31

PROMOTIONAL BROCHURE ON THE HRD PROJECTDEVELOPED IN MEXICOPan American Health Organization/World HealthPAHO/WHO

Organization

United Nations Environment Programme UNEPHealth Secretariat (HSA), MexicoProject:National planning for human resourcesdevelopment in environmentaland occupational health1995 - Cuernavaca, Morelos

The Pan American Health Orgamzation/World Health Organization (PAHO,WHO), the United Nations Environment Programme (IJNEP) and the new ad-ministration of the Health Secretariat (HSA), which are all concerned with find-ing solutions to public health problems caused by increasing environmentalpollution, have found that one of the main limiting factors in control of humanexposure to environmental agents, and in management of health problemscaused by that exposure, is that few people are trained to deal with problems ofenvironmental and occupational health.

It is well known that the Republic of Mexico is a mosaic of different environmen-tal pollution problems and of effects on health, so institutes in the health andenvironmental sectors have set up programmes to counteract the ham done tothe ecosystem and to the population. The impact of pollutants on ecosystemsand the resultant damage to health in the form of increasing incidence of respira-tory haematological and neurological disease and cancer are the occupationalarea in which there is the clearest correlation between exposure to totic substancesand effects on health. through meteorological conditions and the levels of expo-sure to which workers are subjected. Of course, the population as a whole is ex-posed to various toxic substances and therefore to health problems.

A regional Programme for the training of human resources for human health istherefore proposed. The planning of such a programme calls for an analysis ofhuman resources for environmental and occupational health, on the basis ofwhich specific training projects can be proposed as part of a national plan forthe development ofhuman resources.

The first task io this analysis of human resources for environmental and OCCU-pational health is to pick out those in governmental and nongovernmental in-stitutions who develop programmes for protection, evaluation and monitoringof environmental PolhItion and of occupational and environmental health.

Objectives

GeneralProvide the technical basis for a strategic plan to train human resources for en-vironmental and occupational health in Mexico.

Specificl Set u p qualified groups for consensus and management and involve them

in the Process of establishing a national system for training of human re-sources (HRD) in environmental and occupational health,

’ Make a preliminary diagnosis of the situation as regards human resourcesin the operational areas and their training in academic institutions.

l Prepare the basis of the general strategies for a national plan.l Build up library holdings of institutions in environmental and occupational health.l Achievement of the objectives calls for strategies that enable us to obtain

the information needed to make the best founded proposal.

Strategiesl Collaboration between institutions

- For diagnosis of needs in terms of human resources in environmental and occupational health. close links must be established between PAHO/WHO UNDPand the HSA, bringing in those in charge of the Mexican Institute of Social Secu-rity, the National Institute of Statistics, PEMFX and educational centres.

l Research in pollution and environmental health

- This calls for finding and analysis of studies and reports on the subject pre-pared by governmental or nongovernmental institutions, in order to estab-lish which of them could be used for analysis of requirements in terms ofhuman resources for environmental and occupational health.

The development of research on existing human resources for environmentaland occupational health and needs in the area by officials of the main institu-tions providing environmental and occupational health services, will form thebasis for general strategies in a national plan for the training of human resourcesin environmental and occupational health.

ActivitiesDrafting of the analysis of requirements for human resources in environmentaland occupational health will call for the following:

- Gathering of information on requirements in human resources for environ-mental and occupational health,

- Gathering of information on available human resources in all governmentaland nongovernmental institutions engaged in:a. Programmes of protection, evaluation and monitoring of occupational

and/or environmental health problems;b. Programmes publicizing environmental damage and health problems

caused by pollution;c. Biological and/or environmental monitoring of pollutants;

- Preparation and verification of instruments for data gathering;

- Consulting and visiting officials in charge ofenvironmental and occuparionalhealth programmes;

Appendix I 3 3

Organization, processing and analysis of the information obtained;

Preparation of a report

- A national workshop to present and discuss the results of the analysis of requirements for human resources in environmental and occupational health

For more information, please contact:

National Institute of Public Health- Dr Carlos Santos-Burgoa, Chief researcher- Dr Francisco Hernández Torres, project coordinator-Mtra. Ma. Magdalena Rojas López Associate researcher

Address:Av. Universidad 655Cal. Santa Maria Abuacatitlan62508 CU~IIXWX~. Morelos. MexicoTel: (73) 11 3783Fax: (73) 11 1156

Appendix II.

WORSHEETS ON HRD RESOURCES AND LIMITATIONSAND ACTION STEPS FROM SOUTH AFRICA

Resources and limitations for human resources developmentin environmental and occupational health in South Africa

1. Environmental and Occupational Health problems:What are the most significant environmental and occupational health prob-lems in your area?

2. Workforce analysis:DO you have the necessary personnel to address these problems?a If not, where are the gaps?Examples are:a. Personnel shortagesb. Personnel with insufficient capability to perform required taskse. Poor distribution of personnel (urban, rural, etc.)d. Thematic distribution (e.g. air, water, waste). Are there areas which arebetter or more poorly served?

3. Planning resourcesa. Is there any ongoing HRD planning in environmental and occupationalhealth in your area? If so, what does it consist of and who is responsible for it?

4. Traininga. What training is currently available in environmental and occupationalhealth in your area (formal and non-formal)?0 Training programme 0 Target group

b. What are the training gaps?(consider the shortfalls in competency outlined above)

Appendix I/ 35

c. Relationship between training and employment-Can trained individuals get employment?- Does available training adequately prepare indiviauals for subsequentemployment?

5. Educational resourcesa. Are there adequate resources to support training programmes(e.g. libraries, equipment, educational materials?)If not, where are the gaps?

6. Policya Are there policies which favour HRD? (e.g. curricular requirements forcertain profession; nandatory continuing education)

b. Is there a need for new policies?

National Planning for Human Resources Development inEnvironmental and Occupational Health:Where do we go from here?

GoalTo produce and maintain the necessary human resources in order to evaluate,manage and prevent environmental and occupational health problems.

Primary objectiveTo conduct a country review of human resource needs and elaborate a na-tional plan or strategy for strengthening HRD in environmental and occupa-tional health.

Current realityStrengths(Brainstorm resources to support HRD, national and international)

Weaknesses

Key actionsBrainstorm key actions which should be taken to strengthen HRD in environ-mental and occupational health.

Action planCalendar and assignments

Who needs to be involved? 1. Coordination

Appendix//

2. Project support

Cost of the action plan

Appendix III.

PROJECT NEWSLETTER IN MEXICO - CARTA RECHUM

Project:National planning for human resourcesdevelopment in environmentaland occupational healthCollaboration bySecretary of Health, Directorate of Environmental HealthWorld Health OrganizationUnited Nations Environment ProgrammeSchool of Public HealthNo. 2.8 November 1995

Progress on the projectThe design and pilot testing of the survey instruments are now completed.a. Survey to identify human resources needs in environmental healthb. Survey to identify human resources needs in occupational healthc. Guidelines for interviews with key informants

Delivery of questionnaires to the distribution centres was begun on 3 October1995. The centres will in turn send them out to the persons responsible for themanagement of environmental and occupational health programmes.The organizations supporting the dispatching and collection of the question-naires include the Secretariat for Labour and Social Welfare, the General Direc-torate of Environmental Health, the University Environment Programme, theNational Institute of Ecology and the National Institute of Public Health.

Scheduling of appointments for interviews with key informants has also be-gun, and 80% of the meetings planned in the operational programme have nowbeen arranged.

In order to obtain a clear representation of needs, it is uital that all the ques-tionnaires should be completed in full.

The National WorkshopAs already announced, the Workshop will be held at the Mexican Foundationfor Environmental Health on 22-23 November 1995. Work will start at 8.30 am.and we therefore ask you to be punctuaL The journey from Mexico City to theheadquarters of the Foundation at Tepotzotlán takes 35 minutes (a map shnw-ing the location of the Foundation is attached).

Workshop participants will need to spend the night of 22.LX.95 at the head-quarters of the Foundation.

The central objective of the Workshop is to determine the strategic elements forthe elaboration of the National Plan for Human Resources Development in En-vironmental and Occupational Health. An intensive programme of work hasbeen planned in five stages:

Appendix 111

I. Analytical review of the survey of human resources needs in the area.

II. Definition of training objectives for HRD in EOH.

III. Definition of strategy lines for the training of human resources.

IV Integration of strategies for the elaboration of the National Plan for HRD in EOH.

V Challenges, opportunities and pitfalls for the National Plan.

The results will be produced by consensus, so it is very important thatyou attend in order to ensure that all parties are represented.

Appendix IV.

EXAMPLE OF AGENCIES WHICH CAN BE REPRESENTEDIN THE PLANNING PROCESS

Mexico

National Institute of Ecology (INE) (environmental agency)

l Center for Education and Training

l Air quality control

Environmental Protection Agency (PROFEPA environmental implementation]

Ministry of Health, Office of Environmental Health

l Epidemiology division

l Health education division

Secretary of Labour (occupational health and safety implementation)

Department of Social Security (occupational health and safetyimplementation)

Department of Human Resources

School of Public Health

Environmental Programme, University of Mexico

National Water Commission

Mexican Institute on Water Technology

Mexican Society of Environmental Engineering

Mexican Health Foundation (research institute)

CIESS (Research institute in occupational health and safety]

Celanese Company (private sector representative)

Other potential participants might include:

Ministries of Education and Planning

Non-governmental organizations

Other professional organizations

Other private sector representatives

Unions

Regional or provincial representation

HRD specialists from relevant sectors

AppendixV.

TERMS OF REFERENCE FOR HRD PLANNINGAND COUNTRY REVIEW

Project:National planning for human resourcesdevelopment in environmentaland occupational health

BackgroundPeople with appropriate training are an essential requirement for environmen-tal hazard control and sustainable development. This applies to both the gen-eral environment and the occupational environment. This project is part offollow-up to the United Nations Conference on Environment and Development(UNCEDI in 1992 which encouraged each country to develop a framework orplan for human resources development (HRD) to form part of the country’sNational Environmental Action Plan or Sustainable Development Plan accord-ing to Agenda 21.

Within the context of capacity-building, the project sponsors the United Na-tions Environment Programme (UNEP) and the World Health Organization,Office of Global and Integrated Environmental Health (EHG) have many on-going activities. These activities will be incorporated into the national planningprocess, along with other isolated efforts, to achieve a more coherent and effec-tive approach to HRD in environmental health.

Why develop a national human resources framework?A variety of skills and expertise are needed to solve the wide range of environ-mental health problems in each country. Development of a national frameworkaims to ensure systematic, priority-based planning to produce and maintainthe expertise needed. Such a framework also allows countries to maximize na-tional resources and to effectively utilize international experiences andresources. The ultimate goal is to establish and maintain sustainable HRD inenvironmental health in the country.

Objectives of the project- To conduct a country review and develop a strategy or plan for human re-

sources development in environmental and occupational health.

- To strengthen interinstitutional coordination at the national level in orderto maximize existing resources.

l To document the planning process in order to facilitate its applicationin other countries.

Projected activities* Identify the national institutions potentially involved in the project and iden-

tify a coordinating agency. These institutions include those who employ andtrain human resources in environmental and occupational health. In addi-tion to government agencies and training institutions, other interested agen-cies may include NGOs and professional associations.

* Establish asteering committee (or working group) to guide the planning process.

l It should consist of decision-makers with sufficient authority to implementthe plan. The role of the group will be to inform the process; coordinate theHRD review and disseminate the report; oversee the writing of the plan; andimplement the plan’s recommendations.

* Identify a group which will conduct the country review and prepare a report onexisting resources and needs for HRD in environmental and occupationalhealth. The report will include the following: an analysis of the existing HRD situ-ation, resources and 1imitations; perspectives for the future; options, strategiesand concrete actions to improve HRD with an accompanying budget proposal.

(See the specific terms of reference for the study in Annex 1)

l Distribute the report for comment, in preparation for a national HRD plan-ning workshop.

l Hold a national planning workshop. The goal of the workshop is to provide aforum for discussion of priority problems and potential solutions identifiedin the report.

- Draft a national HRD p1an.A small group designated by the steering com-mittee will write the plan, based on the recommendations generated at thenational workshop.

- Promote the development of reference collections in environmental and oc-cupational health in national libraries. As part of the Global Health and En-vironment Libraries Network (GELNET) of WHO and UNEE: selected librarieswill benefit from a bibliography of key scientific and technical informationon environmental health which can be obtained from WHO, UNEP and otherinternational organizations. The project plans to establish these referencecollections in training institutions around the country

* Produce a guide which describes the process for developing national plans inenvironmental and occupational health. The goal of the guide is to share coun-try experiences in HRD planning and facilitate the process in other countries.

Products* Country report

l National planning workshop

l National HRD plan

- Guide on the HRD planning process

l At least two reference collections in environmental health

Appendix V 43

BudgetTo help support the following activities:- country review

* national planning workshop

* production of a national plan

Technical supporta. short term* Consultant from WHO (education specialist)

l Production of a guide on HRD in environmental and occupational health

l Access to educational materials and resources from WHO, UNEP and otheragencies

b. long terml Assistance in identifying funds to implement the plan in 1996

l Training workshops for teachers in environmental and occupational healthon teaching methods

Roles and responsibilities for project implementation

Project coordinatorThe project will be coordinated by a representative from the lead agency.

The role of the project coordinator will be to:

1. Produce a proposed budget for the project and present it to WHO.2. Convene the steering committee.3 . Generate a list of organizations throughout the country which should be

involved in the project. Participation may include: contribution of infor-mation to the HRD study; review of the HRD report; attendance at nationalworkshop, etc.

4 . Identify individual/group to conduct the HRD study.Ensure that the studyis conducted and report written according to project timeline.

5. Conduct monthly meetings with the steering committee and HRD study team.6 . Review HRD report and pass it to the steering committee, relevant au-

thorities and project sponsors for review.7 . Disseminate the HRD report to interested agencies for their comment.

The report should be read by all workshop attendees.8 . Organize the national workshop in collaboration with the steering committee.9 . Assist in documenting the agreements and recommendations which are

generated at the workshop.10. Coordinate the selection process for writers of the plan and ensure that

the plan is written prior to the end of the year.11. Present the final plan for review by the steering committee before passing

it to the national authorities and project sponsors.12. Obtain official approval for the plan from national authorities.13. Present reports and communicate with the project coordinator in

WHO, Geneva.

Steering committeeThis committee will be composed of high level officials in national agencies withprimary responsibility for employing and training human resources in environ-mental and occupational health and with authority to implement the plan.

The role of the steering committee will be to:

1 . Identify other agencies who might be invited to participate in the process.2 . Inform and guide the design and implementation of the study and dis-

semination of the report.3 . Schedule 3-4 meetings with the study team to facilitate and guide

the study.4. Review and comment on the report and its recommendations.5 . Collaborate in organizing the national workshop.6. Participate in the national workshop.7 . Review the agreements and recommendations of the workshop.8. Assist the coordinator in identifying writers of the plan,

9. Promote the official sanction of the plan and its implementation inrelevant agencies.

10. Identify appropriate sites for the reference collections.

HRD study teamPreferably, this group will have the following capabilities: experience in andknowledge of environmental health; experience in conducting investigations(collection, analysis and presentation of data; interviewing skills); knowledgeabout environmental health policy formulation; experience in planning, pro-duction and administration of human resources.

The role of the study team will be to:

1. Prepare and present a detailed work plan to the coordinator, the steeringcommittee and the project coordinator in Geneva.

2 . Meet with the steering committee on a monthly basis. Orient the commit-tee on national planning if they have not had experience in this area.

3. Collect existing studies, reports, experiences, plans and relevant statisticson problems and priorities for human resources development in environ-mental and occupational health. Make a list of such relevant documents tofacilitate future access.

4 . Based on the work plan and time available, interview decisionmakers; implement a survey (or interviews) with traininginstitutions; identify workforce training needs in consultation with depart-ment directors and the workers themselves.

5 . If feasible, project future staffing and training needs.6 . Write the report. Review priority problems and recommended solutions

including policy recommendations and concrete training activities, withadvantages and disadvantages of each recommendation.Include a pro-posed budget.

7 . The study team will participate in the national planning workshop.8. Assist in documenting the experience to share it with other countries.

United Nations Environment Programme (UNEP)1. Identify educational resources and materials produced by UNEP to incor-

porare in the reference collections.2. Assist in identifying potential funding sources for implementation of the

plan in 1996.

World Health Organization (WHO-EHG)1. Provide coordination of the project from Geneva. Maintain communica-

tion with the project through the country coordinator.2. Provide technical assistance for the HRD study3 . Collaborate in the organization of the national workshop and participate

in the workshop.4 . Facilitate the establishment of at least two environmental reference

collections in the country.5. Produce a guidance document on planning for human resources develop-

ment in environmental and occupational health.6. Assist in identifying potential funding sources for implementation of the

plan in 1996.

Annex 1Elements of the HRD Country Reuiew:Nntional Planning for H u m a n ResourcesDevelopment in Environmental and Occupational Health

Note: What follows is a proposal for a broad-based national study of the threestages of HRD: planning, production and management which should be adapted,expanded or contracted to meet country needs (e.g., The three WHO project coun-tries emphasized planning and production issues. Some countries may begin with a training institution survey.)

IntroductionThe terms ofreference for the country review consist ofgeneral guidelines whichshould be adapted to the needs and interests of each country, the political sys-tern, size, resources and time available. Before beginning, it is recommendedthat investigators consult the WHO publication, “HRH Review”, that describesthe planning process which is being implemented in project countries. As forthe length of the report, the page number estimates can vary based on the fo-cus of the report.

Other reference documents may be consulted, such as the “tool kit for humanresources development” published by WHO. A final objective of the project is toadapt the methodology reflected in these documents to planning for humanresources in environmental and occupational health. For this purpose, it wouldbe helpful to assess the relevance of the tool kit.

Since the plan should be “national”, it is important to involve the different re-gions/provinces in the country by means of interviews, surveys, data collectionand incorporation as reviewers of the report. It is recommended that the studyinclude a task analysis of the environmental/ occupational healthworkforce. With the help of this process, areas of duplication or lack of coordi-nation may be identified as well as discrepancies in the law. The process canalso be utilized to harmonize and increase the coherence of tasks.

Objectives of the country reviewl Identify the existing resources and needs in HRD in environmental and oc-

cupational health.

l Document the country experience in HRD planning and policy-making.

l Identify national priorities and strategies to ensure a system for developingpriority personnel which is sustainable.

l Develop a strategy and action proposal to improve HRD with a detailed budget.

Elements of the country reviewI. Executive summary (up to 5 pages)

II. Introduction (2 pp)A. Rationale

B. Goals and objectives

C. Structure and contents

Appendix V ‘li

III. Summary of the environmental and occupational health system

A. Socioeconomic status of the country (1 p)

B. Problems in environmental/occupational health and development andtheir impact on health status of the population (2pp)

C. Characteristics of the environmental and occupational health system(2pp); may want to include a diagram

D. Characteristics of the environmental and occupational health personnel (3pp)1. Number and distribution by region, sub-sector and activity2. Principal function and competencies of each discipline3. Projected supply and requirements (major categories only) for the next

5 years, based on current policies, trends, production and loss rates; ,iffeasible, economic feasibility test of projection

E. The capacity ofworkforce to comply with national priorities (Is theresufficient personnel in the required disciplines? Do they have the competen-cies to do what is expected of them?) (2 pp)

IV. Identification of priority problems that affect the planning of humanresources for environmental and occupational health (5-7 pp)

A. Organization of planningB. Ability to design, plan and implement an HRD planC. Ability to collect, manage, analyze and present dataD. Analysis of planning problems

V Identification of priority problems in the production of human resourcesfor environmental and occupational health (5-7~~)

A. status of education and training in environmental and occupational health(formal and non-formal)1. Inventory of training programmes in the field:academic programmes (univer-

sity and technical schools) and continuing education (e.g., short course andworkshops&e sample survey of training institutes in WHO Tool Kit

2 . Number of graduates in each discipline; relation between education andemployment

3. Ability to plan educational programmes4. Adequacy of educational capacity (Is there room for all those who wish to study?)5. Adequacy of educational quality and accreditation6. Quality of teaching staff- quantity in each discipline, their qualifications

and teaching skill7 . Quality of teaching content and methodology of educational programmes8. Adequacy of educational materials, libraries, reference texts and teaching

equipment

B. Analysis of the problems in human resources production

VI. Identification of priority problems in the management of human re-sources in environmental and occupational health (5-7~~)

A. Adequacy and appropriateness of job descriptions

B. Staff recruitment, promotion and retention

C. Staff deployment (geographic and functional)

D. Ability to monitor, evaluate and supervise HRH performance

E. Ability to provide pre-service and continuing education

F. Adequacy of terms of employment (pay scale, benefits, etc.)

VII. Identification of priority problems that affect the formulation, imple-mentation and evaluation of policy for human resources development inenvironmental and occupational health (3-5 pp)

A. Adequacy of policy coordination

B. Adequacy of policy formulation and implementation

VIII. Identification of policy options (norms, standards and procedures),strategies and concrete actions to improve HRD. Highlight the advantagesand disadvantages of various alternatives with their approximate budget,calendar of proposed activities and possible collaborators. Include recom-mendation on the following: (3-6pp)

A. Health workforce planning

B. Health workforce production

C. Health workforce management

D. Health workforce policy formulation and implementation

Appendix VI.

SURVEY INSTRUMENTS -MEXICO

Instructions for completion of survey instrument in MexicoIdentification of human resources needsin the area of occupational health

PurposeProvide guidance for the selection of respondents and the distribution, completion and collection of the questionnaire for self-administration.

RespondentsThe questionnaire will be sent to all governmental and nongovernmental insti-tutions which run programmes for the protection, assessment and/or moni-toring of occupational and/or environmental health problems, including thedissemination of information on the health effects of exposure to environmen-tal pollutants, and participation in programmes of biological and/or environ-mental monitoring of environmental pollutants.

ProcedureThe questionnaire will be sent to all heads of departments and directorates (ofecology, hygiene, academic studies, etc.) of all governmental andnongovernmental institutions and associations, for distribution to staff regardedas working in activities related to the fields of occupational and/or environmen-tal health, requesting them to complete and return it as quickly as possible.

Filling in the form

I. Basic dataPlease write your name clearly, age, full name of the institution where you work,specific title of your position and whether it includes any programme relatingto occupational and/or environmental health, how long you have been in yourpresent position, giving the number of years and if less than one year . the numberof months.

II. Professional profileState your training (academic qualification), the full name of the academiccourse followed and the institution and country in which it was given. Also listany courses of refresher training attended in the last five years and any courseswhich you would consider useful to carry out your work in this field.

IIL ActivitiesMark with a cross the activities that are being carried out, whether trained orskilled personnel are being used and/or whether any agreements exist for offi-cial or unofficial collaboration with other institutions that support the imple-mentation of programmes for the protection, assessment and/or monitoringof occupational and/or environmental health problems.

I% Environmental pollutionIndicate by marking a cross whether your institution i s participating in pro-grammes for the protection, assessment and/or monitoring of environmentalpollution from chemicals in the various media listed.

V. AssistantIndicate by marking a cross what training you would wish an assistant for occu-pational and/or environmental health to have. Indicate on a scale of I to 10 with10 as the highest priority the aspect most urgently needed for the work of yourinstitution.

VI. Refresher coursesIndicate by marking a cross whether you would be interested in running a pro-gramme for the training of human resources for occupational or environmentalhealth, and if so, how much time would be available, in months, weeks or days,what infrastructure facilitiesyour institution has for programmes of this kind, orwhether y o u would have support from any other institution for running them.

VII.State what benefits your institution would gain or is gaining from the existenceof a group with the necessary training to tackle problems of occupational and/or environmental health.Please indicate whether you consider it important for your personnel to attenda training course in occupational of environmental health and what supportthey would be given to attend.

Appendix VI

RechumRechum

National planning for human resourcesNational planning for human resourcesdevelopment in environmental anddevelopment in environmental andoccupational healthoccupational health

Identification of human resourcesneeds in the area of occupational health

Date

I. Basic information1. Name and surnames

day/ month/ year

Paternal surname Maternal surname Name

2. Age (years) I J3. Highest position you have held in a governmental or

nongovernmental institution.

4 . Name of the institution in which you held this post

5. Length of time in this post Imonth/ year

6 . Name of the institution at which you ate working at present

7. Position held

8. Length of time in this position

month/ year

9. Professional address

StreetDistrict Delegation/Municipality

State Postal Code Tel.

II. Professional profileIndicate your academic background (starting with the highest academic level)

1. Degree or qualification

Name of institution

Place where studies carried out

state

Date commenced

Date completed

2. Degree or qualification

I Imonth/ year

I Imonth/ year

Name of institution

Place where studies carried out

State

Date commenced

Date completedmonth/ year

I I

3. Degree or qualification

month/ year

Name of institution

Place where studies carried out

State

Date commenced

Date completed

4. Degree or qualification

Imonth/ year

Imonth/ year

Name of institution

Appendix VI

Place where studies carried out

state

Date commenced I I

Date completedmonth/ year

Imonth/ year

5. List the refresher courses related to the field of occuoational health youhave taken in the last five years (more than 20 hours) .

Subject Institution at which thecourse was given

Year

6. List the courses which you feel would be useful to you to improve yourability to address the occupational health problems dealt with your agent)(e.g., resulting from exposure to toxic agents).

Subject Institution at which thecourse is given

III.Indicate the activities carried our in your establishment, as shown in the following table. Activities include all aspects of management or implementation of: as-sessment programmes; occupational health planning programmes and healthprevention and protection programmes related to exposure to toxic substance?.

Please mark with a cross:

In column 1:

whether the activity in question is carried out at your establishment

In column 2:

whether the activity in question is carried out at another institution

Then choose one of the next two columns and indicate whether training has beenreceived for this activity, or whether you have the necessary skills for this activity

In column 3a if the person who carries out this activity has not received train-ing, but has the skills for it, i.e. has been doing it to fulfil the requirements of thepost or the institution

In column 3b if the person who carries out this activity has been trained to doso, i.e. has received formal training and/or attended courses

1 2 3 4Activities

Carried out At another Skills Trainedinstitution available personnel

1. Assessment1.1 Investigation on the health effects of exposure to toxic substances

Occupational disease registry

Computerized information systems

1.2 Occupational epidemiology

Surveillance programmes for diseasesrelated to the work environment

Screening for the detection ofoccupational diseases

Statitistics on occupational poisoningsor accidents

Occupational epidemiology research projects

Biological monitoring programmes

1.3 Technical research and development in analytical chemistry related to the work environment

1.3.1 Inorganic substances

Metals and metalloids

Reagents

1.3.2 Organic substances

Organocholorine pesticides

Organophosphate pesticides

Solvents

Hydrocarbons

Appendix VI

1 2 3 4

ActivitiesCarried out

At another Skills Trainedinstitution avai lable personnel

1.4 ResearchImplementation and/or Support to research projects related to environmental pollution and its effects on health

Research projects

Laboratory research

1.5 Industrial hygiene and safety programmes

1.5.1 Monitoring programmes

Biological monitoring and sampling (routine)

Environmental monitoring and sampling (routine)

1.52 Emission control

Soil

1.6 Programmes for the control and supervision of toxic wastesManagement and disposal of:

Solid wastes

Hazardous wastes

Hospital wastes

Treatment of industrial effluent I I I I

I .7 Programmes of safety at work

Ventilation control

Use of personal protective equipment4+

Calibration of equipment I I I I

58

Activities

1.8 Occupational medicine

1 2 3 4.~

Carried out At another Skills Trainedinstitution available personnel

Accident prevention

Safe work

programmes

Deployment and management of humanresources

Aclivities Y e s N o

3 Prevention and protection

3 . 1 T r a i n i n gYour institution requires courses of training in:

General methodology of hazard recognition

Evaluation and control of physical hazards

Assessment of exposure to chemicals and dusts

Technology for the control of health hazards in the work environment

Legislation and legal requirements

Preventive management for safety and health

Occupationai risk assessment of exposure to environmental agents

Environmental impact assessment

Occupational epidemiology

Surveillance of management of toxic substances

Surveillance of management of industrial waste

Occupational hygiene

Industrial safety

Hygiene in the work environment

Assessment and control of biological risks

Medical sociology of the workplace

Toxicology

Ergonomics

Statistics

Preventive safety and health management

3.2 Your institution require courses of training in:

Risk assessment

Environmental impact assessment

Surveillance of municipal waste management

Surveillance of the management of toxic substances

Surveillance of industrial waste management

Surveillance of sources of drinking water

Surveillance of drains

Assessment of the environmental impact on human health

IV.Indicate the environmental problems with which your establishment is confronted

Type of agent

Physical

Temperature

Production

Area of work

Support/maintenance Corridors Transport Storage

Vibrations

Dangerours conditionsthe environment (steps

Chemical

Metals

Hydrocarbons

Pesticides

Chemicals

Explosives

Toxic wastes

Hospital

Industrial

Hygiene

Drinking water

Toilets and washrooms

canteens

If you were to need an assistant, which aspect(s) would you regard as most r e levant in the profile you would require/Mark with a cross on a scale of 1 to 10(with 10 as the highest priority) in the following table.

Prioritization

Most important

assessment an

Industrial safety

Other (specify)

VI.If performance needs to be improved, mark with a cross whether you have timeTHE . . ..-available for a programme to train human resources in environmental and oc-cupational health.

l.Yes

Time available over a year:months nw e e k s m

days 0

2.No 0

Mark with a cross the facilities available at your establishment:

A. Infrastructure

Personnel:

1. Occupational epidemiologists

2. Specialists in occupational medicine

3. Toxicologists

4. Sanitary engineers

5. Industrial hygienists

6. Others (specify)

If you do not have these personnel, do you have contact or support from anyinstitution for the organization of courses in this field?

Which ?

1. Occupational epidemiologists

2. Specialists in occupational medicine

3. Toxicologists

4. Sanitary engineers

5 . Industrial hygienists

6. Others (specify)

Appendix VI

B. Material resources

1. Teaching materials

2. Teaching rooms or lecture theatres

3. Laboratories

3.1 Clinical

3.2 Lung function

3.3 Radiology

3.4 Toxicological analysis

If a programme for the training of human resources in occupational health wereoffered, would you support attendance by your staff?’

l. Yes 0

If you have answered in the affirmative. indicate all the possible forms of sup-port your institution can offer :

1. Financing

2. Fellowships

3. Commissions

4. Licences

5. Promotions

6. Part time work