In early 2023, Lilly and Direct Relief announced a new initiative by Direct Relief with the support of Lilly to expand access to medicines in low- and middle-income countries by expanding medical cold chain capacity in 20 countries. With Lilly’s $1.15 million funding, Direct Relief will procure 191 refrigeration units for 25 Life for a Child supported medical facilities in Africa, Latin America, the Caribbean and South Asia. In addition to supporting Life for a Child, this initiative will strengthen healthcare systems by increasing cold-chain storage so that more healthcare facilities will have the ability to store other cold-chain pharmaceuticals such as injectable therapies, cancer products or vaccines.