Abstract
In addition to individual prior informed consent, the issue of obtaining community-level consent is receiving increasing attention. This is stimulated by advances in the omic sciences, acknowledgment that both the conduct and application of research results have impacts at the level of the community in which research is undertaken, acceptance that a community can have a moral status so that it can be the subject of bioethical reflection and analysis, and the continuing attention to research in developing countries. The communities that arise in health care research take many forms and exist in a multitude of local, global, or virtual contexts. Although developing a single ethics guideline suitable for all types of communities is problematic, it is nevertheless important to engage in developing a framework of principles and approaches that can be applied to decision-making on community assent on a case-by-case basis. The term “consent” is reserved in this essay for processes conducted with an individual; the term “assent” is preferred at the level of the community. The reasoning is that bioethics considerations on an individual level are sufficiently different from those on the community level to recommend using a different terminology.
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References
CIOMS (Council for International Organizations of Medical Sciences) in collaboration with the World Health Organization (2009). International ethical guidelines for epidemiological studies, international ethical guidelines for biomedical research involving human subjects (2002); International Ethical Guidelines for Epidemiological Studies. Retrieved from http://www.cioms.ch/. Accessed November 26, 2014.
Diallo, D. A., Doumbo, O. K., Plowe, C. V., Wellems, T. E., Emanuel, E. J., & Hurst, S. A. (2005). Community permission for medical research in developing countries. Clinical Infectious Diseases, 41(2), 255–259.
Dickert, N., Sugarman, J. (2005). Ethical goals of community consultation in research. American Journal of Public Health 95(7), 1123–1127. doi: 10.2105/AJPH.2004.058933. Accessed November 26, 2014.
EGE European Group On Ethics In Science (2003). Opinion Nr 17 clinical research in developing countries. Retrieved from http://ec.europa.eu/bepa/european-group-ethics/publications/opinions/index_en.htm. Accessed November 26, 2014.
HUGO Ethics Committee (2000). Statement on benefit sharing. Retrieved from http://www.hugo-international.org/. Accessed November 26, 2014.
Nuffield Council on Bioethics (2002). Ethics of research related to healthcare in developing countries. Retrieved from http://nuffieldbioethics.org/publications/. Accessed November 26, 2014.
Nuffield Council on Bioethics (2007). Public health: Ethical issues. Retrieved from http://nuffieldbioethics.org/publications/. Accessed November 26, 2014.
Organization of African Unity (1986). African [Banjul] charter on human and peoples’ rights. Retrieved from http://www.humanrights.se/wp-content/uploads/2012/01/African-Charter-on-Human-and-Peoples-Rights.pdf. Accessed November 26, 2014.
Quinn, S. C. (2004). Protecting human subjects: The role of community advisory boards. American Journal of Public Health 94, 918–922. Accessed November 26, 2014.
Richter, L. M., Lindegger, G. C., Karim, Q. A., Gasa, N. (1999). Guidelines for the development of culturally sensitive approaches to obtaining informed consent for participation in HIV vaccine-related trials. Discussion document commissioned by UNAIDS. Retrieved from http://www.saavi.org.za/unaids.pdf. Accessed November 26, 2014.
UNAIDS (2004). Ethical considerations in HIV preventative vaccine research. Retrieved from http://data.unaids.org/publications/IRC-pub01/jc072-ethicalcons_en.pdf. Accessed November 26, 2014.
UNESCO (2001). UNESCO Universal declaration on cultural diversity. Retrieved from http://portal.unesco.org/. Accessed 15 March 2014.
UNESCO (2005). UNESCO universal declaration on bioethics and human rights. Retrieved from http://www.unesco.org/. Accessed November 26, 2014.
UNHRO Uganda National Health Research Organisation (1998). Guidelines for the conduct of health research involving human subjects in Uganda. Universal declaration on cultural diversity. Retrieved from http://www.unesco.org/. Accessed November 26, 2014.
Weijer, C., & Emanuel, E. J. (2000). Ethics. Protecting communities in biomedical research. Science, 289(5482), 1142–1144.
World Bank (2004). Striking a better balance: The World Bank Group and extractive industries – the final report of the extractive industries review. Washington, DC: World Bank. Retrieved from http://documents.worldbank.org/curated/en/2004/09/5138809/striking-better-balance-world-bank-group-extractive-industries-final-report-extractive-industries-review. Accessed November 26, 2014.
Further Readings
Nuffield Council Report. Research in developing countries (Available from http://nuffieldbioethics.org/publications)
Nuffield Council Report. Public health: Ethical issues (Available from http://nuffieldbioethics.org/publications)
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Stingelin-Giles, N. (2015). Consent: Community. In: ten Have, H. (eds) Encyclopedia of Global Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-319-05544-2_121-1
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DOI: https://doi.org/10.1007/978-3-319-05544-2_121-1
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