WHO faces a number of institutional challenges, including: These and other challenges were particularly evident after the perceived failures of the agency during the response to Ebola in West Africa in , and many called for significant reform of the agency as a result. One of the main ways in which the U. For many years, the assessed contribution for the U. Figure 2: U. Voluntary contributions for specific projects or activities, on the other hand, have varied to reflect changing U. Over the last eight years, U. This includes U.
In addition, a number of U. For example, U. For example, the U. Going forward, there are several key questions regarding U. Clift C.
World Health Organization. July 3, World Health Organization website. Keywords: global health, bioethics, clinical trials, Africa, exploitation, imperialism. Introduction Ethical negligence in human research has received global attention since the Nuremberg trials of , which with other unethical trials highlighted the importance of human bioethics to a worldwide audience.
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Purpose The problem of human bioethics in developing countries is multifaceted, many of its causes being deeply rooted in their historical—geopolitical interactions. Tropical medicine in the colonial world There is no doubt that even the medical discipline evolved as a direct consequence of Western imperialism.
Medical neocolonialism The natural expectation for a previously colonized territory, once the colonizing power is abolished, is the reinstatement of its international sovereignty, as it was before the events of colonization. Ethical oversight: encouraging ownership of ethical standards Oversight of the conduct of human trials safeguards the rights, health, economic well-being and welfare of participants throughout the entire research process.
Contextualizing consent Informed consent is central to human research. Appropriate research agendas and funding The expansion of research in the developing world is often regarded as a promising solution to many of its local health concerns.
Conclusion The issues that form the divide between the Global North and South are deeply rooted in historical sociopolitical factors and encompass neocolonial and postcolonial aspects of dependency and exploitation. Footnotes Disclosure The authors report no conflicts of interest in this work. References 1. Towards a common definition of global health.
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Consultant at the World Health Organization (WHO)
Downloadable CV. She is also the author of numerous articles and other publications. Give and Take looks at local drug manufacturing in Kenya, Tanzania, and Uganda, from the early s to the present, to understand the impact of foreign aid on industrial development. The book shows that when foreign aid has provided markets, monitoring, and mentoring, it has supported the emergence and upgrading of local production.