Access to published research has always been difficult for researchers and clinicians in low- and middle-income countries, because of the cost of and lack of access to the relevant publications. The dramatic recent increase in electronic research publications has resulted in a marked improvement in reader access to these publications through their mainly Open Access policies, however the costs of processing of submissions and publication have now become the burden of the researchers wishing to publish, rather than the readers. For many researchers working in LMIC, the Article Processing Charges (APC) are prohibitive, hampering the publication of research being conducted in and relevant to these countries. A number of grant funding agencies and international not-for-profit organizations are trying to address these issues by including funding for article publications in their grants, or by supporting publishing entities by subsiding the cost of publication, but more needs to be done by major journal publishers through markedly reducing the APC being charged to researchers in LMIC for open access facilities.

由于相关出版物的成本和缺乏获取途径，低收入和中等收入国家的研究人员和临床医生一直很难获得已发表的研究成果。最近电子研究出版物的急剧增加导致读者通过主要的开放获取政策获取这些出版物的机会显着改善，但是处理提交和出版的成本现在已成为希望出版的研究人员的负担，而不是读者们。对于在中低收入国家工作的许多研究人员来说，文章处理费 (APC) 过高，阻碍了在这些国家进行的以及与这些国家相关的研究的发表。许多赠款资助机构和国际非营利组织正在尝试解决这些问题，方法是将文章出版的资金纳入其赠款中，或者通过补贴出版成本来支持出版实体，但主要机构还需要做更多的工作。期刊出版商通过显着减少向中低收入国家的研究人员收取开放获取设施费用的 APC。