Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal (In press)
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AbstractObtaining ‘informed consent’ from every individual participant involved in a health research is a mandatory ethical p ractice . Informed consent is a process where by potential participants are genuinely informed about their role, risk and rights before they are enrolled in the study . Thus, e thics committees in most countries require ‘informed consent form’ as part of an et hics application which is reviewed before granting research ethics approval. Despite a significant increase in health research activity in low - and middle - income countries (LMICs) in recent years , only limited work has been done to address ethical concerns . M ost ethics committees in LMICs lack the authority and/or the capacity to monitor research in the field. This is important since not all research, particularly in LMICs region, complies with ethical principles , sometimes this is inadvertently or due to a lack of awareness of their importance in assurin g proper research governance. With several examples from Nepal, t his paper reflects on the steps required to obtain informed consents and highlights some of the major challenges and barriers to seeking inform ed consent from research participants. At the end of this paper, we also offer some recommendations around how can we can promote and implement optimal informed consent taking process. We believe that paper is useful for researchers and members of ethical review boards in highlighting key issues around informed consent.
Regmi, P., Aryal, N., Kurmi, O., Pant, P., Van Teijlingen, E. and Wasti, S. P., 2016. Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal (In press). Developing World Bioethics. (In Press)