Transcript Estonian flowchart of ODs/WRDs

Increase in the Coverage and
Effectiveness of Occupational
Health Services in Estonia
Kari-Pekka Martimo
Pre-Accession Advisor (PAA)
Milestones
Estonian project fiche
launched
July 2002
MS proposal submitted
Sept 2002
Letter of acceptance
from the EC
Oct 2002
Preparation of the
Covenant
Sept 2002–
March 2003
Approval of the Covenant
in EC Steering Committee
April 2003
Starting of the Project
May 2003
Facts
• Duration of the Project: 12 months (5.5.2003 – 4.5.2004)
• Financing: EU Phare (Budget EUR 327,600)
• Twinning Partners:
– Estonian Ministry of Social Affairs (MoSA)
– Finnish Institute of Occupational Health (FIOH)
• Project Leaders:
– Mr Tiit Kaadu, Head of the Working Environment Department,
MoSA
– Prof Jorma Rantanen, Director General of the FIOH
• Pre-Accession Advisor (PAA):
– Dr Kari-Pekka Martimo
Objectives
• To reduce the number of incidences of work-related
diseases in Estonia in the long run
• To increase the coverage of, the availability of and the
accessibility to occupational health services throughout
Estonia
• To increase awareness of employers and employees on
occupational health and safety issues
• To support the practical implementation of aquis
communitaire
Acquis Communautaire underpinning
the Twinning Project
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Council Directive 89/391/EEC of 12 June 1989 on the introduction of
measures to encourage improvements in the safety and health of workers at
work
Council resolution 88/C28/01 of 21 Dec 1987 on safety, hygiene and health at
work
Commission Decision 88/383/EEC of 24 Feb 1988 providing for the
improvement of information on safety, hygiene and health at work
Commission recommendation (OJ L 80, 31.8.1962, p. 2181) to the Member
States on company medical services
Commission recommendation of 22 May 1990 to Member States concerning
the adoption of a European schedule of occupational diseases
Commission recommendation 66/464/EEC of 7 July 1966 addressed to
Member States and concerning medical control of workers exposed to
particular risks
INCREASED
WELLBEING AND
PRODUCTIVITY OF
ESTONIAN
EMPLOYEES
Effective prevention of workrelated diseases
Better knowledge, recognition and
management of WRDs by
Occupational
physicians
Family
physicians
Better coverage, quality,
effectiveness and network of
OHS system
Better co-ordination of occupational
health and safety issues at the
national level
Elements
Information
* Awareness raising
* Dissemination of
information
* Management of
information
Networking
Developing and further
strengthening relevant
OHS Networks; Preparation
of county, community and
sectoral OHS
profiles
General
Informing relevant
partners and
stakeholders
on the project
Work-related diseases
The development of
coverage, quality and
effectiveness of
recognition of ODs and
other WRDs
Policies and
Strategies
The MoSA and other
relevant authorities
will be supported
OHS
The development of
the OHS infrastructure
for better coverage and
quality in the provision of
services.
Guaranteed results
1.
2.
3.
Strengthened implementation of the Estonian
Occupational Health Development Plan and the Ministry
of Social Affairs’ Strategy for Occupational Health and
safety 2003-7 for development of occupational health
services system
Administrative structure and institutional capacity for
recognizing occupational diseases has been described,
discussed and approved as a part of national policy and
strategy
Occupational health personnel and necessary public
health personnel are trained on diagnostics, treatment
and prevention of work-related diseases
Guaranteed results
4.
5.
Guidelines for ”Good Occupational Health Practice” will
be distributed and trained to relevant practitioners
National, local and subject-oriented OH&S networks are
strengthened. Indicators, profiles, research studies,
information on the occurrence of work-related diseases
and preventive activities of occupational health services
are made available in the National Network of
Occupational Health for specialists, social partners, and
the general public. Up-to-date information on
occupational health services and work-related diseases is
available and disseminated
Key experts
Tiit Kaadu
Urmas Krass
Ülle Sarap
Ahe Vilkis
Viive Pille
Eva Tammaru
Jaan Sõrra
Ester Rünkla
Katrin Lepisk
Tanel Tomson
Jorma Rantanen
Matti Ylikoski
Helena Taskinen
Kari Kurppa
Suvi Lehtinen
Kaj Husman
Anneli Vartio
Taina Pääkkönen
Contact Info
• Pre-Accession Advisor
Kari-Pekka Martimo
Töötervishoiu Keskus, Hiiu 42, Tallinn
Tel. 056 231 344
Email: [email protected]
• Assistant to PAA
Liilika Raudhein
Töötervishoiu Keskus, Hiiu 42, Tallinn
Tel. 670 0101
Email: [email protected]
Occupational Health Services
Element objective I: Good Occupational
Health Practice Guideline in Estonia
Actions:
- GOHP-guideline will be used in training
and distributed to OH personnel
- Problem-specific guidelines will be
selected, translated and modified together
with Estonian OH experts (together with the
information element)
Element objective I: Good Occupational
Health Practice Guideline in Estonia
Impact:
- OH services will be harmonized in the
country
- Quality requirements are met better than
earlier
Element objective II: Developing the
service provision infrastructure of OHS
with widened coverage
Actions:
- Training of OH system to family physicians
and agricultural experts together with OH
experts and clinicians (with training
element)
=> 40 OH physicians, 90 family physicians
and three agricultural advisers are informed
and instructed on the OH system and its
activities
Element objective II: Developing the
service provision infrastructure of OHS
with widened coverage
Impact:
- Family doctor network will be linked to the
infrastructure of OHS
- All relevant stakeholders and interest
groups have a good understanding of the
structure of the OHS system and its
activities
Element objective III: Agricultural OHS,
making an assessment of the OH&S
situation on farms
Actions:
- A subnetwork on OHS in agriculture will be
established (with network element)
- Task force will write a sectoral profile on
OHS in Estonian agriculture
- A community OHS profile model for rural
communities will be developed
Element objective III: Agricultural OHS,
making an assessment of the OH&S
situation on farms
Impact:
- Recommendations made available for
development of OHS services on agriculture
- Initiation of development of OHS services
in agriculture
Element objective IV: Development of
indicators for functioning and status of OHS
Actions:
- OHC is instructed for collecting information
on OHS for the Ministry and for the selfevaluation of the units (with policy &
strategy element)
=> Occupational health and safety indicators
and models for reporting are made available
Element objective IV: Development of
indicators for functioning and status of OHS
Impact:
- Better management and follow-up of the
OHS system
- Better quality of OHS services
Element objective V: Increasing awareness
and disseminating information through
networks
Actions:
- Social partners, industries, organizations
will be informed on the possibilities to
organize OHS
=> Information will be distributed to work
places and employers’ representatives (with
information element)
Element objective V: Increasing awareness
and disseminating information through
networks
Impact:
- Awareness of practical organization of OHS
is increased
- Coverage of OHS is increased