Healthcare Restoration Program
Improving healthcare environment and aiding the recovery of local healthcare
In the Hamadori area of Fukushima prefecture, local healthcare has been
devastated by the Fukushima Daiichi nuclear disaster. After the earthquake,
physicians left due to radioactivity concerns, halving their number in thearea. Patients have concentrated at surviving healthcare institutions,increasing the burden on the physicians who have continued seeing
patients beyond their capacity. Accordingly, we started hosting a Disaster
Healthcare Support Seminar at Fukushima Medical University, withthe aim of supporting healthcare in affected areas and conducting researchon disaster healthcare. By researching healthcare needs in affected areas,
we are developing a healthcare system to pave the way to recovery,
and a solution model for improving local healthcare. We hope that the
medical activities and the results of the research undertaken in
the context of this project will raise awareness on the current situation in
affected areas, not only in Japan but in the entire world.

Children’s Saturday Campus

Report on Great East Japan Earthquake
Recovery Program Initiatives 2013
Johnson & Johnson has been engaged in a variety of social
contribution activities for improving quality of people’s lives
from a long-term perspective based on the third responsibility
stipulated in Our Credo — our responsibility to the communities.
In the context of recovery from the Great East Japan Earthquake,
we are particularly focusing on areas lacking social support.
We are providing wide-ranging forms of aid, helping people inaffected areas regain their independence and developing
sustainable systems and communities.
Our Report on Great East Japan Earthquake Recovery Program
Initiatives 2013 provides information on the progress of recoveryprograms currently supported by the Johnson & Johnson Group in Japan.

Helping children overcome the earthquake and nurture their own dreams
Moving to temporary and rented housing in the prefecture has forcedchildren to leave the friends and teachers who had thus far accompanied
them in their studies. For these children, lives in new areas with different
customs and climate, as well as building new relationships at their newschools have proved a source of considerable stress. The Children’s
Saturday Campus is meant to help these children believe in themselves
again and be as happy as they were before the earthquake.

The program, consisting of 15 sessions a year and targeted at children
evacuated mainly from Namiemachi and Iitatemura in Fukushima
prefecture, leverages Fukushima University’s beautiful facilities andhuman environment to stimulate the children’s interest and allows themto get all the physical activities they want. It supports these children,
who will some day shape our future, and helps them pursue their own dreams.

Fellowship Program for Industrial revitalization in Tohoku
A powerful help in developing new jobs in affected areas
More than two years on from the earthquake, passionate and ambitious
local leaders in affected areas are beginning to tackle the challenge ofcreating new jobs. For these efforts to bear fruit, however, it will be
indispensable to secure management talents with business expertise.
In order to resolve such issues, Johnson & Johnson rolls out theRight-Hand Dispatching Program in cooperation with NPO ETIC.

Aiming to create and expand businesses capable of contributing to
the health of the residents of affected areas, we are advertising this project
as a driver of new job creation in Tohoku. By dispatching personnel
serving as the “right hands” of the leaders of selected initiatives, we will
help promote business and develop new jobs in affected areas.

Reports by volunteer employees
Volunteer employees aiding recovery from the Great East Japan Earthquake
Johnson & Johnson’s Contributions Committee hosts a volunteer month in June each year. In 2011, thecommittee added Great East Japan Earthquake recovery programs to the volunteer month activity list.
Disaster relief activities of the employees include provision of footbath massage and cleaning services tothe inhabitants of temporary housing. In 2011 and 2012 we held local product fairs titled “Volunteerism byBuying” at the Tokyo Head Office as well as through mail order in aid of recovery in Miyagi, Iwate andFukushima prefectures. Numerous employees from across the country participated in these volunteer fairs,and proceeds were donated to aid recovery from the earthquake.

Johnson & Johnson Contributions Committee
JJCC Intranet website http://jjcc.medjp.ap.jnj.com/JJCC/top.asp
JJCC Official website http://www.jjcc.gr.jp
Issue date: March 3, 2014
*The contents of this report are based on information as of November, 2013

©Johnson & Johnson K.K. 2015

Mother and Baby Support Program

Building New Social Bonds in temporary
housing community Program

The Tohoku Child-rearing Project — creating a safe child-rearing environment
for mothers in affected areas

Preventing the isolation of residents and helping care workers in temporary housing
create new communities

In addition to changes in the living environment caused by moving and evacuation as well as by damage wrought by the quake
to healthcare and transport infrastructures, Fukushima prefecture is saddled with many other problems stemming fromthe nuclear accident. It is in this context that we are supporting the creation of a safe child-rearing environment for mothersin Fukushima prefecture.

With the help of Johnson & Johnson, care workers in the temporary housing compounds of Ofunato City,
Iwate prefecture are playing an important role in developing environments and systems fostering new communities
within temporary housing and giving back to people their zest for living.

Stress and anxiety of new mothers
as a post-earthquake issue“Linkers” providing support for life intemporary housing and creating communities“If you're happy and you know it, clap your hands... If you’re happy andyou know it, then you really ought to show it...” With familiar nursery
rhymes, the venue is filled by the voices and laughter of happy mothers
and babies. The rays of the autumn sun are streaming into the room.
This is the heartwarming scene presented by the “Midwives’
Kosodate Salon (a parenting workshop) - Baby Massage andConsultations,” held in October 2013 at the Date Health Center.
The Tohoku Child-rearing Project, of which the Midwives’ Kosodate
Salon (a parenting workshop) is part, began about one year on from theGreat East Japan Earthquake. Out of the affected areas, pregnant womenand mothers suffered particular stress in Fukushima prefecture due todamage to healthcare and transport infrastructures, changes to the living
environment due to moving or evacuation, and radioactive pollution
from the nuclear accident. “After the earthquake, when we (the midwives)
visited the families of newborn children, we were surprised at the large
numbers of mothers who had stayed indoors and had been unable even to
open the windows out of concern. The record of our visits shows thatthe type and extent of the anxiety and stress experienced by mothers inaffected areas were wide-ranging, and were different for each individual,”says the Fukushima Midwives Association’s President Ishida. Johnson &Johnson has offered a helping hand to the project in order totackle this reality head on and help the mothers of Fukushima prefecture
feel safe when raising their children.

(a parenting workshop).” In Fukushima prefecture, the Fukushima
Midwives Association, consists of very experienced midwives, provides
services ranging from education for pregnant mothers and home visits tolocal mothers, to maternity care and mental care.
At the Midwives’ Kosodate Salon (a parenting workshop) in
particular, midwives from the Association provide consultations and lectureson child-rearing, guidance on baby massage and growth checks. The Salon
also functions as a place for mothers in the same circumstances to socialize.

No greater reward than a "thank you"said directly to us

Aiming to continue and further enhance
the Tohoku Child-rearing Project

Those who wish to become care workers first of all attend training on theirroles, daily work and required mental attitude. Manager Nitta, who has been
entrusted by the authorities with recruiting, training and managing careworkers, says: “One of the key tasks of care workers is to listen to what
each resident has to say, and honestly, sometimes the problems they tell us
about are very serious. Listening to people talk about such problems on adaily basis places a heavy burden on our care workers, too. Therefore,
we are providing our care workers with skills training on ‘attentive hearing’(a communication technique for listening to what the other party has to sayin a receptive, empathic fashion) and psychological counselingby specialists.” The daily life of a care worker is certainly tougher than one
might imagine. Recently, however, many care workers are expressing thesatisfaction experienced in their job. “People treat you like a stranger
at first, but then come to show you their fondness, and you want to do

According to a survey, one-and-a-half year old children born immediately
after the earthquake were suffering from higher stress levels than nurseryschool, kindergarten and elementary school pupils. This is believed tobe due to the vast impact exerted on the infants by stress caused to theirmothers by the earthquake. “The world of infants below one year of age
consists solely of their mothers and families. For this reason, it is importantthat mothers are able to relax and feel at peace. A safe child-rearing
environment gives mothers the freedom to enjoy their babies’ growth.
In turn, the resulting deepening of the relationship between motherand child allows the baby to grow up healthy, both mentally and physically,”
says President Ishida. The support system for mothers with children
under one year of age, however, still leaves much to be desired. In fact,
the Midwives’ Kosodate Salon (a parenting workshop) is always fully
booked. Mothers participating in the Salon have voiced their satisfaction
at seeing babies of the same age as their own, making friends with othermothers and receiving the midwives' advice. To meet their expectations,
it will be essential to continue the project and further bolster our support.

From left to right: the Rokuroishi compound’s care workers Ms. Sasaki and Mr. Takahashi,and area manager Mr. Kaminaga

The Fukushima Midwives’ Association’s President Ishida (left)
and midwives Ms. Sanpei (top right) and Ms. Kotani (bottom right)

Staff communicating with each of the mothers while providing guidance on baby massage

Help by experienced midwives fromthe Fukushima Midwives Association
Centered around local midwives’ associations, the Fukushima Midwives
Association is engaged in initiatives such as the “Fukushima Baby
Helpline,” home visits to pregnant and nursing mothers, breastfeeding
support at maternity hospitals, maternity hospital admission care fornursing mothers and their children, and the “Midwives’ Kosodate Salon

Ofunato City, which suffered serious damage in the earthquake, saw theconstruction of temporary housing compounds in total 37 locations, with
1,800 houses, to which about 4,500 evacuees were moved. Moving into
temporary housing, however, caused many to lose their connections in
an area which was, originally, characterized by strong local bonds.
This led to both physical and mental hardship. In order to resolve such
issues, staff members called “care workers” are currently stationed
full-time at assembly halls and lounges in each compound from 8:30 a.m.
to 5:30 p.m. on weekdays, and are helping residents take back their lives.
Care workers are working to “link” people to other people and toinformation, avoiding the residents’ solitary death.
They visit each household on a daily basis to greet people, discuss
their everyday problems and provide information from the authorities thatpeople affected by the quake will need to rebuild their lives.

whatever possible to help them,” says Ms. Sasaki, a care worker in theRokuroishi compound.
Likewise, Mr. Niinuma — area manager for the Hirabayashi compound —remarks: “You get to be thanked directly by the residents. That’s something
you won’t experience in other lines of work .” The low ratio of residents
refusing to receive visits (3%) demonstrates the depth of the relationship ofmutual trust developed between the care workers and the residents.

From left to right: the Hirabayashi compound’s care worker Ms. Sasaki, area manager Mr. Niinuma,
residents’ association president Mr. Takita, and care worker Mr. Furusawa

System for assigning care workers andrelated know-how to be expanded toother temporary housing compounds
As recovery progresses two years on from the earthquake, some are
beginning to leave temporary housing. Many, however, still face anuncertain future. In addition to loneliness, people who remain in temporary
housing feel left behind and anxious about how long they will
be able to stay. “For this very reason, we will need to be even moreproactive in making contact, and to have new initiatives allowing residents
to gather and enjoy themselves,” says Mr. Takahashi, a care worker in theRokuroishi compound, showing his earnestness to help the residents.
Specifically, such initiatives are currently taking the form of “residents’association challenges.” This entails each compound holding events
autonomously with the help of the care workers, helping residents have agood time together. Recently, the Rokuroishi compound has held a Pacific
Saury (“samma”) Festival, and the Hirabayashi compound a Meat andTaro Soup (“Imoni”) Party, making the compounds resonate with laughter.
Began in September 2011, the assignment of care workers has been
expanded to Otsuchicho in Iwate prefecture, and is scheduled to beincorporated at temporary housing compounds in Futabacho, Fukushima
prefecture. Johnson & Johnson will continue to provide its support in thehope that the care worker assignment system and related know-how
will help create communities in affected areas and help people regain
their zest for life, aiding their future independence.

©Johnson & Johnson K.K. 2015