What IsGlobal Health: Science and PracticeDoing to Address Power Imbalances in Publishing?

W hat is labeled "global health" has largely con- cerned the practice of public health work elsewhere, generally in low-and middle-income countries (LMICs). 1 Indeed, global health's key feature is that its power structures are generally located in high-income countries (HICs) while its implementation is generally located in LMICs. This imbalance is a result of colonial history, funding sources, and social and economic structures that have conferred power-including privilege, prominence, recognition, funding, opportunity, and decisionmaking authority-to institutions and individuals based in HICs. These deep-rooted structures have helped amplify the voices of those in HICs over the voices of those based in LMICs. 2 In such a system, it is accepted that HICs have expertise to provide and LMICs have capacity gaps to fill. We recognize that they are also reflected at GHSP. Amplified voice for those based in United States and elsewhere in HICs and diminished voice for those based in LMICs is a poor recipe for improving well-being or strengthening institutions around the world. 6 Indeed, the notion that HICs have something to "teach" LMICs but nothing to learn is a reflection of skewed perceptions of expertise and power. These asymmetries have grown even more evident during the COVID-19 pandemic. ecent efforts to "decolonize global health" signal an increasing commitment by many players to address these issues of imbalance and inequity. At GHSP, we recognize that to meaningfully engage in addressing power imbalances, as a first step, we must look at our own attitudes and practices. We are especially interested in identifying how we need to do things differently to reflect a range of voices and perspectives in our journal that better corresponds to where this work is actually being done. 9