David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Developing World Bioethics 8 (1):1–10 (2008)
Despite recent advances in ways to prevent transmission of HIV from a mother to her child during pregnancy, infants continue to be born and become infected with HIV, particularly in southern Africa where HIV prevalence is the highest in the world. In this region, emphasis has shifted from voluntary HIV counselling and testing to routine testing of women during pregnancy. There have also been proposals for mandatory testing. Could mandatory testing ever be an option, even in high-prevalence settings? Many previous examinations of mandatory testing have dealt with it in the context of low HIV prevalence and a well-resourced health care system. In this discussion, different assumptions are made. Within this context, where mandatory testing may be a strategy of last resort, the objections to it are reviewed. Special attention is paid in the discussion to the entrenched vulnerability of women in much of southern Africa and how this contributes to both HIV prevalence and ongoing challenges for preventing HIV transmission during pregnancy. While mandatory testing is ethically plausible, particularly when coupled with guaranteed access to treatment and care, the discussion argues that the moment to employ this strategy has not yet come. Many barriers remain for pregnant women in terms of access to testing, treatment and care, most acutely in the southern African setting, despite the presence of national and international human rights instruments aimed at empowering women and removing such barriers. While this situation persists, mandatory HIV testing during pregnancy cannot be justified
|Keywords||rights HIV/AIDS transmission newborn sub‐Saharan Africa mandatory testing gender|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Matthew W. Pierce, Suzanne Maman, Allison K. Groves, Elizabeth J. King & Sarah C. Wyckoff (2011). Testing Public Health Ethics: Why the CDC's HIV Screening Recommendations May Violate the Least Infringement Principle. Journal of Law, Medicine and Ethics 39 (2):263-271.
Similar books and articles
Maura O'brien (1989). Mandatory Hiv Antibody Testing Policies:An Ethical Analysis. Bioethics 3 (4):274–300.
Michael Waxman, Roland Merchant, M. Celada & Melissa Clark (2011). Perspectives on the Ethical Concerns and Justifications of the 2006 Centers for Disease Control and Prevention HIV Testing Recommendations. BMC Medical Ethics 12 (1):24-.
Thaddeus Metz (2005). The Ethics of Routine HIV Testing: A Respect-Based Analysis. South African Journal on Human Rights 21 (3):370-405.
Peter A. Clark (2006). Mother-to-Child Transmission of Hiv in Botswana: An Ethical Perspective on Mandatory Testing. Developing World Bioethics 6 (1):1–12.
Stuart Rennie (2007). Do the Ravages of the Hiv/Aids Epidemic Ethically Justify Mandatory Hiv Testing? Developing World Bioethics 7 (1):48–49.
Sofia Gruskin, Shahira Ahmed & Laura Ferguson (2008). Provider-Initiated Hiv Testing and Counseling in Health Facilities – What Does This Mean for the Health and Human Rights of Pregnant Women? Developing World Bioethics 8 (1):23–32.
Martin Gunderson, David J. Mayo & Frank S. Rhame (1996). Routine HIV Testing of Hospital Patients and Pregnant Women: Informed Consent in the Real World. Kennedy Institute of Ethics Journal 6 (2):161-182.
Harold W. Jaffe (2009). Increasing Knowledge of Hiv Infection Status Through Opt-Out Testing. Journal of Bioethical Inquiry 6 (2):229-233.
Kjell Arne Johansson, Kirsten Bjerkreim Pedersen & Anna-Karin Andersson (2011). Hiv Testing of Pregnant Women: An Ethical Analysis. Developing World Bioethics 11 (3):109-119.
Stuart Rennie & Bavon Mupenda (2008). Ethics of Mandatory Premarital Hiv Testing in Africa: The Case of Goma, Democratic Republic of Congo. Developing World Bioethics 8 (2):126-137.
Added to index2009-01-28
Total downloads28 ( #66,371 of 1,101,724 )
Recent downloads (6 months)2 ( #191,839 of 1,101,724 )
How can I increase my downloads?