Dear Neil, I add my view to the discussion on "importing knowledge in LMICs".
I agree with Joseph Ana, knowledge is meant for dissemination, no matter where it originates.
However one kind of knowledge/teaching should be local and not imported: management of health care systems.
I was always intrigued by the fact that Europe is disseminated by lots of schools on 'health-management/public health' where African students aspire to go.
In fact management has political connotations and is context-dependent. An African doctor/leader cannot expect to learn best management principles in London, from teachers that spent few years or months in Africa. Yes, he will learn the theory but once home he will face the reality of an environment full of inefficience,corruption,demotivation. He will become frustrated himself and abandon soon the public service.
By inverted parts it has little sense that an expat with little or nil experience of African context do feel the need/importance to teach Africans on how to manage their own health system.
Yet it happened and still happens.
Thanks and greetings from Dodoma.
HIFA profile: Massimo Serventi is a long-standing Pediatrician working in Africa since 1982. He currently works on a volunteer basis in an excellent missionary/credited hospital in north Uganda, St. Mary's Hospital-Lacor-GULU. He has worked for several NGOs in 6 African/2 Asian countries. His interests include clinical and community pediatrics, adherence to clinical guidelines and school education as the major determinant of good health. massimoser20 AT gmail.com