Institute for Biomedical Ethics, University of Basel, 4056, Basel, Switzerland.
Center for Legal Medicine, University of Geneva, 1205, Geneva, Switzerland.
J Bioeth Inq. 2022 Dec;19(4):667-681. doi: 10.1007/s11673-022-10210-x. Epub 2022 Sep 22.
Vulnerability and politics are among the relevant and key topics of discussion in the Ethiopian healthcare context. Attempts by the formal bioethics structure in Ethiopia to deliberate on ethical issues relating to vulnerability and politics in healthcare have been limited, even though the informal analysis of bioethical issues has been present in traditional Ethiopian communities. This is reflected in religion, social values, and local moral underpinnings. Thus, the aim of this paper is to discuss the bioethical implications of vulnerability and politics for healthcare in Ethiopia and to suggest possible ways forward. First, we will briefly introduce what has been done to develop bioethics as a field in Ethiopia and what gaps remain concerning its implementation in healthcare practice. This will give a context for our second and main task - analyzing the healthcare challenges in relation to vulnerability and politics and discussing their bioethical implications. In doing so, and since these two concepts are intrinsically broad, we demarcate their scope by focusing on specific issues such as poverty, gender, health governance, and armed conflicts. Lastly, we provide suggestions for the ways forward.
脆弱性和政治是埃塞俄比亚医疗保健背景下相关和关键的讨论话题。尽管在埃塞俄比亚传统社区中存在对生物伦理问题的非正式分析，但埃塞俄比亚正式的生物伦理学结构试图审议与医疗保健中的脆弱性和政治有关的伦理问题的尝试受到了限制。这反映在宗教、社会价值观和当地道德基础中。因此，本文的目的是讨论脆弱性和政治对埃塞俄比亚医疗保健的生物伦理影响，并提出可能的前进方向。首先，我们将简要介绍在埃塞俄比亚将生物伦理学作为一个领域发展所做的工作，以及在医疗保健实践中实施方面仍然存在的差距。这将为我们的第二项也是主要任务提供背景，即分析与脆弱性和政治相关的医疗保健挑战，并讨论其生物伦理影响。在这样做的过程中，由于这两个概念本质上很广泛，我们通过关注贫困、性别、卫生治理和武装冲突等具体问题来划定其范围。最后，我们提供了前进的建议。
