Balancing collective responsibility, individual opportunities and risks: a qualitative study on how police officers reason around volunteering in an HIV vaccine trial in Dar es Salaam, Tanzania.
BACKGROUND
Results from HIV vaccine trials on potential volunteers will contribute to global efforts to develop an HIV vaccine. The purpose of this study among police officers in Dar es Salaam, Tanzania, was to explore the underlying reasons that induce people to enrol in an HIV vaccine trial.


METHODS
We conducted discussions with eight focus groups, containing a total of 66 police officers. The information collected was analyzed using interpretive description.


RESULTS
The results showed that participants were motivated to participate in the trial by altruism, and that the participants experienced some concerns about their participation. They stated that altruism in the fight against HIV infection was the main reason for enrolling in the trial. However, young participants were seriously concerned about a possible loss of close relationships if they enrolled in the HIV vaccine trial. Both men and women feared the effect of the trial on their reproductive biology, and they feared interference with pregnancy norms. They were unsure about risks such as the risks of acquiring HIV infection and of suffering physical harm, and they were unsure of the intentions of the researchers conducting the trial. Further, enrolling in the trial required medical examination, and this led some participants to fear that unknown diseases would be revealed. Other participants, however, saw an opportunity to obtain free health services.


CONCLUSIONS
We have shown that specific fears are important concerns when recruiting volunteers to an HIV vaccine trial. More knowledge is needed to determine participants' views and to ensure that they understand the conduct of the trial and the reasons it is being carried out.
Division of Global Health, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. edith.tarimo@ki.se
Edith A M
EA
Tarimo
Anna
A
Thorson
Thecla W
TW
Kohi
Joachim
J
Mwami
Muhammad
M
Bakari
Eric
E
Sandström
Asli
A
Kulane
D016915:AIDS Vaccines; D000328:Adult; D000533:Altruism; D002986:Clinical Trials as Topic; D005239:Fear; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D009042:Motivation; D010358:Patient Participation; D016495:Police; D036301:Qualitative Research; D012306:Risk; D013636:Tanzania
D016915:AIDS Vaccines