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We commissioned this report in 2003 in response to the concerns of partner organisations in Africa, Asia and Latin America that their use of costly Internet bandwidth was not as effective as it could be. The report was prepared with input from eight countries (from Africa, Asia and Europe), and has been written for three main audiences senior management, librarians, and IT managers. It first identifies access problems in university environments, and then explains why access is frequently slow and costly, and how it can be affected by government policies as well as by other regulatory and economic restrictions. Finally, the report identifies how each stakeholder group can influence and improve online access within their institution.