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The low scholarly output from low-income nations has attracted a considerable amount of international attention in the last 5 years. The visibility of articles published by authors from low-income nations, demonstrated by citations by other authors, is also limited. In a global world, few publications and limited involvement in the global debate means limited input toward the solution of global and national problems (1), especially if the expected standard is that policy decisions should be based on best evidence, especially published, scrutinized information in journal articles.
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Adamson S. Muula (2008) studied this question.
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