Promoting and Developing Social Security Worldwide. www.issa.int Opening Session ISSA strategy on proactive and preventive approaches Hans-Horst Konkolewsky ISSA Secretary General ILO International Safety Conference 2011 in cooperation with ISSA, Düsseldorf 18-19/10
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Promoting and DevelopingSocial Security Worldwide.
www.issa.int
Opening Session
ISSA strategy on proactive and preventive approaches
Hans-Horst KonkolewskyISSA Secretary General
ILO International Safety Conference 2011
in cooperation with ISSA, Düsseldorf 18-19/10
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Overview of the presentation
ISSA and prevention
Proactive and preventive social security
Supporting health and employment
Conclusions
ISSA and prevention
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International Social Security AssociationThe leading international organization for social security institutions, departments and agenciesHeadquarters based in Geneva (ILO)Founded in 1927, ISSA counts today around 340 members in more than 150 countriesProvides information, research, expert advice and platforms for members to build and promote dynamic social security systems and policy worldwide
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The ISSA around the world
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Global social security portal: www.issa.int
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Social security and prevention at work
Since the first occupational accident insurance system was introduced in Germany 125 years ago the prevention of work-related accidents and diseases has been an intrinsic part of social security
Today, many social security schemes are actively involved in prevention efforts at the workplace, in particular social accident insurance
Their detailed knowledge of accident and disease causes and impacts is crucial for the design and evaluation of prevention measures
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ISSA and prevention
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The Seoul Declaration – a joint strategic framework for prevention at work
Occupational safety and health- a societal responsibility
Blueprint for building a worldwide prevention culture
Framework for national and international prevention strategies
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Protecting workers health…
Requires a broader prevention approachReduce work accidents and occupational diseases via measures such as regulation, enforcement and guidance, risk assessment and management systems, but also Promoting a prevention culture by raising awareness, involving all relevant actors and building partnershipsMainstreaming occupational safety and health into education and trainingPromoting health and safety as an integral part of lifestylePromoting the business case for prevention…
Proactive and preventive social security
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The ISSA Strategic Vision
“To promote dynamic social security as the social dimension in a globalizing world through supporting excellence in social security administration”
Proactive and preventive social security one of the key pillars of this vision
Presenter
Presentation Notes
Dynamic Social Security is: Accessible for all Sustainable in a changing world Performing and well-governed Proactive, preventive – investing in people Innovative actor in societies Socially inclusive and economically productive
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Supporting sustainability
Supporting employment and activity
Proactive and preventive social securityISSA priority 2011-2013
Promoting health
Sustaining responsibility and capacity for action
Presenter
Presentation Notes
Choice of topical priorities for ISSA activities during 2011-2013 based on the ISSA strategic vision of Dynamic Social Security: Dynamic Social Security: wide range of important social security dimensions Combine focus on current priority dimensions with the objective to achieve progress in all dimensions in the longer term Choice of priority dimensions based on analysis of developments and trends worldwide, discussions with the ISSA Bureau and feedback from member institutions
Promoting health: Protection and promotion of
workers’ safety and health
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Proactive and preventive measures taken by social health insurance schemes
Investment in health promotion and prevention
Early detection of disease, assessment of individual risk factors, and high-risk individuals/groups
Early intervention for persons on sickness benefits
Presenter
Presentation Notes
As health is a person’s most precious possession, the preservation of the health of mankind is a key objective for social security. After all, healthy people are also the basis for productive and cost-effective business activities, successful prevention serves to preserve human capital, to control costs for all actors involved and to avoid preventable human suffering. Health protection has become one of the hottest issues on social policy agendas. Considering international commitments to realize global improvements in health levels, not least to help combat poverty, this is not surprising: Despite increased life expectancy, there is a growing concern that new health problems will emerge: For example obesity in Europe continues to increase; an estimated 500 million people may die worldwide as a result of tobacco use in the years to come and 35 million people already die each year from cardiovascular diseases, cancer, diabetes and chronic respiratory diseases. At the same time, increases in the costs of medical care are accelerating in view of new medical technologies, increased expectations by the insured and demographic changes. Furthermore, affordable health care remains inaccessible to the majority of the world’s population. As one measure of the challenge, it is estimated that 100 million people a year fall into poverty because of inadequate access to affordable medical treatment.
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Protecting and promoting health at work: Outcomes
Improve health and wellbeing, extend working life
Strengthen measures to bring to bring people on sickness benefits back to work
Contain health care costs and sickness benefit expenditures
Improve quality and productivity at work
Presenter
Presentation Notes
As health is a person’s most precious possession, the preservation of the health of mankind is a key objective for social security. After all, healthy people are also the basis for productive and cost-effective business activities, successful prevention serves to preserve human capital, to control costs for all actors involved and to avoid preventable human suffering. Health protection has become one of the hottest issues on social policy agendas. Considering international commitments to realize global improvements in health levels, not least to help combat poverty, this is not surprising: Despite increased life expectancy, there is a growing concern that new health problems will emerge: For example obesity in Europe continues to increase; an estimated 500 million people may die worldwide as a result of tobacco use in the years to come and 35 million people already die each year from cardiovascular diseases, cancer, diabetes and chronic respiratory diseases. At the same time, increases in the costs of medical care are accelerating in view of new medical technologies, increased expectations by the insured and demographic changes. Furthermore, affordable health care remains inaccessible to the majority of the world’s population. As one measure of the challenge, it is estimated that 100 million people a year fall into poverty because of inadequate access to affordable medical treatment.
Supporting employment: “Return to work”
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Proactive and preventive measures taken by employment, health, work injury etc.
Set up “return to work”/disability management systems
Improve collaboration amongst social security branches
Assess individual risk factors, and focus on high-risk individuals/groups
Early intervention and counselling
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Return to work outcomes: 4xWin
Employer – minimize workers’ compensation costs while retaining valuable employees
Employee – return to work and avoiding the negative effects of a long-term dependency
Social security – avoids to pay out long-term benefits (sickness, invalidity, unemployment)
Society – qualified employees remain active on labour market
Conclusions
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ConclusionsWith a dramatically changing world of work the demands on prevention are increasing, as workers’ health increasingly is influenced by both occupational and non-occupational factorsPrevention measures must take a multidimensional and more individual view focussing on both health and employability, incl. factors like competencies, lifestyle and social environmentMore holistic and integrated approaches are needed, where classical prevention measures are supplemented by health promotion and return to work programmesIncreasing collaboration and coordination across different social security branches and organizations vis-à-vis the individual and the workplace is requiredPrevention structures and practices at the workplace need to be reviewed and new competencies developed
Thank you for your attention
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