Using Mystery Clients to Assess Condom Negotiation in Malawi: Some Ethical Concerns
Identifieur interne : 000C72 ( Main/Exploration ); précédent : 000C71; suivant : 000C73Using Mystery Clients to Assess Condom Negotiation in Malawi: Some Ethical Concerns
Auteurs : Francine Van Den BorneSource :
- Studies in Family Planning [ 0039-3665 ] ; 2007-12.
Descripteurs français
- Wicri :
- geographic : Malawi.
- topic : Planification de la famille, Politique de la santé, Santé publique, Simulation.
English descriptors
- KwdEn :
- Aids project, Bartering, Cassette recorders, Condom, Condom negotiation, Consistent condom, Contextualized information, Covert, Covert method, Covert research methods, Deception, Direct contact, Drinking establishments, Ethical dilemmas, Ethical issues, Ethical principles, Ethical research, Ethical standards, Ethical systems, European commission, Exploratory study, Fake patient, Family planning, Female assistants, Female field assistants, Field assistants, Field reports, Freelancer, Health policy, Health services, Informant, Innovative approach, Malawi, Male field assistants, Male research assistants, Mystery clients, Mysteryclient method, Nacp, Newbury park, Participant, Participant observation, Peer educators, Pilot phase, Poor women, Principal investigator, Professional responsibilities, Public health, Qualitative research, Qualitative study, Reproductive health policy, Research activities, Research methods, Research questions, Research subjects, Researcher, Rest houses, Review committee, Sage publications, Sensitive issues, Sexual activities, Sexual practices, Simulation, Social research, Social scientists, Structural violence, Support group, Task force, Trading centers, Training curriculum, Undercover method, Urban malawi, Valid information, Verbal proxy consent.
- Teeft :
- Aids project, Bartering, Cassette recorders, Condom, Condom negotiation, Consistent condom, Contextualized information, Covert, Covert method, Covert research methods, Deception, Direct contact, Drinking establishments, Ethical dilemmas, Ethical issues, Ethical principles, Ethical research, Ethical standards, Ethical systems, European commission, Exploratory study, Fake patient, Family planning, Female assistants, Female field assistants, Field assistants, Field reports, Freelancer, Health policy, Health services, Informant, Innovative approach, Malawi, Male field assistants, Male research assistants, Mystery clients, Mysteryclient method, Nacp, Newbury park, Participant, Participant observation, Peer educators, Pilot phase, Poor women, Principal investigator, Professional responsibilities, Public health, Qualitative research, Qualitative study, Reproductive health policy, Research activities, Research methods, Research questions, Research subjects, Researcher, Rest houses, Review committee, Sage publications, Sensitive issues, Sexual activities, Sexual practices, Simulation, Social research, Social scientists, Structural violence, Support group, Task force, Trading centers, Training curriculum, Undercover method, Urban malawi, Valid information, Verbal proxy consent.
Abstract
To halt the HIV/AIDS epidemic in Malawi, donors supported the government in promoting safer sex among women who solicit sex with men in and around bars. In 1996, a qualitative study explored the changing dynamics of concurrent sexual partnerships, using a variety of researchers and methods. Although most international ethical research codes prescribe the informed consent of research subjects, the present author, as principal investigator for that study, included the mystery‐client method, which omits informants’consent. Five trained, pilot‐tested, and closely supervised male researchers contacted 101 bar girls and “freelancing” women in trading and urban centers to assess the women's ability to negotiate condom use. The men posed as clients but were instructed not to have sex with their informants. This approach provided important contextualized information to improve HIV transmission‐prevention programs, yet it raises ethical concerns. This article is intended to contribute to the dialogue and debate on ethical research involving mystery clients and to encourage other researchers to share their ethical dilemmas and show how they have addressed them.
Url:
DOI: 10.1111/j.1728-4465.2007.00144.x
Affiliations:
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Le document en format XML
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<term>Condom</term>
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<term>Consistent condom</term>
<term>Contextualized information</term>
<term>Covert</term>
<term>Covert method</term>
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<term>Deception</term>
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<term>Male research assistants</term>
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<term>Research questions</term>
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<term>Condom negotiation</term>
<term>Consistent condom</term>
<term>Contextualized information</term>
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<term>Covert method</term>
<term>Covert research methods</term>
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<term>Health services</term>
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<term>Innovative approach</term>
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<term>Mysteryclient method</term>
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<term>Newbury park</term>
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<term>Participant observation</term>
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<term>Poor women</term>
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<term>Professional responsibilities</term>
<term>Public health</term>
<term>Qualitative research</term>
<term>Qualitative study</term>
<term>Reproductive health policy</term>
<term>Research activities</term>
<term>Research methods</term>
<term>Research questions</term>
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<term>Trading centers</term>
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<front><div type="abstract" xml:lang="en">To halt the HIV/AIDS epidemic in Malawi, donors supported the government in promoting safer sex among women who solicit sex with men in and around bars. In 1996, a qualitative study explored the changing dynamics of concurrent sexual partnerships, using a variety of researchers and methods. Although most international ethical research codes prescribe the informed consent of research subjects, the present author, as principal investigator for that study, included the mystery‐client method, which omits informants’consent. Five trained, pilot‐tested, and closely supervised male researchers contacted 101 bar girls and “freelancing” women in trading and urban centers to assess the women's ability to negotiate condom use. The men posed as clients but were instructed not to have sex with their informants. This approach provided important contextualized information to improve HIV transmission‐prevention programs, yet it raises ethical concerns. This article is intended to contribute to the dialogue and debate on ethical research involving mystery clients and to encourage other researchers to share their ethical dilemmas and show how they have addressed them.</div>
</front>
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