When many people think of research ethics, they naturally think of issues surrounding the treatment of research participants by researchers. Are the latter harming the former, deceiving them, exploiting them? Just as it has taken a long time to understand medical ethics as involving something beyond the physician/patient relationship, it has taken some time to conceive research ethics as the study of the ethical issues involved in the whole research enterprise, from the ‘micro’ level of the consent process to the ‘macro’ level of research funding priorities or the geopolitics of global health research.
It is refreshing for this reason to see a short piece in Nature Medicine on the issue of the exploitation of health researchers in developing countries. The involvement of local collaborators in research conducted in the developing world is commonly regarded as ethically optional. And there is data to support claims that developing world researchers, when they are involved in research projects (sponsored and commonly driven by external agencies and investigators), often are not named as co-authors of articles publishing the results. To put it brutally, local researchers are typically considered good enough to recruit participants, to collect data, to act as diplomats with local institutions, and to sell the study to local communities. They are implicitly regarded, much of the time, as not good enough to design studies, act as principal investigators or be first authors on research articles. Those privileges go preponderantly to outside researchers from more powerful institutions and nations. So not only research participants in developing countries stand to be exploited in global health research: local researchers may also appear as ‘vulnerable populations’ in this sense.
The views, opinions and positions expressed by these authors and blogs are theirs and do not necessarily represent that of the Bioethics Research Library and Kennedy Institute of Ethics or Georgetown University.