ArticleBulletin of the World Health Organization2008
Integrating ethics, health policy and health systems in low- and middle-income countries: case studies from Malaysia and Pakistan.
Article in Bulletin of the World Health Organization, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed.
- Ethical challenges in cluster randomized controlled trials: experiences from public health interventions in Africa and Asia.Bulletin of the World Health Organization · 2009Trial
- Improving institutional research ethics capacity assessments: lessons from sub-Saharan Africa.Global bioethics = Problemi di bioetica · 2018Article
- Health policy and systems research: towards a better understanding and review of ethical issues.BMJ global health · 2017Review
- Enhancing the Capacity of Policy-Makers to Develop Evidence-Informed Policy Brief on Infectious Diseases of Poverty in Nigeria.International journal of health policy and management · 2015Article
- Ethics-sensitivity of the Ghana national integrated strategic response plan for pandemic influenza.BMC medical ethics · 2015Article
- Using the Emanuel et al. framework to assess ethical issues raised by a biomedical research ethics committee in South Africa.Journal of empirical research on human research ethics : JERHRE · 2014Article
- [Solutions for the better integration of public health ethical considerations].Canadian journal of public health = Revue canadienne de sante publique · 2014Article
- Evaluating institutional capacity for research ethics in Africa: a case study from Botswana.BMC medical ethics · 2013Article
- Intimate partner violence and mental health effects: a population-based study among married women in Karachi, Pakistan.International journal of behavioral medicine · 2013Article
- Violence permeating daily life: a qualitative study investigating perspectives on violence among women in Karachi, Pakistan.International journal of women's health · 2012Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Scientific progress is a significant basis for change in public-health policy and practice, but the field also invests in value-laden concepts and responds daily to sociopolitical, cultural and evaluative concerns. The concepts that drive much of public-health practice are shaped by the collective and individual mores that define social systems. This paper seeks to describe the ethics processes in play when public-health mechanisms are established in low- and middle-income countries, by focusing on two cases where ethics played a crucial role in producing positive institutional change in public-health policy. First, we introduce an overview of the relationship between ethics and public health; second, we provide a conceptual framework for the ethical analysis of health system events, noting how this approach might enhance the power of existing frameworks; and third, we demonstrate the interplay of these frameworks through the analysis of a programme to enhance road safety in Malaysia and an initiative to establish a national ethics committee in Pakistan. We conclude that, while ethics are gradually being integrated into public-health policy decisions in many developing health systems, ethical analysis is often implicit and undervalued. This paper highlights the need to analyse public-health decision-making from an ethical perspective.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.