Informert samtykke prosesser i forhold til immunisering av barn i Dhaka, Bangladesh

Vitenskapelig tittel:
The informed decision making process of guardians during childhood immunization in Dhaka, Bangladesh, A qualitative study from the perspectives of the vaccinator and the guardian.

In this project I will be looking into the process of childhood immunization at the mother and child health clinic (MCH) at the international centre for diarrheal disease research Bangladesh (ICDDR; I want to explore the information exchange between health care workers (HCW) and guardians to see if this exchange allows the mother/ guardian to make an informed decision about the immunization. I will also be looking into HCW perceptions and knowledge around immunization to find out which information they feel is important to give to the mothers. The purpose of the study is to explore whether mothers in Dhaka, Bangladesh are being provided with enough information to make an informed decision around vaccination of their children. The aims of the study are -To identify if there is enough information provided to the mother to make an informed decision around immunization. -To identify how mothers receive information about immunization and from what sources. -To look at the decision making process of Bengali mothers around vaccination -To look into the perceptions of Health care workers (vaccinators) about the importance of information and the informed decision making process (IC) This project is very relevant in the modern vaccine scenario. The ethics of mass vaccination projects have begun to be questioned. Law in many countries no longer requires vaccination. In Bangladesh many mothers feel that they are not getting the necessary information about vaccination. (CITE) There has been some discussion on the world stage around informed consent, and/or informed decision-making, in vaccination. I prefer to use the term informed decision-making as it infers the process the guardian followed to arrive at the decision to immunize. Informed consent can be seen as a one-time event of asking for permission with clarifying for understanding. Most authors believe that this is a logical and necessary next step in achieving an ethical vaccination program. However, no research to date has been done on the actual clinical encounter and how information is exchanged between HCW and guardians, whether the HCW feel it is important to inform mothers, and whether the guardians feel that they are receiving enough information. Research in Bangladesh shows that almost 50% of children do not complete their childhood vaccination schedule. The main reasons for this incompletion are lack of knowledge and fear of side effects. (Chowdhury, 2003, Khan, 2005) By exploring the process of informed decision-making we can also understand the two factors leading to incomplete vaccination as the majority of the information parents receive on vaccination comes from HCWs.
(Prosjektleders prosjektbeskrivelse)

Ref. nr.: 2009/137 Prosjektstart: 22.08.2011 Prosjektslutt: 11.06.2010

Behandlingsstatus: Under behandling
Prosjektleder: Per Nortvedt
Forskningsansvarlig(e):  UiO
Universitetet i Oslo
Initiativtaker: Bidragsforskning

Utvalg: Andre personer i en sårbar eller avhengig situasjon
Forskningsmetode:: Fortolkende (kvalitative) analysemetoder

Utdanningsprosjekt/doktorgradsprosjekt: Studium: Master of Philosophy of International Community health, Nivå: Master
Behandlet i REK
17.06.2009 REK sør-øst