This document outlines the agenda for four parallel working sessions at a conference on occupational health and safety. Roundtable 1 focuses on universal healthcare coverage strategies. Roundtable 2 discusses people-centered care and the roles of primary care and occupational health. Roundtable 3 addresses participatory governance and considering worker health in healthcare reforms. Roundtable 4 explores integrating worker health into non-health policies and national occupational health programs through primary care.

1. PARALLEL WORKING SESSIONS
ROUND TABLE 1: UNIVERSAL COVERAGE
Chairs: Prof. Mostafa Ghaffari, Iran; Prof. Frank van Dijk, Amsterdam University
Rapporteurs: Joost van Genabeek, TNO; Julietta Rodriguez-Guzman, WHO/AMRO
ROUND TABLE 2: PEOPLE-CENTRED CARE
Chairs: S. Al-Haddad, MoH Bahrain; Arno Timmermans, President Dutch College of GPs
Rapporteurs: Romy Steenbeek, TNO; Said Arnaout, WHO/EMRO
ROUND TABLE 3: PARTICIPATORY GOVERNANCE
Chairs: Tran Thi Ngoc Lan, MoH Viet Nam; Sonja Bleuland van Oordt- Dröge, Head of
Department General OHS Policy, Dutch Ministry of Social Affairs and Employment
Rapporteurs: Dick van Putten, TNO; Rokho Kim, WHO/EURO
ROUND TABLE 4: HEALTH IN OTHER POLICIES
Chairs: Ahmed Al-Shatti, MoH Kuwait; Lejo van der Heiden, Dutch Ministry of Health
Welfare and Sport
Rapporteurs: Cees Wevers, TNO; Salma Burton WHO/SEARO
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2. PARALLEL WORKING SESSIONS
ROUND TABLE 1: UNIVERSAL COVERAGE
Objective:
To identify strategies, policy directions and main actions needed to move
towards universal coverage with essential interventions for prevention of
occupational and work-related diseases
Suggested questions:
• How to finance universal coverage and ensuring equity, the role of social
security and insurance
• Which are the most essential interventions for prevention of occupational
and work-related diseases that need to be provided to all workers
• What are the options for moving towards universal coverage when
expertise is insufficient?
• What actions should be undertaken to move to universal coverage at the
local, national and international level, including research to fill knowledge
gaps?
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3. Presentations
• Laura Flores, Paraguay
• Hanifa Denny, Indonesia
• Jan De Maeseneer, Belgium
• Jorma Rantanen, Finland
• Joseph Birago, Tanzania
• Z. Leopando, Filipines
• A. Elsharif, Namibia

4. How to finance universal coverage and ensuring equity, the
role of social security and insurance
• Insurance mostly limited to the formal work and excluding informality
• Highest risk populations should be targeted universally
• Basic level of OHS should be in the primary health care and governement
should ensure universal coverage and appropriate mechanisms to financing
it.
• Coverage for the informal sector with primary care is limited, so other
funding systems should be putted in stake eg associations / corporations or
other collective organisations for groups of informal workers
• State supporting PHC including OHS for all
• Selected coverage seems to be inequitable vs universal coverage although
it might be a transitional situation to limited and poor countries

5. Which are the most essential interventions for prevention of
occupational and work-related diseases that need to be
provided to all workers
Essential interventions Conditions, by:
Who How
Hazard identification and risk assessment HRA: job mapping PHC Capacity building
Referral & support
and
support
OHS
Information, education, dissemination and creating awareness to PHC
workers, companies and PHC teams
Education system as a source to incorporate preventive culture in PHC
population &education
sector
Primary prevention: working conditions change; personal PHC / OHS National
protection acknowledgement
Secondary / tertiary prevention: e.g. pesticide control PHC / OHS
Medical complaints –work related?
Recognition diagnosis of common OD, health complaints, etc. by PHC
including work related analysis
Behavioral interventions OHS

6. What are the options for moving towards universal
coverage when expertise is insufficient?
Take into account the different contexts (legal, social, work, etc.) of each country to apply
the following as needed:
• Be sure to have a first response facing critical situations. Then approach should
change with needs, in a progressive scaling up.
• Community and volunteer empowerment to create awareness, identify hazards and
control risks by self asessments.
• WISE / WIND adopted by ILO through safety and health committees.
• Develop and train basic expertise HHRR in work related issues: in community levels
competences in midcare health worker or OH medical specialist in PHC. This should
encompass with different levels of competency according to the complexity of the
needs.
• Training primary health care providers (nurses, hygienists, etc.) will be strongly
appreciated as they can act also in occupational health interventions.
• Strenghen referral systems and networking with special units, including IT,
telemedicine, telecare and mobile phones and systems.
• Resource sharing between services and specialized units.

7. What actions should be undertaken to move to universal
coverage at the local, national and international level,
including research to fill knowledge gaps?
• WHA resolution 62.12 and WHA 60.26
• WHR 2010 on universal coverage
• Financial crisis might affect expectations

8. Research and development needed
Research and sharing experiences needs:
• A platform to share experiences on the matters we have discused
• Studies that describe evidence based data for decision making
• Conceptual work on the focus of chronic conditions (ICF)
• Guideline development to bring evidence in daily practice
• Connect existing regional networks of comprehensive PHC and
OHS
• Developing and evaluation of service provision models and
financing models
• Health care system research including integration OHS in PHC

9. PARALLEL WORKING SESSIONS
ROUND TABLE 2: PEOPLE-CENTRED CARE
Objective:
To identify strategies, policy directions and main actions for protecting and
promoting the health of workers in the context of people-centred care
Suggested questions:
• What is the role and the functions of primary-care centre regarding the health of
workers and under which conditions this role can be expanded?
• How to strengthen the collaboration between occupational health and primary care
providers, services, centres and what capacities, skills, and support is needed for
this?
• What support is needed to empower workers, work communities, enterprises to
take care of their health and what is the role of primary care centres and
occupational health services in providing such support?
• What actions should be undertaken to move to people-centred care regarding
workers' health at the local, national and international level, including research to
fill knowledge gaps?
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10. PARALLEL WORKING SESSIONS
ROUND TABLE 3: PARTICIPATORY GOVERNANCE
Objective:
To identify strategic directions and actions for participatory health governance and
leadership regarding the health of workers in the context of primary health care
reforms.
Suggested questions:
To what extend the health of workers is or should be considered in healthcare
reforms?
Should a new health leadership can engage in dialogue with workers' representatives,
employers and ministries of labour about healthcare reforms
What health information is available and or needed to measure whether primary care
can tackle work-related health problems and access to prevention?
What actions should be undertaken to move to participatory health governance for
workers' health at the local, national and international level, including research to
fill knowledge gaps?
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11. PARALLEL WORKING SESSIONS
ROUND TABLE 4: HEALTH IN OTHER POLICIES
Objectives:
To identify policy options and actions to enhance the consideration of workers' health
in other (non-health) policies and to design national occupational health and safety
programmes in the context of integrated primary health care.
Suggested questions:
How intersectoral collaboration for workers' health can be strengthened?
How national profiles and action plans on workers' health should be designed,
implemented and evaluated so that they link to primary care?
What is the role of strategic health impact assessment to address risks and benefits
from workers' health arising from public and private policies in other sectors?
What actions should be undertaken to enhance the consideration of workers' health in
other (non-health) policies at the local, national and international level, including
research to fill knowledge gaps?
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