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BIOETHICS AT PAHO

BIOETHICS AT PAHO. Fernando Lolas Stepke Pan American Health Organization University of Chile. Pan American Health Organization. Established in 1902 Regional Office of WHO (established in 1948) Country Representatives Technical Expertise in Public Health and Health Policies

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BIOETHICS AT PAHO

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  1. BIOETHICS AT PAHO Fernando Lolas Stepke Pan American Health Organization University of Chile

  2. Pan American Health Organization • Established in 1902 • Regional Office of WHO (established in 1948) • Country Representatives • Technical Expertise in Public Health and Health Policies • Responsive to demands of Member states

  3. Bioethics at PAHO • Scenarios: Different legal traditions in the countries Limited research capacity and inadequate ethical oversight of investigations Awareness of inequities in access to healthcare and the benefits of research (10/90 gap, know-do gap)

  4. Bioethics at PAHO • Regional Program established in 1994 • Agreement with the University of Chile and the Chilean government • Bioethics Unit and Program incorporated into the Area of Health Systems Strengthening in 2006. • Training, Research, and Dissemination in Latin America and the Caribbean

  5. Training Programs • Masters’ Programs on Bioethics established in Chile, Perú, Dominican Republic, Argentina • Contribution to developments in Colombia, Bolivia, Ecuador, Jamaica, Barbados, Venezuela, Cuba, Uruguay, Paraguay, Brazil • Research Ethics (Fogarty Program)

  6. Some Results • More than 300 trainees from Masters Programs • Wide coverage through workshops for improving teaching of bioethics • More than 30 trainees from Fogarty-supported research ethics program • Publications from faculty and trainees • Organization of Fourth Global Forum

  7. The challenges • Confusion in the meaning and uses of bioethics • Local practices and leadership • Resistance from researchers and administrators • Conflicts of interest • Research integrity • Ignorance of basic principles • Political agendas

  8. The future:Further challenges • Work through country representatives of PAHO • Priority setting must be discussed with governments of member states • Expansion of bioethics training must consider professional and academic demand • Role expectations of bioethicists

  9. Bioethics and Public Health • Levels of analysis: micro- meso- macro • Societal structures aimed at preserving wellbeing are always expression of values (universals of meaning) • Rights-Duties-Goals in public health • Research – Promotion - Prevention

  10. Investigación en Salud. Dimensión Ética Fernando Lolas, Álvaro Quezada, Eduardo Rodríguez. Editores. El Centro Interdisciplinario de Estudios en Bioética (CIEB) de la Universidad de Chile, en conjunto con el Programa de Bioética de la Organización Panamericana de la Salud (OPS), acaba de publicar un manual de ética de la investigación en salud con el título "Investigación en Salud. Dimensión Ética", cuyos editores son Fernando Lolas, Álvaro Quezada y Eduardo Rodríguez. El volumen, de 390 páginas, reúne contribuciones de miembros académicos del CIEB y de alumnos del Programa Internacional de Ética de la Investigación Biomédica y Psicosocial auspiciado por el Fogarty Internacional Center de los National Institutes of Health (USA), investigadores y académicos de más de siete países latinoamericanos.

  11. Bioética:Proyecciones 2006 Relación con ETHR (Ethics, Trade and Human Rights) Ginebra- Tareas globales OMS Respuesta a demandas de países (con énfasis en prioritarios) en: Asesoría a los ministerios de salud y educación, instituciones académicas, universidades Conducción y regulaciones de comités de ética (asistenciales de investigación) Legislación relevante a tópicos de bioética y salud Formación y entrenamiento Apoyo a maestrías en Cuyo, Córdoba, Lima, Santo Domingo, Santiago, Bogotá Proyecto conjunto con Universidad de Chile (NIH-Fogarty) ética de investigación Seminarios temáticos sobre innovación y ética, salud multicultural, priority setting Talleres conjuntos con Toronto y Miami (centro colaboradores de Bioética) Investigación Continuación de encuestas periódicas y estudios sobre representaciones sociales Colaboración con instituciones académicas en los países Difusión y gestión del conocimiento Publicación de Acta Bioethica y del boletín “Bioética Informa” Manual de Ética de la Investigación concluido

  12. Contacts • http://www.paho.org/bioetica • http://www.uchile.cl/bioetica Links to Virtual Library (Bioethics) Acta Bioethica : Full text at SCIELO site

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