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.

Inspiring Moms of May: Fistula Survivor Embraces Motherhood


At Direct Relief, May is for moms. Throughout the month, we will regularly honor mothers around the world who inspire us. Today’s story comes from a partner based in western Kenya, Women and Development Against Distress in Africa.

Sarah Adhiambo, a 32-year-old mother of two, is an obstetric fistula survivor from western Kenya who is able to embrace the true meaning of motherhood following her life-restoring surgery.

Obstetric fistula is a hole in the birth canal caused by prolonged and obstructed labor. If untreated, it results in constant and uncontrollable leakage of urine and/or feces, which cause many women affected by the condition to suffer humiliation, isolation, and stigma.

Sarah was no exception. After she developed a fistula during her second delivery in 2008, she and her husband separated for three years. During that time, she felt alone and hopeless. She had no idea that repair was possible.

It wasn’t until Sarah was identified and booked for surgical repair by an outreach worker with Direct Relief partner Women and Development Against Distress in Africa – an organization that offers various support services for the most undeserved women in western Kenyan – that things began to look up for Sarah.

The community encouraged Sarah and her husband to reunite once she was on the repair list. Following her surgery last May, she decided to adopt her late brother’s child as a way of thanking God for the gift of life and healing.

“Conceiving and delivering a child is not motherhood. Motherhood is all about being able to give a smile to the little angels you love and treasure, meeting their emotional and physical needs,” said Sarah.

With a full family, she is now very stable and back to managing their family business – a bar and restaurant in Bungoma town.

Direct Relief helps restore health and dignity to women like Sarah by supporting organizations conducting obstetric fistula outreach, repair, and re-integration services, such as Women and Development Against Distress in Africa, with needed medical supplies as well as grants.

To donate to this life-restoring work, click here.

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