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Conducting good, ethical global health research is more important
than ever. Increased global mobility and connectivity mean that in
today's world there is no such thing as 'local health'. How we
experience the effects of disease may be shaped by our social and
economic differences, but the sick in one part of the world and the
healthy in another are connected through economics, politics,
media, and imagination, as well as by the infectiousness of
disease. Global health research carried out through transnational
collaboration is one crucial way in which people from far-flung
geographic regions relate to each other. Good global health
research and the relationships it creates, therefore, concerns us
all. This book is a collection of fictionalised case studies of
everyday ethical dilemmas and challenges, encountered in the
process of conducting global health research in places where the
effects of global, political and economic inequality are
particularly evident. Our aim is to create a training tool which
can begin to fill the gap between research ethics guidelines, and
their implementation 'on the ground'.The case studies, therefore,
focus on 'relational' ethics: ethical actions and ideas that emerge
through relations with others, rather than in regulations. The case
studies are based on stories and experiences collected by a group
of anthropologists who have worked with leading transnational
medical research organisations across Africa in the past decade.
The stories have been anonymised, combined with each other, and
substantially altered in order to provide 'stumbling stones' to
start discussion, without naming real places or situations. As a
collection, these stories offer a flexible resource for training
across a variety of contexts, such as medical research
organisations, universities, collaborative sites, and NGOs. We hope
they will encourage global health researchers to think - and talk -
about their everyday experiences and practices, and about ethics,
in a new light.
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