Read the case study below and copy and paste the case study and questions into a Word document of no longer than three double-spaced pages.
Read the case study below and copy and paste the case study and questions into a Word document of no longer than three double-spaced pages. Type your responses below each question. Please refrain from yes or no answers. Be sure to reference the material you have read in this module and at least one outside source to support your answers and remember to use APA for any citations. Since there wont be any references from module, 2 outside sources would be great.
CASE STUDY: REFUSAL OF HIV TREATMENT
Case: Thandi, a 19- year-old woman who is unmarried but has a partner, visits a government antenatal clinic, where it is confirmed that she is pregnant. Three out of every ten women who attend public antenatal clinics in the region are HIV-positive. Due to the high prevalence of HIV amongst pregnant women, all women who attend such clinics are routinely tested for HIV, and Thandi was tested for the same without her knowledge. On her next visit to the clinic for her follow-up appointment, the attending doctor, Dr. Zaku, counseled her before disclosing her HIV status to her. Dr. Zaku explains to her that she needs to be treated with Anti-Retroviral (ARV) drugs for her own sake and to prevent the risk of her transmitting the infection to her unborn child during natural childbirth. Thandi refuses treatment because, in her society, HIV-positive women are ostracized. She requests that her HIV status be kept confidential.
- Should Dr. Zaku ethically respect Thandi’s wishes not to be treated?
- Can Dr. Zaku ethically require that Thandi receive prevention of mother-to-child transmission (PMTCT) treatment against her wishes?
- Can Dr. Zaku ethically give priority to the interests of the fetus/child to be born over those of Thandi?
- Can Dr. Zaku ethically suggest to Thandi that she should terminate the pregnancy? Should Dr. Zaku ethically heed Thandi’s request for confidentiality?
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