This opinion piece is the work of an interdisciplinary group sitting within the SIGHT (Swedish Institute for Global Health Transformation) Swedish University Network. All authors contributed to the conceptual ideas and design of the paper which builds upon previous scientific evidence. MN wrote the draft ofthe manuscript with UM. MN is the guarantor. All authors read and approved the final version. All authors have read and understood BMJ policy on declaration of interests and have no competing interests to declare. Provenance and peer review: Commissioned; externally peer reviewed