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WHO & ILO guide urges greater safeguards to protect health workers

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The joint publication encourages countries to strengthen the protection of health workers by improving the management of occupational health and safety at national, sub-national and health facility levels

The World Health Organization (WHO) and The International Labour Organization (ILO) have published a new guide on developing and implementing stronger occupational health and safety programmes for health workers, as the COVID-19 pandemic continues to exert great pressure on them.

Dr Maria Neira, Director, Department of Environment, Climate Change and Health, WHO said, “Even before the COVID-19 pandemic, the health sector was among the most hazardous sectors to work in. Only a few healthcare facilities had programmes in place for managing health and safety at work. Health workers suffered from infections, musculoskeletal disorders and injuries, workplace violence and harassment, burnout, and allergies from the poor working environment.”

James Campbell, Director-WHO Health Workforce Department said, “COVID-19 has exposed the cost of this systemic lack of safeguards for the health, safety and wellbeing of health workers. In the first 18 months of the pandemic, about 115,500 health workers died from COVID-19. Sickness absence and exhaustion exacerbated pre-existing shortages of health workers and undermined the capacities of health systems to respond to the increased demand for care and prevention during the crisis. This guide provides recommendations on how to learn from this experience and better protect  our health workers.”

WHO and ILO recommend developing and implementing sustainable programmes for managing occupational health and safety for health workers at national, sub-national and health facility levels. Such programmes should cover all occupational hazards-infectious, ergonomic, physical, chemical, and psycho-social.

The guide also outlines the roles that governments, employers, workers and occupational health services should play in promoting and protecting the health, safety, and wellbeing of health workers. It emphasises that continuous investment, training, monitoring and collaboration are essential for sustaining progress in implementing the programmes.

Alette van Leur, Director, ILO Sectoral Policies Department added, “Effective mechanisms should be put in place to ensure continuous collaboration between employers, managers and health workers, with the aim of protecting health and safety at work. Health workers, like all other workers, should enjoy their right to decent work, safe and healthy working environments and social protection for health care, sickness absence and occupational diseases and injuries.”

Countries that have developed and are actively implementing occupational health and safety programmes for health workers have experienced reductions in work-related injuries and diseases and sickness absence, as well as improvements in the work environment, work productivity and retention of health workers.

Vera Paquete-Perdigao, Director, ILO Governance and Tripartism Department said, “Such programmes are a core element for the effective management of occupational safety and health, as informed by ILO Convention No. 187, and provide an opportunity for coordinated action by all stakeholders through social dialogue towards common objectives for promoting decent work in the health sector and increasing the resilience of health institutions.”

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