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Table 5 Patterns of high-income authorship of maternal health interventional research in LMICs 2000–2012

From: Local and foreign authorship of maternal health interventional research in low- and middle-income countries: systematic mapping of publications 2000–2012

Variable and categories

USA N = 561

UK N = 209

France N = 71

Canada N = 53

Netherland N = 34

Australia N = 34

Sweden N = 33

Switzerland N = 29

Norway N = 25

Belgium N = 23

Germany N = 22

Italy N = 18

Denmark N = 11

Multi-affilat.N = 150

TOTAL HICb col %

TOTAL LMICb col %

% of all publications in the study

24.5

9.1

3.1

2.3

1.5

1.5

1.4

1.3

1.1

1

1

0.8

0.5

6.5

50.3

49.7

% of all HIC-led publications in study

49.3

18.4

6.2

4.7

3

3

2.9

2.5

2.2

2

1.9

1.6

1

12.6

-

-

Economic region of researcha (col % of research excluding systematic reviews and formative research)

 UMIC

21.6

23.3

20

14.8

15

18.2

12.1

62.5

28.6

4.8

10.5

0

0

26.7

20.3

47.2*

 LMIC

35

34

60

44.4

15

50

37.5

43.8

0

14.3

26.3

7.7

40

26.0

35.0

28.4*

 LIC

49.8

50.5

33.3

44.4

70

36.4

56.3

56.3

76.2

81

63.2

92.3

60

44.0

51.9

25.9*

Geographic region of researcha (col % of research excluding systematic reviews and formative research)

 East Asia Pacific

8.1

14.8

14.5

6.7

15

62.5

6.1

11.3

0

8.7

5.3

0

10

18.7

11.8

11.6

 Europe, Central Asia

1.5

4.3

0

3.3

0

0

3

3.2

4.8

0

0

0

20

0

2.1

4.3*

 Latin America, Caribbean

13.3

7.8

3.2

6.7

0

0

0

16.2

0

0

0

0

0

5.3

10.5

21.8*

 Middle East, N. Africa

3.3

0.9

0

0

0

0

0

2.7

0

4.3

5.3

0

0

0.7

2.7

2.9

 South Asia

12.9

12.2

1.6

13.3

0

16.7

9.1

13.2

0

0

5.3

0

0

2.7

11.1

15.6*

 Sub-Saharan Africa

59.3

54.8

79.0

60

85

12.5

78.8

52.9

95.2

78.3

84.2

100

70

67.3

67.2

44.7*

Time periods (col % of all research by HIC)

 2000–2003

18.3

19.4

14.1

17

9.1

3

15.6

20.7

4

34.8

14.3

0

10

16.9

17.0

15.9

 2004–2007

38.5

28.2

38

26.4

12.1

24.2

28.1

31

36

13

38.1

64.7

50

35.1

33.9

34.6

 2008–2012

43.1

52.4

47.9

56.6

78.8

72.7

56.3

48.3

60

52.2

47.6

35.3

40

48

49.1

49.6

Research topics (col % of all research on each topic)

 Haemorrhage

10.3

7.7

0

11.3

5.9

2.9

9.1

27.6

0

0

4.5

5.6

18.2

1.3

8.9

8.5

 Hypertension

2.5

13.4

0

28.3

26.5

11.8

3

24.1

4

0

4.5

5.6

0

2.7

7.3

13.1*

 HIV

42.4

14.8

81.7

20.8

23.5

5.9

18.2

31

44

43.5

36.4

88.9

27.3

54.7

36.5

33.2

 STIs other than HIV

4.3

5.3

1.4

3.8

2.9

0

0

24.1

16

21.7

0

0

0

4

4.8

6.0

 Malaria

9.8

19.6

15.5

3.8

35.3

14.7

6.1

6.9

0

17.4

27.3

0

18.2

25.3

12.6

12.3

 Health Systems

40.8

46.4

8.5

32.1

20.6

52.9

57.6

31

40

56.5

22.7

11.1

36.4

26.0

39

32.6*

 EmOC

12.1

10

2.8

17

2.9

5.9

18.2

10.3

16

8.7

0

0

27.3

4.7

10.9

7.1*

 Demand-side Financing

1.8

6.7

1.4

3.8

0

8.8

6.1

0

0

13

9.1

0

0

2

3.4

2.8

 Equity Examined

9.4

9.6

7

11.3

5.9

8.8

6.1

0

0

13

18.2

5.6

18.2

10.7

9.2

8.7

 TBA

7.3

4.3

0

1.9

2.9

11.8

6.1

0

0

0

9.1

0

0

0

5.5

4.4

 Main topic addressed

HIV

Health System

HIV

Health System

Malaria

Health System

Health System

Health System

HIV

Health System

HIV

HIV

Health System

HIV

Health System

HIV

Study design of research led by HIC (col %)*

 Systematic Review

7.8

33

7

37.7

32.4

29.4

0

20.7

8

0

4.5

16.7

9.1

1.6

15.6

5.8**

 Effectiveness

60.2

40.7

62

34

44.1

44.1

69.7

24.1

60

82.6

59.1

72.2

45.5

7.8

54.5

68.3

 RCT

14.6

7.7

16.9

13.2

0

2.9

9.1

34.5

4

13

9.1

0

27.3

6.6

12.5

13.9

 Qualitative

3.9

2.9

5.6

5.7

5.9

17.6

15.2

0

12

0

9.1

0

0

4.1

4.7

6.0

 Formative

10.7

12

5.6

5.7

8.8

0

0

17.2

8

0

9.1

11.1

0

4.1

9.1

3.9

 Mixed Methods

2.7

3.8

2.8

3.8

8.8

5.9

6.1

3.4

8

4.3

9.1

0

18.2

7.5

3.7

2.2

Multi-country studies (%)*

 Multi-country study

8.4

9.6

12.7

5.7

11.8

2.9

9.1

34.5

4

4.3

0

11.1

0

6

8.8

5.8*

  1. Due to multi-country studies, total percentage may exceed 100. aProportions may sum to below 100 % as papers on systematic reviews and modelling were not classified by economic and geographical region. Chi-square test comparing the percentage with a high-income country lead author to local leads. *P < 0.05 for each sub-category of multiple response variables. **P <0.05, tests for association between HIC and LMIC in mutually exclusive categorical variable, such as study design. b HIC totals include all papers with a HIC author (including those with a dual HIC and LMIC affiliation). LMIC totals include only papers where the author has only an LMIC affiliation (excluding those with a dual LMIC and HIC affiliation