Our Community Work in MALAWI

orking together with community-based partners, we support efforts that Wfocus on saving and improving the lives of women and children, preventing disease among the most vulnerable, and strengthening the health care workforce.

Improving Maternal and reference materials and training hotline workers to provide better customer service and improve the quality of advice. The & Infant Health program aims to reach 500,000 direct beneficiaries and 1,500,000 indirect beneficiaries and transition to MoH ownership by December 2017. Helping Babies Breathe In 2011, Johnson & Johnson made a $2 million 5-year investment Promoting the Health in the Helping Babies Breathe (HBB) initiative in Malawi and Uganda. The program, implemented by Save the Children in these of Children & Youth two countries, aims to reduce neonatal mortality due to birth asphyxia by integrating neonatal resuscitation skills and equipment within existing maternal and newborn health services. To date, the Kamuzu Central Hospital Burn Unit partnership has supported HBB training of more than 1,300 skilled birth attendants and saved nearly 23,000 babies (90% of asphyxiated Burns are a significant health burden for the people of Malawi, babies) in Malawi and Uganda. Designed for national scale-up by particularly affecting children. The partnership between Ministries of Health in the longer term, the project also focuses on Johnson & Johnson and the University of North Carolina at improved data reporting and use of data for decision-making in Chapel Hill has resulted in the founding of a dedicated Burn Unit existing J&J supported sites. and Operating Theater at Kamuzu Central Hospital (KCH) in Lilongwe, Malawi. To reduce burn injuries among children, Johnson & Johnson is supporting a comprehensive Burn Prevention Outreach Campaign in the central region of Malawi, which includes 6.3 million people, of which 46% are children under the age of 15. The partnership will also enable KCH to expand the nutritional and recreational therapy programs for pediatric survivors during their treatment and stay at the hospital and continue training for residents and staff. Collaborating with the J&J Burn Centre at Chris Hani Baragwanath Hospital in Soweto, South Africa, the program has trained specialized burn and OR nurses and clinical officers, allowing KCH to become the center of excellence and share this knowledge with hospital staff from other countries in sub-Saharan Africa.

HBB training for midwives in Dedza

VillageReach Maternal, newborn, and child mortality rates in Malawi are among the highest in the world. Limited transportation, poor infrastructure, low health literacy and long travel distances to health centers are barriers to accessing care in a country where over 85% of the population live in rural areas. To increase access to timely and reliable maternal and child health information, Johnson & Johnson has partnered with VillageReach to prepare the Chipatala Cha Pa Foni – Health Center by Phone – service and hotline workforce for national expansion and transition to the Malawi Ministry of The dedicated Burn Center at KCH offers pediatric burn victims a second Health (MoH) and partners. This includes updating user guides chance at life Our Community Work in MALAWI 2

HIV/AIDS discover innovative solutions to problems, and increasing capacity to use data for better decision-making – helping to achieve key Prevention & Support EMTCT and related health targets. mothers2mothers mothers2mothers (m2m) empowers mothers living with HIV, through education and employment as mentors in health centers and communities, to prevent HIV infections in children and improve overall health of women and their families. Johnson & Johnson’s 10-year partnership has enabled m2m to expand from 10 sites in South Africa to 348 sites across 6 sub- Saharan countries. In 2014-15, with J&J support m2m served 83,000 HIV positive pregnant women and over 80,000 male partners and provided significant technical support. Current support focuses on program activities supporting an HIV free generation in Malawi, Uganda, South Africa, Kenya and Zambia. In Malawi, in support of Ministry of Health efforts towards Universal Treatment to eradicate HIV in both adults and children, m2m has partnered with Health Enabled to use digital health as a key tool to help in this effort. Achieving Universal Treatment involves rapid scale-up of HIV treatment to reach the entire population. With support from Johnson & Johnson for its SmART Linkages Project, m2m aims to strengthen its organizational Health workers at Nkhunga Health Center trained by SPARK HEALTH make capacity and eHealth operations, including linking clients to sure that every mother coming for antenatal care is tested for HIV services, tracking uptake and referral outcomes, and overall Monitoring and Evaluation. Global Health Corps Fellowship The Global Health Corps (GHC) fellowship program builds health care capacity by providing opportunities for young professionals to work on the frontlines of the fight for global health equity. GHC currently places fellows in Burundi, Malawi, Rwanda, Uganda, the United States, and Zambia. Support from Johnson & Johnson will allow for the recruitment, training, and placement of 150 GHC fellows – including two fellows each with mothers2mothers (Malawi) and Elizabeth Glaser Pediatric AIDS Foundation (Uganda) to implement EMTCT programming, and one fellow placed with Intrahealth (Uganda) to support frontline health worker management using digital technology.

Support for Chronic Conditions

Dorika Doko, an m2m client who is HIV+, gave birth to healthy baby UNC Hydrocephalus Training Program

Spark Health Johnson & Johnson has partnered with University of North Carolina at Chapel Hill (UNC) to set up a Hydrocephalus The goal of SPARK HEALTH’s core Partnership for Management Training Program at Kamuzu Central Hospital (KCH) in Lilongwe, Development program is to strengthen health systems and Malawi. Hydrocephalus – an abnormal build-up of fluid in the accelerate EMTCT (elimination of mother to child transmission brain cavities resulting in brain damage – is treatable with surgery of HIV) health outcomes in Africa by leveraging existing resources, but the significant shortage of trained surgeons in Malawi has both human and financial, and igniting the power of public sector resulted in hydrocephalus becoming a considerable problem in workers to drive their own systems change. Johnson & Johnson Malawi especially among children. The UNC Surgical program in partners with the Graduate School of Business at the Malawi, in partnership with Johnson & Johnson, will provide this University of Cape Town to support Spark Health’s efforts in essential training and increase the capacity of KCH to provide Malawi, Nigeria, Kenya, South Africa and Zimbabwe. Spark Health care to hydrocephalic patients. In addition to training, works by partnering directly with public sector health managers Johnson & Johnson will donate shunts to provide surgery to 150- to ignite a culture of ownership over health results, helping teams 200 patients per year. Our Community Work in MALAWI 3

Strengthening the Health Care Workforce

Management Development Institute Maternal Child-Health Management Development Institute (MDI) aims to equip Nurse Leadership Academy Ministries of Health and other organizations delivering health The Maternal-Child Health Nurse Leadership Academy, developed care services to underserved populations with the requisite in partnership with the Sigma Theta Tau International Honor management and leadership capacity to implement their health Society of Nursing, provides maternal and child health nurses priorities. In its first decade, MDI programs have trained and nurse midwives mentored leadership with curriculum designed approximately 1,000 health care leaders from 32 countries. to develop leadership in action through projects that would Designed by world-class management faculty, MDI is delivered improve the health of mothers, babies and children. The goal of by instructors from UCLA Anderson, Amref Health Africa and the program is to enable participants to advance their organizations by outstanding faculty from other African universities, including and careers, influence nursing practice in their work settings, the Ghana Institute of Management and Public Administration, improve systems of care, and ultimately improve patient outcomes. and the Graduate School of Business at the University of Currently the program supports 12 nurse-midwives who lead Cape Town. The lessons are geared toward successfully meeting inter-professional teams to improve health outcomes for mothers the complex challenges faced by Eastern, Western and Southern and babies in South Africa, Malawi, Swaziland and Uganda. African health systems. The Southern Africa MDI includes participants from Botswana, Madagascar, Malawi, Namibia, South Africa, Swaziland, Zambia and Zimbabwe.

MDI brings NGOs, academic institutions and the private sector together to design and implement health care interventions

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