A PROJECT OF HEALTH PROMOTION A PROJECT OF HEALTH PROMOTION AT WORKPLACES IN VIETNAM: AT WORKPLACES IN VIETNAM: DEVELOPMENT AND EXPANSION DEVELOPMENT AND EXPANSION Tran Dac Phu, MD. PhD Tran Dac Phu, MD. PhD Deputy Director Deputy Director Vietnam Administration of Preventive Medicine, Vietnam Administration of Preventive Medicine, Ministry of Health Ministry of Health 1 1
I. Background I. Background � In the process of industrialization and modernization, In the process of industrialization and modernization, � workforce of small and medium- - sized enterprises (SMEs) sized enterprises (SMEs) workforce of small and medium plays an more and more important role. plays an more and more important role. � The number of these enterprises has been increasing and The number of these enterprises has been increasing and � makes up 80- -90% of the total of 90% of the total of registed registed enterprises with enterprises with makes up 80 diverse industries. diverse industries. � Developing SMEs doesn't only contribute to the growth Developing SMEs doesn't only contribute to the growth � rate of annual GDP, but also attracts a big amount of rate of annual GDP, but also attracts a big amount of workforce and takes part in the process of workforce workforce and takes part in the process of workforce redistribution and work distribution in the society. redistribution and work distribution in the society. 2 2
� However, Vietnam is in the initial stage of market However, Vietnam is in the initial stage of market � economy development, the economic burst also economy development, the economic burst also means the non- -controlled development which controlled development which means the non causes work environment- -related problems related problems causes work environment � A survey results in 135 small and medium A survey results in 135 small and medium- -sized sized � enterprises in Vietnam: the risk of exposures to enterprises in Vietnam: the risk of exposures to work hazards is high, for example: Dust- -96%, 96%, work hazards is high, for example: Dust noise- -29%, and adversed microclimate 29%, and adversed microclimate - - 81%. 81%. noise � The disease prevalence in SMEs is different, the The disease prevalence in SMEs is different, the � popular diseases are ore- -rhinolarynlogic rhinolarynlogic, , popular diseases are ore gynaecologic diseases, headache, bronchitis, etc. diseases, headache, bronchitis, etc. gynaecologic 3 3
� The SMEs managers' awareness of occupational The SMEs managers' awareness of occupational � health and safety is modest because they have not health and safety is modest because they have not accessed to the issued law documents. They are accessed to the issued law documents. They are therefore not aware of their responsibility therefore not aware of their responsibility � Another case is that they are too busy with Another case is that they are too busy with � looking for market of their products as well as looking for market of their products as well as with their business activities. with their business activities. 4 4
� In 1997, the MOH summed up In 1997, the MOH summed up Ministrial Ministrial level level � project of occupational health development in project of occupational health development in districts with the theme: "More productivity, better districts with the theme: "More productivity, better workplace" in small and medium sized enterprises. workplace" in small and medium sized enterprises. � The report of the project was stated in the The report of the project was stated in the � conference:"Health Promotion in small and conference:"Health Promotion in small and medium sized enterprises" held in Shanghai in medium sized enterprises" held in Shanghai in September 1997. September 1997. � Experts of WHO proposed to support Vietnam for Experts of WHO proposed to support Vietnam for � pilot implementation of this programme since pilot implementation of this programme since 1998. 1998. 5 5
Vietnam Administration of Ministries/Branches 2.1. National Preventive Medicine. MoH Personnel-Policy Dept. occupational health - National Institute of Occupational and Environmental Health. network - Nha trang Pasteur Institute. - Ho Chi Minh City Hygiene and Public Health Institute. - Tay Nguyen Epidemiology Inst. Provincial Health Bureau 64 provinces Communication.…) Health 64 Occupational Health Center Division–Preventive (Transportation. Con- Medicine Centers truction. Industry. Agriculture. Railway 675 District Preventive Garment. Aviation. Medicine Centers Cooperatives. small Factory. 10275 COMMUNE and medium enterprise enterprise HEALTH CENTER 6 6
II. Introduction of health promotion at II. Introduction of health promotion at workplaces in vietnam workplaces in vietnam 1) 1996- -1997 period 1997 period 1) 1996 � The MOH pilot implemented a occupational The MOH pilot implemented a occupational � health model in SMEs with the theme:" More health model in SMEs with the theme:" More productivity, better workplace" which applied productivity, better workplace" which applied wise and enforcement of OHS legislation in 5 wise and enforcement of OHS legislation in 5 provinces and expanding to 9 others in 1997. provinces and expanding to 9 others in 1997. � Its result was reported in the conference "Health Its result was reported in the conference "Health � promotion in small and medium- -sized sized promotion in small and medium enterprises" held in Shanghai, in 9/1997. enterprises" held in Shanghai, in 9/1997. 7 7
Achievements: : Achievements • Enthusiasm participation of enterprises Enthusiasm participation of enterprises • • Initially implementing the improvement of Initially implementing the improvement of • working conditions. working conditions. • Occupational Occupational health and safety laws • health and safety laws implemented by enterprises implemented by enterprises • Good implementation of health Good implementation of health personnels personnels at at • district level in these activities. district level in these activities. • Warm response of Ministries, Sectors and Warm response of Ministries, Sectors and • Technique Organs Technique Organs 8 8
2) 1998 1998- -1999 1999 period period 2) � Starting from 1999, with the help of WHO, MOH Starting from 1999, with the help of WHO, MOH � developed the project "Health promotion at developed the project "Health promotion at workplaces in SMEs” ” following the guidelines of following the guidelines of workplaces in SMEs WHO combining with wise and enforcement of WHO combining with wise and enforcement of OHS legislation. OHS legislation. � Published by WHO as a case study document Published by WHO as a case study document � "evaluation a 1- - year implementation of the regional year implementation of the regional "evaluation a 1 guidelines for healthy workplaces in SMEs in Ngo guidelines for healthy workplaces in SMEs in Ngo Quyen district, Haiphong city and in Hue city - - Quyen district, Haiphong city and in Hue city Healthy settings - - Case study Documents Series, Case study Documents Series, Healthy settings No1". No1". 9 9
Achievements : : Achievements • Identifying the developing process of a health Identifying the developing process of a health • promotion at workplace program in SMEs in a district promotion at workplace program in SMEs in a district that is suitable with Vietnamese conditions. that is suitable with Vietnamese conditions. • Publishing and distributing materials about hazardous Publishing and distributing materials about hazardous • factors at workplaces and prevention to enterprise factors at workplaces and prevention to enterprise managers and employees managers and employees • Building health services for labourers in SMEs at the Building health services for labourers in SMEs at the • district level. district level. 10 10
3) 2000- -2001 period 2001 period 3) 2000 In Haiphong and Hue city: In Haiphong and Hue city: � Expanding the project to 15 new enterprises in each Expanding the project to 15 new enterprises in each � city, Haiphong and Hue. city, Haiphong and Hue. � Maintaining the activities of health promotion in 30 Maintaining the activities of health promotion in 30 � enterprises having implemented the project since 1998. enterprises having implemented the project since 1998. � Holding the competition for these enterprises. Holding the competition for these enterprises. � � Integrating health promotion at workplace program Integrating health promotion at workplace program � into routine occupational health activities. into routine occupational health activities. 11 11
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