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BACKGROUND AND PURPOSE Despite the importance of health literacy (HL) in health outcomes, most HL assessment tools are developed and used in first world, English speaking countries, and their applicability in low and middle-income countries (LMICs) is unclear. The purpose of this review is to examine valid and reliable tools used to assess HL among people in LMICs. METHODS A literature search of three databases was conducted with 20 final articles. RESULTS Current HL assessment tools used in LMICs rely on participant's literacy and focus