In 2018, the Member States of the Pan American Health Organization (PAHO) evaluated their progress on integrating ethics in distinct areas of health, and deemed it essential that a systemic approach be promoted so that research is always conducted ethically. To strengthen research ethics systemically, PAHO has developed research ethics indicators that address the core components of a national research ethics system. The indicators allow to identify advances on each component, evaluate progress toward strengthening systems, and develop a plan of action for each country based on the indicators not yet reached. This indicator-based strategy could be useful beyond the Region and be a model for other countries and regions to strengthen their national research ethics systems and catalyze research ethics.
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