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Ethical considerations of phone-based interviews from three studies of Covid-19 impact in Bihar, India

Bibliographic Data

ID21878882
AuthorsKarima Khalil (0000-0001-5600-4682, Software and Gender, Oxford Policy Management, New Delhi, India, corresponding author), Priya Das (0000-0002-3449-7516, Health System Software and Gender, Oxford Policy Management, New Delhi, India), Rochana Kammowanee (Health System Software and Gender, Oxford Policy Management, New Delhi, India), Deepika Saluja (Health System Software and Gender, Oxford Policy Management, New Delhi, India), Priyanjali Mitra (University of Chicago), Shamayita Das (Software and Gender, Oxford Policy Management, New Delhi, India), Dipwanita Gharai (Software and Gender, Oxford Policy Management, New Delhi, India), Dinesh Chandra Bhatt (0000-0002-0752-2448), Dinesh Bhatt (0009-0005-3787-9981, Training and Survey Operations, Oxford Policy Management, New Delhi, India), Navneet Kumar (0000-0003-3239-4094, Oxford Policy Management), Samuel Franzen (0000-0002-8080-1865, Oxford Policy Management)
Year2021
Volume6
IssueSuppl 5
Pagese005981
Publication date2021-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-005981
PMID34404691
OpenAlexW3195188354
LanguageEN
Citations received10
References cited15

Phone-based interviews present a range of ethical challenges, including how to ensure informed consent and privacy and maintain confidentiality. Our paper presents conceptual and practical ethical considerations taken into account across three telephone studies on the impact of COVID-19 conducted following India’s nationwide lockdown imposed in March 2020. Two studies captured COVID-19 response impact on primary-level Reproductive Maternal Neonatal and Child Health (RMNCH) services and on provider wellness, respectively. The third study focused on how the gendered experience of COVID-19 and the state’s response to control transmission impacted women’s lives, focusing on health services, livelihood, entitlements and social change, by interviewing individual women. The ethical challenges as well as the advantages of digital data collection are presented with recommendations for low-resource settings. Ethical considerations included the above challenges as well as avoiding posing unreasonable time burden on the respondents, framing questions with a gendered lens, considering emotional states given contagion concerns and economic uncertainties, and redressing pandemic-induced distress. Using scripted Hindi was challenging in consent-taking, as was protecting household respondents’ privacy and confidentiality during lockdown. Unanticipated positive ethical implications of using a telephone approach included providing respondents privacy and catharsis, respondents choosing convenient interview times and affording health providers more privacy than institutional inperson interviews. Internalising empathy, respect and appreciative enquiry are key to establishing rapport in the absence of prior relationships. Institutional Review Board (IRB) time limits on call duration need to be flexible to allow for ‘active listening’ and empathetic enquiry in surveys on the impact of COVID-19

Confidentiality · Informed consent · Political science · Public relations · COVID-19 and Mental Health · COVID-19 Digital Contact Tracing · COVID-19 Impact on Reproduction · Law · Medicine · Psychology

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Unique citing works10
Citations per year2.5
Citation span2022 - 2024 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 9

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