Donald J. Krogstad|Samba Diop|Alioune Diallo|Fawaz Mzayek|Joseph Keating|Ousmane Koïta|Yeya T. Touré
Informed Consent in International Research: The Rationale for Different Approaches
Tulane University
developed countries informed consent based autonomy individual written description studies proposed previous experience participant western medicine consent documented signature participant supervised institutional review boards irbs conflicts interest also responsible limiting institutional liability developing countries initial decisionmaking informed consent typically vested community rather individual illiteracy commonlimiting value written documents signatures challenges developing countries exacerbated fact persons greatest risk disease often illiterate limited experience western medicine limited understanding scientific rationale studies proposed given differences unrealistic expect consent strategies used developed countries would effective diverse settings