Model gpa objective X working Compendium



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2009-2012 Work Plan Number

3.16k

Formerly AA5:4d



GPA Objective

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


CC or NGO Name

National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing





Project title


Development an expansion of a pilot project for occupational health services in China



Keywords

Expansion, pilot project, occupational health services





Project leader

Email address

Li Tao


niohplt@sina.com



Partners (of the CC Network)

WHO, ILO, University Illinois, USA




Other partners





Funding


National finance support of China, WHO, ILO




Objective of the project

To train the health care workers at county and township levels the ability of occupational health services (OHS), so that they could provide basic occupational health services (BOHS) for workers in small and middle-scale enterprises (SMEs).

To develop the model of occupational health service for the immigrant workers.



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

Manual for health care workers about how to provide BOHS for workers in SMEs.

Training course for health care workers in villages and township, levels on OHS.

Spread the successful experiences and models to immigrant workers, other villages and towns.




Target group and/or beneficiaries

Policy makers, occupational health and safety researchers, enterprise managers, workers




Summary of the project

Select 10 provinces and 18 counties to be investigated. It will be involved 540 towns and 600 health care workers.

Compile a manual of occupational protection and prevention for workers in SMEs.

To train health care workers in villages and township levels about OHS.

Spread the successful experiences and models to immigrant workers, other villages and towns in China.



Dissemination

WHO documents and national documents.





Impact (global or regional)

Both global and national.




Progress on Project

Organizing a national strategy for BOHS in China, drawing up profiles and implementing 19 provincial, county and a local level pilot projects, manuals for BOHS implementation.

List of major outcomes already achieved by this project

Translation of Six BOHS Guidelines into Chinese language

2 Presentations in ICOH 2009 Congress on BOHS in China

Evaluation of 19 Counties BOHS Pilot Projects in 10 Provinces

Drawing up a Guideline for Joint OSH-OHS National Profile (WHO/ILO Collaboration)

National Seminars on Basic Occupational Health Services in 2007 and 2008

Drawing up National Profiles on Occupational Safety and Health and Occupational health



List of additional major outcomes expected from this project by 2012

Continuing Training of Trainers (ToT) Courses

Extension of new Pilot Projects to additional Provinces and Counties

Providing direct-reading field measurement BOHS kits for most hazardous exposures




2009-2012 Work Plan Number

3.16l

Formerly AA5 :1d



GPA Objective

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

CC or NGO Name

Institute of Occupational Health, WHO Collaborating Center, Skopje, Republic of Macedonia


Project title

Development of innovative models for organization and provision of occupational health services in South East Europe


Keywords

occupational health services, development, sub-regional, social dialogue


Project leader(s)

Email(contact name and email address)

Prof Dr Jovanka Karadzinska Bislimovska, MD, PhD

occhemed@on. net. mk

bislimovska_j@yahoo.com


Partners (of the CC Network)Network partners (CC name, country, email)


Institute of Occupational Health and Radiological Protection, « Dr Dragomir Karajovic »BelgradeHealth, Beograd, Serbia; Prof.Petar Bulat ( bulatp@eunet.yu )

Department of Environmental and Occupational Health , WHO CC, School of Public Health ”Andrija Stampar” Medical Faculty,Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Zagreb,

Croatia;,Prof. Jadranka Mustajbegovic ( jmustajb@snz.hr)

NCPHP,WHO CC, Sofia, Bulgaria, Prof. Emilia Ivanovich

(emiliaiva@yahoo.ca )

FIOH, Finland, Dr Kaj Husman (Kaj.husman@ttl.fi )






Other partners

WHO Regions involved in this project (contact name and email)

Ministry of Health, Republic of Macedonia;

Croatian Institute of Occupational Health, Zagreb, Croatia;

Department of Ecology and Occupational Health, Medical Faculty, Tuzla, Bosnia and HerzegovinaWHO/EURO Rokho Kim, Rokho Kim [rki@ecehbonn.euro.who.int]


Funding Country ministries involved in this project (contact name and email)

Institute of Occupational Health, WHO CC, Skopje Macedonia for the first stage, BCA Macedonia,

possible further on funding : TAIEX, FP7 and others.Ministry of Health, Dr Jovanka Kostovska (jovanka_ance@yahoo.com)

Ministry of Labour and Social Policy , Agim Shaqiri ( agimi@mt.net.mk


Objective of the

External partners for this project (contact name, organization and email)

Situation analysis which will give a picture of how the ongoing transition is influencing the infrastructure, quality and relevance of occupational health services and improve our knowledge and understanding, identification of problems

Identification of needs for establishing and developing functional and accessible






occupational health services, adaptable for local conditions, especially for underserved sectors

Development of system of quality assurance for OHS

Provision of review of the situation and the progress made and benchmarking between the individual SEE countries and some other countries from the European region.

Participation of social partners , collaboration and identification of actions to be taken for establishing new models of OHS

Strengthening governmental stewardship function, i.e. legislation, program for development and support of services.

Dissemination of information, experiences and approaches

Department of Occupational Health, Medical Faculty, Podgorica, Montenegro, Prof. Ljiljana Kezunovic

( ljiljakez@hotmail.com )

Department of Ecology and Occupational Health, Medical Faculty, Tuzla, Bosnia and Herzegovina Prof.Nurka Pranjic (pranicnurka@hotmail.com )

Ministry of Labour and Social Security,OH&S Institute, Ankara, Turkey, Dr Buhara Onal (bonal@csgb.gov.tr )

OH Unit, PH Institute, Tirana, Albania, Dr Hajdar Luka

( lukaluka_6@hotmail.com )

OH Office, Authority of PH MB, Dr Liliana Rapas

(liliana.rapas@gmail.com )

SEE Network on Workers Health


Project outcome(s)

and deadline(s) for completionSummary of the

project (max 100 words)

Strengthening capacities of the health system to address occupational health risk factors in SEE countries through National programs for occupational health services (2008)

Elaboration and modification an essential package for provision of basic occupational health services (2009)

Sustainable development of OH system with integration of Basic Occupational Health Services into PHC especially for underserved, vulnerable and high risks sectors through PH approach - Pilot project (2010-2011)

Training of OH experts in organization and methods of work in basic occupational health services on SEE sub-regional level (2010-2012)The countries in SEE are experiencing a transitional process, following the global economical crisis, with high rate of unemployment, fragmentation of enterprises, increased number of SMEs, self employed and growth of informal sector. Changing work life demands to redefine and further develop OHS concerning their infrastructure, models and quality. The proposed model of BOHS as a part of an integrated infrastructure of national public health network on OHS should enable provision of OHS for all workers specially vulnerable groups, and on all levels- from basic function at PHC to the more sophisticated functions, with multidisciplinary approach at the national level. The main goal of this project is the development of OH system increasing accessibility, availability, efficiency of OHS provision through the established national health network, Collaboration and social dialogue between Governments, employers, workers, OH professionals should strengthen national policies, clarify priorities and enable control and surveillance.




Target group and/or beneficiaries

Enterprises, ( especially small and medium sized ), all workers (especially women, young people, aging workers, agriculture, informal sector, self employed), OH experts

Summary ofEvents-opportunities for furthering the project

The countries in SEE are experiencing a transitional process with high rate of unemployment, fragmentation of enterprises, increased number of SMEs, and self employed, growth of informal sector and parallel economics as well as increased employment insecurity and a reduction in the coverage of labor protection system. Changing work life brings pressure for changes in occupational health services for this region and it is the crucial moment to establish or redefine and further develop OHS concerning their infrastructure and quality from passive and disease oriented towards new comprehensive models - specialized, multidisciplinary, risk oriented and active. Collaboration and social dialogue between Governments, employers, workers, service provision professionals should strengthen national policies, clarify priorities and enable control and surveillance.

National and SEE Network seminars, expert seminars and courses



Dissemination

Major Milestones (list up to three dates and milestones)

Conferences and technical workshops in particular areas of common interests with participation of the social partners;

WHO documents



  • Elaboration and modification an essential package for provision of basic occupational health services (2009)

  • Sustainable development of OH system with integration of Basic Occupational Health Services into PHC especially for underserved, vulnerable and high risks sectors through PH approach ( national program)- (2010-2011)

  • Training of OH experts in organization and methods of work in basic occupational health services on SEE sub-regional level (2010-2012)

Impact: global/regional

Dissemination plan

RegionalSeminars, workshops, training materials

Progress on Project Funding source(s)

In 2006, Institute of OHOccupational Health, WHO CC, Skopje, RM, initiated the establishment of the SEE Network on Workers Health for joint actions in the further development of OHS system in SEE. During 2007-2008, within the regular meetings, SEE Network participants collaborated in the regional implementation of GPA 2008-2017 objectives and BCA activities, strongly supporting the capacity building and development of OHS in the region.

The implementation of the National Strategy of OH&S is followed by the development of the Draft-document National Program on OHS, with promotion of new models of OHS especially for underserved, vulnerable and high risks sectors through BOSH approach. The establishment of National public health network of OHS at municipality level, coordinated by the designated National Institute of OH, WHO CC is essential for the strengthening of OH system in the country. In the frame of the established OH system, preventive OH programs supported by the Governmental Budget and focused on unemployed and agricultural workers are realized under Institute’s leadership. The results and recommendations of the performed National survey on identification and assessment of vulnerable groups and sectors in occupational health in RM, were presented and discussed at the National Workshop on vulnerable workers and Forth SEE Network meeting on OHS for the vulnerable workers. Macedonian MoH



List of major outcomes already achieved by this project

Draft version of National Program for Occupational Health Services, December 2007

Designation of the national Institute ( Government’s decision) -Institute of Occupational health of RM, WHO Collaborating Center, 2008

Established National PH Network of Occupational Health Services within the Health Centers ( in 6 cities –major municipalities in the country),

Proposal of an essential package for provision of basic occupational health services, BOHS

National survey on identification and assessment of vulnerable groups and sectors in occupational health in RM , 2008

National Workshop on vulnerable workers with national key stakeholders and Forth SEE Network meeting on OHS for the vulnerable workers, November 24th-25th, 2008

Assessment of current situation in Macedonian Occupational Health has been done by Prof. Rantanen within MKD-WHO, BCA 2008-2009National survey on identification and assessment of vulnerable groups and sectors in occupational health in RM ,2009

Submission of the paper ( national survey evaluation) to the scientific journal, 2010 ( Med.Lav.)

OH Report on Mission Macedonia ( SEE Area) prepared by Prof. J Rantanen in consultation with Macedonian experts and authorities, 2010 ( in the process of WHO EURO edition)


List of additional major outcomes expected from this project by 2012

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

Development of the occupational health surveillance and information system ( evidence-based OH indicators) following EU regulations.

Participation in the iBOHS community network and sharing online learning and educational materials on evidence-based knowledge for OHS.

Establishment of the training center for OH and PHC doctors on BOHS

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




2009-2012 Work Plan Number



GPA3.16r

New


PROJECT Title


Integration of occupational health services into primary health care system in Turkey

GPA Objective (e.g. GPA5) and GPA Action (e.g Action 28)

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

Priority Number (e.g. 5.3) and Area (if applicable) e.g Agriculture

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

This project also contributes to other GPA Priorities (List them, if applicable).

GPA1.1


Responsible CC or NGO Name

Occupational Health and Safety Institute (İSGÜM) Turkey

Project leader(s)

(contact name and email address)

Dr. Buhara Önal bonal@csgb.gov.tr – MoLSS

Dr. Tahir Soydal mtsoydal@gmail.com - MoH



Network partners (CC name, country, email)

South East Europe (SEE) Network partners

WHO Regions involved in this project (contact name and email)

WHO Europe

Dr. Rokho Kim rki@ecehbonn.who.int



Country ministries involved in this project (contact name and email)

Ministry of Health (MoH)

Seracettin Çom-seracettin.com@saglik.gov.tr

Ministry of Labour and Social Security (MoLSS) Kasım Özer- kozer@csgb.gov.tr


External partners for this project (contact name, organization and email)

Dokuz Eylül University, İzmir, Turkey

Dr. Alp Ergör - alp.ergor@deu.edu.tr

Turkish Society of Public Health Specialists-OH WG

Dr. Ali Naci Yıldız- alinaciyildiz@gmail.com



Summary of the project (max 100 words)

As soon as Occupational Health and Safety Institute (ISGUM) from Turkish Ministry of Labour and Social Security (MoLSS) joined the Second SEE Network Meeting, Dubrovnik, Croatia, November 2007 for the first time, many developments have occurred in the field of OHS in Turkey. A national OHS network was created by ISGUM and the network participants were the representatives of Ministry of Health (MoH) and the other related Ministries, universities, social partners, professional organizations and related NGO’s. Recently the coordination between MoH and MoLSS has been more strengthened and the “Cooperative Agreement on OHS” was signed between them. ISGUM which has been in the designation period of WHO-CC on OHS has actively participated in almost all SEE Network meetings and recently ISGUM and MoH have started to participate in the Network meetings together.

National profile and national strategy have been developing in close cooperation with the MoH and MoLSS. Recently the Draft OHS Law has been submitted to the related parties for their comments and the sub-regulation on OHS Services has been revised within the framework of integration of BOHS by the Joint Committee consisting of representatives MoH, MoLSS and the universities. Meanwhile, the current subregulation on OH services was revised and amended by MoH and MoLSS together last week.

First it is planned to conduct the Pilot Projects (PPs) related to BOHS with the collaboration of the MoH and MoLSS in 2010-2011. Then according to the results of the PPs which would be evaluated in-depth, the Community Health Centers would be organized as the service providers of BOHS.


Target group and/or beneficiaries

Vulnerable working population who can’t access the basic occupational health services (BOHS)

Major Milestones (list up to three dates and milestones)

  • Implementation of the Pilot Projects (PPs)

2010

  • Evaluation of the results of the PPs 2011

  • Establishment of the Community Health Centers (CHCs) specialized on OHS in different regions 2011-2012

Dissemination plan

According to the pilot project results, the integration of the OHS into the PHC will be spread all over the country upon the characteristics of the regions.

Funding source(s)

Government budget and WHO BCA

List of outcomes already achieved by this project

  • Results of the Pilot project

  • Model of the OHS units integrated into the Family Health System (FHS) in Turkey

  • Specialized Community Health Center within the FHS

  • Revised National Policy on OHS

  • Revised National Action Plan on OHS

List of additional outcomes expected from this project by 2012

  • Improving the model of CHC

List of additional outcomes expected by 2016

  • Expanding the model within the country


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