Institutions in high-income countries (HICs) are the main funders and generators of academic knowledge on health systems in low-income and middle-income countries (LMICs), and much too often this knowledge reflects their priorities rather than the needs of health systems in LMICs. This power imbalance between HICs and LMICs has been the focus of calls for reforms to global and HIC institutions. However, change must also come from within LMICs. To address this power imbalance, learning must be prioritised as a core part of strengthening health systems in LMICs.
Sheikh K, Agyepong I, Jhalani M, Ammar W, Hafeez A, Pyakuryal S, Abimbola S, Ghaffar A and Swaminathan S (2020) Learning health systems: an empowering agenda for low-income and middle-income countries, The Lancet, Vol 395, Issue 10223, p476-477