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GLOBAL HEALTHY WORKPLACES UNILEVER
DR. T. RAJGOPAL VP, GLOBAL MEDICAL & OCCUPATIONAL HEALTH
& DEAN PATTERSON
GLOBAL HEALTH & PRODUCTIVITY MANAGER
STRUCTURE
1. Background to Unilever and Medical & Occupational Health (M&OH)
2. Health Promotion
3. Health Protection
4. Impact on Community
5. Global Integration & Innovation
UNILEVER IS A GLOBAL COMPANY
WE MAKE MANY OF THE WORLD’S FAVOURITE BRANDS
OUR VISION - 3 BIG GOALS BY 2020
M&OH GLOBAL STRATEGY 2011 - 2015 Health promotion - to promote, maintain and enhance the health of Unilever’s people so as to maximise their fitness to
work safely and effectively
Health protection - to protect Unilever’s people from work-related hazards to their health Mis
sio
n
To earn a global reputation for best practice in medical and occupational health performance.
Vis
ion
Health, Wellbeing & Performance
Prevention of Occupational
Ill-health
Travel related M&OH
Support
Ke
y M
WB
•Mental well being and resilience
•Lamplighter
•Addressing local health risks e.g HIV/AIDS, Malaria, TB, Dengue.
•Pandemic threats and business continuity
•Agile working
•Prevention of work related illness & occupational diseases
•Ergonomics at the workplace
•Environmental health
•Noise
•Food Allergens
•Business travelers and expats to be covered
•Advice on immunizations & chemoprophylaxis.
Ke
y a
ctiv
itie
s
•% of employees reached by an
Employee wellness program
•Number or Work related illness
(WRIs)
•Days lost from WRIs
•% of Business Travelers & IA’s
who have pre- Travel evaluations &
advice KP
Is
SYNERGY BETWEEN M&OH, SUPPLY CHAIN AND SAFETY
EMPLOYEE INVOLVEMENT
• Health and Safety Committees
• Site wellness committee
• HIV/AIDS committee
• Dignity enhancement committee
• Well being Ambassadors; Evangelists for Lamplighters
• Employees are included in many health & safety forums which allows opinions & concerns to be expressed – examples: • PHA/HAZOP studies • Risk assessments at the shop floor • Pre-delivery inspection visits • Project briefs, TPM & accident investigations
• Union & works council participation & inputs for health & well being
Mar 29th, Nutrition Rhymes
Apr 26th, Know about nutrients
May 28th, Understand salt & sugar
Jun 28th, Nutrition Label
Jul 29th, Good Nutrition: vitamin Family
Sep 2nd , Monthly newsletter
HEALTH PROMOTION IN UNILEVER
LAMPLIGHTER
FRAMEWORK OF LAMPLIGHTER
Chengdu, Jul Guangzhou, Jul Jingshan, May Hefei, Aug
China HK Korea
LAMPLIGHTER IS LIVE ACROSS THESE COUNTRIES
6% 5% 7% 7% 7%
5%
38%
30% 30% 28%
26% 24%
33% 30% 31% 30% 30% 30%
7% 6% 5% 6% 5% 5%
2% 2% 2% 2% 0% 0%
6% 5% 6% 6% 5% 5% 7% 6% 6% 6%
7%
10% 10%
2008 2009 2010 2011 2012 2013
Brazil Smokers Inactive >BMI (25kg/m) Cholesterol
Diabetes Hypertension Alcohol Stress
10%
7%
4% 2% 3%
25%
20%
24%
13%
9%
41%
15% 18%
11%
7% 6%
15%
11% 8%
5%
2% 1% 0% 0% 1% 3%
5%
2% 1% 1% 3%
1% 1% 2% 4%
2% 2% 1% 0%
2009 2010 2011 2012 2013
Singapore Smokers Inactive >BMI (25kg/m) Cholesterol
Diabetes Hypertension Stress High Alcohol
23% 19% 18% 20%
17% 17%
79%
72% 71% 72% 66%
60% 65% 66%
61% 62%
36% 34% 36% 37% 34%
19%
7% 12%
3% 3% 1% 6% 4% 4%
9% 8% 6%
54% 48% 48%
6% 7%
68%
60% 54% 54%
23% 21%
2007 2008 2009 2010 2011 2012
Philippines
Smokers Inactive >BMI (25kg/m) Cholesterol
Diabetes Hypertension High Alcohol Stress
6%
13% 16%
4%
9%
16%
35% 34%
28%
40%
30%
42%
1%
18%
9%
3% 6%
11%
16% 14%
1%
13%
6% 7% 5%
16% 13%
15%
0% 0%
9%
23%
2010 2011 2012 2013
South Africa Smokers Inactive >BMI (25kg/m) Cholesterol
Diabetes Hypertension Stress High Alcohol
22% 21% 20% 20% 17% 16% 17% 16%
91%
57% 51%
40% 36%
41% 42% 41%
59% 60% 59% 55%
51% 53% 53% 54%
11% 6% 7%
4% 4% 4% 4% 3%
41%
34% 35% 36% 33%
38% 39% 36%
8% 9% 8% 5% 4% 4% 4% 3%
18% 19% 18%
10% 8% 8% 8% 7%
56%
33% 35%
8% 12% 10%
7% 9%
2006 2007 2008 2009 2010 2011 2012 2013
Pakistan
Smokers Inactive >BMI (25kg/m) Stress
Cholesterol Diabetes Hypertension Poor Diet
19% 18% 18% 16%
12% 11%
34% 32% 32% 31%
30% 30% 31% 30% 30% 30%
29% 28%
8% 8% 8% 6% 5%
3% 1% 2% 2% 3% 3% 3% 5%
2% 2% 2% 2% 2%
9% 9% 9% 11% 12%
13%
3% 3% 3% 3% 3% 2%
2008 2009 2010 2011 2012 2013
Nepal Smokers Inactive >BMI (25kg/m) Cholesterol
Diabetes Hypertension Stress High Alcohol
11%
28%
34%
42% 36%
56% 55%
69% 68%
45%
33%
52%
42% 48% 49%
22% 21%
27%
20% 21%
11%
3% 2% 1% 1%
11%
3% 4% 1% 1%
11% 17%
26% 21%
26%
46%
27%
2009 2010 2011 2012 2013
Turkey
Smokers Inactive >BMI (25kg/m) Cholesterol
Diabetes Hypertension High Alcohol Stress
45% 43% 44% 48%
45% 44% 38%
3%
78% 77% 78% 76%
56% 56% 54%
9%
43% 45% 45% 43% 43%
28% 28%
5%
40% 40% 38% 39% 39% 38% 38%
1%
45% 44% 45% 42%
45% 45%
58%
1% 5%
8% 8% 7% 5% 4% 4% 2%
10% 12% 12% 8.40% 10% 8% 8%
0% 1% 1% 1% 1% 1% 1% 1%
2006 2007 2009 2010 2011 2012 2013 2013
Bangladesh
Smokers Inactive >BMI (25kg/m) Stress
Cholesterol Diabetes Hypertension High Alcohol
Markets Country Degree of Compliance
Africa
ESA
Fully Compliant Nigeria West Africa UTea Plantations South Africa
South Asia
India
Fully Compliant Pakistan Sri-Lanka Bangladesh Nepal
SEAA Fully compliant ^ North Asia Fully compliant NAMET & RUB Fully compliant ^ North America Fully compliant Europe Fully compliant LATAM Brazil / Argentina compliant
IMPLEMENTATION OF NO-SMOKING STANDARD
“I’ve never wanted to be an old man, smoking two packs of cigarettes a day & setting a bad example for my son. That’s a pitiful picture, isn’t it? Yet it took me so many years to quit because I was afraid to fail. My long-time friends just accepted me as a smoker, but new friends started coming into my life, & they questioned my smoking - they were my motivators. I generated my support system by telling a lot of people that I was quitting. That helped because everyone was watching me to see if I could really follow
through. With the help of medication, I quit smoking in four weeks. There’s no way I will ever smoke again.” Leroy Lee, Associate Finance Manager
MENTAL HEALTH & WELLBEING
Global Mental Wellbeing Standard Purpose • Building resilience in teams & individuals across the organisation • Developing line managers to lead & support a culture of resilience & mental
wellbeing, to manage the things that influence resilience, health & wellbeing in the workplace
• Providing easy access across Unilever to available tools & resources • Providing excellent care & support to any employee who experiences mental ill
health for whatever reason.
Global Mental Wellbeing Standard Objectives • Awareness & education • Positive work environment • Participation in mental health initiatives • Manage mental ill-health & prevent disability • Correct work environment to reduce absence & improve performance
PLAN ON PAGE FRAMEWORK
Leadership & Management Communication & Culture Building Resilience & Managing
Pressure
Support
Managers who manage mental
health and wellbeing as a core
element of their people
management, and leaders who
consider mental wellbeing as
well as physical well being as
part of business decision-
making and capability
building.
A performance culture is a
healthy and resilient culture,
where mental health is
actively discussed, managed
and understood.
Given that a performance culture
needs to be a resilient culture,
tools and techniques will be put
in place that build
organisational, team and
individual capability to meet the
needs of the business and the
needs of our people.
Anyone in Unilever should
be no more than one click,
one phone call or one
discussion from the help
they need if they are
experiencing issues with
their wellbeing.
• Enables Unilever to track actions & progress globally
• Ensures best practice travels through the M&OH function & through HR
• Allows Unilever to meets its responsibilities to look after the wellbeing of people everywhere & that the global mental health standard is implemented
• Creates the space for this to be done in a way that is appropriate to each country's culture & situation.
MENTAL WELL BEING TRACKER Countries Country A Country B Country C Country D Country E Country F Country G
Elements Progress Work plan modelled on the four pillar approach approved & signed off by VPHR Awareness campaign covering all employees Skills Training: 1. M & OH staff 2. HR staff 3. Management Introduce & implement program 1. Mental Health program as a part of Lamplighter 2. Approve screening method (ISS, Vital Minds, PMI)/other (specify) Introduce & implement intervention (identify expertise at site & country level) 1. Individual 2. Group 3. EAP Collaboration Data Collection on Mental Well Being 1. Number of EAP referrals 2. Number of diagnosed cases of mental ill health. 3. Number of man days lost due to mental ill health 4. GPS scores covering health 5. National statistics (non-Unilever) on mental ill health
Traffic Light Key Not in place In progress Completed
HIV/AIDS PREVENTION & CONTROL
HEALTH PROTECTION IN UNILEVER
PREVENTION OF OCCUPATIONAL ILL-HEALTH & IMPROVEMENT IN OCCUPATIONAL SAFETY
WORK RELATED ILLNESS (WRI) 2.87
1.87
1.26
0.14 0.11 0.04
North America SEAA Europe SA LATAM Africa
2013 WRI Frequency (rate/million man hours)
29
42
1 2
74
Mental Musculoskeletal Respiratory Skin Total
Causes of Total WRI's for 2013
ERGONOMIC IMPROVEMENTS IN UNILEVER – BRAZIL (DONE WITH EMPLOYEE INPUTS ALONG WITH SAFETY/SUPPLY CHAIN)
Bag Handling Principles (Before)
Bag Handling Principles (After)
OCCUPATIONAL SAFETY
Behavioral Safety
• Du Pont model of behavioral safety being rolled out.
Process Safety
• Risk Categorization & evaluation of compliance
Construction Safety
• Being applied in all Greenfield and Brownfield sites
Machinery Safety
• Standard introduced in 2013 – progress monitored globally
Safe Travel
• Safe Travel has been upgraded in line with risks in emerging markets
GLOBAL OCCUPATIONAL SAFETY TREND - TOTAL RECORDABLE FREQUENCY RATE
2.1
1.91
1.63
1.27 1.16
1.04 0.94
2008 2009 2010 2011 2012 2013 2014 YTD Feb
TRFR - (Total Recordable/Million Manhours)
COMMUNITY IMPACT & INVOLVEMENT
AN AFRICA EXAMPLE
UNILEVER TEA TANZANIA
• 5 tea estates, 3 factories
• 8,000 workers & 32,000 dependants
• 70 bed hospital, 12 dispensaries, 3 HIV care & treatment clinics
• Comprehensive health services include FP/RH,PMTCT, VCT, CTC • 160 employee – Peer Health Educators (PHE)
Male Involvement: • Increased male involvement in reproductive health services PMTCT: • Reduction of mother to child HIV transmission in the community HIV/AIDS services: • Increased number of HIV patients & people from the local community
who can access the HIV treatment services
MALE PARTNERS INVOLVEMENT & TREATMENT ACCESS • Male partners actively engage in sexual & reproductive health & HIV
services.
332
244 227
344 391
106 137
198
317 362
2009 2010 2011 2012 2013
ANTENATAL CLINIC ENROLLEMENT MALE PARTNER INVOLVEMENT
0 225
961
1268 1132 1161
1806 1589
1900 2057
0 38 162
303 503
719 838
948 1092 1,181
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
TOTAL CLIENTS ENROLLED IN HIV CLINIC RECEIVING ART TREATMENT
• Increased number of HIV patients who can access the HIV treatment services
PREVENTION OF MOTHER TO CHILD TRANSIMISSION
• We have managed to reduce the HIV mother to child transmission among the employees & local community
0
20
40
60
80
100
120
140
2009 2010 2011 2012 2013
Nu
mb
er
TOTAL HIV POSITIVE MOTHERS HIV POSITIVE INFANTS (MOTHER TO CHILD TRANSIMISSION) PERCENTAGE OF INFANTS INFECTED
IMPROVING HEART HEALTH
• Education plays an important part in raising awareness of cardiovascular disease.
• We use Heart Age, an online tool that uses diet and lifestyle factors such as weight, cholesterol, blood pressure and smoking to estimate heart health.
• A heart age higher than a person’s actual age can be a powerful spur to action and the tool offers users a free three-month diet and lifestyle plan.
• In South Africa, we work with the Heart and Stroke Foundation to raise awareness of heart health & the importance of a healthy diet & lifestyle through our Flora ‘Test the Nation’ campaign.
• We tested the cholesterol levels of over 36,000 people across the country.
UNILEVER EMPLOYEE EXAMPLE
Factory Site
Marketing Site
Focus Interventions!
HEALTH AND HYGIENE
Reduce Diarrhoeal & Respiratory Disease Through Hand washing: • Lifebuoy launched hand washing programmes in seven new countries:
Egypt, Ghana, Nigeria, South Sudan, Uganda, Zambia and Zimbabwe. • We have applied this methodology to Lifebuoy to drive sustained hand
washing with soap at key hygiene occasions & have now reached 119m people since 2010.
Provide Safe Drinking Water: • The lack of safe drinking water is a major public health issue, particularly
in developing countries where around 80% of diseases are water borne. • 45 million people have gained access to safe drinking water from Pureit since its launch in 2005.
GLOBAL INTEGRATION & INNOVATIONS
HEALTH AND PERFORMANCE
GLOBAL INTEGRATION ACROSS SUPPLY CHAIN Foundation Developed Advanced World Class
M&OH
specific
standards
Compliance 70–80% Compliance 81-90 % Compliance 91-99% Compliance 100 %
He
alt
h P
rote
ctio
n
Steps in place to prevent
occupational illness and
accidents.
Identification &
reporting of
occupational illnesses
Surveillance for specific
risks like enzymes
Food handlers evaluation
Ergonomic appraisals in place
(e.g. Musculoskeletal diseases, noise
induced hearing loss)
Recording & evaluation of
occupational illnesses
Steps in place to prevent recurrence of
occupational illnesses
Ergonomic consideration involved at the
design stage itself.
Year on year improvement in prevention of
occupational illnesses.
He
alt
h P
rom
oti
on
La
mp
lig
hte
r
pro
gra
m
Pilot in place
25 - 50% of workforce Covered.
HRA, Exercise & Nutrition
modules in place
Counseling for lifestyle diseases
50-75% of the workforce covered &
improvement steps in place
HRA, Exercise Nutrition &resilience
modules in place
> 75% of workforce covered &
improvement steps in place.
HRA, Exercise, Nutrition & resilience
modules in place Measurement of
presenteeism & steps in place to reduce
absenteeism.
Me
nta
l We
llB
ein
g
pro
gra
m
Global Standards shared
with all employees.
Referral services
available
Training of managers and
supervisors on mental well
being .
Two way formal
communication to
understand stress at
workplace
Employee participation in mental well
being programs.
Periodic evaluation of mental well
being at workplace
Counselor support
Periodic evaluation of stress & resilience
with feedback & psychiatric support
where needed.
Steps in place to improve mental well being
based on periodic evaluation.
Resources
Site nurse
Access to Occupational
health physician for
supporting programs
Part time medical & occupational health
physician available to support & drive
programs
Multidisciplinary team available on site to
drive programs
HEALTH & WELLBEING IMPROVEMENT IN FACTORIES
0%
10%
20%
30%
40%
50%
60%
70%
Organization
Skills
Reward & Recognition
Governance
Employee Relations
Employee Well Being
GLOBAL MEDICAL & OCCUPATIONAL HEALTH STANDARDS
M&OH provides the following standards across Unilever globally:
• Unilever Specific standards on medical and occupational health
• Corporate Nutrition Guidance Standard
• Unilever standards on HIV/AIDS
• No smoking policy
• Mental Well-being standard
INTEGRATED MEDICAL & OCCUPATIONAL MANAGEMENT INFORMATION SYSTEM
“Groups of M&OH information linked by a system that can identify specific types of data from local solutions to determine relationships between and among the data.”
•Occupational exams •Health risk appraisal data •Employee medical records •Demographic profiles •Outpatient medical/insurance claims •Productivity •Absence
•Personnel records •Health care medical/insurance claims •Safety/accidents records •Lamplighter Data •Chemical exposure •Disability (workers’ comp) •Employee Assistance Program
RETURN ON INVESTMENT COUNTRY EXAMPLES
1.25 0.80
2.48 3.28 4.54
0.0
2.0
4.0
6.0
Healthcare Only Absenteeism Only Presenteeism Only Total Productivity (Abs + Pres) Healthcare & Productivity
€:1
Egypt
1.93
0.51 1.40 1.91
3.83
0.0
2.0
4.0
6.0
Healthcare Only Absenteeism Only Presenteeism Only Total Productivity (Abs + Pres) Healthcare & Productivity
€:1
Singapore
1.28
0.31 1.03
1.35 2.63
0.0
2.0
4.0
Healthcare Only Absenteeism Only Presenteeism Only Total Productivity (Abs + Pres) Healthcare & Productivity
€:1
Pakistan
0.67
0.23
0.75 0.98
1.66
0.0
1.0
2.0
Healthcare Only Absenteeism Only Presenteeism Only Total Productivity (Abs + Pres) Healthcare & Productivity
€:1
Hungary
ROI COUNTRY EXAMPLES
Country ROI (€ Saved for every € invested)
Algeria 5.46 Argentina 6.65
Bangladesh 1.42 Brazil 1 Egypt 4.54
Hungary 1.66 Indonesia 13
Japan 1.52 Pakistan 2.63
Philippines 2.9 Singapore 3.83
USA 9.31
Objectives Team
Implement policies, standards and procedures in medical and occupational health and allocate resources for managing medical and occupational health effectively across Unilever. Establish clear accountability for employee health and well being through health promotion and health protection activities. Ensure compliance with specific medical and occupational health standards. Monitor progress on deliverables through appropriate KPIs
Deliverables
Health Promotion Lamplighter (LL) program roll out across all countries with > 100 employees Mental well being program roll out along with LL Annual health screening for top leadership Address specific local health risks e.g. HIV/AIDS Health Protection Prevention of work related illness Ergonomics at the workplace Enzyme surveillance both HPC and Foods Leverage Manex for health promotion and protection Travel related M& OH support
High Level Plan
Critical Success Factors
Improved coverage and outreach of LL programs Positive ROIs Reduction in health risk across employees Improved mental resilience Reduction of Work related illness
Work plan / Activities
2013 2014
Q3 Q4 Q1 Q2 Q3 Q4
Lamplighter implementation
Mental well being global roll out
Mental well being implementation
Annual health evaluation
MANEX – Roll out of health promotion and health protection programs
Assessment of ergonomic factors at workplace e.g. Noise, Enzyme s / MSDs at
workplace
Review talent/resource across clusters
Align Europe M& OH programs with global standards
Review M&OH deliverables and KPIs by the subcommittee
Sponsors:
CHARTER FOR M&OH TOP MANAGEMENT REVIEW
UNILEVER MEETING GLOBAL HEALTHY WORKPLACE CRITERIA Leadership commitment & engagement
Unilever Leadership Executive sign off, Mandatory roll out to countries with >100 (employees). Well established resources in M&OHSLT & HRLT, Global Management Charter & Globally Mandated Standards
Worker Involvement Health & Safety Committees, Site wellness committee, HIV/AIDS committee, Dignity enhancement committee, Wellbeing Ambassadors; Evangelists for Lamplighters, health & safety forums (assessments at the shop floor, Pre-delivery inspection visits, Project briefs, TPM & accident investigations), Union & works council participation & inputs for health & well being
Business Ethics & Legality Code of Business Principles across the value chain (Unilever & Contractors) , Mandatory learning of CoBP, Business integrity through; Four key values underpin the way we do business across Unilever: Integrity, Respect, Pioneering, and Responsibility
Sustainability & Integration Global Unilever Sustainable Living Plan: To help more than a billion people improve their health and well-being To halve the environmental footprint of our products, To enhance the livelihoods of hundreds of thousands of people in our supply chain. Our Health & wellbeing programmes are integrated vertically & horizontally within HR, Safety, Geography & Supply Chain.
Continuous Improvement Global KPI’s for Wellness & Illness – reported quarterly and annually. Changes in health risk status through Return on Investment (ROI), Global tracking systems in place to capture standard incl HIV & MWB. KPI’s & Reporting are governed by Top Management Review. Employee feedback is part of continuous improvement.
Innovation Health & wellbeing questions embedded within Unilever Global People Survey. Development of Management Information System across all countries to capture data globally, Create global medical cut off for health risk factors to improve medical reporting which also feeds into a Global Health Index.
Replicable Extended out to 68 countries and cover approximately 160K employee. Programmes have been highlighted as replicable by World Economic Forum (WEF), Global Business Coalition (GBC), World Heart Federation (WHF) & the Access to Nutrition Index (ATNI).
THANK YOU