Application Of Individual Voluntary Consent

853 WordsDec 5, 20164 Pages
Despite many ethical guidelines, various issues stay debatable, including the relevance, prioritization, and application of individual voluntary informed consent in developing countries. The practical problems of informed consent in developing countries are huge due to several factors, including relatively low levels of formal education, lack of access to good quality health care services, and in some circumstances, diverse values, knowledges of health and illness. HIV research in developing countries has caused in amplified arguments of ethical concerns, mainly the subject of the quality of informed consent. The ethical dilemmas in the standards of informed consent applied by research institutions and pharmaceutical companies of HIV clinical trials in developing countries will be discussed. 2. Vulnerability and Informed Consent in Research and Health Care a) Vulnerability and Vulnerable Populations “Vulnerability” term is a fairly new one in the discourse of bioethics; it was used in the Belmont Report in 1979 for the first time. The meaning of the concept has gradually evolved over time. At first, vulnerability was reflected as a special deliberation in the application of the bioethical principles of respect for persons, beneficence, and justice, mostly applicable in the framework of research with human beings. In the 1993 CIOMS guidelines, the notion of “vulnerability” developed to include a distinctive application of the principle of justice and the principle of respect
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