Ethical challenges in global health research

The existing body of literature on global health - its evolving definitions, scope and, very importantly, the values and competencies required for ethical practice - reveals a troubling imbalance: there is little contribution from Southern authors based in the South. This under-representation is even more striking when considering the enormous growth in global health activity, particularly the hosting of Northern partners as part of the myriad of research and training opportunities taking place in low- and middleincome countries (LMICs). LMIC stakeholders should endeavor to develop similar regulations based on their own insights and perspectives, thus bringing their essential voices to the dynamic conversation about the ethics of global health - one that continues to be dominated by Northern voices. Publications from developing countries in Latin America that effectively engage in global health activities with countries from the North are even more difficult to find in the literature.