Integrating health promotion into workplace OSH

policies - SOLVE an ILO approach

Acknowledgement
Valentina Forastieri
Editor Second Revised Edition SOLVE
Coordinator Health Promotion and Training Cluster
Programme on Safety and Health at Work and the Environment (SafeWork)
International Labour Office
Geneva, Switzerland
 About the faculty

Professor Dr Victor Hoe

MBBS, MPH, MPH(OH), MEng(SHE), MOSH, Ph.D., FAOEMM, AMM

Professor of Occupational and Public Health

Head of Academic and International Division

Department of Social and Preventive Medicine
Faculty of Medicine, University of Malaya

Head of Occupational Safety Health and Environmental Unit

University of Malaya Medical Centre
 Health Risk Factors Among Workers

90% 11% 12.5% 64%

nutritional risk current smokers obese (BMI>30) physically inactive

https://www.flaticon.com

Malaysia’s Healthiest Workplace - AIA Vitality Special Report 2017

Health Risk Factors Among Workers

32.6% 24.4%
current smokers obese (BMI>30)

https://www.flaticon.com

SOCSO Health Screening Programme 2013-2018

Health Risk Factors Among Workers

53% 84%
risk of mental health ≥1 musculoskeletal disorder

https://www.flaticon.com

Malaysia’s Healthiest Workplace - AIA Vitality Special Report 2017

 Health Risk Factors

27.2% 9.4% 24.6%

hypertension diabetes mellitus hypercholesterolaemia

SOCSO Health Screening Programme 2013-2018

 Health Risk Factors

sleep quality

Poor Very poor Very good

14% 2% 6%

56%
<7 hours sleep

Good
Fair 32%
46%

Malaysia’s Healthiest Workplace - AIA Vitality Special Report 2017

 Work Productivity

25.7%
Working Hours lost a week

67 days
lost per per-worker per-year

8.2 days 58.8 days

Absenteeism Persenteeism

Malaysia’s Healthiest Workplace - AIA Vitality Special Report 2017

 Work Productivity

RM2.7 million
lost per per-company per-year

Malaysia’s Healthiest Workplace - AIA Vitality Special Report 2017

Organisation Obligation Towards Safety and Health

Material LEGAL VOLUNTARY

conditions OBLIGACION MOTIVATION

Environmental
conditions

Ergonomic
conditions

Psychosocial
conditions
Health
Promotion
 SOLVE
Integrating health promotion into workplace OSH policies
 Impact of Psychosocial risk at work

• For workers • For the organisation

• Higher risk of accidents • Poor morale

• Increased family or social problems • Increase absenteeism,

presenteeism, turnover
• Sitgmatisation and discrimination • Reduced productivity

• Health deterioration • Reduced profits and services

• Physical or psychological illness • Higher costs

• Pain, distress, disabilities and death • Reduced competitiveness

 Impact of Psychosocial risk at work

Increase Increase Loss of tacit Decline

Loss of Skills
Absenteeism Turnover knowledge morale

Insurance costs
Increased health
problems in the
Retirement funds
Increasing demands community with
Safety and Health for recruitment and reduced labour pool
training and diminished access
Medical Assistance to resources

Counselling

Declining profits or
Increasing Costs ability to provide Declining Capacity
services
 Impact of Psychosocial risk at work

Work conditions

Occupational
Accidents

Health Effects

Investment in
Improvement
Lost working days
Companies
Absenteeism Medical Care
Performance
Disability

Material damage
Costs
Liability
(financial effects)
European Risk Observatory Report 2009, OSH in figures: Stress at Work – Facts and Figures
Legal Costs
Why SOLVE? An ILO response
 The traditional approach

• Most resources are focused on

the treatment of very ill or Very ill or
dependent workers dependent
• Few, if any resources go
towards prevention

Healthy
 Paradigm Shift

• The focus of our efforts needs to be on preventing healthy workers

from becoming ill

• Therefore, the paradigm shift is from treatment to prevention

 The ecological model

The
The social environment
community

The
family
The workplace
The
Individual
 The GOAL of SOLVE

Integration of health promotion into a

comprehensive organizational policy on
occupational safety and health and
development of action based on the policy
The SOLVE Policy Approach
 The continuous improvement cycle

Broaden OSH policy

through SOLVE to
intergrade health
Promotion

Evaluate workplace Identify specific

OSH and health problems and assess
promotion activities needs
and modify as needed

Provide training and

implement workplace
action
 SOLVE Methodology

• Each of the SOLVE activities

• Builds an open attitude towards

the subjects

• Builds sufficient knowledge for the

participant to apply the knowledge
gained

• Applies the new knowledge

through exercises
 SOLVE Methodology

• Four mechanisms in place:

• Pre-test / Post-test

• Long-term evaluation of attitudes and experience in areas related to health

promotion

• Qualitative evaluation by participants

• Participants competent to design a post-course action plan to implement

SOLVE in their enterprise
 Component of SOLVE

Managing
workplace
health Work-related stress
promotion Alcohol and Drugs at Work
Violence at work
HIV and AIDS at Work
Tobacco and workplace second-hand smoke
Nutrition at work
Physical activity for health
Healthy sleep Action Plan
Economic stress
 The ecological model

The
The social environment
community

The
family
The workplace
The
Individual
 OSH management system

• ILO OSH MS 2001

• A risk management system enables

enterprises to

• Identify workplace hazards

• Assess the risk associated with each

hazards

• Develop appropriate preventive

measures
 Risk assessment and management

Step 1 Identify the hazards

Step 2 Decide who might be harmed and how

Step 3 Evaluate the risks and decide on precautions

Step 4 Record your findings and implement them

Step 5 Review your assessment and update if necessary

 OSH MS and the 5 phase of WHP
Workplace Workplace
health health
promotion promotion

1. Preparation Policy / Strategy

2. Planning
Planning and implementation
3. Implementation

4. Evaluation Monitoring and performance

5. Review and update Auditing and review performance

WHP 1st Phase: Preparation

• Establish a task force

responsible for planning and
implementing the WHP
programme

• Inform everyone about the WHP

programme using different
communication channels

• Make sure legal requirements

on health and safety at work are
followed
 WHP 2nd Phase: Planning

• Assess the needs

• Decide on priorities
• Link them to risk prevention activities
• Integrate existing successful health activities
• Implement a coordinated programme
• Involve intermediary organizations
• Give opportunity to all workers
• Prepare to evaluate the outcome
 WHP 3rd Phase: Implementation

• Get active and visible support

from senior, middle and ground
management

• Engage workers as much as

possible

• Adapt information and training

materials to the target
audiences
 WHP 4th Phase: Evaluation

• Analyze the impact of the WHP

programme

• Evaluate the financial benefits

• Communicate the results of the

evaluation
 WHP 5th Phase: Review and Update

• Review and update the ongoing

implementation (principle of
continuous improvement)

• Integrate the results of the

evaluation when planning for
the future
 Examples of Workplace Health Promotion
measures

• Organizational measures:
• Offering flexible working hours and workplaces
• Enabling workers to participate in the improvement of their work organization
and their work environment
• Giving workers opportunities for life-long learning

• Environmental measures:
• Providing social rooms, a comprehensive smoking ban and a supportive
psychosocial working environment

• Individual measures:
• Offering and funding sports courses & events and encouraging a healthy diet
• Offering smoking cessation programmes and supporting mental well-being
 1st step: Policy Statement on
Health and Safety at Work

• Workers are this company’s most important resource. We will foster a safe and healthy
environment for all employees, contract workers, clients and visitors

• We will commit to make all premises and equipment safe as reasonably practicable to ensure a
healthy, injury-free working environment

• Health and safety considerations will be incorporated into all phases of business, including
product design and development, facility design, operation, maintenance and product delivery

• Emergency procedures including emergency evacuation measures will be developed, reviewed

with local competent authorities and implemented

• We will regularly assess, implement and verify compliance with health and safety measures

• We will ensure that health promotion measures be put in place and that workers’
representatives will actively participate in the design and implementation of the OSH policy

• This policy will be reviewed at regular intervals

 2nd step:
the Workplace Health Promotion (WHP) Action Plan

• During the SOLVE policy course

you have been using specific
checklists to incorporate the
relevant actions for each module

• The actions detected as “needed”

in the checklists have been
incorporated into the matrix of
your WHP Action Plan

• You will now finalize your WHP

Action Plan taking into account the
work carried out so far
 3rd step:
WHP Action Plan

Define:

• What are the expected results

• Which are the resources you are
going to allocate
• Who will be responsible for the
implementation
• By when you expect to obtain the
results
 3rd step: WHP Action Plan
POLICY STATEMENT

MATRIX PLAN OF ACTION:POLICY STATEMENT

We will ensure that health promotion measures be put in place and that workers’ representatives will
actively participate in the design and implementation of the OSH policy

POLICY INTEGRATION: MANAGEMENT ORIENTATION OF THE ORGANIZATION POLICY FRAMEWORK

1.2, 1.3 2.2, 2.3, 2.5

 3rd step: WHP Action Plan
CROSS-CUTTING AREAS

Proposed Expected Responsible

Resources Deadline
action(s) results persons

1.2
Management
Comprehensive Comprehensive JUNE 2015
Policy and team +
approach policy to deal ED + OSHM
participation consultants +
with all areas
5000, USD
1.3 committee

cross-cutting
areas of action
 3rd step: WHP Action Plan
tematic areas

Proposed Responsible
Expected results Resources Deadline
action(s) persons

Policy and
participation

Training,
S Education,
t Information and
r Communication
e
s
s
Work
organization,
Workload,
Design and
Content

Complementary
measures
 Example of plan of action

ACTION PLAN MATRIX

Proposed Expected Responsible

Resources Deadline
action(s) results persons

1.1 Comprehensive
approach
Policy and 1.2 Committee Comprehensive Policy for
1.7 Risk Assessesment time CEO and Safety Manager May, 2013
participation reducing Stress

2.1 Provide Training

Training, Education, trainer, materials and
Information and Raise awareness budget HR and Safety Manager Dec-13
S ( USD 5000)
Communication
t
r 3.1 Resources and
e staffing
Work organization, 3.9 Involve employees Minimize the work place
s Workload, Design and risks
budget HR, Production Manager
Jan-14
( USD 10000) and representive workers
s Content to reduce stress

4.1 provide adequate

facility
Complementary 4.2 support and
measures counseling for employees 100 % counseling support budget HR and medical adviser Jan-14
 Thank you

Conflict of Interest: None

Disclaimer: None

Email: drvictorhoe@gmail.com