title: Posthumous Organ Retention and Use in Ghana: Regulating Individual, Familial and Societal Interests.
abstract: The question of whether individuals retain interests or can be harmed after death is highly contentious, particularly within the context of deceased organ retrieval, retention and use. This paper argues that posthumous interests and/or harms can and do exist in the Konkomba (and wider Ghanaian) traditional setting through the concept of ancestorship, a reputational concept of immense cultural and existential significance in this setting. I adopt Joel Feinberg's account of harms as a setback to interests. The paper argues that a socio-culturally sensitive regulatory framework does not necessarily exclude the donation of (deceased) human biomaterials for transplant and science research. Indeed, when customary values are explored with open-mindedness and sensitivity it may be shown that such donation can form part of the important customs of some communities in this jurisdiction. Accordingly, a context-appropriate governance framework could utilise the cultural value of ancestorship as an incentive to encourage organ donation in the Ghanaian traditional setting.
authors.affiliation: School of Law/Centre for Social Ethics and Policy (CSEP), The University of Manchester, Oxford Rd, Manchester, M13 9PL, UK. ndonbi20@hotmail.com.
authors.forename: Divine Ndonbi
authors.initials: DN
authors.lastname: Banyubala
mesh_terms: D035843:Biomedical Research; D003469:Culture; D003643:Death; D005190:Family / Q000523:psychology*; D005869:Ghana; D033161:Government Regulation; D006801:Humans; D007258:Informed Consent / Q000592:standards*; D009927:Tissue and Organ Procurement / Q000379:methods / Q000592:standards*
keywords: Ancestors; Consent; Deceased organ donation; Family; Ghana; Posthumous harms; Posthumous interests; Regulation