8 research outputs found
What Could âFair Allocationâ during the Covid-19 Crisis Possibly Mean in Sub-Saharan Africa?
CITATION: Moodley, K. et al. 2020. What Could "Fair Allocation" during the Covid-19 Crisis Possibly Mean in Sub-Saharan Africa?. The Hastings Center report, 50(3):33â35. doi:10.1002/hast.1129The original publication is available at https://onlinelibrary.wiley.com/journal/1552146xThe Covid-19 pandemic has sparked rapid and voluminous production of bioethics commentary in popular media and academic publications. Many of the discussions are new twists on an old theme: how to fairly allocate scarce medical resources, such as ventilators and intensive care unit beds. In this essay, we do not add another allocation scheme to the growing pile, partly out of appreciation that such schemes should be products of inclusive and transparent community engagement and partly out of recognition of their limited utility for physicians working in the field. Instead, we make the more modest claim that context matters when making such decisions and, more specifically, that recommendations from high-income countries about fair allocation during Covid-19 should not be cut and pasted into low-income settings. We offer a few examples of why seemingly universal, well-intentioned ethical recommendations could have adverse consequences if unreflectively applied in sub-Saharan Africa.https://onlinelibrary.wiley.com/doi/10.1002/hast.1129Publishers versio
Allocation of scarce resources in Africa during COVID-19:Utility and justice for the bottom of the pyramid?
CITATION: Moodley, K. et al. 2020. Allocation of scarce resources in Africa during COVIDâ19 : utility and justice for the bottom of the pyramid? Developing World Bioethics, doi:10.1111/dewb.12280.The original publication is available at https://onlinelibrary.wiley.comThe COVIDâ19 pandemic has raised important universal public health challenges. Conceiving ethical responses to these challenges is a public health imperative but must take context into account. This is particularly important in subâSaharan Africa (SSA). In this paper, we examine how some of the ethical recommendations offered so far in highâincome countries might appear from a SSA perspective. We also reflect on some of the key ethical challenges raised by the COVIDâ19 pandemic in lowâincome countries suffering from chronic shortages in health care resources, and chronic high morbidity and mortality from nonâCOVIDâ19 causes. A parallel is drawn between the distribution of severity of COVIDâ19 disease and the classic âFortune at the bottom of the pyramidâ model that is relevant in SSA. Focusing allocation of resources during COVIDâ19 on the âthickâ part of the pyramid in LowâtoâMiddle Income Countries (LMICs) could be ethically justified on utilitarian and social justice grounds, since it prioritizes a large number of persons who have been economically and socially marginalized. During the pandemic, importing allocation frameworks focused on the apex of the pyramid from the global north may therefore not always be appropriate. In a postâCOVIDâ19 world, we need to think strategically about how health care systems can be financed and structured to ensure broad access to adequate health care for all who need it. The root problems underlying health inequity, exposed by COVIDâ19, must be addressed, not just to prepare for the next pandemic, but to care for people in resource poor settings in nonâpandemic times.NIH. Grant Numbers: D43âTW01511â01, R25âTW007098https://onlinelibrary.wiley.com/doi/full/10.1111/dewb.12280Publisher's versio
Les grÚves de médecins en République Démocratique du Congo:quels repÚres éthiques généralisables ?
La question de la dérogation au secret professionnel en droit congolais en cas de VIH/SIDA. Réflexions à la lumiÚre de John Stuart Mill:ThÚse de doctorat en philosophie
La question de la dérogation au secret professionnel en droit congolais en cas de VIH/SIDA. Réflexions à la lumiÚre de John Stuart Mill:ThÚse de doctorat en philosophie
A melt blowing-electrospinning approach to fabricating nanofibers
A polymer drawing model for melt blowing-electrospinning is established. The
fiber diameters are predicted and measured. The results show that the
predicted diameters show good agreements with the measured diameters. Fibers
fabricated with electrospinning are finer than those without electrospinning,
giving a new way to the mass production of nanofibers
Allocation of scarce resources in Africa during COVIDâ19 : utility and justice for the bottom of the pyramid?
CITATION: Moodley, K. et al. 2020. Allocation of scarce resources in Africa during COVIDâ19 : utility and justice for the bottom of the pyramid? Developing World Bioethics, doi:10.1111/dewb.12280.The original publication is available at https://onlinelibrary.wiley.comThe COVIDâ19 pandemic has raised important universal public health challenges. Conceiving ethical responses to these challenges is a public health imperative but must take context into account. This is particularly important in subâSaharan Africa (SSA). In this paper, we examine how some of the ethical recommendations offered so far in highâincome countries might appear from a SSA perspective. We also reflect on some of the key ethical challenges raised by the COVIDâ19 pandemic in lowâincome countries suffering from chronic shortages in health care resources, and chronic high morbidity and mortality from nonâCOVIDâ19 causes. A parallel is drawn between the distribution of severity of COVIDâ19 disease and the classic âFortune at the bottom of the pyramidâ model that is relevant in SSA. Focusing allocation of resources during COVIDâ19 on the âthickâ part of the pyramid in LowâtoâMiddle Income Countries (LMICs) could be ethically justified on utilitarian and social justice grounds, since it prioritizes a large number of persons who have been economically and socially marginalized. During the pandemic, importing allocation frameworks focused on the apex of the pyramid from the global north may therefore not always be appropriate. In a postâCOVIDâ19 world, we need to think strategically about how health care systems can be financed and structured to ensure broad access to adequate health care for all who need it. The root problems underlying health inequity, exposed by COVIDâ19, must be addressed, not just to prepare for the next pandemic, but to care for people in resource poor settings in nonâpandemic times.NIH. Grant Numbers: D43âTW01511â01, R25âTW007098https://onlinelibrary.wiley.com/doi/full/10.1111/dewb.12280Publisher's versio