dc.contributor.author |
Martínez Pérez, Guillermo |
dc.contributor.author |
Tarr-Attia, Christine K. |
dc.contributor.author |
Breeze-Barry, Bondey |
dc.contributor.author |
Sarukhan, Adelaida |
dc.contributor.author |
Lansana, Dawoh Peter |
dc.contributor.author |
Meyer García Sípido, Ana |
dc.contributor.author |
Rosés, Anna |
dc.contributor.author |
Maixenchs, Maria |
dc.contributor.author |
Bassat Orellana, Quique |
dc.contributor.author |
Mayor Aparicio, Alfredo Gabriel |
dc.date |
2018-06-04T11:25:11Z |
dc.date |
2018-06-04T11:25:11Z |
dc.date |
2018-04-02 |
dc.date |
2018-05-16T17:59:39Z |
dc.identifier.citation |
1475-2875 |
dc.identifier.uri |
http://hdl.handle.net/2445/122759 |
dc.format |
12 p. |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
BioMed Central |
dc.relation |
Reproducció del document publicat a:
http://dx.doi.org/10.1186/s12936-018-2292-7 |
dc.relation |
Malaria Journal, 2018, vol. 17, num. 132 |
dc.relation |
http://dx.doi.org/10.1186/s12936-018-2292-7 |
dc.rights |
cc by (c) Martínez Pérez et al., 2018 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.rights |
http://creativecommons.org/licenses/by/3.0/es/ |
dc.subject |
Malària |
dc.subject |
Embarassades |
dc.subject |
Malaria |
dc.subject |
Pregnant women |
dc.title |
'Researchers have love for life': opportunities and barriers to
engage pregnant women in malaria research in post-Ebola Liberia |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/publishedVersion |
dc.description.abstract |
BACKGROUND: Adoption of prevention and therapeutic innovations
to ensure that National Malaria Control Programmes meet their
incidence reduction targets is highly dependent on the conduct
of rigorous clinical trials. In Liberia, malaria control
virtually halted during the recent Ebola epidemic, and could
enormously benefit from innovations to protect its most
vulnerable populations, including pregnant women, against
malaria. Health policy-planners could feel more inclined to
adopt novel interventions with demonstrated safety and efficacy
when trialled among their women population. However, pregnant
women are especially vulnerable when targeted as research
participants. Whilst some studies in the region attempted to
understand the ethical issues around the conduct of clinical
research, there is need of such information from Liberia to
inform future malaria research. METHODS: This is a grounded
theory study that aims to understand the barriers and
opportunities for pregnant women to consent to participate in
malaria research in Liberia. The study was conducted between
November 2016 and May 2017 at the St Joseph's Catholic Hospital,
Monrovia. In-depth interviews and focus group discussions were
held with hospital staff, traditional community representatives,
and pregnant women. RESULTS: According to the participants,
useful strategies to motivate pregnant women to consent to
participate in malaria research could be providing
evidence-based education on malaria and research to the general
population and encouraging engagement of traditional leaders in
research design and community mobilization. Fears and suspicions
towards research and researchers, which were amplified during
the conduct of Ebola vaccine and drug clinical trials, may
influence women's acceptance and willingness to engage in
malaria research. Population's mistrust in the public healthcare
system might hinder their acceptance of research, undermining
the probability of their benefiting from any improved malaria
control intervention. CONCLUSION: Benchmarking for acceptable
practices from previous public health interventions; building
community discussion and dissemination platforms; and mapping
communication and information errors from how previous research
interventions were explained to the Liberian population, are
strategies that might help ensure a safe and fully informed
participation of pregnant women in malaria research. Inequity
issues impeding access and use of biomedical care for women must
be tackled urgently. |