Model gpa objective X working Compendium

2009-2012 Work Plan Number	GPA2.15a Formerly AA1:4
GPA Objective	Objective 2: To protect and promote health at the workplace
CC or NGO Name	Centre for Research and Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia
Project title	Occupational Safety and Health System Management: the challenge of global diversity
Keywords	OSH system management, guidelines, legislative framework, safe communities, networks, risk perception, participation
Project leader Email address	Dr Wendy Macdonald [e-mail]
Partners (of the CC Network)	Dr Kaj Elgstrand and others in the AA1 group IEA International Development Committee: Dr Halimahtun Khalid (Committee Chair), Dr Kazutaka Kogi, and others as arranged through Dr Khalid Vietnam Administration for Preventive Medicine, VIETNAM: Dr Nguyen Thi Hong Tu WHO/AFRO: Dr Thebe A. Pule
Other partners	Dr Shyam Pingle, Medical & Occupational Health Services, Reliance Industries Ltd, INDIA Mr Ian Eddington (ICOH Board Member), Australian Graduate School of Business, University of Southern Queensland, AUSTRALIA Dr Louise Waite, School of Geography, University of Leeds, UK
Funding	Baseline funding will be provided by the La Trobe University Centre for Ergonomics and Human Factors. External funding will also be sought to support field data collection during the later stages of the project.
Objective of the project	The objective is to evaluate the utility of a globally standardised approach to OSH management, represented by the ILO guidelines for OSH Management Systems (OSH-MSs), and to develop and implement alternative means of achieving some of the key functions of a formal management system in one or more environments where the standard approach is of very limited utility. The process of developing alternatives will entail a high degree of stakeholder/worker participation, and may utilise elements of WHO ‘safe communities’ / ‘healthy cities’ programs. The focus will be on workers in the informal sector or in very small organisations, both in Australia and in other localities as arranged with partners. Factors likely to affect the utility of standard guidelines include: extent of OSH legislation and enforcement; working hours and worker status (e.g. self-employed, casual/ permanent, part/full-time, local/migrant); types of hazards and risk profile; diversity of workers’ own resources and vulnerabilities (e.g. chronic illness, age- and gender-based differences, malnourishment), and individual perceptions of the relative utilities of potential risk control options.
Project outcome(s) and deadline(s) for completion of the project	A report that: (a) documents systemic deficiencies in the current management of OSH for a small but diverse sample of work environments; (b) critically evaluates the utility within these work environments of a standardised, global approach to system management, i.e. the 2001 ILO guidelines for OSH-MSs; (c) identifies some potential solutions to identified problems (deadline: 2007) One or more sets of OSH-MS guidelines tailored to meet the needs of particular groups/environments, following those developed for the Japanese Construction and Manufacturing industries (by 2008*). One or more reports documenting process and outcome evaluations of the implementation of at least one set of the tailored guidelines: process evaluations by 2012; outcome evaluations by 2015.
Target group and/or beneficiaries	Those responsible for designing and implementing OSH-MSs at both national and organisational levels; the ILO SafeWork program; occupational health professionals and students; workers directly affected by implementation of tailored OSH system guidelines.
Summary of the project	Based on current research at La Trobe University on the core functions of OSH-MSs, survey content will be developed for use in documenting how and the extent to which these functions are being performed within different types of work environment. Potential target groups/environments and means of obtaining the required information (existing data sources, questionnaires, focus groups, individual interviews; translation requirements) will be determined on the basis of discussions with project partners. Finally, tailored versions of the ILO OSH-MS guidelines will be drafted, participatively fine-tuned, implemented and evaluated in one or more of the environments studied (scale dependent on available funding).
Dissemination	Professional and academic meetings and publications; ILO-sanctioned tailored guidelines (to be discussed with the ILO, who will be invited to become a partner)
Impact	Both global and regional.
Progress on Project	Work has proceeded at two levels. First, ongoing theoretical work using systems diagrams to model key requirements for effective operation of OSH-MSs has continued, and a first report on this work is near completion. Second, principles from this work have been applied to a needs analysis and subsequent development of an OHS-MS suitable for small/medium ‘hospitality industry’ businesses; this work was conducted as part of a project of the Queensland Hotels Association (QHA). The output here will be a user-friendly, simplified management system that will be freely available via a website of the Queensland Government and/or of the QHA.
List of outcomes already achieved by this project	A simplified, web-based management system customized for use by SMEs within the hospitality industry sector – see http://www.qha.org.au/content/WHS_ManagementSystem.asp
List of additional outcomes expected from this project by 2012	A report and journal articles which: (a) identify key functional requirements for OHS Management Systems and conclusions concerning the structure and functionality of an ideal system; and (b) report on use of audit data from a diverse sample of work organisations to validate the ideal system model.

2009-2012 Work Plan Number	GPA2.11i Formerly AA2:PM1
GPA Objective	Objective 2: To protect and promote health at the workplace
CC or NGO Name	European Institute of Health and Social Welfare, Madrid
Project title	Effectiveness Evaluation System in occupational health management. ( EES)
Keywords	Occupational health evaluation system, management of occupational health, effectiveness management approach.
Project leader Email address	Dr. Manuel Peña [e-mail]
Partners (of the CC Network)
Other partners
Funding	European Institute of Health and Social Welfare, Madrid
Objective of the project	To develop, agree and implant a common effectiveness evaluation system useful for workers, enterprises and other governmental and no governmental institutions.
Project outcome(s) and deadline(s) for completion of the project	To develop a single and common evaluation tool. To integrate the evaluation system in the occupational health services.
Target group and/or beneficiaries	All enterprises.
Summary of the project	The aim of this project is to develop a single effectiveness evaluation system through a multi question protocol, adapted to the actual legal and practical requirements in the occupational health management. This could serve as a comparative tool among several enterprise and national policies and improve our knowledge to get an accurate optimisation of resources.
Dissemination	The EES could be published by WHO in CD or electronic support ( Internet)
Impact (global or regional)	Global.
Progress on Project	With this ‘Effectiveness Evaluation System’ every enterprise can measure the efficiency of the management system. This tool can give an evaluation about each important theme inside the occupational health management system. In this Effectiveness Evaluation System we can find: Occupational Health and Safety Risk Evaluation Team Work Individual Protection Team Learning Emergencies Measures Hard and Imminent Risks Information, Doubts and Workers Participation Company Activities Coordination Workers Contracted Temporarily Quantity and Work Organization Occupational Health Surveillance Active and Reactive Controls Planning Documents Results This Evaluation System is used every day by the enterprise to evaluate the management system efficiency. The result is translated into values and percent to make a better system.
List of outcomes already achieved by this project	The questionnaire has been elaborated by a group of experts of the European Institute of Health and Social Welfare. Moreover, it was sent to the WHO collaborating centres selected for their interest in the topic. Commentaries of respective experts were collected and then integrated into the protocol.
List of additional outcomes expected from this project by 2012	Development of an assessment tool through a protocol in the form of a questionnaire adapted to the actual legal and practical management requirements of occupational health.

2009-2012 Work Plan Number	GPA2.13d New Project
CONTRIBUTING PROJECT Title	Pilot Project on WHP for SME with a focus on small enterprises
GPA Objective	Objective 2: to protect & promote health at the workplace
Responsible CC or NGO Name	Institute of Management IFU, School of Business, Switzerland
Project leader	Dr Volker Schulte [e-mail]
Network partners
WHO Regions involved in this CONTRIBUTING project	Europe
Country ministries involved in this CONTRIBUTING project	Cantonal Health Department Lucerne Cantonal Health Department Aargau Cantonal Chambers of Commerce
External partners for this CONTRIBUTING project	Funding guaranteed
Summary of the project	Develop of a coaching manual for craftspeople. Implementation of a “health workers’ approach” on a community level: In co-operation with the regional chambers of commerce and the cantonal health departments we will employ specialists for workplace health promotion and corporate development in selected communities. They will coach local owners of small companies in health management and corporate culture. Owners of small companies have to deal with problems on many levels simultaneously. Advice directed at small businesses should therefore not focus only on absenteeism or accident prevention but should try to develop a multidimensional concept which combines advice on health and safety aspects with other operational functions – quality, corporate image, business climate, organisational optimization and well-being of their employees.
Target group and/or beneficiaries	Small and micro enterprises
Events-opportunities for furthering the project	Realising an international workshop in Switzerland with colleagues from CC and international experts for WHP SME.
Expected results of this project by 2012 (outcomes)	Evidence based manual for SME, development and implementation of adopted behavioral oriented skills
Indicators of achievement (impact)	Participation of craftspeople and communities
Major Milestones (list up to three dates and milestones)	Project preparation 03/09 – 09/09 Contracting/community twinning activities 12/09 Implementation 01/10-12/11
Public health impact	Reduction of psycho social and musculoskeletal risks
Funding source(s)	Cantons and HP Switzerland
Dissemination	Cantonal health departments, regional chambers of commerce

2009-2012 Work Plan Number	GPA2.13e Formerly AA5:2a
GPA Objective	Objective 2: To protect and promote health at the workplace
CC or NGO Name	The Industrial Accident Prevention Association, (IAPA), Canada a WHO Collaborating Centre for Workplace Injury and Illness Prevention
Project title	Enhancement of Occupational Health and Safety in Mexican Industry
Keywords	Integrated management system Occupational health & safety
Project leader Email address	Leonard Sassano, Director, Strategic Alliances [e-mail]
Partners (of the CC Network)	IAPA
Other partners	Mexican Ministry of Labour: Direccion General De Seguridad Y Salud En El Trabajo (DGSST) Secretaria Del Trabajo Prevencion Social (STPS)
Funding	Funding provided by the Mexican government.
Objective of the project	The Mexican government is committed to promoting the integration of HS&E into Mexican industries through its voluntary compliance program known as the SASST programme program (Systema de Administration Salud y Seguridad en el Trabajo). The objective is to apply SASST within workplaces to improve the health and safety of workplaces and working conditions for all workers. It is realized that Mexican workplaces require to engage a managed approach and adopt a management system to successfully apply SASST. The project will focus on the development and engagement of a managed system to successfully integrate the SASST compliance programme.
Project outcome(s) and deadline(s) for completion of the project	Completed May 2003: Developed and delivered a four day training program on SASST programme implementation to 40 STPS assessors and DGSST inspectors from across Mexico. Completed October 2003: Presentations on SASST and OHS Management Systems completed at two major OHS conferences in Mexico and at regional workshops across Mexico involving government, employers and worker groups. Completed November 2003 – December 2004: A Consultant Certification process was developed to enable Mexican assessors to provide services to enterprises enrolled in the SASST programme. September 2005: To deliver consultant certification to assessors. December 2007: Pilot applications and evaluate results of interventions. Make necessary modifications and refinements based of results. Apply nation wide. Completion by 2008.
Target group and/or beneficiaries	The Mexican government will benefit by having a roster of qualified consultants who can assist enterprises to develop and implement a quality health and safety program, using an integrated management system with proven effectiveness. All enterprises will benefit by having access to qualified consultants to assist them to comply with SASST, in a manner that is of high quality and consistency.
Summary of the project	The project will achieve a number of results: The achievement of healthier and safer workplaces for Mexican workers. The development and implementation of an OHS Management System to successfully apply the SASST voluntary compliance programme. This will lead to improvement of working conditions and reduction of injuries and illnesses within the workplace. The empowerment of workers, and improved communication and cooperation between management and workers through the successful engagement of SASST and a managed approach towards HS&E. To contribute towards sustainability and building capacities among STSP, DGSST, and independent assessors to lead the successful integration of SASST together with a managed system’s approach into Mexican workplaces.
Dissemination	The project outcomes will be disseminated by the increasing numbers of qualified Mexican assessors and certified consultants, who will coach and train Mexican enterprises. The project outcomes will also be published in IAPA’s various communications vehicles, (magazine, website) and discussed at national and international conferences.
Impact (global or regional)	National (Mexican) and regional (Americas)
Progress on Project	This project should be considered dormant, due to the change in the Mexican Government last year. We have had no indication that the new government wishes to continue this project. If it becomes active again in the future, we will inform you.
List of major outcomes already achieved by this project	Developed and delivered a four day training program on SASST program implementation to 40 STPS assessors and DGSST inspectors from across Mexico. Presentations made on SASST and OHS Management Systems at two major OHS conferences in Mexico and at regional workshops across Mexico involving government, employers and worker groups. Consultant Certification process developed to enable Mexican assessors to provide services to enterprises enrolled in the SASST programme.
List of additional major outcomes expected from this project by 2012	Given its dormant state we cannot predict additional outcomes

2009-2012 Work Plan Number	GPA2.13f Formerly AA5:2b
GPA Objective	Objective 2: To protect and promote health at the workplace
CC or NGO Name	The Industrial Accident Prevention Association, (IAPA), Canada a WHO Collaborating Centre for Workplace Injury and Illness Prevention
Project title	Enhancement of Occupational Health and Safety in Brazilian Industry
Keywords	Integrated management systems, occupational health and safety
Project leader Email address	Leonard Sassano, Director Strategic Alliances [e-mail]
Partners (of the CC Network)	IAPA Canadian Centre for Occupational Health and Safety (CCOHS)
Other partners	Canadian Partners: Marsha McEachrine Mikhail, Ryerson University, Toronto, [e-mail] Occupational Health & Safety Research Institute Robert-Sauvé (IRSST) Ontario Service Safety Alliance (OSSA) Ontario Forestry Safe Workplace Association (OFSWA) BRI International Brazilian Partners: SESI- Industrial Social Service National Department, Brasilia Fundacentro International Partners: PAHO ILO
Funding	The project is co-funded by the Canadian International Development Agency (CIDA) and ABC Transfer of Technology Fund for Brazil.
Objective of the project	The purpose of the project is to strengthen the capacity of small and medium sized enterprises (SME’s) within selected sectors in the participating states for integrating workplace health and safety into their organizational culture, performance goals and management systems, and to reduce illnesses, injuries and fatalities for all workers. Furthermore, the project aims to enhance the capacity of participating industries and their SESI Occupational Health and Safety Departments to effectively address challenges in the development, implementation, management and evaluation of OHS services and programs for all workplace participants.
Project outcome(s) and deadline(s) for completion of the project	Needs assessments & stakeholder engagement Completed April 2005. Training of individuals that have responsibility for the development of the information system and web portal. Completed December 2005 Develop consulting skills and begin the development of the SESI management system framework. December 2005 Support SESI in the design and development of an Epidemiological Information System. By 2009 Development of a OHS web portal to enhance SESI’s capacity to use OHS technical knowledge and information as a strategy to improve OHS within work environment of SME’s. By 2009 Development and implementation of OHS management systems within SME’s. To develop and deliver enhanced SESI managed OHS technical and management services to SME’s. By 2009
Target group and/or beneficiaries	Brazilian industrial workers in SMEs are the target, and will benefit by achievement of greater health and safety equity, and the reduction of injuries, illnesses and fatalities. SESI will benefit from the combined expertise and experience of a consortium of highly credible Canadian organizations.
Summary of the project	Project Results will include: The achievement of healthier and safer work environments for Brazilian workers. An increase in the number of SMEs implementing effective and efficient OHS programs that comply with Brazilian OHS legislation and international standards. The establishment of an effective SESI managed OHS Information System to identify needs, set priorities, and evaluate industry programs, as well as inform SESI service delivery to address identified OHS issues including workplace related injuries, illnesses and deaths. Strengthening the ability of men and women to exercise equally, their recognized fundamental right to know. Improved attention to gender specific health and safety issues. The empowerment of workers, and improved communications and co-operation between management and workers, through increased OHS awareness and education, and the formation of joint OHS committees within participating industries.
Dissemination	The project outcomes will be disseminated by the Brazilian partners, who will continue the work after the project is completed. The project outcomes will also be published in IAPA’s various communications vehicles, (magazine, website) and discussed at national and international conferences such as the National Safety Council (US) and the World Congress on OH&S.
Impact (global or regional)	National (Brazil) and regional (the Americas)
Progress on Project	Training of SESI consultants in managed systems and consulting skills is in progress and is to be completed March 2009. Some of this training is being done in Brazil, and some in Toronto, Ontario, Canada. Pilot projects are being carried out in 6 regions with 18 enterprises to develop and implement occupational health and safety management systems (OHSMS) utilizing OHSAS 18001 as the underlying system. The pilot project is to be completed March 2009. Workers in each of the 18 enterprises are actively participating in the development and implementation of the OHSMS. Workplace gender and diversity considerations are being addressed throughout the development and implementation of the OHSMS. A key principle underlying the pilot project is building capacity and capability of each enterprise to continue the maintenance and enhancement of their OHSMS. (Much more detail on this project is available in IAPA’s Annual Report to WHO/PAHO for 2006.) (Note that project AA2:NP7 is part of this overall project, but it is being carried out by IRSST, another partner in the Canadian consortium.)
List of outcomes already achieved by this project	Training of SESI consultants has been completed in November 2008. The project will be completed in September 2009. Pilot project completed. Implementation of managed systems in 8 enterprises with worker involvement in each of them Some regions in the pilot are offering Occupational Health & Safety consulting services as a result of their experience.
List of additional outcomes expected from this project by 2012	SESI will offer Occupational Health & Safety consulting services throughout the organization. It will be rolled out to other regions as well and will become a formal part of SESI’s services in all its regional offices.

2009-2012 Work Plan Number	2.13g Existing Project AA4:TM1l
CONTRIBUTING PROJECT Title	Guidelines for Shift work Brochure: Shiftwork and health impacts. A guidance for occupational health experts, employers and employees.
GPA Objective	Objective 2: To protect and promote health at the workplace
Responsible CC or NGO Name	IfADo – Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund University (Institut für Arbeitsforschung an der TU Dortmund)
Project leader	Barbara Griefahn, Professor, MD, [e-mail]
Network partners	Beate Beermann, PhD Federal Institute of Occupational Health (FIOH), Federal Republic of Germany, [e-mail] Thebe Pule, WHO/AFRO, [e-mail] Wendy Macdonald MD, La Trobe University, Melbourne, Australia, [e-mail] P.K. Abeytunga, MSc, PhD, Canadian Centre for Occupational Health and Safety, Canada, [e-mail]; Masaya Takahashi, Ph.D., National Institute of Occupational Safety and Health, Japan, [e-mail] Stanislaw Tomaszunas MD, Institute of Maritime & Tropical Medicine, Godynia, Poland, [e-mail]
WHO Regions involved in this CONTRIBUTING project	Africa [e-mail] Australia [e-mail] Asia [e-mail] North America [e-mail] Europe [e-mail]
Country ministries involved in this CONTRIBUTING project	none
External partners for this CONTRIBUTING project	Janusz.Pokorski, MD, PhD, Jagiellonian University, Krakow, Poland [e-mail], Dr. Ulrike Hellert, Moderne Arbeitszeiten, Dortmund, [e-mail] Hellert
Summary of the project	The guidance is organized in 8 chapters concerning the current situation, the various types of shift work and their effects on social behaviour, physiological functions, and long-term adverse effects, such as cardiovascular diseases. The guidance identifies vulnerable persons and conditions. Based on this the guidance focuses on preventive measures to be applied by administration, management and the workers themselves. Generally available measures such as a suitable temporal organization of the day (sleep times, exercise, light management, nutrition, stimulating substances) are in the fore, but treatment with sophisticated measures (e.g. bright light) are mentioned as well.
Target group and/or beneficiaries	Shift workers, employers and managers
Events-opportunities for furthering the project	Meeting with other experts at congresses etc.
Expected results of this project by 2012 (outcomes)	Dissemination of the completed brochure
Indicators of achievement (impact)
Major Milestones (list up to three dates and milestones)	The first draft of the brochure was sent out for evaluation and several comments will be respected for the next draft
Public health impact	global
Funding source(s)	in place
Dissemination	WHO document

2009-2012 Work Plan Number	GPA2.12b Formerly AA5:4e
GPA Objective	Objective 2: To protect and promote health at the workplace
CC or NGO Name	Central American Institute for Studies on Toxic Substances (IRET), Costa Rica
Project title	Health promotion programs for selected groups in Central America
Keywords	Central America, Health promotion, Safety promotion, Prevention, Social context
Project leader Email address	Dr. Catharina Wesseling [e-mail] With subproject coordinators
Partners (of the CC Network)	PAHO
Other partners	National Institute of Public Health (Sweden); Central American Universities and Institutes for Social Security; Central American Integration System; Universidad San Carlos de Guatemala; Universidad de Panamá; Universidad de El Salvador; Universidad Nacional Autónoma de Nicaragua; Instituto Tecnológico de Costa Rica; Belizean Sugar Industries; Universidad Autónoma de Honduras; four hospitals in Guatemala and Panama; local community and health authorities; local ILO and IMO offices; associations of coffee producers in Costa Rica; indigenous communities; human rights associations.
Funding	Sida and collaborating institutions
Objective of the project	Promotion of worker and community health in priority populations in Central America.
Project outcome(s) and deadline(s) for completion of the project	Diagnostic phase to be completed for all subprojects by November 2007 at latest. Impact evaluations of first full-scale interventions completed by Nov 2007 at latest.
Target group and/or beneficiaries	Workers, their families and communities; target industries; community, district and national health and labor authorities; trade unions; health care providers.
Summary of the project	These programs are undertaken in three overlapping phases: (i) assessment of priorities; (ii) implementation of interventions; and (iii) continuous evaluation. They will be implemented in construction workers (safety promotion only); sugarcane workers; hospital workers; workers in hotels and restaurants; migrant coffee workers; and urban informal-sector communities. Rapid priority assessment will be followed by evaluated intervention. Interventions take the form of workplace and community health promotion and will be defined with the workers, community members and the social context, within the constraints of available resources.
Dissemination	Local, national, regional and wider dissemination has been designed, using a large variety of channels and media, and a variety of modes (interactive/popular/technical/scientific).
Impact (global or regional)	Local impact will be disseminated nationally, regionally and globally for the diffusion effect of successful interventions. A regional worker health promotion policy will be outlined.
Progress on Project	Construction workers. Safety training and interventions have been implemented in Honduras. Improvement of pertinent legislation has been negotiated with a Government agency. Sugarcane workers. Health risk assessments and workplace interventions have been conducted in worksites in Belize, El Salvador, Nicaragua and Costa Rica. Hospital workers. Risk assessments have been conducted in three hospitals in Guatemala and Panama. Interventions have been started on vaccinations, diet, stress management and workplace exposures. Informal sector. Health risks have been assessed for 10,000 migrant coffee pickers in Costa Rica, and interventions started on living conditions. The migrants will be brought into a social security program that guarantees health care services. Health risk assessment and medical interventions are underway in street vendors in Honduras.
List of outcomes already achieved by this project	Construction workers. Participatory identification of risks, and training of workers in enterprises was implemented in Honduras and El Salvador. Links were established with education programs inclusion of construction and occupational health courses in various study curricula, graduation theses. In Costa Rica a self sustaining training program in construction safety for engineers was implemented. In Panama training of labor inspectors was carried out and interchange on experiences in safety in mega construction projects. Sugarcane workers. Six sugar mills and 2 cooperatives were involved in 4 countries (Belize, Costa Rica, El Salvador and Nicaragua). Occupational safety and health committees were established or strengthened in the enterprises. Training was provided for more than 300 occupational workers, supervisors and health workers. The participatory identification of more than 400 health hazards and their solutions led to implementation of more than 50% of the solutions. There has been improved reporting of accidents in enterprises with a reduction in accidents by over 20% in 5 enterprises. Long-term hazards (noise, dust and heat) were measured in three countries. Hospital workers. Feasibility studies in 2 hospitals in Panama and one in Guatemala were published. Health promoting activities are being carried out with participatory identification of priorities jointly with workers and interventions to reduce occupational and life-style risks in two hospitals. In the National Oncological Institute in Panama and Occupational Health Office was created. Informal economy workers. In Costa Rica, the migrant coffee pickers’ project best reflects the SALTRA development model, integrating participatory action and interaction among multiple actors (80 contributors from different organizations), promoting integrated community and occupational health, interdisciplinary approaches with quantitative (surveys, a census, environmental water quality monitoring, georeferenciation of the area, measurements of harmful workplace exposures, calculation of isolation indices, multivariate epidemiological analyses of effects on health) and qualitative (workshops, focus groups, observations, training, anthropological approaches to the social and economic context, analyses of psychosocial factors, observation of housing infrastructure, migration routes) assessments of risks and intervention impacts, communications and training at all levels of social actors, and reaching beyond the local level to the migrant route. In Honduras, methods were developed with South - South collaborations based on the project in Costa Rica. A Census was carried out on labor and living conditions of some 100 vendors prioritizing 19 occupational and environmental health risks. Health promotion days and OH training have been implemented. A coalition between local social actors was established and health of workers in the informal economy was placed on the country’s political agenda.
List of additional outcomes expected from this project by 2012	Sida funding for the Program on Work and Health in Central America, which was the context of the projects in this component, has been prematurely ended and continuation of activities will be defined by new funding opportunities, which are only partially secured at this moment. For construction workers, efforts will aim at regionalization of the training program in construction safety for engineers. For sugarcane workers, in Costa Rica, exposure to bagasse and its health impact, heat stress and social issues of migrant workers, whereas continuation in Belize, El Salvador and Nicaragua is uncertain. For hospital workers, there will be collaboration with PAHO in health promoting training programs for health personnel. For workers in the informal economy, the project in Costa Rica with integrated interventions at pilot farms to improve housing and working conditions, as well as access to health care for indigenous migrant coffee pickers. In Honduras, no continuation is planned.

2009-2012 Work Plan Number	GPA2.13k New Project
CONTRIBUTING PROJECT Title	Aged persons and their occupational skills. Development of methods for the prevention of impairments. First phase development of a Network
GPA Objective	Objective 2: To protect and promote health at the workplace
Responsible CC or NGO Name	IfADo – Leibniz Research Centre for Working Environment and Human Factors (Institut für Arbeitsforschung an der TU Dortmund)
Project leader	Barbara Griefahn, Professor, MD, [e-mail]
Network partners	Project leaders of the IfADo: Michael Falkenstein, Barbara Griefahn, Herbert Heuer, Gerhard Rinkenauer, Klaus-Helmut Schmidt, Edmund Wascher The project should be integrated into the network initiated by WHO on aged workers. If this initiative is not realized at the start of the next GPA the following institutes (most of which have expressed their interest in contributing to the WHO-initiative) will be asked for co-operation: Centre for Occupational and Health Psychology (Andy Smith), Cardiff University, UK Coronel Institute of Occupational Health (Judith Sluiter), University of Amsterdam, NL Institute for Work and Health (Brigitta Danuser), Lausanne, CH National Centre of Hygiene (Emilia Ivanovich), Sofia, Bulgaria National Institute of Public Health (Pavel Urban), Prague, CZ Finnish Institute for Occupational Health (Juhani Ilmarinen, Mikko Härmä), Helsinki, Fi LaTrobe University (Wendy McDonald), Melbourne, Australia JNIOSH (Shin-ichi Sawada, Masaya Takahashi), Tokyo, Japan
WHO Regions involved in this CONTRIBUTING project	Australia Asia Europe Bonn Rokho Kim
Country ministries involved in this CONTRIBUTING project	-
External partners for this CONTRIBUTING project
Summary of the project	Persons above the age of 50 years are systematically investigated in the IfADo with respect to cognition/ performance (attention, response preparation, motor skills) indicators of strain, age diversity, age adapted human-machine interfaces and shift work. The final goal is to define conditions that facilitate the work of the elderly and to develop methods/instruments for the prevention of (premature) impairments.
Target group and/or beneficiaries	Workers above 50 years of age
Events-opportunities for furthering the project	Meeting with other experts at workshops, seminars and congresses etc.
Expected results of this project by 2012 (outcomes)	Development of training programs for elderly workers. Publications
Indicators of achievement (impact)
Major Milestones (list up to three dates and milestones)	Depends on the success of the WHO initiative but by 2012 there should be a network for concerted actions towards better integration of aged persons in the working process
Public health impact	global
Funding source(s)	in place
Dissemination	Publication in international journals

2009-2012 Work Plan Number	GPA2.13m New Project
CONTRIBUTING PROJECT Title	Implementation of a comprehensive health, safety and well-being workplace program within PAHO.
GPA Objective	Objective 2: To protect and promote health at the workplace.
Responsible CC or NGO Name	University of Maryland, School of Medicine, Occupational Health Program
Project leader	Melissa McDiarmid, MD, MPH [e-mail] and Joanna Gaitens, PhD, RN [e-mail]
Network partners (CC name, country, email)	IAPA, Canada Dr. Elaine Posluns [e-mail]
WHO Regions involved in this CONTRIBUTING project	Pan American Health Organization (PAHO) Dr. Luz Maritza Tennassee [e-mail] and Marie Claude Lavoie, MSPH [e-mail]
Country ministries involved in this CONTRIBUTING project	Not applicable.
External partners for this CONTRIBUTING project	Not applicable.
Summary of the project	PAHO has created a campaign to promote to health, safety, and wellness for its employees. The University of Maryland will work with Dr. Tennasseee, PAHO’s Regional Advisor for Workers’ Health, and other members of PAHO’s Health, Safety and Well-being Committee to develop a comprehensive health, safety, and wellbeing program. The University will provide content expertise in areas of occupational safety and health and assist in the development of trainings that use a ‘train-the trainer’ approach. Training topics will include: identifying the role of safety committees, ergonomic solutions to musculoskeletal injury prevention, health and wellness while on travel and stress reduction.
Target group and/or beneficiaries	Members of PAHO’s Health, Safety and Wellbeing Committee and all PAHO Employees.
Events-opportunities for furthering the project	PAHO Health, Safety, and Wellbeing Committee held inaugural training March 3-5, 2009. Ongoing committee and workshops and trainings planned.
Expected results of this project by 2012 (outcomes)	1. Establishment of a comprehensive occupational health, safety, and wellness program to address the needs of all PAHO employees. 2. Creation of Health, Safety, and Wellbeing Committees within all PAHO country offices. 3. Implementation of a surveillance system (e.g., electronic database) to track health, safety, and wellbeing indicators.
Indicators of achievement (impact)	1. Improvement in employee health and wellbeing. 2. Decreases in the number of work-related injuries and illnesses for PAHO employees. 3. Increased compliance with recommended and required vaccinations for PAHO employees who travel.
Major Milestones (list up to three dates and milestones)	1. Define the role and function of PAHO’s Health, Safety, and Well-being committee by July 2009. 2. Draft a health, safety, and wellbeing plan to be presented to PAHO Director and management staff by November 2009. 3. Identification and implementation of an electronic database to track key health and safety indicators by 2012.
Public health impact	Regional: Improvement of the health, safety, and wellbeing of all PAHO employees. Decreases in the number of preventable illnesses and injuries.
Funding source(s)	University of Maryland and PAHO.
Dissemination	Workgroup meetings, train-the-trainer workshops, conference calls.

2009-2012 Work Plan Number	GPA2.13o New Project
GPA Objective	Objective 2: To protect and promote health at the workplace
CONTRIBUTING Project Title	Healthy Industry Program
GPA Objective and Action	2
Priority Initiative	2.2 Healthy Workplaces
Responsible CC or NGO Name	SESI –Social Service of Industry / National Department
Project leader (contact name and email address)	Fernando Coelho Neto [e-mail] Phone: [phone]
Network partners (CC name, country, email)	I-WHO Canadian Centre for Occupational Health and Safety (CCOHS) - Canada; Industrial Accident Prevention Association (IAPA) – Canada; Fundacentro - Brazil
WHO Regions involved in this CONTRIBUTING project (contact name and email)	AMRO (PAHO)
Country ministries involved in this CONTRIBUTING project (contact name and email)
External partners for this CONTRIBUTING project (contact name, organization and email)	European Agency for Safety and Health at Work (OSHA) – EU; Organización Iberoamericana de Seguridad Social (OISS); United Nations Population Fund (UNFPA); United Nations Office on Drugs and Crime - UNODC ; Joint United Nations Program on HIV/AIDS – UNAIDS; Ryerson University – Canada; Ministry of Health – Brazil
Summary of the project (max 1000 words)	General Objective To improve the quality of life of industry workers through the promotion of healthy workplaces. Specific Objectives - to promote the occupational health and safety at the industry; - to incentive the worker to have a healthy lifestyle. - to support a responsible social management at the industrial company; - The Program is focused on building a work environment which allows the worker to adopt a safe, healthy and productive lifestyle, being able to efficiently contribute to the maximization of productivity and competitiveness of Brazilian industries. - 2012 Development of access to knowledge services Expansion of the Pro-SST website; Development of 50 e-learning courses; Development of educative materials on OHS and health promotion; Publishing of 8 panoramas on OHS; Publishing of 3 researches about related themes; Development of risk assessment methodologies Health and lifestyle: development of methodology and instruments; attend 1 million workers in 8 thousand industries; publishing of case studies / scientific articles; 2.2. Safety at work and ergonomics: a) development of methodology and instruments; b) publishing of case studies / scientific articles; 2.3. Organizational climate: a) development of methodology and instruments; b) publishing of case studies / scientific articles; 2.4. Sustainability at work: a) development of methodology and instruments; b) publishing of case studies / scientific articles; Consultancy & assistance development of integrated solutions based on the results of the risk assessment consultancies on OHS; consultancies on Health Promotion & Healthy Lifestyle; Health promotion services active leisure: a) development of methodology, instruments and publishing of case studies / scientific articles on: * workplace workout; * work-related physical exercises programs; * healthy-life events management; * sports competition for workers; * theater sketches based on social and educational Themes; 4.2. alcohol and drugs prevention: a) development of methodology and instruments; b) publishing of case studies / scientific articles; NCDs monitoring programs: a) development of methodology and instruments; b) publishing of case studies / scientific articles; 4.4 Adaptation and translation of all available campaign materials on the Healthy Industry Program; Medical and dental assistance a) development of methodology and instruments; b) publishing of case studies / scientific articles; Psychosocial work environment adaptation of PRIMA framework in the Brazilian context; focus on sector and development of psychosocial risk assessment tools; development of training packages and guidance for service providers, employers and employees; roll out of psychosocial risk assessment and management program in Brazil; Piloting of the comprehensive model in Brazilian industries a) select participating industries; b) establish metrics and indicators. c) to execute d) evaluate; e) publish results in Portuguese, Spanish and English.
Target group and/or beneficiaries	Brazilian industries and their workers.
Events-opportunities for furthering the project
Expected results of this project by 2012 (outcomes)	- Expansion of the Pro-SST website; - Development of 50 e-learning courses; - Development of educative materials on OHS and health Promotion; - Publishing of 8 panoramas on OHS; - Publishing of 3 researches about related themes; - Development of methodology and instruments on Health & Lifestyle, Safety at Work & Ergonomics, Organizational Climate and Sustainability at Work; - Attend 1 million workers in 8 thousand industries; - Publishing of the data about the integrated solutions based on the results of the risk assessment (OHS and Health Promotion & Healthy Lifestyle), attending industries; - Publishing and dissemination of methodology and instruments on Active Leisure; Alcohol and Drugs prevention; NCDs monitoring program; - Publishing and dissemination of the adapted and translated campaign materials on the Healthy Industry Program; - Publishing and dissemination of the methodology on Medical and Dental Assistance; - translation and implementation of the methodology on psychosocial work environment; - publishing and piloting of the adapted WHO’s methodology on Healthy Workplace in Brazilian industries.
Indicators of achievement (impact)	- increase in the productivity of the industrial companies through actions that promote workers’ quality of life by: . the reduction of accidents and diseases related to work; . the reduction of absenteeism; . the reduction of presenteeism; . the control of health services’ costs; . the prevention of fiscal and judicial penalties;
Major Milestones (list up to three dates and milestones)	Annual evaluation: 2010 – 2011 - 2012
Public health impact	Improvement on life quality for the industry workers.
Funding source(s)	SESI – Social Service of Industry / National Department.
Dissemination	Publishing OHS information on websites and free didactic material for the industries; consulting and advisement to the industry companies regarding the management and evaluation of the offered services as well as the diffusion of projects like the OHS and health promotion programs.