Situation of the information systems on work-related injuries in the Americas
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1 For a healthy and safe work Situation of the information systems on work-related injuries in the Americas Hemispheric Workshop on Occupational Health and Safety San Salvador, May 16 th -17 th, 2006 Eugenio Cantuarias Chilean Safety Association
2 Author: Pedro Lobos Title: Chilean Family (Familia Chilena) Occupational Safety Pillars
3 Occupational Safety Pillars Workplace Injuries and Illnesses Preoccupying numbers (WHO-ILO) Every year, more than 2 million lives are lost due to workplace injuries or illnesses 268 million non-fatal injuries were registered 160 million non-fatal illnesses were registered Estimated costs are up to % of Gross Domestic Product GDP. In Chile, this is less than 1% of GDP.
4 Occupational Safety Pillars Workplace Injuries and Illnesses Occupational Safety Principal Mandates: Ethic - healthy and safe works Social - human development Economic - losses $ and competitiveness
5 Global Estimation Fatalities by Region Source: International Labour Organization ILO
6 Global Estimation Workplace Injuries by Region Source: International Labour Organization ILO
7 Occupational Safety Costs Source: Health & Safety Executive HSE
8 Competitiveness and Safety Source: International Labour Organization - ILO
9 Author: Claudio Di Girolamo Title: The Labor (El Trabajo) Occupational Safety LAC
10 Professional Risks Diagnosis Ibero-America 1. Diverse legislations to protect workplace risks 2. State, private and mixed systems 3. Different definitions, for example, workplace injuries 4. Different legal requirements 5. Not all countries consider Paritarian Committees
11 Professional Risks Diagnosis Ibero-America 6. Lack of coordination and duplicity of tasks among ministries and institutions 7. Broad bid range 8. Scarce (null?) scientific research 9. Old legislation need of redrafting 10. Increased interest to solve problems
12 Author: Francisca Aninat Title: Yellow Composition 2 (Composición Amarillo) Information Systems LAC
13 Characteristics of Information Systems Latin America and the Caribbean 1. Low representation, since it does not cover the total formal working population. It does not include informal work (aprox. 30% of working population - or more?). 2. Low coverage, of Occupational Health events (most surveillance is for fatalities). Few countries have systems that cover morbility. 3. Validity of information, there are not systematic processes that permit validation of the recollected and registered data. 4. Multiple sources, records that are recollected for different objectives. Difficulties to match them.
14 Characteristics of Information Systems Latin America and the Caribbean 5. Heterogeneity and comparability of records. Difficulties to compare data among countries (e.g. permissible limits by risk agents, international codifications, others). 6. Inexistent relation between administration and funding. Generally speaking, the systems that are financed and managed by public bodies have a greater coverage and integrity. 7. Limited used of the information for decision making. Does not permit to organize and integrate the information and have a greater coverage.
15 Workplace Fatality Rate American Countries Source: PAHO Systematization Basic Health Data
16 Workplace Non-Fatal Injuries Rate American Countries % Source: PAHO Systematization Basic Health Data
17 Author: Marcela Illanes Title: All the landscapes (Todos los paisajes) Information Systems in Chile
18 Social Security Scheme in Chile STATE INSTITUTIONS ( OPTIONAL) PRESTATION PRIVATE INSTITUTIONS ( OPTIONAL ) COMMON ILLNESSES PRESENTATION ISAPRES HEALTH ORGANIZATIONS S.N.S.S. FONASA WORKPLACE INJURIES AND PROFESSIONAL ILLNESSES, (PREVENTION, MEDICAL ATTENTION, SUBSIDIES, INDEMNIZATION AND PENSIONS). b MUTUALES PENSIONS FOR THE ELDER, RETIREMENT AND WIDOWHOOD AFP INSTITUTE FOR PREVISIONAL NORMALIZATION FAMILY SERVICES (FAMILY ASSIGNATION, ASSIGNATION BY DEATH, INCAPACITY SUBSIDIES) CAJAS DE COMPENSACION ASIGNACION FAMILIAR DISMISSAL AFC
19 Characteristics of the Chilean Mutual System 1- NON-PROFIT PRIVATE CORPORATIONS 2- OBJECTIVES : 3 PREVENTION 3 MEDICAL ATTENTION 3 ECONOMIC SERVICES 3- PARITARIAN DIRECTORY 4- FREEDOM OF AFFILIATION FOR ENTERPRISES 5- FUNDING: 1,7% ON REMUNERATION (0,95% a 7,7%) 6- SOLIDARY RESPONSIBILITY
20 I.N.P. 25% AUTOSEGURO 1% Mutual Market Participation 53 % 13 % MUTUALES 74% Mutual System Coverage Distribution 34 %
21 Information Systems in Chile Main institutions that have information on occupational health Central Bank of Chile (Banco Central de Chile) National Statistics Institute (Instituto Nacional de Estadísticas) Planning and Studies Department - MIDEPLAN (Departamento de Planificación y Estudios) Occupational Health Program MINSAL (Programa Salud Ocupacional) Super-intendancy of Social Security (Superintendencia de Seguridad Social)
22 Information Systems in Chile Mutual System Characteristics of the Chilean Mutual System Broad Coverage (100% economically dependent population and 65% EAP) Administrative body grant the benefits Stable systems with an active record Validity and integrity of the records Part of the national information system on health Using the information for decision making Development of prevention and surveillance systems
23 Information Systems in Chile Chilean Safety Association Existing occupational information systems: Workplace and work-related injuries system Workplace illnesses system Workplace fatalities system Pesticide intoxication system
24 Operative Results ACHS Incidence rate
25 Operative Results ACHS Injury rate
26 Operative Results ACHS Average treatment time
27 Author: Camilo Yanez Title: The labor of painter id (El oficio del yo pintor) Conclusions
28 Conclusions The articulation of information systems that register work-related injuries is necessary to design national risks surveillance and prevention strategies To improve coverage and decrease the absence of reports of an injury (workplace illnesses) To improve information quality, records and access. To organize the information sources in each country.
29 Conclusions To have available access to confident, unique and unified databases at country level. To decrease differences among criteria (to homogenize) Incorporation of unprotected sector such as the informal work To share among countries experiences, knowledge, funding mechanisms (good practices), etc.
30 For a healthy and safe work Situation of the information systems on work-related injuries in the Americas Hemispheric Workshop on Occupational Health and Safety San Salvador, May 16 th -17 th, 2006 Eugenio Cantuarias Chilean Safety Association
31 For a healthy and safe work Eugenio Cantuarias Manager of Operations Division Chilean Safety Association Situation of the information systems on work-related injuries in the Americas Hemispheric Workshop on Occupational Health and Safety San Salvador, May 16 th -17 th, 2006
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