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Bioethics Capacity Mapping in EMRO Countries. Henry Silverman, MD, MA Director, Middle East Research Ethics Training Initiative MERETI www.mereti.net. Dr. Alaa Abou-Zeid Technical Officer, RPCU, EMRO. Survey Process. Survey developed to identify:
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Bioethics Capacity Mapping in EMRO Countries Henry Silverman, MD, MA Director, Middle East Research Ethics Training Initiative MERETI www.mereti.net Dr. Alaa Abou-Zeid Technical Officer, RPCU, EMRO
Survey Process • Survey developed to identify: • Existence of National Ethics Committee (NEC) • Functional aspects • Resources • Challenges/Needs • Survey sent to EMRO offices in 22 countries • Delivered to individuals involved with National Ethics Committee or involved with ethics within MOH
Results • Response Rate • 12/22 Responses Received • 11 with National Ethics Committees (NEC) • 1 without existence of NEC • General Information • 10/11 NECs meet regularly • Frequency of meetings • Twice/month (1) • Once/month (2) • Every two months (4) • Never met (1) • No answer (3) 11
Types of Research Review Number
Capacity to Perform Duties Number
Challenges Number
Training Topics • Topics rated as “very/quite” important by 8 • Provision of appropriate risk reduction measures • Assessment of understanding of informed consent • Privacy and confidentiality • Monitoring and oversight • Least important • Incentives for participation
Summary • NECs that submitted responses are: • Active • Meet regularly • Review research • Involved with Training • Developed Publications in ethics • Developed National Guidelines • Grade themselves as having good capacity • Less than ½ has financial support
Challenges • Lack of training of members in medical ethics • Lack of ongoing training for members • Inadequate ability to monitor approved protocols • Challenges to the use of guidelines • Development of appropriate national guidelines • Variable use of guidelines across committees • Development of appropriate laws Regulate conduct of RECs
Areas for Discussion • Training programs • Development of appropriate National Guidelines • Drafting of laws regarding research ethics • Establishment of Network (Virtual)