University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Institute of Tropical Medicine, Antwerp, Belgium.
Trop Med Int Health. 2022 Oct;27(10):934-940. doi: 10.1111/tmi.13815. Epub 2022 Sep 5.
Ethics review preparedness is a major foundation for national effective response to public health emergencies, because it promotes pertinent research and enhances the protection of research participants and communities. In low-income countries, it can also promote equitable research partnership. However, most relevant literature is in English and not easily accessible for the members of research ethics committees in French-speaking African countries.
A training module in French, addressing the issue of research ethics review during outbreaks and other public health emergencies, was designed based on a non-systematic literature review, and in order to be complementary to the Democratic Republic of Congo (DRC) national guidelines for ethics review. The module was administered to 42 members of the five ethics committees in DRC that expressed their interest for the training.
This training, co-designed with local stakeholders, in the local working language and taking into account local circumstances and regulation, provided participants with up-to-date insights of research ethics (and research ethics preparedness) in public health emergencies. It resulted in rich reflection and knowledge-sharing on good practices across the ethics committees.
As most participating ethics committees do not have yet explicit standard operating procedures for expedited review of protocols submitted in emergency situations, this would be a next important step to facilitate emergency reviews in the most efficient way.
伦理审查准备是国家对突发公共卫生事件做出有效应对的重要基础,因为它可以促进相关研究,并增强对研究参与者和社区的保护。在低收入国家,它还可以促进公平的研究伙伴关系。然而,大多数相关文献都是英文的,对于说法语的非洲国家的研究伦理委员会成员来说,这些文献不易获取。
根据非系统性文献回顾,并为了与刚果民主共和国(DRC)的国家伦理审查指南互补,设计了一个用法语编写的培训模块,该模块涉及在疫情和其他突发公共卫生事件期间进行研究伦理审查的问题。该模块向对培训表示感兴趣的刚果民主共和国的五个伦理委员会的 42 名成员进行了管理。
这项培训是与当地利益攸关方共同设计的,使用当地的工作语言,并考虑到当地的情况和法规,为参与者提供了关于突发公共卫生事件中研究伦理(和研究伦理准备)的最新见解。它促成了各伦理委员会之间关于良好实践的丰富反思和知识共享。
由于大多数参与的伦理委员会尚未为在紧急情况下提交的方案制定明确的快速审查标准操作程序,这将是下一步的重要步骤,以便以最有效的方式促进紧急审查。