Second Weekend – DREIN Blended Diploma Program Retreat

The Center for Bioethics and Research organised the second Weekend retreat for the 2 Month online blended diploma program, the retreat was held from the 21st to 23rd of September 2018 at Davies hotel, bodija, Ibadan. The retreat marked the concluding part of training for the first set of diploma participants on the Deepening Research Ethics in Nigeria project (DREIN), it was also another opportunity for participants to meet again, exchange ideas and have face to face interaction with their lecturers after a month of online meetings and chat sessions.

RETREAT
CBR faculty members facilitated the order of events for the retreat, the review of lectures was the first item on the agenda, the review was done in an interactive manner between the students and the lecturers. The topics that were reviewed are:

  1. Benefits, Inducement and compensation.
  2. Conflicts of Interest and its management.
  3. Local and international collaborative multisite research.
  4. Submitting protocols for ethics review
  5. Comprehension, Competence and Risk
  6. Religion, Culture and Research Ethics in Nigeria
  7. Vulnerability and Special participant population
  8.  Ethics Committee training
  9.  Adjudication
  10. Exploitation

As part of the review of lectures, Dr Adejumo explained how illness makes people vulnerable in many ways, and how offering money may help participants to clearly distinguish research from treatment.

He mentioned that in research trials, health improvement is often cited as the primary motivator to participate in research, and studies have shown that participants in clinical trials have better outcomes compared to individuals that received routine care. He also talked about community advisory committees and how they are established by the study investigators depending on the nature of the proposed research, the research site, the study base or on the recommendation of either the institution where the research is based or the HREC supervising the research. He added that they are important forums for facilitating dialogue between community members, research participants and researchers. Community Advisory Committee (CAC) members should be identified from communities where research is to be undertaken through a stakeholder consultative process.

Dr Adejumo also mentioned an important role of the community advisory committee as Primarily to assist investigators understand and incorporate community concerns into their research activities, advising on; issues central to the informed consent process, participants recruitment.

He added that CAC responsibilities vary according to the study location and size but generally they are to provide information on traditional beliefs and needs of the study population and their concerns regarding research, they also provide advice and support regarding recruitment and retention of participants in the research, including gender equity.
Dr Adejumo talked about conflict resolution and adjudication, he defined resolution to mean analysis into clear components for finding solution to a problem. He defined adjudication as the final judgment in a legal proceeding; the act of pronouncing judgment based on the evidence presented. He said conflicts could vary in intensity, number of parties involved as well as the possible consequence on ethical conduct of scientific research, but to avoid its possible negative effect on conduct of scientific inquiries, it often becomes necessary to resolve oradjudicate over conflicts occurring in the process of ethical review of research proposals and conduct of research.

Prof. Jegede talked about Ethical Review Processes for exempt and expedited research, he said this type of research involves the collection or study of existing data, document, records, pathological specimens, or diagnostic specimens, if these are publicly available. Collection or study of existing data or if the information is recorded by the investigator in such a manner that participants cannot be identified, directly or through identifiers linked to the participants. He explained that adequate information must be submitted, enough for the committee to make a decision. Prof. Jegede added that expedited review may be carried out by the HREC chairperson or his designee from among members of the HREC.

Participants asked questions and interacted with the faculty members. Discussions about their courses and issues they had were reviewed, and it was decided that this set of diploma participants should publish a paper titled ‘Ethnic Differences in Disclosure of Negative Genetic Test Findings: Nigerian Perspectives’.
There was a guest lecture delivered by Dr. J.O Akintayo from the Department of Law, University of Ibadan, and the title of his lecture was ‘Legal and Ethical Issues in Mandatory Premarital HIV Testing’.

Dr Akintayo stated that HIV /AIDS is an incurable transmissible disease that has impacted adversely on the social and economic conditions of Sub-Saharan Africa. The rate of Voluntary HIV testing is low thereby frustrating the plans of   Governments to control the disease. The cultural recognition of marriage as an important landmark presents opportunity for a scheme of widening the scope of persons who are aware of their HIV status. Premarital HIV testing is an extension of present premarital blood testing scheme.Participants that attended both weekend retreats and successfully completed the training were issued Diploma Certificates in Research Ethics.

 

Evaluation
An evaluation of participants perception of the training program was done at the retreat by administering questionnaire to provide useful information that will enhance effectiveness of the training program, improve the administration of the training, and provide information for decision making regarding subsequent trainings.

Yes No
Frequency Percentage Frequency Percentage
The program/retreat met my expectations 10 100%
The facilitators were very informative 10 100%
The guest lecture was helpful 10 100%
The Weekend Online Chat Platform 3 30% 7   70%
The Venue for the retreat 10 100%
The organization of the retreat was satisfactory 10 100%

 

RECOMMENDATIONS

  1. A participant suggested building a network of bioethicists from the diploma program, include a ‘term paper’ that participants can submit before the end of the program to help synthesize the knowledge.
  2. A participant suggested organizing an ethics conference in Nigeria biannually, an exchange of resource persons for training and capacity building, and establishment of an Alumni association for Diploma Students.
  3. A participant suggested development of a session for training of trainers, particularly for lecturers in schools of health care personnel training.
  4. A participant suggested creation of a ‘Research group’ from interested graduates of the program.
  5. A participant suggested that the retreat should be extended to 3 or 5 days.
  6. A participant suggested that a short trip for leisure should be incorporated into subsequent ‘2nd Weekend retreats’ to educate participants.
  7. A participant suggested that CME Units should be allotted to the program.

 

From left to right, Mr Olusegun Adeyemo (CBR Facilitator),Dr Mustapha Jamda, Prof. (Mrs) Oluwakanyinsola Salawu, Dr Sani Ali, Dr Oluwole Akintayo (Guest Speaker), Mr. Attahiru Salisu, Dr Adebayo Adejumo (CBR Facilitator), Mr. Felix Obi, Dr Chiedozie Ike, Prof. (Mrs) Feyi Adepoju, Mr. Theophilus Maaji, Prof. Samuel Ayodele Jegede, Dr Akinjide Ogundokun, Prof. (Mrs) Aisha Mamman.

LIST OF PARTICIPANTS

 

  1. Dr Mustapha Jamda
  2. Mr. Theophilus Maaji
  3. Dr Sani Ali
  4. Prof. (Mrs) Feyi Adepoju
  5. Dr Akinjide Ogundokun
  6. Prof. (Mrs) Oluwakanyinsola Salawu
  7. Prof. (Mrs) Aisha Mamman
  8. Mr. Attahiru Salisu
  9. Dr Chiedozie Ike
  10. Mr. Felix Obi
  11. Mr. Godwin Brooks.