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Ethical review in Pakistan: the credibility gap
Aamir Mustafa Jafarey1, Saima Pervaiz Iqbal, Mariam Hassan
1Centre of Biomedical Ethics and Culture, SIUT, Karachi. aamirjafarey@gmail.com
JPMA. the Journal of the Pakistan Medical Association
|July 23, 2013
Summary
Mandatory ethical review in Pakistan faces challenges due to untrained Institutional Review Board (IRB) members and lack of accreditation. Ensuring consistent, trustworthy review processes is crucial for research integrity.
Area of Science:
- Bioethics
- Research Ethics
- Public Health Policy
Background:
- Ethical review of human participant research is emerging in Pakistani institutions.
- Institutional Review Boards (IRBs) are central to this ethical oversight process.
Purpose of the Study:
- To assess the challenges faced by Institutional Review Boards (IRBs) in Pakistan based on member opinions.
- To identify factors undermining the integrity and reliability of ethical review processes.
Main Methods:
- Qualitative study based on the opinions of Institutional Review Board (IRB) members across Pakistan.
- Analysis of perceived challenges including lack of accreditation, inadequate training, external pressures, and conflicts of interest.
Main Results:
- Significant variation in IRB quality due to lack of registration/accreditation.
- Majority of IRB members lack formal bioethics training.
- External pressures and institutional leadership interfere with independent decision-making.
- Inconsistent application of review requirements compromises reliability.
Conclusions:
- Urgent need for standardized training and accreditation for IRBs in Pakistan.
- Protecting IRB autonomy from institutional pressures is vital for credible ethical review.
- Strengthening IRBs is essential to prevent them from becoming mere rubber-stamping bodies.
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