![]() The term refers to every individual’s right of self-determination, independence and freedom to make their own choices. It also raises a number of issues about autonomy and informed consent which you will learn about next.Īutonomy is another ethical principle that you may already be aware of, but not know by that name. She will need ongoing help and needs to know that her Health Extension Practitioner is willing to offer this support in a comforting and confidential manner.Ĭase Study 7.1 clearly concerns the issue of confidentiality between a health practitioner and a client. Supporting Almaz is not just a matter of referring her for help at the health centre. Option 3 is certainly essential because Almaz has problems that need to be sorted out, but which are above the competence of an Health Extension Practitioner. Almaz needs to know that she will get support for her problems and will pick her time to tell her parents. Option 2 is probably not a good idea either. You will have an opportunity to learn more details about the rights and responsibilities of Health Extension Practitioners in a future study session. This is especially the case when their problems are difficult. As a Health Extension Practitioner Chaltu has a duty to help the people in her community. But she needs to maintain confidentiality on Almaz’s behalf and not tell her parents or anyone else about the rape that has occurred, or the problems that have followed on from the rape.ī.Option 1 is certainly not correct. Chaltu cannot keep these problems to herself, she has to share her concerns with the healthworkers at the health centre who will be able to treat any infection that Almaz has in her birth canal, and also check if she is pregnant from the rape. ![]() a.There are immediate ethical issues of confidentiality involved in this situation. ![]() You may have raised the following issues: Option 4: Ask Almaz to come to see her at a place that will be confidential so that more details can be found out.Option 3: Refer Almaz to the health centre for pregnancy testing and treatment of her infection.Option 2: Tell Almaz that she must immediately tell her parents what has happened to her.Option 1: Do nothing and hope that someone else deals with this problem.b.Which of the following do you think that Chaltu should do? Explain your reasons.a.What ethical issues do you think are raised in Case Study 7.1?.Now I am asking you to provide me with medicine for my problem and help me with sisterly advice.’Ĭhaltu sat sadly for a long period of time without giving her a response, thinking about what to do in her mind. I regularly wash my genitals to remove the discharge, but I can’t get rid of this discharge. In addition I have a foul-smelling discharge from my birth canal. I saw my last menstruation three months ago. Three months ago, when I went to fetch water for my parents from a lake which is located 3 km away from my house, I was raped by someone whom I don’t know. ![]() While she was having a conversation with her, Almaz, their sixteen-year-old daughter, interrupted the conversation and asked Chaltu to sit and discuss a private health issue with her.Īlmaz began by telling Chaltu that this is a private issue and that she should not tell this to anyone, even her parents and other family members. One morning Chaltu went to Mr Gadisa’s house to provide health education on family planning to W/ro Bekelech, wife of Mr. He does not have any extra income other than the income he gets from farming. This study session mainly focuses on ethical issues that you may face in your day-to-day practice and introduces some of the mechanisms you can use in order to resolve them.Ĭhaltu, a Health Extension Practitioner, is responsible for providing community healthcare for 2,500 households including Mr Gadisa’s family. Working to clear, consistent ethical principles is one of the most important components for delivering quality healthcare for individuals, families and the community at large. This will enable you to identify some of the most important ethical issues and then find out how to work to resolve them. In this study session you are going to cover the concepts and principles of ethics that are relevant to your work as a Health Extension Practitioner. Ethics may sometimes be considered a scary term by some healthcare professionals because it is a word that may bring to mind an accusation of wrongdoing or mistakes, but this is not the case. Principles of Healthcare Ethics Study Session 7 Principles of Healthcare Ethics IntroductionĮthics is about the values that should be respected by all healthcare workers while interacting with individuals, families and communities. Health Management, Ethics and Research Module: 7. ![]()
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