Elsevier enables researchers to gain access to content outside of their institution’s existing subscription and licenses by enabling loans between academic libraries in the same country.  The process through which this takes place is known as Inter Library Loan (ILL).  ILL is a library to library service and involves copying and sharing articles among not-for-profit, academic libraries within the same country on behalf of end-users. We also support international document delivery services. The STM publishing trade association has also published a position paper, signed by individual publishers, that would permit ILL deliveries into the ‘least developed country’ category of Research4Life institutions. Elsevier is a signatory to this paper, and enables academic libraries to loan copies of subscribed titles to Research4Life ‘least developed country’ institutions.