Cracow Seminar, 2006Dragon – fly Project Polish Network for Workplace Health Promotion Patrycja Wojtaszczyk Jacek Pyżalski National Centre for Workplace Health Promotion NIOM Poland

Cracow Seminar, 2006Dragon – fly Project What does WHP mean to us? Process of social and organisational change implementing into policy, culture and management of the company care about health and well – being of employees; contributing to economic success of the firm

Cracow Seminar, 2006Dragon – fly Project National Network for WHP in Poland The strategy of development of National WHP Network has been prepared by the National Centre for WHP / NIOM under World Bank Project in 1997 and later on implemented with the support of various stakeholders It is informal and based mostly on the involvement of occupational medicine stations’ specialists (WOMP)

Cracow Seminar, 2006Dragon – fly Project Structure of the Network for WHP Local WHP leaders Local WHP centres/ forums Enterprises The National Centre for WHP /NIOM/

Cracow Seminar, 2006Dragon – fly Project National Network for WHP in Poland WHP leaders are trained to trigger the WHP development /locally and in enterprises/ NC WHP role: –Development of WHP concept and its dissemination strategy –Training of WHP specialists (leaders) –Publications, guidelines, marketing –Consulting WHP programmes in companies –Creation of local fora for WHP –Research and monitoring of WHP in Poland

Cracow Seminar, 2006Dragon – fly Project National Network for WHP in Poland Sources of financing: Ministry of Health Ministry of Economy, Labour (and Social affairs) State Committee for Scientific Research Nofer Institute of Occupational Medicine Regional organisations and institutions

Cracow Seminar, 2006Dragon – fly Project The main outcomes Training carried out for regional leaders and company leaders since 1996Training carried out for regional leaders and company leaders since 1996 Publication of a series of marketing and educational materials and 12 guidebooks on WHPPublication of a series of marketing and educational materials and 12 guidebooks on WHP

Cracow Seminar, 2006Dragon – fly Project The main outcomes Realisation of independent WHP dissemination programmes by WHP leaders in companiesRealisation of independent WHP dissemination programmes by WHP leaders in companies Participation of WHP leaders in health promoting projects in companiesParticipation of WHP leaders in health promoting projects in companies Implementation of regional strategies on WHP by Centres in 5 voivodshipsImplementation of regional strategies on WHP by Centres in 5 voivodships Development of sub-network of smoke-free enterprises involving 30 companies (to be continued)Development of sub-network of smoke-free enterprises involving 30 companies (to be continued)

Cracow Seminar, 2006Dragon – fly Project The main outcomes Regular publication of data on WHP development in Poland as a part of monitoring workRegular publication of data on WHP development in Poland as a part of monitoring work Participation of Zakład Energetyczny Toruń S.A. (Electricity Board) in the ‘Enterprise for Health’ networkParticipation of Zakład Energetyczny Toruń S.A. (Electricity Board) in the ‘Enterprise for Health’ network Membership in the European Network for Workplace Health Promotion, participation in its initiativesMembership in the European Network for Workplace Health Promotion, participation in its initiatives

Cracow Seminar, 2006Dragon – fly Project Development of regional networks - local fora New role of WOMP at regional level (coordinators) Involving new partners on the local level (stakeholders) Big companies – specific programmes SMS enterprises – new opportunity – supportive regional strategies New platform of cooperation with employers

Cracow Seminar, 2006Dragon – fly Project Integrated Program Employers organizations Local forum for WHP WOMP/ Regional Occupational Medicine Station/ – Coordinator Sanitary Inspection Labour Inspection National Centre for WHP (NIOM) /consulting/ Enterprises Local administration Health Found Insurance Companies feedback

Cracow Seminar, 2006Dragon – fly Project The regional forum kick – off, November 2002

Cracow Seminar, 2006Dragon – fly Project The current local fora There are 5 formally operating local fora (Kielce, Toruń, Rzeszów, Zielona Góra, Kraków) –Kick off meetings in fall 2002 –Involve many companies NC WHP acts as a consultant Regional Stations (WOMP) develop local strategies

Cracow Seminar, 2006Dragon – fly Project What comes next? Dissemination of local approach –Internet –Seminars, training, consulting for leaders Involvement of stakeholders at national level (ZUS, Ministry of Health) National Network’s meetings: –Polichno Nov – new strategy for 2006 – 2008 –Łódź Oct – smoke free enterprise campaign – Move Euroipe kick off

Cracow Seminar, 2006Dragon – fly Project Regional Forum for WHP Kujawsko – pomorskie voivodship - Good and long tradition of cooperation with NC WHP – one of the first regions with sub network

Cracow Seminar, 2006Dragon – fly Project Regional Forum Disemination of WHP concept in the world of business Development of professional skills of OSH specialists Consultancy and coordination of WHP prgrammes in enterprises Preparation of regional WHP projects Initation of WHP programmes in vocational schools Creation of local alliances for WHP

Cracow Seminar, 2006Dragon – fly Project The objectives of the Regional Forum Integration of policy of WHP in the region with the regional health policy „Healthy enterprise in healthy region” Development of health promotion activities adjusted to the needs and problems present in the region Development of local structures and alliances on different organisational levels supporting WHP Development and dissemination of WHP concept and encouraging employers to implement it

Cracow Seminar, 2006Dragon – fly Project The objectives of the Regional Forum Creation of a convenient platform for exchange of know – how in the form of examples of good practice Consulting and evaluating local projects concerning WHP Support for organisations implementing particular WHP programmes

Cracow Seminar, 2006Dragon – fly Project Stakeholders involved in WHP projects implementation Enterprises Occupational health care sector Other institutions with legal obligation to protect and enhance workplace health

Cracow Seminar, 2006Dragon – fly Project Cooperation of stakeholders within Forum –The National Centre for Workplace Health Promotion/ The Nofer Institute of occupational Medicine –The Marshall’s office of Kujawsko – Pomorskie Voivodship –Regional Epidemiological and Sanitary Station –Enterprises –National Labour Inspection –National Health Found –Oncology Centre

Cracow Seminar, 2006Dragon – fly Project Cooperation of stakeholders within Forum –Media –Trade Unions –Local authorities and municipalities –Schools and kindergartens –Pharmaceutical companies –Health care institutions –Associations of nurses and physicians

Cracow Seminar, 2006Dragon – fly Project Evaluation of needs One of the first activities of Forum was a research into the needs of local enterprises. The outcomes of the survey have shown that major problems in many firms are: -noise -stress -factors causing MSD

Cracow Seminar, 2006Dragon – fly Project Evaluation of needs/implementation The firms pointed to activities they would like to participate in, these were: Prophylactics of circular system disorders Tobacco policy in the workplace Stress coping Prevention of back pain Protection of hearing Healthy nutrition training Prevention of respiratory system diseases Prophylactics of bad influence of carcinogens According to these needs particular programmes have been designed and introduced in companies

Cracow Seminar, 2006Dragon – fly Project Projects realised in the area of Toruń WOMP jurisdiction Smoke free enterprise (14 companies) – local network of smoke free companies has been set up Prophylactics and screening of risk factors in circulatory system diseases (18 companies) Prophylactics of vocal cords diseases in teachers (30 schools and kindergartens)

Cracow Seminar, 2006Dragon – fly Project Projects realised in the area of Toruń WOMP jurisdiction Stress coping (4 companies) Prevention of MSD ( 7 companies) First aid in emergencies (19 companies) Hygiene at work with monitors (7 companies)

Cracow Seminar, 2006Dragon – fly Project Projects realised in the area of Toruń WOMP jurisdiction Programme of hearing protection (6 companies) Prevention and screening of prostate cancer (22 companies) Prevention of uterus and breast cancer (13 companies)

Cracow Seminar, 2006Dragon – fly Project Projects realised in the area of Toruń WOMP jurisdiction Healthy life – style education (39 companies) Flu vaccination (89 companies) and hepatitis vaccination (17 companies) Safety at school and at work– programme introduced in 15 vocational schools

Cracow Seminar, 2006Dragon – fly Project Exemplary programme - MSD prevention Programme carried out in: Plasticon Poland (chemical industry) – 160 employees PKO BP (bank) – 125 employees Zakład Energetyczny Toruń S.A. (electricity board) – 860 employees Wojewódzki Urząd Pracy (public administration) – 80 employees Rejonowy Urząd Poczty (post office) – 460 employees Urząd Marszałkowski (public administration) – 240 employees Geofizyka (mining industry) – 980 employees

Cracow Seminar, 2006Dragon – fly Project Experiences after 18 months of Forum existence Barriers/obstacles Companies have other, major problems, health is not high on their agenda Frequent reorganisations threat continuity of the WHP interventions Lack of staff trained for WHP/lack of such positions at enterprises Little knowledge about the business-case for WHP amongst employers Limited resources on the regional level for WHP activities

Cracow Seminar, 2006Dragon – fly Project Experiences after 18 months of Forum existence Positive effects/incentives Determination, consistency and optimism of the people involved in the WHP dissemination Support of stakeholders obliged by the legislation to participate in WHP activities

Cracow Seminar, 2006Dragon – fly Project WHP in Poland The system –Ministry of Health has no cohesive policy about public health issues –There is a growing demand for national/regional development policies, HR policies in view of the EU structural and social funds –System in constantly reformed –Stakeholders on the national level are very reluctant to cooperate with each other

Cracow Seminar, 2006Dragon – fly Project Views of employees on health at work 44% only safety and hygiene regulations are followed, nothing beyond 15% firm does not care about employees’ health at all 54% are convinced they can not diminish/control the harmful influence of work condition on their health

Cracow Seminar, 2006Dragon – fly Project 90 % expect the company to launch some sort of WHP activities

Cracow Seminar, 2006Dragon – fly Project Views of occupational medicine doctors on health promotion 91% believes it is their task to carry out WHP However – 80% says there are no good conditions to promote workplace health in Poland

Cracow Seminar, 2006Dragon – fly Project Barriers and obstacles in WHP: dichotomy of activities and traditional approach (the state and enterprise level) Ministry of Health Occupational medicine services Main task: prevention of occupational diseases Ministry of Labour and Social policy HR, OSH Compliance with legislation on labour and work conditions

Cracow Seminar, 2006Dragon – fly Project Areas of competence of various institutions NFZ – prophylactics PIP – promotion of safety culture PIS – hygiene of work environment, basic health education ZUS – occupational rehabilitation Conclusion: no place for health promotion!

Cracow Seminar, 2006Dragon – fly Project Employers’ situation Lack of system incentives (legal/financial) for introducing WHP in companies There are other, available easily methods of boosting economic growth with more of business case (health promotion is not yet a part of business ethics) Lack of signals/stimulation from employees’ organisations Conclusion: health promotion is attractive for very specific sort of employers

Cracow Seminar, 2006Dragon – fly Project Our (WHP supporters’) needs: Strengthening of political influence (lobbying) of setting approach specialist in health promotion Changes in responsibilities of state for employees health (concepts, legislative and institutional framework) Introducing on a larger scale health promotion in curricula for: OH doctors and nurses; managers; PIP and PIS specialists; OHS inspectors; Employees’ (new form of OSH trainings)

Cracow Seminar, 2006Dragon – fly Project Our (WHP supporters’) needs: Implementing interdisciplinary occupational health services improvement of WHP programmes quality (mix of medical activities and health beneficial business management) Analysis and dissemination of MOGP in WHP and in depth analysis of business case – costs and effects in financial terms

Cracow Seminar, 2006Dragon – fly Project EN WHP? In most of the mentioned areas there is a room for improvement in all new NCOs and …maybe in some of the ‘old’ ones? In a few areas EN WHP already started its work, however the impact on the national level is still too weak Impact on the European level is stronger and stronger