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THE 17 SUSTAINABLE DEVELOPMENT GOALS

Protecting the Health of All Workers : The WHO road map towards the Sustainable Development Goals (2016-2030) Dr Ivan Ivanov Team Lead, Global Occupational Health. THE 17 SUSTAINABLE DEVELOPMENT GOALS.

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THE 17 SUSTAINABLE DEVELOPMENT GOALS

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  1. Protecting the Health of All Workers :The WHO road map towards the Sustainable Development Goals (2016-2030)Dr Ivan Ivanov Team Lead, Global Occupational Health

  2. THE 17 SUSTAINABLE DEVELOPMENT GOALS

  3. 14.2 million people die every year from NCDs between the ages 30 and 69 - major loss of workforce and human capital 14.2 million Most of these premature deaths can be prevented

  4. Prevention and control of NCDs at the workplace • Control of occupational risks – carcinogens (chemical, UV, radiation), workplace air pollution (particles, fumes), long working hours, shift work, psycho-social stress, prolonged sitting • Medical surveillance of workers – preventive check ups, screening (blood pressure, glucose, cholesterol, BMI) • Workplace health promotion – physical activity, smoking cessation, healthy nutrition, mindfullness • Return to work – after cancer therapy, after cardio- or cerebro- vascular incident, working with diabetes, asthma, depression • Health coverage – for occupational health, for prevention and control of NCDs, for lifestyle modification

  5. Cancer control: Prevention WHO guide for effective programmes http://www.who.int/cancer/publications/cancer_control_prevention/en/

  6. Three ways of moving towards universal coverage for workers Costs for occupational health care Employment injury benefits which interventions are provided? - primary prevention, clinical case, promotion who is covered? – informal sector, MSEs, farmers, migrants

  7. Integrated primary health care for all workers • Enable primary care to address workers' health • Contribution to return to work • Occ health in clinical guidelines and standards for health care professionals • Working life part of people centred care • Scale up basic and multidisciplinary occupational health services • Focus on quality, effectiveness, outreach • Specialized support to primary care • Increase collaboration between occupational health services and primary care • Referral pathways • Continuity of care

  8. Occupational health actions on ambient air pollution • Reduction of exposure – reducing the working time outdoors, rotation of workers, restricting work during severe air pollution (dust storm) • Health surveillance of working environment – recording levels of air pollution from the municipal sources • Respiratory protection programmes – appropriate respirators, fit testing, training of workers • Medical surveillance of workers - asthma, COPD, cardiovascular diseases (risk of heart attack and stroke) • Reporting of cases of occupational diseases - asthma, chronic obstructive pulmonary disease, lung cancer

  9. The health of migrant workers • Consultation on Overseas Employment and Contractual Labour for Countries of Origin in Asia (or Colombo Process) since 2003 • Protection of and provision of services to migrant workers • Optimizing benefits of organized labour migration such as the development of new overseas employment market and increasing remittance flows • Capacity building, data collection and inter-state cooperation • UN global compact on migration • 2016: New York Declaration • 2018: Global compact on migration New York Times 2016

  10. Why national programme for occupational health of workers in the health sector? • To implement occupational safety and health laws and regulations in the workplaces of health system • To improve productivity of health workers and quality of care • To increase the resilience of health services in the face of outbreaks and public health emergencies • To stimulate the retention of health workers

  11. WHO-ILO Global Framework for national occupational health programmes for health workers – 13 elements 1. Written policy on safety, health and working conditions at the national and facility levels. 2. Responsible person/unit at national and facility level 3. Occupational health services, budget, personal protective equipment 4. Joint labour–management health and safety committees in health facilities 5. Ongoing (or periodic) education and training for responsible persons and health and safety committees 6. Risk assessment of workplaces, processes

  12. WHO-ILO Global Framework for national occupational health programmes for health workers – 13 elements 7. Immunization against hepatitis B and other vaccine preventable diseases. 8. Exposure and incident reporting 9. Diagnosis, treatment, care and support for HIV, TB and hepatitis B and C among health workers. 10. Information systems, indicators 11. Compensation for work-related disability in accordance with national laws. 12. Research and evaluation 13. Environmental hygiene

  13. ILO/WHO HealthWISE tool - Work Improvement in Health Services Practical, participatory quality improvement tool for health facilities. Workers and managers work together to improve workplaces and practices with low-cost solutions. http://www.ilo.org/sector/Resources/training-materials/WCMS_237276/lang--en/index.htm

  14. The power of common goals

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