Informed consent practices in Nigeria.
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TLDR
This review presents a composite picture of informed consent in Nigeria using empirical studies and legal and regulatory prescriptions, as well as clinical experience, which shows that Nigeria, like most other nations in Africa, is a mixture of sociocultural entities, and, notwithstanding the multitude of factors affecting it, informed consent is evolving along a purely Western model.Abstract:
Most writing on informed consent in Africa highlights different cultural and social attributes that influence informed consent practices, especially in research settings. This review presents a composite picture of informed consent in Nigeria using empirical studies and legal and regulatory prescriptions, as well as clinical experience. It shows that Nigeria, like most other nations in Africa, is a mixture of sociocultural entities, and, notwithstanding the multitude of factors affecting it, informed consent is evolving along a purely Western model. Empirical studies show that 70-95% of Nigerian patients report giving consent for their surgical treatments. Regulatory prescriptions and adjudicated cases in Nigeria follow the Western model of informed consent. However, adversarial legal proceedings, for a multiplicity of reasons, do not play significant roles in enforcing good medical practice in Nigeria. Gender prejudices are evident, but not a norm. Individual autonomy is recognized even when decisions are made within the family. Consent practices are influenced by the level of education, extended family system, urbanization, religious practices, and health care financing options available. All limitations notwithstanding, consent discussions improved with increasing level of education of the patients, suggesting that improved physician's knowledge and increasing awareness and education of patients can override other influences. Nigerian medical schools should restructure their teaching of medical ethics to improve the knowledge and practices of physicians. More research is needed on the preferences of the Nigerian people regarding informed consent so as to adequately train physicians and positively influence physicians' behaviors.read more
Citations
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Evaluating the quality of informed consent and contemporary clinical practices by medical doctors in South Africa: An empirical study
TL;DR: This study shows that though doctors had general knowledge of informed consent requirements, execution in practice was inadequate, with deficiency in knowledge of basic local laws and regulations.
The contribution of African traditional medicine for a model of relational autonomy in informed consent
TL;DR: The concept of "ubuntu" exists also in many other African languages albeit in variant forms as mentioned in this paper, such as: umundu in Kikuyu and umuntu in Kimeru, both languages spoken in Kenya; bumuntu in kiSukuma and kiHaya, both spoken in Tanzania; vumuntu in shiTsonga and shiTswa of Mozambique; bomoto in Bobangi, spoken in the Democratic Republic of Congo; gimuntu
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Voluntary participation and comprehension of informed consent in a genetic epidemiological study of breast cancer in Nigeria
Patricia A. Marshall,Clement Adebamowo,Adebowale Adeyemo,Temidayo O. Ogundiran,Teri Strenski,Jie Zhou,Charles N. Rotimi +6 more
TL;DR: This investigation of voluntary participation and comprehension of informed consent among women involved in a genetic epidemiological study on breast cancer in an urban setting of Nigeria comparing women in the case and control groups finds the use of persuasion and negotiation between a wife and her husband regarding study participation highlighted.
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Contents and readability of currently used surgical/procedure informed consent forms in Nigerian tertiary health institutions
TL;DR: The content of majority of the informed consent forms used in Nigerian tertiary health institutions are poor and their readability scores are not better than those used in developed parts of the world.
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Attitude towards informed consent practice in a developing country: a community-based assessment of the role of educational status
TL;DR: The study showed that knowledge of the informed consent practice increased with level of educational attainment but most of the participants irrespective of educational status would want to be involved in decisions about their healthcare.
References
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Understanding of informed consent in a low-income setting: three case studies from the Kenyan Coast.
TL;DR: This paper focuses on participant understanding of one field-based and two hospital-based studies, all of which involve blood sampling, which highlight a range of inter-related issues for consideration in the study setting and beyond, including conceptual and linguistic barriers to communicating effectively about research.
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Informed Consent, Cultural Sensitivity, and Respect for Persons
TL;DR: The doctrine of informed consent to medical treatment or research is grounded in the ethical principle of respect for persons that regards individuals as autonomous agents "capable of deliberation about personal goals and of acting under the direction of such deliberation."
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Doctor-Family-Patient Relationship: The Chinese Paradigm of Informed Consent
TL;DR: In-depth interviews with eighteen physicians, patients, and family members provided a deeper understanding of bioethical practices in contemporary China, especially with regard to the doctor-patient relationship (DPR) and informed consent.
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Informed Consent in International Health Research
TL;DR: Cultural and social factors underlying informed consent for health research with diverse populations in international settings andRecommendations for good practices are outlined and future directions for research are explored.
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Professional development in undergraduate medical curricula--the key to the door of a new culture?
TL;DR: The proposed content of a professional development curriculum may be reasonably straightforward to establish from policy documents and public expectations, but the process of achieving the desired outcomes is more complex, because professional development is largely based on attitudinal learning.