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:
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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.

Young Kenyan Fistula Survivor Returns to School


As children in the U.S. return to the classrooms this month, a young woman in Kenya is also returning to school, grateful to be able to continue her studies once again after being repaired from a condition many of her peers have likely never heard about.

When Phoebe was just 15 years old, she became pregnant and suffered from a condition no woman should have to endure – obstetric fistula, a hole in the birth canal caused by prolonged and obstructed labor.

She is now a fistula survivor who lives in the Siaya District of western Kenya, but her journey to recovery wasn’t easy.

Upon becoming pregnant at such a young age, she was unable to continue going to school. Phoebe lives in a rural area far from the nearest hospital, so when her labor began she decided to stay at home.

After 20 hours in labor and no progress, she finally made the long trip to the nearest hospital, however, once she arrived they had no ability to provide an emergency cesarean section. She was referred to another hospital, but by the time she got there, it was too late. She delivered a stillborn baby.

Not only was the young girl devastated by the heartbreaking experience, but when she returned home she discovered she was leaking urine uncontrollably – a common symptom of obstetric fistula. Neither she nor her family understood what she was suffering from and they waited for it to go away.

Finally, after a year of suffering with the condition – which made it very difficult for Phoebe to carry on a normal life – she traveled to Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu, Kenya, where she was screened and booked for treatment with the support from Direct Relief’s Kenyan partner organization, the OGRA Foundation.

Phoebe had a successful fistula repair operation and she feels relieved and happy to no longer be leaking urine. She is excited to go back to living a normal life and hopes to resume her studies now that she is healed.

Courageous women like Phoebe are the reason why Direct Relief is committed to ensuring others like her have a chance at hope and healing by providing its partners like the OGRA Foundation with the medical supplies needed for repair surgery.

Direct Relief continues to grow its program to support health and hope for women affected by fistula with a goal of enabling 10,000 surgeries over the next three years.

Find out more about obstetric fistula at this link. To support the effort and help make a difference in the lives of women like Phoebe, click here.

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