University of Kirkuk                              جامعة كركوك
College of Engineering                              كلية الهندسة
    Department of                                    قسم هندسة النفط
  Petroleum Engineering
Healthy workplaces: A model for action
                                  Prepared by
                           Uthman Muhammed Sayhood
                                Supervised by
                              Dr. Adnan Abed
                                                                       June-2020
  I. Our target population: 'the global
               w o r kf o r c e '
Most of the world's 2.8 billion
 workers can benefit from a
 "healthy workplace"
 approach, and particularly…
  ▪ the 1.9 billion workers who
    are employed in unhealthy &
    unsafe working
    conditions…and that includes
    170 million children
II. Healthy workplaces: a new way
            of thinking
A comprehensive approach that embraces:
► Traditional & emerging occupational health –
  minimizing workers' exposure to job-related
  physical & psychosocial risks
► Health promotion – promoting healthy
  behaviours among workers, both job- and
  lifestyle-related
► Enterprise involvement in community – to
  address broader social & environmental
  determinants of workers health
         O c c upa t i o n a l he a l t h r i s k s €
► 1 60million new cases of work-related illness
  every year
► Occupational risks play a big role in chronic
  diseases:
     ► 26%  CVD & chronic obstructive pulmonary disease
     ► 15% asthma
     ► 10% cancer
     ► 8% injuries
     ► 8 % depression
 H e a l t h p r o m o t i o n : i m p r ov e d w o r k e r s '
         health €better performance
Workplace-based initiatives can help support, for
 instance:
► Smoking  cessation
► Obesity control
► Cardiovascular health
► HIV/TB testing & treatment
► Exercise & physical activity
E nt e r p r i s e c o mm u n i t y i n v ol v e me n t €
social & environmental determinants
► Safe/healthy  access to work – public
  transport, carpools, walking, cycling
► Voluntary pollution/waste control & cleanup
► Primary health care measures unavailable
  through health care services
              III. A little history…
  Healthy workplaces is inspired by the WHO
  definition of health as:
  “a state of complete physical, mental and
  s o c i a l w e ll- b ei n g a n d n o t m e r e ly t h e
  a b s e n c e o f di s ea s e o r i n f ir m it y ”
WHO constitution, signed on
22 July 1946 by the
representatives of 61 States
and entered into force on 7
April 1948
                                    Paradigm shift
     From: Labour approach                        To: Public health approach
      Occupational health                              Workers' health
                                              Action to include workers'
Action at workplace
                                                families & communities
Work-related health issues
                                              Include all health determinants
o nl y
                                              Include all workers (self-
W o r k un d e r la b o ur c o ntr ac t
                                              employed, informal workers)
                                              All stakeholders' responsible
Employers' responsibility                     (i n s u r a n c e , h e al t h & e n v i r o n m .
                                              authorities, a.o.)
Negotiation between workers
                                              Health protection is a non-
and employers
                                              negotiable
     Increased business awareness
1.   The 'right' thing to do: businesses are part of
     society and ethical/social frameworks
2.   The 'legal' thing to do: in our globalized world,
     businesses that ignore or undermine workers'
     health are open to litigation and media scrutiny
3.   The 'smart' thing to do: businesses that protect
     workers' health are among the most successful
     over time
        IV. Global policy anchors
► WHO    Global Strategy on Occupational health
  for All, 1996
► ILO Global Strategy 2003 & Promotional
  Framework
► World Health Assembly Worker's health: global
  plan of action (2007)
V. The 'Healthy Workplaces' model :
Combining health protection & health promotion
                  ☒ Developed by leading occupational
                  health experts out of systematic
                  review of literature
                    ☒ Peer-reviewed by WHO regions,
                    ILO, other key agencies
                    ☒ October 2009 workshop involving
                    56 experts from 22 countries,
                    international worker & employer
                    representatives
   VI. A holistic framework for action
1. Action in four realms:                                  Physical work environment
• Physical work                                                    Mobilize
• Psychosocial environment                       Improve                            Assemble
                             Psychosocial                                                           Personal
                                                                  Leadership
• Personal health               work
                             environment
                                            Evaluate
                                                                  engagement
                                                                  ETHICS &                 Assess
                                                                                                      health
                                                                                                    resources
                                                                   VALUES
• Community involvement                                             Worker
                                                                  involvement
                                                   Do                               Prioritize
                                                                     Plan
2. A model of continuous                                     Enterprise community
                                                                 involvement
improvement
►   Eliminate a toxic chemical or
    substitute with less hazardous
►   Install machine guards/exhaust
    ventilation
►   Train workers on safe operating
    procedures
►   Personal protective equipment
    such as respirators or hard hats
☒   Reallocate work to reduce
    workload
☒   Zero tolerance for harassment,
    bullying, discrimination
☒   Respect work-family balance
☒   Recognize and reward good
    performance
☒   Meaningful worker input into
    decisions that affect them
►   provide fitness facilities, classes or
    equipment for workers;
►   provide healthy food choices (e.g.,
    cafeteria)
►   put no-smoking policies in place,
    provide smoking cessation assistance;
►   provide information about alcohol and
    drugs, and employee assistance
    counseling
    As an employer you can create or remove barriers to lifestyle
    changes!
- Free/affordable Primary health care
to workers/family members;
- Literacy education to
workers/families;
- Voluntary controls over pollutants
released into the air or water;
- Financial support to worthwhile
community causes;
- Minimize greenhouse gas emissions.
VII. Crosscutting principles for success
► Leadership engagement
► Involve workers & their
  representatives
► Do an effective gap analysis
► Learn from others
► Integrate activities
► Evaluate and improve
             VIII. Next steps
In line with further implementation of the Global
  Plan of Action for workers' health, collaboration
  between WHO, member states, collaborating
  centres, and civil society groups to develop
  further:
► Practical guidance
► Sector-specific guidance & tools
► Training modules