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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  • 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]."
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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.
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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.

Puerto Rico


Investing in Communities

AbbVie’s $50 million donation to Direct Relief, has facilitated the implementation of over 400 projects aimed at strengthening Puerto Rico’s healthcare system through the Federally Qualified Health Centers’ network and many other local nonprofit organizations.

In addition to equipping health centers and clinics with requested medical supplies, Direct Relief has provided more than $30 million in cash grants aimed at bolstering Puerto Rico’s health sector in the following ways:

In addition to equipping health centers and clinics with requested medical supplies, Direct Relief has provided more than $26 million in cash grants aimed bolstering Puerto Rico’s health sector in the following ways:

Emergency Preparedness

Emergency medical aid was loaded onto a helicopter bound for Vieques, an island located 80 miles east of San Juan, Puerto Rico. The island was hit particularly hard by Hurricane Maria. (Photo by Donnie Hedden for Direct Relief)

Since 2018, 23 health facilities across the island have received pre-packaged modules of emergency medical supplies from Direct Relief in advance of hurricane season. Items include a wide range of medications and wound care supplies, 164 FDA-compliant pharmaceutical and laboratory refrigerators and freezers were installed, increasing cold chain capacity and storage to roughly 6 million vials of vaccines.

In support of front-line workers, over 900 Emergency Medical Backpacks for triage medical outreach activities during emergencies have been distributed to each member of Puerto Rico’s Medical Reserve Corps, all Federally Qualified Health Centers (FQHCs), and volunteer EMT’s.

In addition, 41 automated external defibrillators were positioned in public sports facilities and first responder vehicles island wide. Direct Relief has also purchased and donated 69 long-range radios to health centers, ensuring their ability to communicate across local and island-wide channels during power outages and network breakdowns.

Structural and Medical Readiness

UTUADO, PUERTO RICO – NOVIEMBRE 16: El equipo de DirectRelief Puerto Rico en la colocación de la primera piedra en el proyecto de remodelación de la clínica de salud comunitaria COSSAO en Utuado.

Direct Relief is supporting infrastructure projects in several health facilities to safeguard their endurance in the face of future emergencies. Construction of community health clinics in remote areas will increase access to healthcare for many. Funding also incorporates improvements in FQHCs and hospitals’ IT frameworks to update electronic health records and guarantee connectivity during power outages or communication disruptions.

In Mameyes, a remote community in the municipality of Utuado, expansion and repair of a free health clinic is underway. These improvements will amplify the scope of services and promote socio-economic growth by creating local employment opportunities. Services have also been expanded for Puerto Rico’s pediatric population with the new Interventional Radiology unit at the University Pediatric Hospital in Centro Médico, the only of its kind in PR and the Caribbean.

Resilient Energy

Direct Relief is equipping a host of medical facilities in Puerto Rico with more than 1 megawatt of solar production capacity and 1.7 megawatts of battery storage. Over $4M have been allocated to install renewable energy and battery storage systems in 15 FQHCs.

 25 solar-powered water wells have been installed in non-PRASA communities (independent community water supply systems not served by the Puerto Rico Aqueduct and Sewer Authority). Compounded, these wells will provide access to clean drinking water to nearly 14,720 residents in remote areas. Fire and EMS stations are also being outfitted with solar energy systems, allowing first-line workers to provide essential services during emergencies and power breakdowns.

Improving access to healthcare

Direct Relief is addressing medical access gaps by establishing an island-wide telehealth ​network at health facilities in underserved areas. This network will effectively expand access to primary and specialty care, including psychiatric and mental health services. Since the start of the program, over 17,000 tele-visits have been performed by FHQC’s and partner organizations.

Telehealth has also been applied to tackle the present mental health crisis in the face of limited providers. To date, over 12,000 patients have received mental health services through our partnerships. 56 mobile units and off-road vehicles will further broaden the delivery of health services to remote communities throughout the island.

Medically Fragile Populations

Funding of 37 diverse, local non-profit organizations has enabled the expansion of services for vulnerable populations across the island. Maximizing health improvement through carefully leveraged resources has resulted in immediate respite for patients with chronic conditions such as end-stage renal disease, cancer, and diabetes. The Pediatric Renal Transplant program acquired a much-needed resource through the funding of a new position for a transplant coordinator. Since the program began, a total of nine children have received renal transplant and are free from weekly dialysis treatment.

Direct Relief is also prioritizing support for community-based organizations in expanding their opioid abuse program. Strategies are based on harm-reduction principles and include grief counseling, needle-exchange, mental health support, and MAT programs.

Puerto Rico Project Dashboard


Unaudited totals since Jan. 1, 2010
in medical aid
doses of medicine
pounds of medicine and supplies
healthcare providers supported

Direct Relief is registered in Puerto Rico as a “non-profit foreign corporation, organized under the laws of California and duly authorized to do business in Puerto Rico since March 29, 2019.” To view Direct Relief’s registration page on the Puerto Rico Registry of Corporations and Entities, click here and enter “Direct Relief” in the field for “Corporate Name.”

Donate to Puerto Rico

100% of your donation will be dedicated to the work in Puerto Rico.