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.

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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.

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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.

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For any additional questions about republishing Direct Relief content, please email the team here.

Operational Update: Supporting Street Medicine in Puerto Rico, Women’s Health in Malawi, and More

Medical aid from Direct Relief reaches 15 countries over the past week.



Staff conduct medical intake for houseless individuals at a recent health fair in Puerto Rico. The event, sponsored by nonprofit La Fondita de Jesus, and Direct Relief, provided health services and medical screenings to attendees. (Courtesy photo)

Over the past seven days, Direct Relief has delivered 527 shipments of requested medical aid to 48 U.S. states and territories and 15 countries worldwide.

The shipments contained 13.4 million defined daily doses of medication and supplies, including insulin, prenatal vitamins, oral rehydration tablets, and more.

Strengthening Cold Chain Capacity for Free Clinics

Staff from Welvista Pharmacy in South Carolina with a Sanofi-donated refrigeration system provided through Direct Relief’s ReplenishRx program. (Courtesy photo)

Recently, several pharmaceutical-grade refrigeration systems donated by Sanofi were delivered by Direct Relief to multiple clinics across the U.S., including Ozanam Charitable Pharmacy in Alabama and Welvista in South Carolina.

These fridges have expanded capacity at these sites, allowing for more storage of temperature-sensitive medications, like vaccines and insulin. The systems were donated and placed as part of Direct Relief’s ReplenishRx program, which works to provide free and charitable clinics with medications and supplies at no cost.

Supporting Care for Women in Malawi

Dr. Anne Alaniz cares for a newborn at Pothawira Birthing Center in Malawi. The center receives cancer therapies from Direct Relief, medical supplies to support safe births and other requested medicines to support care in the Salima region of Malawi. (Courtesy photo)

This week, Dr. Anne Alaniz, a gynecological oncologist and founder of Pothawira International, spoke about her work in Malawi and her plans to build a new surgical center that will expand care for women in the region.

Direct Relief has supported Pothawira International with more than $5 million in oncology medications, midwife kits, which contain 50 essential items to facilitate safe births, and other requested medical aid. Pothawira, which translates to “Safe Haven,” includes an outpatient clinic, which sees 200 patients a day and a birthing center, which is expected to exceed 500 deliveries in 2024.

A new surgical center, which will include four operating rooms, will enable safe cesarean deliveries, laparoscopic surgeries, radiology services, and more for women who need cancer treatments or are experiencing birth complications. Pothawira also operates an orphanage, primary school, and sustainability farm to support community needs.

Dr. Alaniz, originally from Malawi and who moved to the U.S. at 16, now practices medicine at Houston Methodist Hospital between her medical missions in Malawi. She spoke to a gathering of about 120 people in Montecito, California, this week to raise awareness about Pothawira International and Direct Relief’s Maternal and Child Health Programs in advance of Mother’s Day.

Click here to learn more about Dr. Alaniz and Pothawira International.

Direct Relief Hosts Health Fair in Puerto Rico

A health fair attendee has his vital signs measured during a recent health fair. (Courtesy photo)

Direct Relief and La Fondita de Jesús, a nonprofit focused on services to unhoused people and other vulnerable populations, hosted a health fair on April 23 in Rio Piedra, Puerto Rico. The fair offered health services, personal care kits filled with hygiene items for attendees, and more.

Direct Relief Chief Pharmacy Officer Honored

Direct Relief’s Chief Pharmacy Officer Alycia Clark, PharmD, has been selected among the “Top 50 Women in Business” by the Pacific Coast Business Times.

The Business Times honors 50 of the region’s top women leaders in a number of sectors, including finance, professional services, health care, technology, and nonprofits. Clark was selected for her outstanding contributions to public health and emergency response.

Read the full selection article here.

Operational Snapshot


Over the last week, Direct Relief shipped more than 13 million defined daily doses of medication outside the U.S.

Countries that received medical aid over the past week included:

  • Ethiopia
  • Guyana
  • Ghana
  • Liberia
  • Lebanon
  • Bolivia
  • Sri Lanka
  • Honduras
  • Peru
  • Guatemala


Included in this week’s shipments were deliveries of oral rehydration salts in response to the outbreak of dengue fever in Puerto Rico. The organization is monitoring the outbreak and will continue to respond as requested.

Direct Relief delivered 510 shipments containing over four tons of medications during the past seven days to organizations, including the following:

  • Welvista, South Carolina
  • Health Access for All Inc. dba Angeles Community Health Center, California
  • Outreach Community Health Center, Inc, Wisconsin
  • Urban Health Plan, Inc., New York
  • The Health Hut, Louisiana
  • St. Joseph Social Welfare Board, Missouri
  • Wesley Community Health Centers, Arizona
  • Guadalupe Clinic, Kansas
  • Flagler County Free Clinic, Florida
  • Community Health of East Tennessee, Tennessee


Since January 1, 2024, Direct Relief has delivered 7,666 shipments to 1,573 partner organizations in 54 U.S. states and territories and 67 countries.

These shipments contained 121.6 million defined daily doses of medication totaling 2.4 million lbs.

Giving is Good Medicine

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