Supporting NGOs Globally to Promote Women s and Children's Health

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Supporting NGOs Globally to Promote Women s and Children's Health Global Health Council Annual Meeting June 2 nd, 2006, Washington DC Katsura Tsuno Johnson & Johnson

J&J Credo responsibility Five key platforms Women & Children s Health Community Responsibility Access to Care Our Credo We are responsible to the communities in which we live & work. Advancing Health Care Knowledge Global Public Health (HIV) Decentralized approach Regional team consist of country managers Partnership community based organizations 2005 contributions cash $127M, non-cash $464M We must encourage civic improvement and better health and education.

J&J response to a disaster Since 1906 Health and welfare Medical supplies J&J Disaster Relief Module Cash donation Matching to employee donation

J&J commitment to Tsunami relief Addressing acute health needs Stabilizing communities Long term rehabilitation Key focus Women and children Maternal/Newborn care Mental health Tsunami orphans Health and well-being of the community Rebuilding infrastructure Refugee health Environmental protection

Key programs & partners India Tsunami orphan support (SOS Children s Village) Thailand Psychosocial support of children (Thai Ministry of Public Health) Indonesia Re-establishment of health services for mothers, children & families (JHPIEGO) Psychosocial support of children (Univ of Indonesia) Sri Lanka Psychosocial support (Asia Foundation) All affected countries Humanitarian Aid (Red Cross/Crescent) Mobile health unit for refugees (118 Emergency Ambulance Service Foundation) Medical equipment repair (International Aid) Prevention of illegal logging of tropical rainforest (WWF)

J&J in Indonesia Established in 1973 Consumer, Pharma, Medical Device & Diagnostics Strong tie with government, healthcare providers No focus on business interests in contributions J&J-JHPIEGO partnership since 2003 Distribution of the national guidelines Managing Complications of Pregnancy in Childbirth Midwives training

Disaster impact on women & children 166,000 deaths, 1/3 are children 30% health providers dead/lost 800 pregnant women with possibly substandard medical care Aceh Conservative, strict Muslim culture Limited community participation of women Many speak Acehnese only Not easily accessible even for Indonesians

J&J-JHPIEGO partnership in Aceh Midwives Key healthcare providers to mothers & babies Midwives are also affected: lost facilities, livelihood and families Re-establishment of healthcare delivery through midwives Immediate needs and long term rehabilitation Provide healthcare service to those in need Establish sustainable healthcare delivery system through empowerment and training of healthcare providers Mobilizing existing partnership JHPIEGO, MOH, and Indonesia Midwives Association

J&J-JHPIEGO partnership in Aceh Immediate needs Equip the primary referral hospital to resume operations for obstetric & newborn emergencies Equip private midwives practice for them to get back to work Provide vouchers for free medical care to mothers in need, midwives get reimbursement with the vouchers

J&J-JHPIEGO partnership in Aceh Long-term rehabilitation Revitalization of community health services Provide basic equipment and supplies to newly built/repaired community health service delivery point Train community health providers (doctors & midwives) to reflect national standards of practice and to deliver high-quality services Puskesmas Training

Other programs for women & children in Aceh identified through existing local partnership Bio-psychosocial support for children (University of Indonesia) Mobile health unit for refugees (118 Emergency Ambulance Service Foundation, Indonesia)

Lessons learned Keys for quick response Local involvement Needs assessment, program evaluation from both socio-cultural context were done quickly and precisely Preparedness and decentralization Mobilization of regional network enabled quick shipment of J&J products in acute need

What to expect from the NGO? Bridge resources and commitment from Corporation Technical expertise History in the place Cultural sensitivity Relationship with local stakeholders Flexibility Accountability Reportability