GCC Healthy Workplace initiatives - What is GIS - World Health ...
GCC Healthy Workplace initiatives - What is GIS - World Health ...
GCC Healthy Workplace initiatives - What is GIS - World Health ...
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<strong>GCC</strong> <strong><strong>Health</strong>y</strong> <strong>Workplace</strong><br />
<strong>initiatives</strong><br />
Ahmad KS Al-Shatti, BMS, MBBS, MSc, FFOM<br />
Director, OHD. MOH, Kuwait<br />
1st International PHC Conference Doha, Qatar<br />
1 - 4 November 2008
contents<br />
Occupational <strong>Health</strong><br />
Why?<br />
Basic Occupational <strong>Health</strong> services.<br />
workplace <strong>initiatives</strong>.<br />
<strong>GCC</strong> OH road Map.
<strong>What</strong> <strong>is</strong> Occupational <strong>Health</strong> ?<br />
“The The promotion and maintenance of the<br />
highest degree of physical, mental and social<br />
well being of workers in all occupations”<br />
occupations<br />
“The The adaptation of work to man and each man<br />
to h<strong>is</strong> job” job<br />
-- First Joint ILO/WHO Committee on Occupational <strong>Health</strong>
solvents<br />
Occupational<br />
Stress<br />
Occupational <strong>Health</strong> Services<br />
Chemical Hazards<br />
Medical<br />
Surveillance<br />
D<strong>is</strong>ability<br />
Management<br />
Ergonomics<br />
Alcohol &<br />
Drug Testing<br />
Worker Population<br />
at various Work Sites<br />
Physical Hazards<br />
FFW/RTW<br />
Evaluation Exposure<br />
Assessment<br />
Direct<br />
Medical Care<br />
Services<br />
Ergonomics<br />
Program<br />
Sickness<br />
Absentee<strong>is</strong>m<br />
Monitoring<br />
Universal<br />
Precaution<br />
<strong>Health</strong><br />
Promotion &<br />
Wellness<br />
Program<br />
Respiratory<br />
Protection<br />
Hearing<br />
Protection &<br />
Conservation<br />
Regulatory<br />
Compliance<br />
Stress<br />
management<br />
Non-Occupational<br />
Stress<br />
No<strong>is</strong>e<br />
Biological<br />
Hazards
Entry point<br />
prevention<br />
Functional job<br />
analys<strong>is</strong><br />
Ergonomics<br />
Fitness/<br />
Conditioning<br />
Pre-work<br />
Screening<br />
Education for<br />
Injury/D<strong>is</strong>ease<br />
Prevention<br />
Medical/Legal<br />
Credibility<br />
Fitness For Work<br />
Admin<strong>is</strong>trative<br />
Entry point injury<br />
management<br />
Immediate Active<br />
Care<br />
Functional<br />
Capacity<br />
Evaluation<br />
Work<br />
Rehabilitation<br />
Job<br />
Modification<br />
Medical/Legal<br />
Credibility
contents<br />
Occupational <strong>Health</strong><br />
Why?<br />
Basic Occupational <strong>Health</strong> services.<br />
workplace <strong>initiatives</strong>.<br />
<strong>GCC</strong> OH road Map.
key global <strong>is</strong>sues<br />
Global competition<br />
Regional integration processes<br />
Little regulation and inspection<br />
Shortage of professional expert<strong>is</strong>e<br />
10-15 10 15 % of total workforce of world have access<br />
to occupational health services<br />
Informal economy, SSEs, SSEs,<br />
SMEs<br />
Inequity, poverty
Situation<br />
2.6 billion workers<br />
Informal economy huge and growing<br />
179 million children in hazardous work<br />
Over 2 million deaths yearly from<br />
occupational d<strong>is</strong>eases and injuries<br />
160 million d<strong>is</strong>eases<br />
270 million non fatal injuries<br />
old and new hazards; hazards;<br />
old and new<br />
d<strong>is</strong>eases<br />
double ‘burden burden of d<strong>is</strong>ease’ d<strong>is</strong>ease<br />
Overburdened health system, system,<br />
understaffing
WHO Global Burden of D<strong>is</strong>ease<br />
Effort<br />
WHO <strong>World</strong> <strong>Health</strong> Report - Oct 2002<br />
Occupational R<strong>is</strong>k Factors account for: for<br />
– Injuries - 10%<br />
– Back Pain - 37%<br />
– Hearing loss –16% 16%<br />
– Infections from Needle sticks among <strong>Health</strong><br />
Care Workers<br />
40% Hepatit<strong>is</strong> B, 40% Hepatit<strong>is</strong> C<br />
2% HIV
14%<br />
Global perspective<br />
The Breakdown of Costs for<br />
Work-related Injuries and D<strong>is</strong>eases<br />
9% 8% 13%<br />
16%<br />
40%<br />
Musculoskeletal Heart Injuries<br />
Respiratory Nervous system Others<br />
Source: ILO
Ice berg of occupational d<strong>is</strong>ease<br />
Reported<br />
Not Reported<br />
Work<br />
Relation<br />
Recognized<br />
Medical Attention<br />
Received, but<br />
Relationship of illness<br />
To work not recognized<br />
Symptoms, but<br />
No Medical attention sought<br />
Affected,<br />
But no symptoms
Primary health care and basic occupational<br />
health services<br />
Challenges and opportunities<br />
Report of an intercountry workshop<br />
Sharm el-Sheikh, el Sheikh, Egypt, 12–14 12 14 July 2005<br />
<strong>World</strong> <strong>Health</strong> Organization<br />
Regional Office for the Eastern Mediterranean<br />
Cairo<br />
2006
The key strategy principles of international and national<br />
occupational health and safety policies are:<br />
• avoidance of hazards (primary prevention)<br />
• safe technology<br />
• optimization of working conditions<br />
• Integration of production and health and safety activities<br />
• government’s government s responsibility, authority and competence in the development and and<br />
control of<br />
working conditions<br />
• primary responsibility of the employer and entrepreneur for health health<br />
and safety at the<br />
workplace<br />
• recognition of employees’ employees own interest in occupational health and safety<br />
• cooperation and collaboration on an equal bas<strong>is</strong> by employers and and<br />
workers<br />
• right to participate in dec<strong>is</strong>ions concerning one’s one s own work<br />
• right to know and principle of transparency<br />
• continuous follow-up follow up and development of occupational health and safety.<br />
Implementation of such principles requires appropriate legal prov<strong>is</strong>ions, prov<strong>is</strong>ions,<br />
admin<strong>is</strong>trative<br />
enforcement and service systems for occupational safety and health health<br />
and occupational health<br />
services.
The 10 priority objectives proposed by the strategy are<br />
as follows:<br />
• Strengthening of international and national policies for health at work and developing<br />
the necessary policy tools<br />
• Development of healthy work environment<br />
• Development of healthy work practices and promotion of health at at<br />
work<br />
• Strengthening of occupational health services (OHS)<br />
• Establ<strong>is</strong>hment of support services for occupational health<br />
• Development of occupational health standards based on scientific scientific<br />
r<strong>is</strong>k assessment<br />
• Development of human resources for occupational health<br />
• Establ<strong>is</strong>hment of reg<strong>is</strong>tration and data systems, development of information services<br />
for experts, effective transm<strong>is</strong>sion of data and ra<strong>is</strong>ing of public public<br />
awareness through<br />
public information<br />
• Strengthening of research<br />
• Development of collaboration in occupational health and with other other<br />
activities and<br />
services
contents<br />
Occupational <strong>Health</strong><br />
Why?<br />
Basic Occupational <strong>Health</strong> services.<br />
workplace <strong>initiatives</strong>.<br />
<strong>GCC</strong> OH Road Map.
Primary health care and basic occupational<br />
health services<br />
Challenges and opportunities<br />
Report of an intercountry workshop<br />
Sharm el-Sheikh, el Sheikh, Egypt, 12–14 12 14 July 2005<br />
<strong>World</strong> <strong>Health</strong> Organization<br />
Regional Office for the Eastern Mediterranean<br />
Cairo<br />
2006
WHO Occupational <strong>Health</strong> Program<br />
Science<br />
3. Expansion of<br />
coverage; Basic<br />
Occupational<br />
<strong>Health</strong><br />
Services<br />
1- Policies and<br />
evidence<br />
Protection<br />
Protection<br />
of<br />
of<br />
vulnerable<br />
vulnerable<br />
groups<br />
groups<br />
Policies<br />
2. Tools and<br />
Materials for<br />
<strong>Workplace</strong><br />
solutions<br />
Tools
Basic Occupational <strong>Health</strong> Services
Infrastructure<br />
Service prov<strong>is</strong>ion<br />
Support services<br />
Policy<br />
M<strong>is</strong>sion Strategy<br />
Objectives<br />
WHO Strategy<br />
Good Practices<br />
Tools & Methods<br />
Knowledge bas<strong>is</strong><br />
Human resources<br />
comptence, skills,<br />
ethics<br />
J.Rantanen/Bordeaux04<br />
Figure 1. The WHO Strategy for Basic Occupational <strong>Health</strong> Services
Figure 2. Stepw<strong>is</strong>e development of occupational health services<br />
ODs = occupational d<strong>is</strong>eases, PHC = Primary <strong>Health</strong> Care, OHS = occupational health services, SME =<br />
small and medium sized workplace, SSE = Small enterpr<strong>is</strong>e, SE = Self-employed, IFS = Informal sector
National level<br />
Intermediate<br />
level<br />
Local level<br />
OS&H INSPECTORATE<br />
MoH or MoL<br />
OM IOH<br />
OM<br />
CLINICS<br />
Big Company GROUP OHS PHC Unit Private center<br />
In- company<br />
OHS<br />
INTEGRATED OS&H SYSTEM<br />
DOH&S DOH<br />
BOHS<br />
SME Company SE SME SSE SE SME<br />
IFS<br />
SE<br />
IFS<br />
IFS<br />
IFS<br />
IFS<br />
IFS<br />
IFS<br />
Regulation and policy<br />
SE<br />
IFS<br />
Support services<br />
Service prov<strong>is</strong>ion<br />
Figure 3. The Infrastructure system for OS&H. The main field of operation for BOHS <strong>is</strong> indicated in the<br />
shadowed circle. (Abbreviations; MoH = Min<strong>is</strong>try of <strong>Health</strong>, MoL = Min<strong>is</strong>try of Labour, DoH&S = Department<br />
of Occupational Safety and <strong>Health</strong>, DoH = Department of (public) <strong>Health</strong>, IOH = Institute of Occupational<br />
<strong>Health</strong>, OM = Occupational medicine, PHC = Primary <strong>Health</strong> Care, SME = small and medium sized<br />
workplace, SSE = Small enterpr<strong>is</strong>e, SE = Self-employed, IFS = Informal sec-tor, OHS = Occupational health<br />
services, OS&H = Occupational safety and health
Figure 4. The flow scheme of activities within the framework of BOHS
contents<br />
Occupational <strong>Health</strong><br />
Why?<br />
Basic Occupational <strong>Health</strong> services.<br />
workplace <strong>initiatives</strong>.<br />
<strong>GCC</strong> OH Road Map.
Improving health <strong>is</strong> everybody’s business
Saving Lives: Our <strong>Health</strong>ier Nation<br />
“The health and well being of employees <strong>is</strong> a key factor in the<br />
success of any business or organ<strong>is</strong>ation.”<br />
Effective action by employers and employees will improve<br />
competitiveness by reducing sickness absence rates; it will<br />
also improve the health of the local communities which<br />
provide the workforce.<br />
The workplace provides opportunities both to improve the<br />
health of the workforce and to address health inequality.
The <strong><strong>Health</strong>y</strong> <strong>Workplace</strong> Initiative<br />
Puts health in the mainstream of business<br />
thinking and recogn<strong>is</strong>es that the health of<br />
people at work <strong>is</strong> a core <strong>is</strong>sue for management.<br />
“A A healthy workplace will bring employers and employees<br />
improved productivity, lower rates of sickness absence,<br />
fewer accidents and less illness” illness (Saving Saving Lives:Our<br />
<strong>Health</strong>ier Nation)<br />
Nation
contents<br />
Occupational <strong>Health</strong><br />
Why?<br />
Basic Occupational <strong>Health</strong> services.<br />
workplace <strong>initiatives</strong>.<br />
<strong>GCC</strong> OH Road Map.<br />
Map
ﺔﻴﻨﻬﻤﻟا ﺔﺤﺼﻠﻟ ﻪـــﻴﻨﻃﻮﻟا تﺎﻴﺠﻴﺗاﺮﺘﺳﻻا<br />
ﺔﻴﻤﻟﺎﻋ تﺎﻬﺟﻮﺗو ﺔﻴﻠﺤﻣ تﺎﻳﻮﻟوأ<br />
National Occupational <strong>Health</strong> Strategy<br />
LOCAL PRIORITIES AND GLOBAL TRENDS
ﺔﻴﻨﻬﻤﻟا ﺔﺤﺼﻠﻟ ﺔﻴﺠﻴﻠﺨﻟا ﺔﻨﺠﻠﻟا<br />
ﺔﺤﺼﻟا ةرازو<br />
ﺔﻴﺘﻳﻮﻜﻟا تﺎﻴﺋﺮﻤﻟا<br />
: ﻦﻣ ﺔﻣﺪﻘﻣ<br />
–<br />
ﺔﻴﻨﻬﻤﻟا ﺔﺤﺼﻟا ةرادإ<br />
ﺖﻳﻮﻜﻟا ﺔﻟود<br />
ﻲﻟإ<br />
ﺔﻳﺬﻴﻔﻨﺘﻟا ﺔﻨﺠﻠﻟا عﺎﻤﺘﺟا<br />
ﺔﺤﺼﻟا ءارزو ﺲﻠﺠﻤﻟ يﺬﻴﻔﻨﺘﻟا ﺐﺘﻜﻤﻟا<br />
ـه<br />
ﻲﺠﻴﻠﺨﻟا نوﺎﻌﺘﻟا ﺲﻠﺠﻣ لوﺪﻟ<br />
١٤٢٧<br />
نﺎﺒﻌﺷ<br />
،<br />
م<br />
٢٠٠٦<br />
ﺲﻄﺴﻏأ
<strong>GCC</strong> OH&S committee<br />
The Gulf Occupational <strong>Health</strong> and Safety<br />
Committee has adopted the <strong>World</strong> <strong>Health</strong><br />
Organization Global Plan of Action on<br />
Occupational <strong>Health</strong> for all during the last<br />
meeting in Kuwait on 8 – 9 April, 2008<br />
The plan of action was based on the<br />
objectives of th<strong>is</strong> plan
Policy<br />
V<strong>is</strong>ion<br />
OH <strong>is</strong> a vital<br />
investment<br />
for develop<br />
M<strong>is</strong>sion<br />
Development of policies, infrastructure, and partnership<br />
to promote health in all workplaces<br />
Priorities<br />
Reactivation of National OH Committees<br />
Occupational <strong>Health</strong> Profiles<br />
Re-evaluation of health impairment of OD<br />
Training of Nationals<br />
Establ<strong>is</strong>hment of Occup surveillance system<br />
Guideli<br />
nes<br />
Standa<br />
rds<br />
Data<br />
Aware<br />
ness<br />
Skills<br />
Leg<strong>is</strong>la<br />
tion
<strong>GCC</strong><br />
Plan of Action Skeleton<br />
(2008 – 2012)
Indicators of Evaluation<br />
Each country will prepare its own national<br />
specific measurable indicators for each<br />
objective according to the prepared plan.<br />
These indicators are essential for<br />
evaluating successes and failures of the<br />
plan to modify or re-plan re plan activities and<br />
procedures
SWOT Analys<strong>is</strong>
Strengths<br />
The committee <strong>is</strong> an official structure of<br />
the min<strong>is</strong>ters of health council of the <strong>GCC</strong><br />
All members of the committee represent<br />
their countries and are key personnel<br />
responsible for national occupational<br />
health services<br />
All members of the committee share<br />
similar v<strong>is</strong>ion, m<strong>is</strong>sion, and environmental<br />
circumstances
Weaknesses<br />
Inadequate or lack of financial resources<br />
Lack of defined strategies that ensure<br />
follow up and commitment of the member<br />
countries
Opportunities<br />
The increasing interest of the WHO about<br />
health of the workers and the recent<br />
declaration of GPA on occupational health<br />
for all during June 2006 in Italy provide a<br />
unique opportunity that must be seized<br />
Globalization and establ<strong>is</strong>hing of mega<br />
companies working across borders can<br />
play an important role to promote health<br />
and safety of workers.
OHS in Kuwait - opportunities<br />
High levels of OH&S awareness:<br />
awareness:<br />
post - explosions<br />
Safety culture<br />
Worker awareness<br />
Community pressure<br />
New Admin<strong>is</strong>trative Attitude<br />
Commitment at the top level
Threats<br />
Lack of awareness of employers about<br />
health and safety and its direct impact on<br />
productivity and work ability<br />
Lack of experienced occupational health<br />
special<strong>is</strong>t<br />
Lack of incentives that encourage joining<br />
occupational health career
In General<br />
Lack of adequately trained human resources<br />
Lack of policies<br />
State interference less and less<br />
Some positive trends:<br />
Awareness in larger (multinational industry ("good<br />
neighbour Schemes"); th<strong>is</strong> can have positive impact<br />
on the production chain
HEALTH <strong>is</strong> not every thing,<br />
but without everything <strong>is</strong><br />
nothing (WHO)
Thank you<br />
Dr Ahmad Al-Shatti Al Shatti<br />
BMS, MBBS, MSC, FFOM<br />
Director, Occupational <strong>Health</strong> Dept. MoH. MoH.<br />
KUWAIT<br />
ashatti@yahoo.com
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