Our Community Work in KENYA

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 Uganda, Johnson & Johnson has partnered with One By One to coordinate all arrangements for 300 fistula patients to receive & Infant Health treatment. This project will facilitate access to care by providing round-trip transport to a treatment facility and full cost of comprehensive treatment including pre-surgery care, surgical Helping Babies Breathe repair, physiotherapy and counseling. The goal of the project is to restore health and dignity for women and girls who would Helping Babies Breathe (HBB) trains health care workers in low- otherwise spend a lifetime suffering with the physical and psycho- resource settings to intervene when newborns have birth asphyxia, social devastation of obstetric fistula, a childbirth injury that is a potentially fatal inability to take the first breath of life. In Kenya, both treatable and preventable. Johnson & Johnson collaborates with the American Academy of Pediatrics and Amref Health Africa to provide HBB training and to increase awareness of the need for having a skilled birth attendant Promoting the Health at every birth. of Children & Youth Mama and Toto Rescue Project

Johnson & Johnson has teamed up with Mission for Essential SOS Children’s Villages Drugs and Supplies (MEDS) to reduce maternal deaths in Kenya. Through the Mama and Toto Rescue Project, MEDS helping For more than 20 years, Johnson & Johnson has supported efforts to address maternal, neonatal and child health challenges by by SOS Children’s Villages to create a brighter future for equipping eight selected facilities in seven counties – Kisumu, thousands of vulnerable children and families around the world. Taita Taveta, Mombasa, Kitui, Nairobi, Vihiga and Kirinyaga – with In Africa, the company supports programs to prepare orphaned incubators, baby resuscitation equipment, training, and medicines. and abandoned children living in SOS villages to become self- sufficient and productive adults, as well as family strengthening Jacaranda Health programs that promote economic self-sufficiency, improved psychosocial health, and parenting skills. Currently, J&J supports Jacaranda Health aims to improve health-seeking behaviors SOS programs in Ghana, Kenya, Liberia, Mozambique, Nigeria, during pregnancy and the postnatal period and make pregnancy Sierra Leone, South Africa and Somalia that benefit approximately and childbirth safer for women and newborns by leveraging 11,000 children and families. mHealth and other patient-centered technological innovations. With support from Johnson & Johnson, Jacaranda Health has developed and implemented a package of SMS-based mobile technology innovations that deliver personalized health tips, appointment reminders and communication channels. The initial goal of the project is to reach 1000 women via mobile messaging and to increase the number of women seeking facility-based maternal and newborn care by 25%. The project is expanding its messaging to include male partners and piloting replicability by public facilities.

One By One Women and girls with fistula are almost always poor and deeply marginalized, leaving most unable to access treatment. To address At SOS Children’s Villages children are raised in a loving family, sheltered in the substantial backlogs of untreated fistula cases in Kenya and a safe home, and receive quality education and health care Our Community Work in KENYA 2

Empowering Johnson & Johnson has supported WISER’s efforts by providing full scholarships for 30 girls each year who were orphaned by AIDS and Women & Girls also donating reusable sanitary pads to at least 250 girls. This partnership has created possibilities for orphaned adolescent girls to overcome social isolation, economic disadvantage, discriminatory HURU International culture norms, and gender-based violence. WISER has been successfully keeping girls in school, reducing HIV risk and young Johnson & Johnson partners with HURU International to provide pregnancies, and transforming girls who had done poorly in primary free hygienic sanitary pads to enable 600 Kenyan and Tanzanian school into top students in the country in math and science. girls to stay in school. The program focuses on increasing knowledge about menstruation processes and management, HIV/AIDS prevention, and life skills within schools as well as the community. Staying in school directly influences a wide range of critical indicators, from age of sexual debut and level of HIV/AIDS vulnerability in the near-term to economic self-sufficiency and maternal and child mortality in the long-term. The hygiene kits are manufactured in Nairobi’s Mukuru slum, which also creates income-generating opportunities for more than 20 youth, women, and men in that community. In addition, the project will also provide information to sensitize boys who attend the same schools, helping to create an empowering environment for girls.

Lwala Community Alliance In North Kamagambo, where traditional practices including early marriage, polygamy, and gender-based violence contribute to high HIV prevalence that disproportionately affects girls and women, All WISER secondary students are the first girls in their families to attend Johnson & Johnson supports the ‘Salama Pamoja’ (“Safe Together”) secondary school program launched by Lwala Community Alliance to empower girls to become agents of their own safety and success. The program trains mentors and organizes weekly clubs for 45 in-school at-risk HIV/AIDS girls and 50 out-of-school girls that focus on self-esteem, life skills, personal safety skills and tactics, and provide a space for girls to Prevention & Support openly share experiences. Girls in the program in classes 6-8 also receive sanitary napkins and uniforms that will allow them to not miss classes. Ultimately, the program aims to increase the number mothers2mothers of girls completing primary school, and to reduce unintended pregnancies, HIV infection, and incidents of gender-based violence mothers2mothers (m2m) empowers mothers living with HIV, in the community. through education and employment as mentors in health centers and communities, to prevent HIV infections in children and Kenya Women & Children’s improve overall health of women and their families. Johnson & Johnson’s 10-year partnership has enabled m2m to Wellness Center expand from 10 sites in South Africa to 348 sites across 6 sub-Saharan countries. In 2014-15, with J&J support m2m served Johnson & Johnson partners with the Kenya Women & Children’s 83,000 HIV positive pregnant women and over 80,000 male partners Wellness Centre to strengthen school-based programs to address and provided significant technical support. Current support focuses sexual and gender-based violence among school-going adolescents on program activities towards an HIV free generation in Malawi, in Kiambu. This includes reproductive health training for teachers Uganda, South Africa, Kenya and Zambia. With support from and students in 20 public primary schools, and referral mechanisms Johnson & Johnson for its SmART Linkages Project, m2m aims to for adolescents to access counseling and guidance services. The strengthen its organizational capacity program is designed to be transitioned and replicated by school and eHealth operations, including linking clients to services, tracking systems and to aid the government in achieving its SDG goals uptake and referral outcomes, and overall Monitoring and Evaluation. related to student retention in schools, gender equity, women empowerment and alleviation of poverty. Born Free – Kenya Women’s Institute for Johnson & Johnson has partnered with Born Free to accelerate Secondary Education and Research Kenya’s progress toward the elimination of mother to child transmission of HIV (EMTCT) by adding targeted resources and Using a holistic approach to education and empowerment, Women’s capabilities to the Ministry of Health in the form of a “Rapid Institute for Secondary Education and Research (WISER) Response Team” focused on catalyzing change at the county provides full scholarship, including boarding, clothes, sanitary pads, level. This initiative aims to strengthen national and county level books, healthy food, and medicine to 120 girls, the highest number government teams to more effectively run their health programs, of girls to ever attend secondary school in Muhuru Bay. Since 2010, use timely and quality data for decision making, and perform Our Community Work in KENYA 3

at a high level to reach their targets – achieve EMTCT in more than 50% of priority counties by end of 2017 (10 years ahead of current pace).

Spark Health The goal of SPARK HEALTH’s core Partnership for Management Development program is to strengthen health systems and accelerate EMTCT (elimination of mother to child transmission of HIV) health outcomes in Africa by leveraging existing resources, both human and financial, and igniting the power of public sector workers to drive their own systems change. Johnson & Johnson partners with the Graduate School of Business at the University of Cape Town to support Spark Health’s efforts in Malawi, Nigeria, Kenya, South Africa and Zimbabwe. Spark Health works by partnering directly with public sector health managers Wellness Centers are strategically situated at major truck stops and border to ignite a culture of ownership over health results, helping teams crossings in Africa and housed in easily recognizable blue shipping containers discover innovative solutions to problems, and increasing capacity to use data for better decision-making – helping to achieve key EMTCT and related health targets. Strengthening the Nyumbani Village Health Care Workforce Nyumbani is Kenya’s largest support system for HIV-positive children and their families. At Nyumbani Village in Kitui, 1000 children orphaned by HIV/AIDS have a home, cared for Bridge to Employment by another generation left behind by the epidemic – grandmothers. Bridge to Employment (BTE) is a Johnson & Johnson initiative Together they are building a model bio-friendly and self-sustaining founded in 1992 to combat rising youth unemployment and to community, setting a goal to be self-reliant by 2018. expose youth to careers in health care. The program aims to inspire Johnson & Johnson funding for a rainwater harvesting young people from underserved communities to stay in school, project with Princeton in Africa fellows resulted in the building excel academically, and to elevate their career aspirations. of 72 water tanks, making clean water available to the Partnering with the Kenya Education Fund, 50 students from entire village. two high schools – St. Ann’s Gichocho Girls High School and Tala Boys High School – selected for the 3-year BTE program will Advocates for Youth receive tutoring, academic enrichment, and mentoring and career guidance to prepare them for university and jobs. Students also Though Comprehensive Sexuality Education (CSE) is shown to get opportunities to connect classroom learning to the real world be effective in protecting young people from acquiring HIV as well by participating in corporation and hospital tours. They also engage as unintended pregnancy, teachers in the region lack the knowledge, in community service activities, establish health clubs to share skills and experience to deliver CSE in an age-appropriate, accurate the knowledge acquired through BTE with their fellow classmates, and confident manner. With support fromJohnson & Johnson, and get tours of local university campuses where courses in Advocates for Youth will pilot a high-impact teacher training medicine and health care are offered. and community engagement program in a targeted region in Kenya that will provide customized CSE training to at least 30 teachers in 10 primary or secondary schools, ultimately reaching Aga Khan University School of approximately 3,000 students. The program aims to prevent new Nursing and Midwifery HIV infections and unintended pregnancy among adolescents and youth and contribute to reducing gender-based violence and The Advanced Nursing Studies program at Aga Khan University harmful traditional practices like child marriage. School of Nursing and Midwifery (AKU-SONAM) has made dramatic improvements in nursing practice and care throughout North Star Alliance East Africa. Johnson & Johnson provides scholarship support to approximately 700 nursing and midwifery students from Kenya, North Star Alliance offers primary health care services, HIV Tanzania, Uganda enrolled in AKU-SONAM’s nursing and testing and health education to hard-to-reach, mobile populations midwifery diploma and degree programs, helping them advance such as truck drivers and sex workers, through their Blue Box their professional skills and increasing nursing capacity in the Roadside Wellness Centers. Strategically situated at major truck region. Over 60 percent of graduates are promoted after graduation stops and border crossings, each drop-in center is run by trained and more than 90 percent remain and provide care in their clinical and outreach teams and supported by an electronic health respective countries. Additionally, J&J supports AKU-SONAM’s passport system, which allows clients to access their health records efforts to strengthen nursing and midwifery support organizations at any center in the network, as well as keeping track of the spread across the region that are charged with supporting the wellbeing of disease. Johnson & Johnson has partnered with North Star of nurses and midwives, ensuring quality of care, and representing Alliance to scale and improve North Star’s model of Blue Box the nursing and midwifery professions in policy discussions walk-in clinics in Kenya, South Africa and The Gambia. with government.