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Health Research Governance in Africa


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The globalisation of research has resulted in the increased location of research involving humans in developing countries. Countries in Africa, along with China and India have seen research grow significantly. With emerging infectious diseases, such as Ebola and Zika, raising the risk of public health crises throughout the world, a further increase in clinical research in developing countries, often the sites of these diseases, becomes inevitable. This growth raises questions about domestic regulation and governance. This book presents a comprehensive and systemic view of the regulation of research involving humans in African countries. It focuses on five states in which research activities continue to rise and which have taken steps to regulate health research activity. The countries studied include: Nigeria, South Africa, Liberia, Kenya, and Uganda. The book examines the historical and political contexts of these governance efforts and the healthcare systems that form a backdrop for the research. It describes the research context, including the number and kinds of studies, clinical trials currently taking place, and the current challenges. It also looks at the mechanisms ranging from new ethical guidelines, legal frameworks, the strengthening of existing regulatory agencies and the professional regulatory bodies. Based on a comprehensive exploration of the background, it analyses the adequacy of current governance arrangements and puts forward recommendations to improve the emerging regulation for research in this area in developing countries. The book will be a valuable resource for academics, researchers, practitioners and policy-makers working in the area of biomedical ethics, and regulation in developing countries.
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Table of Contents

Chapter 1: Introduction Chapter 2: Governance as an Analytical Framework for Research Involving Humans Chapter 3: Analysis and Assessment of Research Governance in Some African Countries: Context, History and Current Challenges Chapter 4: South Africa Chapter 5: Nigeria Chapter 6: Kenya Chapter 7: Uganda Chapter 8: Liberia Chapter 9: Moving Forward: Some Recommendations for Improving Research Governance in Developing Countries Chapter Ten: Conclusion Bibliography

About the Author

Dr. Cheluchi Onyemelukwe is Senior Lecturer, Babcock School of Law and Securities Iperu, Nigeria and Consultant - Health Ethics and Law Consulting, Nigeria.

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