethics capacity in developing countries must attempt to avoid imposing foreign frameworks and engage with ethical issues in research that are locally relevant. This article describes the process and outcomes of a capacity-building workshop that took place in Kinshasa, Democratic Republic of Congo in the summer of 2011. Although the w…Read more
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2Appropriateness of no-fault compensation for research-related injuries from an African perspective: an appeal for action by African countries: Table 1Journal of Medical Ethics 42 (8): 528-533. 2016.Compensation for research-related injuries (RRIs) remains a challenge in the current environment of global collaborative biomedical research as exemplified by the continued reluctance of the US government, a major player in international biomedical research, to enact regulation for mandatory compensation for RRIs. This stance is in stark contrast to the mandatory compensation policies adopted by other democracies like the European Union (EU) countries. These positions taken by the USA and the EU…Read more
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University of North Carolina, Chapel HillRegular Faculty
Chapel Hill, North Carolina, United States of America