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May 17, 2026Journal of Empirical Research on Human Research Ethics0 citations

Ethical Challenges Posed by HIV-Vaccine Induced Seropositivity for the Informed Consent Process and HIV Testing Practices in Maputo City, Mozambique

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EFEmilia FumaneEduardo Mondlane UniversityKMKhátia MunguambeEduardo Mondlane UniversityGSGraça SaloméEduardo Mondlane University

Key Points

  • This study aims to evaluate understanding and practices related to vaccine-induced seropositivity (VISP) among trial participants and healthcare providers in Mozambique.
  • Conducted in-depth, semi-structured interviews with 51 total participants including healthcare professionals, researchers, and trial participants.
  • Utilized content analysis for qualitative data and descriptive analysis for quantitative data.
  • Trial participants demonstrated a better understanding of VISP compared to frontline healthcare professionals.
  • 53.8% of healthcare professionals indicated they would use rapid tests for HIV on trial participants and initiate antiretroviral therapy if positive.
  • VISP poses a risk of HIV misdiagnosis for trial participants due to unclear implications.

Abstract

Mozambique has a robust HIV control program and currently conducts HIV vaccine trials. One measure of a vaccine's success is development of antibodies, the vaccine-induced seropositivity(VISP). This study assesses the understanding and practices regarding VISP from trial participants and healthcare providers, as well as ethical challenges encountered during the informed consent. We conducted in-depth, semi-structured interviews using open and closed-ended questions with three categories of participants: healthcare professionals n = 26, researchers n = 5 and trial participants n = 20. For qualitative data, content analysis was performed and thematic axes were assigned. For quantitative analysis, descriptive analysis was performed. Trial participants had a better understanding of VISP's implications than front-line healthcare professionals. 53.8% healthcare professionals interviewed, stated that they would test the trial participants using an HIV rapid test, and initiate antiretroviral therapy immediately if positive. VISP may result in HIV misdiagnoses for trial participants when its broader pratical implications are not well understood.

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Cite This Study

Fumane et al. (2026) studied this question.

synapsesocial.com/papers/6a095ba67880e6d24efe16b6https://doi.org/10.1177/15562646261448776
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