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.
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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.

Hope Through Maternal Health: Togo


Maternal Health

Direct Relief Midwife Kits - Hope Through Health
Photo credit: Hope Through Health

The West African nation of Togo (officially the Togolese Republic) is one of the smallest countries in sub-Saharan Africa. It covers 22,000 square miles and has a population of approximately 6.7 million. The country, which is ranked 166 of 187 on the 2014 Human Development Index, struggles to address health issues including maternal mortality – with 450 pregnant women dying per 100,000 births (Worldbank 2013).

Direct Relief is working with Hope Through Health (HTH) to increase access to maternal and child healthcare services for resource-poor communities in northern Togo. The joint project helps to identify, educate, and support pregnant women through health care worker training and outreach activities. It also aims to improve the capacity of public health clinics by addressing chronic shortages of essential medical commodities for maternal, newborn, and child health.

As part of the project, HTH has trained 25 female community health workers (CHWs) on motherhood and delivery-related health care/treatment requirements and services. The CHWs will serve approximately 4,000 women of reproductive age, identifying pregnant women and referring them to community medical clinics for prenatal care. CHWs will also educate women on the importance of delivering in a health facility and will work with them to create safe birth plans. After delivery, CHWs will follow up with new mothers to ensure that they are receiving proper postnatal care.

Direct Relief is supporting the program with the provision of its ICM–endorsed Midwife Kits. Twenty of these comprehensive kits arrived in Togo on August 12, 2015. They are already being used by medical clinics in the four targeted communities of Adabawere, Djamde, Kpindi, and Sarakawa to support safe pregnancies and deliveries.

The Adabawere health clinic serves a population of almost 7,000 people in a neighborhood of Kara, the third largest city in Togo. With a 77 percent utilization rate, the clinic is often bustling with women and children but suffered severe shortages of the medical resources needed to care for the region’s nearly 2,000 women of childbearing age.

The clinics in Djamde, Kpindi, and Sarakawa each serve rural communities with a combined population of approximately 13,000. These facilities have very low utilization rates – roughly 10% – and desperately need the right medical resources.

HTH anticipates a considerable increase in the use of medical clinics now that the facilities are better equipped.

HTH has worked closely with key stakeholders on program design and buy-in for this critical intervention. HTH, health authorities, CHWs, and local communities have all expressed their appreciation for the Direct Relief Midwife Kits and the opportunity to improve the health of women and families.

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