“…The present research is a cross-sectional, ecological observation study, and used information from Global Matrix 4.0 project. 4,10 As has been done in 3 previous editions of the Global Matrix initiatives, 3,5,6 the AHKGA led the development of the Global Matrix 4.0, bringing together 57 countries/territories from 6 continents. 4,10 Each of these countries or territories had one Report Card team comprising national experts (researchers, professors, stakeholders, students, staff, and practitioners) led by one or more Report Card leader(s) following an established, harmonized process.…”