Strong, well-functioning health systems are imperative for advancing human health. Around the world, we leverage our global expertise in health and on-the-ground presence in many regions to advocate for tailored solutions that help strengthen local health systems. We advocate for universal access to care; pilot sustainable financing solutions together with strategic partners so that people can cover their health needs; and educate and empower professionals on the front lines, such as nurses, midwives, community health workers and caregivers. Working with many stakeholders, including community leaders, healthcare companies, non-governmental organizations, payers, providers and policy makers, we make an impact by filling gaps in care, promoting value-based care and aiming to keep people well at every age and every stage of life.
• Existing pilot projects in Brazil, China, Mexico, Philippines and Russia are ongoing. New pilots launched in Colombia, Indonesia, Philippines and Rwanda.
Universal Health Coverage
We believe that good health is at the heart of human development; every individual should have access to quality, affordable and reliable essential healthcare services; no one should have to forgo treatment or be forced into poverty because of the cost of care.
This philosophy underlies our support for global Universal Health Coverage (UHC). Championed by the World Health Organization (WHO), efforts to achieve UHC are a global priority, also reflected in the UN Sustainable Development Goal 3: healthy lives and wellbeing for all at all ages. At Johnson & Johnson, we are firmly committed to doing our part to ensure that the promise of UHC becomes a reality. Around the world, we have hundreds of health-related programs, and we strive to align these with government priorities and advocate for quality healthcare, especially for women and children. We believe that tailored strategies that align local needs, resources and market conditions must be part of the solution.
Building stronger universal healthcare systems26
In 2018, we engaged intensively with the WHO on the topic of UHC and the ways in which we could support collaborative initiatives, and we formally joined the UHC2030 Private Sector Constituency, a multi-stakeholder platform to promote collaborative working in countries and globally on health systems strengthening, supported by the WHO and the World Bank, among others. We hope that this initiative will enable us, together with many partners, to forge a clear path to universal healthcare around the world.
Advancing the healthcare system in China
One important pillar in “Healthy China 2030,” set forth by China’s central government, is to improve the country’s current universal health coverage system and increase healthcare quality. In 2018, Johnson & Johnson partnered with the China Development and Research Foundation, a public organization with the mission to promote economic development and social progress, on a project to improve China’s multi-level medical insurance system. The goal is to identify opportunities to improve the basic medical insurance system through a stronger connection to supplementary commercial health insurance for patients seeking better access. The project concluded in March 2019, and recommendations will be submitted to the State Council for consideration.
The Right Start for babies
Some 230 million babies around the world do not have birth certificates, resulting in a lack of basic human rights, needs, and protection.27 This lack of identity can also lead to displacement, statelessness, and the inability to prove that a child is a minor in the eyes of the law. In 2018, The Right Start Initiative was launched in Ethiopia and Lebanon, where governments are actively trying to register as many affected babies as possible. Alongside international humanitarian organization Save the Children, JOHNSON’S Baby is determined to give these babies the right start by making invisible children visible, and changing the course of their lives. The three-year program focuses on building capacity among staff in key governmental institutions through a selection of trainings and workshops, while driving birth registrations in both countries.
At JOHNSON’S Baby we care about the development of babies and are determined to help them thrive. Through the Right Start initiative, we aim to raise awareness and ensure more babies receive the care and protection they deserve.
Supporting the Front Lines of Healthcare
At Johnson & Johnson, we invest in education and training for the global health workforce—the people on the front lines of healthcare, such as nurses, midwives, community health workers, caregivers and others who deliver treatments and support to our communities every day. These everyday heroes provide everything from health education to preventive wellness solutions and clinical interventions. Their skills, knowledge and passion are instrumental to improving health outcomes for the world’s most vulnerable people and their families.
One of the newer ways in which we are investing in health entrepreneurs with a social impact mission is through our impact investment initiative. We are focused on a limited number of investment opportunities over a five- to seven-year horizon. To date, we have made a number of investments that aim to reach vulnerable populations in Kenya, Southeast Asia and the UK.
We maintain a range of partnerships, in most cases funded by grants through our Johnson & Johnson Foundation and Johnson & Johnson Corporate Citizenship Trust, that take a life-span approach to health workforce strengthening, engaging young people in science and an interest in health careers, providing scholarships for nursing or midwifery education, and advancing the next generation with leadership and management training.
Some of our partnerships include:
- The Medical and Surgical Skills Institute, based in Ghana, where more than 21,000 healthcare professionals have received critical skills training over the past three years.
- The AO Alliance Foundation in low- and middle-income countries in Africa to develop skills and motivation among national and regional healthcare workers, that can maximize the opportunities afforded by available resources for care of the injured and in need of surgery.
Alliances to advance education for community health workers
In 2018, we announced a new partnership with the Health for All Alliance to ensure that community healthcare workers around the world can access the skills and digital tools they need to help save and improve lives. We will support these training efforts with funding and other resources.
We supported the Strategic Innovation for Community Health pilot program in Nairobi, Kenya, in partnership with INSEAD, to help further develop leadership and innovation among community and primary-care workers across Sub-Saharan Africa.
Partnering for maternal and newborn health
Born on Time is our partnership with the Government of Canada in Bangladesh, Ethiopia and Mali to prevent preterm birth by targeting risk factors related to lifestyle, infection, contraception, and nutrition. By 2020, Born On Time aims to reach more than 1.8 million women and adolescent girls, and train more than 8,000 healthcare providers, including 1,825 community health workers in Bangladesh, Ethiopia and Mali. Based on year two reporting of Johnson & Johnson support of this training, the program is poised to far exceed its initial five-year goals.
Save the Children programs, through Johnson & Johnson support in Bangladesh, Ethiopia, the Philippines and the UK, train healthcare providers to support maternal, newborn, and child health. The Helping Babies Breathe initiative, in partnership with Save the Children, has aided the training of skilled birth attendants in neonatal resuscitation in 11 countries to date, with the latest expansion of the program to Guatemala in 2018.
We also partnered with United Nations Population Fund (UNFPA) to end maternal deaths in humanitarian and fragile settings, and helped provide midwives in Haiti and Liberia with Emergency Obstetrics and Newborn Care (EmONC) training, reaching women and girls with health services.
Strengthening professional midwifery training programs
Considering that maternal deaths are still occurring in medical centers, many of which are oversaturated and lack resources, Johnson & Johnson partners with UNFPA in Mexico to focus on the quality of care afforded to patients by strengthening training for professional midwifery. To that end, UNFPA is working to increase the participation of professional midwives in maternal health services to help reduce maternal deaths by addressing births that present no complications at the primary care level, with added support from a trusted and accessible referral system. Currently in its second phase, the project involves working with 11 professional midwifery schools across the country by training healthcare providers, improving infrastructure and providing technical support.
Expanding quality emergency obstetrics and newborn care in Nigeria
The Johnson & Johnson partnership with the Wellbeing Foundation Africa and the Liverpool School of Tropical Medicine was expanded in 2018 throughout Kwara State in Nigeria. The partnership, which was already active in several regions of Kwara State, focuses on quality of EmONC service so that more mothers survive childbirth and more newborns are born healthy.
Partnerships like ours are so important because of the huge improvements that can readily be made. Eighty percent of all maternal deaths result from five complications that can be treated by qualified and trained health professionals: hemorrhage, sepsis, eclampsia, complications of abortion and obstructed labor. Our training is successful because it equips doctors, nurses and midwives, as a collective team, with the skills needed to overcome these obstetric emergencies.
2016-2018 Progress: 33.6 million women and children (56% of overall goal achieved)
Empowering nurses around the world
At Johnson & Johnson, we believe that nurses are changing the trajectory of health and are our critical partners on the front lines of care. Our many programs across the enterprise help support and elevate the visibility and impact of nursing in healthcare by championing nurse-led innovation, supporting skill development, developing leaders and strengthening nurse resiliency.
In 2018, Johnson & Johnson Nursing evolved its nursing advocacy strategy from a 15-year emphasis on nursing recruitment in the United States to a new focus on championing nurse-led innovation in healthcare. We introduced new television and digital advertising, celebrating nursing innovation throughout history that has changed human health, as well as a new website, nursing.jnj.com, for current and prospective nurses. The inaugural Johnson & Johnson Nurses Innovate QUICKFIRE CHALLENGE then invited nurses in the United States to submit ideas for new devices, health technologies, protocols or treatment approaches with the power to profoundly impact patient care, for the opportunity to receive up to $100,000 in grants and mentoring and coaching from Johnson & Johnson, via JLABS, our open-innovation ecosystem of healthcare entrepreneurs, to move their ideas forward.
Supporting nursing skills, leadership development and resiliency
As part of our ongoing commitment to advancing health and wellbeing and caring for the most vulnerable communities, Johnson & Johnson has engaged in the following programs and partnerships:
- Supported the Duke-Johnson & Johnson Nurse Leadership Program, currently in its fifth cycle, providing advanced practice nurses working in community practice settings with skills to effectively and efficiently deliver primary care services to vulnerable populations.
- Partnered with Sigma since 2002 on the Maternal-Child Health Nurse Leadership Academy to develop the leadership skills of maternal and child health nurses and nurse midwives as they strive to improve the quality of healthcare for underserved women and children.
- Supported, since 2001, nurses graduating from the Aga Khan University's School of Nursing and Midwifery who have been deployed across health facilities in the East Africa region.
- Supported development of the Care for the Caregiver educational self-help tool kit in partnership with the Texas Nurses Association and Texas Organization of Nurse Executives in the wake of Hurricane Harvey, to address moral distress and promote moral resilience, for nurses working in disaster recovery situations.
In India, Johnson & Johnson Medical India launched a specialized bus to travel across the country and provide hands-on surgery training to healthcare professionals in the next five years. Named "Johnson & Johnson Institute on Wheels," this mobile training center will enhance the surgical skills of doctors, nurses, and paramedical staff to address the demands of today's healthcare delivery system and provide better outcomes to patients of India.
We marked a 25-year partnership milestone with Mercy Ships, supporting its mission of providing hope, healing and resilience by providing hygiene kits and surgical products, like ETHICON sutures, as well as through our partnership on the Essential Surgical Skills Course that focuses on healthcare system strengthening.
2016-2018 Progress: 37.6 million beneficiaries (75% of overall goal achieved).
Shifting to Value-Based Care
At Johnson & Johnson, we believe a value-based healthcare system has tremendous potential to improve the health of populations, increase access to care, and limit costs. The transition to a value-based healthcare system will require many stakeholders— healthcare companies, payers, providers and policy makers—to work together and create an ecosystem of care. Working with our partners, we have implemented a range of innovative value-based initiatives, from agreements based on achieving specific clinical endpoints, to ones linked to offsetting other healthcare expenditures.
Value-Based Care saves money
Our global CareAdvantage initiative in the Medical Devices segment was launched in 2017 as a tool to help healthcare providers navigate value-based care (VBC), adjusted to meet the different needs of regional care systems. Data-driven, holistic and grounded in Johnson & Johnson’s deep expertise and insights, CareAdvantage helps providers and health systems in several countries implement value-based action plans while optimizing patient care.
Advancing VBC in Singapore
In 2018, we hosted the second annual Value-Based Care Forum in Singapore. Together with more than 120 local healthcare leaders from the Ministry of Health and the full spectrum of public and private healthcare representatives and experts, we explored VBC and outcomes from different perspectives, using examples of successful implementation as a source of insight. A highlight of the event was the keynote from Dr. Kevin J. Bozic, a recognized leader in orthopedic surgery and value-based healthcare payment and delivery models in the United States. Key local clinicians shared on partnership projects with Johnson & Johnson relating to wearables, innovative products and cancer treatment at home which improved healthcare outcomes for patients and the society. The initiative is aligned with the Ministry of Health’s focus to deliver value-based healthcare to provide sustainable quality healthcare services amid rising costs for the people of Singapore.