Research ethics committees in the Pacific Islands: gaps and opportunities for health sector strengthening
Identifieur interne : 001A83 ( Pmc/Curation ); précédent : 001A82; suivant : 001A84Research ethics committees in the Pacific Islands: gaps and opportunities for health sector strengthening
Auteurs : J. T. Denholm [Australie] ; K. Bissell [France, Nouvelle-Zélande] ; K. Viney [Australie] ; A. M. Durand [États-Unis] ; H. L. Cash [États-Unis] ; C. Roseveare [Nouvelle-Zélande] ; O. E. Merilles ; A. D. Harries [France, Royaume-Uni] ; S. Biribo [Fidji]Source :
- Public Health Action [ 2220-8372 ] ; 2017.
Abstract
There has been a range of developments in recent years to stimulate increasing public health research activity throughout the Pacific. Development of local capacity for ethics committee review and oversight is, however, frequently underdeveloped. This is reflected in the number of Pacific Island nations where ethics committees have not been established or where only informal processes exist for ethics review and oversight. This is problematic for the optimal development of relevant and culturally appropriate research, and building up local ethics committees should be part of continued research development in the Pacific. Three areas in which local ethics committees may add value are 1) offering better capacity to reflect local priorities, 2) providing broader benefits for research capacity building, and 3) assisting to strengthen systems beyond research ethics. This article considers benefits and challenges for ethics committees in the Pacific, and suggests directions for regional development to further strengthen public health research activity.
Url:
DOI: 10.5588/pha.16.0076
PubMed: 28913174
PubMed Central: 5526493
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O. E. Merilles<affiliation><nlm:aff id="aff8"> The Pacific Community, Noumea, South Province, New Caledonia</nlm:aff>
<wicri:noCountry code="subfield">New Caledonia</wicri:noCountry>
</affiliation>
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<front><div type="abstract" xml:lang="en"><p>There has been a range of developments in recent years to stimulate increasing public health research activity throughout the Pacific. Development of local capacity for ethics committee review and oversight is, however, frequently underdeveloped. This is reflected in the number of Pacific Island nations where ethics committees have not been established or where only informal processes exist for ethics review and oversight. This is problematic for the optimal development of relevant and culturally appropriate research, and building up local ethics committees should be part of continued research development in the Pacific. Three areas in which local ethics committees may add value are 1) offering better capacity to reflect local priorities, 2) providing broader benefits for research capacity building, and 3) assisting to strengthen systems beyond research ethics. This article considers benefits and challenges for ethics committees in the Pacific, and suggests directions for regional development to further strengthen public health research activity.</p>
</div>
</front>
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<article-id pub-id-type="sici">i2220-8372-7-1-6</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group><article-title>Research ethics committees in the Pacific Islands: gaps and opportunities for health sector strengthening</article-title>
<alt-title alt-title-type="running-head">Research ethics committees in the Pacific</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Denholm</surname>
<given-names>J. T.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff2">2</xref>
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<contrib contrib-type="author"><name><surname>Bissell</surname>
<given-names>K.</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
<xref ref-type="aff" rid="aff4">4</xref>
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<contrib contrib-type="author"><name><surname>Viney</surname>
<given-names>K.</given-names>
</name>
<xref ref-type="aff" rid="aff5">5</xref>
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<contrib contrib-type="author"><name><surname>Durand</surname>
<given-names>A. M.</given-names>
</name>
<xref ref-type="aff" rid="aff6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cash</surname>
<given-names>H. L.</given-names>
</name>
<xref ref-type="aff" rid="aff6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Roseveare</surname>
<given-names>C.</given-names>
</name>
<xref ref-type="aff" rid="aff7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Merilles</surname>
<given-names>O. E.</given-names>
<suffix>Jr.</suffix>
</name>
<xref ref-type="aff" rid="aff8">8</xref>
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<contrib contrib-type="author"><name><surname>Harries</surname>
<given-names>A. D.</given-names>
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<xref ref-type="aff" rid="aff3">3</xref>
<xref ref-type="aff" rid="aff9">9</xref>
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<contrib contrib-type="author"><name><surname>Biribo</surname>
<given-names>S.</given-names>
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<xref ref-type="aff" rid="aff10">10</xref>
</contrib>
<aff id="aff1"><label>1</label>
Victorian Tuberculosis Program, Royal Melbourne Hospital, Parkville, Victoria, Australia</aff>
<aff id="aff2"><label>2</label>
Department of Microbiology and Immunology, University of Melbourne, Melbourne, Victoria, Australia</aff>
<aff id="aff3"><label>3</label>
International Union Against Tuberculosis and Lung Disease, Paris, France</aff>
<aff id="aff4"><label>4</label>
School of Population Health, University of Auckland, Tamaki, New Zealand</aff>
<aff id="aff5"><label>5</label>
National Centre of Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia</aff>
<aff id="aff6"><label>6</label>
Pacific Island Health Officers Association, Honolulu, Hawaii, USA</aff>
<aff id="aff7"><label>7</label>
Regional Public Health, Hutt Valley District Health Board, Lower Hutt, New Zealand</aff>
<aff id="aff8"><label>8</label>
The Pacific Community, Noumea, South Province, New Caledonia</aff>
<aff id="aff9"><label>9</label>
London School of Hygiene & Tropical Medicine, London, UK</aff>
<aff id="aff10"><label>10</label>
College of Medicine, Nursing & Health Sciences, Fiji National University, Suva, Fiji</aff>
</contrib-group>
<author-notes><corresp id="cor1"><bold>CORRESPONDENCE</bold>
Justin Denholm, Victorian Tuberculosis Program, Royal Melbourne Hospital, 792 Elizabeth Street, Melbourne, VIC, Australia 3000, e-mail: <email>justin.denholm@mh.org.au</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>21</day>
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<year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>3</month>
<year>2017</year>
</pub-date>
<volume>7</volume>
<issue>1</issue>
<fpage>6</fpage>
<lpage>9</lpage>
<history><date date-type="received"><day>6</day>
<month>9</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>12</day>
<month>11</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© 2017 The Union</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract><p>There has been a range of developments in recent years to stimulate increasing public health research activity throughout the Pacific. Development of local capacity for ethics committee review and oversight is, however, frequently underdeveloped. This is reflected in the number of Pacific Island nations where ethics committees have not been established or where only informal processes exist for ethics review and oversight. This is problematic for the optimal development of relevant and culturally appropriate research, and building up local ethics committees should be part of continued research development in the Pacific. Three areas in which local ethics committees may add value are 1) offering better capacity to reflect local priorities, 2) providing broader benefits for research capacity building, and 3) assisting to strengthen systems beyond research ethics. This article considers benefits and challenges for ethics committees in the Pacific, and suggests directions for regional development to further strengthen public health research activity.</p>
</abstract>
<trans-abstract xml:lang="FR"><p>Il y a eu toute une gamme de développements au cours des dernières années visant à stimuler un accroissement des activités de recherche en santé publique à travers la région Pacifique. Cependant, le renforcement des capacités locales de révision et de surveillance par les comités d'éthique est fréquemment sous-développé. Ceci est reflété par le nombre de nations insulaires du Pacifique où aucun comité d'éthique n'a été mis en place ou seules des procédures informelles de revue et de surveillance existent. Ceci pose un problème pour le bon développement d'une recherche pertinente et culturellement appropriée ; la mise en place de comités d'éthique locaux devrait faire partie du développement continu de la recherche dans le Pacifique. Trois domaines dans lesquels les comités d'éthique locaux pourraient avoir une valeur ajoutée sont 1) offrir une meilleure capacité de refléter les priorités locales, 2) apporter des bénéfices plus grands pour le renforcement des capacités de recherche, et 3) contribuer à renforcer les systèmes au-delà de l'éthique de la recherche. Cet article envisage les bénéfices et les défis des comités d'éthique dans le Pacifique et suggère des orientations pour le développement régional afin de développer davantage les activités de recherche en santé publique.</p>
</trans-abstract>
<trans-abstract xml:lang="ES"><p>En los últimos años se ha observado una diversidad de progresos que estimulan las actividades de investigación en salud pública en toda la región del Pacífico. Sin embargo, la creación de competencias locales en materia de comités de ética y supervisión suele ser deficiente. Esta situación se refleja en el número de estados insulares del Pacífico que aun no cuentan con comités de ética o donde se practica solo un proceso informal de examen de los aspectos éticos y de supervisión de los estudios clínicos. Estas circunstancias representan un obstáculo al desarrollo óptimo de una investigación pertinente y culturalmente apropiada; la creación de comités de ética debe formar parte del desarrollo continuo de la investigación en el Pacífico. Estos comités aportarían ventajas en tres esferas principales, a saber: 1) una mayor capacidad de responder a las prioridades locales; 2) la ampliación de las ventajas que ofrece el fortalecimiento de la capacidad de realizar investigaciones; y 3) el mejoramiento de los sistemas de salud, más allá del terreno de la ética de la investigación. En el presente artículo se examinan las ventajas y las dificultades que presentan los comités de ética en la región del Pacífico y se proponen orientaciones para el desarrollo regional que promuevan la actividad de investigación en salud pública.</p>
</trans-abstract>
<kwd-group><kwd>research ethics</kwd>
<kwd>Pacific Islands</kwd>
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