Model gpa objective X working Compendium



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WHO Work Plan 2009-2012

WHO Global Network of Collaborating Centers in Occupational Health

GPA Objective 1: To devise and implement policy instruments on workers' health - Claudina Nogueira

GPA Objective 2: To protect and promote health at the workplace - Stavroula Leka and Aditya Jain

GPA Objective 3: To improve the performance of and access to occupational health services - Kaj Husman and Leslie Nickels

GPA Objective 4: To provide and communicate evidence for action and practice - Jo Harris-Roberts and

Edward Robinson

GPA Objective 5: To incorporate workers' health in to other policies - Wendy Macdonald

GPA Objective 3: To improve the performance of and access to occupational health services
Managers: Kaj Husman, FIOH and Leslie Nickels, NIOSH
ACTION AREAS:
16. Development into national health strategies, health-sector reforms and plans for improving healthsystems performance; determining standards for organization and coverage of occupational health services; setting targets for increasing the coverage of the working population with occupational health services; creating mechanisms for pooling resources and for financing the delivery of occupational health services; ensuring sufficient and competent human resources; and establishing qualityassurance systems. Basic occupational health services should be provided for all workers, including those in the informal economy, small enterprises, and agriculture.
17. Core institutional capacities should be built at national and local levels in order to provide technical support for basic occupational health services, in terms of planning, monitoring and quality of service delivery, design of new interventions, dissemination of information, and provision of specialized expertise.
18. Development of human resources for workers’ health should be further strengthened by: further postgraduate training in relevant disciplines; building capacity for basic occupational health services; incorporating workers’ health in the training of primary health care practitioners and other professionals needed for occupational health services; creating incentives for attracting and retaining human resources for workers’ health, and encouraging the establishment of networks of services and professional associations. Attention should be given not only to postgraduate but also to basic training for health professionals in various fields such as promotion of workers’ health and the prevention and treatment of workers’ health problems. This should be a particular priority in primary health care.
19. WHO will provide guidance to the Member States for the development of basic packages, information products, tools and working methods, and models of good practice for occupational health services. It will also stimulate international efforts for building the necessary human and institutional capacities.
PRIORITIES:
Priority 3.1:

Develop working methods, provide technical assistance to countries for organization, delivery and evaluation of basic OH services in the context of primary health care, with particular focus on underserved populations and settings with constrained resources


Output:

Good practices and demonstration projects for organization and delivery of OH services, evaluation of service delivery, international knowledge networks of service providers, website clearinghouse of information materials for OH practice


Support:

CC: Kaj Husman, FIOH, Finland and Norbert Wagner, University of Illionis at Chicago


Partner:

Igor Fedotov, ILO and WHO/HQ: Ivan Ivanov


Priority 3.2:

Adapt and disseminate curricula, training materials and training for international capacity building in OH

3.2a Learning Repository and 3.2b iBOSH
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


Support:

CC: Jonny Myers UCT, Linda Grainger ICOH, Frank van Dijk, Coronel Institute of Occupational Health and John Harrison, Imperial College Healthcare NHS Trust

WHO/RO: Rokho Kim


FACILITATING PROJECT (administrative)

Work plan project number

GPA 3.1: Organization and delivery of occupational health services in primary health Facilitating Project


Facilitating Project title



Organization and delivery of occupational health services in primary health

GPA Objective


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

GPA Action 16


Improve coverage and quality of occupational health services including:

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

Provide access for all workers to basic occupational health services


Priority Area


Priority 3.1: Develop working methods, provide technical assistance to countries for organization, delivery and evaluation of basic OH services in the context of primary health care, with particular focus on underserved populations and settings with constrained resources


Purpose of facilitating project


This Facilitating Project aims to coordinate international efforts on setting up and improving occupational health services. It is closely connected to the GPA 3.2 activities aiming at building institutional and professional capacity.
Current projects with this aim are divided into four areas:
Area 1: Linkage to national health strategies and health sector reforms

Area 2: Standards for organization and coverage

Area 3: BOHS pilots

Area 4: Quality assurance
This division is based on the main focus of the project. Many of the projects have aspects belonging to more than one areas and most of them have also a strong training component.

GPA Manager

Kaj Husman, Leslie Nickels

CC Initiative Leader and contact information

Kaj Husman; kaj.husman@ttl.fi




WHO responsible person

Ivan Ivanov; ivan.ivanov@who.int




Collaborating centre partners with separate contributing PROJECTS (List CC, project title, project number, project leader, and email)


Projects are organized by area:
Area 1: Linkage to national health strategies and health sector reforms
3.17d; Occupational Health Latin-American Forum; Project leader: Manuel Peña, direccion@institutoeuropeo.es, European Institute of Health and Social Welfare, Spain
3.17f; Policy advice, training of trainers, support pilot projects and provide practical guidelines for BOHS; Project leader: Project leader Jorma Rantanen, jorma.rantanen@ttl.fi, ICOH
3.19u; Occupational health and primary health care; Project leader: Ivan D. Ivanov, ivanovi@who.int, WHO Global Occupational Health Programme
3.19f; Blind spot in health care for work-relatedness ̶ Revitalizing Ramazzini’s legacy; Project leader: Peter Buijs, peter.buijs@tno.nl, TNO Quality of Life / Work & Employment, The Netherlands
Area 2: Standards for organization and coverage
3.16i; East Asian Network for Development of Occupational Health Research and Services Model; Project leader Toshiaki Higashi, thigashi@med.uoeh-u.ac.jp, Institute of Industrial Ecological Sciences (IIES), UOEH, Japan

Area 3: BOHS pilots
3.16j; SHERQ programme for the Public Health Service in South Africa; Project leaders: Spo Kgalamono, David Rees and Barry Kistnasamy, spo.kgalamono@nioh.nhls.ac.za

, david.rees@nioh.nhls.ac.za, barry.kistnasamy@nioh.nhls.ac.za, National Institute for Occupational Health (NIOH), SA


3.16p; SHERQ programme for the National Health Laboratory Service (NHLS) in South Africa; Project leaders: Spo Kgalamono, David Rees and Barry Kistnasamy, spo.kgalamono@nioh.nhls.ac.za, david.rees@nioh.nhls.ac.za, barry.kistnasamy@nioh.nhls.ac.za, National Institute for Occupational Health (NIOH), SA
3.16k; Development an expansion of a pilot project for occupational health services in China; Project leader: Li Tao, niohplt@sina.com, National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, China
3.16l; Development of innovative models for organization and provision of occupational health services in South East Europe; Project leader: Jovanka Karadzinska Bislimovska, occhemed@on.net.mk, bislimovska_j@yahoo.com, Institute of Occupational Health, FYR of Macedonia
3.16r; Integration of occupational health services into primary health care system in Turkey; Project leader: Dr. Buhara Önal bonal@csgb.gov.tr – MoLSS and Dr. Tahir Soydal mtsoydal@gmail.com – MoH
3.18o; Development and integration of Basic Occupational Health Services into Primary Health Care in Southern India; Project leaders: Jayachandran Paulsamy; dr_pjaya@yahoo.com and Kalpana Balakrishnan, kalpanasrmc@vsnl.com, Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India
3.18q; The Development of Basic Occupational Health Service (BOHS) model for

underserved working population in Thai Primary Care Units; Project leader: Somkiat Siriruttanpreuk, somkiatk@health.moph.go.th, Bureau of Occupational and Environmental Diseases, Thailand


3.18t; Organization and delivery of BOHS for underserved populations in Vietnam; Project leader: Nguyen Duy Bao, baovsld@yahoo.com, National Institute of Occupational & Environmental Health (NIOEH), Vietnam
3.16q; Workers health project; Project leader: Tran Thi Ngoc Lan, ttnlan@gmail.com, General Department of Preventive Medicine and Environmental Health (GDPMEH)- Ministry of Health of Vietnam
3.16n; Development and Implementation of a Basic Occupational Health Service Intervention Program in Indonesia; Project leader: Norbert Wagner, nlwagner@uic.edu, Great Lakes Centres for Occupational & EnvironmentalGreat Lakes Centres for Occupational & Environmental Safety and Health, School of Public Health, University of Illinois at Chicago (UIC), School of Public Health, U.S.A

Area 4: Quality assurance
3.16a; Good practice in occupational health services; Project leader: Arve Lie, arve.lie@stami.no, The National Institute of Occupational Health, Dept of Medicine and Epidemiology; Norway
3.18p; Occupational Health and Safety Quality Assurance for Primary

Health Care Unit; Project leader: Somkiat Siriruttanpreuk, somkiatk@health.moph.go.th,

Bureau of Occupational and Environmental Diseases, Thailand


WHO Regional offices actively involved in this project (name and email) and other international organisations

PAHO: Maritza Tennasee; tennassm@paho.org

EURO: Rokho Kim; rki@ecehbonn.euro.who.int

SEARO: Salma Burton; burtons@searo.who.int

WPRO: Hisashi Ogawa; ogawah@wpro.who.int

AFRO: Thebe Pule; pulet@afro.who.int

ILO: Igor Fedotov; igor.fedotov@ilo.org

ICOH: Jorma Rantanen; jorma.h.rantanen@gmail.com

ICFTU: Lucien Royer; royer@tuac.org ?

WHO/Trade Unions Network on Implementing Workers Health Initiatives; Peter Orris; porris@uic.edu


Summary of the facilitating project (max 100 words)

By networking and pooling resources this project aims at comprehensive protection and promotion of health for workers, emphasizing vulnerable groups. This is done by evaluating and improving national OH delivery systems, building capacities of OH services, providing technical support, and producing and disseminating useful accessible information and products. Projects include national profiles, pilots on BOHS, best practices, tools and guidance that can be used in training, and information dissemination.


Anticipated deliverables by 2012 from contributing projects



Targeted OH programmes and standards for the coverage of OH services
Area 1: Linkage to national health strategies and health sector reforms
3.17f: 1) Production of BOHS Guidelines and a Manual. 2) Introduction of a BOHS field measurement kit for priority exposures. 3) 10 Countries have introduced BOHS, training of trainers has been organized, Pilot projects implemented and evaluated, readiness for moving to next step (up-scaling) is there. 4) 31.12 2009 National surveys completed in 10 countries. 5) 31.12.2010 Training of trainers courses implemented in 10 countries

31.12.2011. 6) Pilot projects implemented in 10 countries. 7) 31.12.2012 Countries decided on next steps in BOHS implementation. 8) 31.12.2012 The role of BOHS in Primary Health care system has been clarified and well established. 9) 31.12.2012 Countries have included BOHS into their national health strategies.


3.19u: 1) Global report "Occupational Health in Primary Health Care". 2)

National programmes for development of occupational health services established with WHO technical assistance in ten countries.


3.19f: Blind spot in health care for work-relatedness -booklet ready and distributed as agreed.
Area 2: Standards for organization and coverage
3.16i: 1) Publications of guideline: End of 2011. 2) Membership scheme of involved institutions: 2012. 3) The effective and evidence based occupational health service Model in East Asian countries which has similar situation in cultural background and rapid aging society. 4) The data base, guide which are available for evidence based occupational health services and prevent international threat for human health. 5) MSDs, Health Promotion and Improvement of Work environment will be edited up to 2012 on the basis of Japan /China/ Korea joint conference network.

Area 3: BOHS pilots
3.16j: 1) Referral system and OHS in place for public health care sector. 2) Surveillance system in place in the public health care sector. 3) 300 trained SHERQ personnel.
New project3.16p: 1) Referral system and OHS in place for NHLS in 75% of laboratories and all national institutes. 2) Surveillance system using SLIDE or similar tool across NHLS. 3)

100 trained SHERQ personnel within the NHLS.


3.16k: 1) Continuing Training of Trainers (ToT) Courses. 2) Extension of new Pilot Projects to additional Provinces and Counties. 3) Providing direct-reading field measurement BOHS kits for most hazardous exposures.
3.16l: 1) Recommendations on national policy and capacity building in new models of OHS, through BOHS approach focused on vulnerable workers, underserved population and high risk sectors. 2) Development of the health surveillance and information system following EU regulations. 3) Participation in the i-BOHS community network and sharing online learning and educational materials on evidence-based knowledge for OHS. 4) Establishment of the training center for OH and PHC doctors on BOHS

(training of trainers, i- library) through SEE Network on Workers Health


3.16r: Implementation and evaluation of pilot projects conducted collaboratively by Ministry of Health and Ministry of Labor; establishment of Community Health Centers specialized in occupational health services; improving the model of community health centers and expanding the model within the country.
3.18o: 1) Based on continued interactions with the State Public Health Departments, we anticipate being able to train personnel in at least 5 districts. 2) Once recommendations of the current pilot are accepted, we anticipate the WHO India office to facilitate policy level follow-ups including the requirements to create BOHS centers in all district level hospitals. 3) Inputs from hazard identification at health care facilities are expected to be translated into implementation of controls through interactions with relevant departments that are expected to be facilitated by the WHO country office. 4) Training of PHC physicians to be BOHS providers for local industry will likely be achieved in districts with large industry clusters. 5) Creation of a occupational disease surveillance mechanism through integration with on-going integrated disease surveillance efforts will likely be in place.
3.18q: 1) 2010: Best practices in the primary care units and delivery of BOHS for workers in informal economy and underserved populations such as children workers, women workers, migrant workers. 2) 2012: Best practices in the primary care units and delivery of BOHS for target working populations
3.18t: 1) BOSH delivering models at district level for underserved populations will be developed and implemented. 2) Trainings on BOSH organisation and delivery will be conducted for OSH practitioners. 3) Training materials will be developed and disseminated
New project3.18t; 1) Report on real situation implementation of basic occupational health services in Vietnam. 2) Report on ratification of ILO Convention 161 on occupational health services in Vietnam. 3) Developing standard materials on basic occupational health services for provincial level. 4) Assess implementation on basic occupational health services in four provinces: Thanh Hoa, Bac Ninh, Thua Thien Hue, Dong Nai. 5) Share experiences on project implementation results in international conferences.
New project3.16n; 1) Evaluation of past BOSH initiatives in Indonesia finished by end 2010. 2) Qualitative and quantitative analysis of current problems and success factors with key stakeholder finished by spring 2011. 3) Training modules for village health workers and other public health officials finished by summer 2011. 4) Training of primary health care

workers and other PHC levels started by fall 2011.


Area 4: Quality assurance
3.16a: 1) 10 new models of good practice cases per year. 2) Continued training of OHS. 3) Assessment of impact on OHS. 4) New Good OHS 2012 to fit the new certification of OHS in Norway. 5) Revision and production of professional OHS guidelines
3.18p: Standard guideline for occupational health service activities in primary care units.



Critical Gaps to be filled by 2012 in order to fulfil GPA priorities (these lead to deliverables desired by 2012)

Strategy to develop a global framework for national programmes on occupational

health services

Adequate policy and technical consultations

Development of a step-by-step web-based tools to integrate BOHS in PHC

Cross-links with PHC and labour safety




Examples of deliverables desired by 2012 to adequately assist countries to protect and promote health of workers internationally.

National, regional and sectoral OSH profiles and programmes for establishing and strengthening occupational health services

Practical BOHS delivery models ongoing

Programs of grass-root level training of occupational health and safety

Programs of post-graduate training

Train-the-Trainer Programs

Electronic library of tools and information



Barriers to success that must addressed

Political commitment

Funding for global projects

Time allocation of experts


Area 1: Linkage to national health strategies and health sector reforms



2009-2012 Work Plan Number

3.17d

Formerly AA6:KTBP2



GPA Objective

Objective 3: To improve the performance of and access to occupational health services

CC or NGO Name

European Institute of Health and Social Welfare, Madrid

Project title

Occupational Health Latin-American Forum”

Keywords

Occupational safety and health, Latin- American forum,

Project leader

Email address

Dr. Manuel Peña

direccion@institutoeuropeo.es



Partners (of the CC Network)

Asociacion Chilena de Seguridad - Chile (Marisol Concha mconcha@achs.cl)

IRET – Costa Rica (Caterina Wesseling; Patricia Monge ineke_wesseling@yahoo.com; pmonge@una.ac.cr)

Senac (National Service for Commercial Education) Jabaquara Training Unit, São Paulo – Brazil (Rosangela Gonçalves Ribeiro; Tatiana Pincerno Ribeiro rosangela.ribeiro@sp.senac.brasil; tribeiro@sp.senac.br)

NIOH - South Africa (Claudina Nogueira claudina.nogueira@nioh.nhls.ac.za)



Other partners

Ministries of Health, and Labour of the Governments which will take part.

Centre of Environmental & Occupational Health, National Institutes of Health Dr. Ricardo Jorge, Port, Portugal (Olga Mayan olga.mayan@insa.min-saude.pt)

Department of Occupational Health, National School of Public Health, New University of Lisbon, Portugal (Antonio de Sousa Uva asuva@ensp.unl.pt)


Funding

Fund would be set by Governments NGO and CC themselves.

Objective of the project

Create a discussion forum for Latin-American countries in order to share scientific information and other experiences in local/national projects

Project outcome(s) and deadline(s) for completion of the project

To enhance effective communication among Spanish-speaking countries.

To integrate and make dynamic multi country information

To identify, promote and integrate actions to be taken.


Target group and/or beneficiaries

2000 copies of the Forum Publication distributed in Spanish-speaking countries;

At least one project of Euro-American cooperation identified.



Summary of the project

“Occupational Health Euro-American Forum”

The aim of this project is to enhance the effective union of the Latin-American countries implicated in the Global CC Network Plan, through a multi country and multi disciplinary forum and promote Euro-American collaboration in occupational health. Establishment of BOHS and improving the delivery of BOHS will be one of the topics to be discussed during this Forum. It will involve several social, political and academic institutions and could be an important opportunity to establish action lines to involve the political authorities.




Milestones

Elaboration of the programme by the Scientific Committee (March 2010); Invitation of the participants June (2011); Forum (November 2011); Forum Publication (1st Quarter 2012).

Dissemination

Forum consensus report. WHO bulletins and Internet.

Impact (global or regional)

Multi-country

Progress on Project as of 1 OCTOBER 2007

The Occupational Health Latin-American Forum will be celebrated in November 2009, in Madrid (Palacio de Congresos de Madrid). This forum will take place inside the 9th SALUSLABORIS Fair.

We are working with partners and are preparing the framework for the meeting. Different people (WHO collaborating centres representatives, enterprise directors, social speakers, experts, and people responsible of Environment, Quality and Occupational Health Management), will be invited to form an Organizing and a Scientific Committee.

We are in contact with the follow partners (of the CC Network): Asociación Chilena de Seguridad- Chile, and IRET –Costa Rica for the preparation of dossiers about the following subjects, which will be included in the meeting´s agenda: Work and aging, tobacco and spaces without smoke; mental load and migraines, occupational cancer, vaccination, occupational stress, mobbing and burnout.

The meeting will be financed by sponsors, public and private enterprises.



List of major outcomes already achieved by this project




List of additional major outcomes expected from this project by 2012






2009-2012 Work Plan Number

3.17f

New Project



CONTRIBUTING PROJECT Title

Work plan project number

Policy advice, training of trainers, support pilot projects and provide practical guidelines for BOHS

GPA Objective and Action

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

Priority Initiative

Priority 3.1: 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


Responsible CC or NGO Name

ICOH

Project leader

Jorma Rantanen

jorma.h.rantanen@gmail.com; jhr@pp.inet.fi



Network partners (CC name, country, email)

CDC China, Ministry of Health and National Institute of Occupational Health, Vietnam, Institute of Public Health Albania, Andrija Stampar School of Public Health, University of Zagreb, Croatia, Institute of Occupational Health, FYR Macedonia, University of Podgorica, Montenegro and Association of Occupational Medicine, UNMIK Kosovo, Institute of Occupational Health and Radiation Protection and University of Belgrade, School of Public Health, Serbia

WHO Regions involved in this CONTRIBUTING project

WHO/EURO Rokho Kim, Rokho Kim [rki@ecehbonn.euro.who.int]

WPRO, Hisashi Ogawa. ogawahi@wpro.who.int, WHO Country Office, China, WHO Country Office, Vietnam, WHO Country Office, Albania, WHO Country Office, Croatia, WHO Country Office, FYR Macedonia, WHO Country Office, Montenegro, WHO Country Office, Serbia and WHO Office, UNMIK Kosovo.

ILO Country Office, China, ILO Regional Office for Asia and the Pacific , Bangkok, Thailand , ILO Decent Work Technical Support Team and Country Office for Eastern Europe and Central Asia, Moscow, Russian Federation


Country ministries involved in this CONTRIBUTING project

Ministry of Health (MoH) Albania, Burundi, China, Croatia, Finland, Russia Karelia, FYR Macedonia, Montenegro, Serbia, UNMIK Kosovo, Thailand, Vietnam, Ministry of Labour (MoL) in Burundi, Kenya, Russia Karelia, Rwanda, SAWS China, Tanzania, Thailand, Uganda,

External partners for this CONTRIBUTING project

WHO Global Occupational Health Programme, ILO Safe Work, ILO Decent Work Programme

Summary of the project

The Basic Occupational Health, BOHS, approach was developed for expanding coverage of occupational health services for underserved workers and workers without access to occupational health services so far. Basic occupational health services will be implemented in collaboration with Member Countries, their CCs and other Health Institutions, including Professional Associations. The main target groups will primarily be the workers in small-scale enterprises, agriculture, self-employed and informal sector and other underserved groups. The BOHS will use support from primary health care organizations, where appropriate.

The BOHS development will be supported by providing policy and strategy advice, drawing up national OHS Profiles, organizing training of trainer’s courses, supporting pilot projects and providing practical guidelines for BOHS. A special learning platform including BOHS learning materials, will be generated as a separate project (see Prof. Frank van Dijk Report on e-Learning Platform ).




Target group and/or beneficiaries

Policy decision-makers, Social Partners, Trainers and educators in occupational health, Professional Associations, OHS personnel. All so far underserved groups and populations of workers, particularly small enterprises and their workers, agricultural workers, informal sector workers, migrant workers

Events-opportunities for furthering the project

National Strategy and National Programme projects, National surveys and Profiles of OHS situation. National high level seminars, expert seminars and training of trainers courses, training courses, pilot projects, evaluation projects and services provision development projects. International Congresses like ICOH 2009 and 2012.

Indicators of achievement (impact)

Inclusion of BOHS into National Strategies and Programmes, Produced OHS Profiles, Numbers of Seminars and Courses, Numbers of trained trainers, Numbers of course participants, Numbers of completed and evaluated pilot projects

Public health impact

Inclusion of BOHS into National Strategies and Programmes

Access to services for target groups and for underserved sectors and groups of workers. Workers constitute over half of the population in any country and in many countries more than half of them work in hazardous conditions, without access to preventive and protective services. Their health and work ability will be improved by organizing effective occupational health services at grassroots level. OHS needs of agricultural workers and migrant workers in particular will be considered.



Funding source(s)

For smaller part WHO and WHO Regional Offices/Country Offices

Target Countries, MoHs



Dissemination

Periodic regional or global traning courses and seminars will be organized to share experiences and evaluate the outcomes. Reports on national strategies, programmes and pilot projects will be published. Countries may decide on expansion of BOHS beyond pilot areas.

List of major outcomes already achieved by this project

1) BOHS has been included in the formally approved National Strategies and Programmes in South East Asian Regional Strategy, in National Health Strategy of Albania, China, FYR Macedonia, Montenegro, Russian Karelia, Serbia, Thailand and Vietnam.

2) National OHS Profiles have been prepared for Albania, China, Croatia, Finland, FYR Macedonia, Montenegro, Serbia and UNMIK Kosovo. A Sub-Regional BOHS Profile has been produced for the South-East European Sub-region. National BOHS Surveys have been reported from Burundi, Kenya, Rwanda, Tanzania and Uganda.

3) Altogether 6 Countries in Africa, 8 Countries in Europe 6 Countries in Asia carry out or prepare for BOHS activities including training of BOHS. BOHS guidelines have been translated into national languages, e.g. Albanian, Chinese, Macedonian, Serbian, Turkish, Russian, Lithuanian and Thai languages

4) 15 BOHS presentations from four continents were delivered in the ICOH 2009 Congress, Cape Town.

5) BOHS training courses and seminars

5 Countries reported in WHO Santiago Global Consultation on Occupational Health in Primary Health Care in April 2009.

6) Several Pilot Projects for integrating BOHS with Primary Health Care are ongoing. Plans for continuing or initiating BOHS Pilot Projects prepared for 8 European (Albania, FYR Macedonia, Montenegro, Serbia, Kosovo, Karelia, Finland and Turkey) and 5 African Countries (Burundi, Kenya, Rwanda, Tanzania, Uganda).

7) BOHS Pilot Projects reported from India Chennai, China Bao Gan and China 19 Counties, and from Thailand.

8) BOHS for unemployed workers currently going on in Macedonia and prepared for migrant workers in Montenegro.

9) BOHS Surveys carried out in 5 East African Countries and in 6 SEE Countries plus in China, Thailand and Vietnam.



List of additional major outcomes expected from this project by 2012

1) Production of BOHS Good Practice Technical Guidelines and a BOHS Manual.

2) Generating a special learning platform for OHS learning, including learning material for BOHS ( A separate Project)

3) Introduction of a BOHS field measurement kit for priority exposures.

4) Continuation of BOHS, training of trainers courses.

5) Continuing and expanding the current BOHS Pilot Projects and initiating new Projects.

6) Evaluations of the BOHS Pilot projects implemented so far.

7) Organization of a BOHS Special Session in the ICOH 2012 Congress.

8) Piloting BOHS services for unemployed workers (Macedonia), agricultural workers (Macedonia) and migrant workers (Montenegro)

9) Establishment of the South East European Workplace Academy, SEEWA in June 2011 and introduction of BOHS Courses in the Academy Programme.



2009-2012 Work Plan Number

3.19u

New Project



Project Title


Occupational health and primary health care


GPA Objective and GPA Action

GPA 3, action 19

Priority Number

3.1.

Responsible

WHO Global Occupational Health Programme

Project leader(s)

Ivan D. Ivanov, WHO, ivanovi@who.int

Network partners

FIOH, Finland; TNO, Netherlands; BOED, Thailand, ISP Chile, ISPESL, Italy; NIOH, South Africa; ICOH, ILO SafeWork

WHO Regions involved in this project

WPRO, SEARO, EURO

Country ministries involved in this project

MoH UK, MoH China, MoH Saudi Arabia, MoH Spain, MoH Brazil, MoL Mauritania, MoH Sri Lanka, MoH Indonesia, MoH Vietnam, MoH Oman

External partners for this project

Wonca

Summary of the project (max 100 words)

In 2008, WHO launched a set of reforms to provide primary health care to all citizens. This process provides ample opportunities to scale up occupational health services using the values and principles of primary health care. This project aims to summarize the experience gained so far in integrating occupational health into primary health care and to outline policy options for scaling up occupational health services. In particular, the project will collect and review case studies from different countries and regions in linking occupational health to primary health care and will develop methodological basis for assessing the performance of national health systems in the area of workers' health.

Target group and/or beneficiaries

Ministries of health, occupational health and primary care providers

Major Milestones (list up to three dates and milestones)

Global consultation on occupational health and primary health care - May 2009

Scoping report - January 2010

Countries' case studies - September 2010

Global report "Occupational Health in Primary Health Care" - April 2011



Dissemination plan

Launch global report on April 28, 2011; Presentation of case studies and global report at ICOH and Wonca conferences; Publication in WHO Bulletin

Funding source(s)

WHO regular budget; US NIOSH award FY 2009 "Implementing the WHO Global Plan of Action on Workers' Health"

List of major outcomes already achieved by this project

Global Consultation on Occupational Health in Primary Health Care, Santiago de Chile, 4-7 May 2009

List of additional major outcomes expected from this project by 2012

Global report "Occupational Health in Primary Health Care"

National programmes for development of occupational health services established with WHO technical assistance in ten countries



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