Presentation at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012

1. PARALLEL WORKING SESSIONS
ROUND TABLE 3: PARTICIPATORY GOVERNANCE
Chairs: Tran Thi Ngoc Lan, MoH Viet Nam; Sonja Bleuland van Oordt- Dröge, Head of
Department General OHS Policy, Dutch Ministry of Social Affairs and Employment
Rapporteurs: Dick van Putten, TNO; Rokho Kim, WHO/EURO
Objective:
To identify strategic directions and actions for participatory health
governance and leadership regarding the health of workers in the
context of primary health care reforms.
1

2. PARALLEL WORKING SESSIONS
ROUND TABLE 3: PARTICIPATORY GOVERNANCE
Suggested questions:
1 To what extend the health of workers is or should be considered in healthcare
reforms?
Suggested answers:
1 ALWAYS
2 BASIC SERVICE FOR OH, THROUGH OR WITH COLLABORATION WITH PHC
3 UNDER-SERVED POPULATION FIRST (INFORMAL WORKERS, MIGRANTS,
SELF EMPLOYED)
4 ALL ADULTS WORK, BASIC HEALTH CARE SERVICE, INCLUDING BASIC OSH
5 OHS AS A SPECIFIC SERVICE AS WELL
2

3. ROUND TABLE 3: PARTICIPATORY GOVERNANCE
PARALLEL WORKING SESSIONS
2Suggested questions:
Should a new health leadership can engage in dialogue with workers' representatives,
employers and ministries of labour about healthcare reforms
Suggested answers:
1 MULTIPARTITE WITH REGARD TO HEALTH STAKEHOLDERS
2 SPECIAL APPROACH INFORMAL SECTOR
3 ROLE OF ALL-OF-THE-GOVERNANCE (supported by the Ministry of Labour)
4 ROLE OF MUNICIPALITIES (LOCAL GOVERNMENT)
5 NATIONAL AND LOCAL LEVELS INVOLVED IN DIALOGUE
3

4. ROUND TABLE 3: PARTICIPATORY GOVERNANCE
3 Suggested questions:
What health information is NECESSARY TO ENSURE THAT (available and or
needed to measure whether) primary care can tackle work-related health
problems and access to prevention?
Suggested answers:
1 INFO ON GOOD PRACTICE (LAW, EDUCATION , SERVICES)
2 COMMUNITY OSH PROFILE AND COUNTRY OSH PROFILE
3 INFO ON EDUCATION AND TRAINING OF WORKERS
4 GENERAL INFORMATION ON HEALTH, WORK, SOCIO-ECONOMIC FACTORS:
MORE SPECIFIC: (INTER-)NATIONAL/LOCAL SURVEY DATA BY (INTER-)
NATIONAL INSTITUTIONS AND WHO-CC, ILO/CIS AND WORLDBANK
5 QUALITATIVE DATA MAY BE SUFFICIENT IF QUANTITAVE DATA ARE NOT
AVAILABLE (ON PRIMARY PREVENTION)
6 BASIC TYPE OF INFO ON WORKING CONDITIONS, WORKERS LIFESTYLE
EDUCATION, INTERVENTIONS, SERVICES
4

5. PARALLEL WORKING SESSIONS
ROUND TABLE 3: PARTICIPATORY GOVERNANCE
4 Suggested questions:
What actions should be undertaken to move to participatory health governance for
workers' health at the local, national and international level, including research to
fill knowledge gaps?
Suggested answers:
TOP 4 (OF 13 MENTIONED/AGREED)
1 URGE RATIFICATION AND/OR IMPLEMENTATION: ILO C 161,155,178
2 ENGAGE EVERY STAKEHOLDER IN HEALTHCARE REFORM
3 SET UP A WHO-PLATFORM FOR DISSEMINATION FOR OSH-INFORMATION,
e.g. COUNTRY OSH PROFILE (WHO, ILO), GOOD PRACTICE EXAMPLES,
TRAINING MATERIAL
4 LINK LABOUR INSPECTORATE WITH OHS AND VICE VERSA
5

6. PARALLEL WORKING SESSIONS
ROUND TABLE 3: PARTICIPATORY GOVERNANCE
4 Suggested questions:
What actions should be undertaken to move to participatory health governance for
workers' health at the local, national and international level, including research to
fill knowledge gaps?
Suggested answers:
TOP 5-13 MENTIONED/AGREED
5
6
7
8
9
10
11
12
13
6