News publications and other organizations are encouraged to reuse Direct Relief-published content for free under a Creative Commons License (Attribution-Non-Commercial-No Derivatives 4.0 International), given the republisher complies with the requirements identified below.

When republishing:

  • Include a byline with the reporter’s name and Direct Relief in the following format: "Author Name, Direct Relief." If attribution in that format is not possible, include the following language at the top of the story: "This story was originally published by Direct Relief."
  • If publishing online, please link to the original URL of the story.
  • Maintain any tagline at the bottom of the story.
  • With Direct Relief's permission, news publications can make changes such as localizing the content for a particular area, using a different headline, or shortening story text. To confirm edits are acceptable, please check with Direct Relief by clicking this link.
  • If new content is added to the original story — for example, a comment from a local official — a note with language to the effect of the following must be included: "Additional reporting by [reporter and organization]."
  • If republished stories are shared on social media, Direct Relief appreciates being tagged in the posts:
    • Twitter (@DirectRelief)
    • Facebook (@DirectRelief)
    • Instagram (@DirectRelief)

Republishing Images:

Unless stated otherwise, images shot by Direct Relief may be republished for non-commercial purposes with proper attribution, given the republisher complies with the requirements identified below.

  • Maintain correct caption information.
  • Credit the photographer and Direct Relief in the caption. For example: "First and Last Name / Direct Relief."
  • Do not digitally alter images.

Direct Relief often contracts with freelance photographers who usually, but not always, allow their work to be published by Direct Relief’s media partners. Contact Direct Relief for permission to use images in which Direct Relief is not credited in the caption by clicking here.

Other Requirements:

  • Do not state or imply that donations to any third-party organization support Direct Relief's work.
  • Republishers may not sell Direct Relief's content.
  • Direct Relief's work is prohibited from populating web pages designed to improve rankings on search engines or solely to gain revenue from network-based advertisements.
  • Advance permission is required to translate Direct Relief's stories into a language different from the original language of publication. To inquire, contact us here.
  • If Direct Relief requests a change to or removal of republished Direct Relief content from a site or on-air, the republisher must comply.

For any additional questions about republishing Direct Relief content, please email the team here.

Hospice and Home-Based Palliative Care


Hospice and palliative care in Africa was adapted from the western hospice model to cope with an impossible clinical overload of inpatient facilities. The HIV/AIDS pandemic has crippled the hospital services that are underequipped, understaffed, and incapable of coping with large numbers of patients. Neither the hospitals nor the patients can afford the cost of inpatient treatment, so hospice and home-based palliative care providers have emerged as the only solution for patients who are too sick, poor, or isolated from the hospitals to receive the care they require.

African palliative care providers are using the WHO definition of palliative care: “An approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual.” Palliative care aims to provide relief from pain and other symptoms so patients can live as fully as possible until death. The hospice networks use home-based support groups to enhance the patient’s quality of life while simultaneously helping the family cope with the illness and eventual death.

These home-based palliative care providers have proven essential in the fight against the HIV/AIDS pandemic. The February 28, 2008 issue of the Lancet reported that “the implementation of home-based care could significantly reduce mortality among adults living with HIV/AIDS in developing countries, as well as children within their families.” (BBC News, February 29, 2008) Many of these groups employ trained palliative care doctors and nurses who are directly involved in testing for and treatment of HIV and are authorized to dispense antiretroviral therapy (ART) treatment to enhance and prolong the lives of HIV-positive patients. They are also involved in preventing opportunistic infections and ameliorating the pain and discomfort that HIV patients live with daily.

Direct Relief is providing home-based palliative care providers with the products they need to assist HIV/AIDS patients. These products include rapid HIV tests, pain relievers, antibacterials, antifungals, soaps, diapers, mattresses, vitamins, nutritional supplements, wheelchairs, and walkers. Direct Relief distributes these items to hospice sites approved and accredited through the African Palliative Care Association (APCA) or the Hospice and Palliative Care Association of South Africa (HPCA). We are currently supporting sites in South Africa, Zimbabwe, Uganda, and Kenya.

Giving is Good Medicine

You don't have to donate. That's why it's so extraordinary if you do.