Model gpa objective X working Compendium

2009-2012 Work Plan Number	3.18o Formerly AA5:4a
GPA Objective	Objective 3: To improve the performance of and access to occupational health services
CC or NGO Name	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; [e-mail] Kalpana Balakrishnan ; [e-mail]
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: (a) Educational material for PHC workers in OSH (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 [e-mail]
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
Public health impact	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: [e-mail]
Network partners	WHO Collaborating Centre for Occupational Health in Kytakyushu University of Occupational and Environmental Health, Japan
WHO Regions involved in this CONTRIBUTING project	Southeast Asia Pacific
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: [e-mail]
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.
Target group and/or beneficiaries	- Employees - Occupational Health Practionners
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, [e-mail]
Network partners	Bureau of Occupational and Environmental Diseases, Thailand, Somkiat Siriruttanpreuk, [e-mail] Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India , Kalpana Balakrishnan ; [e-mail]
WHO Regions involved in this project	SEARO, New Delhi, Salma Burton; [e-mail]
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, [e-mail] Tom Bernard, Department of Occupational & Environmental Health, College of Public Health, University of South Florida, [e-mail]
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, [e-mail]
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: [e-mail]
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 working group
Project leader Email address	Dr.Somkiat Siriruttanpreuk [e-mail]
Partners (of the CC Network)	Sri Ramachandra Medical College & Research Institute, Chennai, India
Other partners
Funding	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.
Other	This project is to be continued. The expected date of completion is in 2012.