Hiv/aids reduces the relevance of the principle of individual medical confidentiality among the bantu people of southern Africa
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
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Theoretical Medicine and Bioethics 29 (5):331-340 (2008)
The principle of individual medical confidentiality is one of the moral principles that Africa inherited unquestioningly from the West as part of Western medicine. The HIV/AIDS pandemic in Southern Africa has reduced the relevance of the principle of individual medical confidentiality. Individual medical confidentiality has especially presented challenges for practitioners among the Bantu communities that are well known for their social inter-connectedness and the way they value their extended family relations. Individual confidentiality has raised several unforeseen problems for persons living with HIV/AIDS, ranging from stigma and isolation to feelings of dejection as it drives them away from their families as a way of trying to keep information about their conditions confidential. The involvement of family members in treatment decisions is in line with the philosophy of Ubuntu and serves to respect patients’ and families’ autonomy while at the same time benefiting the individual patient.
|Keywords||Medical confidentiality Bantu Ubuntu HIV/AIDS Autonomy|
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References found in this work BETA
Tom L. Beauchamp (2009). Principles of Biomedical Ethics. Oxford University Press.
Elza Venter (2004). The Notion of Ubuntu and Communalism in African Educational Discourse. Studies in Philosophy and Education 23 (2/3):149-160.
Godfrey B. Tangwa (2000). The Traditional African Perception of a Person: Some Implications for Bioethics. Hastings Center Report 30 (5):39-43.
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Citations of this work BETA
Esther Munalula‐Nkandu, Paul Ndebele, Seter Siziya & J. C. Munthali (2015). To What Did They Consent? Understanding Consent Among Low Literacy Participants in a Microbicide Feasibility Study in Mazabuka, Zambia. Developing World Bioethics 15 (3):248-256.
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