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“Meet People Where They Are”: A Qualitative Study of Community Barriers and Facilitators to HIV Testing and HIV Self-Testing Among African Americans in Urban and Rural Areas in North Carolina

May 1, 2020

HIV testing programs in the United States aim to reach ethnic minority populations who experience high incidence of HIV, yet 40% of African Americans have never been tested for HIV. The objective of this study is to identify community-based strategies to increase testing among African Americans in both urban and rural areas.

Public Health, Private Names: Ethical Considerations of Branding Schools of Public Health in the United States

March 18, 2020

In a resource limited environment, universities may increasingly need to conceive themselves as ‘brands’ and to mobilize capitalist marketing strategies to enhance institutional reputations. Between 1994 and July 2018, 24% of accredited United States public health schools were renamed for private donors. We suggest branding public health schools with private names carries ethical risks, including … Read more

Broadening Community Engagement in Clinical Research: Designing and Assessing a Pilot Crowdsourcing Project to Obtain Community Feedback on an HIV Clinical Trial

February 3, 2020

Community engagement is widely acknowledged as an important step in clinical trials. One underexplored method for engagement in clinical trials is crowdsourcing. Crowdsourcing involves having community members attempt to solve a problem and then publicly sharing innovative solutions. We designed and conducted a pilot using a crowdsourcing approach to obtain community feedback on an HIV … Read more

Commentary 1: How Should Community Members be Paid when they Go Off Script?

November 28, 2019

The role of money in health research has been debated in bioethics for many years, particularly with regard to resource-poor settings and populations. Much of the debate has focused on two key stakeholders in the research enterprise: research ethics committees and research participants. Research ethics committees, particularly in low- and middle-income countries, often do not … Read more

Voluntary Medical Male Circumcision for HIV Prevention Among Adolescents in Kenya: Unintended Consequences of Pursuing Service-Delivery Targets.

November 6, 2019

Voluntary medical male circumcision (VMMC) provides significant reductions in the risk of female-to-male HIV transmission. Since 2007, VMMC has been a key component of the United States President’s Emergency Plan for AIDS Relief’s (PEPFAR) strategy to mitigate the HIV epidemic in countries with high HIV prevalence and low circumcision rates. To ensure intended effects, PEPFAR … Read more

Voluntary Medical Male Circumcision for HIV Prevention Among Adolescents in Kenya: Unintended Consequences of Pursuing Service-Delivery Targets

November 4, 2019

Voluntary medical male circumcision (VMMC) provides significant reductions in the risk of female-to-male HIV transmission. Since 2007, VMMC has been a key component of the United States President’s Emergency Plan for AIDS Relief’s (PEPFAR) strategy to mitigate the HIV epidemic in countries with high HIV prevalence and low circumcision rates. To ensure intended effects, PEPFAR … Read more

Enhancing Ethics Review of Social and Behavioral Research Involving Human Subjects: A Template for Use in Low- and Middle-Income Countries

August 19, 2019

Background: Africa is increasingly becoming an important region for health research, mainly due to its heavy burden of disease, socioeconomic challenges, and inadequate health facilities. Regulatory capacities, in terms of ethical review processes, are also generally weak. The ethical assessment of social and behavioral research is relatively neglected compared to the review of biomedical and … Read more