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WHO Global Conference: Connecting Health and Labour (29 Nov.-1 Dec.2011, the Hague) Igor FEDOTOV, M.D., Ph.D, Coordinator, Occupational and Environmental Health, ILO Progamme SAFEWORK, Geneva, Switerland Labour and social protection policies and primary health care
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Labour and social protection policies and primary health care

Nov 11, 2014

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Presentation by dr. Igor FEDOTOV, Coordinator, Occupational and Environmental Health, ILO Progamme SAFEWORK,Geneva, at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
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Page 1: Labour and social protection policies and primary health care

WHO Global Conference: Connecting Health and Labour (29 Nov.-1 Dec.2011, the Hague)

Igor FEDOTOV, M.D., Ph.D,

Coordinator, Occupational and Environmental Health, ILO Progamme SAFEWORK, Geneva, Switerland

Labour and social protection policies and primary health care

Page 2: Labour and social protection policies and primary health care

Major Challenges for Occupational Health Services

Page 3: Labour and social protection policies and primary health care

How can labour and social protection policies

meet these challenges?

Fragmentation of work, no more one job for life

Increasing number of work-related accidents

and diseases, many are not registered

Growth of the informal economy

High numbers of vulnerable workers (migrants, HIV/AIDS,

disabled) and ageing workforce

Impact of crisis: downsizing OSH, income inequalities

Escalating health costs

Disruptions of social security schemes

Lack of OSH personnel and inadequate resources

Major Challenges for Occupational Health Services

Page 4: Labour and social protection policies and primary health care

Investment in occupational health

Worker Health: - added value for productivity and sustainable development - indicator of success of social and economic policies - critical economic factor at enterprise and nationally

Policies should aim at: - risk management, disease prevention & health promotion - reduction of social costs through prevention

Policies be based on: principles of equity, affordability and accessibility

Page 5: Labour and social protection policies and primary health care

ILO Occupational Health Services Convention 161

Primary task

Entrusted with essentially preventive functions and responsible for advising employers and workers on requirements for establishing and maintaining a safe and healthy work environment and adaptation of work to the capabilities of workers

- Requires the establishment of comprehensive national policy on OH Services

- Determines functions, organization and conditions of operation

Page 6: Labour and social protection policies and primary health care

Labour policies – national labour codes

Solid OSH legislation Employer liability in case of work-related accidents and diseases Enforcement of law – labour inspection Tripartite cooperation (collective agreements) National safety and health tripartite body

Main goals Reduction of risks, prevention of occupational injuries and diseases, health promotion, medical rehabilitation, and return to work

Page 7: Labour and social protection policies and primary health care

Labour policies strengthening legal OSH frameworks

Occupational Safety and Health C. 155 requires: - to formulate and implement a coherent national policy (Art.4) - policy shall include the respective functions and responsibilities for OSH of public authorities,

employers, workers … (Art. 6) - the necessary coordination between various authorities and bodies (Art.15)

Promotional Framework for OSH C. 187 requires: - development of national OSH policy, system, programme and profile

National system includes: - occupational health services - collaboration with insurance or social security schemes to cover work injuries and diseases - support mechanisms for progressive improvement of OSH conditions in SMEs and in the informal

economy

National programme: to be endorsed and launched by the highest national authorities

Page 8: Labour and social protection policies and primary health care

Social security policies – national social security codes

Social security legislation Health insurance (general) to cover medical care of any mobid condition and sickness benefit Employment injury insurance to cover medical, sickness, disability and survivors benefits in case of occupational accidents and diseases

Main goal Social protection of victims of work related injuries and diseases and social rehabilitation

Page 9: Labour and social protection policies and primary health care

Social polcies strengthening social protection

Minimum Standards of Social Security C. 102 Part VI. Employment Injury Benefit – to preserve minimum contingencies to be covered due to accident or disease resulting from employment

Employment Injury Benefits C. 121 National legislation on employment injury benefit shall protect all employees It includes Schedule I. List of occupational diseases - ILO adopted Rec. 194, 2002, that requires a national list of occupational diseases for the purposes of

prevention, recording, notification and compensation to be established by the competent authority - national list to be reviewed in line with the most up-to-date list of ILO - ILO revised the list of occupational diseases in 2010

Medical Care and Sickness Benefit C.130 Part II. Medical care: requires to secure to the persons protected the provision of medical care of curative and preventive nature in case of contingencies, including incapacity to work resulting from sickness Part III. Sickness benefit: requires to secure to the persons protected the provision of sickness benefit in case of contingencies, including incapacity to work resulting from sickness

Page 10: Labour and social protection policies and primary health care

Synergies of Labour and Social Policies

To be effective, the policies should aim at: - keeping labour and social protection high on technical and political

agendas - establishing OH Services and social security institutions - developing overall infrastructure for OH practice - promoting creation of safety culture at the level of society, enterprise and individual

The policies should address risks: - in humans (biological) – to prevent ill-health, loss of working capacity,

temporary or permanent disability - in society (economic) – to prevent loss of income due to occupational

injuries and diseases

Page 11: Labour and social protection policies and primary health care

UN Initiative on Social Protection Floor

• ILO and WHO the lead agencies

• WHO – basic health protection and medical care services development

• ILO – basic income protection (disability, maternity, pension, unemployment)

• Standard setting item for International Labour Conference, 2012 “Recommendation on the social protection floor”

Page 12: Labour and social protection policies and primary health care

Conclusions

Labour and social protection policies are in the core of the ILO Decent Work Agenda

Effective labour and social policies are critical for good governance and sustainable development

Countries need to recognize a critical importance of developing OH Services to cover all workers

To create synergies: labour, health and social policies should be comprehensive, consistent and complimentary

Page 13: Labour and social protection policies and primary health care

Develop:

a. Mechanisms for multi-channel provision of OH services, especially through PHC system, and indicators for measuring progress

b. Cooperation between labour and health sectors on OH Services and their expansion into the informal economy

c. Training tools and good practice guides to assist countries in stepwise development of OH Services

Promote: ratification and application of the ILO

Conventions 161 and 187

Recommendations

1.

2.

Page 14: Labour and social protection policies and primary health care

Link the development of OH Services with the establishment of comprehensive national OSH action programs and countries’ profiles

Build up wide partnerships to strengthen ILO and WHO actions to influence decision-making and provision of resources at national and international levels

3

.

Recommendations

4.

Page 15: Labour and social protection policies and primary health care

Igor FEDOTOV, M.D., Ph.D Coordinator, Occupational and Environmental Health ILO Programme SAFEWORK Geneva, Switzerland

WHO Global Conference: Connecting Health and Labour (29 Nov.-1 Dec.2011, the Hague)

Thank You!

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