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."
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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.
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  • 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.
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  • 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.

Haiti: Battling Cervical Cancer Where Most Prevelant



Cervical cancer screening services officially opened this month at St. Luc Fondation’s Klinik Manitane in Haiti, which Direct Relief, in partnership with Basic Health International (BHI), is supporting to bring much-needed gynecological preventive services to underserved women in Port-au-Prince.

Haiti has the highest incidence of cervical cancer in the Western Hemisphere, seeing rates of cervical cancer 13 times higher than in the United States. Cervical cancer is currently the leading cause of female cancer death for women in Haiti. Implementation of effective screening and treatment methods has shown to have a significant impact in reducing morbidity and mortality from cervical cancer.

Coinciding with the opening of these screening services, Dr. Rachel Masch from BHI and her team of volunteer physicians and nurses traveled to Haiti for the second of three training delegations for local providers in visual inspection with acetic acid (VIA).

VIA is a low-cost and safe alternative for cervical cancer screening implemented in settings where lack of infrastructure and resources make traditional Pap smears inaccessible for most.

VIA uses acetic acid (a low-cost vinegar) to swab the cervix or lower part of the womb. Pre-cancerous cells can be visualized as white lesions and immediately treated with cryotherapy – an 11-minute treatment to freeze the affected cervical tissue.

Women with VIA positive tests are able to go home immediately after cryotherapy treatment with minimal disruption to their daily routine.

In this second delegation, eight midwives from St. Damien’s Hospital in Port-au-Prince were trained by BHI personnel. Midwife trainees received formal instruction as well as hands-on training.

Over the course of the delegation, 362 women from the local community were screened for cervical cancer, many for the first time. Of those women, 19 percent had positive VIA results with 16 percent of women receiving cryotherapy. Five percent of women were also treated for vaginal infections.

The week following training, the midwives put their new skills to work at Klinik Manitane, where they have incorporated two days of rotation for the new VIA/cryo clinic in addition to their delivery duties for St. Damien’s Hospital. In the two weeks since completion of training, 87 women have received screening at Klinik Manitane as well as cervical cancer education by the two community health promoters now employed through the program.

Direct Relief is supporting BHI and St. Damien’s Hospital/St. Luc Fondation with funding and donations of medical equipment and medicines to support the implementation of the program. An additional training delegation will take place in 2014 followed by quality monitoring by BHI to ensure successful implementation and support of the program.

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