{"title":"Note de politique: la gestion de la vulnérabilité dans la revue éthique des protocoles de recherche sur la Covid-19","authors":"Samba Cor Sarr","doi":"10.58177/ajb001","DOIUrl":"https://doi.org/10.58177/ajb001","url":null,"abstract":"L’épidémie a provoqué plusieurs initiatives de recherche en sciences sociales et humaines, épidémiologiques et sur les systèmes de santé amenant le à enregistrer 58 protocoles de recherche sur la Covid-19 avec 2 pics de soumissions notés respectivement en novembre 2020 (15 protocoles) et en janvier 2021 (13 protocoles). La gestion efficace de ce flux a nécessité la mise en place des dispositions particulières de gouvernance éthique de la recherche en période d’urgence. Deux défis étaient à relever par le comité face à la pression de la pandémie: traiter avec diligence des dossiers soumis qui sont souvent des protocoles de recherche pragmatique et veiller au respect des principes éthiques dans l’élaboration et la mise en œuvre des protocoles. Pour ce faire, des innovations étaient nécessaires, tant dans l’organisation des revues, que le de la mise en œuvre de la recherche en période de pandémie Covid-19. La note de politique ainsi rédigée vise à partager les acquis du quant à sa contribution à la protection des participants à la recherche dans le contexte de la pandémie Covid-19. La méthodologie utilisée est centrée sur la revue documentaire avec l’outil FAO et le guide des bonnes pratiques de la . Cela a permis de mettre en exergue les acquis suivants : La prise en compte de la vulnérabilité dans les procédures de recherche sur la covid-19 ; Examen systématique et réduction de la durée de traitement des protocoles Covid-19 ; Matérialisation du consentement par voie digitale ; et Vigilance éthique sur la vulnérabilité en période de Covid-19. En termes de bonnes pratiques on peut citer La digitalisation de la revue éthique et scientifique des protocoles La systématisation des commentaires écrits des reviewers et l’archivage électronique des procès-verbaux et de protocoles de recherche.","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":"19 6 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87825317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Naidoo, D Bottomley, M Naidoo, D Donnelly, D W Thaldar
{"title":"Artificial intelligence in healthcare: Proposals for policy development in South Africa.","authors":"S Naidoo, D Bottomley, M Naidoo, D Donnelly, D W Thaldar","doi":"10.7196/sajbl.2022.v15i1.797","DOIUrl":"https://doi.org/10.7196/sajbl.2022.v15i1.797","url":null,"abstract":"<p><p>Despite the tremendous promise offered by artificial intelligence (AI) for healthcare in South Africa, existing policy frameworks are inadequate for encouraging innovation in this field. Practical, concrete and solution-driven policy recommendations are needed to encourage the creation and use of AI systems. This article considers five distinct problematic issues which call for policy development: (<i>i</i>) outdated legislation; (<i>ii</i>) data and algorithmic bias; (<i>iii</i>) the impact on the healthcare workforce; (<i>iv</i>) the imposition of liability dilemma; and (<i>v</i>) a lack of innovation and development of AI systems for healthcare in South Africa. The adoption of a national policy framework that addresses these issues directly is imperative to ensure the uptake of AI development and deployment for healthcare in a safe, responsible and regulated manner.</p>","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":"15 1","pages":"11-16"},"PeriodicalIF":0.9,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9e/25/nihms-1810718.PMC9439582.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40351332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are we preparing for the next pandemic?","authors":"A. Dhai","doi":"10.7196/sajbl.2022.v15i1.809","DOIUrl":"https://doi.org/10.7196/sajbl.2022.v15i1.809","url":null,"abstract":"<jats:p>-</jats:p>","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41488655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 child vaccinations: Promoting children’s right to equality, education, food and health","authors":"Z. Sujee, S. Ndlela","doi":"10.7196/SAJBL.2022.v15i1.796","DOIUrl":"https://doi.org/10.7196/SAJBL.2022.v15i1.796","url":null,"abstract":"The pandemic has adversely impacted children. The vaccine roll-out to children aged 12 - 17 years is important to curb the spread of the virus and allow children to revert to some form of normality. Children’s rights to equality, education, health and food have been impeded during the pandemic. However, there is a persistent hesitancy towards the vaccine roll-out. This is apparent from a case before the High Court in Pretoria, in the pending matter between the African Christian Democratic Party and others v The Minister of the National Department of Health: Dr M Phaahla and Others. SECTION27’s intervention as amicus curiae highlights the importance of vaccines, and provides evidence to illustrate the adverse impact of the pandemic on learners’ rights to equality, education, food and health. Further, the evidence illustrates the inequalities that exist among learners.","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41650624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cherry-picking, selective reading and the creation of straw arguments?","authors":"M. de Roubaix","doi":"10.7196/sajbl.2022.v15i1.810","DOIUrl":"https://doi.org/10.7196/sajbl.2022.v15i1.810","url":null,"abstract":"<jats:p>-</jats:p>","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45114597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of Data Transfer Agreements in ethically managing data sharing for research in South Africa","authors":"S. Mahomed, G. Loots, C. Staunton","doi":"10.7196/sajbl.2022.v15i1.807","DOIUrl":"https://doi.org/10.7196/sajbl.2022.v15i1.807","url":null,"abstract":"A multitude of legislation impacts the use of samples and data for research in South Africa (SA). With the coming into effect of the Protection of Personal Information Act No. 4 of 2013 (POPIA) in July 2021, recent attention has been given to safeguarding research participants’ personal information. The protection of participants’ privacy in research is essential, but it is not the only risk at stake in the use and sharing of personal information. Other rights and interests that must also be considered and safeguarded include the right to non-discrimination, the right to dignity, and the right to enjoy the benefits of scientific progress. This can be achieved by ensuring that the ethical values and universal principles that underpin the research landscape, namely equity, reciprocity, justice and solidarity, are embedded in the regulatory framework for the management and use of personal information. This paper advocates an integrated bioethics approach to the use of personal information for research in SA. A key feature in embedding such an approach is a Data Transfer Agreement (DTA) that appropriately integrates the safeguards and protections set out by our regulatory framework with bioethical rules and procedures when personal information is used and shared for research purposes. This paper thus calls for the development of a national DTA that is guided by key ethical principles when data are shared for research purposes. This paper will be followed by a webinar on 23 June 2022 hosted by the Department of Science and Innovation and the SA Medical Research Council, where the recommendations and suggestions set out herein will be unpacked, discussed and debated by relevant stakeholders.","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71267403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"That only the elite should have children is a worrying argument","authors":"P. Msimang","doi":"10.7196/sajbl.2022.v15i1.793","DOIUrl":"https://doi.org/10.7196/sajbl.2022.v15i1.793","url":null,"abstract":"<jats:p>-</jats:p>","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46775381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legal reflections on the doctor-patient relationship in preparation for South Africa’s National Health Insurance","authors":"M. Slabbert, M. Labuschaigne","doi":"10.7196/sajbl.2022.v15i1.786","DOIUrl":"https://doi.org/10.7196/sajbl.2022.v15i1.786","url":null,"abstract":"\u0000The doctor-patient relationship is the foundation of any medical intervention. Over time, the relationship has changed, from the era of paternalism to the era of self-determination or patient autonomy, following changes resulting from consumerism and lately, in South Africa, socialised medicine as a result of the proposed National Health Insurance (NHI). The premise of this article is that patient autonomy is invariably limited by a determination of who will carry the cost of a medical intervention. In recent years, legislative developments have affected the understanding of a patient and doctor through the introduction of new references, such as ‘user’, ‘data subject’ and ‘consumer’ for a patient, and ‘service provider’ and ‘responsible party’ for a doctor, each giving different meanings to the doctor-patient relationship. Recent statutory additions also include new remedies available to aggrieved patients as parties in the doctor-patient relationship. The article concludes with brief observations on how the NHI will alter the essence and nature of the doctor-patient relationship in future. \u0000 \u0000 ","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48890559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Midwives’ ethical practice in selected labour units in Tshwane, Gauteng Province, South Africa","authors":"J. Mathibe-Neke, M. Mashego","doi":"10.7196/sajbl.2022.v15i1.765","DOIUrl":"https://doi.org/10.7196/sajbl.2022.v15i1.765","url":null,"abstract":"Background. Midwives provide the majority of maternal and child healthcare in South Africa (SA). The care provided by midwives during childbirth is a unique life experience for women, and in order to provide safe care, midwives are expected to comply with ethical principles, policies and legislation governing their profession, as guided by the International Confederation of Midwives. \u0000Objective. To establish midwives’ perception of ethical and professional practice in selected labour units of public healthcare, in Tshwane District, Gauteng Province, SA. \u0000Methods. A qualitative, exploratory, descriptive cross-sectional design was applied by use of in-depth interviews. Non-probability purposive sampling was used to draw a sample from midwives with 2 or more years of experience working in the labour units. Data saturation was reached with the eighth participant. The digitally recorded interviews were transcribed verbatim. Data analysis was based on interpretive description. \u0000Results. The findings revealed that midwives do understand the ethical code of conduct. They experience challenges such as staff shortages, non-compliance with policies and lack of managerial support, which compromise ethical conduct to a certain extent. \u0000Conclusion. It is hoped that the suggested administrative, midwifery practice and research recommendations will guide the process of empowering midwives in ethical practice.","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43284019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is protest action in South Africa bringing positive change or is it threatening our human right to security?","authors":"T. Carmichael","doi":"10.7196/sajbl.2022.v15i1.795","DOIUrl":"https://doi.org/10.7196/sajbl.2022.v15i1.795","url":null,"abstract":"<jats:p>-</jats:p>","PeriodicalId":43498,"journal":{"name":"South African Journal of Bioethics and Law","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48154235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}