designing and implementing effective partnerships maría inés esquivel, m.d. ministry of health -...
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DESIGNING AND DESIGNING AND IMPLEMENTING IMPLEMENTING
EFFECTIVE EFFECTIVE PARTNERSHIPSPARTNERSHIPS
María Inés Esquivel, M.D. María Inés Esquivel, M.D.
Ministry of Health - University of Ministry of Health - University of PanamáPanamá
PanamáPanamá
FACTSFACTS
• Country approach for the Country approach for the management of chemical management of chemical substances:substances:
– MINSA: Health policiesMINSA: Health policies
– MIDA: Agricultural development MIDA: Agricultural development policiespolicies
– ANAM: impacts on the environmentANAM: impacts on the environment
– FIRECORP: Responds chemical FIRECORP: Responds chemical eventsevents
– CUSTOMSCUSTOMS
PRINCIPLESPRINCIPLES
• Each institution within its Each institution within its objectives has responsibilities objectives has responsibilities shared shared
• The action of one can not The action of one can not restrict objectives of othersrestrict objectives of others
– Sharing InformationSharing Information
– EmpathyEmpathy
– TransparencyTransparency
– ConfidenceConfidence
Goal: EQUAL HEALTH TO ALL
Designing and Designing and implementing implementing
effective partnershipseffective partnerships
MIDA-MINSAMIDA-MINSA• Partnership is a Partnership is a
mandate (Law) mandate (Law) PRINCIPLESPRINCIPLES
• A goal that includes A goal that includes interests of many interests of many institutions.institutions.
• Team Work to reach Team Work to reach the same goalthe same goal
• Under which condition?: Under which condition?: Everybody must agree Everybody must agree with the program by with the program by consensus. consensus.
Goal: EQUAL HEALTH TO ALL
Working together:Working together:This kind of work attracts This kind of work attracts new partners:new partners:
• NGOs• National Government • Local Government • Industry
Example 1 – Inspections Example 1 – Inspections • Background Background
• Common inspectionsCommon inspections• Chemical storage conditionsChemical storage conditions• Verification of registration licensesVerification of registration licenses• Labelling of products Labelling of products
• ActorsActors• National Government National Government • Local Government Local Government • IndustryIndustry• Labor authoritiesLabor authorities
• OutcomeOutcome• Team work/ trust Team work/ trust • Improved safety in workplace and for consumersImproved safety in workplace and for consumers• Enforcement of legislationEnforcement of legislation
Example 2 – Training programs Example 2 – Training programs • BackgroundBackground
• Training Training • Good practices for pesticide useGood practices for pesticide use• Poisoning preventionPoisoning prevention• Alternatives to pesticides Alternatives to pesticides
• ActorsActors• IndustryIndustry• NGOsNGOs• Government Government • Consumers Consumers • Banana and coffee workers unions Banana and coffee workers unions
• Outcome Outcome • Increase in consciousness (right to know) about chemicalsIncrease in consciousness (right to know) about chemicals• Increased number of complaints, demands, actions to redress Increased number of complaints, demands, actions to redress
pollution pollution • Industry assumed their responsibility in law enforcement Industry assumed their responsibility in law enforcement
Example 3 – Legislative developments Example 3 – Legislative developments • Background Background
• DecreeDecree• Import controls for 600 chemicals Import controls for 600 chemicals • Ban all chemicals banned in at least 4 countries Ban all chemicals banned in at least 4 countries
• Actors Actors • Government – decided alone Government – decided alone • Industry – not involved Industry – not involved • NGOs – supporting government NGOs – supporting government
• Outcome Outcome • Court case (Industry)Court case (Industry)• Non enforcement of legislation Non enforcement of legislation • Lost trust and time Lost trust and time
• Lessons learnedLessons learned • Need to consult with stakeholders before taking a decision Need to consult with stakeholders before taking a decision • Need to assess all impacts for stakeholders Need to assess all impacts for stakeholders • Need to increase communication channels Need to increase communication channels
• GovernmentGovernment• Develop a risk communication strategy; Develop a risk communication strategy; • Increase capacity for cost benefit analysis based on sustainable Increase capacity for cost benefit analysis based on sustainable
developmentdevelopment
• IndustryIndustry• Create win-win situations to trigger industrial involvement with Create win-win situations to trigger industrial involvement with
the general interest.the general interest.
• NGOs and labor organizationsNGOs and labor organizations• strengthening capacities in specific topic of interest in Chemical strengthening capacities in specific topic of interest in Chemical
management; management; • involve these groups from everyday Chemical Substances involve these groups from everyday Chemical Substances
Management activities at the local level to involvement at the Management activities at the local level to involvement at the policy level. policy level.
Possible scenarios 1
Possible scenarios 2 – Partnerships with Possible scenarios 2 – Partnerships with university and other actors university and other actors
CUSTOMS
PTJ
PRIVATE SECTOR
NGOMEDUCA
MITRADEL
MIDA
ANAM
MINSA
UNIVERSITIES
ACADEMIA
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