Medical ethics in sub-Sahara Africa: closing the gaps.

Monsudi, Kehinde Fasasi; Oladele, Tajudeen Olalekan; Nasir, Abdulrasheed A; Ayanniyi, Abdulkabir Ayansiji

doi:10.4314/ahs.v15i2.47

Cited by 24 publications

(23 citation statements)

References 19 publications

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“…In addition, the qualitative findings of this study indicated gaps in practice of code of ethics among medical doctors. Our finding is in line with studies conducted in Pakistan and Nigeria [ 16 , 17 ].…”

Section: Discussionsupporting

confidence: 93%

“…The result of a cross-sectional descriptive study conducted in Lahore, Pakistan among medical doctors in a tertiary care teaching hospital indicated that medical doctors had poor practice of Pakistan Medical and Dental Council code of ethics [ 16 ]. Another study conducted through self-administered structured questionnaire in Nigeria identified gaps in practice of code of ethics among medical doctors [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Practice of code of ethics and associated factors among medical doctors in Addis Ababa, Ethiopia

Tiruneh¹,

Ayele

2018

PLoS ONE

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IntroductionIn the health sector, questions are being raised about the possible threats to the accepted principles of ethics such as autonomy, beneficence, non malfeasance and justice in the delivery of health care. There is limited information in Ethiopia regarding to practice of code of ethics among medical doctors. Hence, this study aimed to assess practice of code of ethics and associated factors among medical doctors working in governmental and private hospitals in Addis Ababa, Ethiopia.MethodsInstitution based cross sectional quantitative study triangulated with qualitative study was conducted among 500 medical doctors working in governmental and private hospitals and three key informants from Federal Ministry of Health, Ethiopian Food, Medicine and Healthcare Administration and Control Authority and Ethiopian Medical Association in Addis Ababa from May 8, 2017 to June 30, 2017. Data were collected using pretested self-administered structured questionnaire and semi-structured questionnaire. Binary Logistic Regression and Content Analysis methods were used for the quantitative and qualitative data analysis respectively.ResultsThe study showed that only 152 (30.4%) of medical doctors had good practice of code of ethics. The odds of having good practice of code of ethics among medical doctors in the age group of 25–29 years were 2.749 times the odds of those in the age group of 30–34 years (AOR = 2.749, 95% CI: 1.483, 5.096), medical doctors working in governmental hospitals were 65.4% less likely to have good practice of code of ethics compared to those working in private hospitals (AOR = 0.346, 95% CI: 0.184, 0.652), knowledgeable medical doctors were 83.5% more likely to have good practice of code of ethics compared to those who were not knowledgeable about code of ethics (AOR = 1.835, 95% CI: 0.999, 3.368), and the odds of having good practice of code of ethics among medical doctors with favourable attitude were 7.404 times the odds of those with unfavourable attitude towards code of ethics (AOR = 7.404, 95% CI: 4.254, 12.887). Furthermore lack of motivation, unfavorable working environment, working at various health facilities simultaneously, public awareness, taking courses on medical ethics, lack of unethical conduct reporting and complaint handling system, incompetence of medical doctors, and weak collaboration among key stakeholders were identified as determinants of practice of code of ethics.ConclusionsOnly 30.4% of medical doctors had good practice of code of ethics. This indicates that practice of code of ethics among medical doctors in Addis Ababa is poor. The factors associated with practice of code of ethics were age, type of hospital, knowledge, attitude, lack of motivation, unfavorable working environment, working at various health facilities simultaneously, public awareness, medical ethics course, lack of unethical conduct reporting and compliant handling system, incompetence of medical doctors and weak collaboration among key stakeholders. Hence, awareness creation and attitudinal change on...

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Practice of code of ethics and associated factors among medical doctors in Addis Ababa, Ethiopia

Tiruneh¹,

Ayele

2018

PLoS ONE

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“…Monsudi et al and Imran et al argued that different intensity of professional training creates the difference in opinions among health staffs [30, 31]. Medical graduates receive hardly ten hours of lectures on medical ethics during their 5 years of medical degree, similarly, nurses receive limited orientation during their 3 years of training in Nepal.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal

et al. 2016

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BackgroundHealthcare ethics is neglected in clinical practice in LMICs (Low and Middle Income Countries) such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal.MethodsThis was a cross sectional study conducted among resident doctors (n = 118) and ward nurses (n = 86) in the largest tertiary care teaching hospital of Nepal during January- February 2016 with a self-administered questionnaire. A Cramer’s V value was assessed to ascertain the strength of the differences in the variables between doctors and nurses. Association of variables were determined by Chi square and statistical significance was considered if p value was less than 0.05.ResultsOur study demonstrated that a significant proportion of the doctors and nurses were unaware of major documents of healthcare ethics: Hippocratic Oath (33 % of doctors and 51 % of nurses were unaware), Nuremberg code (90 % of both groups were unaware) and Helsinki Declaration (85 % of doctors and 88 % of nurses were unaware). A high percentage of respondents said that their major source of information on healthcare ethics were lectures (67.5 % doctors versus 56.6 % nurses), books (62.4 % doctors versus 89.2 % nurses), and journals (59 % doctors versus 89.2 % nurses). Attitude of doctors and nurses were significantly different (p < 0.05) in 9 out of 22 questions pertaining to different aspects of healthcare ethics. More nurses had agreement than doctors on the tested statements pertaining to different aspects of healthcare ethics except for need of integration of medical ethics in ungraduate curricula (97.4 % doctors versus 81.3 % nurses),paternalistic attitude of doctor was disagreed more by doctors (20.3 % doctors versus 9.3 % nurses). Notably, only few (9.3 % doctors versus 14.0 % nurses) doctors stood in support of physician-assisted dying.ConclusionsSignificant proportion of doctors and nurses were unaware of three major documents on healthcare ethics which are the core principles in clinical practice. Provided that a high percentage of respondents had motivation for learning medical ethics and asked for inclusion of medical ethics in the curriculum, it is imperative to avail information on medical ethics through subscription of journals and books on ethics in medical libraries in addition to lectures and training at workplace on medical ethics which can significantly improve the current paucity of knowledge on medical ethics.Electronic supplementary materialThe online version of this article (doi:10.1186/s12910-016-0154-9) contains supplementary material, which is available to authorized users.

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“…It also extends to the consequences of wrong misdoings. The application of values and moral to human activities also constitute ethics [9]. The conduct of right and wrong are both related to ethics and morals.…”

Section: Overview Of Ethicsmentioning

confidence: 99%

Medical Ethics

Buowari¹,

Kanmodi²

2021

Bioethics in Medicine and Society

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Medical ethics is very important at this time of medicine due to the covid-19 pandemic which has caused a lot of mortality and morbidity world wide. Medical is important in guiding clinicians and other healthcare workers not to cause harm while caring out their duties. There are various aspects of medical ethics such as negligence, do not cause harm, beneficent and others. Not practicing medical ethics has caused some physicians to face litigation by their patients and clients and also face medical disciplinary boards. Some have even been suspended from medical practice for a number of months or years or even have their names struck off from the register of the licensing board of their country.

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Medical ethics in sub-Sahara Africa: closing the gaps.

Cited by 24 publications

References 19 publications

Practice of code of ethics and associated factors among medical doctors in Addis Ababa, Ethiopia

Practice of code of ethics and associated factors among medical doctors in Addis Ababa, Ethiopia

Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal

Medical Ethics

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