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'Like sugar and honey': The embedded ethics of a larval control project in The Gambia

Identifieur interne : 000169 ( PascalFrancis/Checkpoint ); précédent : 000168; suivant : 000170

'Like sugar and honey': The embedded ethics of a larval control project in The Gambia

Auteurs : Ann H. Kelly [Royaume-Uni] ; David Ameh [Gambie] ; Silas Majambere [Tanzanie, Royaume-Uni] ; Steve Lindsay [Royaume-Uni] ; Margaret Pinder [Royaume-Uni, Gambie]

Source :

RBID : Pascal:10-0301233

Descripteurs français

English descriptors

Abstract

This paper describes a malaria research project in The Gambia to provoke thinking on the social value of transnational research. The Larval Control Project (LCP) investigated the efficacy of a microbial insecticide to reduce vector density and, ultimately, clinical malaria in Gambian children. The LCP's protocol delineated a clinical surveillance scheme that involved Village Health Workers (VHWs) supported by project nurses. Combining insights from ethnographic fieldwork conducted at the Medical Research Council (MRC) Laboratories in Farafenni from 2005 to 2009, open-ended interviews with project nurses, and eight focus group discussions held with participant mothers in October 2007, we consider the social impact of the LCP's investigative method against the backdrop of several years of research activity. We found that while participants associated the LCP with the clinical care it provided, they also regarded the collaboration between the nurses and VHWs added additional benefits. Organised around the opera- tional functions of the trial, small-scale collaborations provided the platform from which to build local capacity. While ethical guidelines emphasise the considerations that must be added to experimental endeavour in southern countries (e.g. elaborating processes of informed consent, developing strategies of community engagement or providing therapeutic access to participants after the trial concludes), these findings suggest that shifting attention from supplementing ethical protocols to the everyday work of research - embedding ethics through scientific activity - may provide a sounder basis to reinforce the relationship between scientific rigour and social value.


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Le document en format XML

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</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Social aspect</s0>
<s5>18</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Aspecto social</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Technologie</s0>
<s5>19</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Technology</s0>
<s5>19</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Tecnología</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Médecine sociale</s0>
<s5>25</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Social medicine</s0>
<s5>25</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Medicina social</s0>
<s5>25</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Homme</s0>
<s5>26</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Human</s0>
<s5>26</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>26</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Protozoose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Protozoal disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Protozoosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Parasitose</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Parasitosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Parasitosis</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Afrique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Africa</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Africa</s0>
<s2>NG</s2>
</fC07>
<fN21>
<s1>193</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>Gambie</li>
<li>Royaume-Uni</li>
<li>Tanzanie</li>
</country>
<region>
<li>Angleterre</li>
<li>Grand Londres</li>
</region>
<settlement>
<li>Londres</li>
</settlement>
</list>
<tree>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Kelly, Ann H" sort="Kelly, Ann H" uniqKey="Kelly A" first="Ann H." last="Kelly">Ann H. Kelly</name>
</region>
<name sortKey="Lindsay, Steve" sort="Lindsay, Steve" uniqKey="Lindsay S" first="Steve" last="Lindsay">Steve Lindsay</name>
<name sortKey="Lindsay, Steve" sort="Lindsay, Steve" uniqKey="Lindsay S" first="Steve" last="Lindsay">Steve Lindsay</name>
<name sortKey="Majambere, Silas" sort="Majambere, Silas" uniqKey="Majambere S" first="Silas" last="Majambere">Silas Majambere</name>
<name sortKey="Pinder, Margaret" sort="Pinder, Margaret" uniqKey="Pinder M" first="Margaret" last="Pinder">Margaret Pinder</name>
</country>
<country name="Gambie">
<noRegion>
<name sortKey="Ameh, David" sort="Ameh, David" uniqKey="Ameh D" first="David" last="Ameh">David Ameh</name>
</noRegion>
<name sortKey="Pinder, Margaret" sort="Pinder, Margaret" uniqKey="Pinder M" first="Margaret" last="Pinder">Margaret Pinder</name>
</country>
<country name="Tanzanie">
<noRegion>
<name sortKey="Majambere, Silas" sort="Majambere, Silas" uniqKey="Majambere S" first="Silas" last="Majambere">Silas Majambere</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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