Problem tree

Accidents,
HWs’ Higher cost in Poor health Patients at Musculoskelet
injuries and
migration long term outcomes risk al disorders
incidents
Increase in TB
Effects High Decreased and other air
effectiveness
Sick HWs borne
turnover
diseases
Difficult to Increase in HIV,
Bad workplace Hep B and C Poor mental
recruit & and other blood
organization health of HWs
retain HWs borne D.

HWs Stigma and

Burnout discrimination
shortage

Poor
Unsafe work
working
Problems environment
conditions

Poor Lack of Limited Ineffective

Lack of
enforcement Lack of equipment for resources for use/limited
prioritization
of OHS Awareness Environmental protective access to
OHS
regulation monitoring equipment water, light
Lack of Perception Lack of
Lack of General lack Poor
Lack of OH that hazards prevention
training on personnel
occupational of financial engineering
can’t be through
Health services resources control
Causes OH controlled design
Lack of Lack of pre- Lack of Poor
Absence of
awareness placement Poor working Poor waste
about OHS
Safety
check-ups for station design
safety infection management
committee devices control
rights HWs
No Trade Too little
Poor work Shifting tasks
advocacy/ Not valuing High + heavy
Union involvement HWs patient load
management Shift work to untrained
facility and planning HWs
of TU
Patient come Too much
Lack of Crowded Poor customer
first! (self admin job
recognition of health services (HWs
sacrifice for attitudes)
TUs facilities
patients)
 Causes-Problems-Effects
Effects

Poor working conditions’ Health workers’ shortage: Poor health of HWs:

increase in HIV, TB, Hep B and C, Poor health outcomes in
influence on effectiveness Higher long term costs migration, high turnover,
accidents, injuries, burnout, patients
of work difficulties in recruitment musculoskeletal disorders

Problems

Poor working conditions Unsafe work environment

Causes
Lack of awareness about Poor hazard control: Limited use of protective
Poor work management OHS: lack of prioritization, Inadequate
Weak role of Trade Lack of sustainable strategies: limited resources
and planning: high patient poor enforcement of OHS workplaces: poor control and prevention, for protective equipment,
Unions: No TU facility, too legislation, lack of training on
load, task-shifting to not OHS, Lack of OH personnel, working station design, poor infection control, Lack of prevention through
little advocacy/ design, lack of tools and
adequately qualified HWs, lack of access to OH services, poor access to water, perception that hazard
involvement for TUs equipment for environment
too much admin work. lack of OH rights, absence of light cannot be controlled monitoring
safety committee
 Objective tree
Developmental
Project outcomes
objectives
HWs aware of safety and occupational health and of their rights
Decent working conditions
Managers prioritize:
Healthy work environment, recognize health and safety as priority, roll in
prevention, improved working conditions through staff empowerment

Policies:
Hazardous risk footprint –
National OSH programme for HWs, National Infection control
programs and guidelines developing Safety work culture

Green jobs, green hospitals

“I care for my caregiver”

Safe and Green working
Healthy workplace, wellness in the workplace, Immunization free of cost environment
to HWs, prevention of exposure and accidents, access to prevention and
treatment of occupational diseases and injuries
 Activities
•Highlight that a well and safe workforce produces better patient care and outcomes
•Communicate and promote of best practices for improving working conditions and workplace safety in Health sector
Awareness •Piggyback or align OH & OSH campaigns with “this years’ big initiative”
•Promote partnership between employers and TU means better solutions to the workplace
and Advocacy

•Accept policies on OHS at Governmental level, sector level and wealth facilities, disseminate knowledge of the policy and what it means for HWs
• Develop and enforce the regulation for Health safety
•Leadership at highest level: Talk and Work the talk
•Advocate for allocation of financial resources: human and material to provide occupational health services and the vaccines, staffing, tools, supplies,
Policy safety devices and PPE needed to be effective

•Identify and control of occupational hazards

•Establish or improve surveillance system
•Identify of gaps in research, support research initiatives with funding
Informational
•Develop M&E and information systems, schemes for follow-up and feedback from workplaces
Systems &
• Conduct cost-effectiveness analysis for activities on improving workplace safety
Research

•Launch training programs at workplaces

•Improve workplace safety and working conditions through low-cost solutions at the workplace
Workplace •Develop mechanisms for engaging the target audience for engagement, empowerment and effective participation
Programs