Publications by authors named "R L Macklin"

Article Synopsis
  • Sexual and reproductive health (SRH) research is vital for creating effective policies that support adolescent girls, but ethical challenges hinder their involvement, especially in low- and middle-income countries (LMICs).
  • A study conducted in Tijuana from February to September 2019 included 30 girls aged 16-20, who shared their views on the risks and benefits of participating in studies related to gender-based violence, unintended pregnancy, and STIs.
  • Key findings emphasized the importance of customizing consent and incentives for participants, fostering strong researcher-participant relationships, and empowering girls to articulate their sexual health needs to enhance their involvement in SRH research.
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On June 24, 2022, the US Supreme Court issued its ruling in the landmark case Dobbs v Jackson Women's Health Organization that overturned the constitutional right to abortion with a decision that opposes the will of the majority of Americans. Two earlier Supreme Court decisions had established and upheld that constitutional right for almost 50 years. Now, however, a "super majority" of the Court (6 of its 9 members) has voted to leave laws regarding abortion to the individual states.

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Just as nations around the world have begun to revise their laws that restrict women's access to safe, legal abortions, the United States is moving rapidly in the opposite direction. The past few years have seen several countries in Latin America enact new legislation; these include Argentina, Mexico, and Colombia as well as Chile [1], which formerly had an absolute ban that prohibited abortion even to save the life of the pregnant woman. In Africa, Tunisia, Zambia, South Africa, and other countries have loosened their restrictions on abortion [2].

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Objective: To attain a better understanding of the structure and processes of Research Ethics Committees (REC) in the low-and middle-income countries of the Mesoamerican region. The objectives are knowing the operational practices of the RECs regarding project evaluation, training needs, and infrastructure.

Materials And Methods: The REC training and needs assessment involved an online survey of all the RECs (n=55) identified in Colombia (n=11), Costa Rica (n=5), Guatemala (n=5), and Mexico (n=34).

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Another Defense of Common Morality.

Camb Q Healthc Ethics

April 2022

Robert Baker and Rosamond Rhodes each argue against the universality "common morality," the approach to ethics that comprises four fundamental principles and their application in various settings. Baker contends that common morality cannot account for cultural diversity in the world and claims that a human rights approach is superior in the context of global health. Rhodes maintains that bioethics is not reducible to common morality because medical professionals have special privileges and responsibilities that people lack in everyday life.

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