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1

Gujral, Sunder, Rita Abbi, Rajni Mujoo, and Tara Gopaldas. "Determinants of Community Health Workers’ Performance in India." Food and Nutrition Bulletin 13, no. 4 (December 1991): 1–5. http://dx.doi.org/10.1177/156482659101300409.

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Forty-three anganwadi workers (community health workers) in Gujarat state, India, were interviewed to record their education level, evaluate their nutrition knowledge, and collect information on the number of visits made by the auxiliary nurse midwife (ANM) in the preceding three months and the activities she performed for the anganwadi. The coverage of five services delivered or assisted by the anganwadi worker- supplementary feeding growth monitoring, vitamin A prophylaxis, health checkups, and immunization- was estimated by interviewing the mothers of 3,987 children 0–6 years old. The anganwadi worker's having at least a high school education, a nutrition knowledge score of more than 4 out of 7, more than one visit by the ANM in three months, and an ANM activity score of more than 2 out of 9 were significant determinants, individually or in combination, for the anganwadi worker's performance. Multiple regression analysis indicated that nutrition knowledge was the most powerful determinant of performance, followed by guidance from the ANM and education level. It is therefore concluded that anganwadi workers should receive nutrition health education and regular guidance from the ANMs, and their education level should be high school or above.
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Dennerlein, Jack T., Lisa Burke, Erika L. Sabbath, Jessica A. R. Williams, Susan E. Peters, Lorraine Wallace, Melissa Karapanos, and Glorian Sorensen. "An Integrative Total Worker Health Framework for Keeping Workers Safe and Healthy During the COVID-19 Pandemic." Human Factors: The Journal of the Human Factors and Ergonomics Society 62, no. 5 (June 9, 2020): 689–96. http://dx.doi.org/10.1177/0018720820932699.

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Objective The aim was to recommend an integrated Total Worker Health (TWH) approach which embraces core human factors and ergonomic principles, supporting worker safety, health, and well-being during the COVID-19 pandemic. Background COVID-19 has resulted in unprecedented challenges to workplace safety and health for workers and managers in essential businesses, including healthcare workers, grocery stores, delivery services, warehouses, and distribution centers. Essential workers need protection, accurate information, and a supportive work environment with an unwavering focus on effective infection control. Method The investigators reviewed emerging workplace recommendations for reducing workers’ exposures to the novel coronavirus and the challenges to workers in protecting their health. Using a theoretical framework and guidelines for integrating safety and health management systems into an organization for TWH, the investigators adapted the framework’s key characteristics to meet the specific worker safety and health issues for effective infection control, providing supports for increasing psychological demands while ensuring a safe work environment. Results The recommended approach includes six key characteristics: focusing on working conditions for infection control and supportive environments for increased psychological demands; utilizing participatory approaches involving workers in identifying daily challenges and unique solutions; employing comprehensive and collaborative efforts to increase system efficiencies; committing as leaders to supporting workers through action and communications; adhering to ethical and legal standards; and using data to guide actions and evaluate progress. Conclusion Applying an integrative TWH approach for worker safety, health, and well-being provides a framework to help managers systematically organize and protect themselves, essential workers, and the public during the COVID-19 pandemic. Application By using the systems approach provided by the six implementation characteristics, employers of essential workers can organize their own efforts to improve system performance and worker well-being during these unprecedented times.
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Wong, Diana, Michele Rumsey, and David Heslop. "Global Burden of SARS-CoV-2 on Health Care Workers’ Mortality and Morbidity." Prehospital and Disaster Medicine 38, S1 (May 2023): s144. http://dx.doi.org/10.1017/s1049023x23003783.

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Introduction:Unfortunately, before SARS-CoV-2, a global workforce crisis in health care had already been flagged internationally and is only expected to grow. Health care workers are the critical driving force underpinning all health systems. A skilled workforce takes years to develop, and staff shortages have enduring negative impacts on patients, patient safety, and the ability to deliver Universal Health Coverage.Method:A scoping literature review on health care worker mortality and morbidity resulting from SARS-CoV-2 was undertaken and included reviewing the peer-reviewed and grey literature.Results:Four opportunities for improving the protection of health care workers during a pandemic were identified: 1)Strengthening data collection and reporting standards of health care worker mortality and morbidity due to SARS-CoV-22)Improving the protection of health care workers3)Accelerating the vaccination of health care workers against SARS-CoV-2, and4)Addressing gender inequities in health careThese four approaches provide opportunities for improvement and are only preliminary steps in addressing the ‘perfect storm’ that the shortage of global health care workers and the ongoing SARS-CoV-2 pandemic have created.Conclusion:The global community has a unique opportunity to protect health care workers and improve pandemic preparedness and response. The health and socioeconomic impact of SARS-CoV-2 has been unprecedented, and health care workers have borne the brunt of this pandemic. We owe our health care workers more. Without a well-trained and adequately resourced health care workforce that is prepared to face the next pandemic, we as a global community will not be able to deliver global health care or global security at the level that is required.
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Holland, Sara B. "The Welfare Implications of Health Capital Investment." Quarterly Journal of Finance 04, no. 02 (June 2014): 1450007. http://dx.doi.org/10.1142/s2010139214500074.

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I present a model of the health capital investment decision of a firm using a moral hazard framework. Health capital investment increases the probability that a worker is present and productive. The firm cannot verify a worker's health capital investment decision. When a firm invests in health capital, the investment is verifiable because the firm contracts with the insurer. I derive the optimal contract for when the worker and for when the firm invests in health capital. When the firm invests in health capital, the level of investment is higher and wages are less volatile. In my model, firms invest more than workers because of a production externality and because it is less costly to invest in health capital than to compensate the worker for bearing the risk of an uncertain labor realization. This result improves welfare, contrary to the benchmark that workers consume more health care than is efficient ex post when firms provide health insurance. Unlike the benchmark model of a worker and insurer, my model includes a profit maximizing firm, includes an endogenous probability of getting sick, and allows the insurer to set premiums by anticipating the health care investment level of the insured.
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Mutmainah, Mutmainah, Antonius Rino Vanchapo, Emanuel Suban Bala Lewar, Juandri Seprianto Tusi, Yuanyuan Wang, and Guijiao Zou. "Relationship Between Work Motivation and Health Worker Performance at Kronjo Health Center." Journal of World Future Medicine, Health and Nursing 1, no. 2 (August 15, 2023): 102–13. http://dx.doi.org/10.55849/health.v1i2.450.

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Shows that Indonesia is included in the 5 countries with the lowest motivation of health workers, besides Vietnam, Argentina, Nigeria and India. This is due to aspects of fulfilling welfare and information obtained that 175,000 employees 98,512 people or 56% complain about the low incentives received from the institutions where they work. The problem that occurs in health services today is the large number of health workers who do not have high motivation to work due to various factors such as heavy workload, high work risk, domestic and inadequate training programs, but not balanced by good job protection and unsatisfactory wages, not to mention welfare factors and competence factors according to the World Health Organization (WHO). Work motivation and performance of health workers have a very close relationship to performance. Health workers have an important role as executors of health worker services and community health development. This study aims to determine the relationship between work motivation and the performance of health workers at the Kronjo Health Center in 2022. This research is a quantitative study using an analytic survey with a cross-sectional research design. Work motivation in the sufficient category is 16 (38.1%) and the performance of health workers in the good category is 21 (50.2%). this study shows that the p-value = 0.029. this shows that the value of p = 0.029 is still smaller than the critical limit ? = 0.05. There is a significant relationship between work motivation and health worker performance (0.029<0.05).
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Darliana M, Hanisa H, Azmul Fadhli K, Nurulahda S, and Dian Darina Indah D. "ERGONOMIC ENGINEERING INTERVENTION OF BATIK STAMPING WORK TO REDUCE LIFTING LOAD." Malaysian Journal of Public Health Medicine 20, Special1 (August 1, 2020): 124–27. http://dx.doi.org/10.37268/mjphm/vol.20/no.special1/art.680.

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One of the common health problems for small and medium enterprise such as batik production is work-related musculoskeletal disorder (WMSD). This health problem may contribute to long-term medical effect on the production workers. For batik stamping workers, the load of the copper block that need to be used repetitively can reach up to 2kg. This study aims to reduce WMSD effect by reducing the lifting load of the cooper block handled by the batik stamping worker. The worker’s working load is observed before the intervention process by using one of the ergonomic risk assessment tools, Rapid Upper Limb Asssessment (RULA). The ergonomic intervention designed in this study is from the engineering approach by modifying tools. It is found out that the intervention done were able to eliminate the lifting load handled by the worker to avoid discomfort or further health complication. This outcome are hoped to be able to improve workers’ health and increase batik stamping work productivity that eventually increased company’s revenue.
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Park, Hyun Sang, Kwang Il Kim, Ho-Young Chung, Sungmoon Jeong, Jae Young Soh, Young Ho Hyun, and Hwa Sun Kim. "A Worker-Centered Personal Health Record App for Workplace Health Promotion Using National Health Care Data Sets: Design and Development Study." JMIR Medical Informatics 9, no. 8 (August 4, 2021): e29184. http://dx.doi.org/10.2196/29184.

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Background Personal health record (PHR) technology can be used to support workplace health promotion, and prevent social and economic losses related to workers’ health management. PHR services can not only ensure interoperability, security, privacy, and data quality, but also consider the user’s perspective in their design. Objective Using Fast Healthcare Interoperability Resources (FHIR) and national health care data sets, this study aimed to design and develop an app for providing worker-centered, interconnected PHR services. Methods This study considered the user’s perspective, using the human-centered design (HCD) methodology, to develop a PHR app suitable for occupational health. We developed a prototype after analyzing quantitative and qualitative data collected from workers and a health care professional group, after which we performed a usability evaluation. We structured workers’ PHR items based on the analyzed data, and ensured structural and semantic interoperability using FHIR, Systematized Nomenclature of Medicine–Clinical Terms (SNOMED-CT), and Logical Observation Identifiers Names and Codes (LOINC). This study integrated workers’ health information scattered across different Korean institutions through an interface method, and workers’ PHRs were managed through a cloud server, using Azure API for FHIR. Results In total, 562 workers from industrial parks participated in the quantitative study. The preferred data items for PHR were medication, number of steps walked, diet, blood pressure, weight, and blood glucose. The preferred features were ability to access medical checkup results, health information content provision, consultation record inquiry, and teleconsultation. The worker-centered PHR app collected data on, among others, life logs, vital signs, and medical checkup results; offered health care services such as reservation and teleconsultation; and provided occupational safety and health information through material safety data sheet search and health questionnaires. The app reflected improvements in user convenience and app usability proposed by 19 participants (7 health care professionals and 12 end users) in the usability evaluation. The After-Scenario Questionnaire (ASQ) was evaluated with a mean score of 5.90 (SD 0.34) out of 7, and the System Usability Scale (SUS) was evaluated a mean score of 88.7 (SD 4.83) out of 100. Conclusions The worker-centered PHR app integrates workers’ health information from different institutions and provides a variety of health care services from linked institutions through workers’ shared PHR. This app is expected to increase workers’ autonomy over their health information and support medical personnel’s decision making regarding workers’ health in the workplace. Particularly, the app will provide solutions for current major PHR challenges, and its design, which considers the user’s perspective, satisfies the prerequisites for its utilization in occupational health.
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Harris, P. J. "“Holistic” health workers." Medical Journal of Australia 156, no. 9 (May 1992): 664. http://dx.doi.org/10.5694/j.1326-5377.1992.tb121479.x.

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9

Whatley, Monica, Clese Erikson, Shana Sandberg, and Karen Jones. "Community Health Workers." Academic Medicine 92, no. 4 (April 2017): 565. http://dx.doi.org/10.1097/acm.0000000000001567.

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10

Kwan, Bethany M., Amy Rockwood, Brian Bandle, Douglas Fernald, Mika K. Hamer, and Roberta Capp. "Community Health Workers." Journal of Public Health Management and Practice 24, no. 2 (2018): 146–54. http://dx.doi.org/10.1097/phh.0000000000000540.

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Erridge, P. L. "HIV health workers." British Dental Journal 173, no. 5 (September 1992): 157. http://dx.doi.org/10.1038/sj.bdj.4807979.

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Robinson, Jennifer. "Community Health Workers." Journal of Ambulatory Care Management 38, no. 3 (2015): 211–12. http://dx.doi.org/10.1097/jac.0000000000000086.

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13

Udasin, Iris G. "HEALTH CARE WORKERS." Primary Care: Clinics in Office Practice 27, no. 4 (December 2000): 1079–101. http://dx.doi.org/10.1016/s0095-4543(05)70190-1.

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14

Elford, J. "Health care workers." AIDS Care 3, no. 4 (October 1991): 399–404. http://dx.doi.org/10.1080/09540129108251598.

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15

Bhatt, Vijaya Raj, and Aaradhana Jivendra Jha. "Community health workers." BMJ 335, Suppl S4 (October 1, 2007): 0710370. http://dx.doi.org/10.1136/sbmj.0710370.

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16

Foulkes, J. R. "Traditional Health Workers." Tropical Doctor 22, no. 3 (July 1992): 121–22. http://dx.doi.org/10.1177/004947559202200313.

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17

Cross, J., M. Steinberg, A. Yassi, G. Astrakianakis, J. Lu, R. L. Rodriguez-Acosta, A. L. Schoenfisch, et al. "Health care workers." Occupational and Environmental Medicine 64, no. 12 (November 16, 2007): e6-e6. http://dx.doi.org/10.1136/oem.64.12.e6.

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18

Hashiguchi, Nobuki, Kota Kodama, Yeongjoo Lim, Chang Che, Shinichi Kuroishi, Yasuhiro Miyazaki, Taizo Kobayashi, Shigeo Kitahara, and Kazuyoshi Tateyama. "Practical Judgment of Workload Based on Physical Activity, Work Conditions, and Worker’s Age in Construction Site." Sensors 20, no. 13 (July 6, 2020): 3786. http://dx.doi.org/10.3390/s20133786.

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It is important for construction companies to sustain a productive workforce without sacrificing its health and safety. This study aims to develop a practical judgement method to estimate the workload risk of individual construction workers. Based on studies, we developed a workload model comprising a hygrothermal environment, behavioral information, and the physical characteristics of workers). The construction workers’ heart rate and physical activity were measured using the data collected from a wearable device equipped with a biosensor and an acceleration sensor. This study is the first report to use worker physical activity, age, and the wet bulb globe temperature (WBGT) to determine a worker’s physical workload. The accuracy of this health risk judgment result was 89.2%, indicating that it is possible to easily judge the health risk of workers even in an environment where it is difficult to measure the subject in advance. The proposed model and its findings can aid in monitoring the health impacts of working conditions during construction activities, and thereby contribute toward determining workers’ health damage. However, the sampled construction workers are 12 workers, further studies in other working conditions are required to accumulate more evidence and assure the accuracy of the models.
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Simmons, Juliana M., Amy K. Liebman, and Rosemary K. Sokas. "Occupational Health in Community Health Centers: Practitioner Challenges and Recommendations." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 28, no. 1 (January 8, 2018): 110–30. http://dx.doi.org/10.1177/1048291117749937.

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Primary care clinicians may be the only source of occupational healthcare for many low-wage, high-risk workers who experience disproportionate occupational hazards. The authors explored barriers to providing occupational healthcare and recommendations for overcoming these challenges. The team conducted six focus groups and eleven key-informant interviews in two community health centers and among clinicians, community health workers, and other personnel from similar settings. Clinicians reported not utilizing occupational information during clinical encounters and identified competing priorities, limited appointment time, and lack of training as key barriers. They cited workers’ compensation as a source of confusion and frustration. However, most participants recognized occupation as an important social determinant of health and expressed interest in additional training and resources. Participants agreed that referral mechanisms for occupational medicine specialists and worker centers and changes in quality performance measures and electronic health records would be useful and that workers’ compensation and immigration policies need reform.
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Murodkosimov, Saidkosim Murodkosimovich. "PREVENTING HIV INFECTION AMONG HEALTH-CARE WORKERS." Frontline Medical Sciences and Pharmaceutical Journal 02, no. 03 (March 1, 2022): 35–40. http://dx.doi.org/10.37547/medical-fmspj-02-03-04.

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The constant exposure of health care workers to a wide range of infectious agents multiplies the risk of infection for both workers and patients. The issue of HIV prevention among health care workers is particularly acute. More than twenty infectious agents are now known to be transmissible by parenteral routes of transmission. This number is rather approximate, as most viral infections provoke pathological processes. However, the concentration of viruses in the blood can vary, as can the length of time the virus is present from the time of entry until the first signs of illness appear. It is these factors that determine the degree of risk of infection. The article examines the epidemiological situation of HIV infection in Samarkand region, outlines the regulatory documents on the prevention of HIV infection and the necessary preventive measures among health workers.
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Shcherbakova, Iryna. "PROFESSIONAL ACTIVITY STRESS FACTORS OF HEALTH WORKERS." Scientific Notes of Ostroh Academy National University: Psychology Series 1 (June 25, 2020): 184–88. http://dx.doi.org/10.25264/2415-7384-2020-11-184-188.

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Hafrida, Hafrida, Helmi Helmi, and Retno Kusniati. "Health Workers' Legal Protection Policy to the Coronavirus Disease 19 (Covid-19) Containment Measures." Fiat Justisia: Jurnal Ilmu Hukum 15, no. 1 (January 29, 2021): 51–74. http://dx.doi.org/10.25041/fiatjustisia.v15no1.2101.

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This research aims to analyze protection policies for health workers amidst COVID-19. Through statute approach and based on the rights theory, this study examines legal development, or legal framework is needed to formulate and to protect health worker. Since the COVID-19 outbreak spreads quickly and massively, Health worker is at the forefront of handling COVID-19, but they are also vulnerable to get infected by the virus. Some cases showed that many health workers tested positive after providing health services. The findings of the research showed that the right of medical workers to get personal protective equipment and safety guarantees were not enough to protect them. On the other hand, the community was still ignoring the risk of this disease and broke the health protocol in the public place. Health workers can perform their job effectively if people are in healthy condition and do not need to go to the hospital. To containment measures of the COVID-19 State has to choose one of the effective ways to protect people and health workers by regulating and giving a penalty to the perpetrators of the COVID-19 protocol.
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Braham, Christy Adeola. "O-393 EXPLORING DOMESTIC WORKERS’ EXPERIENCES OF NAVIGATING HEALTH AND SAFETY RISKS DURING THE COVID-19 PANDEMIC." Occupational Medicine 74, Supplement_1 (July 1, 2024): 0. http://dx.doi.org/10.1093/occmed/kqae023.1394.

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Abstract Introduction Workers in informal employment comprise the majority of the global workforce, including domestic workers who provide care and support services in private homes. Domestic workers face exploitation and vulnerability to workplace health and safety risks. This study aims to explore the impacts of the pandemic on domestic workers’ health, and provide insights into how grassroots worker organizations responded. Methods This study forms part of a mixed-methods, longitudinal research project conducted in collaboration with grassroots worker organizations. Through purposive sampling, domestic workers in Bulgaria, India, Mexico, Peru and Thailand participated in phone surveys and semi-structured interviews on two occasions, during July 2020 and July 2021. Quantitative data were analyzed using descriptive analyses, while qualitative data were analyzed through thematic analysis. Results Three hundred and fifty-six domestic workers participated - the majority being women (98%) and migrants (63%). Increased health and safety risks between 2020 and 2021 were due to the informal nature of domestic work. 50% of domestic workers reported increased workplace exposure to COVID-19. Live-in domestic workers experienced increased mental distress, longer working hours, and harder physical labor. Worker organizations offered domestic workers emotional support, personal protective equipment, health education, and negotiated with employers and the state to address workers’ health needs. Discussion Health and safety risks associated with informal, domestic employment accumulated during the pandemic. Lacking support from state, employers and private actors, worker organizations provided mutual aid. Conclusion State intervention is needed to implement inclusive labor protections and health policies to protect domestic workers’ health, in consultation with worker organizations and employers.
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Husnan Khair, Muhammad Dyas, Ayun Sriatmi, and Bina Kurniawan. "Analysis of Reinforcing Factor with Involvement of Informal Sector Workers in Occupational Health Post (Pos UKK)." Journal of Public Health for Tropical and Coastal Region 1, no. 1 (November 16, 2018): 13–19. http://dx.doi.org/10.14710/jphtcr.v1i1.3226.

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Background: Occupational Health Post (Pos UKK) is a program aims to improve occupational health and productivity of informal sector workers in Indonesia through promotive, preventive, simple curative and rehabilitative care with the principle of Community Based Health Efforts (UKBM). The number of Pos UKK registered in Semarang City Health Office is 30 units. The results of the preliminary study illustrate different situations because there were only 6 Pos UKK. Among those, only 2 were active (6.7%) from the registered Pos UKK. It’s alleged that inactivity of Pos UKK due to low support from various parties and impacted on low sustainability of the program. This study aims to analyze the reinforcing factor with the involvement of informal sector workers in Pos UKK in Semarang City.Methods : Quantitative study with cross sectional approach. Population were 146 workers and selected sample were 70 workers. Independent variables include co-worker support, business owner support and Community Health Centre (Puskesmas) support and dependent variable is involvement of informal sector workers in Pos UKK.Results : Majority of informal sector workers involvement in Pos UKK were low (51,43%). Co-worker and business owners support was good but Puskesmas support as guide was not. Statistically, co-worker support (p = 0,000, OR = 30.8), business owner support (p <0.001, OR = 10.6) and Puskesmas support (p <0.001, OR = 13.5) proved to have a significant relationship. Conclusion:This study showed that reinforcing factors have significant relationship in increasing involvement of informal sector workers in Pos UKK to ensure program sustainability. Puskesmas is expected to provide continuing assistance and socialization about the benefits of Pos UKK to informal sector workers.
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Murcittowati, Putu Ayu Sri, Ni Ketut Supasti Dharmawan, I. Gusti Ayu Kartika, Ni Putu Linda Yunawati, and Kadek Yuda Perwira. "Nutrition Training Policy among Health Professionals in Community Health Centers and Sub-Centers in Indonesia." Jurnal Penelitian Pendidikan IPA 9, no. 12 (December 20, 2023): 10923–28. http://dx.doi.org/10.29303/jppipa.v9i12.5721.

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Professional health workers in community health centers and sub-centers are required to provide nutrition services. However, nowadays not all community health centers and sub-centers have nutritionists, so all health workers need to have strong teamwork to ensure nutrition programs can occur effectively. This study aimed to describe the types of professional health workers and their history of receiving training in nutrition. This study used IFLS (Indonesia Family Life Survey) 2014-15 from the Community Facility Book to address the health worker's experience in nutrition training. The result of this study revealed that medical doctors had more experience in attending the training in nutrition. Even though there was limited training in the last 12 months. This situation might occur due to the limited number of health workers who can join the training or the limited budget to provide training to all health workers. Education about nutrition is essential to all health workers, not only nutritionist because community health center/sub-centers is the closest health services in the community. Preventing the prevalence of stunting and other health-related nutrition problems can be done by educating health workers immediately.
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Ramensky, Pavel O. "Health management as a health-saving technology among healthcare workers." City Healthcare 4, no. 1 (March 16, 2023): 114–20. http://dx.doi.org/10.47619/2713-2617.zm.2023.v.4i1;114-120.

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Introduction. Healthcare workers are one of the most important resources in the healthcare. It seems that the healthcare sector is more labor-intensive than other industries. The quality of medical services is maintained and improved through the good management of healthcare personnel and the creation of safe workplaces protecting from occupational hazards. However, the systemic management approaches to the use of health-saving technologies by medical workers play a more important role for maintaining own health. The purpose of this study is to consider the issue of maintaining health by health workers through the implementation of health management into their own life. Materials and methods. The author studied Russian and foreign sources and presented analytical data based on content analysis. Results. The study showed that the systematic introduction of preventive health promotion measures and the application of health management concept in the life of each health worker increased the performance, efficien y and stress resilience of the personnel as well as the engagement in the healthy lifestyle programs. For citation: Ramensky PO. Health management as a health-saving technology among healthcare workers. City Healthсare. 2023;4(1): 114-120. doi: 10.47619/2713-2617.zm.2023.v.4i1;114-120
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Afolabi, Funmilayo Juliana, Paul de Beer, and Joke A. Haafkens. "Physical work conditions and perceived health problems among informal automobile artisans." Work 70, no. 2 (October 26, 2021): 455–66. http://dx.doi.org/10.3233/wor-213584.

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BACKGROUND: Automobile car repair requires intensive activities. Several studies have described different work characteristics of automobile artisans’ work. However, the effects of physical work conditions (PWC) on worker health outcomes are largely unknown. OBJECTIVE: This study aimed to explore which of the PWC have high negative impact on worker’s health outcomes, and whether the same conditions affected both illnesses and injuries. METHODS: A cross-sectional design and a multistage method were used to randomly select 632 workers. A structured self-reported questionnaire was used to obtain information on dependent variables (illness/injuries) and independent variables (PWC). The results were analysed using the chi-square test and logistic regression analysis, while controlling for occupation. RESULTS: Workers who manually lifted heavy items or orally sucked petrol regularly reported illnesses and injuries. Long work experience and long working hours were significantly associated with illness, whereas prolonged standing was significantly related to injuries. Contrary to our initial expectation, workers who regularly worked at 2 m or higher above the ground level tended to report less illness and injury. CONCLUSIONS: PWCs were more significantly related to work-related illnesses than injuries. Therefore, interventional programs for automobile artisans should focus on the PWC that increase worker vulnerability to work-related illnesses.
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Boschman, J. S., H. F. Van der Molen, M. H. W. Frings-Dresen, and J. K. Sluiter. "Preventive Actions Taken by Workers After Workersʼ Health Surveillance." Journal of Occupational and Environmental Medicine 55, no. 12 (December 2013): 1401–8. http://dx.doi.org/10.1097/jom.0000000000000053.

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Akbar, Muhammad Ikhsan, Wa Ode Nova Noviyanti Rachman, and Sartini Risky MS. "FACTORS RELATING TO THE PERFORMANCE OF HEALTH WORKERS IN ABELI CITY HEALTH CENTER, KENDARI CITY." INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) 2, no. 1 (August 28, 2020): 9–14. http://dx.doi.org/10.36566/ijhsrd/vol2.iss1/23.

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Background: Public health center is the spearhead for improving the welfare of the community in the health sector. The health worker's skill needs to be optimized and can be seen from the results of their work, in the form of mastery of science and technology, as well as skills in implementing and providing health services. This is evident from the last three months' report on community visits, namely, in December 2016 the number of visits was 138 people, in January 2017 fell to 108 visits and in February 2017 dropped dramatically 93 visits. The purpose of this study was to determine the relationship of discipline, motivation, and training with the performance of health workers in the Abeli ??Community Health center. Methods: This type of research is quantitative with a cross-sectional study design. The population in this study was 42 people with a total sampling technique with a total sample of 42 people. The analytical method uses the Chi-Square statistical test and the Phi coefficient (?). Results: Based on the results of the study, there is a strong relationship between discipline and the performance of health workers with a value of X2 Calculation = 17,835 and a phi-efficiency test (?) = 0.651. There is a strong relationship between motivation and the performance of health workers with a value of X2 Calculation = 16,481 and the tested coefficient phi (?) = 0.626. There is a moderate correlation between training and health worker performance with X2 Calculation value = 10.299 and the phi coefficient test (?) = 0.495. Conclusion: For the health, institutions are suggested to increase the health worker's knowledge by increasing towards more discipline, high motivation, and more training in order. Eventually, the quality of human resources and health organizational performance will increase.
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Tsui, Emma K., Emily Franzosa, Emilia F. Vignola, Isabel Cuervo, Paul Landsbergis, Jennifer Zelnick, and Sherry Baron. "Recognizing careworkers’ contributions to improving the social determinants of health: A call for supporting healthy carework." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 32, no. 1 (December 16, 2021): 9–18. http://dx.doi.org/10.1177/10482911211066963.

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Workers engaged in reproductive labor—the caring work that maintains society and supports its growth—contribute to societal health while also enduring the harms of precarious labor and substantial work stress. How can we conceptualize the effects of reproductive labor on workers and society simultaneously? In this commentary, we analyze four types of more relational and less relational careworkers—homeless shelter workers, school food workers, home care aides, and household cleaners—during the COVID-19 pandemic. We then make a case for a new model of societal health that recognizes the contributions of careworkers and healthy carework. Our model includes multi-sectoral social policies supporting both worker health and societal health and acknowledges several dimensions of work stress for careworkers that have received insufficient attention. Ultimately, we argue that the effects of reproductive labor on workers and society must be considered jointly, a recognition that offers an urgent vision for repairing and advancing societal health.
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Shabib, Hashim, and Mohammed Khalifa. "Effectiveness of Education Program on Health Care Workers’ Practices toward Waste Management in Primary Health Care Centers." Iraqi National Journal of Nursing Specialties 29, no. 2 (December 30, 2016): 75–93. http://dx.doi.org/10.58897/injns.v29i2.257.

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Objective(s): The aim of this study is to determine the effectiveness of education program on Health Care Workers’ practices toward Primary Health Care Centers waste management and to identify the relationship between these practices and the demographic characteristics of the health workers. Methodology: A quasi- experimental design (pre-post tests) has been used in the present study for the period of November 16th 2014 to June 22nd 2015 .The allocated sample in the present study is consisted of (60) health care worker. The sample was randomly divided into two groups of (30) health care workers each. The study group consisted of (30) health care worker who are exposed to the program. The group that is not exposed to the program was considered the control group. The data are collected through use of A practice checklist for health care workers’ was use prior to performing educational program during work time. The practice checklist for health care workers’ was composed of (30) items . A practice test is used for pre- education and post-education immediately. Results: All the health care workers in the study group work in PHCs are having good practices post the program implementation and perform principles of waste management practices in ideal way.. Recommendations: Availability of scientific using journal or books in Arabic language and emphasis on the importance of motivation for the health care workers to this practices in the medical waste management.
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Rosskam, Ellen. "Working at the Check-in: Consequences for Health." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 15, no. 3 (November 2005): 221–44. http://dx.doi.org/10.2190/avyu-uyjx-qff7-2xkw.

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No body of literature exists related specifically to the occupational health of airport check-in workers. The problems encountered by airport check-in workers are typical of other service-sector occupations with similar work-related health hazards, particularly those characterized by a high level of demand with low worker control, performed predominantly by women. The knowledge gap could be narrowed by broadening the scope in both traditional occupational health and ergonomics studies to take into equal consideration jobs performed by women. In an attempt to reduce the knowledge gap specific to airport check-in workers, literature was reviewed on several other worker populations whose job characteristics include elements similar to airport check-in work: computer clerical workers, supermarket check-in workers, and airport baggage handlers. This cross-population review identified the major elements that have been studied in the comparison groups, compared with the factors examined in a study of check-in workers. The review demonstrates that jobs that may appear completely different from the outside, might, upon closer examination, have numerous common exposures from a variety of sources. Thus, knowledge about one job may be useful for another that has not been investigated. The literature review reveals that it would be useful to extend to airport check-in workers recommendations from studies of the three comparison populations.
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Carr, Lucas J., Christoph Leonhard, Sharon Tucker, Nathan Fethke, Roberto Benzo, and Fred Gerr. "Total Worker Health Intervention Increases Activity of Sedentary Workers." American Journal of Preventive Medicine 50, no. 1 (January 2016): 9–17. http://dx.doi.org/10.1016/j.amepre.2015.06.022.

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Mendez, Jose, Antonia Del Rio, and David Gonzalez. "P-373 HEART HEALTH SCORE (HHS): PROMOTING CARDIOVASCULAR HEALTH IN CHILEAN MINING INDUSTRY USING A TAILORED DIGITAL REPORT." Occupational Medicine 74, Supplement_1 (July 1, 2024): 0. http://dx.doi.org/10.1093/occmed/kqae023.1008.

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Abstract Introduction Cardiovascular diseases are the leading cause of mortality and morbidity in Chile. Raising awareness in mining workers requires targeted promotional and preventive interventions. Methods Clinical data from occupational medical assessments of 2597 workers from a Chilean copper mining company (75% of headcount) conducted during 2021/22 were obtained and processed using WHO 2019 cardiovascular risk scale. After signing an informed consent, automated digital Heart Health Score (HHS) reports were sent to each worker providing detailed feedback on individual cardiovascular risk and tailored advice on healthy lifestyle. Results 2597 workers received a personalized HHS report (87.1% male, mean age 44.1 years (range 22-70)). Cardiovascular risk distribution was very low (64%), low (30%), moderate (5%) and severe (1%). Prevalence of hypertension (5.3%), obesity (23.4%) and tobacco consumption (24%) were significantly lower than Chilean general population. Mean BMI (body mass index) was 27.7. Each report included tailored recommendations related to tobacco use, total cholesterol level and blood pressure. Discussion Mining workers in Chile are known to have lower prevalence of cardiovascular risk factors, probably due to healthy worker effect (occupational fitness-for-duty requirements). Using data from occupational health medical assessments to give individual and periodic feedback on cardiovascular risk might increase awareness and determine trigger actions (e.g.: referral to medical provider).to treat existing diseases or control risk factors. Conclusion Heart Health Score (HHS) is innovative digital tool to provide individual feedback on cardiovascular health to Chilean mining workers. An upgraded version is being designed using Framingham score and adding specific nutritional and physical activity recommendations.
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Lewkowski, Kate, Kahlia McCausland, Jane S. Heyworth, Ian W. Li, Warwick Williams, and Lin Fritschi. "Questionnaire-based algorithm for assessing occupational noise exposure of construction workers." Occupational and Environmental Medicine 75, no. 3 (December 9, 2017): 237–42. http://dx.doi.org/10.1136/oemed-2017-104381.

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ObjectivesOccupational noise exposure is a major cause of hearing loss worldwide. In order to inform preventative strategies, we need to further understand at a population level which workers are most at risk.MethodsWe have developed a new questionnaire-based algorithm that evaluates an individual worker’s noise exposure. The questionnaire and supporting algorithms are embedded into the existing software platform, OccIDEAS. Based on the tasks performed by a worker during their most recent working shift and using a library of task-based noise exposure levels, OccIDEAS estimates whether a worker has exceeded the full-shift workplace noise exposure limit (LAeq,8h≥85 dBA). We evaluated the validity of the system in a sample of 100 construction workers. Each worker wore a dosimeter for a full working shift and was then interviewed using the OccIDEAS software.ResultsThe area under the receiver operating characteristic curve was 0.81 (95% CI 0.72 to 0.90) indicating that the ability of OccIDEAS to identify construction workers with an LAeq,8h≥85 dBA was excellent.ConclusionThis validated noise questionnaire may be useful in epidemiological studies and for workplace health and safety applications.
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Garcia, Gabriel Macasiray, and Butch de Castro. "Working Conditions, Occupational Injuries, and Health Among Filipino Fish Processing Workers in Dutch Harbor, Alaska." Workplace Health & Safety 65, no. 5 (October 11, 2016): 219–26. http://dx.doi.org/10.1177/2165079916665396.

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This study explored how unique environmental conditions in Alaska influenced occupational health and safety for Filipino fish processing workers, many of whom migrated from warm locations (e.g., the Philippines, California, and Nevada). In-depth interviews were conducted with 26 Filipino workers in one commercial fish processing company in Dutch Harbor. Results indicated that cold weather interferes with workers’ job performance, increasing their risk for injury and illness, whereas the community’s isolation and rural nature causes loneliness and boredom, resulting in more high-risk behaviors. Other non-environmental factors affecting worker health include roommate and supervisor concerns and culture-specific practices. Findings suggest the importance of job rotation to avoid long exposures to cold temperatures, the value of a designated individual to inform workers about company and community resources that promote healthy lifestyles, and the possible utility of a joint worker–management safety committee.
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Rosenthal, Elizabeth Lee, and James Macinko. "JACM SPECIAL ISSUE ON COMMUNITY HEALTH WORKERS AND COMMUNITY HEALTH WORKER PRACTICE." Journal of Ambulatory Care Management 34, no. 3 (2011): 208–9. http://dx.doi.org/10.1097/jac.0b013e31821c6438.

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Ehrlich, Rodney, Jerry M. Spiegel, Prince Adu, and Annalee Yassi. "Current Guidelines for Protecting Health Workers from Occupational Tuberculosis Are Necessary, but Not Sufficient: Towards a Comprehensive Occupational Health Approach." International Journal of Environmental Research and Public Health 17, no. 11 (June 3, 2020): 3957. http://dx.doi.org/10.3390/ijerph17113957.

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Health workers globally are at elevated occupational risk of tuberculosis infection and disease. While a raft of guidelines have been published over the past 25 years on infection prevention and control (IPC) in healthcare, studies in different settings continue to show inadequate implementation and persistence of risk. The aim of this commentary is to argue, based on the literature and our own research, that a comprehensive occupational health approach is an essential complement to IPC guidelines. Such an approach includes a health system framework focusing on upstream or mediating components, such as a statutory regulation, leadership, an information system, and staff trained in protective disciplines. Within the classical prevention framework, primary prevention needs to be complemented by occupational health services (secondary prevention) and worker’s compensation (tertiary prevention). A worker-centric approach recognises the ethical implications of screening health workers, as well as the stigma perceived by those diagnosed with tuberculosis. It also provides for the voiced experience of health workers and their participation in decision-making. We argue that such a comprehensive approach will contribute to both the prevention of occupational tuberculosis and to the ability of a health system to withstand other crises of infectious hazards to its workforce.
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Gillard, Steve, and Jessica Holley. "Peer workers in mental health services: literature overview." Advances in Psychiatric Treatment 20, no. 4 (July 2014): 286–92. http://dx.doi.org/10.1192/apt.bp.113.011940.

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SummaryPeer worker roles are being introduced in mental health services in the UK and internationally, to support individuals in their recovery. There is substantial qualitative evidence that demonstrates benefits at an individual level and some evidence of impact on service use and costs, although there are currently few high-quality randomised controlled trials supporting these findings, especially from the UK. A growing body of research indicates that careful consideration of organisational issues regarding the introduction of peer worker roles – the distinctiveness and shared expectations of the role, strategic alignment, organisational support – might maximise their impact. Properly supported and valued peer workers are an important resource to the multidisciplinary team, offering experiential knowledge and the ability to engage patients in their treatment through building relationships of trust based on shared lived experience.LEARNING OBJECTIVESAppreciate the origins of the peer worker role and how the role has been introduced into mental health services to date.Understand the evidence for the benefits of peer worker roles, for patients, peer workers and mental health service delivery.Demonstrate awareness of the organisational and team-level barriers to and facilitators of introducing peer workers into, or alongside, existing multidisciplinary mental health teams.
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Tejoyuwono, Agustina Arundina Triharja. "HEALTH INSTITUTIONAL SUPPORT FOR HEALTH WORKERS AS ROLE MODELS FOR A HEALTHY LIFE." Jurnal Administrasi Kesehatan Indonesia 10, no. 1 (June 30, 2022): 14–22. http://dx.doi.org/10.20473/jaki.v10i1.2022.14-22.

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Background: Health workers are considered to be credible people in health in the health field; they are often deemed as role models in healthy behavior. Primary healthcare centers (PHCs) and professional health organizations (PHOs) have to support health workers (HWs) in order that they perform their duty according to codes of work ethics. Aims: This study aimed to investigate the support from PHCs and PHOs for HWs as health role models in the community. Methods: This study is an exploratory qualitative study conducted in 2017. It involved three heads of PHCs, six clinical practitioners, three PHOs, and three community members from Pontianak. Results: The health workers had responsibility, awareness, and commitment towards health workers themselves, the community, and colleagues, and thus they became health role models. Although the community never reprimanded HWs directly, they continued having a healthy lifestyle since they had acquired health education that impacts their behavior. Health institutions provided rules for mandatory daily physical activities and healthy diet; also, they established no-smoking areas, but many constraints were found during the execution. Conclusion: The code of work ethics should be used as standards to support health workers’ role.
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Игнатова, Tatyana Ignatova, Еремин, and O. Eremin. "Professional health of medical workers as a factor of the quality of medical service in public health." Journal of Public and Municipal Administration 5, no. 2 (June 28, 2016): 81–89. http://dx.doi.org/10.12737/20546.

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The article deals with the concept of quality of medical care, basic health indicators of professional health of medical workers. The current results of diagnostics of job satisfaction by health workers according to qualitative and quantitative characteristics are presented. Some objective and subjective factors influencing the formation of professional health of medical workers are revealed. The article determines the social status of the person engaged in the field of medicine and the place of medical profession in the system of social relations in modern conditions, when the profession of medical worker is characterized by versatility.
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Badriyah, Lailatul, Noeroel Widajati, Dani Nasirul Haqi, and Meirina Ernawati. "THE EFFECT OF OCCUPATIONAL HEALTH AND SAFETY (OHS) MANAGEMENT ON SAFETY BEHAVIOR OF WORKERS AT CONSTRUCTION SERVICE COMPANY IN SURABAYA." Journal of Vocational Health Studies 6, no. 2 (November 1, 2022): 134–41. http://dx.doi.org/10.20473/jvhs.v6.i2.2022.134-141.

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Background: Compared to manufacturing industry, construction has a unique characteristic. These characteristics cause construction projects to have dangerous conditions and make them vulnerable to an occupational accident. Purpose: To analyze the influence of Occupational Health and Safety (OHS) management on the building construction workers’ safety behavior at construction service company Surabaya. Method: This research classification is observational and a cross-sectional research with analytic nature. This research is conducted over 4 months. The research sample amounted to 53 workers. Its dependent variable is safety behavior (OHS behavior) with the top manager’s commitment, OHS procedure regulation, communication, worker’s competency, interpersonal relationship and physical hazard as its independent variables. Data is descriptively analyzed in the form of a frequency table and cross-tabulation. A statistical test is performed by using the chi-square test with α=0.05. Result: Management commitment (p-value=0.001) and OHS procedure regulation (p-value=0.029) significantly affect the safety behavior implementation to the worker. Conclusion: Two Independent variables which affect the safety behavior of the building construction worker at construction service company Surabaya ware management commitment (X1) and OHS procedure regulation (X2). The regulation of OSH procedures must be communicated, promoted to workers, and supervision of workers can be increased as a form of good commitment and given support by providing rewards for workers who have implemented safe behavior properly and providing punishment for workers who conduct unsafe behavior.
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Hall, Allan, and Eric Tucker. "Worker Participation in a Time of COVID." Labour / Le Travail 90 (November 25, 2022): 9–39. http://dx.doi.org/10.52975/llt.2022v90.002.

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This study examines worker voice in the development and implementation of safety plans or protocols for covid-19 prevention among hospital workers, long-term care workers, and education workers in the Canadian province of Ontario. Although Ontario occupational health and safety law and official public health policy appear to recognize the need for active consultation with workers and labour unions, there were limited – and in some cases no – efforts by employers to meaningfully involve workers, worker representatives (reps), or union officials in assessing covid-19 risks and planning protection and prevention measures. The political and legal efforts of workers and unions to assert their right to participate and the outcomes of those efforts are also documented through archival evidence and interviews with worker reps and union officials. The article concludes with an assessment of weaknesses in the government promotion and protection of worker health and safety rights and calls for greater labour attention to the critical importance of worker health and safety representation.
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Chaudhry, Fatima, Hassan Asghar, Chaudhry Umar Asghar, Amina Asghar, and Heba Imtiaz. "Risk Perception Mental Health Impact and Coping Strategies during Covid 19 Pandemic among Health Care Workers." Pakistan Journal of Medical and Health Sciences 16, no. 6 (June 29, 2022): 333–34. http://dx.doi.org/10.53350/pjmhs22166333.

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Objective: To assess the risk perception mental health impact and coping strategies during Covid-19 pandemic among health care workers. Study Design: Cross-sectional study. Place and Duration of Study: Department of Community Dentistry, Frontier Medical & Dental College, Abbottabad from 1st January 2021 to 31st December 2021. Methodology: Two hundred health care workers were given questionnaire for complete detailing their information regarding demographic, occupational, anxiety scoring and depression state. Results: The age of the health care workers was mostly within 26-40 years followed by greater than 18 years. It was observed that anxiety was presented at a mild score within doctors and other health care worker staff while it was seen to a moderate level within the nursing health care workers. Furthermore, the gender distribution of anxiety showed higher level of anxiety among females than males. Within genders a low risk perception was seen within males than females. Among the health care workers, the risk perception was highest in nurses followed by paramedic and other health care staff. Conclusion: Covid-19 has caused devastating effects on the psychological stability of the health care workers which needs to be properly assessed and addressed. Keywords: Covid-19, Health care workers, Anxiety, Risk perception
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McKinnon, Andrea. "Actualizing the Full Potential of Public Health Community Health Workers." Journal of Health Care for the Poor and Underserved 35, no. 3S (August 2024): 123–31. http://dx.doi.org/10.1353/hpu.2024.a933286.

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Summary: Community health worker career paths that include policy, system change, program and process development, and advocacy will increase job satisfaction and sustainability. Community health workers employed at an organizational level can be liaisons between public health and community organizations to improve relationships and develop system-level culturally and linguistically appropriate services, information, resources, and policies.
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Cheong, Pak-Leng, Hui Wang, Wan Cheong, and Mei Ieng Lam. "Health Literacy among Filipino Domestic Workers in Macao." Healthcare 9, no. 11 (October 27, 2021): 1449. http://dx.doi.org/10.3390/healthcare9111449.

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Migrant worker is a global phenomenon that is associated with the health of individuals and populations. Filipino workers constitute the largest group of non-Chinese migrant workers in Macao, they are mainly employed as domestic workers. The purpose of this study is to investigate the status of health literacy (HL) and associated factors among Filipino domestic workers in Macao. The study is a cross-sectional study. Chi square’s test and binary logistic regression models were used for data analyzing. Filipino who was employed by a family in Macao as a domestic worker within the valid contract period was eligible in the study. A total of 379 valid questionnaires were collected during December 2020 and March 2021. Health literacy was measured using the short-form Health Literacy Instrument (HLS-SF12). The results showed that only 37.4% of the respondents have sufficient health literacy. Age was an important factor that was associated with health literacy, with Filipino domestic workers younger than and equal to 30 years of age more likely to have inadequate health literacy. The results will help to make recommendations for further research and public health policy.
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Gallagher, Susan, Asha Roy, Sandra J. Domeracki, Todd Mohrmann, Vicki Missar, Janet Jule, Shreela Sharma, and Ryan DeWitt. "The Low-Wage Essential Worker: Occupational Concerns and Needs in the COVID-19 Pandemic—A Round Table." Workplace Health & Safety 69, no. 4 (March 31, 2021): 154–60. http://dx.doi.org/10.1177/2165079920988682.

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Background Planning occupational health and wellness services and support directed toward low-wage, essential workers in the COVID-19 pandemic has posed a number of challenges across work settings. This article explores the concerns and needs of low-wage essential workers as understood by experts in the field. Methods Leading experts in the areas of occupational health and safety, risk management, insurance, and professional education/training were identified and invited to participate in a Round Table discussion. Questions posed to experts were based on literature that addressed COVID-19, essential workers, low-wage workers, infection transmission, education/training, and social justice. Findings Experts agreed that special considerations must be in place to address the concerns and needs of the low-wage essential worker. These special considerations should address not only the worker’s occupational experience but their family and home environment, fears and anxieties, and the economic impact of the COVID-19 restrictions and requirements. Conclusion/Application to practice The occupational health professional is a key resource to employers charged with addressing the concerns and needs of low-wage, essential workers during the COVID-19 pandemic.
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Shankar, Janki, Daniel Lai, Shu-Ping Chen, Tanvir C. Turin, Shawn Joseph, and Ellen Mi. "Highly Educated Immigrant Workers’ Perspectives of Occupational Health and Safety and Work Conditions That Challenge Work Safety." International Journal of Environmental Research and Public Health 19, no. 14 (July 19, 2022): 8757. http://dx.doi.org/10.3390/ijerph19148757.

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This study explored the perspectives of new immigrant workers regarding occupational health and safety and workplace conditions that increase workers’ vulnerability to sustaining injury or illness. Using an interpretive research approach and semi-structured qualitative interviews, 42 new immigrant workers from a range of industries operating in two cities in a province in Canada were interviewed. Seventy-nine percent of the workers were highly qualified. A constant comparative approach was used to identify key themes across the workers’ experiences. The findings revealed that new immigrant workers have an incomplete understanding of occupational health and safety. In many workplaces, poor job training, little worker support, lack of power in the workplace, and a poor workplace safety culture make it difficult for workers to acquire occupational health and safety information and to implement safe work practices. This study proposes workplace policies and practices that will improve worker occupational health and safety awareness and make workplaces safer for new immigrant workers.
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Hayhoe, Benedict, Thomas E. Cowling, Virimchi Pillutla, Priya Garg, Azeem Majeed, and Matthew Harris. "Integrating a nationally scaled workforce of community health workers in primary care: a modelling study." Journal of the Royal Society of Medicine 111, no. 12 (October 4, 2018): 453–61. http://dx.doi.org/10.1177/0141076818803443.

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Objective To model cost and benefit of a national community health worker workforce. Design Modelling exercise based on all general practices in England. Setting United Kingdom National Health Service Primary Care. Participants Not applicable. Data sources Publicly available data on general practice demographics, population density, household size, salary scales and screening and immunisation uptake. Main outcome measures We estimated numbers of community health workers needed, anticipated workload and likely benefits to patients. Results Conservative modelling suggests that 110,585 community health workers would be needed to cover the general practice registered population in England, costing £2.22bn annually. Assuming community health workerss could engage with and successfully refer 20% of eligible unscreened or unimmunised individuals, an additional 753,592 cervical cancer screenings, 365,166 breast cancer screenings and 482,924 bowel cancer screenings could be expected within respective review periods. A total of 16,398 additional children annually could receive their MMR1 at 12 months and 24,716 their MMR2 at five years of age. Community health workerss would also provide home-based health promotion and lifestyle support to patients with chronic disease. Conclusion A scaled community health worker workforce integrated into primary care may be a valuable policy alternative. Pilot studies are required to establish feasibility and impact in NHS primary care.
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Tchir, Devan Richard, and Michael Lorne Szafron. "Occupational Health Needs and Predicted Well-Being in Office Workers Undergoing Web-Based Health Promotion Training: Cross-Sectional Study." Journal of Medical Internet Research 22, no. 5 (May 26, 2020): e14093. http://dx.doi.org/10.2196/14093.

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Background Office workers face workplace-related health issues, including stress and back pain, resulting in considerable cost to businesses and health care systems. Workplace health promotion attempts to prevent these health issues, and the internet can be used to deliver workplace health promotion interventions to office workers. Data were provided by Fitbase GmbH, a German company, which specializes in workplace health promotion via the internet (Web-based health). The Web-based health intervention allowed workers to focus on different health categories by using information modules (reading health information) and/or completing practical exercises (guided, interactive health tutorials). Objective This study aimed to identify the extent to which office workers have workplace-related health issues, assess whether office workers who differ in their health focus also differ in their improved well-being, and assess whether completing practical exercises is associated with improved well-being compared with reading information modules. Methods Fitbase GmbH collected data for the period of February 2016 to May 2017 from health insurance employees undergoing Web-based health training in Hamburg, Germany. The data consisted of a needs assessment examining health issues faced by office workers, a wellness questionnaire regarding one’s perception of the Web-based health intervention, and activity logs of information modules and practical exercises completed. Through logistic regression, we determined associations between improved well-being from Web-based health training and differences in a worker’s health focus and a worker’s preferred intervention method. Results Nearly half of the office workers had chronic back pain (1532/3354) and felt tense or irritated (1680/3348). Over four-fifth (645/766) of the office workers indicated that the Web-based health training improved their well-being (P<.001). Office workers who preferred practical exercises compared with information modules had 2.22 times greater odds of reporting improved well-being from the Web-based health intervention (P=.01; 95% CI 1.20-4.11). Office workers with a focus on practical exercises for back health had higher odds of improved well-being compared with other health foci. Office workers focused on practical exercises for back pain had at least two times the odds of having their well-being improved from the Web-based health intervention compared with those focused on stress management (P<.001), mindfulness (P=.02), stress management/mindfulness (P=.005), and eye health (P=.003). No particular health focus was associated with improved well-being for the information modules. Conclusions Office workers frequently report having back pain and stress. A focus on Web-based health training via practical exercises and practical exercises for back health predict an improvement in office workers’ reported well-being.
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