ESTONIAN- FINNISH TWINNING PROJECT ON OCCUPATIONAL HEALTH 2000 - 2002
www.sm.ee/Telematic/twinning
MOSALegislation
Natl. programmes
NetworkKari Kurppa
PolicyJorma Rantanen
Policy and strategyMoSA
Departments of Labour and Public Health
Working Environment Council
OHS infrastructureOccupational Health Center
Network on Occupational Health and Safety
Agricultural organizations
OHS and primary health care specialists
OHS
WRDHelena Taskinen
Work-related diseasesOccupational Health Center
Polyclinic of Occupational Diseases
OHS, other specialists and rimary health care specialists
Labour Inspection
Network of Training Institutions on Occupational Health and Safety
PAAKari- Pekka Martimo
Coordinating Committee at FIOHChaired by Professor
Jorma Rantanen
Steering Committee in
MoSA
Increase of the coverage and effectiveness of
occupational health services in EstoniaKey components
and MS key personnel
MS Project Leader
Jorma Rantanen
CC Projece Leader
Tiit Kaadu
InformationSuvi Lehtinen
Kari-PekkaMartimo
Major events
1. Kick off meeting for start. March 2003
All project element managers + other partners and involved persons
2.Steering Committee 1st Meeting 21.8.03
3. Steering Committee 2nd Meeting Nov 03
4. Steering Committee 3rd Meeting Feb 04
5. Final Seminar.All managers and partners + others involved
6. Steering Committee Final May 04.
Policy and Strategy
ELEMENT OBJECTIVE I
Development of policy implementation
1) Supporting the implementation of the strategic and substantive elements of the Estonian Occupational Health Development Plan (until 2007) and associated Action Plan
2) Supporting the efforts of for implementation of MoSA strategy for Occupational Health and Safety 2003-2007
3) Strengthening collaboration between authorities,social partners and other stakeholders for development of OHS system
Element I: Activities1. Organizing two Workshops for planning the implementation of
the above strategies
2 Establishment of working methods and links for joint activities between OH&S authorities and public health authorities at all levels for development of coverage of OHS
3. Supporting collaboration between the Occupational Health and Safety Administration and Public Health Administration for development of OHS infrastructure
4. Planning of a follow-up system for evaluation of coverage and quality of OHS
5. Drawing up a description and analysis of OHS system in Estonia in view of the above strategies and programs
Policy and Strategy II
Element Objective II
1) Defining policies and actions for coverage of OHS
2) Evaluation of Estonian Occupational Health Development Plan (until 2007) as an instrument for development of multidisciplinary OHS and networking OHS and public health activities and institutions
Element II: Activities
1. Consultation on strategy and methods in the expansion of coverage
2. Planning and initiation of specific projects for implementation of the Action Plan
3. Activation of relevant partners to participate in thr work of National OH&S Network for facilitation of the implementation of the Action Plan Projects ("Support Seminar")
Element objective III
OBJECTIVE: Support to the planning and evaluation of legislation on Insurance System for Occupational Accidents and Diseases
1. Follow-up and consultations
2. Introduction of policies and models
3. Consultations on the methods needed in the enforcement and implementation of the insurance legislation
Element Objective IV
• Comparative analysis of registered work injury risks by sector of economy between Finland and Estonia
Element Objective V
• Consulting on the establishment of thr National Topic Center for Good Practices in Occupational Health and Safety
• Concept and view of OHS system in Estonia• Implementation of OH elements of Estonian NEHAP• Practical support for the implementation the MoSA 2003-
2007 Strategy where promotion of quality of work and improvement of work ability will be among the main topics (Actions for OH&S and Public Health Joint activities included). Joint action plan: OHS-PHS 2003-2005
• OHS Action Plan 2003-2010 final acceptance and implementation
• Follow-up model for WRDs a) systems for official statistics and registry (new govt
resolution is prepared on registration and investigation of accidents and Odiseases)
Policy I
b) survey-based collection of data from practitioners -Instructions and guidelines in the connection of
training element -Seminar on recognition, notification and surveying of
ODs and WRDs (OH practitioners, PHC physicians and labour inspectors also involved)
• Insurance Act on Occupational Accidents and Diseases -Black scenario: very adversarial (wrkr- insurance)
leads to underreporting and under-estimation of real situation
-White scenario: OH criteria decide.Real situation is registered.
Evaluating the final draft of insurance act Comparing accident and OD risks between selected
countries an Estonia and publisising the results• Topic Centre on Good Practices; consultation
Policy II
Consulting establishment of Bilbao Agency Topic Center
• Located in the OHC• Good practices on health and safety• Dissemination of TC outputs• Participating in EU TC activities• PL/MC contact with Bilbao to clarify the
principles of TC for applicant countries• To the Covenant: 1-2 day visit by the
Finnish TC oordinator to introduce the principles and practices
Steering Committee• Four quarterly meetings• Tasks: Informing the partners
Activation of partners
Evaluation of quarterly reports
Evaluation of final results• Membership• MoSa• Social partners• Agriculture• Public health• EU Delegation• PAA • PL/CC, PL/MS
OHS• Good occupational health practice guideline• Development of coverage & models
- Collaborative links FD-OHP and its financing
- Action plan provisions for cov & models
- Amendment of OSHA act
- Branch OHS approach ( to be piloted in agriculture)
- Involvement of family doctors• Facilitation of the passing of insurance act • Agriculture OHS, including pilot • Development of indicators for functioning and status of OHS
(part of national profile) • Increasing awareness and disseminating information through networks• Follow-up and research
WRD (WRD = work related diseases; OD = occupational diseases)
• Preparing the curriculum for training on WRD and OD• Delivering the training on WRD and OD to OH
specialists, physicians diagnosing occupational diseases, and family physicians
• Training of trainers of OH specialists, physicians diagnosing occupational diseases, and family physicians on WRD* and OD*
• Planning and starting the register of occupational diseases
• Fact sheets on WRD and OD
Network
• National OH&S Network• County and community OH&S profiles• Networking in training (WRD)• Tartu county OH&S network• Subnetwork on OH&S in agriculture• Sectoral profile of OH&S in agriculture
Information
• Awareness raising• Identifying information gaps in OH&S and
making a plan for producing relevant information packages
• Updating Network Strategy; planning and producing information material for Internet
• Providing detailed information materials to OH&S experts
• Preparing and publishing information and training material (both in paper form and Internet)
Next steps
• Time schedules and dead-lines for draft and final
• Contact to Bilbao, TC issue
• FIOH PAA and OHS element manager
• Further drafting an circulation-agreements by element managers
Conclusions
1. Overall situation
Covenant
Budgets
Workshops
Detailed objectives and actions
BSC cards for each objective
Experts are mobilsed
2. Objectives/Elements
• Most of the elements seem to be implementable
• Experts on both sides are available but have much other work too. Competing objectives.
• Financing on the national side should be ensured/mobilised
• National policy development may be unexpected
3. Risks and opportunities • Every element is expected to analyze for each quarterly report for the risks for
Guaranteed Results• Risk: a. Events,developments or obstacles outside our control
b. Our own causation• Response: a. Prediction of likely risks
b. Prevention of risks in time/ Planning
c. Adaptation:
- Do what can be done
- Modify the objective
- Produce an alternative output
that satisfies the original need
4. Stability
• Guaranteed results cannot be compromised• Keeping all the time the final objective in
mind• Changes through side letters (comments from
the previous Twinning)• The projects never will be ahead of time but
they use to be behind the schedule• Start in time, finish early
Critical
• Mobilization of the policy level
• Calling upon the social partners
• Raising awareness in the society at large
• Mobilising forces in the MoSA sector
• Mobilising the local and practical actors
and field workers
Next steps
• Good start to be demonstrated by the beginning of July and reported in the first quarterly report
• Utilising as much as possible the work already going on and that should be done anyway
• Looking at the activities of other Twinnings and informing on ours
General spirit• Fair open and happy atmosphere in the spirit of good
neighborhood
Collegial respect and support
On equal footing
Learning by doing attitude• If problems, take contact preferably sooner rather
than later• Demonstrating the impact• International Conference on OHS in 2005.Preparing
for it.