title: Exploring Institutional Research Ethics Systems: A Case Study From Uganda.
abstract: BACKGROUND
  The increasing globalization of research drives a need for greater research ethics capacity in low resource countries. Several programs have attempted to expand research ethics capacity by training individuals, but few have focused on broader research ethics systems and institutions. This study describes and applies an institutional research ethics model to assess the institutional research ethics capacity of Makerere University College of Heath Sciences (MakCHS) in 2011.
  
  
  METHODS
  Internal and external stakeholders conducted the assessment of MakCHS using the multidimensional Octagon framework. Five methods were used to collect data on current ethical processes and institutional relationships.
  
  
  RESULTS
  MakCHS scored in the mid range on all Octagon domains, with some variation between external and internal assessments. The external Octagon scores suggest that MakCHS's areas of strengths are in identity, structure, relevance, target groups, and working environment; needs are greater in the areas of production, competence, and systems of finance and administration. Discrepancies in external and internal assessment can serve as a useful platform to shape ongoing discussions and strategic efforts.
  
  
  CONCLUSIONS
  The assessment identified strengths, opportunities, and challenges for institutional research ethics capacity at MakCHS. We believe this systematic approach was helpful in evaluating research ethics needs and provides a benchmark for institutions to measure progress over time.
authors.affiliation: Department of International Health, Johns Hopkins Bloomberg School of Public Health, and Johns Hopkins Berman Institute of Bioethics, USA.
authors.forename: Adnan A
authors.initials: AA
authors.lastname: Hyder
authors.affiliation: Johns Hopkins Berman Institute of Bioethics, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Ali
authors.affiliation: Johns Hopkins Berman Institute of Bioethics, USA.
authors.forename: Kristina
authors.initials: K
authors.lastname: Hallez
authors.affiliation: Johns Hopkins Berman Institute of Bioethics, USA.
authors.forename: Tara
authors.initials: T
authors.lastname: White
authors.affiliation: Makerere University College of Health Sciences, Uganda.
authors.forename: Nelson K
authors.initials: NK
authors.lastname: Sewankambo
authors.affiliation: Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Berman Institute of Bioethics, USA.
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Kass
keywords: Sub-Saharan Africa; Uganda; bioethics; institutional development; research ethics