Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India
Project title
Development and integration of Basic Occupational Health Services into Primary Health Care in Southern India
Keywords
Basic Occupational Health Services, Primary Health Care, training, education, informal sector, rural sector
Project leader
Email address
Jayachandran Paulsamy; dr_pjaya@yahoo.com
Kalpana Balakrishnan ; kalpanasrmc@vsnl.com
Partners (of the CC Network)
National Institute of Occupational Health Ahmedabad, India
Finnish Institute of Occupational Health, Finland
Bureau of Occupational and Environmental Diseases, Thailand
Other partners
None
Funding
Funding for a Phase I Pilot project provided by WHO India Office
Objective of the
project
The project will
provide a training needs assessment for OSH for PHC
[primary health care] staff who serve mainly rural communities and the informal sector
develop a set of
OSH training modules for health care workers
(PHC workers, nurses, doctors) in PHC settings
practical tools for hazard recognition and intervention by PHC workers
conduct and assess training effectiveness of BOHS related modules amongst PHC staff in Southern India
provide a comparative qualitative risk assessment on hazards for workers in this (health systems) sector and guide risk management through prioritization of hazards
create a framework for implementation of BOHS within the
the current health system administrative network
provide OHS services for the health care workers involved with the health systems while at the same time sensitize PHC medical professionals for providing BOHS services to other occupational sectors
expand the scope of BOHS to include OHS needs of local work environments to increase level of access to OHS services for local communities
Project outcome(s)
and deadline(s) for completion of the
project
A core group of trainers will be created to build capacities of PHC staff for implementation of a BOHS program
Appropriate educational materials in local languages will be made available such as:
(b)Trainers' and participant course handbook for routine BOHS relevant training
(c)General information material for use in villages and for quasi-illiterate populations to inform local communities about the availability of BOHS facilities and encourage their routine use
(d)Training materials for general medical practitioners to serve as 'first providers'
(e) Sector specific hazard listings available in the form of a rolling compendium
Articles of "good practice" examples and models of introducing OSH into PHC settings will be published in peer-reviewed literature
Functional BOHS units will be created in select districts of Southern India with the technical back up of the CC with these units serving as “cluster center” for a group of workplaces/ communities etc.
The project is planned for 3 years from start of funding
Target group and/or beneficiaries
Primary health care physicians, social workers and other first line health care personnel working in areas where there is no professional OHS service available.
Summary of the project
The overall goal of the project is to develop strategies, models and appropriate material to integrate OSH into the delivery of primary health care (PHC) and to gain experience in the possibilities and difficulties in training the PHC providers in principles of prevention of occupational & environmental diseases.
In India, OSH services are only available for approximately 0.5% of the workforce. Nearly 90 % of the workforce is not covered under the current regulatory framework and have no access to OSH services. The selection of occupational & environmental health topics, development of training materials and creation of a framework for integrating Basic occupational Health services in Public Health Care are to be developed in close co-operation with the PHC staff.
Dissemination
The educational satellite portals available to SRU through its telemedicine networks will be used to generate awareness in the rural areas. In the peri-urban areas fliers and or booklets may be used along with on-going health promotion campaigns being currently undertaken by the PHCs. The CC website will also serve as a centralized repository of information for assessments and training materials that will be freely available for downloading.
Impact: global/regional
Global
Progress on Project as of July 2007
SRU is organizing a two –day workshop in November 2007 for initial discussions with stakeholders. A draft training plan is expected to be finalized at the meeting. SRU has requested the Department of Public Health, Govt. Of Tamil Nadu to collaborate in this activity and funds are being sought through the WHO India office.
List of major outcomes already achieved by this project
A pilot project that seeks to demonstrate the BOHS framework for health care workers in rural health systems was formulated and funding secured from The WHO India office
A detailed hazard profile and management plan has been drawn up based on on-site assessments carried out on a range of work locations across a representative set of health care facilities in one district of Tamil Nadu in Southern India.
Results of the assessment are being used to create an implementation framework for BOHS in Tamil Nadu, India
Training modules and a manual for hazard recognition and control have been prepared
Follow-up proposals for securing additional funding are being prepared
List of additional major outcomes expected from this project by 2012
Based on continued interactions with the State Public Health Departments, we anticipate being able to train personnel in at least 5 districts.
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
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
Training of PHC physicians to be BOHS providers for local industry will likely be achieved in districts with large industry clusters.
Creation of a occupational disease surveillance mechanism through integration with on-going integrated disease surveillance efforts will likely be in place
Project Deliverables
Provision of a training needs assessment for OSH for PHC [primary health care] staff who serve mainly rural communities and the informal sector
Development of OSH training modules for health care workers (PHC workers, nurses, doctors) in PHC settings
Provision of a comparative qualitative risk assessment on hazards for workers in this (health systems) sector and guide risk management through prioritization of hazards
Creation of a framework for implementation of BOHS within the current health system administrative network
Completion date
Completed December 2009
Outcomes (ie: materials developed, delivered/disseminated, audience, number trained/disseminated)
A Job Hazard Profile with associated risk rankings and control recommendations for the primary health system health care facilities in the state of Tamil Nadu has been prepared in consultation with the Directorate of Public Health.
A training needs assessment as well as a policy framework for creation of BOHS in the state has been provided
Impact (policy change, programs sustained, reduction in injuries or illnesses)
Two workshops that included all health officers from two districts (~100 ) were sensitized with information available in the report, including the need for acquiring additional training to recognize and control hazards
Barriers to completion
The project was completed as planned but actual impact was far below expected impacts. Barriers for achieving sub-optimal impacts include
Limited ability for public health system officials to engage in a programmatic framework with BOHS in the absence of a legal directive
Competing demands on limited human resources in the public health system who are already overburdened with multiple targets for immunization, nutrition, ante-natal care etc., resulting in limited involvement beyond project period
Hazard profiling in some ways did not adequately accomplish risk communication. Many of the health officers wanted health impact estimates which the project was not designed to do. Since impacts on neither performance nor health could be documented within the project framework, immediate action on project recommendations seems unlikely. This is closely related to the absence of regulation and requirements for compliance to the same.
Other
The hazard profile and the accompanying control guidance sheets are available and can be used for uploading in the Geolibrary or as training materials for primary health care workers
2009-2012 Work Plan Number
3.18q
New Project
CONTRIBUTING PROJECT Title
Work plan project number
The Development of Basic Occupational Health Service (BOHS) model for underserved working population in Thai Primary Care Units
GPA Objective and Action
Objective 3: Improve the performance of and access to occupational health services, Action 3.16
Priority Initiative
yes
Responsible CC or NGO Name
Bureau of Occupational and Environmental Diseases, Ministry of Public Health, Thailand
Project leader
Dr. Somkiat Siriruttanapruk
somkiatk@health.moph.go.th
Network partners (CC name, country, email)
NIOHPC and Fudan University (China), UOEH (Japan), KOSHA and CUK (Korea), NIOEH (Vietnam)
WHO Regions involved in this CONTRIBUTING project
WHO SEARO
Country ministries involved in this CONTRIBUTING project (contact name and email)
Ministry of Public Health, Thailand
External partners for this CONTRIBUTING project (contact name, organization and email)
-
Summary of the project
In Thailand, more than half of the working population are agricultural, informal, or self-employed workers. They are unable to get access to OH services because of their work characteristics e.g. scattering work site, frequent mobilization, and less budget for OSH investment. The Ministry of Public Health recognized the situation and co-operated with the ILO/WHO to develop BOHS for those underserved workers in term of feasibility and suitable OH services. The desirable BOHS model should be integrated into existing primary health care services with no need to have extra investments or develop any new system. The aims of the project are to conduct a pilot study on BOHS model development in Thai primary care units (PCUs) in target provinces during 2004-2012. The activities included setting the BOHS guidelines, development of training curriculum for health officers, and pilot provision of BOHS for workers in informal economy and other underserved population such as children workers, women workers, and migrant workers. In addition, the quality assurance of the OH services will be implemented.
Target group and/or beneficiaries
Primary Care Units, Workers in informal economy
Events-opportunities for furthering the project
Host international forum on the establishment of BOHS
Indicators of achievement (impact)
Number of primary care units that can provide BOHS
Number of high risk population who can access to the BOHS
The practical BOHS model for workers in informal economy at the primary care units in Thailand and other developing countries
Funding source(s)
Thai government budget, Thai Health Promotion Fund
Dissemination
Thailand and Internationally
List of major outcomes already achieved by this projectProject Deliverables
2009: Practical modelConducting a pilot provision of BOHS at primary care units
Occupational health situation of some high risk for workers e.g. fishermen, constructionin informal economy and other underserved population such as children workers, farmwomen workers, taxi drivers, and hairdressers for model development of OH services and migrant workers.
Setting curriculum and building capacity for health officers on BOSH.
Developing Basic Occupational Health Service (BOSH) guidelines for Primary Care Units (PCUs) in order to be able to carry out Occupational Health (OH) services to underserved working population.
List of additional major outcomes expected from this project by 2012Completion date
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.
2012: Best practices in the primary care units and delivery of BOHS for target working populations
Outcomes (ie: materials developed, delivered/disseminated, audience, number trained/disseminated)
1) Objective 1:
- Pilot project of the practical model of BOSH for workers in informal sectors in particular high risk worker such as farmers, fishermen, construction workers, taxi drivers, and hair dressers was completed.
- 10 PCUs in 5 provices were participated in the pilot project
- Practical model of BOSH at PCUs in Thailand was developed.
2) Objective 2:
- Health care providers at PCUs and local health offices were strengthened capacity on the provision of BOSH for workers in informal economy.
3) Objective 3:
- Developing standard guideline on BOSH for PCUs was completed.
- Practical model and standard guideline of BOSH for workers in informal economy was implemented in 336 PCUs throughout the country.
- 779,254 workers in informal sectors were assessed occupational health and risk factors in their home/working environment.
- Host and share experiences in international forum on the establishment of BOSH model for workers in informal economy at the Thai PCUs.
Impact (policy change, programs sustained, reduction in injuries or illnesses)
Impact on workers in informal economy which account for more than half of the working population. Contribute to reduction of occupational diseases and injuries.
Impact on policy implication. The BOSH services at PCUs was adopted to be one of the Key Performance Indicators for Health Care Providers at the Ministry of Public Health.
Barriers to completion
Budget, staff, and time constrains.
Other
None
2009-2012 Work Plan Number
3.18t
New Project
CONTRIBUTING PROJECT Title
Work plan project number
Organization and delivery of BOHS for underserved populations in Vietnam
GPA Objective and Action
GPA Objective 3 :Improve the performance of and access to occupational health services
Action 3.16
Priority Initiative
Responsible CC or NGO Name
WHO Collaborating Centre for Occupational Health in Vietnam, National Institute of Occupational & Environmental Health (NIOEH)
Project leader
Dr. Nguyen Duy Bao, Director, National Institute of Occupational & Environmental Health (NIOEH), 1B Yecxanh Str., Hanoi, Vietnam
Email address: baovsld@yahoo.com
Network partners
WHO Collaborating Centre for Occupational Health in Kytakyushu University of Occupational and Environmental Health, Japan
Country ministries involved in this CONTRIBUTING project
Ministry of Health in Vietnam
External partners for this CONTRIBUTING project
Summary of the project
The baseline study on BOSH will be conducted over the country. Based on these results, different models for delivering BOSH to different target groups will be developed and implemented in pilot in some provinces, focusing on underserved populations such as household business, small and medium scale enterprises, agriculture, traditional villages workers, workers at high risk of occupational diseases, etc.
Target group and/or beneficiaries
Policy makers, occupational health and safety practitioners, enterprise managers, underserved workers
Events-opportunities for furthering the project
Indicators of achievement (impact)
100% of underserved workers at the pilot district will be provided BOSH
100% of OSH practitioners at district level will be trained on BOSH delivery
Public health impact
Workers’ health will be improved
Funding source(s)
Vietnamese Government
Dissemination
National policy, studies, workshop, training materials, WHO documents
List of major outcomes already achieved by this project
Two training courses on WHO guidelines on provision and principles of BOHS; BOHS delivery current activities and future plan, legislative documents, etc. have been organized for OH practitioners over the country
The proposal of baseline survey on BOHS has been approved and will be conducted in the last quarter of 2009
Training materials have been started to develop and will be completed at the end of 2009
List of additional major outcomes expected from this project by 2012
BOSH delivering models at district level for underserved populations will be developed and implemented
Trainings on BOSH organisation and delivery will be conducted for OSH practitioners
Training materials will be developed and disseminated
Project Deliverables
Developing and implementing BOHS at district level for underserved populations. Training on BOHS organization and delivery will be conducted for OSH practitioners. Developing and disseminating training materials.
Completion date
2012
Outcomes (ie: materials developed, delivered/disseminated, audience, number trained/disseminated)
Two training courses on WHO guidelines on provision and principles of BOHS delivery current activities and future plan, legislative document , etc. have been organized for OH practitioners over the country.
The baseline survey on BOHS was conducted in the last quarter of 2009 and the final report was submitted to WHO. Investigation on BOHS quality will be conducted in 2010
Training materials have been developed and completed at the end of 2009. Based on this training material, the training curriculum and package will be developed in 2010 and a pilot training will be conducted for OH practitioners in some provinces implementing BOHS models
Outcomes expected form the project by 2012:
Developing and delivering BOHS models for specific workers’ groups, e.g. agricultural, traiditional village, health care workers and workers exposed to asbestos
Training on BOHS organization and delivery for OSH practitioners, especially at District levels
Developing and disseminating training materials.
Impact (policy change, programs sustained, reduction in injuries or illnesses)
Impact on policy makers, OSH practitioners, enterprise managers, underserved workers. Contribute to reduction in injuries or illnesses; National program on OSH will be developed stable.
Barriers to completion
Budget constrain
Other
None
2009-2012 Work Plan Number
3.16q
New Project
PROJECT Title
Worker’s health protection project
GPA Objective
GPA 3.1; action 3.16
Developing basic occupational health services in order to promote activities of occupational accidents and diseases prevention at all levels.
Improving capacity on monitoring working environmental and occupational diagnose asbestos-related diseases.
Promoting occupational health and occupational diseases in health care worker.
Priority Number and Area (if applicable
3.1
Responsible CC or NGO Name
General Department of Preventive Medicine and Environmental Health (GDPMEH)- Health Environment Management Administration -Ministry of Health of Vietnam
Project leader(s)
Tran Thi Ngoc Lan, MD, PhD, Deputy Director of GDPMEH, Project Director. Email: ttnlan@gmail.com
Network partners
WHO Regions involved in this project
Dr. Ogawa Hiashi- WPRO
Country ministries involved in this project
- Ministry of Health
- Ministry of Labour, Invalid and Social Affairs
- Ministry of Construction
- Ministry of Trade and Industry...
External partners for this project
- Ministry of Labour, Health and Social Affairs, Japan
Summary of the project
Specific objectives:
Developing basic occupational health services in order to promote activities of occupational accidents and diseases prevention at all levels.
Improving capacity on monitoring working environmental and occupational diagnose asbestos-related diseases.
Promoting occupational health and occupational diseases in health care worker.
Major Milestones (list up to three dates and milestones)
Dissemination plan
Funding source(s)
List of outcomes already achieved by this project
List of additional outcomes expected from this project by 2012
Expected outcomes of Specific Objective 1:
Report on real situation implementation of basic occupational health services in Vietnam.
Report on ratification of ILO Convention 161 on occupational health services in Vietnam.
Developing standard materials on basic occupational health services for provincial level.
Assess implementation on basic occupational health services in four provinces: Thanh Hoa, Bac Ninh, Thua Thien Hue, Dong Nai.
Share experiences on project implementation results in international conferences.
2. Expected outcomes of Specific Objective 2:
Completed asbestos related diseases into the national list of occupational diseases compensated.
Assessed relationship between mesothelioma and lung cancer and occupational exposure to asbestos among patients to Oncology hospital in Hanoi and Ho Chi Minh city.
Developed national profile on occupational health related to asbestos in Vietnam
Capacity building for health staff for surveillance and prevention of asbestos-related disease through training courses, IEC and support equipments.
Share experiences on project implementation results in international conferences.
3. Expected outcomes of Specific Objective 3:
Defining real situation occupational health and risk factors in the health sector in Vietnam through surveys and researches.
Health staff strengthened capacity on occupational health and safety and occupational diseases prevention.
Results implementation occupational disease prevention for health care worker in project provinces.
Rising awareness on occupational health and safety and occupational disease prevention for health care worker through IEC activities.
Share experiences on project implementation results in international conferences.
Project Deliverables
Developing BOHS in order to promote activities of occupational accidents and diseases prevention at all levels.
Improving capacity on monitoring working environment and diagnose occupational asbestos related diseases.
Promoting occupational health and occupational disease in health care workers.
Completion date
2015
Outcomes (ie: materials developed, delivered/disseminated, audience, number trained/disseminated)
Objective 1:
Report on real situation implementation of BOHS in Vietnam was completed and submited to WHO.
Report on ratification of ILO 161 on occupational health services in Vietnam was completed and submited to WHO.
Developing standard materials on BOHS for provincial level was completed.
Assess implementation on BOHS in 4 provinces.
Share experiences on project implementation results in international conferences.
Objective 2:
Completed asbestos related diseases in to the list of compensated occupational diseases
Assessed the relationship between mesothelioma and lung cancer and occupational exposure to asbestos among patients to oncology hospital in Hanoi and Ho Chi Minh city .
Developed national profile on occupational health related to asbestos in Vietnam.
Capacity building for health staff for surveillance and prevention of asbestos related diseases through training courses and IEC and support equipments.
Share experiences on project implementation results in international conferences.
Objective 3:
Defining real situation occupational health and risk factors in the health sector in Vietnam through surveys and researches.
Health staff strengthened capacity on OSH and occupational disease prevention.
Results implementing of occupational disease prevention for health care workers in project provinces.
Rising awareness on OHS and occupational disease prevention for health care workers through IEC and activities.
Share experiences on project implementation results in international conferences.
Impact (policy change, programs sustained, reduction in injuries or illnesses)
Impact on employees and practitioners. Contribute to reduction in injuries or illnesses; National program on OSH will be developed stable.
Barriers to completion
Time and budget constrains
Cooperation between different organisations in implementing this project
Other
none
2009-2012 Work Plan Number
3.16n
New Project
PROJECT Title
Development and Implementation of a Basic Occupational Health Service Intervention Program in Indonesia
GPA Objective
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
GPA Action 16
Improve coverage and quality of occupational health services
Provide access for all workers to basic occupational health services
Priority Number and Area (if applicable)
3.1
Responsible CC or NGO Name
University of Illinois at Chicago (UIC)
School of Public Health
Project leader(s)
Norbert Wagner, nlwagner@uic.edu
Network partners
Bureau of Occupational and Environmental Diseases, Thailand, Somkiat Siriruttanpreuk, somkiatk@health.moph.go.th
Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India , Kalpana Balakrishnan ; kalpanasrmc@vsnl.com
WHO Regions involved in this project
SEARO, New Delhi, Salma Burton; burtons@searo.who.int
Country ministries involved in this project
Dr. Untung, Ministry of Health, Government of Indonesia (requested)
External partners for this project
Hanifa M. Denny, Department of Occupational Health & Safety, Faculty of Public Health, Diponegoro University, Semarang, Indonesia, hanimd@hotmail.com Tom Bernard, Department of Occupational & Environmental Health, College of Public Health, University of South Florida, tbernard@health.usf.edu
Summary of the project
The project aims at facilitating the implementation of a basic occupational health service program (BOHS) in Indonesia. To this aim, it will
evaluate the past initiatives of the Indonesian Government in basic occupational health service provision;
identify the factors of success and failure with the involvement of key stakeholders and the targeted communities;
develop an improved intervention program for primary health care providers and field-test the intervention in districts and provinces
Target group and/or beneficiaries
Direct beneficiaries: workers and their families, specifically informal and agricultural sector workers in villages
Indirect beneficiaries: public health service employees and other government employees by receiving training in BOSH, improved management and planning skills
Major Milestones (list up to three dates and milestones)
- Finalize project plan by April 2010
- Obtain funding for project by October 2010
- Start project by Jan 2011
Dissemination plan
Publication of articles, production of manuals for trainers and village health workers
Funding source(s)
- Scholarship of Indonesian Government for project collaborator (HD) (obtained in Aug 2009)
- Research funds by Indonesian Government (will be requested in 2010)
List of outcomes already achieved by this project
none
List of additional outcomes expected from this project by 2012
- evaluation of past BOSH initiatives in Indonesia finished by end 2010
- qualitative and quantitative analysis of current problems and success factors with key stakeholder finished by spring 2011
- training modules for village health workers and other public health officials finished by summer 2011
- training of primary health care workers and other PHC levels started by fall 2011
Completion date
2012
Outcomes (ie: materials developed, delivered/disseminated, audience, number trained/disseminated)
None in June 2010 according to project plan. Project starts in fall 2010.
Impact (policy change, programs sustained, reduction in injuries or illnesses)
None as planned
Barriers to completion
Other
Area 4: Quality Assurance
2009-2012 Work Plan Number
3.16a
New Project
CONTRIBUTING PROJECT Title
Work plan project number
Good practice in occupational health services
GPA Objective and Action
3:1
Priority Initiative
WHO
Responsible CC or NGO Name
Project leader
Arve Lie, Dr Med, PhD, Dept of Medicine and Epidemiology, arve.lie@stami.no
Network partners
WHO Regions involved in this CONTRIBUTING project
Country ministries involved in this CONTRIBUTING project
External partners for this CONTRIBUTING project
OHS Interest Organization in Norway, The Norwegian Confederation of Trade Unions, The Confederation of Norwegian Enterprises, Labour Inspectorate, University of Bergen, Dept of Medicine and Epidemiology. Norwegian Health Informatics (NHI)
Contact: arve.lie@stami.no
Summary of the project
Evaluation of OHS. Development of and training in the use of an evaluation tool (Good OHS 2007). Collection of experience and ‘best practice’ examples from Norway. Development of OHS professional guidelines.
Target group and/or beneficiaries
Companies (employers and employees), OHS-sector, Government, Medical doctors and health-workers, the general population.
Events-opportunities for furthering the project
Basic and advanced training courses for OHS personnel at NIOH Norway
General training of OHS-personnel in Norway.
Domestic and international conferences on OHS.
Expected results of this project by 2012 (outcomes)
Publications (app 10/year)
Indicators of achievement (impact)
Numbers of people knowing about Good OHS 2007
Numbers of users of Good OHS 2007
Practical experience on the use of Good OHS 2007
The published articles/documents/reports.
Number of new and revised professional guidelines.
Major Milestones (list up to three dates and milestones)
Evaluation by the end of each year
Public health impact
Focus on and improving the OHS is expected to have impact on public health indicators:
The prevention of sickness absence, The promotion of early return to work, The promotion of employing functionally impaired workers, Workplace Health Promotion, Assessment and improvement of work environment, The handling and prevention of work related accidents and disorders, The handling and prevention of alcohol and drug abuse in the workplace.
List of major outcomes already achieved by this project
Published 812 models of good practice cases: http://www.stami.no/?nid=35929
Training of the GOHS concept in 4 different training courses for OHS in 2009. 50 revised and 6 new professional guidelines for OHS.
List of additional major outcomes expected from this project by 2012
10 new MOGP cases per year. Continued training of OHS. Assessment of impact on OHS. New Good OHS 2012 to fit the new certification of OHS in Norway. 20 new and 150 revised professional OHS guidelines being a part of the Norwegian Electronic Medical Handbook (NHI)
2009-2012 Work Plan Number
3.18p
Formerly AA5:4b
GPA Objective
Objective 3: To improve the performance of and access to occupational health services
CC or NGO Name
Bureau of Occupational and Environmental Diseases, Thailand
Project title
Occupational Health and Safety Quality Assurance for Primary
Health Care Unit
Keywords
Occupational Health Services, Primary Health Care Unit, Underserved
International Labour Organization and Governmental budget
Objective of the
project
1. To develop guidelines for OHS quality assurance for primary
healthcare unit
2. To develop quality of OHS services at primary healthcare level
Project outcome(s)
and deadline(s) for completion of the
project
- Manual of guidelines for OHS quality assurance for primary
healthcare unit
- Manual describe process of OHS quality assurance for primary
healthcare unit
Target group and/or beneficiaries
Health officers, occupational health professional, policy makers, informal sector, Thai National Health Security Office
Summary of the project
The project aims to develop guidelines for OHS quality assurance
for primary healthcare unit that will help increasing the quality of
OHS services at primary healthcare level in the country.
Dissemination
Manual of guidelines for OHS quality assurance for primary
Health care unit, national documents, ILO documents
Impact: global/regional
Regional
Progress on Project
- Training of health officers at pilot primary care units
- Develop guideline and tools
- Interview and evaluate of health services
- Focus group interview for target population to assess the occupational health problems and occupational health services need
List of major outcomes already achieved by this project
Draft of standard guideline for occupational health service activities in primary care units
List of additional major outcomes expected from this project by 2012
-1) Objective 1:
Tool and guideline of OHS quality assurance (Self-Assessment) for PCUs was developed as a first draft.
The revision of OHS quality assurance guideline is an on going process.
2) Objective 2:
The implementation of the quality assurance guideline to the PCU level has not been completed yet.
Impact (policy change, programs sustained, reduction in injuries or illnesses)
Impact at regional level (when project completed)
Barriers to completion
Budget, staff, and time constrains.
Lack of effective communication between upper management level and practical/healthcare provider at lower level.
Some PCUs especially those that are not the alliances of the Bureau of Occupational and Environmental Diseases were not interested in participating in this project.
