Health 4+ Partnership

Partnership objectives

  1. Reduce maternal and infant mortality.
  2. Build health care capacity by training new health care workers or improving the skills of existing health care workers.

Copyright Every Woman Every Child

What are the health needs and challenges?

One thousand women and girls die every day in pregnancy or childbirth from complications like infection and bleeding. (Source: Trends in Maternal Mortality: 1990 to 2008. Estimates developed by WHO, UNICEF, UNFPA and The World Bank. World Health Organization) Approximately 50% of global maternal deaths occur annually in sub-Saharan Africa, as do deaths among children under five. It is estimated that 80% of maternal deaths could be prevented by timely health care before, during and after birth. (Source: White Ribbon Alliance, Global Maternal Mortality Fact Sheet).

Description of partnership activities and how they address needs and challenges:

In order to better meet the Millennium Development Goals (MDGs), particularly MDGs #4 (reduce the under-5 mortality rate) and #5 (reduce maternal mortality), the UN Secretary General encouraged UN agencies to embark on Joint Programs. The aim of this coalition was to aid in decreasing maternal and newborn mortality in 60 of the world’s most disadvantaged countries. The organizations involved in the Health 4+ partnership include: UNFPA, UNICEF, WHO, the World Bank, UNWomen and UNAIDS. Health 4+ believes the most effective way to help realize the MDGs is to build upon existing programs within target countries, by improving coordination, and leveraging the collective strengths of each member agency.

Johnson & Johnson’s partnership with Health4+ focuses on Ethiopia and Tanzania, including Zanzibar. In Tanzania, 1 in 23 women run a lifetime risk of dying from pregnancy and childbirth and Ethiopia has the 5th highest maternal mortality rate in the world with a 1 in 27 lifetime risk. Even though Ethiopia and Tanzania have each made significant strides recently in reducing infant mortality, the mortality rate is still especially high. This program aims to help reducing maternal and infant mortality in the two countries by building the capacity of birth attendants to manage emergency obstetric and neonatal care. The partnership is training Integrated Emergency Obstetric Surgeons, nurses and midwives. Johnson & Johnson was the first private sector organization to support this effort.

By the end of the four-year project, this program expects to increase the number of facility-based infant deliveries, decrease maternal mortality, decrease infant mortality, and provide a sustainable infrastructure for improved MNH services. At the project’s conclusion we aim to have directly impacted 1.3 million lives, while a further 3 million lives will have been indirectly impacted across the two countries.

Summary of impact and forward looking information:

Two skills labs were renovated at the Midwifery Schools at the College of Health and Sciences in Zanzibar, Tanzania.

In Tanzania, programmes supported by J&J have resulted in the training of 85 midwives, nurse tutors, and clinical instructors.

Partnership information

Company(ies) Johnson & Johnson

Partner(s) UNAIDS, UNFPA, UNICEF, World Bank, World Health Organization (WHO)

Type of Partner(s) IGOs

Therapeutic Focus Women and Children's Health

Disease(s) Children's Health, Family Planning, Sexual & Reproductive Health, Obstetrics, Women's Health

Program Type(s) Health System Infrastructure - Training

Targeted Population(s) Children, Marginalised / Indigenous People, Mothers, People with low income, Women

Region(s) Sub-Saharan Africa

Number of Countries 2

Country(ies) Ethiopia, Tanzania

Start Date 2012

More information Janssen Website

Anticipated completion date 2015