ilo's approach & good practices dr yuka ujita
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Health promotion in the workplace
ILO’s approach and good practices
Dr. Yuka UjitaSpecialist, Occupational safety and Health
ILO Decent Work Team and Office for the Caribbean
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Traditional approach to occupational health
Very ill or dependent
Healthy
Resources
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Paradigm shift
More focus on prevention
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Goals of workplace health promotion
• Improved workplace productivity and performance;
• Long-term well-being of workers and their families;
• Reduced pressure on health, welfare and social security systems.
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Impacts to workers and employers
• Improvement of work organization and the working environment;
• Social dialogue and active participation of social partners in OSH reinforcement;
• Promotion of health among all workers, their families and their communities;
• Encouragement of personal development and well-being.
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Key factors
• Complementary to OSH measures to prevent accidents and diseases;
• Evidence-based action;
• Involvement of employers, workers and their representatives;
• Focused on healthy behaviours;
• Integration into OSH management practices.
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Areas of action
• Workplace well-being;
• Prevention of addiction to alcohol and drug;
• Prevention of HIV/AIDS;
• Psychosocial hazards and mental stress;
• Prevention of violence at work;
• Tobacco-free workplace.
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ILO’s tool on health promotion
SOLVE
• Prevention of psychosocial risks
• Promotion of health and well-being at work through policy design and action
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ILO’s tool on health promotion
SOLVE
Integrating health promotion into workplace OSH policies
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Management Systems ApproachPDCA Cycle
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Integration of health promotion into workplace OSH policies
Identify specific problems and assess needs
Provide training and implement workplace action
Evaluate workplace health promotion activities and modify as needed
Broaden OSH policy to integrate health promotion
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Country model: JapanPolicy framework:
Industrial Safety and Health Act (1972), Article 70: Employer’s duty to take necessary measures for the maintenance and promotion of workers’ health
Guidelines for the measures to be taken by the employer (1988, 1st version)
- Development of heath promotion plan- Establishment of implementation system in
the workplace- Use of health promotion service facilities- Evaluation of outcomes
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Country model: Japan
Measures to be taken: Assessment of health Guidance on physical exercise
- Exercise programme- Assistance/guide
Mental health care Nutritional guidance Health guidance
! ! Confidentiality
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Good practice (1) 100 days challenge1. Tobacco cessation, 2. Weight control
Background: communication company (393 workers, 54 years-average)
Tools: study sessions, medical assistance, event plan (hiking), newsletter, support email, certificate
Achievements:Success rate: Tobacco 25~57%, Weight 28~54%Improvement in medical examKeys to successOSH committee activation, commitment by management, supporting system, motivation/encouragement, sharing of feeling
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Good practice (2) Sustainable prevention of back pain : stretch exercise at work
Background: printing company (1,400 workers), weakened muscles in the physical fitness test
Tools: study sessions (lecture and exercise) for all workers, identification of high-risk unit, support by supervisors, regular visit by occupational nurse
Achievements:56% reduction of workers with back pain (6 months)Keys to successNeeds assessment, pilot in the high-risk work unit, cooperation with supervisors, sensitization of unit leaders, positive intervention into workplace
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Integration of health promotion into workplace OSH policies
Identify specific problems and assess needs
Provide training and implement workplace action
Evaluate workplace health promotion activities and modify as needed
Broaden OSH policy to integrate health promotion