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Making it happen

John Cherrie
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INSTITUTE OF OCCUPATIONAL MEDICINE . Edinburgh . UK

www.iom-world.org
Summary…
•

We need to convince key stakeholders
•
•
•

•
•
•

to identify important control technologies
to change ingrained attitudes
plan to monitor progress, etc.

We need to campaign for change
We need clear and realistic goals
We need a good plan
It won’t happen without a
campaign!
•

Organised actions around the
issue seeking to bring about
changes in the policy and
behaviours of institutions and/or
specific public groups

•

It won’t happen unless you are
part of the campaign!
Analyse the issue and landscape
•

Building robust supporting evidence, so that
you have good information on:
•
•

•
•
•
•

Who are the decision makers
Which “players” are likely to be supportive of
your campaign, who may oppose it and who may
be persuaded
Is public opinion supportive
What resources for campaigning are available,
and what constraints you face
What solutions are needed
Why others should support your suggested
solutions
Set SMART objectives…
•

We need to be:
•
•
•
•
•

Specific about what has to be achieved
Provide a way of Measuring progress
Goals should be Attainable
Relevant to all stakeholders and
Time-bound
Specific goals…
•
•
•
•

Well defined description of the final
position we want to achieve
Clear to anyone that has a basic
knowledge of the issues
Developed on the basis of a well
researched position
For example…
•

•

Reduce exposure to respirable crystalline
silica for most workers (90%) to below the
exposure limit
Eliminate all new uses of asbestos
Measureable…
•

•

So that we know what has been
achieved and what is still left to be
done
For example…
•
•

We can “measure” progress towards
better compliance with the TLV
How can we measure progress towards
|elimination” of new uses of asbestos?
Tracking progress…
•

The best way of tracking progress is
periodic surveys of exposure by transnational and national authorities
•
•

•
•

Exposure intensity (including contextual
information)
Prevalence of exposure

Estimates of occupational cancer burden
Routine reporting by health and safety
professionals through national
associations
Attainable…
•

Realistic goals are essential for success
•
•

•
•

Don’t set goals that are so simplistic that they do not
bring about any change
Don’t set goals that are so idealistic that one can
never realistically achieve them

When setting a “distant” goal then it is
important to have milestones along the way
For example…
•
•

Every painter should wear a coverall and gloves
while painting
In the next year asbestos cement should be
banned in construction
Relevant…
•

•
•

The goal has to be relevant to the
overall objective to eliminate
occupational cancer
Focus on the agents that create the
greatest occupational cancer burden
For example…
•
•

Ban the use of vinyl chloride in the
plastics industry
Promote the use of control measures that
can reduce exposure to wood dust below
1 mg/m3
Time bound…
•
•
•

Write goals that includes a timeline for
accomplishment
A goal without a deadline is a goal that will
most likely never be achieved
For example…
•

Within the next five years increase awareness
amongst workers and managers in the
transportation sector of the cancer risks from
diesel engine exhaust particulate
Devise a strategy and make it
happen!
•
•
•
•

What’s the best route to influence
How should I organise to do this?
Who should I be talking to?
Who can help?
•
•
•
•
•

H&S professionals
Politicians
Civil servants
Industry
Worker groups
Some tips for success…
•
•
•
•
•
•
•
•

Compile strong and compelling evidence
Understand who can make the changes and
who can influence them
Be clear what you want to achieve
Use a range of tactics
Involve workers
Find and work with useful allies
Communicate well and often
Stick with it to the end
Summary…
•
•
•
•

To achieve a change it is
necessary to campaign
Your targets need to be
SMART
Understand who can bring
about change
Keep up the pressure

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6. Making it happen taking the smart approach

  • 1. Making it happen John Cherrie I wan t to ATE LIMINce E pla work r cance INSTITUTE OF OCCUPATIONAL MEDICINE . Edinburgh . UK www.iom-world.org
  • 2. Summary… • We need to convince key stakeholders • • • • • • to identify important control technologies to change ingrained attitudes plan to monitor progress, etc. We need to campaign for change We need clear and realistic goals We need a good plan
  • 3. It won’t happen without a campaign! • Organised actions around the issue seeking to bring about changes in the policy and behaviours of institutions and/or specific public groups • It won’t happen unless you are part of the campaign!
  • 4. Analyse the issue and landscape • Building robust supporting evidence, so that you have good information on: • • • • • • Who are the decision makers Which “players” are likely to be supportive of your campaign, who may oppose it and who may be persuaded Is public opinion supportive What resources for campaigning are available, and what constraints you face What solutions are needed Why others should support your suggested solutions
  • 5. Set SMART objectives… • We need to be: • • • • • Specific about what has to be achieved Provide a way of Measuring progress Goals should be Attainable Relevant to all stakeholders and Time-bound
  • 6. Specific goals… • • • • Well defined description of the final position we want to achieve Clear to anyone that has a basic knowledge of the issues Developed on the basis of a well researched position For example… • • Reduce exposure to respirable crystalline silica for most workers (90%) to below the exposure limit Eliminate all new uses of asbestos
  • 7. Measureable… • • So that we know what has been achieved and what is still left to be done For example… • • We can “measure” progress towards better compliance with the TLV How can we measure progress towards |elimination” of new uses of asbestos?
  • 8. Tracking progress… • The best way of tracking progress is periodic surveys of exposure by transnational and national authorities • • • • Exposure intensity (including contextual information) Prevalence of exposure Estimates of occupational cancer burden Routine reporting by health and safety professionals through national associations
  • 9. Attainable… • Realistic goals are essential for success • • • • Don’t set goals that are so simplistic that they do not bring about any change Don’t set goals that are so idealistic that one can never realistically achieve them When setting a “distant” goal then it is important to have milestones along the way For example… • • Every painter should wear a coverall and gloves while painting In the next year asbestos cement should be banned in construction
  • 10. Relevant… • • • The goal has to be relevant to the overall objective to eliminate occupational cancer Focus on the agents that create the greatest occupational cancer burden For example… • • Ban the use of vinyl chloride in the plastics industry Promote the use of control measures that can reduce exposure to wood dust below 1 mg/m3
  • 11. Time bound… • • • Write goals that includes a timeline for accomplishment A goal without a deadline is a goal that will most likely never be achieved For example… • Within the next five years increase awareness amongst workers and managers in the transportation sector of the cancer risks from diesel engine exhaust particulate
  • 12. Devise a strategy and make it happen! • • • • What’s the best route to influence How should I organise to do this? Who should I be talking to? Who can help? • • • • • H&S professionals Politicians Civil servants Industry Worker groups
  • 13. Some tips for success… • • • • • • • • Compile strong and compelling evidence Understand who can make the changes and who can influence them Be clear what you want to achieve Use a range of tactics Involve workers Find and work with useful allies Communicate well and often Stick with it to the end
  • 14. Summary… • • • • To achieve a change it is necessary to campaign Your targets need to be SMART Understand who can bring about change Keep up the pressure