“…First, one interpretation is that the uneven global research infrastructure including funding sources, competitive pressures, research environments, and accessibility of journals was once again demonstrated (Costello & Osrin, 2005;McCoy, Mwansambo, Costello, & Khan, 2008). Second, the findings support the scientific premises previously reported regarding the "10/90" knowledge gap in global health research in general (Lawn, Costello, Mwansambo, Osrin, 2007;McCoy et al 2004;Östlin et al, 2004;World Health Organization, 2006).…”