Scribd
Upload
60 views10 pages

Global Health Bioethics Principles

This document discusses several core principles of biomedical ethics including beneficence, respect for autonomy, nonmaleficence, and justice. It also discusses four additional concepts for global health ethics: humility, introspection, solidarity, and social justice. The document outlines best practices for global health training, noting ethical implications for sending institutions, host institutions, sponsors, and trainees. It discusses some common ethical issues encountered by medical students in global health settings such as uncertainty in helping, perceptions of difference, scope of practice, and navigating different medical cultures. The document provides an example of privacy norms and the "ethics-as-process" approach. It concludes with questions students should consider before participating in global health work related to objectives

Uploaded by

Adji Suwandono
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
60 views10 pages

Global Health Bioethics Principles

This document discusses several core principles of biomedical ethics including beneficence, respect for autonomy, nonmaleficence, and justice. It also discusses four additional concepts for global health ethics: humility, introspection, solidarity, and social justice. The document outlines best practices for global health training, noting ethical implications for sending institutions, host institutions, sponsors, and trainees. It discusses some common ethical issues encountered by medical students in global health settings such as uncertainty in helping, perceptions of difference, scope of practice, and navigating different medical cultures. The document provides an example of privacy norms and the "ethics-as-process" approach. It concludes with questions students should consider before participating in global health work related to objectives

Uploaded by

Adji Suwandono
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Bioethics in Global Health

dr. Adji Suwandono, S.H., Sp.F.

November
2018
Core Principles of Biomedical Ethics

 Beneficence : providing benefit and balancing risks to bring forth


the best results
 Respect for Autonomy : fostering self-determination and
respecting individual differences
 Nonmaleficence : doing no harm
 Justice : upholding concepts of fairness and equity

Beauchamp TL, Childress JF. Principles of Biomedical Ethics, 6th ed. New York: Oxford University Press;
2009.

ADD A FOOTER
2
“Global Health Ethics”

 Four concepts in addition to Respect for Autonomy, Beneficence,


Nonmaleficence and Justice
 Humility
 Introspection
 Solidarity
 Social Justice

Pinto, A.D. & Upshur, R.E. (2007). Global Health Ethics for Students. Developing World Bioethics. Vol
9 (1). 1-10.
3
Global Health Training : Best Practices
(Crump & Sugarman, 2010)

 Sending and Host institutions


 Sponsors
 Trainees
 Ethical implications exist
 Awareness of medical tourism is often variable
Ethical issues encountered by medical students
(Elit et al, 2011)

 1. Uncertainty about how best to help


 2. Perceptions of Western medical students as different
 3. Moving beyond one’s scope of practice
 4. Navigating different cultures of medicine
 5. Unilateral capacity building
Example: Privacy

 1) differences in norms of spatial privacy


 2) western practices can feel intrusive
 3) privacy and trust are inextricably linked
 4) norms of disclosure also affect the researcher

“Ethics-as-Process” approach
Mukherjee, D. (2008), Privacy and intrusion in ethnographic health research, in Brinda Jegatheesan (ed.) Access, a
Zone of Comprehension, and Intrusion (Advances in Program Evaluation, Volume 12), Emerald Group Publishing Limited,
pp.83-96

[Link]
Questions for Students Prior to Global Health
Work (Pinto and Upshur, 2007)
1. Why do you hope to do this work?
2. What are your objectives, both personal and structural, short and long-
term?
3. What are the benefits and who will receive them, and what are the costs
and who will bear them?
4. In the context of very limited resources for global health needs, is your
elective justified? What exists close-by?
5. What do you need to do to prepare for your elective, both practical and
personal?
Questions for Students Prior to Global Health
Work (Pinto and Upshur, 2007)
6. Where are the weaknesses of your plan, specifically?
7. Is the work feasible, cost-effective, necessary, focused and justified?
8. Will it work to undermine disparity, or actually contribute to it? Will there
be a net benefit to the community?
9. What do you hope to bring back to your community, and whom will you
share it with?
Is you work sustainable, and if not, will this leave a negative impact?
Ethics and emotion: Plutchik's wheel

9
[Link]
Thank You!
Phone
08164270612
Email
[Link]@[Link]

You might also like