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Oral Abstract Session 01 - Global HIV Vaccine Enterprise

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POSTERS<br />

Posters<br />

Topic 10: Social/Ethical/Access/Regulatory Issues<br />

P10.<strong>01</strong><br />

Dealing with Research Participants’ Complaints in<br />

<strong>HIV</strong>/ AIDS Prevention Studies: Experiences from<br />

Zimbabwe<br />

R. Gunda 1 , S. Ruzario 1 , R. Chekera 1 , M. Phiri 1 , R. Gutsire 1<br />

1 Medical Research Council of Zimbabwe, Harare, Zimbabwe<br />

Background: The Medical Research Council of Zimbabwe<br />

(MRCZ) houses the National Ethics Committee which safeguards<br />

the rights, safety and well-being of all research participants.<br />

Research participants in AIDS Prevention Trials, including <strong>HIV</strong>/<br />

AIDS vaccine trials, do from time to time have complaints during<br />

research implementation. The National Ethics Committee takes<br />

these complaints seriously and works tirelessly to address all<br />

complaints that research participants report to them in order<br />

to continuously improve the ethical conduct of AIDS research.<br />

The research community as a whole suffers when even a few<br />

investigators ignore the basic principles of ethics.<br />

Methods: We ensured that all research participants in Zimbabwe<br />

are well informed of the National Ethics Committee`s complaint<br />

procedure. Adequate information on how to lodge a complaint<br />

is supplied upon request. Complaints are listed with all relevant<br />

details and are investigated fully by the Council. Depending on<br />

each complaint, urgent meetings with investigators and study staff<br />

are done. Urgent for-cause site inspections, interviews with study<br />

participants, impromptu meetings with Community Advisory<br />

Board members and the communities are also done. Community<br />

Research Ethics Awareness Outreaches are conducted periodically<br />

and annual Research Ethics Forums are held for researchers and<br />

participants to bridge the gap between them<br />

Results: The MRCZ managed to address all participants complaints<br />

reported in 2<strong>01</strong>1. The number of for-cause site inspections for<br />

<strong>HIV</strong>/AIDS Prevention Trials increased from 2 in 2<strong>01</strong>0 to 8 in 2<strong>01</strong>1.<br />

Complaints included participants spending longer times at a<br />

research site than the time written on the informed consent,<br />

insufficient food given at research site, laboratory results not<br />

being issued on time as promised, confidentiality not being<br />

maintained and insufficient bus fare reimbursements being given<br />

Conclusion: A functional system to handle complaints from<br />

research participants helps to improve the ethical conduct of<br />

research. Experiences from the Medical Research Council of<br />

Zimbabwe will be shared.<br />

210<br />

AIDS <strong>Vaccine</strong> 2<strong>01</strong>2<br />

P10.02<br />

Protection of Human Research Participants Through<br />

Routine Inspection of Ongoing <strong>HIV</strong> Prevention and<br />

Treatment Clinical Trials:Experiences from Zimbabwe<br />

R.B. Zinyama-Gutsire 1 , R. Musesengwa 1 , S. Ruzario 1 , R. Gunda 1<br />

1 Medical Research Council of Zimbabwe, Harare, Zimbabwe<br />

Background: The Medical Research Council of Zimbabwe<br />

(MRCZ) is the National Ethics Committee in Zimbabwe. MRCZ<br />

was established in 1974 under the Research Act of 1959 and<br />

Government Notice No. 225 of 1974 to promote and co-ordinate<br />

health research in Zimbabwe. The main mandate of MRCZ is the<br />

scientific review, ethics approval and oversight of all ongoing<br />

medical research studies in Zimbabwe inspection of all on<br />

going research studies involving humans using an established<br />

Human Protection System. Routine inspections and ‘for cause’<br />

inspections are carried out to ensure utmost protection of<br />

research participants and to ensure protocol adherence and ICH-<br />

GCP compliance. <strong>HIV</strong> prevention and <strong>HIV</strong> drug treatment clinical<br />

trials receive more detailed attention during inspections as they<br />

are delicate and complicated.<br />

Methods: During the inspection process the following aspects<br />

are checked on and thoroughly reviewed: initial and continuing<br />

MRCZ approval letters, protocol version at study site, National<br />

Drug Regulatory Body approval in case of drug clinical trials, valid<br />

continuing review approvals, staff qualifications, staff registration<br />

with professional bodies and relevant experience, evidence<br />

of research ethics and GCP training, data storage, signed and<br />

dated participant consent forms, external monitors reports and<br />

recommendations, approved study data collection tools, procedure<br />

rooms and interviews study participants. MRCZ adherence to Local<br />

and International Research Ethics Guidelines and offers research<br />

ethics and GCP training courses to local researchers.<br />

Results: A recent development has been proactive requests from<br />

researchers for research ethics and GCP training, an indication of<br />

the increased awareness amongst researchers in Zimbabwe of<br />

the need for this training.<br />

Conclusion: There has been significant improvement in<br />

protection of research participants, protocol adherence and<br />

ICH-GCP compliance by researchers as a result of the increased<br />

inspection of all ongoing research studies in Zimbabwe. More<br />

and more researchers are now aware of international research

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