The word 'partnership' is trending in global health and has been for quite some time. Foundations, NGO's, and universities in the global north and south 'partner' with local communities in Asia and Africa to implement research or programs that will move forward knowledge about what works and what doesn't. But what does 'partnership' mean in the context of huge power imbalances that come with differences in human, knowledge, institutional and fiscal resources? How do hierarchal institutions that assign power based on title, rank, alma mater, publications, departments etc share power with people who, if they had any, would preferably not be 'partnering' with people they do not know, who do not know them and who view them as in need of assistance? With good intentions, professors, doctors, nurses, social workers and various sundry 'helping' professions write proposals that say they will listen to the local folks and link with the existi...