National Health Ethics and Research Committee
1. PURPOSE OF NHERC
1.1. To improve the health of the Tongan people through supporting, promoting and upholding appropriate high quality health research that is consistent with Tongan people’s context, values and standards;
1.2. To protect and safeguard the dignity, rights, safety, health and well-being of all Tongan people partaking in a research study or potential research participants;
1.3. To review and provide independent comment on the ethical and possible cultural problems that may arise in any aspect of health research;
2. FUNCTIONS OF THE NHERC
Ethical Review
2.1. Provide independent, competent and timely review of the ethics of research proposals involving human participants;
2.2. To create and continually review Ethical Codes and Guidelines for personnel undertaking health-related research with human subjects and human tissue/parts involving the Ministry of Health;
2.3. To monitor all ethical aspects of health research and ensure health researchers uphold and conduct responsible and ethical research;
Health Research Policies and Processes
2.4. The initiation and support for health research;
2.5. Development of a national research application form (R1);
2.6. Development, endorsement and enforcement of the Ministry of Health ‘Health Research policy’;
2.7. Development and enforcement of corresponding law, acts, guidelines and standards that assist, support and maintain ethical research practices;
2.8. Advising or informing the National Health Development Committee (NHDC) on health research policies and guidelines and health-related research proposals/studies;
2.9. The promotion and dissemination of health research results and the utilization of these results to the improvement of health practices and operations, health policy, and health care delivery to ultimately improve the health of the Tongan people;
2.10. Regularly review and update the Operational Guidelines and policies, if changes are required;
2.11. The NHERC submits an annual report to the NHDC by March each year;
Health Research and Ethics Development
2.12. Fostering, recruitment, education, training and retention of individuals engaged in health research in Tonga;
2.13. The encouragement of health research initiatives by soliciting research proposals and applications, particularly in areas considered by the NHERC to have a high priority;
2.14. Develop and maintain close and supportive relationships with Institutions and researchers including charitable, private or other organizations that fund and conduct health research
Current Members of the NHERC as of January 2017
The Two Community Representatives are pending new allocations.
Support Staff: Mrs. ‘Eu’ese Fetokai
Each member of the NHERC is chosen based on their respective specialized fields and the current job post. If a chosen member is too busy, he/she can allocate another suitable representative from their Division/Section to be a full-time member of part-time member.
NHERC Documents
Operational Guidelines
The Operational Guidelines for the NHERC was developed to help provide structure on how the functions and operations of the NHERC are carried out. Based on the document Operational Guidelines for Ethics Committees That Review Biomedical Research (2000) by the W.H.O the Guideline was contextualized to how the Ministry of Health runs and operates its Committees. Developed by the Health Research Officer in 2014 the Operational Guideline was approved by the NHDC in early 2015 and helps guide the NHERC on how to review the proposals that come through the Ministry of Health.
If you wish to access the Operational Guideline, please request a copy from the NHERC Secretary.
NHERC Annual Reports
Column Heading
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Explanation
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Reference
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Reference Number
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Title
|
Title of the Research Study
|
Investigator(s)
|
Principal Investigator with Local Counterpart / Local Co-Investigator (Bolded) with Supervisor (When Applicable)
|
Status
|
Current status of Research Proposal / Study
In Progress : Approved and currently running
Awaiting for Amendments: Conditional Approval given granted Amendments / Conditions are met.
Yet to be Reviewed: Submitted yet pending Review and Approval
Completed: Study completed and Final Report submitted
Terminated: Study was discontinued / terminated
|
Duration
|
Duration period for when Ethical Approval remains valid
|
Approval
|
Type of Approval Granted
Conditional Approval: Approval granted with Conditions / Amendments
Approval: Unconditional Approval
Yet to be Reviewed: Submitted yet still pending
Re-submit Application with Amendments: Application reviewed by NHERC and requested for re-submission with amendments / conditions given.
|
#
|
Reference
|
Title
|
Investigator(s)
|
Status
|
Duration
|
Approval
|
1
|
150414
|
Non-communicable disease-related disability research in the Pacific Islands: Tonga component
|
Dr. Wendy Snowden
Mr. Sione Pouliva’ati
|
Completed |
2 Years
15.04.14 – 15.04.16
|
Conditional Approval
|
2
|
240414
|
Physical Activity among adolescents in the Vava’u Island: Tonga.
|
Mr. Simon Larrson (Medical Student)
Dr. Reynold ‘Ofanoa
|
Completed
|
1 Year
24.04.14 – 24.04.15
|
Conditional Approval
|
3
|
040614.1
|
Investigating the health needs of primary school children in Tonga.
|
Associate Professor Cameron Grant
Mrs. Fiona Langridge (PhD candidate)
Dr. Toakase Fakakovikaetau
|
Completed |
3 Years
04.06.14 – 04.06.17
|
Conditional Approval
|
4
|
040614.2
|
Pacific Science for Health Literacy Partnership Project
|
Mrs. Jacquie Bay
Dr. ‘Ofa Tukia
|
Terminated |
3 Years
04.06.14 – 04.06.17
|
Conditional Approval
|
5
|
070714
|
What are the Normative, Perceived and Expressed Needs for Orthodontic Treatment amongst Tongan children aged 12 – 15 years old.
|
Nirmal Shal (Dental Student)
Dr. Susitina Piukala
|
Completed
|
1 year
7.07.14 – 07.07.15
|
Conditional Approval
|
6
|
300714
|
The Impact of Australian Sports Outreach Program in Tonga
|
Mr. Siosaia Langitoto
Mr. Sione Hufanga
|
Completed
|
1 year
7.07.14 – 07.07.15
|
Approval
|
7
|
190914
|
The Impact of Cataract on Poverty
|
Dr. Judith McCool
Ms. Julienne Faletau (Masters Candidate)
Mrs. Mele Vuki
|
Completed
|
1 year
19.09.14 – 19.09.15
|
Conditional Approval
|
8
|
211114.2
|
Assessing Tongan smokers’ responses to Television advertisements about serious harms of tobacco use
|
Dr. ‘Ofa Tukia
|
Completed
|
1 year
21.11.14 – 21.11.15
|
Conditional Approval
|
9
|
211114.1
|
The Process and Impact of Food Policies in Tonga
|
Associate Professor Colin Bell
Mrs. Elisiva Na’ati
|
In Progress-extended and ammended to Ref#190716 |
3 years
21.11.14 – 21.11.17
|
Conditional Approval
|
10
|
290115.1
|
Post-Mass Drug Administration Lymphatic Filariasis Transmission Assessment Survey.
|
Dr. Reynold ‘Ofanoa
|
Completed
|
1 year
29.01.15 – 29.01.16
|
Conditional Approval
|
11
|
030315
|
Formative Research into barriers to participation in physical activity in the Pacific
|
Dr. Tom Carroll
Dr. ‘Ofa Tukia
Mr. ‘Eva Mafi
|
Completed
|
1 year
03.03.15 – 03.03.16
|
Conditional Approval
|
12
|
290115.2
|
Giving Birth: The Voices of Tongan Women in Tonga and the United States
|
Mrs. Shelly J. Reed
Sr. ‘Ana Kavaefiafi
Mrs. Meliame Tupou
|
Completed
|
2 years
29.01.15 – 29.01.16
|
Conditional Approval
|
13
|
210115.1
|
Dentition Status and treatment needs of Down’s Syndrome individuals attending ‘Ofa Tu’i moe ‘Amanaki and ‘Alonga Residential Center’s specialized institutions in Nuku’alofa Tongatapu
|
Ms. Mele Likivai Foliaki (BDS 4th Dental student).
Dr. ‘Amanaki Fakakovikaetau
|
Completed
|
1 year
29.01.2015 – 29.01.2016
|
Conditional Approval
|
14
|
210115.2
|
Periodontal status and treatment needs of Down’s Syndrome individuals attending two specialized institutions in Nuku’alofa Tongatapu.
|
Mr. James Heimuli (BDS 4th Dental student).
Dr. ‘Amanaki Fakakovikaetau
|
Completed
|
1 year 29.01.2015 – 29.01.2016
|
Conditional Approval
|
#
|
Reference
|
Title
|
Investigator(s)
|
Status
|
Duration
|
Approval
|
15
|
190315.1
|
The prevalence of chlamydia among pregnant women of Tonga
|
Dr. Louise Fonua
Dr. Veisinia Matoto
|
Completed
|
1 year
19.03.15 – 19.03.16
|
Approval
|
16
|
190315.2
|
Child Protection during emergencies and disaster risk reduction by Pacific Island Countries
|
Mr. Dennis Stuebing
|
Terminated
|
1 year
19.03.15 – 19.03.16
|
Conditional Approval / Terminated
|
17
|
100515
|
Prevalence and Factors contributing to Obesity among Tongan High School senior students in 2015
|
Ms. Litia ‘Ahoafi
Mr. Napolioni Vulakouvaki (Supervisor)
|
Completed
|
1 year
15.05.15 – 15.05.16
|
Conditional Approval
|
18
|
190315.3
|
The extent to which changes in culture and lifestyle in particular health, exercise and diet, have had an impact on Tongan Society.
|
Ms. Jacinta Forde
Mr. Fa’aui Taumalolo
M’aukakala
|
Completed |
1 year
19.03.15 – 19.03.16
|
Conditional Approval
|
19
|
190315.4
|
A Qualitative study exploring Tongan nurses' perspectives of the 'Advanced Nursing Diploma in the Prevention, Detection and Management of NCD'
|
Ms. Kieh Christopherson Dunn Sr. ‘Ana Kavaefiafi |
Completed |
1 year 19.03.15 – 19.03.16 |
Conditional Approval
|
20
|
190315.5
|
One Netball Pacific Evaluation
|
Dr. Emma Sherry
Ms. Salote Sisifa
|
In Progress
|
2 years
19.03.15 – 19.03.16
|
Conditional Approval
|
21
|
190315.6
|
Our Child Has Died
|
Dr. Toakase Fakakovikaetau
Dr. Jane Skeen
|
Completed |
1 year
19.03.15 – 19.03.16
|
Conditional Approval
|
22
|
130515
|
The Processes and Impacts of Policy Changes to Improve Unhealthy Food Environments in Tonga
|
Mrs. ‘Etivina Lovo
Mrs. Lady Fane Fakafanua
Ms. Sioape Kupu
|
Terminated |
2 years
17.07.15 – 17.07.16
|
Conditional Approval
|
23
|
271015.1
|
The Tonga CardioVAscular Risk Investigation Project (The Tonga CAVARI Project). A Cardiovascular Risk Factor and Risk Marker Investigation in a Random Sample of Tongans.
|
Dr. Ole Nyvad
Dr. Toakase Fakakovikaetua
Dr. Sione Lātu
Dr. Loutoa Poese
|
Terminated |
1 year
27.10.2015 – 27.10.2016
|
Conditional Approval
|
24
|
271015.2
|
Dengue in the Pacific, emerging public health responses – a Tongan Case Study.
|
Dr. Michal H. Dick
Dr. Reynold ‘Ofanoa
|
Terminated |
1 year
27.10.2015 – 27.10.2016
|
Conditional Approval/Terminated
|
25
|
170815
|
Health Outcomes after Valve-Replacement Surgery for Rheumatic Heart Disease in Tonga.
|
Mrs. Linda Thomson Mangnall
Dr. Toakase Fakakovikaetau
|
In Progress
|
5 years
31.08.2015 – 31.08.2016
|
Conditional Approval
|
26
|
101215 |
Periodontal status of Diabetic patients attending Vaiola Hospital, Tongatapu
|
Ms. Pilimilose Moleni (BDS 4th Year student)
Dr. Ashneeta Prasad (Supervisor)
|
Completed |
1 year 29.03.16 – 29.03.17 |
Conditional Approval |
27
|
231115 |
Oral Health Status and Related Risk Factors among Rheumatic Heart Disease patients age 12-19 years old in Tongatapu.
|
Mr. Sione H. Tongia (BDS 4th Year student)
Dr. Temalesi King (Supervisor)
|
Completed |
1 year 30.03.16 – 30.03.17 |
Awaiting Review
|
28
|
181115
|
To study the clinical effect of short spin cross match (immediate spin) and complete cross match red cells transfused to patients at Vaiola Hospital
|
Mr. Semisi Lenati (BPharm student)
Dr. ‘Eka Buadromo
|
Completed
|
1 year
21.12.2015 – 21.12.2016
|
Conditional Approval
|
# | Reference | Title | Investigator(s) | Status | Duration | Approval |
---|---|---|---|---|---|---|
45
|
080516
|
Data Security Assessment for Government
|
Siuta Laulaupea'alu | Terminated | - | Terminated |
46 | 190315.2 | Child protection during emergencies and disaster risk reduction in Pacific Island | Mr. Dennis Stuebing | Terminated | - | Terminated |
47 | 021214 | Barriers to and Enablers for Sports Volunteering in Tonga: A Qualitative and Quantitative Analysis | Dr. Fadil Pedic | Terminated | - | Terminated |
48 | 271015.2 | Dengue in The Pacific, emerging public health responses - Tongan Case Study | Dr. Michal Dick | Terminated | - | Terminated |
49 | 170217 | Food Taxation in Pacific Small Island Developing States (SIDS) | Dr. Ilisapeci Kubuabola | Completed |
1 year
09.02.17 – 09.02.18
|
Approved |
50 | 100217 | Assessment of hand-grip strength and other variables in Tongans with and wthout a diagnosis of type 2 diabetes. | Maria-Eleni Zioupos | Completed |
1 year
05.05.17 – 05.05.18
|
Approved |
51 | 130317 | A HL7 Standard Implementation Plan for the healthcare sector of Tonga. | Mr. Shane Walter | Completed |
1 year
05.04.17 – 05.04.18
|
Approved |
52 | 270317 | Measureable and feasible health indicators for Ministry of Health Tonga | Mr. Sioape Kupu | Completed |
1 year
19.04.17 – 19.04.18
|
Approved |
53 | 191216.1 | Auditing secondary prevention following myocardial infarction in Tonga. An opportunity to explore potential barriers to implement and update. | Hannah Gil | Completed |
1 year
02.05.17 -02.05.18
|
Approved |
54 | 191216.2 | A comparision of the acute management of stroke in the UK versus Tonga, with reflection on how Tongan health beliefs influence the acute presentation to hospital. | Katelyn Aitchison | Completed |
1 year
02.05.17 – 02.05.18
|
Approved |
55 | 040217 | Non-communicable Diseases Prevalence Study and Risk Factor Survey (STEPS Survey) | Mr. Sione Hufanga | In progress |
1 year
17.03.17 – 17.03.18
|
Approved |
56 | 160517 | Assessing Food Environments in Tonga | Dr. Jillian Wate | In progress |
1 year
15.07.17 – 15.07.18
|
Approved |
57 | 100517 | Antimicrobial Sensitivity pattern of Escherichia coli from urine samples in Vaiola Hospital, Tonga from 2012-2016” | Ms. Tu’imala Aleamotu’a | Completed |
1 year
16.06.17 – 16.06.18
|
Approved |
58 | 310517 | Sensitivity Pattern in Diabetic Foot Sepsis isolate in Vaiola Hospital Tonga: A Retrospective Study 2015 – 2016 | Dr. Seventeen Toumoua | Completed |
1 year
15.06.17 – 15.06.17
|
Approved |
59 | 070617 | Impact assessment of NCD related taxation policies | Dr. Sutayut Osornprasop | In Progress |
2 years
15.06.17 – 15.06.19
|
Conditional Approval |
60 | 120617 | Tonga Early Human Capability Index (TECHI) 2017 | Professor Sally Brinkman | In progress |
2 years
15.06.17 – 15.06.19
|
Approved |
61 | 170617 | A Retrospective Study of the fracture mandible cases in (Vaiola Hospital) in Tonga from 2013 -2015 | Mr. Ensinger Tupou | Completed |
1 year
07.07.17 – 07.07.18
|
Approved |
62 | 200617 | Prevalence of impacted third molars among the 18-28 years’ age group in Tongatapu, the main Island of the Kingdom of Tonga | Sione Feo Lau’I | Completed |
1 year
07.07.17 – 07.07.18
|
Approved |
63 | 220617 | Prosthodontic status and needs of 35-44 year old residents in Lapaha Division of Tongatapu, Tonga | Isileli Finau | Completed |
1 year
07.07.17 – 07.07.18
|
Approved |
64 | 290617 | Dental Caries in Pregnant Women Attending Vaiola Hospital in Tonga | Ana Piukala | Completed |
1 year
07.07.17 – 07.07.18
|
Approved |
65 | 260617 | The perception and resources for promoting health as the factors regulating health-seeking behavior in Tongan adults | Kaori Tamarua | In Progress |
1 year
5.09.17 – 05.09.18
|
Approved |
66 | 310817 | Epi-watch Stakeholders and Workshop | Professor Raina C. MacIntrye | In Progress |
1 year
23.09.17 – 23.09.18
|
Approved |
67 | 280817 | Prevention of Surgical Site Infection at Surgery Ward | Tatafu Tokyo Tatila | Completed |
1 year
28.09.17 – 28.09.18
|
Approved |
68 | 280817.1 | Descriptive epidemiology of teenage pregnancy in Vaiola Hospital, Nuku'alofa, Tonga from 2011 - 2015 |
Sr. Ana Vaka’uta |
Completed |
1 year
28.09.17 – 28.09.18
|
Approved |
69 | 280917 | To audit the cardiac chest pain management of NSTEMI and Unstable Angina in the Emergency Department, Vaiola Hospital, Tongatapu | Patelesio Na'a Patelesio | Completed |
1 year
10.10.17 – 10.10.18
|
Approved |
70 | 241017 | Mental Health Survey | Dr. Lemisio Sa'ale | In Progress |
1 year 27.10.17 – 27.10.18 |
Approved |
71 | 191017 | WHO Western Pacific Region Scabies Report | Dr. Jack Callum | In Progress |
1 year 1.02.18 – 1.02.19 |
Approved |
72 | 201017 | Baseline epidemiology of childhood pneumonia and diarrhoea prior to pneumococcal conjugate and rotavirus vaccine introduction |
Associate Professor Fiona Russell, |
In Progress |
1 year 1.02.18 – 1.02.19 |
Approved |
73 | 141117 | Assessing Tongan tobacco user's responses to health warning messages on tobacco packaging | Dr. 'Ofa Tukia | In Progress |
1 year – 20.11.17 – 20.11.18 |
Approved |
#
|
Reference
|
Title
|
Investigator(s)
|
Keywords
|
1
|
240414
|
Physical Activity among adolescents in the Vava’u Island: Tonga.
|
Mr. Simon Larrson (Medical Student)
Dr. Reynold ‘Ofanoa
|
NCD, Physical Activity, Health Promotion, Exercise, Adolescents, Teenagers
|
2
|
070714
|
What are the Normative, Perceived and Expressed Needs for Orthodontic Treatment amongst Tongan children aged 12 – 15 years old.
|
Nirmal Shal (Dental Student)
Dr. Susitina Piukala
|
Dental, Teeth, Orthodontic Needs, Children, Tonga
|
3
|
300714
|
The Impact of Australian Sports Outreach Program in Tonga
|
Mr. Siosaia Langitoto
Mr. Sione Hufanga
|
Evaluation, Kau Mai Campaign, Health Promotion, Healthy Lifestyle, Intervention, Exercise, Physical Activity, Weight, NCD
|
4
|
190914
|
The Impact of Cataract on Poverty
|
Dr. Judith McCool
Ms. Julienne Faletau (Masters Candidate)
Mrs. Mele Vuki
|
Cataract, Eyes, Ophthalmology, Disability, Poverty, Socioeconomic Status, Tonga, Impact Assessment.
|
5
|
211114.2
|
Assessing Tongan smokers’ responses to Television advertisements about serious harms of tobacco use
|
Dr. ‘Ofa Tukia
|
Tobacco, Smoking, Lifestyle, Advertisement, Television, Impact Assessment, Health Promotion
|
6
|
290115.1
|
Post-Mass Drug Administration Lymphatic Filariasis Transmission Assessment Survey.
|
Dr. Reynold ‘Ofanoa
|
Lymphatic Filariasis, Transmission, Elephantiasis, Filarial, Worms, Vector Disease, Infectious Disease, Mosquito, Public Health
|
7
|
030315
|
Formative Research into barriers to participation in physical activity in the Pacific
|
Dr. Tom Carroll
Dr. ‘Ofa Tukia
Mr. ‘Eva Mafi
|
Barriers, Participation, Physical Activity, Sports, Healthy Lifestyle, Health Promotion, Pacific, Formative, Perceptions, Marketing, Pacific
|
8
|
290115.2
|
Giving Birth: The Voices of Tongan Women in Tonga and the United States
|
Mrs. Shelly J. Reed
Sr. ‘Ana Kavaefiafi
Mrs. Meliame Tupou
|
Childbirth, Pregnancy, Women, Female, Baby, Infant, Tonga, United States of America, Comparison.
|
9
|
210115.1
|
Dentition Status and treatment needs of Down’s Syndrome individuals attending ‘Ofa Tu’i moe ‘Amanaki and ‘Alonga Residential Center’s specialized institutions in Nuku’alofa Tongatapu
|
Ms. Mele Likivai Foliaki (BDS 4th Dental student).
Dr. ‘Amanaki Fakakovikaetau
|
Dental, Teeth, Dentition, Oral Health, Down Syndrome, Disability, Treatment Needs, Tonga, Mental Health
|
10
|
210115.2
|
Periodontal status and treatment needs of Down’s Syndrome individuals attending two specialized institutions in Nuku’alofa Tongatapu.
|
Mr. James Heimuli (BDS 4th Dental student).
Dr. ‘Amanaki Fakakovikaetau
|
Dental, Teeth, Dentition, Oral Health, Down Syndrome, Disability, Treatment Needs, Tonga, Mental Health
|
11
|
100515
|
Prevalence and Factors contributing to Obesity among Tongan High School senior students in 2015
|
Ms. Litia ‘Ahoafi
Mr. Napolioni Vulakouvaki (Supervisor)
|
NCD, Prevalence, Risk Factors, Adolescent, Student, High School, Obesity, BMI, Senior Student, Secondary School, Tonga
|
12 | 190315.1 | The Prevalence of Chlamydia among pregnant |
Dr. Louise Fonua
Dr. Veisinia Matoto
|
Chlamydia, Sexual Transmitted Infections (STI), Sexual Transmitted Diseases (STD), Sexual Health, Maternal Health, Pregnant Women, Tonga, Lifestyle, Behaviors. |
13 | 190315.4 | A Qualitative study exploring Tongan nurses' perspectives of the 'Advanced Nursing Diploma in the Prevention, Detection and Management of NCD' |
Ms. Kieh Christopherson Dunn
Sr. ‘Ana Kavaefiafi
|
Evaluation, Nurses, Perceptions, NCD, Education, Training, Diploma Program, Tonga, Ministry of Health, Qualitative |
14 | 190315.3 | The extent to which changes in culture and lifestyle in particular health, exercise, diet, have had an impact on Tongan society |
Ms. Jacinta Forde
Mr. Fa’aui Taumalolo
Ma’ukakala
|
Culture, Lifestyle, Impact, NCD, Health Promotion, Healthy Lifestyle, Tonga, Society, Anthropology |
15 | 150414 | Non-communicable disease-related disability research in the Pacific Islands: Tonga component |
Dr. Wendy Snowden
Mr. Sione Pouliva’ati
|
NCD, Disability, Stroke, Amputation, Blindness, Rehabilitation, Tonga, Multi-country. |
16 | 181115 | The Clinical Effect of Short Spin Cross Match (Immediate Spin) Cross-match and Complete Match Red Cells Transfused to patients in Vaiola Hospital | Mr. Semisi Lenati | Laboratory, Cross Match, Immediate Spin, Comparison, Red Cells, Transfusion, Full Match Blood, AHG Test |
17 | 310516 |
Use of Traditional Medicinal Plants by Patients Diagnosed with Type 2 Diabetes, Mellitus in Vaiola Hospital, Tongatapu, Tonga. |
Ms. Mita Vaka |
Traditional Medicine Plants, Tonga, Patients Diagnosed, Diabetes Mellitus |
18 | 080616 | Patient Satisfaction towards Pharmaceutical services provided in Vaiola Hospital Outpatient Pharmacy, Tonga. | Ms. Fisi’inukonuka Talanoa | Pharmaceutical services, Tonga, Vaiola Hospital, Patient Satisfactory |