Submission: Researchers submit a detailed proposal including the study’s objectives, methodology, potential risks, and how these will be mitigated. Initial Review: The ERB conducts an initial review to ensure the proposal is complete and adheres to ethical guidelines. Full Review: A comprehensive review is performed by the board members, including experts in epidemiology, ethics, and law. Decision: The ERB decides to approve, request modifications, or reject the proposal. Monitoring: Approved studies are monitored for compliance with ethical standards throughout their duration.