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Ethical dimensions of neglected tropical disease programming
David G Addiss1, Yvonne Kienast1,2, James V Lavery3
1Focus Area for Compassion and Ethics, Task Force for Global Health, Decatur, GA, USA.
Transactions of the Royal Society of Tropical Medicine and Hygiene
|December 18, 2020
Summary
Global efforts to control neglected tropical diseases (NTDs) face ethical challenges. Addressing these issues, including adverse reactions and inequities, is crucial for achieving health equity and social justice in NTD programs.
Area of Science:
- Global Health
- Medical Ethics
- Public Health
Background:
- Neglected tropical diseases (NTDs) programs aim for social justice, solidarity, and health equity.
- These programs operate in challenging environments marked by poverty and economic disparity.
- Ethical considerations are integral to the success and sustainability of NTD initiatives.
Purpose of the Study:
- To examine the ethical challenges encountered by neglected tropical diseases programs.
- To apply established ethics frameworks to analyze these complex issues.
- To provide insights for navigating ethical dilemmas in global health interventions.
Main Methods:
- Utilized two distinct ethics frameworks: principlism and Upshur's public health framework.
- Analyzed ethical challenges through the lens of these theoretical frameworks.
- Examined case examples and common issues within NTD program implementation.
Main Results:
- Identified key ethical challenges including managing adverse reactions from preventive chemotherapy.
- Highlighted issues such as centralized decision-making and 'opt-out' policies in school-based deworming.
- Noted concerns regarding incomplete evidence of 'pro-poor' impact and global partnership inequities.
Conclusions:
- NTD programs must proactively address identified ethical challenges.
- Integrating ethical analysis is essential for achieving global health goals and promoting health equity.
- Continued attention to ethical dimensions is vital for effective and just NTD control efforts.
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