The Workplace: a Key Setting to Fight Chronic Disease in Emerging Countries. Alberto Ogata -BRAZIL

Transcription

1 The Workplace: a Key Setting to Fight Chronic Disease in Emerging Countries Alberto Ogata -BRAZIL

2 BRAZIL A developing country BRAZIL WORLD Own a cell phone 100% 77% Live in urban area 84% 51% Are between years 69% 66% Are part of labour force 54% 46% Use the internet 43% 32%

3 But with many challenges.. Education Infrastructure Inequalities Health double burden

4 Brazilian Health System ü social right to health with universal access to healthcare and the establishment of a Unified Health System (SUS) ü Some of the factors that have been big success stories for Brazil include improved tobacco control, reach universal coverage of vaccination and prenatal care and the world's largest free HIV/AIDS drug distribution system ü private plans are offered by commercial insurers and companies with self insured plans regulated by the National Regulatory Agency for Private Health Insurance and Plans (ANS) mi of private health plan users. ü overlaps between the public and private sectors linked to the insurers for rendering health services.

5 Brazil Occupational Health and Safety ü Complex legal framework for occupational health regulation. Professional staff requirements are defined by law ü Workers' compensation function was fully integrated into the nation's larger social welfare system which required all employers to insure their employees ü The employer continues to pay full wages for the first 15 days of lost time, at which point the public system takes over with continued full wage replacement.

6 ü population-based, national cohort study with more than 39 mi employees. ü There were 3.5 times more non-work-related than work related claims. ü The main diagnoses were injuries, musculoskeletal disorders, and mental disorders. ü Rates increased with age up to 59 years. The incidence of sickness benefits is higher among female workers

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8 BRAZIL Source, WHO,2012

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10 Metabolic risk factors trends - Brazil Source: WHO,2012

11 Mortality trend by NCD in Brazil,

12 Effect of physical inactivity on NCD worldwide: an analysis of burden of disease and life expectancy Lancet, 380(9836), ,2012

13 Obesity trends (Vigitel) 28% Total Man Woman

14 ü A representative cross-sectional household sample of 5,037 adults was interviewed face-to-face ü Around 30% of respondents reported a 12-month disorder ü Anxiety disorders were the most common disorders (affecting 19.9%), followed by mood (11%), impulse-control (4.3%), and substance use (3.6%) disorders ü Only one-third of serious cases had received treatment in the previous year. (Andrade et al,2012)

15 Working Well: A Global Survey of Health Promotion Strategies Brazilian Employers 2012

16 Issues Driving Health Promotion Brazil Africa/ Mid East Asia Australia Canada Europe Stress Workplace safety Physical activity High blood pressure Nutrition/healthy eating Depression/anxiety Psychosocial environment Chronic disease High cholesterol Work- life issues Tobacco use/smoking Sleep/fatigue Personal safety Obesity Substance abuse Infectious diseases (HIV) Maternity/newborn health United States Source: Buck Consultants, 2012

17 Employer Objectives Driving Health Promotion Strategy Brazil Africa/ Mid East Asia Australia Canada Europe Absenteeism Presenteeism/productivity Workplace safety Morale/engagement Org. values/mission Attract and retain Maintaing work ability Social Responsibility Health Care costs Promote image/brand United States Source: Buck Consultants, 2012

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19 The Laboratory has been launched to produce and disseminate knowledge from health innovations developed in the health systems. The Innovation Laboratories are spaces for the production of evidence and knowledge management, from practices, processes, tools, innovative programs and policies in the healthcare area. It is based on the idea that health system of Brazil is a huge 'laboratory' in which many innovations are produced from good ideas and initiatives of local managers. Innovation Laboratories seek to provide visibility to innovations and the process of production, incorporation and sustainability, to develop a network of innovators and promoting a culture of innovation in health.

20 Lifestyle Nutrition Physical Activity Stress Management Relationships Preventive Behavior A comprehensive approach At workplace Quality of Life Index Work Conditions Physical environment Social environment Personal fulfillment Wages and benefits Social relevance of work Nahas, 2010

21 Brazilian Quality of Life Association (ABQV) is a national non-profit organization founded in Joins more than 400 members that represent a universe of 2,100,000 employees. Connection with IAWHP I Latin American IAWHP Summit Sept,29th São Paulo, Brazil

22 v No country in the world can be competitive in the world economy with unhealthy workers v The workplace setting can play a major role in encouraging people to adopt healthier lifestyle There is still a great deal to be done... Joana Godinho, WORLD BANK

23 Thank you Obrigado ALBERTO OGATA