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Ethics in Global Health - Research, Policy and Practice (Hardcover)
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Ethics in Global Health - Research, Policy and Practice (Hardcover)
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This is a collection of Ruth Macklin's previously published
articles that appeared in scholarly journals or as chapters in
books. Dr. Macklin's pioneering work in ethics and global health
spans more than two decades. The articles in this volume range from
a chapter in a book published in 1989 to a journal article
currently in press. The essays fall into two broad categories:
policy and practice, and multinational research. Topics in the
first category include cultural beliefs and attitudes regarding
family planning, long-acting contraception, abortion, and more
broadly, policies and practices affecting women's health. Two
essays dealing with justice focus on HIV/AIDS: how developing
country governments might distribute medications fairly to all who
are in need; and what obligations do industrialized countries and
world leaders have to provide affordable medications to developing
countries. A theme that runs throughout the essays is a defense of
the universality of ethical principles, despite cultural
differences that exist around the globe. The section on
multinational research includes articles on international ethics
guidance documents, such as the Declaration of Helsinki; discussion
of the obligations of researchers and sponsors when they conduct
research in developing countries; what constitutes exploitation
when research is conducted in resource-poor countries; and, as in
the first section of the book, the application of universal ethical
principles to the global research enterprise. The author criticizes
the view that double standards in research are acceptable: one
standard for rich countries, and a lower standard for developing
countries. Several essays deal with sensitive and controversial
ethical aspects of research on reproductive health and HIV/AIDS.
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