Search results

This casebook collects 64 case studies, each of which raises an important and difficult ethical issue connected with planning, reviewing, or conducting health-related research. The book's purpose is to contribute to thoughtful analysis of these issues by researchers and members of research ethics committees (RECs, known in some places as ethical review committees or institutional review boards), particularly those involved with studies that are conducted or sponsored internationally. This collection is envisioned principally as a tool to aid educational programs, from short workshops on research ethics to in-service learning for scientists and REC members, to formal degree or certificate courses. In such settings, instructors will typically select a number of case studies that will be distributed to the participants to provoke and focus discussion. To assist those using these case studies in their classrooms and workshops, a teaching guide has been included.--Publisher's description

This present volume seeks to draw lessons for the strategy of improving rural primary health care in sub-Saharan Africa from a multi-disciplinary account and evaluation of a foreign donor-aided project conducted in Mali during 1978-1982. The authors describe the design and the implementation of the Mali Rural Health Project (=Projet Sante Rurale) and try to outline the weaknesses which led to the collapse of the project

Although SARS-CoV-2 was first reported in China and neighbouring countries, the pandemic quickly spread around the globe. This paper explores national drivers of the pandemic and the radically different epidemiology and response in the West and in the East. We studied coronavirus disease (COVID-19) mortality until 31st December 2020, using an ecological study design, considering baseline characteristics and responses that might account for the uneven impact of the pandemic. A multivariable regression model was developed to explore key determinants. Key variables in the West were contrasted with those in the East, and speed of response was examined. Worldwide, 2.24 million COVID-19 deaths were documented in 2020. Western countries reported a median mortality 114 times that of the East (684 vs. 6.0 per million). Significant correlates of mortality in countries with at least 1 million population were median age, obesity prevalence, and democracy index; political stability and experience of SARS in 2002–2003 were protective; health system variables and income inequality were not associated. Outputs of the model were consistent when adjusted for stringency index, timeliness of stay-at-home requirements, and geographical autocorrelation. The West experiences a much higher COVID-19 mortality than the East. Despite structural advantages in the West, delays in national responses early on resulted in a loss of control over the spread of SARS-CoV-2. Although the early success of the East was sustained in the second half of 2020, the region remains extremely vulnerable to COVID-19 until enough people are immunized.