Presentation on theme: "Capacity Building for Occupational Health for Workers in South Africa"— Presentation transcript:
1 Capacity Building for Occupational Health for Workers in South Africa Inakshi NaikOHS Training Department, NIOH29th October 2013Hong Kong
2 Overview of the presentation Overview of the National Institute for Occupational Health (NIOH) SATraining needs assessmentTraining in different categories and levelsGaps in training – shortage of skillsCurrent initiative to fill in the training gapsShort Courses/seminars/workshops to develop capacityStrengths of NIOH in delivering the programme
4 National Institute for Occupational Health (NIOH) Established in 1956 (Pneumoconiosis Research Unit)Hopefully by the end of our 50th anniversary, NIOH will all be housed in the Old Medical School building. The NIOH building is also linked to mining. The somewhat decrepit surrounding wall is actually an historic monument. It is part of the original perimeter wall of the police barracks in early Johannesburg which was established in the late 1800s as a gold mining town. History has done a full circle and our new neighbours are the state forensic laboratories or police mortuary where our pathologists perform the whole body autopsies for deceased miners.NIOH is responsible for developing and supporting occupational health initiatives for the South African workforce of about 11.5 million workers. Approximately half a million of these workers or 4.3% of the workforce are in the formal mining industry which continues to be an important focus for NIOH. During its history the National Institute has changed - its name, its affiliations and its functions. The constant in the Institute from past to present has been research and service for miners.
5 Advisory Statutory Service Autopsy Services SpecializedLaboratoriesThese 5 Functions are:* ADVISORY SERVICES* TECHNICAL INFORMATIONDISSEMINATION* TRAINING* SPECIALISED LABORATORYSERVICES* RESEARCH** and a few other servicesHealthHazardEvaluationsResourceNetwork
6 Services Research Back Office Support Training Universities and other InstitutionsLocal & International PartnershipTrade Unions, NGO and BusinessGovt. and Public EntitiesServicesResearchBack Office SupportTraining
7 Post Graduate Qualification in OH for Medical Practitioners Post Graduate Diploma in Occupational HealthPart Time: Offered over 2 years in 8-10 weeksone week blocks.Offered by 6 Universities.UCT offers distant learning
8 Post Graduate Qualification for Occupational Health Nurses Post Basic Nursing qualification9 Universities and one private Academy offers Masters, B. Tech, Diploma and Certificate courses over one-two years period.B Tech qualifications offered by University of TechnologyRegistration with the SA Nursing Council with minimum DoH nursing
9 Qualification for Occupational Hygienists Registered Hygienist in 3 different categories with SAIOH in SAHygiene AssistantsHygiene TechnologistsHygienistsEducation and Training RequirementsOccupational Hygienist Post Graduate Qualification3 Universities offer a Diploma and Masters Degree in and PhD inOccupational Hygiene over two or three years (part time/ full time),Offered as DPH or MPH Occupational hygieneApplicants must have a four-year qualification from a universityBeing registered with the South African Institute for Occupational Hygiene (SAIOH) at the minimum of the Occupational Hygiene Technologist level.The Wits School of Public Health, in association with the NIOH, offers a Diploma in Occupational Health (DOH) and MPH Occupational Hygiene
10 Weaknesses Identified in the Present System for Training of Different Categories of Hygienists: In House TrainingNo defined requirementsHigh registration failure ratesNo mentorship programmePresent application form – summary of educational qualification and employment historyAssessors lack full understandingof candidate level of competencyLittle practical and experiential learningProvider also is accreditor
11 New Proposed Training for Occupational Hygienists in SA Registration model based on competency levelsBench mark proposed skill requirements against international standardsMeet IOHA registration requirementsDevelop a skills matrixDevelop detailed skill definitions per gradeMentorship programme support development of practical skillsPromote use of Personal Learning Portfolio as part of assessment processAdapted from SAIOH Deon Van Vuuren (Chairperson SAIOH)
12 OHLearning for Occupational Hygienists www.ohlearning.com
13 OH Learning for Occupational Hygiene Qualification The Occupational Hygiene Training Association (OHTA) was formed to promote better standards of occupational hygiene practice throughout the world. They develop training materials and make them freely available for use by students and training providers. Promote an international qualifications framework so that all hygienists are trained to a consistent, high standard, recognized in all participating countries.Three levels of course: Foundation level, and progress through intermediate level to advanced level
16 Training for Other Occupational Health Workers Provided at NIOH Occupational epidemiology (MPH)Information sciencesResidency training in Occupational MedicinePartnerships with universities, internship programmes and experiential learning.
17 Laboratory based sciences (Scientists. Technologists & Technicians) ToxicologyAnalytic chemistryPathologyImmunology/MicrobiologyStudents from India trained in the Analytical Laboratories for metals, organic exposures
18 Developing Capacity for the Government Health System
19 PHC Training Initiative by the Department of Health, SA The re-engineered approach to providing PHC services proposes a population based approach for delivering of PHC outreach service
20 Who is the Training for ? Community Health Workers Primary Health Care NursesFamily Medicine DoctorsHygienists/Technologist/Technicians/ Environmental Health OfficersHealth and Safety RepresentativesLabour InspectorsNGOs, Trade Unions
21 Clinic / PHC Outreach CHW District Hospital Proposed Training at Different LevelsOutreach CHWShort CoursesClinic / PHCDistrict HospitalRegional HospitalTertiary HospitalCHWs, Nurses, Environmental Health Officers & Hygienists, DoctorsOHLearning and other supportAcademic Learning
22 Ward Based PHC Outreach Programme- CHW DoH Project: Funded by USAIDWard based PHC Outreach TeamCHW trained in phase 1HIV, TB, ANC, Child nutrition but not OHIntroduce OH screening tools6 CHW 270 Families eachProfessional NurseTeam LeaderEHOHealth PromoterFunctions stipulated for EHO:Monitor OH and safety in local businessesManage environmental noise hazards
23 Clinic / PHC Outreach CHW District Hospital Proposed Training at Different LevelsOutreach CHWShort CoursesClinic / PHCDistrict HospitalRegional HospitalTertiary HospitalCHWs, Nurses, Environmental Health Officers & Hygienists, DoctorsOHLearning and other supportAcademic Learning
24 Statistics of South African Nursing Council - 2012 Over the 9 year period 2003 to 2012, the total number of nurses on the register has grown from to i.e. a net increase of (+40,0% growth).The growth in nursing figures has exceeded that of the population of SA by quite a margin.There is currently a shortage of occupational health nursingpractitioners in South Africa (1147 RegisteredOH Nurses SANC stats)Taken from
25 Motivation for Training PHC Nurses in OH Where an employee develops ill health due to occupational causation the client may consult a health care worker at a public clinic.PHC nurses are the gatekeepers of the health systemThey are not taught the basics of occupational health in their training and are thus not skilled in the identification of an occupational disease.Through the early detection of disease the morbidity associated with occupational disease can be reduced thereby decreasing the disease burden in the country.
26 Training of Public Health Care (PHC) Nurses in Fundamentals in Occupational Health- NIOH Initiative Aim:To equip a PHC nurse with information/skill to be able to take an appropriate occupational historyRefer suspected occupational disease cases to the next level of referral, i.e. The Regional/ District hospital.To have a high index of suspicion for work-relatedproblems and identify sentinel events.Knowledge of referral systems that exist withinthe district.To liaise with the Environmental Health Officer,Labour inspectors
27 Structure of the Course for the PHC Nurses The course will be five days in duration. A combination of theory and practical teaching methodsA site visit and a virtual site visit will be included in the teaching methods.Assessment will be conducted through continuous formative assessment and a summative assessment.Learners will be required to complete 10 health assessments of employees in the PHC setting.On successful completion of assessments a competency certificate will be issued by the NIOH.SANC accreditation of this course will be requested.
28 Current Short Courses Available for Medical Practitioners
29 Global Program in Occupational Health Practice (GPOHP) What is the GPOHP?The Global Program in Occupational Health Practice is an internet-based, instructor-led distance-learning program for professionals in either occupational health services or occupational hygiene.The program consists of two tracks, the Occupational Health Practice Certificate and the Occupational Hygiene Practice Certificate.Each contains three consecutive courses that build on each other. However, the courses may be taken separately. Courses are ten weeks long.All participants receive a "Certificate of Competency” on completion from UIC. School of Public Health
34 WHO Modules in Occupational Health, Hygiene and Safety The WHO Modules in OH were developed by a team of experts from the Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois - Chicago, USA, also a WHO CC in OH.The modules were developed to execute the 49th World Health Assembly Global Strategy for OHThe materials are case-based modules in the specific sectors of agriculture, manufacturing, and the health service
35 Aim of the CourseThe aims of the course were to develop and strengthen the following approaches in OH:Anticipate and recognize workplace hazardsDescribe exposure to workplace hazards and their health effectsGenerate recommendations for preventing exposure using available resources and technologiesDevelop a programme plan for addressing workplace hazards
36 On Completion of the Course The participants are equipped to:Complete an occupational historyRecognize a work related injury or illnessConduct a qualitative risk assessment of a workplaceConduct an incident investigationCategorize exposure groupsComplete an exposure and health effect rating chartDevelop a strategy for collecting quantitative dataRecommend intervention strategies for reducing exposureBegin a programme plan for various workplaces
37 WHO Modules in Occupational Health Course in Johannesburg, SA (2009) This course was directly in line with the overarching aims of the WHO Global Network Plan for Occupational Health ( ), which is driven by the Global Plan of Action (GPA) for Workers’ Health
38 Corse Conducted at NIOH: Team from UIC, SPH, USA and Nayati Int. India
39 The week-long course was attended by close to 90 participants from both public and private sectors. A certificate of competency (from the University of Illinois - Chicago and the NIOH, Johannesburg) was issued to all participants scoring higher than 70% on post-course performance- and knowledge-based evaluations.A CD of the full course was created as an Integrated E-Learning Platform – essentially a video recording of the presentations, to be used as a training tool by trainers for future capacity building.With the aid of the CD further 330 delegates in 10 centres ( 9 provinces and 1 national centre) were trained within 4 months in 2010.The delegates were HSR, wellness managers, safety officers, nursesThe course has a “Train the Trainer” component
40 Field Visit-Hospital Laundry/Kitchen/Laboratory
42 Training for Medical Officers (Namibia) WHO: Protection of the Human Environment Worker’s HealthMinistry of Health and Social Services.Swakopmund, Namibia 2011District Health Medical Officials in NamibiaDelivered by Dr. Ivan Ivanov (WHO), Dr. Norbert Wagner (UIC, SPH, and Dr. Tony Cantrell (NIOH, SA)2 weeks course: 1 week Occupational Diseases , 1 week Occupational Hygiene
43 Health and Safety Representatives (HSR) Course for NHLS - online
44 Health and Safety Representative (HSR) in Pathology Laboratories (Course Overview) We trained 268 HSR countrywide on our intranet in 2012.Current around 170 HSR being trainedCourse specifically designed to identifyhazards and risks associated inpathology laboratoriesModified for any environment
45 Stoffenmanager Version 5.1 www.stoffenmanager.nl
46 Stoffenmanager: Background and History Web-based IT-tool (public and freely available) to help small- and medium-sized enterprise (SME) which allows non-expert users in the companies to manage their dangerous substances more efficiently.Developed by consortium: Dutch ministry of social affairs (owner & funding) ,BECO , TNO and Arbo Unie (research & development)First development: risk prioritization (control banding)Subsequent: quantification and validation of the exposure process modelinitially inhalationMarch 2008: version 4.0 Separate exposure estimation for dermal exposure
47 Changing Focus of Occupational Risk Management for Workplaces Exposure to Chemicals TraditionalRely on technical experts to evaluate workplace hazards and risks.Carry out exposure monitoringCompare with OELsRecommend controls.InnovativeEmpower owners/operators to evaluate their own workplaces for hazards and risks.Focus resources on practical control solutions rather than expensive exposure measurements.
50 Other Courses Conducted at NIOH Biological monitoring of chemical exposuresErgonomics incl. Manual material handlingOccupational allergies/asthmaSubstance abuse in the workplaceChemical and biological hazards for Labour inspectorsPersonal Protective EquipmentsILO-CXR for silicosisManagement of Chemical exposures in the workplaceStoffenmanagerGHS for chemical communicationContinuing Professional Development with HPCSA
52 Strengths of NIOH NIOH is a WHO CC in OH. Network with NIOSH, CDC, WHO, FIOH,UIC SPH, USA, etcLinkage with DoH, DoL, DMR, MBOD, CCODAffiliated with UniversitiesStaff highly knowledgeable and skilled in various fields of OHInfrastructure (lecture rooms, video-conference unitsNew learning technologies (eLearning)National, Regional and International activitiesVisionary leadership
Your consent to our cookies if you continue to use this website.