Global Plan of Action for Workers' Health

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Global Plan of Action for Workers' Health

• Network of Collaborating Centres' Priorities,
  Workplan, and Expected Outcomes

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Global Plan of Action for Workers' Health
2008-2017Resolved at the World Health Assembly
23 May 2007 (60.26)

• Built on
• WHA49.12 which endorsed the global strategy for
  occupational health for all
• Recommendations of the World Summit on
  Sustainable Development (Johannesburg, South
  Africa, 2002) on strengthening WHO action on
  occupational health and linking it to public
  health
• Promotional Framework for Occupational Safety and
  Health Convention, 2006, and the other
  international instruments in the area of
  occupational safety and health adopted by the
  General Conference of the ILO
• the health of workers is determined not only by
  occupational hazards, but also by social and
  individual factors, and access to health
  services
• interventions exist for primary prevention of
  occupational hazards and for developing healthy
  workplaces
• there are major gaps between and within countries
  in the exposure of workers and local communities
  to occupational hazards and in their access to
  occupational health services
• the health of workers is an essential
  prerequisite for productivity and economic
  development,

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World Health Assembly in the GPA Requests the
Director General

• (1) to promote implementation of the global plan
  of action on workers health 20082017 at
  national and international levels with a definite
  timeline and indicators for the establishment of
  occupational health services at global level
• (2) to strengthen collaboration with ILO and
  other related international organizations and to
  stimulate joint regional and country efforts on
  workers health
• (3) to maintain and strengthen the network of WHO
  collaborating centres for occupational health as
  an important mechanism for implementation of the
  global plan of action
• (4) to report to the Health Assembly through the
  Executive Board at its 132nd (2013) and its 142nd
  (2018) sessions on progress made in the
  implementation of the global plan of action.

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GPA Objective Areas

• GPA1 Devise and implement policy instruments on
  workers health
• GPA2 Protect and promote health at the
  workplace
• GPA3 Improve the performance of and access to
  occupational health services
• PA4 Provide and communicate evidence for action
  and practice
• GPA5 Incorporate workers health into non-health
  policies and projects

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65 collaborating centre's from 37 countries 5
regional offices Geneva Headquarters
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Collaborating Centres

• Program objectives
• The network of Collaborating Centres makes a
  substantial contribution to our goal of
  occupational health for all they are the
  "on-the-ground" actors, with capacities and
  networks in developed and developing countries,
  and play a key role in capacity building. WHO
  estimates that only about 10 to 15 of workers
  worldwide have some kind of access to
  occupational health services, and extending
  coverage is a key challenge. http//www.who.int/o
  ccupational_health/network/en/

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Priority Areas, leadership and outcomes as
defined by CC Network Advisory Board, GPA
Managers, and WHO Headquarters
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(No Transcript)
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Network of Collaborating Centres' 2009-2012
Workplan Summary

• Over 200 projects which contribute to addressing
  the 5 objectives of the Global Plan of Action
• 14 priority areas

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Objective 3 to improve the performance and
access to occupational health services

• Coverage and quality of occupational health
  services
• Linkage to national health strategies and health
  sector reforms
• Standards for organization and coverage
• Mechanisms for pooling resources and financing of
  the delivery
• Sufficient and competent human resources
• Quality assurance systems
• Basic occupational health services for all
  workers
• Building core institutional capacities
• National and local levels
• Development of human resources for occupational
  health
• Post graduate training
• Capacities for basic occupational health services
• Workers health in training of primary health
  care
• Attracting and retaining human resources

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Priority 3.1 CC Initiative Leader Timo Leino,
FIOH

• Develop working methods, provide technical
  assistance to countries for organization,
  delivery and evaluation of basic occupational
  health services in the context of primary health
  care, with particular focus on underserved
  populations and settings with constrained
  resources
• Outputs Good practices and demonstration
  projects for organization and delivery of
  occupational health services, evaluation of
  service delivery, international knowledge
  networks of service providers, website
  clearinghouse of information materials for
  occupational health practice

Cape Town 25 March 2009 / FIOH / Timo Leino /
16.9.2009
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Establishment of basic occupational health
services

• Asia
• China (NIOHPC)
• governement decission to take BOHS as a model for
  OHS development
• national OH profile done
• BOHS guides translated to Chinese
• 19 county level BOHS pilots including training of
  trainers implemented
• several consultation missions by ICOH/WHO/ILO
• nation wide implementation planned
• Thailand (MOPH)
• BOHS action plan to incorporate OH in PHC
• Vietnam (NIOEH)
• governement has made BOHS an element in the
  national health programme
• PHC approach applied in the organisation of
  grassroots level services
• Japan (JNIOSH)
• East-Asian Network of OHS including Korea (CUK
  and KOSHA) will continue to contribute to the
  development of BOHS with PHC and SME projects,
  training, and sharing information
• India (Sri Ramachandra University)
• BOHS initiated by the Indian Association of OH
  with the co-support from the relevant state
  Govts. in collaboration with the WHO India Office
• BOHS started in the states of Tamil Nadu and
  Maharashtra with the view of nation wide
  implementation

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Establishment of basic occupational health
services

• Europe
• South-East Europe Network of OHS
• WHO/ILO/ICOH collaboration
• country mission by a WHO expert to produce an
  updated situation analysis and country-specific
  recommendations on policy and capacity building
  of OHS in Albania, Croatia, FRY Makedonia,
  Montenegro, and Serbia (including Kosovo)
• training of trainers

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Establishment of basic occupational health
services

• Americas
• BOHS components included in the SALTRA programmes
  leaded by the Central American Institute for
  Studies on Toxic Substances (IRET), Costa Rica
  going on in Guatemala, El Salvador, Nicaragua,
  Honduras, Guatemala and Panama in co-operation
  with the local community and health authorities,
  local ILO and IMO offices, labour unions,
  indigenous communities and human rights
  associations
• Africa
• East African Union new Programme for Occupational
  Health has BOHS as one of the programme elements
• regional OHS development project funded by
  Finland under way in Kenya, Tansania, Uganda,
  Burundi and Ruanda
• Other
• Several governments have expressed interest for
  implementation of BOHS including Indonesia,
  Chile, Brazil, Mexico, Turkey, East African
  Countries and several Balkan countries in
  EuropeRussia
• The Federal Ministry of Health and the Ministry
  of Labour have agreed to restructure OHS systems
  based on BOHS principles
• regional OHS profiles
• training and information distribution with the
  co-operation of ILO and WHO
• initiative to implement BOHS in Karelia

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Priority 3.2 CC Initiative Leader Leslie
Nickels, UIC and Norbert Wagner, University of
South Florida, USA

• Adapt and disseminate curricula, training
  materials and training for international capacity
  building in OH
• Output Model materials and courses for BOHS,
  inventory, technical support for delivery of
  international courses and on-line training,
  national training programmes in low- and
  medium-income countries, introduction of OH into
  professional education

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Contributing BOHS projects on capacity building

• ICOH
• A textbook on BOHS (ed. Tee Guidotti) in press
• A manual on good basic occupational health
  practice under preparation
• Development of an international BOHS online
  support platform
• initiative of the Coronel Institute of
  Occupational Health, the Netherlands and the
  Imperial College Healthcare NHS Trust, UK to
  offer training aids for grassroots health service
  providers and training for trainers on the
  implementation of BOHS
• model training course for BOHS
• clearinghouse for educational materials and
  courses
• Japan (UOEH), Korea, China, Thailand, Vietnam
• model course development for BOHS
• training and education programmes run for several
  Asian countries
• Afganistan
• initiative to build an OH unit in the Afganistan
  Public Health Institute and to lounch an
  extensive training programme
• Sri Lanka
• training programmes targetting the health staff,
  labour officers, employers and the workers

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The way forward

• involved more countries and new collaborating
  centers at some level to improve OHS
• closer collaboration with PHC organisations, such
  as WFPHA
• continued co-ordination with ICOH, ILO and other
  relevant international organisations
• WHO clearing house of technical support for
  information and good practices in co-operation of
  CCs and other intrested institutions and experts
• regional meetings/conferences to build up
  contacts and activities to start and improve
  occupational health services

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Conclusion

• Establishment of OH services that are relevant,
  accessible, affordable and of good quality is
  progressing
• It is important to
• Improve collaboration and build trust between
  employers, employees and government
• Define the role of OHS in the policy and practice
• Build a service system with a firm economic basis
• Ensure sufficient resources for OHS
• Ensure high-quality training on
• OHS for OHS experts
• BOHS for grasroots level health and community
  workers
• Provide up-to-date information
• The WHO CCs need to influence governements to
  initiate WHO to establish permanent budget line
  for the development of BOHS

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Projects Accessible Over the Internet

• Curriculum development and enhancement of faculty
  skills in creating distance based courses
• E-training in occupational risk prevention
• Seminars on usage of personal protective
  equipment for health care workers
• Netbased training of work related medicine
• Introduction to occupational health (15 week
  course)
• Occupational diseases (15 week course)
• Focus on GeoLibrary