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Healthy Work Places and Best Practices in Industrial Zones in Gampaha District Sri Lanka

Overview. Brief description of health sector activities in Gampaha DistrictKey drivers for initiatives and Initial stages of health sector activities in Free Trade ZonesMain obstacles and barriersHealthy work places, best practices and matters related to occupational health . Gampaha Distri

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Healthy Work Places and Best Practices in Industrial Zones in Gampaha District Sri Lanka

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    1. Healthy Work Places and Best Practices in Industrial Zones in Gampaha District Sri Lanka Dr. A.L.A.L.Padmasiri (MBBS, DCH, Msc) Regional Director of Health Services Gampaha District, Sri Lanka.

    2. Overview Brief description of health sector activities in Gampaha District Key drivers for initiatives and Initial stages of health sector activities in Free Trade Zones Main obstacles and barriers Healthy work places, best practices and matters related to occupational health

    3. Gampaha District –Sri Lanka Administrative Unit in close proximity to Colombo Approximate population 2.3 million Second highest population in a district Curative sector-3 General Hospitals 5 District Hospitals and Central Dispensaries Preventive Sector -16 MOH areas 4 large Export Processing Zones where 80,000 young people are employed

    4. Approximately 80,000 employees were working in factories of industrial zones in our district

    5. Key Drivers and Initiatives Need assessment was carried out and evaluation done regarding the working population of our district 60,000 young employees were working in 60 factories in the largest zone-Katunayake More than 80% were internal migrants living with limited facilities Health facilities were provided (ad-hoc) by private sector health care providers Reproductive Health issues were identified as priority issues Initiatives were taken to establish a special MOH area to provide comprehensive health care to working population in our country

    6. Main Obstacles and barriers There were no or poor coordination at the very beginning with the health sector Factory management were reluctant to give us entry into their premises They perceived it as a unnecessary burden to their work No additional budgets were available at the beginning

    7. History of establishing a MOH office in Katunayake Free Trade Zone We were able to establish a special MOH area to provide comprehensive health care to working population in the largest export processing zone Health Care Unit was established in the second largest export processing zone in Biyagama

    8. Main Activities Maternal and Child Care Prevention of Communicable Diseases Prevention of Non Communicable Diseases Reproductive Health and Family Planning Clinics Health Promotion First Aid training and training regarding Blood Borne Diseases and their Prevention Work Place safety and matters pertaining to Occupational Health

    9. Maternal Care-looking after the pregnant female employees

    10. Total clinic attendance- in successive years-Accepting more of our services

    11. Family Planning

    12. Healthy work place and occupational health As we have 5 large export processing zones we initiated the “Healthy Work Place” concept and performed basic evaluation of Occupational hazards Health and safety risks Occupational hygiene Ergonomics Gender issues Underage labour

    13. Occupational Health and work place safety-District level programs Advocacy Program on occupational Health and safety conducted by the Occupational Health Unit of the Ministry of Health for factory managers and the safety officers Conducted by the Consultants of the Ministry of Health Basic components of the Occ.Health prog.was discussed and formation of safety committees were discussed.

    14. Occupational Health..contd Second meeting with the factory managers , safety officers and some supervisors was held in Oct 2009 Training on some of the components of Occ.Health were done on the same day Training of Public Health Inspectors Training of Medical personnel and staff members at various levels

    15. Advocacy Meetings-We were the first to start occupational health unit in Sri Lanka

    16. Training of Public Health Inspectors were also carried out

    17. We move on to identify the risky work place environments after finishing some of the training programs

    18. Identification of risky work place environment were carried out… contd

    19. Identification of risky work place environment continued ..contd

    20. Possibility of improving the situation were discussed before any of the legal procedures

    21. Improved work place safety measures were initiated in some factories-Colour Guides

    22. Safety Committees and Evaluation procedures

    23. Health and Safety for Happiness of Life –their Motto

    24. Risk assessment

    25. Summery of Accidents

    26. Pipe colour codes

    27. Wearing gloves and Masks mandatory before handling some chemicals

    28. Place for Emergency Showers

    29. Hazard Symbols

    30. Safe Handling of Chemicals

    31. Regular factory visits to improve the situation

    32. Factory Visits to observe and supervise the progress of workplace safety measures

    33. Observing work place safety practices inside some of the factories

    34. Bi- Lateral Relationship, in return we offer some screening health camps and some benefits to factory workers

    35. Cordial relationship with factory workers

    36. Doctors conducting screening programs

    37. Dental treatment in factory premises

    38. Mobile Dental Clinic to factories

    39. Prevention of Dengue and other communicable diseases in factory premisses

    40. Shramadana campaigns-(voluntary cleaning programs)

    41. PHI Supervision

    42. Can mosquitoes reach these places ?

    43. Abandoned container yards

    44. Economic Gains Have not done accurate financial analysis regarding achievements We have mainly focused on statistics regarding mortality and morbidity We were able to save millions of rupees Eg. Preventing H1N1 epidemic in export processing zone Preventing dengue epidemics Preventing work place injuries

    45. The Way Forward Introduction of “Healthy Work Place Policy ” for all possible working environments Including Screening for NCDs Surveillance for food sanitation

    46. Thank You!

    47. Activities Conducted In Year 2009 M.O.H. B.O.I.-Katunayake

    49. Special activities conducted during 2009

    50. Special activities conducted during 2009

    51. Special activities conducted during 2009

    52. Special activities conducted during 2009

    55. Special activities conducted during 2009

    57. Special activities conducted during 2009

    59. Special activities conducted during 2007

    61. Special activities conducted during 2009

    62. Special activities conducted during 2009

    64. Special activities conducted during 2009

    65. THANK YOU!

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