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OER may be distributed in a variety of formats, including electronically online, removable media (e.g. CD/DVD, or USB), and/or paper hard copies. In order to maximize its reach and visibility, OER is often distributed online which introduces new considerations such as managing file size and selecting appropriate descriptive data (commonly referred to as metadata). File size is an especially important consideration as small manageable files can be more easily downloaded in bandwidth-constrained areas. 

As part of the African Health OER Network, completed OER are often hosted on multiple servers: an institutional server, the official Network web space with OER Africa, and on the University of Michigan (U-M) Open.Michigan website.The aim of these guidelines is to encourage the creation of OER that is easily discoverable, accessible, and adaptable.

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