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Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan.

Scientific progress is a significant basis for change in public-health policy and practice, but the field also invests in value-laden concepts and responds daily to sociopolitical, cultural and evaluative concerns. The concepts that drive much of public-health practice are shaped by the collective a...

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Main Authors: Hyder, Adnan A, Meritt, Maria, Ali, Joseph, Tran, Nhan T, K.C Mani, Kulanthayan, Akhtar, Tasleem
Format: Article
Language:English
English
Published: World Health Organization 2008
Online Access:http://psasir.upm.edu.my/id/eprint/15254/1/Integrating%20ethics.pdf
http://psasir.upm.edu.my/id/eprint/15254/
http://www.who.int
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spelling my.upm.eprints.152542015-09-17T00:33:51Z http://psasir.upm.edu.my/id/eprint/15254/ Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan. Hyder, Adnan A Meritt, Maria Ali, Joseph Tran, Nhan T K.C Mani, Kulanthayan Akhtar, Tasleem Scientific progress is a significant basis for change in public-health policy and practice, but the field also invests in value-laden concepts and responds daily to sociopolitical, cultural and evaluative concerns. The concepts that drive much of public-health practice are shaped by the collective and individual mores that define social systems. This paper seeks to describe the ethics processes in play when public-health mechanisms are established in low- and middle-income countries, by focusing on two cases where ethics played a crucial role in producing positive institutional change in public-health policy. First, we introduce an overview of the relationship between ethics and public health; second, we provide a conceptual framework for the ethical analysis of health system events, noting how this approach might enhance the power of existing frameworks; and third, we demonstrate the interplay of these frameworks through the analysis of a programme to enhance road safety in Malaysia and an initiative to establish a national ethics committee in Pakistan. We conclude that, while ethics are gradually being integrated into public-health policy decisions in many developing health systems, ethical analysis is often implicit and undervalued. This paper highlights the need to analyse public-health decision-making from an ethical perspective. World Health Organization 2008-08 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/15254/1/Integrating%20ethics.pdf Hyder, Adnan A and Meritt, Maria and Ali, Joseph and Tran, Nhan T and K.C Mani, Kulanthayan and Akhtar, Tasleem (2008) Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan. Bulletin of the World Health Organization, 86 (8). pp. 606-611. ISSN 0042-9686, ESSN: 1564-0604 http://www.who.int 10.1590/S0042 English
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
English
description Scientific progress is a significant basis for change in public-health policy and practice, but the field also invests in value-laden concepts and responds daily to sociopolitical, cultural and evaluative concerns. The concepts that drive much of public-health practice are shaped by the collective and individual mores that define social systems. This paper seeks to describe the ethics processes in play when public-health mechanisms are established in low- and middle-income countries, by focusing on two cases where ethics played a crucial role in producing positive institutional change in public-health policy. First, we introduce an overview of the relationship between ethics and public health; second, we provide a conceptual framework for the ethical analysis of health system events, noting how this approach might enhance the power of existing frameworks; and third, we demonstrate the interplay of these frameworks through the analysis of a programme to enhance road safety in Malaysia and an initiative to establish a national ethics committee in Pakistan. We conclude that, while ethics are gradually being integrated into public-health policy decisions in many developing health systems, ethical analysis is often implicit and undervalued. This paper highlights the need to analyse public-health decision-making from an ethical perspective.
format Article
author Hyder, Adnan A
Meritt, Maria
Ali, Joseph
Tran, Nhan T
K.C Mani, Kulanthayan
Akhtar, Tasleem
spellingShingle Hyder, Adnan A
Meritt, Maria
Ali, Joseph
Tran, Nhan T
K.C Mani, Kulanthayan
Akhtar, Tasleem
Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan.
author_facet Hyder, Adnan A
Meritt, Maria
Ali, Joseph
Tran, Nhan T
K.C Mani, Kulanthayan
Akhtar, Tasleem
author_sort Hyder, Adnan A
title Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan.
title_short Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan.
title_full Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan.
title_fullStr Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan.
title_full_unstemmed Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan.
title_sort integrating ethics, health policy and health systems in low and middle income countries : case studies from malaysia and pakistan.
publisher World Health Organization
publishDate 2008
url http://psasir.upm.edu.my/id/eprint/15254/1/Integrating%20ethics.pdf
http://psasir.upm.edu.my/id/eprint/15254/
http://www.who.int
_version_ 1643825879031218176
score 13.211869

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