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Ghana Police Hospital (GPH), Institutional Review Board (IRB)

Application for Ethhnical Approval of Research Involving Human Participants

Important Notice for Applicants Submission of this application does not constitute ethical approval. No research activities involving human participants may commence until written ethical approval has been formally issued by the Ghana Police Hospital Institutional Review Board (IRB)[cite: 2].

    SECTION 1: GENERAL INFORMATION

    IRB Reference Number
    (Office use only)

    Title of Study

    Principal Investigator — Title

    Principal Investigator — Name

    Institution

    Phone

    Email

    Co-Investigators

    Sponsor / Funding Source

    Study Site(s)

    Study Duration

    SECTION 2: STUDY OVERVIEW

    Background

    Primary Objectives

    Secondary Objectives

    Study Design

    SECTION 3: RISKS

    Potential Risks

    Risk Minimisation

    SECTION 4: INFORMED CONSENT

    Consent Will Be Obtained?

    [radio* informed-consent use_label_element "Yes" "No"]

    Consent Provider

    SECTION 5: DATA MANAGEMENT

    Data Type

    Storage

    SECTION 6: ETHICS

    External Approval?

    Conflict of Interest

    SECTION 7: DECLARATION

    Name

    Date