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Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa

Thesis (LLD)--University of Pretoria, 2007.

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Other Authors: Viljoen, Frans
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Published: University of Pretoria 2013
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author2 Viljoen, Frans
author_browse Viljoen, Frans
author_facet Viljoen, Frans
collection Thesis
dc_rights_str_mv © 2007, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria
description Thesis (LLD)--University of Pretoria, 2007.
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:39:47.699Z
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spelling oai:repository.up.ac.za:2263/29584 Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa Viljoen, Frans upetd@up.ac.za Carstens, Pieter Albert, 1960- Nienaber, A.G. (Annelize Gertruida) Human rights law South africa Vaccine Hiv- related clinical trials UCTD Thesis (LLD)--University of Pretoria, 2007. This thesis examines the regulation of HIV-related clinical research in Africa, with special emphasis on preventive HIV vaccine efficacy trails in South Africa. The discussion centres on aspects of the South African economic, social and political context, which increase not only certain communities' vulnerability to HIV infection, thereby accelerating the spread of the disease but also those communities' vulnerability to exploitation and abuse during clinical research. Human rights law is suggested as a viable alternate model to bioethical regulation to protect participants in HIV-related clinical trials. It is demonstrated that, in certain instances human rights law has important advantages over bioethics, not only because it has the force of law, but also because it positions the research participant within a specific social context It is proposed that a normative model derived from human rights' principles adds value to the bioethical debate in the context of clinical research in South Africa and the rest of the world. The thesis concludes that in order to make clinical research more responsive to circumstance, bioethics should be inspired by a broader social, economic and political perspective, such as is provided by a human rights-based analysis. The thesis recommends that bioethics and human rights law, rather than being seen as different systems, should be unified into a single system of protection under the constitution and the Bill of Rights. In order to do this, legislation that integrates ethical guidelines and human rights law needs to be drafted to give effect to the constitutional guarantee in section 12(2)(c). At the international level, the adoption of a convention which integrates human rights law and ethical guidelines is proposed. AFRIKAANS : Die proefskrif ondersoek die regulering van MlV-verwante kliniese navorsing in Afrika met spesifieke verwysing na kliniese proefnemings in Suid-Afrika om die doeltreffendheid van voorkomende MlV-entstowwe te bepaal. Die bespreking gee aspekte van die Suid-Afrikaanse ekonomiese sosiale en politisie konteks weer, wat nie net sekere gemeenskappe se kwesbaarheid vir MlV-infeksie bevorder nie, en dus die verspreiding van die siekte aanhelp nie maar wat ook daardie gemeenskappe meer kwesbaar maak om uitgebuit en misbruik te word gedurende kliniese navorsing. Menseregte word voorgestel as 'n lewensvatbare alternatiewe model teenoor bio-etiese regulering om die belange van deelnemers aan MlV-verwante kliniese proefnemings te beskerm. Die proefskrif wys daarop dat, onder sekere omstandighede, mensereqte belangrike voordele bo die bio-etiek het, nie net omdat dit regskrag het nie, maar ook omdat dit die deelnemer aan navorsing posisioneer binne 'n spesifieke sosiale konteks. Daar word aan die hand gedoen dat ln normatiewe model, afgelei vanaf menseregte-beginseis, waarde sal toevoeg tot die bio-etiek-debat in die konteks van kliniese navorsing in Suid-Afrika en die res van die wêreld. Die proefskrif bevind dat, om navorsing meer responsief tot omstandighede te maak, die bio-etiek geïnspireer moet word deur 'n breër sosiale, ekonomiese and politiese perspektief, soos wat voorsien word deur 'n menseregte-gebaseerde analise. Die proefskrif maak die aanbeveling dat die bio-etiek en menseregte, eerder as om as twee verskillende stelsels gesien te word, saamgevoeg moet word in 'n enkele stelsel van beskerming ondergeskik aan die Grondwet en die Menseregtehandves. Ten einde hierdie doel te bereik, moet wetgewing aangeneem word wat effek gee aan die grondwetlike waarborg in artikel 12(2)(c) en sodoende etiese riglyne en menseregte integreer Op die internasionale vlak word aan die hand gedoen dat 'n internasionaie konvensie aangeneem moet word wat menseregte en etiese riglyne integreer. Jurisprudence LLD Unrestricted 2013-09-07T16:02:25Z 2008-12-04 2013-09-07T16:02:25Z 1997-09-05 2008-12-04 2008-11-19 Thesis Nienaber, AG 2007-12-04, Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa, LLD Thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/29584> D12/4/473/gm http://hdl.handle.net/2263/29584 http://upetd.up.ac.za/thesis/available/etd-11192008-093435/ © 2007, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria
spellingShingle Human rights law
South africa
Vaccine
Hiv- related clinical trials
UCTD
Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa
title Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa
title_full Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa
title_fullStr Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa
title_full_unstemmed Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa
title_short Ethics and human rights in HIV-related clinical trials in Africa with specific reference to informed consent in preventive HIV vaccine efficacy trials in South Africa
title_sort ethics and human rights in hiv related clinical trials in africa with specific reference to informed consent in preventive hiv vaccine efficacy trials in south africa
topic Human rights law
South africa
Vaccine
Hiv- related clinical trials
UCTD
url http://hdl.handle.net/2263/29584
http://upetd.up.ac.za/thesis/available/etd-11192008-093435/