The Regional Index Medici play a major and central role in improving access to health research from developing countries. This is evidenced by the statistics you have provided but also from the fact that research published in journals from the global south is only or at least mainly published in local journals. The efforts made by other WHO regional offices and by WHO/HQ to create the Global Health Library which includes the region indexes needs to be highlighted as a major sources to access research from developing countries. It's sad to note that only one person works on the indexing of these journals. This, I am sure, at the expense of quantity and quality. The Regional Office should take corrective action to remedy such situation.