DEVELOPING A FAMILY-BASED HIV PREVENTION INTERVENTION IN RURAL KENYA: CHALLENGES IN CONDUCTING COMMUNITY-BASED PARTICIPATORY RESEARCH

被引：14

作者：

Puffer, Eve S. ^{[1
]}

Pian, Jessica ^{[2
]}

Sikkema, Kathleen J. ^{[1
]}

Ogwang-Odhiambo, Rose A. ^{[3
]}

Broverman, Sherryl A. ^{[4
,5
]}

机构：

[1] Duke Univ, Durham, NC 27706 USA

[2] London Sch Hyg & Trop Med, London, England

[3] Egerton Univ, Dept Zool, Njoro, Kenya

[4] Duke Univ, Dept Biol, Durham, NC 27706 USA

[5] Duke Univ, Duke Global Hlth Inst, Durham, NC 27706 USA

来源：

JOURNAL OF EMPIRICAL RESEARCH ON HUMAN RESEARCH ETHICS | 2013年 / 8卷 / 02期

关键词：

HIV prevention; community-based participatory research; ethical challenges; adolescents; children; families; mental health; Kenya; RESEARCH PARTNERSHIP; ETHICAL DILEMMAS; PUBLIC-HEALTH; HIV/AIDS;

D O I：

10.1525/jer.2013.8.2.119

中图分类号：

B82 [伦理学（道德学）];

学科分类号：

摘要：

COMMUNITY-BASED PARTICIPATORY research (CBPR) introduces new ethical challenges for HIV prevention studies in low-resource international settings. We describe a CBPR study in rural Kenya to develop and pilot a family-based HIV prevention and mental health promotion intervention. Academic partners (APs) worked with a community advisory committee (CAC) during formative research, intervention development, and a pilot trial. Ethical challenges emerged related to: negotiating power imbalances between APs and the CAC; CAC members' shifting roles as part of the CAC and wider community; and anticipated challenges in decision making about sustainability. Factors contributing to ethical dilemmas included low access to education, scarcity of financial resources, and the shortage of HIV-related services despite high prevalence.

引用

页码：119 / 128

页数：10

共 32 条

[1] Communities and health policy: A pathway for change - Examples of asthma and obesity show the potential for communities to act on their own behalf to make healthy policy changes [J].