Background HIV/AIDS has attracted considerable research attention since the 1980s. In the current context of globalization and the predominance of cooperative work, it is crucial to analyze the participation of the countries and regions where the infection is most prevalent. This study assesses the participation of African countries in publications on the topic, as well as the degree of equity or influence existing in North-South relations.
Methods We identified all articles and reviews of HIV/AIDS indexed in the Web of Science Core Collection. We analyzed the scientific production, collaboration, and contributions from African and Middle Eastern countries to scientific activity in the region. The concept of leadership, measured through the participation as the first author of documents in collaboration was used to determine the equity in research produced through international collaboration.
Results A total of 68,808 documents published from 2010 to 2017 were analyzed. Researchers from North America and Europe participated in 82.14% of the global scientific production on HIV/AIDS, compared to just 21.61% from Africa and the Middle East. Furthermore, the publications that did come out of these regions was concentrated in a small number of countries, led by South Africa (41% of the documents). Other features associated with HIV/AIDS publications from Africa include the importance of international collaboration from the USA, the UK, and other European countries (75%-93% of the documents) and the limited participation as first authors that is evident (30% to 36% of the documents). Finally, the publications to which African countries contributed had a notably different disciplinary orientation, with a predominance of research on public health, epidemiology, and drug therapy.
Conclusions It is essential to foster more balance in research output, avoid the concentration of resources that reproduces the global North-South model on the African continent, and focus the research agenda on local priorities. To accomplish this, the global North should strengthen the transfer of research skills and seek equity in cooperative ties, favoring the empowerment of African countries. These efforts should be concentrated in countries with low scientific activity and high incidence and prevalence of the disease. It is also essential to foster intraregional collaborations between African countries.

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Posted 07 Aug, 2020
On 07 Aug, 2020
On 06 Aug, 2020
Received 06 Aug, 2020
On 30 Jul, 2020
Invitations sent on 30 Jul, 2020
On 29 Jul, 2020
On 29 Jul, 2020
On 06 Jul, 2020
Received 23 Jun, 2020
On 19 May, 2020
Received 04 May, 2020
On 06 Apr, 2020
Invitations sent on 11 Mar, 2020
On 05 Jan, 2020
On 04 Jan, 2020
On 04 Jan, 2020
On 31 Dec, 2019
Posted 07 Aug, 2020
On 07 Aug, 2020
On 06 Aug, 2020
Received 06 Aug, 2020
On 30 Jul, 2020
Invitations sent on 30 Jul, 2020
On 29 Jul, 2020
On 29 Jul, 2020
On 06 Jul, 2020
Received 23 Jun, 2020
On 19 May, 2020
Received 04 May, 2020
On 06 Apr, 2020
Invitations sent on 11 Mar, 2020
On 05 Jan, 2020
On 04 Jan, 2020
On 04 Jan, 2020
On 31 Dec, 2019
Background HIV/AIDS has attracted considerable research attention since the 1980s. In the current context of globalization and the predominance of cooperative work, it is crucial to analyze the participation of the countries and regions where the infection is most prevalent. This study assesses the participation of African countries in publications on the topic, as well as the degree of equity or influence existing in North-South relations.
Methods We identified all articles and reviews of HIV/AIDS indexed in the Web of Science Core Collection. We analyzed the scientific production, collaboration, and contributions from African and Middle Eastern countries to scientific activity in the region. The concept of leadership, measured through the participation as the first author of documents in collaboration was used to determine the equity in research produced through international collaboration.
Results A total of 68,808 documents published from 2010 to 2017 were analyzed. Researchers from North America and Europe participated in 82.14% of the global scientific production on HIV/AIDS, compared to just 21.61% from Africa and the Middle East. Furthermore, the publications that did come out of these regions was concentrated in a small number of countries, led by South Africa (41% of the documents). Other features associated with HIV/AIDS publications from Africa include the importance of international collaboration from the USA, the UK, and other European countries (75%-93% of the documents) and the limited participation as first authors that is evident (30% to 36% of the documents). Finally, the publications to which African countries contributed had a notably different disciplinary orientation, with a predominance of research on public health, epidemiology, and drug therapy.
Conclusions It is essential to foster more balance in research output, avoid the concentration of resources that reproduces the global North-South model on the African continent, and focus the research agenda on local priorities. To accomplish this, the global North should strengthen the transfer of research skills and seek equity in cooperative ties, favoring the empowerment of African countries. These efforts should be concentrated in countries with low scientific activity and high incidence and prevalence of the disease. It is also essential to foster intraregional collaborations between African countries.

Figure 1

Figure 2

Figure 3
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