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Informed Consent in Africa – Integrating Individual and Collective Autonomy

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Social Science Research Ethics in Africa

Part of the book series: Research Ethics Forum ((REFF,volume 7))

Abstract

Free, prior informed consent is a universally acknowledged ethical requirement for research with human participants. In social sciences, informed consent guidelines are mostly critiqued for its inherent universalism and support of the individualised principlist notion of autonomy. Therefore, social science researchers working with rural communities in Africa cannot ignore the values, concepts and theories relevant to collective autonomy. This chapter advocates for an integrated informed consent approach founded on Afro-communitarianism. We argue that the process of obtaining free, prior informed consent is deeply entrenched in cultural values. A one-size-fits-all approach to informed consent is in itself a form of disrespect for those concerned. The significant contribution of the chapter is a comparative analysis of individual and collective autonomy as it pertains to informed consent from two theoretical perspectives, namely principlism and Afro-communitarianism. We hope to encourage social researchers working in these settings to consider an African perspective on how to preserve participant autonomy.

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Notes

  1. 1.

    The concept of autonomy extends to the participant as well as the researcher. In this chapter, we only consider the autonomy of the participant and all such references should be construed accordingly.

References

  • Ahern, K. (2012). Informed consent: Are researchers accurately representing risks and benefits? Scandinavian Journal of Caring Sciences, 26(4), 671–678. https://doi.org/10.1111/j.1471-6712.2012.00978.x.

    Article  Google Scholar 

  • Alby, F., Zucchermaglio, C., & Fatigante, M. (2014). Beyond the written words of informed consent: What participants would like to know about research. Nordic Psychology, 66(2), 71–93. https://doi.org/10.1080/19012276.2014.926228.

    Article  Google Scholar 

  • Amdur, R., & Bankert, E. A. (2011). The consent process and document. In Institutional review board: Member handbook (pp. 49–54). Sudbury: Jones and Bartlett Publishers.

    Google Scholar 

  • Barret, R. J., & Parker, D. B. (2003). Rites of consent: Negotiating research participation in diverse cultures. Monash Bioethics Review, 22(2), 9–26.

    Article  Google Scholar 

  • Beauchamp, T. L., & Childress, J. F. (2009). Principles of biomedical ethics (6th ed.). New York: Oxford University Press.

    Google Scholar 

  • Bhutta, Z. A. (2004). Beyond informed consent. Bulletin of the World Health Organization, 82, 771–777.

    Google Scholar 

  • Bull, S., Farsides, B., & Ayele, F. T. (2012). Tailoring information provision and consent processes to research contexts: The value of rapid assessments. Journal of Empirical Research on Human Research Ethics, 7(1), 37–52. https://doi.org/10.1525/jer.2012.7.1.37.

    Article  Google Scholar 

  • Callahan, D. (2003). Principlism and communitarianism. Journal of Medical Ethics, 29, 287–291.

    Article  Google Scholar 

  • Code, N. (1949). The Nuremberg code. In Trials of war criminals before the Nuremberg military tribunals under control council law, (10), (pp. 181–182). Washington, DC: US Government Printing Office.

    Google Scholar 

  • Descartes, R. (1968). Discourse on method and the meditation. London: Penguin.

    Google Scholar 

  • Dickert, N., & Sugarman, J. (2005). Ethical goals of community consultation in research. American Journal of Public Health, 95(7), 1123–1127.

    Article  Google Scholar 

  • Dictionary.com. (2019). Autonomy. Retrieved from http://www.dictionary.com/

  • Dingwall, R., Iphofen, R., Lewis, J., Oates, J., & Emmerich, N. (2017). Towards common principles for social science research ethics: A discussion document for the academy of social sciences. In Finding common ground: Consensus in research ethics across the social sciences (pp. 111–123). Bingley: Emerald Publishing Limited.

    Chapter  Google Scholar 

  • Dworkin, G. (1988). The theory and practice of autonomy. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Eze, O. M. (2008). What is African communitarianism? Against consensus as a regulative ideal. South African Journal of Philosophy, 27(4), 386–399.

    Article  Google Scholar 

  • Frimpong-Mansoh, A. (2008). Culture and voluntary informed consent in African health care systems. Developing World Bioethics, 8(2), 104–114.

    Article  Google Scholar 

  • Hammersley, M., & Traianou, A. (2011). Moralism and research ethics: A Machiavellian perspective. International Journal of Social Research Methodology, 14(5), 379–390. https://doi.org/10.1080/13645579.2011.562412.

    Article  Google Scholar 

  • IJsselmuiden, C., & Faden, R. (1992). Research and informed consent in Africa—Another look. The New England Journal of Medicine, 326, 830–833. https://doi.org/10.1056/NEJM199203193261212.

    Article  Google Scholar 

  • Iphofen, R. (2017). The “ethics rupture” and the New Brunswick declaration. In Finding common ground: Consensus in research ethics across the social sciences (pp. 151–156). Bingley: Emerald Group Publishing Limited.

    Chapter  Google Scholar 

  • Israel, M. (2015). Research ethics and integrity for social scientists. Los Angeles: Sage.

    Google Scholar 

  • Jegede, S. (2009). African ethics, health care research and community and individual participation. Journal of Asian and African Studies, 44(2), 239–253.

    Article  Google Scholar 

  • Jeko, I., Mangwaya, E., & Blignaut, S. (2012). Obtaining informed consent in non-Western contexts: Reflections on fieldwork experiences in Zimbabwe. Acta Academica, 44(4), 184–201.

    Google Scholar 

  • Keane, M. (2008, September). Deep ethics: Research and responsibility. In The use of science and technology education for peace and sustainable development: Proceedings of 13th international organisation for science and technology education, symposium, Turkey (pp. 978–985). Kusadsi: Dokuz Eylul University.

    Google Scholar 

  • Kruger, M., Ndebele, P., & Horn, L. (Eds.). (2014). Research ethics in Africa: A resource for research ethics committees. Stellenbosch: African Sun Media.

    Google Scholar 

  • Kuczewski, M. G. (1998). Casuistry and principlism: The problem of bias. Theoretical Medicine and Bioethics, 19, 504–524.

    Article  Google Scholar 

  • MacJessie-Mbewe, S. L. (2004). Analysis of a complex policy domain: Access to secondary education in Malawi. Doctoral dissertations 1896 – February 2014. 2376.

    Google Scholar 

  • Marshall, A., & Batten, S. (2004, September). Researching across cultures: Issues of ethics and power. Forum Qualitative Sozialforschung/Forum: Qualitative Social Research, 5(3).

    Google Scholar 

  • Metz, T., & Gaie, J. B. R. (2010). The African ethic of Ubuntu/Botho: Implications for research on morality. Journal of Moral Education, 39(3), 273–290.

    Google Scholar 

  • Miller, F. G., & Wertheimer, A. (2007). Facing up to paternalism in research ethics. The Hastings Center Report, 37(3), 24–34.

    Article  Google Scholar 

  • Molyneux, C., Wassenaar, D., Peshu, N., & Marsh, K. (2005). ‘Even if They Ask You to Stand by a Tree All Day, You Will Have to Do It (Laughter) … !’: Community voices on the notion and practice of informed consent for biomedical research in developing countries. Social Science & Medicine, 61, 443–454.

    Article  Google Scholar 

  • National Commission for the Protection of Human Subjects of Biomedical and Behavioural Research. (1978). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research. Washington, DC: US Government Printing Office.

    Google Scholar 

  • Parsell, M., Ambler, T., & Jacenyik-Trawoger, C. (2014). Ethics in higher education research. Studies in Higher Education, 39(1), 166–179. https://doi.org/10.1080/03075079.2011.647766.

    Article  Google Scholar 

  • Pillay, D. (2004). In E. P. Pieterse & F. Meintjies (Eds.), Voices of the transition: The politics, poetics and practices of social change in South Africa (pp. 97–111). Sandown: Heineman Publishers.

    Google Scholar 

  • Reach, G. (2014). Patient autonomy in chronic care: Solving a paradox. Patient Preference and Adherence, 8, 15–24. https://doi.org/10.2147/PPAS55022.

    Article  Google Scholar 

  • Roux, A. P. J., & De Beer, C. S. (2016). On the way to the best possible science: An intellectual travel guide. Cape Town: Sun Press.

    Google Scholar 

  • Ryen, A. (2016). Research ethics and qualitative research. In D. Silverman (Ed.), Qualitative research (3rd ed., pp. 31–47). Sage.

    Google Scholar 

  • Sanchez, S., Salazar, G., Tijero, M., & Diaz, S. (2001). Informed consent procedures: Responsibilities of researchers in developing countries. Bioethics, 15(5–6), 398–412.

    Article  Google Scholar 

  • Shea, C. (2000). Don’t talk to the humans. Lingua Franca, 10(6), 26–34.

    Google Scholar 

  • Stacey, A., & Stacey, J. (2012). Integrating sustainable development into research ethics protocols. Electronic Journal of Business Research Methods, 10(2), 54–63.

    Google Scholar 

  • Tolich, M. (2010). A critique of current practice: Ten foundational guidelines for autoethnographers. Qualitative Health Research, 20(12), 1599–1610. https://doi.org/10.1177/1049732310376076.

    Article  Google Scholar 

  • Wassenaar, D. R. (2006). Ethical issues in social science research. Research in Practice: Applied Methods for the Social Sciences, 2, 60–79.

    Google Scholar 

Further Reading

  • Shea, C. (2000). Don’t talk to the humans. Lingua Franca, 10(6), 26–34.

    Google Scholar 

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Correspondence to Retha Visagie .

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Visagie, R., Beyers, S., Wessels, J.S. (2019). Informed Consent in Africa – Integrating Individual and Collective Autonomy. In: Nortjé, N., Visagie, R., Wessels, J. (eds) Social Science Research Ethics in Africa. Research Ethics Forum, vol 7. Springer, Cham. https://doi.org/10.1007/978-3-030-15402-8_12

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