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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English English |
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World Health Organization
2008
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| Online Access: | http://psasir.upm.edu.my/id/eprint/15254/ http://psasir.upm.edu.my/id/eprint/15254/1/Integrating%20ethics.pdf |
| _version_ | 1848842625396768768 |
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| author | Hyder, Adnan A Meritt, Maria Ali, Joseph Tran, Nhan T K.C Mani, Kulanthayan Akhtar, Tasleem |
| author_facet | Hyder, Adnan A Meritt, Maria Ali, Joseph Tran, Nhan T K.C Mani, Kulanthayan Akhtar, Tasleem |
| author_sort | Hyder, Adnan A |
| building | UPM Institutional Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-15T08:02:06Z |
| format | Article |
| id | upm-15254 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-15T08:02:06Z |
| publishDate | 2008 |
| publisher | World Health Organization |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-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 |
| 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. |
| title | 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_short | 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. |
| url | http://psasir.upm.edu.my/id/eprint/15254/ http://psasir.upm.edu.my/id/eprint/15254/ http://psasir.upm.edu.my/id/eprint/15254/ http://psasir.upm.edu.my/id/eprint/15254/1/Integrating%20ethics.pdf |