1. Northern Dimension Partnership “Health at Work” Strategy
Wiking Husberg
ILO

2. Global Estimates Global workforce: 2.8 billion
Work related fatalities: million
Occupational accidents: 270 million
Work-related diseases: 160 million
Global GDP (income) billion USD
Lost GDP in accidents/diseases 4 %
Illiterate: million
People in poverty: million
Child workers: million

3. Second Page Life expectancy at birth, in years
Source: WHO/Europe, HFA Database, January 2005
Second Page

4. Towards systematic approach
1981 ILO Convention 155;
1985 ILO Convention 161;
1989 EU Framework Directive 391;
2001 ILO-OSH 2001;
2003 ILO Global Strategy on OSH;
2006 ILO Convention 187 on Promotional OSH;
2007 EU Strategy on OSH ;
2007 WHO Global Plan of Action

5. WHO Global plan of action on workers’ health 2008 - 2017
Policy instruments (national policy framework, national action plan
Protect at the work place (define essential interventions, primary prevention)
Access to occupational health services
Surveillance of workers’ health – accurately identify and control hazards
Inclusion of workers’ health in other sector policies
Link public health and occupational health

6. EU Community strategy 2007-2012 on health and safety at work
Aims for a 25 % reduction of occupational accidents
EU strategy decrease 17 % in accident rate, absence rate fallen by 20 %
But still
28 % of workers suffer non-accident problems
35 % feel that their job put them on risk

7. EU Community strategy 2007-2012 on health and safety at work (2)
Develop national strategies; policy coherence (public health, social cohesion, employment);
Changes in the workplace, change of behaviour, especially SMEs
Identifying and evaluating risks (risk assessment)
Education and training programmes
Improving health and promoting awareness
Implementation of the EU OSH Directives

8. New ILO Convention 187 - 2006 NATIONAL OSH POLICY NATIONAL OSH SYSTEM
Article 2
NATIONAL OSH POLICY
NATIONAL OSH SYSTEM
NATIONAL OSH PROFILE
NATIONAL OSH PROGRAMME

9. Health and Work International strategies and collaboration
Societal support systems
Employment relations
Work
Health
Occ
Health
system
Occupational hazards
and strains
Employability
Primary health
care system
Some problems - social dialogue - variation and polari- sation of health - access to service - access to info - non-coherence of actions - costs and resources
Life style
Habits
Work ability
Health behaviour

10. Target population and work
Micro companies &
SMEs
Non-active
population
Informal
work
Formal empl.
Unemployed

11. Commonalities – WHO, ILO, EU
Right to health and safety
Right to health services
Right to know
Right to work
Raising awareness, building preventative OHS culture
Full coverage and access to quality, affordable services
Collaboration and cooperation; intercountry, regional, national
Incorporation of health and safety in all policies

12. Commonalities – WHO, ILO, EU (2)
National systematic level:
Government leadership
Tripartite participation
National OSH profiles and indicators
National OHS strategy and plan
Enforcement of legislation
Institutional framework; health systems development, centres of excellence on OHS; labour inspection

13. Commonalities – WHO, ILO, EU (3)
Tools and mechanisms
Human resource capacities
Basic and applied research
Evidence based practices; guidelines
Simple tools for practice
Information dissemination; experts/workplaces/public; internet
Mainstreaming OSH into trainig and education
Follow-up and evaluation of progress

14. “Healthy life – healthy work” Forum
WHO
“the silent worker”
Informal sector, migrant workers, working children
Keep up the political momentum
Provide “evidence based facts”
Combine public health and occupational health
ILO
Systematic approach Conv 187
Profile, programme, system
Safety culture
Awareness raising (ILO estimates, World Day 28 April)
Tri-partism – access to work places

15. “Healthy life – healthy work” Forum
EU:
The community OSH strategy 2003 – 2007 has led to results
Decrease of fatalities 17 %
Decrease of absenteeism 20 %
Increased practical implementation of the Directives
Cope with demographic change
Ageing work force
Lack of work force
Cooperation MinHealth – MinLabour
ICOH:
Broad concept of health “social determinants of health”
Global pandemics (SARS, avian flu) – work related
50 % of Europeans not covered, inequity, high risk areas
Several options for occ health services  BOHS

16. Healthy life – healthy work Forum
Healthy Workplace Initiative of the Bilbao Agency:
The economies are changing, new demographic phenomena: rapid ageing of the population; If we want to be high on the political agenda, we have to work for keeping people healthy up to the retirement age and beyond
in the complex situation in the workplace work across the borders of jurisdictions is a necessity;
167,000 fatalities attributed to work-related accidents and diseases in the EU-27
importance of having reliable statistical data – has an effect on identifying the priorities
safety in societies will result in better productivity and competitiveness
Healthy workplace initiative – SMEs as a target point – other tools such as OSH Week needs to be harnessed to support this activity – 36 seminars
media should be used for disseminating information to the general public

17. “Healthy life – healthy work” Forum
Case of new EU Member State - Lithuania
Differing trends in the EU 25
Case shows lower indicators; negative trends
Challenges in system and in resources
Improvement process started
Strategy 2008 – 12
Baseline survey
Based on int’l strategies
Clear plans for improvement
Although open indicators

18. “Healthy life – healthy work” Forum
Reports on regional OSH projects
ILO OSH Project in North-West Russia
Created and adapted new methodologies
Practical testing of ILO-OSH 2001
Multiplying in other countries
Coop with Partnership
South East European Network on Workers' Health
Establishment of SEE Network
Cooperation with the BSN OSH network and the Partnership SIHLWA/OSH network
Baltic Sea Network on Occupational Health and Safety
Established networking and collaboration
Joining forces with Partnership SIHLWA/OSH

19. “Healthy life – healthy work” Forum
Broadening “traditional” occupational health to lifestyle-related issues with a work aspect
alcohol and work/ Sweden
Alcohol still is a delicate issue to be discussed? NO!
Alcohol toxication as a cause for occupational accidents
Screening methodologies, voluntariness
Workplace to be used as an arena for interventions
alcohol and work ( )/ Finland
Training of OH doctors, part of occ health services
Material (guidebook, drinking diary)
Early identification (screening), brief interventions
Workplace is a good setting to prevent alcohol problems
HIV/AIDS at workplaces/ILO Murmansk and Moscow region
Workplace programme for HIV/AIDS
Link HIV/AIDS work with the OSH organisation

20. Partnership Health at Work Strategy
Based on
the WHO Global Plan of Action on Workers' Health 2008–2017,
the ILO Global Strategy on Occupational Safety and Health (2003–) and
the ILO Convention No. 187,
the European Strategy for Safety and Health at Work 2007–2012,
the new EU Health Strategy, 'Together for Health: A Strategic Approach for the EU '
the new EU Second Programme of Community action in the field of Health 2008–2013

21. Partnership Health at Work Strategy
The Partnership notes
work and health are closely inter-related;
all adverse health effects and injuries are preventable;
health and safety at work require a systematic approach and strong leadership by the Governments;
major inequities great variations in working conditions, in the health of the workers, and variation in access occupational health services
underserved workplaces and workers need basic occupational health services, the basic conditions for high productivity;
public health and occupational health are closely related and need to be developed in parallel;
the improvement of workers' health is also strongly related to lifestyle issues, such as nutrition, smoking, alcohol consumption, physical exercise, etc.

22. Partnership Health at Work Strategy
The Partnership resolves
the multifaceted interactions of work and health health should be integrated in all policies;
the strategies on occupational health and safety of WHO and ILO, as well as of the EU for the EU member countries, are to be implemented effectively;
the ILO Convention No. 187 on Promotional Framework adopted and implemented in full;
actively diminishing the inequity in health between and within countries;
joint activities in the field of workplace health promotion to reduce communicable and non-communicable diseases;
allocating sufficient resources to projects and to development of occupational health service systems;
a closer collaboration between primary health care and occupational health services, including the need for competence and capacity building.

23. Health at Work Strategy
The Partnership Annual Meeting recommends
Policies and programmes
1. Each Partner Country, whenever feasible, to draw up a national occupational safety and health profile according to the guidance provided by the ILO as the basis for the national programme on occupational health and safety. Such profiles should be used for the identification of the most urgent needs for action and for the follow-up of the progress made.
2. Each Partner Country, whenever feasible, to draw up a national policy and programme for the development of work life, health and safety at work and the development of working conditions conducive to health and well-being, as described in the ILO Convention No This task is recommended to be carried out in collaboration with other relevant ministries and stakeholders.
3. Each Partner Country, whenever feasible, to prepare a special national programme for the development of occupational health services for all working people. Where appropriate, the Basic Occupational Health Services approach is used for providing services particularly to the currently underserved groups in the formal and informal employment sectors.

24. Health at Work Strategy
The Partnership Annual Meeting recommends  
Specific actions
4. Special joint and national actions to be instituted for the elimination of the most dangerous hazards at work in the sectors and branches of economy at highest risk, by utilizing successful experiences from the Partner Countries and by sharing information, knowledge and good practices in such preventive work.
5. The Partner Countries to organize audits of occupational health and safety. The nature of the audits should be informational and they should promote learning rather than resemble inspections. Sharing the results of the audits will be used for learning from the partners.
6. Partner Countries may organize specifically targeted actions for the management of special occupational health and safety problems recognized as priority issues for a part or for the whole Region, such as the improvement of occupational health and safety in the transport sector.

25. Health at Work Strategy
Capacity building
7. Partner Countries to organize region-wide joint seminars, courses and symposia for sharing experiences and for training experts working in authorities and in services in the field of health and safety.   
Information
Organized efforts for sharing information through the web to be enhanced by utilizing the existing information systems, such as the NDPHS Database, the Baltic Sea Network on Occupational Health and Safety, various newsletters and other media. Existing networks will be used for effective sharing of good practices. Simultaneously, the establishment of national and sectoral networks is encouraged to support the effective implementation of activities.
  The Partner Countries to organize joint information campaigns for awareness raising among the public at large and among the interested parties in particular on the importance of occupational health and safety for the development of the Region. For this purpose, the information support of the ILO, WHO and the European Agency for Safety and Health at Work should be fully utilized.
Partnership to organize study tours for decision-makers, authorities and experts of individual countries to share experiences and learn from the neighbours.
Follow-up and evaluation
The SIHLWA/OSH group to follow-up the implementation of the Strategy. The overall evaluation of the implementation to be done before the end of 2011.
The Partnership to organize a follow-up activity enabling the evaluation of achievement of the above activities by the end of 2011.

26. Background for the joint Plan of Action
Recently endorsed OH&S strategies (ILO, WHO, EU)
(discussed in Bonn, October 30,2007; Vilnius, November 14,2007)
Analysis of OH&S status in the countries
(draft reports of BSN network countries are available)
NDPHS Strategy on Health at Work
(prepared by NDPHS OSH expert group during 2007; further recommended for
adoption by the Pre-PAC Forum on November 15,2007)
Project proposal developing occupational health services, and preventing work-related ill-health
(based on the discussions within the BSN and SIHLWA-OSH expert
groups and elaborated by FIOH)
Plan of Action will be translated into practical activities
(BSN and SIHLWA – OSH will be utilized for coordination and guidance)

27. Project outline for implementation start
BSN Annual Meeting + SIHLWA/OSH Group
(Partner countries+Int.Org.+Donors)
I Preparation of National OSH Profiles
- several activities
II Preparation of the National OSH Programme
III Providing Basic Occ Health Services
Streamlining and coordinating the national projects
within BSN and NDPHS SIHLWA/OSH
Nat’l
teams
Nat’l teams
A small steering group
IV Improving Health & Preventing Accidents in High-risk Sectors
- several projects, different sectors, same approach
V Advocacy, awareness raising, adding to the knowledge

28. Cooperation between WHO, ILO and EU with BSN-OSH network and Northern Dimension Partnership on Health and Social Wellbeing (NDPHS), 14 Nov, Vilnius
- provide joint assistance for basic occupational health systems development
sharing of information
risk assessment
best practice
awareness raising (WD 28 April, Safety week, Health Day)
support Partnership “Health at Work” Strategy based on ILO, WHO and EU OSH strategies, and
give full approval of the Project concept for implementing the Partnership strategy

29. “Healthy life – healthy work” Forum
recommends:
to enhance the process of cooperation between WHO, ILO and EU, in partnership with ICOH and other professional organisations, as well as between sub-regional networks
to utilise WHO, ILO and EU OSH strategies to prepare national occupational health and safety systems
at the national level increase cooperation to utilise all health and safety resources
consider links between public health, occupational health and life style issues within a work place context
the adoption of the Partnership “Health at Work” Strategy
support the outline for a project to implement the Strategy

30. Where to go, how to do it
With a joint strategy the Partnership can harness all resources to work towards the same objective:
Healthy life – healthy work for all women and men
A strategy paper is a paper only, unless there are resources to put the vision into practice