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Nurs Ethics. 2017 Jan 1:969733017693442. doi: 10.1177/0969733017693442. [Epub ahead of print]

Ethically providing Routine HIV testing services to bereaved populations.

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1
Kenya Medical Research Institute (KEMRI), Kenya.

Abstract

BACKGROUND:

The delivery of public health policies may be in conflict with individualism.

OBJECTIVES:

To propose measures to ethically provide routine HIV testing services to persons visiting a funeral home.

RESEARCH DESIGN:

A document analysis of study documents and presentations made to an institutional review board. Participants and research context: Institutional review board members (both lay and professionals) and Study investigators attending an `open session' where study investigators were invited to elaborate on some study procedures. Ethical considerations: Identities of all parties were anonymized.

FINDINGS:

Opt-out approaches to HIV testing, grief counseling, relational ethics, and a modular consenting process were proposed to safeguard clients' autonomy. The golden-rule approach and protective empowering were suggested to protect clientele beneficence.

DISCUSSION AND CONCLUSION:

It is possible to ethically provide universal HIV testing and counseling services among grieving populations in this setting; elsewhere, this should be contextualized.

KEYWORDS:

Individualism; public health approaches; universal HIV testing

PMID:
29281932
DOI:
10.1177/0969733017693442

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