Dr Japie Lubbe Managing Worker Fitness and the Economic Benefit Thereof
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Dr Japie LubbeManaging Worker Fitness and the Economic Benefit Thereof
Health Costs Follows Changes in Health Risks
Five fold increase in sick leave since 2001
2001 20130%
1%
2%
3%
4%
0.7%
3.7%Economic loss since 2001
R55.2bn
Num
ber o
f wor
kers
per
day
Cost Burden of Poor Health
Distribution of Employee Risk
39.6% 1332 participants
56.2% 1890
participants
4.1%139 participants
Iceberg Model of Risk Behaviour
Top 10 most prevelent health risk factors
RISK FACTOR NUMBER OF EMPLOYEES
%
Not saving money 1411 42.0%Ageing 1216 36.2%Sad or depressed 987 29.4%High body-mass index 796 23.7%Worry about meeting monthly expenses 785 23.4%No medical check-ups 693 20.6%No financial management planning 685 20.4%Personal history of high blood pressure 586 17.4%High salt intake 531 15.8%High sugar consumption 526 15.7%
Accumulated Health Risk
PresenteeismCase Study
Work Performance
Top 10 least prevalent good health risk factors
HEALTH PRACTICE NUMBER OF EMPLOYEES
%
Three or more servings of fruit per day 327 9.7%Three or more servings of vegetables per day 402 12.0%High fibre diet 587 17.5%Rarely worry about meeting monthly living expenses 640 19.0%Regular men/women’s health check-up 655 19.5%Manage personal finances 681 20.3%Limit Fatty foods 839 25.0%Regular dental check-up 891 26.5%Limit sun exposure and avoid sunburn 1133 33.7%Satisfied with work-home balance 1272 37.8%
Economic benefit of a Worksite Health & Safety Program
244 Poor Performing
workers with high
absenteeism
EXPERIMENTAL GROUP
28 workers
Enrolled in 24 months wellness
program
CONTROL GROUP
216 workers
No intervention
Physical Work FitnessBox & Whisker Plot
Mean Mean±SE Mean±1.96*SE
After Before45
50
55
60
65
70
75
80
Phys
ical
Wor
k C
apac
ity (%
)
18.3%
72.8%
54.5%
Worker Lifestyle HabitsBox & Whisker Plot
Mean Mean±SE Mean±1.96*SE
45
50
55
60
65
70
75
80
85
90
95
7 Li
fest
yle
habi
ts (%
)
After Before
30.6%
85.2%
54.6%
Work Performance – Supervisor Feedback
19.9%
25
30
35
40
45
50
55
60
65
70
Wor
k Pe
rfor
man
ce (%
)
58.8%
38.9%
Mean Mean±SE Mean±1.96*SE
After Before
Worker Attitude towards ChangeBox & Whisker Plot
Mean Mean±SE Mean±1.96*SE
45
50
55
60
65
70
75
80
85
90
Atti
tude
of w
orke
rs to
war
ds c
hang
e (%
)
After Before
28.2%
84.0%
55.8%
Psychological Health of workersBox & Whisker Plot
Mean Mean±SE Mean±1.96*SE
565860
626466
68707274
76788082
8486
Psyc
holo
gica
l pro
file
(%)
After Before
14.7%
78.9%
64.2%
Days Absent From Work
2
3
4
5
6
7
8
9
10
11
Num
ber o
f day
s ab
sent
(%)
After Before
3.9days5.8
9.7
Cost Benefit Calculation
R 418,136.80R 90,766.80R 67,452.00R 259,918.08
TOTAL EXPENSES Service provider Participants Not at work
R 3,364,620.20R 1,894,297.38R 63,842.38R 932,905.43R 473,574.48
TOTAL RETURN Productivity Sick leave Ill Health Turn over
804.7%BENEFIT TO COST RATIO
R 2,946,483.40PERCEIVED SAVING
1:8RETURN ON INVESTMENT (ROI)
Integrated Business Solution
Health Risk Assessment – White Collar
Health Risk Assessment – Blue collar
EXAMPLE: Security Official
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