title: Ancillary care in public health intervention research in low-resource settings: researchers' practices and decision-making.
abstract: Little is known about researchers' practices regarding the provision of ancillary care (AC) in public health intervention studies they have conducted and the factors that influence their decisions about whether to provide ancillary care in low-resource settings. We conducted 52 in-person in-depth interviews with public health researchers. Data analysis was iterative and led to the identification of themes and patterns among themes. We found that researchers who conduct their research in the community setting are more likely to identify and plan for the AC needs of potential research subjects before a study begins, whereas those affiliated with a permanent facility are more likely to deliver AC to research subjects on an ad hoc basis. Our findings suggest that on the whole, at least for public health intervention research in low-resource settings, researchers conducting research in the community setting confront more complex ethical and operational challenges in their decision-making about AC than do researchers conducting facility-based studies.
authors.affiliation: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 1809 Ashland Avenue, Baltimore, MD 21205, USA. htaylor@jhsph.edu
authors.forename: Holly A
authors.initials: HA
authors.lastname: Taylor
authors.forename: Maria W
authors.initials: MW
authors.lastname: Merritt
authors.forename: Luke C
authors.initials: LC
authors.lastname: Mullany
mesh_terms: D000720:Ancillary Services, Hospital / Q000941:ethics*; D001211:Asia, Western; D003657:Decision Making; D032984:Ethics, Research; D005260:Female; D006285:Health Planning; D006295:Health Resources; D006302:Health Services Research / Q000941:ethics*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D011203:Poverty; D011634:Public Health / Q000941:ethics*; D012108:Research Personnel; D012111:Residence Characteristics