Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa

Elizabeth Shayo; Marie Claire Van Hout; Josephine Birungi; Anupam Garrib; Sokoine Kivuyo; Sayoki Mfinanga; Moffat J. Nyrienda; Ivan Namakoola; Joseph Okebe; Kaushik Ramaiya; Max Oscar Bachmann; Walter Cullen; Jeffrey V. Lazarus; Geoff Gill; Tinevimbo Shiri; Dominic Bukenya; Hazel Snell; Mastula Nanfuka; Luis Cuevas; Meshack Shimwela; Gerald Mutungi; Joshua Musinguzi; Janneth Mghamba; Kenneth Mugisha; Shabbar Jaffar; Peter G. Smith; Nelson Kaulukusi Sewankambo

doi:10.1136/bmjgh-2019-002193

Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa

Elizabeth Shayo
, Marie Claire Van Hout
, Josephine Birungi
, Anupam Garrib
, Sokoine Kivuyo
, Sayoki Mfinanga
, Moffat J. Nyrienda
, Ivan Namakoola
, Joseph Okebe
, Kaushik Ramaiya
, Max Oscar Bachmann
, Walter Cullen
, Jeffrey V. Lazarus
, Geoff Gill
, Tinevimbo Shiri
, Dominic Bukenya
, Hazel Snell
, Mastula Nanfuka
, Luis Cuevas
, Meshack Shimwela

Gerald Mutungi, Joshua Musinguzi, Janneth Mghamba, Kenneth Mugisha, Shabbar Jaffar, Peter G. Smith, Nelson Kaulukusi Sewankambo

National Institutes for Medical Research
Liverpool John Moores University
London School of Hygiene and Tropical Medicine
Shree Hindu Mandal Hospital
University of East Anglia
University College Dublin
Universitat de Barcelona
University of Copenhagen
Liverpool School of Tropical Medicine
The AIDS Support Organization
Temeke Hospital
Uganda Ministry of Health
Ministry of Health and Social Welfare
Makerere University

Research output: Contribution to journal › Comment/debate

10 Citations (Scopus)

Abstract

Conducting intervention studies in Africa, where medicines supply for chronic conditions is inequitable and patchy, raises major ethical issues.

Here we discuss what should the ethical approach be for a research programme in terms of provision of a steady and sustainable supply of medicines for patients with diabetes and hypertension.

Original language	English
Article number	e002193
Pages (from-to)	e002193
Journal	BMJ Global Health
Volume	5
Issue number	7
DOIs	https://doi.org/10.1136/bmjgh-2019-002193
Publication status	Published - 6 Jul 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

diabetes
HIV
hypertension
public health

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10.1136/bmjgh-2019-002193Licence: CC BY-NC

E002193Final published version, 340 KBLicence: CC BY-NC

Cite this

Shayo, E., Van Hout, M. C., Birungi, J., Garrib, A., Kivuyo, S., Mfinanga, S., Nyrienda, M. J., Namakoola, I., Okebe, J., Ramaiya, K., Bachmann, M. O., Cullen, W., Lazarus, J. V., Gill, G., Shiri, T., Bukenya, D., Snell, H., Nanfuka, M., Cuevas, L., ... Sewankambo, N. K. (2020). Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa. BMJ Global Health, 5(7), e002193. Article e002193. https://doi.org/10.1136/bmjgh-2019-002193

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title = "Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa",

abstract = "Conducting intervention studies in Africa, where medicines supply for chronic conditions is inequitable and patchy, raises major ethical issues.Here we discuss what should the ethical approach be for a research programme in terms of provision of a steady and sustainable supply of medicines for patients with diabetes and hypertension.",

keywords = "diabetes, HIV, hypertension, public health",

author = "Elizabeth Shayo and \{Van Hout\}, \{Marie Claire\} and Josephine Birungi and Anupam Garrib and Sokoine Kivuyo and Sayoki Mfinanga and Nyrienda, \{Moffat J.\} and Ivan Namakoola and Joseph Okebe and Kaushik Ramaiya and Bachmann, \{Max Oscar\} and Walter Cullen and Lazarus, \{Jeffrey V.\} and Geoff Gill and Tinevimbo Shiri and Dominic Bukenya and Hazel Snell and Mastula Nanfuka and Luis Cuevas and Meshack Shimwela and Gerald Mutungi and Joshua Musinguzi and Janneth Mghamba and Kenneth Mugisha and Shabbar Jaffar and Smith, \{Peter G.\} and Sewankambo, \{Nelson Kaulukusi\}",

year = "2020",

month = jul,

day = "6",

doi = "10.1136/bmjgh-2019-002193",

language = "English",

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journal = "BMJ Global Health",

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number = "7",

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Shayo, E, Van Hout, MC, Birungi, J, Garrib, A, Kivuyo, S, Mfinanga, S, Nyrienda, MJ, Namakoola, I, Okebe, J, Ramaiya, K, Bachmann, MO, Cullen, W, Lazarus, JV, Gill, G, Shiri, T, Bukenya, D, Snell, H, Nanfuka, M, Cuevas, L, Shimwela, M, Mutungi, G, Musinguzi, J, Mghamba, J, Mugisha, K, Jaffar, S, Smith, PG & Sewankambo, NK 2020, 'Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa', BMJ Global Health, vol. 5, no. 7, e002193, pp. e002193. https://doi.org/10.1136/bmjgh-2019-002193

TY - JOUR

T1 - Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa

AU - Shayo, Elizabeth

AU - Van Hout, Marie Claire

AU - Birungi, Josephine

AU - Garrib, Anupam

AU - Kivuyo, Sokoine

AU - Mfinanga, Sayoki

AU - Nyrienda, Moffat J.

AU - Namakoola, Ivan

AU - Okebe, Joseph

AU - Ramaiya, Kaushik

AU - Bachmann, Max Oscar

AU - Cullen, Walter

AU - Lazarus, Jeffrey V.

AU - Gill, Geoff

AU - Shiri, Tinevimbo

AU - Bukenya, Dominic

AU - Snell, Hazel

AU - Nanfuka, Mastula

AU - Cuevas, Luis

AU - Shimwela, Meshack

AU - Mutungi, Gerald

AU - Musinguzi, Joshua

AU - Mghamba, Janneth

AU - Mugisha, Kenneth

AU - Jaffar, Shabbar

AU - Smith, Peter G.

AU - Sewankambo, Nelson Kaulukusi

PY - 2020/7/6

Y1 - 2020/7/6

N2 - Conducting intervention studies in Africa, where medicines supply for chronic conditions is inequitable and patchy, raises major ethical issues.Here we discuss what should the ethical approach be for a research programme in terms of provision of a steady and sustainable supply of medicines for patients with diabetes and hypertension.

AB - Conducting intervention studies in Africa, where medicines supply for chronic conditions is inequitable and patchy, raises major ethical issues.Here we discuss what should the ethical approach be for a research programme in terms of provision of a steady and sustainable supply of medicines for patients with diabetes and hypertension.

KW - diabetes

KW - HIV

KW - hypertension

KW - public health

U2 - 10.1136/bmjgh-2019-002193

DO - 10.1136/bmjgh-2019-002193

M3 - Comment/debate

VL - 5

SP - e002193

JO - BMJ Global Health

JF - BMJ Global Health

IS - 7

M1 - e002193

ER -

Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa

Abstract

UN SDGs

Keywords

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