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.

Lilly Supports Direct Relief’s Efforts to Expand Access to Medicines by Improving Cold Chain Capacity

Initiative would supply 150 medical-grade refrigeration units at 25 Life for a Child partner facilities in Africa, Latin America, the Caribbean and Southeast Asia.


Cold Chain

Refrigeration is a key part of safe storage for many therapies, including insulin, cancer treatments, and vaccines. Direct Relief and Lilly are working to expand refrigeration in areas that have had limited access. (Photo by Donnie Hedden for Direct Relief)

Eli Lilly and Company and Direct Relief today announced a new initiative to expand access to medicines in low- and middle-income countries by boosting cold chain capacity in 17 countries. Supported by $1.15M in funding from Lilly, Direct Relief will purchase and install an estimated 150 medical-grade refrigeration units at 25 Life for a Child facilities in Africa, Latin America, the Caribbean and Southeast Asia.

Cold chain – the transportation and storage of temperature-controlled medications – is a vital component of medical logistics, especially as the global pharmaceutical industry shifts towards the production of biologics and other temperature-sensitive molecules. The World Health Organization’s Global Diabetes Compact calls on the private sector to do more to support capacity building in supply chain management, including cold storage.

“We appreciate Direct Relief’s extensive expertise in logistics and end-to-end supply chain management and know this effort will make a substantial difference in providing patients around the world with medicines they need to address serious health issues like diabetes,” said Leigh Ann Pusey, executive vice president, corporate affairs and communications for Lilly. “Efforts to expand access to medicines, especially insulin, are only beneficial when effective cold chain systems are in place to keep them at the right temperature on their way to patients.”

Manufacturing insulin requires constant refrigeration at between two and eight degrees Celsius. Lilly’s support of Direct Relief’s cold chain initiative is part of Lilly 30×30, an effort to improve access and address barriers to quality healthcare for 30 million people living in limited-resource settings annually by 2030. The initiative builds on decades of Lilly’s global health work to improve equitable access to diabetes care and medicines. In 2022, Lilly and its affiliates provided insulin and reusable pens to Direct Relief related to support of the Life for a Child program, impacting more than 30 countries worldwide.

“We are grateful to Lilly for their support of this crucial initiative. Their dedication to global health and access to essential medical products is making a real difference in the lives of those in need,” said Direct Relief President and CEO Thomas Tighe. “The lack of cold chain distribution capacity in much of the world already prevents many people from accessing the medications and therapies they need, even when they are free. If this issue is not addressed, the divide between those who have access to essential medical products and those who don’t will only widen.”

In its 2022 fiscal year, Direct Relief delivered more than 47 million defined daily doses, the average dose per day, of temperature-controlled medications valued at $656 million (wholesale acquisition cost), a 600% increase from five years earlier in 2018. The organization operates 8,300 square feet of refrigerated warehouse space capable of storing up to 677 pallets of temperature-sensitive medicine.

By ensuring that resource-constrained regions of the world have medical refrigeration capacity at the last mile of delivery, more people will have access to the medications they need to live healthy lives.

Giving is Good Medicine

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