ESTONIAN- FINNISH TWINNING PROJECT ON OCCUPATIONAL HEALTH 2000 - 2002 MOSA Legislation Natl. programmes.

ESTONIAN- FINNISH TWINNING PROJECT ON OCCUPATIONAL HEALTH 2000 - 2002

www.sm.ee/Telematic/twinning

MOSALegislation

Natl. programmes

NetworkKari Kurppa

PolicyJorma Rantanen

Policy and strategyMoSA

Departments of Labour and Public Health

Working Environment Council

OHS infrastructureOccupational Health Center

Network on Occupational Health and Safety

Agricultural organizations

OHS and primary health care specialists

OHS

WRDHelena Taskinen

Work-related diseasesOccupational Health Center

Polyclinic of Occupational Diseases

OHS, other specialists and rimary health care specialists

Labour Inspection

Network of Training Institutions on Occupational Health and Safety

PAAKari- Pekka Martimo

Coordinating Committee at FIOHChaired by Professor

Jorma Rantanen

Steering Committee in

MoSA

Increase of the coverage and effectiveness of

occupational health services in EstoniaKey components

and MS key personnel

MS Project Leader

Jorma Rantanen

CC Projece Leader

Tiit Kaadu

InformationSuvi Lehtinen

Kari-PekkaMartimo

Major events

1. Kick off meeting for start. March 2003

All project element managers + other partners and involved persons

2.Steering Committee 1st Meeting 21.8.03

3. Steering Committee 2nd Meeting Nov 03

4. Steering Committee 3rd Meeting Feb 04

5. Final Seminar.All managers and partners + others involved

6. Steering Committee Final May 04.

Policy and Strategy

ELEMENT OBJECTIVE I

Development of policy implementation

1) Supporting the implementation of the strategic and substantive elements of the Estonian Occupational Health Development Plan (until 2007) and associated Action Plan

2) Supporting the efforts of for implementation of MoSA strategy for Occupational Health and Safety 2003-2007

3) Strengthening collaboration between authorities,social partners and other stakeholders for development of OHS system

Element I: Activities1. Organizing two Workshops for planning the implementation of

the above strategies

2 Establishment of working methods and links for joint activities between OH&S authorities and public health authorities at all levels for development of coverage of OHS

3. Supporting collaboration between the Occupational Health and Safety Administration and Public Health Administration for development of OHS infrastructure

4. Planning of a follow-up system for evaluation of coverage and quality of OHS

5. Drawing up a description and analysis of OHS system in Estonia in view of the above strategies and programs

Policy and Strategy II

Element Objective II

1) Defining policies and actions for coverage of OHS

2) Evaluation of Estonian Occupational Health Development Plan (until 2007) as an instrument for development of multidisciplinary OHS and networking OHS and public health activities and institutions

Element II: Activities

1. Consultation on strategy and methods in the expansion of coverage

2. Planning and initiation of specific projects for implementation of the Action Plan

3. Activation of relevant partners to participate in thr work of National OH&S Network for facilitation of the implementation of the Action Plan Projects ("Support Seminar")

Element objective III

OBJECTIVE: Support to the planning and evaluation of legislation on Insurance System for Occupational Accidents and Diseases

1. Follow-up and consultations

2. Introduction of policies and models

3. Consultations on the methods needed in the enforcement and implementation of the insurance legislation

Element Objective IV

• Comparative analysis of registered work injury risks by sector of economy between Finland and Estonia

Element Objective V

• Consulting on the establishment of thr National Topic Center for Good Practices in Occupational Health and Safety

• Concept and view of OHS system in Estonia• Implementation of OH elements of Estonian NEHAP• Practical support for the implementation the MoSA 2003-

2007 Strategy where promotion of quality of work and improvement of work ability will be among the main topics (Actions for OH&S and Public Health Joint activities included). Joint action plan: OHS-PHS 2003-2005

• OHS Action Plan 2003-2010 final acceptance and implementation

• Follow-up model for WRDs a) systems for official statistics and registry (new govt

resolution is prepared on registration and investigation of accidents and Odiseases)

Policy I

b) survey-based collection of data from practitioners -Instructions and guidelines in the connection of

training element -Seminar on recognition, notification and surveying of

ODs and WRDs (OH practitioners, PHC physicians and labour inspectors also involved)

• Insurance Act on Occupational Accidents and Diseases -Black scenario: very adversarial (wrkr- insurance)

leads to underreporting and under-estimation of real situation

-White scenario: OH criteria decide.Real situation is registered.

Evaluating the final draft of insurance act Comparing accident and OD risks between selected

countries an Estonia and publisising the results• Topic Centre on Good Practices; consultation

Policy II

Consulting establishment of Bilbao Agency Topic Center

• Located in the OHC• Good practices on health and safety• Dissemination of TC outputs• Participating in EU TC activities• PL/MC contact with Bilbao to clarify the

principles of TC for applicant countries• To the Covenant: 1-2 day visit by the

Finnish TC oordinator to introduce the principles and practices

Steering Committee• Four quarterly meetings• Tasks: Informing the partners

Activation of partners

Evaluation of quarterly reports

Evaluation of final results• Membership• MoSa• Social partners• Agriculture• Public health• EU Delegation• PAA • PL/CC, PL/MS

OHS• Good occupational health practice guideline• Development of coverage & models

- Collaborative links FD-OHP and its financing

- Action plan provisions for cov & models

- Amendment of OSHA act

- Branch OHS approach ( to be piloted in agriculture)

- Involvement of family doctors• Facilitation of the passing of insurance act • Agriculture OHS, including pilot • Development of indicators for functioning and status of OHS

(part of national profile) • Increasing awareness and disseminating information through networks• Follow-up and research

WRD (WRD = work related diseases; OD = occupational diseases)

• Preparing the curriculum for training on WRD and OD• Delivering the training on WRD and OD to OH

specialists, physicians diagnosing occupational diseases, and family physicians

• Training of trainers of OH specialists, physicians diagnosing occupational diseases, and family physicians on WRD* and OD*

• Planning and starting the register of occupational diseases

• Fact sheets on WRD and OD

Network

• National OH&S Network• County and community OH&S profiles• Networking in training (WRD)• Tartu county OH&S network• Subnetwork on OH&S in agriculture• Sectoral profile of OH&S in agriculture

Information

• Awareness raising• Identifying information gaps in OH&S and

making a plan for producing relevant information packages

• Updating Network Strategy; planning and producing information material for Internet

• Providing detailed information materials to OH&S experts

• Preparing and publishing information and training material (both in paper form and Internet)

Next steps

• Time schedules and dead-lines for draft and final

• Contact to Bilbao, TC issue

• FIOH PAA and OHS element manager

• Further drafting an circulation-agreements by element managers

Conclusions

1. Overall situation

Covenant

Budgets

Workshops

Detailed objectives and actions

BSC cards for each objective

Experts are mobilsed

2. Objectives/Elements

• Most of the elements seem to be implementable

• Experts on both sides are available but have much other work too. Competing objectives.

• Financing on the national side should be ensured/mobilised

• National policy development may be unexpected

3. Risks and opportunities • Every element is expected to analyze for each quarterly report for the risks for

Guaranteed Results• Risk: a. Events,developments or obstacles outside our control

b. Our own causation• Response: a. Prediction of likely risks

b. Prevention of risks in time/ Planning

c. Adaptation:

- Do what can be done

- Modify the objective

- Produce an alternative output

that satisfies the original need

4. Stability

• Guaranteed results cannot be compromised• Keeping all the time the final objective in

mind• Changes through side letters (comments from

the previous Twinning)• The projects never will be ahead of time but

they use to be behind the schedule• Start in time, finish early

Critical

• Mobilization of the policy level

• Calling upon the social partners

• Raising awareness in the society at large

• Mobilising forces in the MoSA sector

• Mobilising the local and practical actors

and field workers

Next steps

• Good start to be demonstrated by the beginning of July and reported in the first quarterly report

• Utilising as much as possible the work already going on and that should be done anyway

• Looking at the activities of other Twinnings and informing on ours

General spirit• Fair open and happy atmosphere in the spirit of good

neighborhood

Collegial respect and support

On equal footing

Learning by doing attitude• If problems, take contact preferably sooner rather

than later• Demonstrating the impact• International Conference on OHS in 2005.Preparing

for it.