Category: Research Articles
Discrepancies in the laws on identifying foetal sex…
Laws that regulate the identification of a foetus and the termination of a pregnancy in India are shaped by their social context. The Medical Termination of Pregnancy Act, 1971, discriminates against unmarried women by not recognising that unwanted pregnancies in unmarried women could result in a...
Drug promotional practices in Mumbai: a qualitative study
We conducted a qualitative study to determine the range of promotional practices influencing drug usage in Mumbai. Open-ended interviews were conducted with 15 senior executives in drug companies, 25 chemists and 25 doctors; focus group discussions were held with 36 medical representatives.
Restructuring medical education
This article explores instances of dysfunctional behaviour in resident doctors and examines the causes. It looks at the cultural competency training procedures for doctors in some institutions. There is a need for greater competency and diversity training of resident doctors. Counselling services...
Obstetric practices related to HIV in Kerala
This survey of obstetricians' knowledge and practices in two districts in Kerala, India, finds a number of unethical practices: most providers are unaware of the value of the rapid screening test for HIV; they do not give pregnant women the option to refuse testing;testing is done without counsel...
Patients’ perspectives on medical information: results of an…
The autonomy of patients in making medical decisions is increasingly recognised globally, but is not fully adhered to in India. Information is the first step for a patient to be able to make a decision on his or her health care. The objective of this survey was to ascertain patients' perspectives...
Birth after death: questions about posthumous sperm retrieval
There are guidelines in India for assisted reproductive technology but not specifically for posthumous assisted reproduction. The ethical concerns of using sperm from a dead man either with his explicit prior consent or by inferred consent, which is not easy to determine, need to be examined. Ris...
Detecting and preventing hypertension in remote areas
This article discusses the findings of a decade-old study on blood pressure among a tribal population in north Sikkim. These findings continue to be relevant today. Hypertension is a significant problem in this region. However, the local health institutions do not identify this as an important he...
Ethical issues in transfusion medicine
he practice of transfusion medicine involves a number of ethical issues because blood comes from human beings and is a precious resource with a limited shelf life. In 1980 the International Society of Blood Transfusion endorsed its first formal code of ethics, which was adopted by the World Healt...
Caring for survivors of sexual assault
Guidelines in India for the examination and treatment of survivors of sexual assault are inadequate. The guidelines that exist for some aspects may not serve the best interests of survivors or of legal procedures. This paper draws on formal and informal consultations to discuss some of the proble...
Ethical issues in laparoscopic hysterectomy
Hysterectomy is performed for a wide range of benign and malignant conditions, such as fibroids, menorrhagia and pelvic pain, and gynaecological malignancies. One in four women has a chance of undergoing hysterectomy in her lifetime. Conventionally abdominal hysterectomy is done through the open ...
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