Ethical Considerations for Engaging Children and Adolescents Living with HIV in Research in African Countries: A Systematic Review

Author:

Gillette Emma1,Nyandiko Winstone23,Chory Ashley1,Scanlon Michael4,Aluoch Josephine3,Choudhury Nandini1,Lagat Daniel3,Ashimosi Celestine3,Biegon Whitney3,Munyoro Dennis3,Lidweye Janet3,Nyagaya Jack3,Wilets Ilene1,DeLong Allison5,Kantor Rami5,Vreeman Rachel1ORCID,Naanyu Violet23

Affiliation:

1. Department of Global Health and Health Systems Design, Icahn School of Medicine at Mount Sinai, New York, NY, USA

2. Moi University College of Health Sciences, Eldoret, Kenya

3. Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya

4. Indiana University Center for Global Health, Indianapolis, Indiana, USA

5. Brown University, Providence, RI, USA

Abstract

Research engaging children and adolescents living with HIV (CALWH) is critical for youth-friendly services and HIV care, and researchers need to ensure that such engagement is ethical. We conducted a systematic review to identify key ethical considerations for the engagement of CALWH in research. The review focused on primary research articles conducted in African countries that examined ethical issues in CALWH engaged in research. Ten studies met the inclusion criteria; the following seven key domains were extracted: 1) justifications for engaging CALWH in research; 2) community involvement; 3) informed consent/assent; 4) caregiver involvement; 5) perceptions of benefits; 6) perception of the risks of involvement; and 7) confidentiality. These domains can inform the ethical engagement of CALWH in research.

Funder

National Institute of Allergy and Infectious Diseases

Publisher

SAGE Publications

Subject

Communication,Education,Social Psychology

Reference59 articles.

1. Act C. C. Act 74 of 1983. Government Gazette(9765).

2. Informed consent comprehension in African research settings

3. An adapted instrument to assess informed consent comprehension among youth and parents in rural western Kenya: a validation study

4. PARTICIPANTS' PERCEPTIONS OF RESEARCH BENEFITS IN AN AFRICAN GENETIC EPIDEMIOLOGY STUDY

5. Avert. (2020). Children, HIV and AIDS. Retrieved from avert.org: https://www.avert.org/professionals/hiv-social-issues/key-affected-populations/children.

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