Philippine National Health Research System (PNHRS)

In 2005, the terms of reference of the different agencies participating in the PNHRS were consolidated into the PNHRS bill that was finally enacted into law in 2013 after 9 years of lobbying. The hard work involved in campaigning at the Philippine Congress to pass the bill into law should be properly credited to PCHRD led by Dr. Jaime C. Montoya, its Executive Director.

The Philippine National Health Research System Act of 2013 (RA 10532) institutionalized the memorandum of understanding among the DOST, DOH, CHED and UP Manila to work towards “improving the health status,, productivity and quality of life of Filipinos by (a) ensuring that health research is linked to the health system needs; (b) ensuring that investments in health research yield the most benefit; (c) promoting good governance among health research organizations through efficient, effective, transparent and ethical health research management system ; (d) engaging in national and international partnerships and networks for health research development and (e) ensuring sustainability of resources for health research.” It was generally assumed that research ethics was embedded in objectives (a), (b) and (c).


Philippine Health Research Ethics Board (PHREB)

The more explicit provision that referred to research ethics was in Section 12 of the law that adopted the DOST Special Order No. 091 s 2006 that created the Philippine Health Research Ethics Board (PHREB) to “ensure adherence to the universal principles for the protection of human participants in research” and shall, among other things:

  • Formulate/update guidelines for the ethical conduct of human health research;
  • Develop guidelines for the establishment and management of ethics review committees and standardization of research ethics review;
  • Monitor and evaluate the performance of institutional ethics review committees in accordance with procedures outlined in a prior agreement;
  • Promote the establishment of functional and effective ethics review committees;
  • Provide advice and make recommendations to the PNHRS Governing Council and other appropriate entities (including the Food and Drugs Administration[FDA]) regarding programs, policies, and regulations as they relate to ethical issues in human health research;
  • Initiate and contribute to discourse and discussions of ethical issues in human health research; and
  • Network with relevant local, national and international organizations.

 

Philippine Structural Framework for

Human Protection for Health Research

 

NATIONAL GOVERNANCE STRUCTURE FOR ETHICS REVIEW


PHREB ORGANIZATIONAL CHART



The  Philippine  Health  Research  Ethics  Board  (PHREB)  has  12 members, including three ex-officio members, namely, the Department of Science and Technology (DOST)—PCHRD Executive Director, Commission on Higher Education (CHED) representative and the Department of Health (DOH) representative. Except for the ex-officio members, appointments shall be for a term of three years for the Chair and Co-Chair, and all other members shall have a term for two years. The members represent a  balance  of  background,  gender  and  disciplines  (e.g.,  health  research, philosophy, law, academe,  medicine,  public health/epidemiology, theology, social science and allied health sciences). There are also those who are from people’s organizations and the youth sector. 

Below is the composition of PHREB for the year 2023 to 2026. 

Philippine Health Research Ethics Board (PHREB)

 

 

 

Chair

Medicine

 

Sonia E. Bongala, MD

Chair, Committee on Standards and Accreditation

Chair, Committee on Networking 

 

 

 

Vice Chair

Community

Ms. Carmen V. Auste

Chair, Committee on Patient, Family and Community Engagement

Members

 

 

 

Health Research

 

Ricardo M. Manalastas, Jr., MD

Chair, Committee on Information, Dissemination, Training and Advocacy

 

 

 

 

Social Science

 

Clemen C. Aquino, DPhil

 

 

 

Allied Health

Gemma N. Balein, DMD

 

 

Law

 

Atty. Alberto T. Muyot

 

 

 

Youth

 

 

 

Dr. Lorenzo Maria C. de Guzman 

 

 

 

Theology

Rev. Rolex M. Cailing

 

 

Philippine Council for Health Research and Development

(ex-officio)

Jaime C. Montoya, MD

 

 

Department of Health

(ex-officio)

 

Mr. Pio Justin V. Asuncion, MPH, RN

 

PHREB Secretariat

DOST-PCHRD

 

Ms. Reichel Refuerzo 

Ms. Pamela Miranda

 

Administrative Order 001 Series of 2008
Registration of all Ethics Review Committees at the Philippine Health Research Ethics Board

Administrative Order 001 Series of 2007
Requirement for Review of all health researches involving human subjects/participants 

 

PHREB POLICIES AND REQUIREMENTS FOR RESEARCH ETHICS TRAINING PROGRAMS

Date Effective: 11 June 2015

  

I.                    INTRODUCTION

 

Research ethics can be traced to the 1947 Nuremberg Code that came as an aftermath of the Nuremberg Trials in Germany. Research ethics was further articulated in the Declaration of Helsinki documents, the Universal Declaration of Human Rights, the 1974 Belmont Report, the CIOMS-WHO International Guidelines in Biomedical Research, and the 1996 ICH-GCP Guidelines in the conduct of clinical trials. All of these guidelines and standards were established in order to protect the dignity, welfare, and rights of human participants.

 

To comply with these guidelines, research protocols involving human participants must undergo review and be approved by an independent ethics committee before the commencement of recruitment of participants. For ethics review committees to do good and competent review, its members must be knowledgeable in the application of the international and national guidelines and standards and develop sensitivity in the recognition of ethical issues embedded in the protocols.

 

The Philippine Health Research Ethics Board (PHREB) aims to help establish and maintain functional Independent Ethics Review Committees with these competences. For this purpose, PHREB has identified the Committee on Information Dissemination, Training, and Advocacy (CIDTA).

 

 

II.                  GENERAL POLICY

 

Research ethics training programs must meet the standards set and be approved by PHREB-CIDTA in order to fulfill accreditation requirements of PHREB Committee on Standards and Accreditation (CSA).

 

1.       All Chairs of Research Ethics Committees (RECs) should have basic ethics training.

2.       All RECs must have training programs for members on basic research ethics and continuing ethics review.

3.       Special Training for specific needs may be required by PHREB in its Accreditation Policies. For example, RECs that review clinical trials for FDA registration need their reviewers/members to be trained in Good Clinical Practice (GCP). On the other hand, RECs that review mostly social research may need training on social research ethics.

 

 

III.                RESEARCH ETHICS TRAINING PROGRAMS

 

Research ethics training programs may be conducted by:

1.          PHREB-CIDTA

2.          Others

 

 PHREB-CIDTA RESEARCH ETHICS TRAINING PROGRAMS

 

TYPES OF PHREB-SIDTA RESEARCH ETHICS TRAINING PROGRAMS

Basic Research Ethics

  I.   Target participants:

a.    Researchers (including students)

b.   Members of Ethics Review Committees (ERCs)

c.    Research Advisers

d.   Reviewers

 

II.   Content:

a.    Definition of Terms

b.   Scientific Soundness

c.    Research Ethics Principles (Beneficence, Non-Maleficence, Autonomy, Justice)

d.   Declaration of Helsinki

e.   Research Ethics Review

f.     Informed Consent

g.    Authorship

h.   Review of the Research Proposal

i.      Ethics Review Systems

j.     Ethics Review Committees

k.    Ethical Researcher

Good Research Practice

  I.   Target Participants:

a.    ERC Members (ERC applying for level 3 accreditation)

b.   Clinical Researchers

 

II.   Content:

a.   Definition of Terms

b.  Review of different methodologies (e.g. social research)

c.   Research Ethics Principles (Beneficence, Non-Maleficence, Autonomy, Justice)

d.  Review of the  Research Proposal

e.  Nuremberg Code

f.    National Ethical Guidelines (ERC composition)

g.   ICH GCP

h.  ERC – organization, function, and responsibilities

i.     Vulnerable Population in Research

j.    Standard Operating Procedures (SOPs)

Advanced/Focused Workshop (topics depend on need; one to 1½ days training )

Common Topics:

a.    SOPs

b.   Conflicts of Interest (COIs)

c.    Informed Consent

d.   ERCs

e.   Training of Trainers

f.     Training for Evaluators

 

 

1.       Request Requirements of Research Ethics Training:

 

a.       Submit completed Online Training Request Form (Form 2015-01) to the PHREB Secretariat

                                                                           i.      Name of requesting party

                                                                         ii.      Type of training program requested

                                                                        iii.      General profile of participants (minimum of 15 and maximum of 30 participants)

                                                                       iv.      Preferred Dates (minimum of one month from date of application)

Note: Postponements by requesting party will be considered as a new application

                                                                         v.      Training Venue

                                                                       vi.      Contact person and number

 

b.      Four (4) complete research proposals (two weeks prior to approved schedule)

 

2.       Responsibilities of requesting party

a.       Training logistics (training venue, handouts, audio-visual equipment, food and drinks)

b.      Transportation

c.       Accommodation for resource persons and staff (if outside Metro Manila)

d.      Honoraria of resource persons

 

RESEARCH ETHICS TRAINING PROGRAMS BY NON-PHREB-CIDTA

 

Recognition of the training program will depend on an evaluation of the submitted requirements and actual conduct of the training by a PHREB CIDTA representative

 

Procedure

1.       Submission by requesting party at least one month before actual conduct of training.

a.       Completed Recognition Request Form (Form 2015-02)

                                                                           i.      Name of requesting individual/institution

                                                                         ii.      Type of training program

                                                                        iii.      General profile of participants

                                                                       iv.      Date(s)

                                                                         v.      Training Venue

                                                                       vi.      Contact person and number

 

b.      Description of the training program containing the following:

                                                                           i.      Objective: clearly stated and related to ethics in research

                                                                         ii.      Training Method: use of varied teaching-learning strategies that include didactics, workshops, small group discussions, etc.

                                                                        iii.      Policy statement on participant certification (policies on attendance, performance, participation, pre and post-tests)

                                                                       iv.      Content – program and copy of handouts

                                                                         v.      Post-training evaluation by participants

 

c.       CV of facilitators evidencing credibility to run program

 

2.       PHREB CIDTA may designate a representative to attend and observe implementation of the program

 

3.       If found satisfactory, the Certificate of Participation/Attendance/Completion shall be co-signed by the Chair of the PHREB-CIDTA. 

Date: February 25 to 26, 2015

Attendees:

Pablo Afidchao

Joseph Del Rosario

Paz Victoria Ramos

Julie Joyce Taguinoo

Karen Allam       

Christopher Masirag

Wilma Udanga

Jocris Cabaguan

Mary Rose Jontilano

Melfei Bungihan              

Farida Tallud      

Liza Empedrad

Jennifer Bangi

Ferdinand Cortez

Lilian Marasigan

Josephine Lorica

Ramelo Ramirez, Jr.

Santiago Barasi, Jr.

Melani Perez    

Cherry Lou Yap 

Rachel Biag        

Mary Grace Gumpal      

Romella Tuppal

Leavelyn Villamin

Lirio Mangawil

Vilma Conrado

Abelardo Bas-ong

Samuel Damayan

Jane Sambrana

Djoanna Angelica Fuertes

Delilah Ballot      

Date: March 3 to 5, 2015

Attendees: 

Shirlene Medori Alegre

Dioharra Aparri,

Lilia Boyles

Manuel Caberte              

Tarcisio Candog, Jr.

Dr. Cesar Cassion            

Larry Dillo

Reinerio Durano              

Roxan Eupeña

Oliva Lumasag

Maria Tavita Lumintac   

Alnie Nemenzo

Fr. Randy Odchigue

Giselle Ramos

Dr. Terence Vesagas

Maria Wilma Joji Yu

Gladys Giberson

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