Sharing research is critical to healthcare strategy, quality and access. LMICs represent 80% of the global population but are underrepresented in research. Despite Africa representing 18% of the global population, researchers were involved in only 3% of global research in 2022/3 (1). Most scientific articles are published in Open Access (OA) Journals. Yet Article Processing Charges (APCs) of OA Journals are unaffordable for researchers in LMICs and are a barrier to sharing research (2). LMIC research is often not considered relevant to readers of HIC journals. The Colleges of Medicine of South Africa (CMSA) launched the Journal of the CMSA (JCMSA) in 2023 to advance research equity and to ensure that research from Africa and LMICs is included in global academic discourse. It is fully online and OA and focuses on research from LMICs in all medical and dental sciences. It has had a highly successful launch and is listed with the Directory of Open Access Journals (DOAJ) and has applied for PubMed listing. The JCMSA challenges several paradigms in publishing that will be discussed: journal ownership; diamond OA through APC Waiver Fund; multidisciplinary vs specialty journals; author assist programme; editorial and reviewer organogram; and journal metrics. References 1.Ger N, Lugossy AM, Petrucka P. Status of “African research and its contribution to global health research: a review and an opinion”. Discov Public Health 2024; 21:192. https://doi.org/10.1186/s12982-024-00323-6. 2.Seguya A, Salano V, Okerosi S, et al. Are open access article processing charges affordable for otolaryngologists in low-income and middle-income countries? Curr Opin Otolaryngol Head Neck Surg. 2023;31(3):202-7