Informed consent as an underlying principle of ethical research implies each research participant’s ability
Informed consent as an underlying principle of ethical research implies (and depends on) each research participant’s ability to make a decision autonomously. However, cultural beliefs or customs may place a higher value on the prerogative of an individual, such as a village chief or a male head of household to make decisions for others. Individual autonomy may hold a much lower value and may even be seen as challenging an established structure. How can informed consent be ensured in societies in which individual autonomy is not a priority?
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