“…The limits of evidence derived from studies in high-income countries when applied to low-and middle-income countries must also be recognized. For example, evidence on preventing violence against women and girls is highly skewed toward that from high-income countries [24]. Having an understanding of local culture and language skills, therefore, should be part of any high-income country's initiative for global mental health in low-and middle-income countries, and every effort should be made to partner with local health care systems and providers in studying mental illness and mutually developing interventions that will fit with the local ecology.…”