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University partnerships in high- and low-income countries can increase research capacity in both settings

Developing national health in low- and middle-income countries (LMICs) is a key element toward strengthening their health systems. Collaborations with universities in high -income countries may be an important tool in building , but often suffer from imbalanced power relations. In this week’s PLOS Medicine Nelson Sewankambo from , and Stefan Peterson from the , Sweden, and colleagues describe their experience of setting up a mutually beneficial collaboration between the and Makerere University in .

The partnership, which was initiated in 2000, developed a model where PhD students receive a single qualification from both universities (a joint PhD degree). By doing a joint PhD degree Ugandan students have benefitted from being able to work within Uganda while having the opportunity to travel to Sweden for specialized courses and supervision. 28 joint PhD degrees have been issued so far.

The partnership has enabled students to tackle locally relevant health research questions prioritized by Makerere University and has achieved zero brain drain. All the graduates have stayed in Uganda after completing their PhDs, with the exception of short or long postdoc periods abroad. The partnership has also strengthened Karolinska Institutet to better tackle global health issues, and improve its education.

The authors conclude, “[u]ltimately, creating national funding lines for research in Africa’s growing economies will be the key to developing and sustaining sufficient national capacities.”


Enabling Dynamic Partnerships through Joint Degrees between Low- and High-Income Countries for Capacity Development in Global Health Research: Experience from the Karolinska Institutet/Makerere University Partnership, Sewankambo N, Tumwine JK, Tomson G, Obua C, Bwanga F, Waiswa P, et al., PLoS Medicine, doi:10.1371/journal.pmed.1001784, published 3 February 2015.

Research received funding from Karolinska Institutet internal resources and Sida. All Swedish authors benefitted from both, except HA. All Makerere authors, except NS, benefitted from Sida support for their research. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscripts.

HA is employed by Sida. JKT is a member of the Editorial Board of PLOS Medicine.