paho-2k 048ten2k 1 pan american health organization inter ministerial in the context of the working...

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Pan American Health OrganizationPan American Health Organization

Inter ministerial in the context of the Working Groups I and II Meetings

Pan American Health Organization

Strategic Alliance of Ministers of Labor, Health, Education and

EnvironmentDr. Sofialeticia Morales

OPS Consultant

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BackgroundBackground

III Summit of the Americas Extraordinary Summit Monterrey, Nuevo León México Agreement with TROIKA Proposed Resolutions Decision 45 of the Directive Council for Pan American Health

Org. Intervention of the Authorities Technical Meeting for the Plan of Action for IACML IV Meeting for the Plan of Action Meeting of the Authorities of

CIE Preparatory Meeting for Health and Environment for the IV

Summit of the Americas.

III Summit of the Americas Extraordinary Summit Monterrey, Nuevo León México Agreement with TROIKA Proposed Resolutions Decision 45 of the Directive Council for Pan American Health

Org. Intervention of the Authorities Technical Meeting for the Plan of Action for IACML IV Meeting for the Plan of Action Meeting of the Authorities of

CIE Preparatory Meeting for Health and Environment for the IV

Summit of the Americas.

IV Cumbre de las Américas: "Crear Trabajo para Enfrentar la Pobreza y Fortalecer la Gobernabilidad Democrática"

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III Cumbre de las Américas

The development of the workforce to increase the investment in the capacity of human resources, the prevention of child labor, the protection of workers’ rights in light of occupational accidents, the protection against gender discrimination, and the incorporation of vulnerable and marginalized groups into the workforce.

III Cumbre de las Américas

The development of the workforce to increase the investment in the capacity of human resources, the prevention of child labor, the protection of workers’ rights in light of occupational accidents, the protection against gender discrimination, and the incorporation of vulnerable and marginalized groups into the workforce.

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Cumbre Extraordinaria Monterrey, Nuevo León México

The promotion of decent work.• Political, Economic, and Social development that is coordinated

and integrated to combat inequality and marginality.• Respect workers’ rights in order to reduce poverty and promote

sustainable economic and social development.• The extension of social health protection.• Drive policies that reinforce systems of social security and

implement standards of social protection. • Assurance of environmental health for the population as an

investment in long term well being and prosperity.

Cumbre Extraordinaria Monterrey, Nuevo León México

The promotion of decent work.• Political, Economic, and Social development that is coordinated

and integrated to combat inequality and marginality.• Respect workers’ rights in order to reduce poverty and promote

sustainable economic and social development.• The extension of social health protection.• Drive policies that reinforce systems of social security and

implement standards of social protection. • Assurance of environmental health for the population as an

investment in long term well being and prosperity.

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Agreement with TROIKA

Reinforce the dialogue and relationship between the Ministries of Labor and Health and include the same discussion in both ministerial meetings.

Proposed Resolutions• Promote the exchange of information on good

practices in matters of health and workers’ occupational health and safety.

• To look for mechanisms to reinforce information, research, and training of human resources.

Agreement with TROIKA

Reinforce the dialogue and relationship between the Ministries of Labor and Health and include the same discussion in both ministerial meetings.

Proposed Resolutions• Promote the exchange of information on good

practices in matters of health and workers’ occupational health and safety.

• To look for mechanisms to reinforce information, research, and training of human resources.

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45th Directive Council of the Pan American Health Organization

• To include a session with the pro tempore presidents of the Inter-American Conference of the Ministers of Labor and the Ministers of Education in the preparatory meeting of the Ministers of Health and Environment at the IV Summit of the Americas, with the purpose of articulating the work of labor, environment, and education sectors in relation to working conditions and employment, particularly in

the health sector.

45th Directive Council of the Pan American Health Organization

• To include a session with the pro tempore presidents of the Inter-American Conference of the Ministers of Labor and the Ministers of Education in the preparatory meeting of the Ministers of Health and Environment at the IV Summit of the Americas, with the purpose of articulating the work of labor, environment, and education sectors in relation to working conditions and employment, particularly in

the health sector.

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Intervention of the Authorities of Mexico, Canada, Argentina, Brasil, El Salvador, and others

Employment constitutes priviledged access to social protection.

Occupational health and safety require renewed attention in light of globalization.

Workplaces that are healthy and safe reflect the capacity to grant quality attention to health related services.

Work policies based in effective uses of human capital contribute to increased benefits from economic integration.

It is necessary to promote the reinforcement of the human dimension to globalization.

Intervention of the Authorities of Mexico, Canada, Argentina, Brasil, El Salvador, and others

Employment constitutes priviledged access to social protection.

Occupational health and safety require renewed attention in light of globalization.

Workplaces that are healthy and safe reflect the capacity to grant quality attention to health related services.

Work policies based in effective uses of human capital contribute to increased benefits from economic integration.

It is necessary to promote the reinforcement of the human dimension to globalization.

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Health

EnvironmentEconomic

Growth

Human Rights

Education

SustainableHuman

Development

“It is about creating an environment in which people can develop to their full potential and lead productive and creative lives in accordance with their needs and interests”.

Sustainable Human Development

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Health and Development Synergy Health and Development Synergy

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11 10 9

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Under 5 Under 5 MORTALITYMORTALITY

MATERNALMATERNALMORTALITYMORTALITY

HIV/AIDSHIV/AIDS

MAL/INF MAL/INF DISDIS

SafeSafewaterwater

PovertyPovertyHungerHunger

Primary educationPrimary education

Gender disparityGender disparity

EnvironmentEnvironmentSlumSlumdwellersdwellers

EssentialEssentialdrugsdrugs

FinancialFinancialsystemsystem

TradeTrade

SmallSmallnationsnations

Debt Debt reliefrelief

WorkWork

ITIT

MDG

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Indivisibility and Synergy Indivisibility and Synergy

Millenium Development Goals

Goal 1Goal 2Goal 3Goal 4Goal 5Goal 6Goal 7Goal 8

The goals needto be seen asanindivisiblepackage.

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Labor and Health Statistics Labor and Health Statistics ILO (1999) world250 mill. Accidents per yerar

685,000/daily475/ minute9/ second

PAHORate of Accidents

4.2 x 10,0001.1 mill/ deadly

LAC 5 thousand labor acc/ year 36 labor accidents/minute90,000 deadly / year300 dead/ day

20031.9mil 2.3 thousand deaths

355,000 labor acc. 1,574,000 work related illness

158,000 trafic acc.

ILO (1999) world250 mill. Accidents per yerar

685,000/daily475/ minute9/ second

PAHORate of Accidents

4.2 x 10,0001.1 mill/ deadly

LAC 5 thousand labor acc/ year 36 labor accidents/minute90,000 deadly / year300 dead/ day

20031.9mil 2.3 thousand deaths

355,000 labor acc. 1,574,000 work related illness

158,000 trafic acc.

WHO world

Work related illness

30-50 x 10,000 workers

68-157 mill. Professional related illness

35% cronic

10% permanently disabled

1% dead

ILO (1997) Loss $ x’ illness and injuries

4.4% (GNP) World

PAHO and IDB y BID

2-11% (GNP)

Country estimate in dollars 50% work related illness and labor accidents

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• Those earning less than the cost of basic goods:

20%-40% of waged workers

• Sevices for Occupational Health:

30% of the informal sector

• Ration of non-professional mortality rate/ professional mort.

rate: 3:1

• Lethal Accidents LAC/EEUU: 3:1

• Mortality for Hispanics in the U.S.:

+ 40%

• Major Impacts:

Children, women, migrants, elderly, indigenous

• 31 Million unemployed and 69 million workers

live below the poverty line

• Those earning less than the cost of basic goods:

20%-40% of waged workers

• Sevices for Occupational Health:

30% of the informal sector

• Ration of non-professional mortality rate/ professional mort.

rate: 3:1

• Lethal Accidents LAC/EEUU: 3:1

• Mortality for Hispanics in the U.S.:

+ 40%

• Major Impacts:

Children, women, migrants, elderly, indigenous

• 31 Million unemployed and 69 million workers

live below the poverty line

Labor Inequities

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150 million people are excluded from health care

• 36 Accidents/ minute• 5 Million/ year• 90,000 Lethal acc./year• 300 Deaths/ day• 9%-12% of GNP in LAC

150 million people are excluded from health care

• 36 Accidents/ minute• 5 Million/ year• 90,000 Lethal acc./year• 300 Deaths/ day• 9%-12% of GNP in LAC

Impacts of Occupational Accidents and IllnessesImpacts of Occupational Accidents and Illnesses

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Pan American Health OrganizationPan American Health OrganizationInter ministerial Strategic Alliance

Presentation in the Working Group II Meeting April 11th -12th

XIV IACML

Mexico September 2005

•Strategic Alliance: Minister of Labor (CIMT) and Minister of Education (CIE) session at the Ministerial Meeting of Ministers of Health and Environment in the context of the IV Summit of the Americas

Date: June 17th-18th

Buenos Aires Argentina

•Strategic Alliance Working Group

PAHO’s 46th Directing Council

September 2005

XVII World Safety

Congress on Safety and

Health at Work

September 2005

I Inter Ministerial Technical Meeting in the context of the CIEMay 2005Washington, D.C

II Inter Ministerial Technical Meeting June 11Mar del Plata Argentina

Presentation at the Preparatory Meeting for the XIV CIMT January 31st February 1st

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Inequities in Social Protection: Health, Education, and LaborInequities in Social Protection: Health, Education, and Labor

Education and Health are the largest employers in the public service.

8 million education workers 7 million health

workers

The Education Sector impacts 220 million students at the level of basic education.

92 million people> 15 years old without primary education.

Trends: Globalization, State Reforms, Flexibilization, Privatization.Traditional and New Problems:

¨Burn out syndrome¨ (23% of health workers and 25% of education

workers)

Lack of Information systems,

ecosystemic/ gender approach

HIV/AIDS

Education and Health are the largest employers in the public service.

8 million education workers 7 million health

workers

The Education Sector impacts 220 million students at the level of basic education.

92 million people> 15 years old without primary education.


¨Burn out syndrome¨ (23% of health workers and 25% of education

workers)


ecosystemic/ gender approach

HIV/AIDS

5 - 10% EAP each sector10 -15 % GDP

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Inequities of Social Protection: Health, Education and LaborInequities of Social Protection: Health, Education and Labor

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Precarious Labor Conditions

Professional Migration

Lack of Labor Stability

Lack of Competencies

Reoccurring Cycle of emotional strain

High rates of absenteeism and disability.

¨Burn out syndrome¨:

23% of health workers and 25%

of education workers


(ecosystemic/ gender approach)

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Precarious Labor Conditions

Professional Migration

Lack of Labor Stability

Lack of Competencies

Reoccurring Cycle of emotional strain

High rates of absenteeism and disability.

¨Burn out syndrome¨:

23% of health workers and 25%

of education workers


(ecosystemic/ gender approach)

• Technological

Developments

• Contractual

Modalities

•Poverty and

Social

Vulnerability

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Good Practices from the AllianceGood Practices from the Alliance

Standard of Occupational Health and Safety in Latin America (RSST)Standard of Occupational Health and Safety in Latin America (RSST)

Central America•Toolbox

•CERSSO OIT/BID

•Plagsalud

The Caribbean

•National Plans for Healthy Hotels for 14 countries

North America •Hispanic Forum•XVII World Congress for Occupational Health and Safety

Andean Region •Child Workers OPS/OMS Bolivia•Ecopetrol in Colombia

Mercosur •Health and Safety on workers in the Education Sector•Modification of the law of the Superintendent of Occupational Health and Safety

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Objectives of the Strategic Alliance Objectives of the Strategic Alliance

General Objectives

1. Strengthen the Strategic Alliance between the four sectors in order to respond to the challenges of the IV Summit of the Americas around the concept of sustainable human development and healthy environments, in the framework of social protection and to advance towards the Millennium Development Goals through joint actions.

2. Make a strategic proposal that may be included in the Plan of Action of the IV Summit of the Americas to develop programs that guarantee the health and occupational safety of workers, the quality of their professional development, and assure that their institutions maintain healthy environments.

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STRATEGIC ALLIANCESTRATEGIC ALLIANCE

We recognize the importance of tailoring macroeconomic,

microeconomic, commercial, productive, infrastructure,

labor, social, migratory, educational, and social security

policies to meet quality employment and productivity

goals. Furthermore, we undertake to generate greater

opportunities for our peoples in education, security,

health care, housing, social development, and

infrastructure and to strengthen regional development

policies and local management.

INTEGRATION OF SOCIAL POLICY1

Declaration Proposal of the IV Summit of the Americas

Declaration Proposal of the IV Summit of the Americas

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PROFESSIONAL PROFESSIONAL DEVELOPMENTDEVELOPMENT

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We will devise efficient, high-quality professional development and vocational training systems and services attuned to economic, educational, and employment policies, by increasing both public and private investment in vocational training, with a view to boosting the productivity of enterprises and individual’s employability.

PROFESSIONAL DEVELOPMENT

DECLARATION PROPOSAL OF THE IV SUMMIT OF THE AMERICAS


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I.1.1. Fostering integration of economic, labor, and social policies to achieve quality employment and productivity.

I.1.4. Promoting social protection and improving income and productivity in the informal and rural economy.

I.1.6. Promoting high-quality skills development systems and services, that are coordinated with educational, employment and economic policies, with a view to enhancing corporate productivity and individual employability.

CREATING DECENT WORK

STRATEGIC ALIANCESTRATEGIC ALIANCE


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I.3.1. Promoting a social agenda that integrates health, eductaion, housing, and social development programs, and reduces the vulnerability of all households

I.3.2. Ensuring sufficient and adequate social protection mechanisms, based on the principle of the universality of benefits

I.3.3 Increasing the protection of unemployed workers, promoting their employability and establishing unemployment insurance or similar mechanisms with broad coverage.

4GENERATIING PUBLIC POLICIES TO ERADICATE POVERTY



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Strategic Alliance Proposal for the IV Summit of the Americas

Strategic Alliance Proposal for the IV Summit of the Americas

The Heads of State and Government agree to mandate to their Ministries of Health, Education, Labor and Environment, through a Strategic Alliance, to develop programs that guarantee healthy educational and work environments in the framework of social protection; promote conditions that support the health and safety of workers and provide continuous opportunities for professional development. We request that PAHO, together with the support of the OAS, the ILO and UNEP support this effort.

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