Ethical Issues In Medical Tourism In Africa

Main Article Content

Helen Titilola Olojede

Abstract

Medical tourism, (MT) the act of moving from one country to another to seek medical assistance, is a global phenomenon. Despite being an international occurrence with lots of literature on its social, political, or economic implications, this paper articulates its ethical concerns to the patient or ‘tourist’, the host and the destination countries. It, thus, addresses questions such as: what are some ethical issues in medical tourism? Is medical tourism a leisure enterprise, as the name suggests? Are there justifications for medical tourism? Adopting the scoping review methodology, the paper explores and synthesises existing literature to foreground a critical analysis of the ethical implications of medical tourism. Some of its findings concern ethical issues such as harm/risks, inequity/inequality of healthcare distribution, informed consent, and duty of care/quality of care. In addressing these issues, while critically analysing the adequacy of deontological ethics and preference utilitarianism, the paper argues that it is imperative that Africa not just compete for the global MT dollar but sit up and regulate MT activities. This requires coming up with a framework that would strike a balance between the benefits of MT and the burden of it. To this end, this paper proposes a regulation that promotes the common good of all: the patient, the departure and destination countries.

Downloads

Download data is not yet available.

Article Details

How to Cite
Olojede, H. T. (2025). Ethical Issues In Medical Tourism In Africa. African Journal of Stability and Development (AJSD), 16(1), 166–180. https://doi.org/10.53982/ajsd.2024.1601.06-j
Section
Articles

References

AbuElEnain, E., & Yahia, S. (2020). Developing Medical Tourism in Egypt,

Benchmarking on Dubai, UAE. International Journal of Science Research

and Technology, 2. https://www.researchgate.net/publication/

_Developing_Medical_Tourism_In_Egypt_Benchmarking_On_Dubai_UAE

Bookman, M., & Bookman, K. (2007). Medical Tourism in Developing Countries.

Palgrave Macmillan US. https://doi.org/10.1057/9780230605657

Carrera, P., & Bridges., J. (n.d.). Globalisation and healthcare: understanding health

and medical tourism. Expert Rev Pharmacoecon Outcomes, 6(4), 447-54. https:/

/doi.org/10.1586/14737167.6.4.447

Chikanda, A., Crush, J., & Maswika, B. (2012). Patients Without Borders. https://

www.researchgate.net/publication/258278959_Patients_Without_ Borders_

Medical_Tourism_and_Medical_Migration_in_Southern_Africa

Cook, P. S. (2008). What is Health and Medical Tourism? The Annual Conference

of the Australian Sociological Association. http://eprints.qut.edu.au

Crush, J., & Chikanda, A. (2015). South-South Medical Tourism and the Quest for

Health in Southern Africa. Soc Sci Med., 124. www.ncbi.nlm.nih.gov.

Glenn, I. C. (2015). Patients with Passports: Medical Tourism, Law and Ethics.

Oxford University Press.

Idowu, E. O., & Adewole, O. A. (2015). Spectrum of Neurological Complications

Following Medical Tourism: Challenges of Patients Without Borders. Afr Health

Sci., 15(1), 240-5. https://doi.org/10.4314/ahs.v15i1.31

Magdi, A. (2018). Medical Tourism in Egypt: Opportunities and challenges.

Unpublished Masters Thesis. The American University of Cairo. https://

fount.aucegypt.edu/etds/477/

Makinde, O. A. (2016). Physicians as Medical Tourism Facilitators in Nigeria: Ethical

Issues of the Practice. Croatian Medical Journal., 57(6), 601-604. https://

doi.org/10.3325/cmj.2016.57.601

Makinde, O. A., & Olaleye, B. O. (2014). The Impact of Code of Medical Ethics on

Advertisement in Nigeria. The Pan African Medical Journal., 19(103). https:/

/doi.org/10.11604/pamj.2014.19.103.5217

Meissner-Roloff, M., & Pepper, M. (2013). Curbing Stem Cell Tourism in South

Africa. Applied and Translational Genomics, 2(1). https://doi.org/10.1016/

j.atg.2013.05.001

Mogaka, J., Mupara, L., & Tsoka-Gwegweni., J. (2017). Ethical Issues Associated

with Medical Tourism in Africa. Ethical Issues Associated with Medical

Tourism in Africa, 5.

Mogaka, J., Tsoka-Gwegweni., J., Mupara, L. M., & Mashamba-Thompson, T.

(2017). Role, Structure and Effects of Medical Tourism in Africa: A Systematic Scoping Review Protocol. BMJ Open, 7(6). https://doi.org/10.1136/bmjopen2016-013021

Nicolaides, A., & Zigiridis, E. (2011). Medical Tourism as an Important Niche of

Tourism Development in South Africa. African Journal of Hospitality, Tourism

and Leisure, 1(3). https://www.researchgate.net/publication/230554075_

African_Journal_of_Hospitality_Tourism_and_Leisure_Vol_1_3_-_2011_

Medical_Tourism_as_an_important_niche_of_Tourism_ Development

_in_South_ Africa_ Prof_A_Nicolaides_ Vaal_University_ of_Technology

_and_Dr_E_

Penney, K., Snyder, J., & Crooks, V.A. (2011). Risk communication and informed

consent in the medical tourism industry: A thematic content analysis of

Canadian broker websites. BMC Med Ethics, 12(17). https://doi.org/10.1186/

-6939-12-17

Pennings, G., Autin, C., Decleer, W., Delbaere, A., Delbeke, L., Delvigne, A., De

Neubourg, D., Devroey, P., Dhont, M., D’Hooghe, T., Gordts, S., Lejeune, B.,

Nijs, M., Pauwels, P., Perrad, B., Pirard, C., & Vandekerckhove, F. (2009). Crossborder reproductive care in Belgium. Hum Reprod, 24(12), 108-18. https://

doi.org/10.1093/humrep/dep300

Singer, P. (1972). Famine, Affluence, and Morality. Philosophy and Public Affair,

(3). https://www.givingwhatwecan.org/get-involved/videos-books-andessays/famine-affluence-and-morality-peter-singer.

Singer, P. (2011). Practical Ethics. Cambridge University Press.

Smith, K. (2012). The problematisation of medical tourism: a critique of neoliberalism.

Dev World Bioeth, 12(1). https://doi.org/10.1111/j.1471-8847.2012.00318.x

Turner, L. (2007). First world health care at third world prices: Globalisation, bioethics

and medical tourism. BioSocieties, 2(3), 303 - 325. https://doi.org/10.1017/

S1745855207005765

World Health Organisation. (n.d.). Constitution of the World Health Organisation.

World Health Organisation (WHO). Retrieved November 9, 2024, from https:/

/www.who.int/about/governance/constitution.