Professional Documents
Culture Documents
Workplace Occupational Health Services
Workplace Occupational Health Services
services
Margaret K. Semakula
Presentation Plan
Introduction
Provision of Occupational Health Services (OHS)
Models of Occupational Health Services (OHS)
Requirements for success in Occupational Health Services
Roles in provision of occupational health services
Organizational Occupational Health Services
Occupational Health Services in the context of PHC
References
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Introduction
Of the total 3 billion workers in the world, more than
80% work and live without having access to
occupational health services (OHS).
This in spite of the fact that several authoritative
bodies, including the ILO, WHO and numerous
professional organizations and the organizations of
workers have, already for several decades emphasized
the need for services.
The coverage, i.e. the proportion of workers and
workplaces with access to services, is today
diminishing rather than expanding.
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Introduction cond
The ILO Convention No. 161 on Occupational
Health Services and the WHO Global Strategy on OH for
all, call for the organization of services to all working
people of the world.
We are still far from this goal, and it is not likely that the
coverage will essentially expand without concerted
efforts.
To address the new safety and health needs, WHO has
launched a new Global Plan of Action on Workers' Health
and the ILO has produced a Global Strategy on
Occupational safety and Health and the ILO Convention
No. 187 on Promotional Framework.
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Considerations cond
What are the pertinent regulations regarding
occupational safety and health?
What has been the past experience of the organization
and what is its expected future growth?
Who are the employees, what is their social, ethnic, and
economic background, and what patterns of disease are
common in their home community?
How much of an investment is the organization prepared
to make?
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Models cond
3. Private health centre OHS
These are organized by the physician or group of
physicians. Its in some cases more multidisciplinary.
The disadvantage of these is that they are usually run by
general practitioners and thus provide only general
services. This is a common arrangement with most
common workplaces in Uganda
4. Social security model
OHS are organized and operated by a social security
system
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Rehabilitation
Promotive services
Consultative services
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Consultative services
There are different scenarios available for
consultations;
Some physicians offer single consultative visits. They are
paid by the employer to examine workers and prescribe
Independent examiner: e.g. when a worker files for
workmans compensation.
Health risk appraisal and health promotion; these use
surveys, questionnaires and interviews and help patients
to identify aspects of their life styles that are health
risks.
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30
In industries
Occupational Safety and Health Engineers or Safety Officers
Occupational Hygienists
Orthopaedic Officers, Technologists and Technicians
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35
Industry/ factory
Heavy metal poisoning
Injury and cuts
Respiratory tract infections
Hearing impairment
Stress
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References
http://www-old.itcilo.org/actrav/actravenglish/telearn/osh/legis/r112.htm
Professor Jorma Rantanen (2007), Basic Occupational Health Services
WHO (2001), Occupational health: A manual for primary health care workers