Table 3

Benefits provided by specific studies (beyond standard of care locally)
Study Direct medical benefits for study participants Collateral medical benefits Transport/fares Other benefits
Perfusion study (PS) · Hourly monitoring of patient, potentially leading to more prompt identification and treatment of other acute illnesses · Additional emergency and triage training (ETAT) for all study staff on high dependency unit (HDU) · Fare for follow-up on days 28 and 60 after discharge · 100$ shillings for lunch on days 28 and 60 day follow-up visits
· Lab and clinical equipment support to health facilities
· Participants do not queue at hospital when sick between follow-ups
· Potentially more rapid referral to provincial referral hospital
TB study · Free management of TB, contact-tracing and management of infected adults · Enhancing diagnostic and laboratory capacity of clinic · Fare for follow up as determined by clinicians · None
Malaria Vaccine (MV) · Free treatment of all acute infections including payment of hospital bills · Physical upgrading of dispensaries in which trial is taking place, and laboratory clinical support including provision of vaccines where necessary · Fares or lifts in KEMRI cars to hospital for medical care · Refurbishment of facilities
· Regular screening of children for anaemia, de-worming
· KEMRI cars also help in times of emergencies
· Referral of chronic illnesses and those that cannot be handled at the facility
· Resuscitation equipment for use by all dispensary patients
· Uninterrupted access to EPI & rabies vaccines, and Hep B even in cases of MOH stock-outs
· Study personnel man facility when MOH staff are away
Immunology (Immuno) · Weekly testing of children for fevers · Study personnel man facility when MOH staff are away · KEMRI cars or taxis sent to take sick participants to hospital (day/night respectively) · Milk, bread for children during annual bleeds.
· Prompt, timely treatment of all acute illnesses
· Notebooks and pens for the children
· Disease surveillance for the Ministry of Health
· Referral of chronic cases to government facilities
RSV 1 · Free treatment of all acute infections · Lab and clinical equipment support to health facilities · N/A (participants came to facility for own reasons) · Sweets for children
· Antibiotics and gloves supply for community facilities
· Disease surveillance for the Ministry of Health
RSV 2 · Free examinations, medical treatment of all acute infections · Fares to hospital for treatment · None
· All medical bills settled by the study
HIV · Free screening & treatment for STI’s, HIV tests even in the absence of symptoms · Access to services without stigma as a result of careful training of all staff · 600 ($1.30) shillings fares provided at a flat rate · Free lubricants
· Food tickets for those on ARVs and the very poor
· ART started at earliest possible time
· HIV disease monitoring and support counselling
· Free condoms and Hep B vaccines
· Provision of vaccines e.g. rabies and Hep B

Molyneux et al.

Molyneux et al. BMC Medical Ethics 2012 13:13   doi:10.1186/1472-6939-13-13

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