Inkosi Albert Luthuli Convention Centre

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EHW Strategic Framework for the Public
Service Presentation to the 4th Annual Provincial
Public Sector Human Resource Convention 05th
October 2009
Inkosi Albert Luthuli Convention Centre
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Presentation Outline

• Introduction
• Vision for EHW in the Public Service
• FUNCTIONAL Pillars of EHWSF (objectives)
• Objective indicators and measures of
  implementation
• Results Based Model
• 12 Components of an effective ME System
• Process Pillars and current implementation
  projects
• Structures for implementation

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Introduction
Introduction

• EHW policy environment and programmes in the
  Public Service are rapidly transforming
• The EHWSF follows extensive investigation of
  international best practice and inputs from
  public service (UNW).
• Specific areas of focus were identified as key
  components of EHW to be implemented uniformly
  across the entire public Service
• Strategic documents
• WHO Global Plan of Action on Workers Health
  2008-2017
• ILO Decent Work Agenda in Africa 2007-2015,
• WHO Social Determinants of Health 2008,
• 30th Anniversary of the Alma Ata Declaration
• Existing Legislation

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VISION CRAFTING FOR EHW
Vision for EHW in Public Sector
STRATEGIC INTENT
STRATEGIC FOCUS AREAS
ELEMENTS OF EHW VISION
Healthy and Productive Public Servants as
individuals and as a collective

• AIDS free Public Service
• Assessment, Identification and Management of
  Occupational Hazards
• Comprehensive Wellness and its Healthy impact on
  Service Delivery
• Health Education, Promotion and Management in
  the work place
• Meeting Governments Developmental Agenda

VISION FOR EHW
Enhanced Productivity in the Public Service as a
sector of the SA Economy
Integrating EHW Vision in Plans and Activities
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Indicators and Measures of Implementation of

• Objectives are implemented through 4 Policies
• Each Policy has strategic objectives (e.g.
  Prevention of HIVAIDS)
• Each Objective has policy measures (e.g. reduce
  vulnerability to HIV infection- Evidence based)
• All Policies have Implementation guide with RBM
  Model with indicators of input, process, output,
  outcome and impact.

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Results Based Management Approach Int RBM(2)

Population Level
Project / Program Level
Services e.g. Facilities offering Service Trained
staff Utilization New clients Return clients
Resources e.g. Policies Finance Staff Drugs,
Supplies Equipment
Long-term e.g. Infection rate Mortality Fertility
Functions, Activities e.g. Training Logistics IEC
Intermediate e.g. HIV on ART ART Adherence
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12 Components of an Effective ME System
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Process PillarsCurrent Projects

• Capacity Development (Individual)
• Individual Employees (Mainstreaming , Costing
  Monitoring and Evaluation fo of HIVAIDS)
• Managers (Mainstreaming, Costing a nd ME of
  HIVAIDS, Basics of OHS with NIOH and UIC)
• Auxiliary Occupational Health Practitioners (EHW
  practitioners with Basic OHS training)
• OMPs, ONHPs, Specialists (Long Term)
• Centers of Excellence (Institutional
  Infrastructure, Long Term)
• Organizational Systems Support Initiatives
  (within the department)
• Tools for implementation (Implementation Guides,
  Child Care Facilities Guide Rehabilitation and
  Return to work Guidelines)
• ME Tools (HIVAIDS ME Plan, Systems Monitoring
  tools ISO 9001, 14001, 1800, SANS 16001)
• Surveillance (Key Health Trends, HSRC Surveys)
• Costing (The dpsa Model)
• TB Management Integrated HIVAIDS and TB
  workplace management toolkit)
• Governance Initiatives (Inter Departmental/ Other
  Stakeholders)

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STRUCTURE FOR FACILITATING IMPLEMENTATION OF THE
EHW STRATEGY PILLARS DRIVERS
PILLAR 1
PILLAR 2
PILLAR 3
PILLAR 4
Reduce Number of Infections Reduce impact on
Individual Employees, families, communities and
Society
Reduce Burden of Disease Enhance
Productivity in Public Service
Comprehensive identification of psychosocial
health risk, and use of evidence based practices
to ensure individual and organizational wellness
(HRA) anticipating, recognizing, evaluating and
Controlling health hazards in the Public Service
to protect employee health and well-being and
safeguard the community at large

• Policy, Implementation Guide, ME and Impact
  Assessment Framework .Mainstreamed Public Sector
  Response to NSP 2007-2011. National Steering
  Committee SANAC coordination

• Frameworks for Estimation of Disease Burden,
  Policy Implementation ME, ImpAs. National
  Steering Committee Coordination. Coordination of
  National Flue Pandemic Preparedness Plan

• National Policy Framework and OHS Standards
  guided by legislation and SABS
• Coordination by Steering Committee

• Macro level Governance
• National Institutions

• Comprehensive Policy covering (EAP and WLB
  Wellness)
• Coordination by National Steering Committee

National Frameworks for delivery
Provincial Coordination of Programme
Implementation, ME and Province specific
Impact assessments. Provincial Capacity Building
Provincial Frameworks for delivery adapted for
Prov. customs trends

• Provincial Coordination of Programme
  Implementation, ME and Province specific Impact
  assessments.
• Provincial Capacity Building

Provincial Coordination of Programme
Implementation, ME and Province specific Impact
assessments. Provincial Capacity Building
Provincial Coordination of Programme
Implementation, ME and Province specific Impact
assessments. Provincial Capacity Building

• Meso level Governance
• Provincial Institutions

• Departmental Surveys Registries of Exposure to
  Risks, Injuries and Diseases. Early Detection and
  reporting diseases within legal framework Health
  Education, Promotion Treatment Support

Implementation of HRA by an approved Entity and
Implementation of Controls (engineering,
administrative personal protective equipment

• Micro level Governance
• Depts Institutions

• Implementation of Costed, Mainstreamed,
  Comprehensive, HIVAIDS dept. specific Programs.
  As part of EHW Committee and Plan

• Wellness (EAPWLB) Program Planning and
  Implementations Based on Id of risk for
  individual and organizational wellness

Departmental Framework Processes
SHERQ
HIVAIDS MANAGEMENT
HEALTH PRODUCTIVITYMANAGEMENT
WELLNESS MANAGEMENT
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Implementation Cycle