WHO Global Plan of Action on Workers’ Health (2008-2017): baseline for implementation: global country survey 2008/2009: methodology and statistical annexes: Geneva, April 2013

1 WHO Global Plan of Action on Workers' Health (2008-2017): Baseline for Implementation Global Country Survey 2008/2009 METHODOLOGY AND STATISTICAL ANNEXES Geneva, April 2013 2 Acknowledgements This report was produced under the overall direction of Ivan Ivanov. The data collection was facilitated by Rokho Kim, Said Arnaout, Hisashi Ogawa, Thebe Pule, Habib Saiyed, and Mauritza Tennassee. The data processing was carried out by Caitlin Annatoyn. Jessica Kellberger carried out the data analysis and drafted the technical report. The report was edited by Margaret Harris, Elaine Fletcher, and Vallaurie Crawford. The financial contributions of the US National Institute for Occupational Safety and Health and McGill University (CIHR Interdisciplinary Capacity Enhanced Team Grant HOA-80072) for finalization and publication of this report is gratefully acknowledged. © World Health Organization 2013 All rights reserved. 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WHO/FWC/PHE/2013.02 3 METHODOLOGY AND STATISTICAL ANNEXES 4 Abbreviations AFR WHO African region AMR WHO American region GPA WHO Global Plan of Action on Workers' Health EMR WHO Eastern Mediterranean region EUR WHO European region SEAR WHO South East Asian region WHA World Health Assembly WHO World Health Organization WPR WHO Western Pacific region 5 Annex I. Technical specifications Survey instrument This report is based on responses to a questionnaire survey of WHO Member States carried out in 2008-2009. A self-administered questionnaire was constructed to measure countries’ actions relative to the Global Plan of Action on Workers’ Health (GPA). It consisted of five sections examining actions outlined in the five GPA objectives:  National policy instruments on workers' health  Protection and promotion of health at the workplace  Occupational health services  Evidence for action and practice  Workers' health in other policies This survey included a section asking about the institutions and persons involved in answering the questionnaire. The questionnaire was pretested in six countries across WHO regions and the final instrument was available in English, French, Spanish and Russian. The English version of the final survey questionnaire is provided below. Data collection WHO regional and country offices sent the questionnaire via email to national focal points dealing with occupational health in all countries, and to the WHO collaborating centres for occupational health with national functions where applicable. The respondents were instructed that the questionnaire should be filled out by the national ministry of health, consulting where appropriate with national ministries of labour or employment as well as other ministries and organizations dealing with occupational health. These include ministries responsible for economic sectors and finance, organizations of employers and of workers, academics, occupational health professionals, and social insurance officials. The respondents were asked to base their responses on existing governmental and other formal sources of information; if such information was missing, the responses could be based on expert opinion. Data processing The completed questionnaires were coded at WHO headquarters and data were entered into SPSS version 11.5.0 (SPSS Inc., Chicago, IL, USA). Where possible, missing data were inferred from publicly available information on the web, and all variables on the dataset were thoroughly cleaned. Data were analysed globally as well as by WHO region and World Bank income 6 classification groups 1 . Chi-square tests were performed to assess the effect of geographic region and national income on the responses. Confidentiality Assurance was given that country-specific data would be kept confidential and the data would be processed in a way that would not allow association of responses with the names of individual countries. After the coding and the entering of the data into the database, the variable with the names of countries was deleted. Response rate and survey limitations Completed questionnaires were returned from 121 countries and areas 2 , resulting in an overall response rate of 61% (Table 1). The achieved sample was compared to the list of WHO member states and areas by geographic area (WHO region) and gross national income (World Bank classification). The highest response rate was attained for countries in the European and South- East Asian Region and for high and lower middle income countries, while the American Region and low income countries are relatively underrepresented in the achieved sample. The data cannot be generalized across regional and income groups of countries. The information collected was not validated by independent sources. Table 1 Response rates by geographic area and national income Groups of countries Response rate % (n/N) Global 61.4 % (121/197) WHO region African 47.8% (22/46) Americas 27.8% (10/36) Eastern Mediterranean 68.2% (15/22) European 90.6% (48/53) South-East Asian 90.9% (10/11) Western Pacific 55.2% (16/29) World Bank Low income 48.0% (24/50) Lower middle income 61.8% (34/55) Upper middle income 55.8% (24/43) High income 79.6% (39/49) In most countries (60%) the questionnaires were filled out jointly by the ministries of health and the ministries of labour, in 26% only by the ministry of health, and in 7% only by the ministry of labour. The participation of different institutions and stakeholders in filling out the questionnaires is shown in Table 2. 1 Countries were classified according to the 2008 World Bank gross national income, available at http://data.worldbank.org/about/country-classifications 2 "Countries or areas" are subsequently termed "countries," referring to both countries and areas 7 Table 2 Organizations that participated or were consulted in completing the questionnaire Organization Participation % (n) N=121 Ministry of health 85.1% (80) Ministry of labour (employment) 67.0% (63) Organizations of academics/professionals 30.9% (29) Organizations of workers/trade unions 20.2% (19) Other 16.0% (15) Ministry responsible for the environment 14.9% (14) Organizations of employers/industrialists 14.9% (14) Organizations involved with social security/workers compensation 14.9% (14) Ministries responsible for economic sectors (industry, trade, mining) 7.4% (7) Ministry responsible for finance 6.4% (6) 8 Country questionnaire Instructions for respondents The 60 th World Health Assembly in 2007 endorsed the WHO Global Plan of Action on Workers' Health 2008-2017 and requested WHO to promote its implementation at the national and international levels with definite time line and indicators. This survey aims at collecting information from countries about the current state of affairs with regards to the activities under the Global Plan of Action. The information will be used to establish a baseline and to set global targets and indicators of achievement to monitor the implementation of the Global Plan of Action. The questionnaire should be filled out by the national ministry responsible for health. Where appropriate and according to established national practice, the ministry of health may consult the national ministry responsible for labour (employment) as well as other ministries and organizations dealing with occupational health, e.g., ministries responsible for economic sectors and finance, organizations of employers, workers, academics, occupational health professionals and social insurance. The responses should be based on existing governmental and other formal sources of information as far as possible. In case such information is missing, the responses can be based on expert opinion. The country-specific data will be kept confidential and the data will be processed in a way that will not allow association of responses with the names of individual countries. *** Please return the completed questionnaire NO LATER THAN 30 JULY 2009 to: …………………………… The full text of the WHO Global Plan of Action on Workers' Health can be downloaded from English http://www.who.int/gb/ebwha/pdf_files/WHA60/A60_R26-en.pdf French http://www.who.int/gb/ebwha/pdf_files/WHA60/A60_R26-fr.pdf Spanish http://www.who.int/gb/ebwha/pdf_files/WHA60/A60_R26-sp.pdf Russian http://www.who.int/gb/ebwha/pdf_files/WHA60/A60_R26-ru.pdf Arabic http://www.who.int/gb/ebwha/pdf_files/WHA60/A60_R26-ar.pdf Chinese http://www.who.int/gb/ebwha/pdf_files/WHA60/A60_R26-ch.pdf 9 Please, put check mark √ in the box before your answer. SECTION 1. NATIONAL POLICY INSTRUMENTS ON WORKERS' HEALTH Q1. Does your country have a policy framework, such as a national strategic policy document, on workers' health (check only one) Yes → answer Q1.1- Q1.3 No → go to Q2 Don’t know → go to Q2 Q1.1. Which of the following elements does this policy framework include? (check all that apply) Enactment of legislation Establishment of mechanism for intersectoral coordination of activities Funding and resource mobilization for workers' health Strengthening the role and capacities of ministries of health Integration of objectives and actions for workers' health into national strategies Other, please specify ……………………………………………………………………… ………………………………………………………………………. Don’t know Country:…………………………… 10 Q1.2. Which of the following aspects of workers' health are covered by this policy framework? (check all that apply) Occupational health Occupational safety Workplace health promotion Provision of occupational health services Chemical safety Environmental health Prevention of communicable diseases at the workplace (HIV/AIDS, TB, malaria, avian influenza) Prevention of noncommunicable diseases at the workplace (cancer, cardiovascular diseases) Mental health Other, please specify ………………………………………………………………… ………………………………………………………………… Don’t know Q1.3. Which institutions were involved in the development of the national policy framework for workers' health? (check all that apply) Ministry responsible for health Ministry responsible for labour (employment) Ministry responsible for the environment Ministry responsible for economic sectors (industry, trade, mining) Ministry responsible for finance Organizations of employers /industrialists Organizations of workers/trade unions Organizations of academics/institutes Organizations of occupational health professionals Organizations of social security/workers compensation Other Don’t know ________________________________________________________________________ 11 Q2. Has your country developed a national profile, such as an analysis of available information of the current status, in the area of workers' health? (check only one) Yes → answer Q2.1- Q2.3. No → go to Q3 Don’t know → go to Q3 Q2.1. When was this profile published? (specify year) ……………………… Don’t know Q2.2. Which institutions were involved in the development of the national profile? (check all that apply) Ministry responsible for health Ministry responsible for labour (employment) Ministry responsible for the environment Ministry responsible for economic sectors (industry, trade, mining) Ministry responsible for finance Organizations of employers /industrialists Organizations of workers/trade unions Organizations of academics/institutes Organizations of occupational health professionals Organizations of social security/workers compensation Other Don’t know 12 Q2.3. Which of the following aspects of workers' health are covered by this national profile? (check all that apply) □ Occupational health and safety legislative framework □ National review mechanism for workers' health policy □ Coordination and collaboration, including collective bargaining agreements for protecting and promoting workers' health □ Technical standards, guidelines and management systems for managing workers' health (occupational health and safety, workplace health promotion, employment conditions and access to occupational health services) □ Occupational health system implementation means and tools (workplace health and safety inspection, occupational health services, healthy workplace initiatives) □ Statistics of reported occupational accidents and diseases □ Statistics of communicable and noncommunicable diseases among workers (cancer, cardiovascular diseases, diabetes mellitus, mental disorders, COPD, asthma, HIV/AIDS, tuberculosis, malaria, avian influenza etc.) □ Prevalence of individual risk factors among workers (smoking, sedentary lifestyle, obesity, malnutrition, alcohol and drug abuse, etc.) □ Other health polices and programmes related to workers' health (chemical safety, environmental health, cancer control strategies, programmes for prevention of noncommunicable diseases and injuries, health promotion, mental health and family health initiatives, prevention and control of HIV/AIDS, tuberculosis, malaria, avian influenza) □ Incorporation of workers' health in other non-health policies (economic development, poverty reduction, sustainable development, trade, employment, environmental protection, sectoral polices etc.) □ Other, please specify: ………………………………………………………………… ………………………………………………………………… □ Don’t know ______________________________________________________________________________ Q3. Does your country have a national plan of action on workers' health (check only one) □ Yes → answer Q3.1 - Q3.5. □ No → go to Q4 □ Don’t know → go to Q4 13 Q3.1. Which of the following elements does this plan of action include? (check all that apply) □ National profiles □ Priorities for action □ Objectives and targets □ Actions □ Mechanisms for implementation □ Human and financial resources □ Monitoring evaluation and updating □ Reporting and accountability □ Other, please specify: ………………………………………………………………… ………………………………………………………………… □ Don’t know Q3.2. Which of the following aspects of workers' health are covered by this plan of action? □ Occupational health □ Occupational safety □ Workplace health promotion □ Occupational health services □ Chemical safety □ Environmental health □ Prevention of communicable diseases at the workplace (HIV/AIDS, TB, malaria, avian influenza) □ Prevention of noncommunicable diseases at the workplace (cancer, cardiovascular diseases at the workplace) □ Mental health □ Other, please specify: ………………………………………………………………… ………………………………………………………………… □ Don’t know 14 Q3.3. Which institutions were involved in the development of the national plan of action on workers' health? (check all that apply) □ Ministry responsible for health □ Ministry responsible for labour (employment) □ Ministry responsible for the environment □ Ministry responsible for economic sectors (industry, trade, mining) □ Ministry responsible for finance □ Organizations of employers /industrialists □ Organizations of workers/trade unions □ Organizations of academics/institutes □ Organizations of occupational health professionals □ Organizations of social security/workers compensation □ Other □ Don’t know Q3.4. What is the status of the national plan of action on workers' health? (check only one) □ Formally endorsed by the government → answer Q3.4.1 and Q3.4.2. □ Draft → go to Q3.5 □ Don’t know → go to Q3.5 Q3.4.1. Which governmental institution(s) endorsed this document? (check all that apply): □ Ministry responsible for health □ Ministry responsible for labour (employment) □ Ministry responsible for the environment □ Ministry responsible for economic sectors (industry, trade, mining) □ Ministry responsible for finance □ Head of the government (prime minister, president) □ Other governmental department, please specify: ………………………………………………………………… ………………………………………………………………… □ Don’t know Q3.4.2. When was this document endorsed? 15 Please enter the year of endorsement ……. Please attach copy of the document if available Q3.5. Are there any funds allocated to the implementation of the national plan of action on workers' health? (check only one) □ Yes → go to Q3.5.1 □ No → go to Q4 □ Don’t know → go to Q4 Q3.5.1. Where do these funds come from? (check all that apply) □ Ministry responsible for health □ Ministry responsible for labour (employment) □ Ministry responsible for economic sectors (industry, trade, mining) □ Ministry responsible for finance □ Organizations of employers/industrialists □ Organizations of workers/trade unions □ Organizations of academics/institutes □ Organizations of occupational health professionals □ Organizations of social security/workers compensation □ External donors □ World Health Organization □ Other international organizations □ Other, please specify …………………………………………………… …………………………………………………… □ Don’t know ______________________________________________________________________________ 16 Q4. What are the capacities of the Ministry of Health, including its specialized agencies in your country, to provide leadership in the area of workers' health? (check one answer per row) Responsibilities Capacities of the Ministry of Health Sufficient Insufficient No capacities at all Don’t know Policy formulation □ □ □ □ Development of legislation □ □ □ □ Planning, monitoring and evaluation of actions on workers' health □ □ □ □ Workplace health inspection □ □ □ □ Development of standards and requirements for workplace health protection □ □ □ □ Developing tools and initiatives for workplace health promotion □ □ □ □ Establishment of standards for occupational health services □ □ □ □ Monitoring trends in workers' health □ □ □ □ Coordination of the different national health programmes related to workers' health □ □ □ □ Collaboration with other ministries □ □ □ □ Establishing and sustaining partnerships with employers, trade unions, private sector and civil society □ □ □ □ ______________________________________________________________________________ 17 Q5. Is there a special department/unit with dedicated staff for workers' health within the ministry of health? (check only one) □ Yes, full-time □ Yes, part-time □ Not at all □ Don’t know ______________________________________________________________________________ Q6. Which are the three top-priority occupational diseases in your country according to governmental sources: (check three only) □ Occupational cancer □ Occupational respiratory diseases (asthma and chronic obstructive pulmonary disease) □ Occupational skin diseases □ Occupational musculoskeletal diseases □ Silicosis □ Asbestos-related diseases □ Occupational infections □ Noise-induced hearing loss □ Occupational poisonings □ Other, please specify ………………………………………………………………… …………………………………………………….…………… □ Don’t know ______________________________________________________________________________ Q7. Does your country have a special programme for prevention of top-priority occupational diseases? (check only one) □ Yes Please specify: ………………………………………………………………… ………………………………………………………………… ………………. □ No □ Don’t know ________________________________________________________________________ 18 Q8. Does your country have any initiative to minimize gaps between different groups of workers in terms of levels of risks and health status? (check only one) □ Yes Please specify: ……………………………………………………………… ……………………………………………………………………… □ No □ Don’t know ________________________________________________________________________ Q9. Does your country have a programme for occupational health and safety of health-care workers? (check only one) □ Yes Please specify: ……………………………………………………………… …………………..…………………………………………………… □ No □ Don’t know ________________________________________________________________________ Q10. Is the use of chrysotile asbestos legally permitted in your country? (check only one) □ Yes, without restrictions □ Yes, with restrictions □ Use is prohibited Please specify: ……………………………………………………………… ……………………………………………………………………… □ Don’t know ________________________________________________________________________ Q11. Is there a regulatory requirement in your country that health care workers should be immunized against Hepatitis B? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know 19 SECTION 2. PROTECTION AND PROMOTION OF HEALTH AT THE WORKPLACE Q12. Does your country have specific requirements to manage chemicals at the workplace that deal with all phases of chemicals' life cycle, including production, use, and waste? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know ________________________________________________________________________ Q13. Is tobacco smoking prohibited in indoor workplaces in your country? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know ________________________________________________________________________ Q14. What is the current capacity in your country to carry out workplace health inspection? (check only one) □ Sufficient □ Insufficient □ No capacity at all □ Don’t know ________________________________________________________________________ Q15. Does your country have any initiative to stimulate the development of programmes for healthy workplaces? (check only one) □ Yes Please specify: ……………………………………………………………… ……………………………………………………………………… □ No □ Don’t know ________________________________________________________________________ 20 Q16. Which of the following health programmes in your country include workplace components: (check all that apply) □ Health promotion □ Diet and physical activity □ Mental health □ Family health □ Cancer control □ Prevention and control of noncommunicable (chronic) diseases □ Injury prevention □ Road safety □ Tuberculosis □ HIV/AIDS □ Malaria □ Avian influenza □ Other Please specify: ……………………………………………………………… ……………………………………………………………………… □ Don’t know ________________________________________________________________________ SECTION 3. OCCUPATIONAL HEALTH SERVICES Q17. What is the current level of coverage of workers in your country with occupational health services according to governmental estimates? (check only one) □ Below 5% □ 5-10% □ 10-15% □ 15-20% □ 20-25% □ 25-30% □ More than 30% □ Don't know ________________________________________________________________________ 21 Q18. Is the development of occupational health services in your country incorporated into the national health strategies? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know ________________________________________________________________________ Q19. Does your country have standards for organization and coverage of occupational health services? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know ________________________________________________________________________ Q20. Has your country set targets for increasing the coverage of the working population with occupational health services? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know ________________________________________________________________________ Q21. Does your country have mechanisms for pooling and financing the delivery of occupational health services? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know ________________________________________________________________________ Q22. Are there sufficient and competent human resources for occupational health services in your country? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know ________________________________________________________________________ 22 Q23. Is there a system for quality assurance of occupational health services in your country? (check only one) □ Yes, fully □ Yes, partially □ Not at all □ Don’t know ________________________________________________________________________ Q24. Does your country have a national institute responsible for occupational health? (check only one) □ Yes, as separate institute → answer Q24.1 □ Yes, as part of another institute → answer Q24.1 □ Not at all → go to Q25 □ Don’t know → go to Q25 Q24.1. What are the tasks of the national institute responsible for occupational health? (check all that apply) □ Developing standards □ Developing policy □ Drafting legislation □ Research □ Surveillance of occupational diseases □ Maintaining data/information □ Training of occupational health professionals □ Training of social partners (workers’ and employers’ organizations) □ Providing support to occupational health services □ Other, please specify: ………………………………………………………………… ………………………………………………………………… □ Don’t know ________________________________________________________________________ 23 Q25. In your view, to what extent is occupational health included in undergraduate training in the following areas? (check one answer per row) Areas Extent to which occupational health is included in undergraduate training Sufficient Insufficient Not at all Don't know Medicine □ □ □ □ Nursing □ □ □ □ Public health □ □ □ □ Engineering □ □ □ □ Physical sciences (physics, chemistry) □ □ □ □ Social sciences (sociology, psychology) □ □ □ □ Other (please specify) …………………………….. □ □ □ □ ________________________________________________________________________ Q26. Does your country have a degree programme for post-graduate training on occupational health for professionals in the following areas? (check one answer per row) Areas Existence of programme for post-graduate training in occupational health Yes No Don't know Medicine □ □ □ Nursing □ □ □ Public health □ □ □ Engineering □ □ □ Physical sciences (physics, chemistry) □ □ □ Social sciences (sociology, psychology) □ □ □ 24 Other (please specify) …………………………….. □ □ □ 25 SECTION 4. EVIDENCE FOR ACTION AND PRACTICE Q27. Does your country have a national information system for workers’ health? (check only one) □ Yes □ No □ Don’t know ________________________________________________________________________ Q28. Does your country have a national registry of occupational diseases and work accidents? (check only one) □ Yes → answer Q28.1 □ No → go to Q29 □ Don’t know → go to Q29 Q28.1. If yes, what is the level of registration of occupational diseases and accidents according to governmental sources? (check only one) □ High □ Medium □ Low □ Don't know ________________________________________________________________________ Q29. Does your country have a programme for research on workers health? (check only one) □ Yes, as special programme □ Yes, as part of the general research programme □ No □ Don’t know ________________________________________________________________________ 26 Q30. What is the general level of awareness of workers' health problems among major stakeholders? (check one answer per row) Major stakeholders General level of awareness about workers' health problems A lot To a certain extent Not at all Don’t know Employers □ □ □ □ Workers □ □ □ □ Policy-makers □ □ □ □ Media □ □ □ □ General public □ □ □ □ Health practitioners □ □ □ □ ________________________________________________________________________ 27 SECTION 5. WORKERS' HEALTH IN OTHER POLICIES Q31. Which of the following non-health policies in your country include measures on protecting and promoting workers' health? (check all that apply) □ Economic development □ Sustainable development □ Poverty reduction strategies □ Trade □ Employment strategies □ Chemicals management □ Climate change □ Environmental management systems □ Emergency preparedness and response □ Other Please specify: ……………………………………………………………………………… ……………………………………………………………………… ……………………………………………………… □ Don’t know ________________________________________________________________________ Q32. Are there any sector-specific policies in your country that deal with workers' health? (check only one) □ Yes Please specify: ………………………………………………………………… ………………………………………………………………… □ No □ Don’t know ________________________________________________________________________ 28 Q33. To what extent is workers' health taken into account in education? (check one answer per row) Education Extent to which workers' health is taken into account A lot To a certain extent Not at all Don’t know Primary education □ □ □ □ Secondary education □ □ □ □ Higher level education □ □ □ □ Vocational training □ □ □ □ 29 SECTION 6. DATA ABOUT THE QUESTIONNAIRE D1. Which organizations participated or were consulted in filling out this questionnaire? (check all that apply) □ Ministry responsible for health □ Ministry responsible for labour (employment) □ Ministry responsible for environment □ Ministry responsible for economic sectors (industry, trade, etc.) □ Ministry responsible for finance □ Organizations of employers/industrialists □ Organizations of workers/trade unions □ Organizations of academics/professionals □ Organizations of social security/workers compensation □ Other ________________________________________________________________________ D2. Who filled out this questionnaire? (please, provide contact details below) Name………………………………………………………….……………………………… Function/Position ...………………………………………….…................................................. Organization………………………………………………….……………………………… Address……………………………………………………….……………………………… City……………………………………………………………(Zip code)...…………..….. Country……………………………………………………….……………………………… E-mail ………………………………………………………….................................................. Fax……………………………………………………………................................................... Telephone……………………………………………………………………………………… Thank you very much for filling out this questionnaire! ATTACHMENTS Please list below all attachments sent together with this questionnaire 30 31 List of countries participating in the survey Table 3 Albania France Netherlands American Samoa Germany Niger Andorra Ghana Palau Armenia Greece Palestine Australia Guatemala Philippines Austria Guinea Poland Azerbaijan Hungary Portugal Bahrain Iceland Qatar Bangladesh India Republic of Korea Belarus Indonesia Republic of Moldova Belgium Iran (Islamic Republic of) Romania Bhutan Ireland Russian Federation Bosnia and Herzegovina Israel Saint Lucia Brazil Italy Saudi Arabia Brunei Darussalam Japan Senegal Bulgaria Jordan Serbia Burkina Faso Kazakhstan Seychelles Canada Kenya Sierra Leone Cape Verde Kyrgyzstan Singapore Chad Slovakia Chile Lao People's Democratic Republic Slovenia China Latvia South Africa Cook Islands Lesotho Spain Croatia Lithuania Sri Lanka Cyprus Luxembourg Sudan Czech Republic Malaysia Swaziland Democratic Republic of the Congo Maldives Switzerland Democratic Republic of Timor-Leste Mali Syrian Arab Republic Denmark Marshall Islands Tajikistan Djibouti Mauritania Thailand Ecuador Mexico Togo Egypt Monaco Trinidad and Tobago Eritrea Mongolia Tunisia Estonia Montenegro Turkey Ethiopia Morocco Ukraine Fiji Mozambique United Arab Emirates Finland Myanmar United Kingdom of Great Britain and Northern Ireland Former Yugoslav Republic of Macedonia Namibia United States of America Nepal Uruguay Gambia Norway Viet Nam Georgia Oman Yemen 32 ANNEX II – STATISTICAL ANNEX A II.1 Objective 1: to devise and implement policy instruments on workers' health Table 4. Policy framework on workers' health, by WHO region and World Bank classification Q1. Does your country have a policy framework, such as a national strategic policy document, on workers' health? Yes % (n/N) EUR 79.2 (38/48) AMR 70.0 (7/10) SEAR 70.0 (7/10) AFR 45.5 (10/22) WPR 46.7 (8/15) EMR 40.0 (6/15) Low income 54.2 (13/24) Lower middle income 64.7 (22/34) Upper middle income 50.0 (12/24) High income 76.3 (29/38) World 63.3 (76/120) 33 Table 5 Elements included in the policy framework on workers' health, by WHO region Q1.1. Which of the following elements does this policy framework include? (% of those having a policy) World % (n) AFR % (n) AMR % (n) EMR % (n) EUR % (n) SEAR % (n) WPR % (n) N=76 N=10 N=7 N=6 N=38 N=7 N=8 Enactment of legislation 94.7% (72) 90.0% (9) 100% (7) 83.3% (5) 97.4% (37) 85.7% (6) 100% (8) Establishment of mechanism for intersectoral coordination of activities 84.2% (64) 80.0% (8) 85.7% (6) 83.3% (5) 84.2% (32) 85.7% (6) 87.5% (7) Integration of objectives and actions for workers' health into national strategies 76.3% (58) 80.0% (8) 71.4% (5) 66.7% (4) 76.3% (29) 100% (7) 62.5% (5) Funding and resource mobilization for workers' health 64.5% (49) 70.0% (7) 71.4% (5) 66.7% (4) 55.3% (21) 85.7% (6) 75.0% (6) Strengthening the role and capacities of ministries of health* 3 61.8% (47) 70.0% (7) 42.9% (3) 100% (6) 52.6% (20) 100% (7) 50% (4) Other 15.8% (12) 10.0% (1) 0% (0) 0% (0) 23.7% (9) 14.3% (1) 12.5% (1) 3 Chi-square tests with a p-value below 0.05 suggest statistically significant differences between the country groups and are indicated with * in the Statistical Annex 34 Table 6 Elements included in the policy framework on workers' health, by World Bank classification Q1.1. Which of the following elements does this policy framework include? (% of those having a policy) World Low income Lower middle income Upper middle income High income N=76 N=13 N=22 N=12 N=29 Enactment of legislation 94.7% (72) 92.3% (12) 90.9% (20) 100% (12) 96.6% (28) Establishment of mechanism for intersectoral coordination of activities 84.2% (64) 100% (13) 72.7% (16) 91.7% (11) 82.8% (24) Integration of objectives and actions for workers' health into national strategies 76.3% (58) 84.6% (11) 77.3% (17) 58.3% (7) 79.3% (23) Funding and resource mobilization for workers' health 64.5% (49) 76.9% (10) 63.6% (14) 50.0% (6) 65.5% (19) Strengthening the role and capacities of ministries of health* 61.8% (47) 84.6% (11) 77.3% (17) 50.0% (6) 44.8% (13) Other 15.8% (12) 15.4% (2) 4.5% (1) 8.3% (1) 27.6% (8) 35 Table 7 Aspects covered by the policy framework on workers' health, by WHO region Q1.2. Which of the following aspects of workers' health are covered by this policy framework? (% of those having a policy) World AFR AMR EMR EUR SEAR WPR N=74 N=10 N=7 N=6 N=38 N=5 N=8 Occupational health 98.6% (73) 100% (10) 100% (7) 100% (6) 97.4% (37) 100% (5) 100% (8) Occupational safety 94.6% (70) 100% (10) 100% (7) 100% (6) 92.1% (35) 100% (5) 87.5% (7) Workplace health promotion 87.8% (65) 80.0% (8) 57.1% (4) 100% (6) 92.1% (35) 100% (5) 87.5% (7) Provision of occupational health services 82.4% (61) 90.0% (9) 42.9% (3) 66.7% (4) 86.8% (33) 100% (5) 87.5% (7) Chemical safety* 77.0% (57) 40.0% (4) 71.4% (5) 83.3% (5) 78.9% (30) 100% (5) 100% (8) Environmental health 68.9% (51) 80.0% (8) 57.1% (4) 66.7% (4) 65.8% (25) 100% (5) 62.5% (5) Prevention of noncommunicable diseases at the workplace* 64.9% (48) 30.0% (3) 28.6% (2) 66.7% (4) 78.9% (30) 80.0% (4) 62.5% (5) Mental health* 62.2% (46) 20.0% (2) 42.9% (3) 33.3% (2) 81.6% (31) 60.0% (3) 62.5% (5) Prevention of communicable diseases at the workplace 59.5% (44) 70.0% (7) 57.1% (4) 66.7% (4) 57.9% (22) 80.0% (4) 37.5% (3) Other 16.2% (12) 0% (0) 14.3% (1) 0% (0) 18.4% (7) 40.0% (2) 25.0% (2) 36 Table 8 Aspects covered by the policy framework on workers' health, by World Bank classification Q1.2. Which of the following aspects of workers' health are covered by this policy framework? (% of those having a policy) World Low income Lower middle income Upper middle income High income N=74 N=12 N=21 N=12 N=29 Occupational health 98.6% (73) 100% (12) 100% (21) 100% (12) 96.6% (28) Occupational safety 94.6% (70) 100% (12) 95.2% (20) 100% (12) 89.7% (26) Workplace health promotion 87.8% (65) 75.0% (9) 90.5% (19) 83.3% (10) 93.1% (27) Provision of occupational health services 82.4% (61) 83.3% (10) 85.7% (18) 75.0% (9) 82.8% (24) Chemical safety 77.0% (57) 58.3% (7) 81.0% (17) 75.0% (9) 82.8% (24) Environmental health 68.9% (51) 83.3% (10) 81.0% (17) 75.0% (9) 51.7% (15) Prevention of noncommunicable diseases at the workplace* 64.9% (48) 50.0% (6) 61.9% (13) 33.3% (4) 86.2% (25) Mental health* 62.2% (46) 33.3% (4) 61.9% (13) 33.3% (4) 86.2% (25) Prevention of communicable diseases at the workplace 59.9% (44) 75.0% (9) 57.1% (12) 58.3% (7) 55.2% (16) Other 16.2% (12) 8.3% (1) 14.3% (3) 0% (0) 27.6% (8) 37 Table 9 Institutions involved in the development of the national policy for workers' health, by WHO region Q1.3. Which institutions were involved in the development of the national policy for workers' health? (% of those having a policy) World AFR AMR EMR EUR SEAR WPR N=75 N=10 N=7 N=6 N=38 N=6 N=8 Ministry of labour (employment) 97.3% (73) 100% (10) 100% (7) 100% (6) 94.7% (36) 100% (6) 100% (8) Ministry of health* 85.3% (64) 80.0% (8) 100% (7) 100% (6) 86.8% (33) 100% (6) 50% (4) Organizations of workers/trade unions 74.7% (56) 90.0% (9) 100% (7) 66.7% (4) 71.1% (27) 33.3% (2) 87.5% (7) Organizations of employers/ industrialists 73.3% (55) 80.0% (8) 100% (7) 66.7% (4) 65.8% (25) 66.7% (4) 87.5% (7) Organizations of social security/workers’ compensation 61.3% (46) 80.0% (8) 85.7% (6) 66.7% (4) 57.9% (22) 16.7% (1) 62.5% (5) Organizations of academics/ institutes 60.0% (45) 40.0% (4) 71.4% (5) 50.0% (3) 63.2% (24) 66.7% (4) 62.5% (5) Organizations of occupational health professionals 56.0% (42) 40.0% (4) 14.3% (1) 50.0% (3) 65.8% (25) 50.0% (3) 75.0% (6) Ministry responsible for economic sectors (industry, trade, mining) 48.0% (36) 40.0% (4) 42.9% (3) 66.7% (4) 44.7% (17) 66.7% (4) 50.0% (4) Ministry responsible for the environment 48.0% (36) 30.0% (3) 42.9% (3) 66.7% (4) 52.6% (20) 33.3% (2) 50.0% (4) Ministry responsible for finance 33.3% (25) 20.0% (2) 14.3% (1) 16.7% (1) 44.7% (17) 0% (0) 50.0% (4) Other 16.0% (12) 20.0% (2) 14.3% (1) 0% (0) 15.8% (6) 33.3% (2) 12.5% (1) 38 Table 10 Institutions involved in the development of the national policy for workers' health, by World Bank classification Q1.3. Which institutions were involved in the development of the national policy for workers' health? (% of those having a policy) World Low income Lower middle income Upper middle income High income N=75 N=12 N=22 N=12 N=29 Ministry of labour (employment) 97.3% (73) 100% (12) 100% (22) 100% (12) 93.1% (27) Ministry of health 85.3% (64) 91.7% (11) 90.9% (20) 91.7% (11) 75.9% (22) Organizations of workers/trade unions 74.7% (56) 75.0% (9) 72.7% (16) 91.7% (11) 69.0% (20) Organizations of employers/industrialists 73.3% (55) 58.3% (7) 81.8% (18) 83.3% (10) 69.0% (20) Organizations of social security/workers compensation 61.3% (46) 66.7% (8) 63.6% (14) 58.3% (7) 58.6% (17) Organizations of academics/institutes 60.0% (45) 50.0% (6) 54.5% (12) 58.3% (7) 69.0% (20) Organizations of occupational health professionals* 56.0% (42) 25.0% (3) 50.0% (11) 50.0% (6) 75.9% (22) Ministry responsible for economic sectors (industry, trade, mining) 48.0% (36) 41.7% (5) 59.1% (13) 50.0% (6) 41.4% (12) Ministry responsible for the environment 48.0% (36) 41.7% (5) 63.6% (14) 33.3% (4) 44.8% (13) Ministry responsible for finance 33.3% (25) 41.7% (5) 31.8% (7) 25.0% (3) 34.5% (10) Other 16.0% (12) 16.7% (2) 9.1% (2) 16.7% (2) 20.7% (6) 39 Table 11 Development of a national profile in the area of workers' health, by WHO region Q2. Has your country developed a national profile, such as an analysis of available information of the current status, in the area of workers' health?* World AFR AMR EMR EUR SEAR WPR N=120 N=22 N=10 N=15 N=48 N=10 N=15 Yes 53.3% (64) 50.0% (11) 20.0% (2) 20.0% (3) 72.9% (35) 50.0% (5) 53.3% (8) No 44.2% (53) 50% (11) 80% (8) 80.0% (12) 25.0% (12) 50.0% (5) 33.3% (2) Don't know 2.5% (3) 0% (0) 0% (0) 0% (0) 2.1% (1) 0% (0) 13.3% (2) Table 12 Development of a national profile in the area of workers' health, by World Bank classification Q2. Has your country developed a national profile, such as an analysis of available information of the current status, in the area of workers' health? World Low income Lower middle income Upper middle income High income N=120 N=24 N=34 N=24 N=38 Yes 53.3% (64) 58.3% (14) 35.3% (12) 54.2% (13) 65.8% (25) No 44.2% (53) 41.7% (10) 61.8% (21) 37.5% (9) 34.2% (13) Don't know 2.5% (3) 0% (0) 2.9% (1) 8.3% (2) 0% (0) 40 Table 13 Date of publication of the national profile in the area of workers' health, by WHO region Q2.1. When was this profile published? (% of those having a national profile) World AFR AMR EMR EUR SEAR WPR N=53 N=10 N=1 N=2 N=38 N=4 N=8 1980-1989 1.9% (1) 10.0% (1) 0% (0) 0% (0) 0% (0) 0% (0) 0% (0) 1990-1999 5.7% (3) 0% (0) 0% (0) 0% (0) 7.2% (2) 25.0% (1) 0% (0) 2000-2009 83.0% (44) 50.0% (5) 100% (1) 100% (2) 92.8% (26) 50.0% (2) 100% (8) Don't know 9.4% (5) 40.0% (4) 0% (0) 0% (0) 0% (0) 25.0% (1) 0% (0) Table 14 Date of publication of the national profile in the area of workers' health, by World Bank classification Q2.1. When was this profile published? (% of those having a national profile) World Low income Lower middle income Upper middle income High income N=53 N=12 N=10 N=11 N=20 1980-1989 1.9% (1) 0% (0) 10.0% (1) 0% (0) 0% (0) 1990-1999 5.7% (3) 0% (0) 10.0% (1) 9.1% (1) 5.0% (1) 2000-2009 83.0% (44) 91.7% (10) 60.0% (6) 81.8% (9) 95.0% (19) Don't know 9.4% (5) 16.7% (2) 20.0% (2) 9.1% (1) 0% (0) 41 Table 15 Institutions involved in the development of the national profile, by WHO region Q2.2. Which institutions were involved in the development of the national profile? (% of those having a national profile) World AFR AMR EMR EUR SEAR WPR N=64 N=11 N=2 N=3 N=35 N=5 N=8 Ministry of labour (employment) 90.6% (58) 100% (11) 100% (2) 100% (3) 82.9% (29) 100% (5) 100% (8) Ministry of health 75.0% (48) 81.8% (9) 0% (0) 100% (3) 71.4% (25) 100% (5) 75.0% (6) Organizations of academics/institutes 53.1% (34) 45.5% (5) 0% (0) 66.7% (2) 62.9% (22) 20.0% (1) 50.0% (4) Organizations of occupational health professionals 46.9% (30) 36.4% (4) 0% (0) 66.7% (2) 51.4% (18) 20.0% (1) 62.5% (5) Organizations of workers/trade unions 43.8% (28) 54.5% (6) 0% (0) 66.7% (2) 42.9% (15) 0% (0) 62.5% (5) Organizations of social security/workers’ compensation 42.2% (27) 27.3% (3) 0% (0) 66.7% (2) 42.9% (15) 20.0% (1) 75.0% (6) Organizations of employers/industrialists 40.6% (26) 45.5% (5) 0% (0) 66.7% (2) 40.0% (14) 0% (0) 62.5% (5) Ministry responsible for the environment* 31.3% (20) 36.4% (4) 0% (0) 100% (3) 25.7% (9) 0% (0) 50.0% (4) Ministry responsible for economic sectors (industry, trade, mining) 29.7% (19) 27.3% (3) 0% (0) 66.7% (2) 22.9% (8) 40.0% (2) 50.0% (4) Ministry responsible for finance 20.3% (13) 18.2% (2) 0% (0) 33.3% (1) 22.9% (8) 0% (0) 25.0% (2) Other 10.9% (7) 0% (0) 0% (0) 0% (0) 20.0% (7) 0% (0) 0% (0) 42 Table 16 Institutions involved in the development of the national profile, by World Bank classification Q2.2. Which institutions were involved in the development of the national profile? (% of those having a national profile) World Low income Lower middle income Upper middle income High income N=64 N=14 N=12 N=13 N=25 Ministry of labour (employment) 90.6% (58) 100% (14) 91.7% (11) 100% (13) 80.0% (20) Ministry of health 75.0% (48) 92.9% (13) 83.3% (10) 69.2% (9) 64.0% (16) Organizations of academics/institutes 53.1% (34) 50.0% (7) 58.3% (7) 76.9% (10) 40.0% (10) Organizations of occupational health professionals 46.9% (30) 50.0% (7) 50.0% (6) 53.8% (7) 40.0% (10) Organizations of workers/trade unions 43.8% (28) 50.0% (7) 50.0% (6) 53.8% (7) 32.0% (8) Organizations of social security/workers’ compensation 42.2% (27) 37.5% (5) 50.0% (6) 30.8% (4) 48.0% (12) Organizations of employers/industrialists 40.6% (26) 42.9% (6) 50.0% (6) 46.2% (6) 32.0% (8) Ministry responsible for the environment 31.3% (20) 42.9% (6) 41.7% (5) 30.8% (4) 20.0% (5) Ministry responsible for economic sectors (industry, trade, mining) 29.7% (19) 35.7% (5) 33.3% (4) 23.1% (3) 28.0% (7) Ministry responsible for finance 20.3% (13) 28.6% (4) 25.0% (3) 7.7% (1) 20.0% (5) Other 10.9% (7) 0% (0) 8.3% (1) 7.7% (1) 20.0% (5) 43 Table 17 Aspects of workers' health covered by the national profile, by WHO region Q2.3. Which of the following aspects of workers' health are covered by this national profile? (% of those having a national profile) World AFR AMR EMR EUR SEAR WPR N=62 N=10 N=2 N=3 N=35 N=4 N=8 Statistics of reported occupational accidents and diseases* 93.5% (58) 60.0% (6) 100% (2) 100% (3) 100% (35) 100% (4) 100% (8) Occupational health and safety legislative framework 88.7% (55) 90.0% (9) 50.0% (1) 100% (3) 91.4% (32) 75.0% (3) 87.5% (7) Occupational health system implementation means and tools 75.8% (47) 70.0% (7) 50.0% (1) 100% (3) 80.0% (28) 75.0% (3) 62.5% (5) Technical standards, guidelines and management systems for managing workers' health 69.4% (43) 100% (10) 50.0% (1) 33.3% (1) 65.7% (23) 50.0% (2) 75.0% (6) Coordination and collaboration, including collective bargaining agreements for protecting and promoting workers' health 58.1% (36) 70.0% (7) 0% (0) 66.7% (2) 60.0% (21) 50.0% (2) 50.0% (4) National review mechanism for workers' health policy 58.1% (36) 30.0% (3) 50.0% (1) 100% (3) 62.9% (22) 50.0% (2) 62.5% (5) Other health polices and programmes related to workers' health 53.2% (33) 50.0% (5) 0% (0) 66.7% (2) 51.4% (18) 50.0% (2) 75.0% (6) Incorporation of workers' health in other non-health policies* 38.7% (24) 10.0% (1) 0% (0) 100% (3) 40.0% (14) 25.0% (1) 62.5% (5) Statistics of communicable and noncommunicable diseases among workers 29.0% (18) 30.0% (3) 50.0% (1) 33.3% (1) 22.9% (8) 25.0% (1) 50.0% (4) Prevalence of individual risk factors among workers 25.8% (16) 30.0% (3) 0% (0) 33.3% (1) 25.7% (9) 25.0% (1) 25.0% (2) Other 4.8% (3) 0% (0) 0% (0) 0% (0) 8.6% (3) 0% (0) 0% (0) Don't know 1.6% (1) 0% (0) 0% (0) 0% (0) 2.9% (1) 0% (0) 0% (0) 44 Table 18 Aspects of workers' health covered by the national profile, by World Bank classification Q2.3. Which of the following aspects of workers' health are covered by this national profile? (% of those having a national profile) World Low income Lower middle income Upper middle income High income N=62 N=13 N=11 N=13 N=25 Statistics of reported occupational accidents and diseases* 93.5% (58) 69.2% (9) 100% (11) 100% (13) 100% (25) Occupational health and safety legislative framework 88.7% (55) 92.3% (12) 81.8% (9) 92.3% (12) 88.0% (22) Occupational health system implementation means and tools 75.8% (47) 69.2% (9) 81.8% (9) 61.5% (8) 84.0% (21) Technical standards, guidelines and management systems for managing workers' health 69.4% (43) 76.9% (10) 63.6% (7) 84.6% (11) 60.0% (15) Coordination and collaboration, including collective bargaining agreements for protecting and promoting workers' health 58.1% (36) 61.5% (8) 63.6% (7) 61.5% (8) 52.0% (13) National review mechanism for workers' health policy 58.1% (36) 46.2% (6) 72.7% (8) 58.3% (7) 60.0% (15) Other health polices and programmes related to workers' health 53.2% (33) 53.8% (7) 45.5% (5) 53.8% (7) 56.0% (14) Incorporation of workers' health in other non- health policies 38.7% (24) 30.8% (4) 54.5% (6) 30.8% (4) 40.0% (10) Statistics of communicable and noncommunicable diseases among workers 29.0% (18) 30.8% (4) 27.3% (3) 38.5% (5) 24.0% (6) Prevalence of individual risk factors among workers 25.8% (16) 30.8% (4) 18.2% (2) 23.1% (3) 28.0% (7) Other 4.8% (3) 0% (0) 0% (0) 0% (0) 12.0% (3) Don't know 1.6% (1) 0% (0) 0% (0) 0% (0) 4.0% (1) 45 Table 19 Existence of a national plan of action on workers' health, by WHO region Q3. Does your country have a national plan of action on workers' health?* World AFR AMR EMR EUR SEAR WPR N=119 N=22 N=10 N=15 N=48 N=9 N=15 Yes 47.1% (56) 40.9% (9) 20.0% (2) 40.0% (6) 52.1% (25) 55.6% (5) 60.0% (9) No 51.3% (61) 59.1% (13) 80.0% (8) 60.0% (9) 47.9% (23) 44.4% (4) 26.7% (4) Don't know 1.7% (2) 0% (0) 0% (0) 0% (0) 0% (0) 0% (0) 13.3% (2) Table 20 Existence of a national plan of action on workers' health, by World Bank classification Q3. Does your country have a national plan of action on workers' health? World Low income Lower middle income Upper middle income High income N=119 N=23 N=34 N=24 N=38 Yes 47.1% (56) 47.8% (11) 38.2% (13) 37.5% (9) 60.5% (23) No 51.3% (61) 52.2% (12) 61.8% (21) 54.2% (13) 39.5% (15) Don't know 1.7% (2) 0% (0) 0% (0) 8.3% (2) 0% (0) 46 Table 21 Elements included in the national plan of action on workers' health, by WHO region Q3.1. Which of the following elements does this plan of action include? (% of those having a national plan of action) World AFR AMR EMR EUR SEAR WPR N=56 N=9 N=2 N=6 N=25 N=5 N=9 Priorities for action 89.3% (50) 66.7% (6) 100% (2) 83.3% (5) 96.0% (24) 100% (5) 88.9% (8) Actions* 87.5% (49) 66.7% (6) 50.0% (1) 66.7% (4) 96.0% (24) 100% (5) 100% (9) Objectives and targets 87.5% (49) 88.9% (8) 100% (2) 83.3% (5) 88.0% (22) 100% (5) 77.8% (7) Mechanisms for implementation 78.6% (44) 77.8% (7) 50.0% (1) 66.7% (4) 84.0% (21) 80.0% (4) 77.8% (7) Monitoring evaluation and updating 73.2% (41) 77.8% (7) 50.0% (1) 66.7% (4) 72.0% (18) 100% (5) 66.7% (6) Reporting and accountability 67.9% (38) 66.7% (6) 0% (0) 66.7% (4) 68.0% (17) 80.0% (4) 77.8% (7) National profiles 58.9% (33) 55.6% (5) 0% (0) 83.3% (5) 56.0% (14) 40.0% (2) 77.8% (7) Human and financial resources 55.4% (31) 55.6% (5) 100% (2) 66.7% (4) 52.0% (13) 40.0% (2) 55.6% (5) Other 1.8% (1) 0% (0) 0% (0) 0% (0) 0% (0) 20.0% (1) 0% (0) Table 22 Elements included in the national plan of action on workers' health, by World Bank classification Q3.1. Which of the following elements does this plan of action include? (% of those having a national plan of action) World Low income Lower middle income Upper middle income High income N=56 N=11 N=13 N=9 N=23 National profiles 58.9% (33) 45.5% (5) 69.2% (9) 66.7% (6) 56.5% (13) Priorities for action 89.3% (50) 72.7% (8) 84.6% (11) 88.9% (8) 100% (23) Objectives and targets 87.5% (49) 81.8% (9) 84.6% (11) 88.9% (8) 91.3% (21) Actions 87.5% (49) 72.7% (8) 76.9% (10) 100% (9) 95.7% (22) Mechanisms for implementation 78.6% (44) 72.7% (8) 76.9% (10) 77.8% (7) 82.6% (19) Human and financial resources 55.4% (31) 54.5% (6) 53.8% (7) 66.7% (6) 52.2% (12) Monitoring evaluation and updating 73.2% (41) 81.8% (9) 69.2% (9) 66.7% (6) 73.9% (17) Reporting and accountability 67.9% (38) 63.6% (7) 61.5% (8) 88.9% (8) 65.2% (15) Other 1.8% (1) 9.1% (1) 0% (0) 0% (0) 0% (0) 47 Table 23 Aspects covered by the national plan of action on workers' health, by WHO region Q3.2. Which of the following aspects of workers' health are covered by this plan of action? (% of those having a national plan of action) World AFR AMR EMR EUR SEAR WPR N=56 N=9 N=2 N=6 N=25 N=5 N=9 Occupational health 98.2% (55) 100% (9) 100% (2) 83.3% (5) 100% (25) 100% (5) 100% (9) Occupational safety 92.9% (52) 100% (9) 100% (2) 100% (6) 88.0% (22) 100% (5) 88.9% (8) Occupational health services 89.3% (50) 88.9% (8) 50.0% (1) 100% (6) 96.0% (24) 100% (5) 66.7% (6) Workplace health promotion 83.9% (47) 66.7% (6) 50.0% (1) 100% (6) 92.0% (23) 100% (5) 66.7% (6) Chemical safety 73.2% (41) 33.3% (3) 50.0% (1) 83.3% (5) 84.0% (21) 80.0% (4) 77.8% (7) Environmental health 64.3% (36) 88.9% (8) 50.0% (1) 50.0% (3) 60.0% (15) 100% (5) 44.4% (4) Prevention of non- communicable diseases at the workplace 62.5% (35) 33.3% (3) 100% (2) 50.0% (3) 72.0% (18) 60.0% (3) 66.7% (6) Prevention of communicable diseases at the workplace 57.1% (32) 88.9% (8) 100% (2) 50.0% (3) 48.0% (12) 60.0% (3) 44.4% (4) Mental health* 51.8% (29) 22.2% (2) 100% (2) 33.3% (2) 72.0% (18) 40.0% (2) 33.3% (3) Other 12.5% (7) 11.1% (1) 0% (0) 0% (0) 16.0% (4) 40.0% (2) 0% (0) Don't know 1.8% (1) 0% (0) 0% (0) 0% (0) 4.0% (1) 0% (0) 0% (0) 48 Table 24 Aspects covered by the national plan of action on workers' health, by World Bank classification Q3.2. Which of the following aspects of workers' health are covered by this plan of action? (% of those having a national plan of action) World Low income Lower middle income Upper middle income High income N=56 N=11 N=13 N=9 N=23 Occupational health 98.2% (55) 100% (11) 92.3% (12) 100% (9) 100% (23) Occupational safety 92.9% (52) 100% (11) 92.3% (12) 100% (9) 87.0% (20) Occupational health services 89.3% (50) 90.9% (10) 92.3% (12) 77.8% (7) 91.3% (21) Workplace health promotion 83.9% (47) 81.8% (9) 84.6% (11) 77.8% (7) 87.0% (20) Chemical safety 73.2% (41) 45.5% (5) 69.2% (9) 88.9% (8) 82.6% (19) Environmental health 64.3% (36) 72.7% (8) 76.9% (10) 66.7% (6) 52.2% (12) Prevention of non-communicable diseases at the workplace 62.5% (35) 45.5% (5) 61.5% (8) 44.4% (4) 78.3% (18) Prevention of communicable diseases at the workplace 57.1% (32) 72.7% (8) 53.8% (7) 55.6% (5) 52.2% (12) Mental health* 51.8% (29) 18.2% (2) 46.2% (6) 33.3% (3) 78.3% (18) Other 12.5% (7) 18.2% (2) 7.7% (1) 0% (0) 17.4% (4) Don't know 1.8% (1) 0% (0) 0% (0) 0% (0) 4.3% (1) 49 Table 25 Institutions involved in the development of the national plan of action on workers' health, by WHO region Q3.3. Which institutions were involved in the development of the national plan of action on workers' health? (% of those having a national plan of action) World AFR AMR EMR EUR SEAR WPR N=56 N=9 N=2 N=6 N=25 N=5 N=9 Ministry of labour (employment) 89.3% (50) 88.9% (8) 100% (2) 100% (6) 84.0% (21) 80.0% (4) 100% (9) Ministry of health 82.1% (46) 77.8% (7) 100% (2) 100% (6) 84.0% (21) 100% (5) 55.6% (5) Organizations of workers/trade unions 73.2% (41) 77.8% (7) 100% (2) 66.7% (4) 72.0% (18) 40.0% (2) 88.9% (8) Organizations of occupational health professionals* 66.1% (37) 33.3% (3) 50.0% (1) 33.3% (2) 84.0% (21) 60.0% (3) 77.8% (7) Organizations of employers/industrialists 62.5% (35) 66.7% (6) 50.0% (1) 33.3% (2) 64.0% (16) 40.0% (2) 88.9% (8) Organizations of academics/institutes 60.7% (34) 44.4% (4) 100% (2) 66.7% (4) 64.0% (16) 60.0% (3) 55.6% (5) Organizations of social security/workers’ compensation 51.8% (29) 44.4% (4) 50.0% (1) 66.7% (4) 52.0% (13) 20.0% (1) 66.7% (6) Ministry responsible for the environment 48.2% (27) 66.7% (6) 0% (0) 66.7% (4) 44.0% (11) 40.0% (2) 44.4% (4) Ministry responsible for economic sectors (industry, trade, mining) 42.9% (24) 44.4% (4) 50.0% (1) 50.0% (3) 48.0% (12) 20.0% (1) 33.3% (3) Ministry responsible for finance 26.8% (15) 33.3% (3) 0% (0) 33.3% (2) 28.0% (7) 0% (0) 33.3% (3) Other 12.5% (7) 11.1% (1) 0% (0) 16.7% (1) 16.0% (4) 0% (0) 11.1% (1) 50 Table 26 Institutions involved in the development of the national plan of action on workers' health, by World Bank classification Q3.3. Which institutions were involved in the development of the national plan of action on workers' health? (% of those having a national plan of action) World Low income Lower middle income Upper middle income High income N=56 N=11 N=13 N=9 N=23 Ministry of labour (employment) 89.3% (50) 100% (11) 92.3% (12) 88.9% (8) 82.6% (19) Ministry of health 82.1% (46) 90.9% (10) 92.3% (12) 88.9% (8) 69.6% (16) Organizations of workers/trade unions 73.2% (41) 81.8% (9) 76.9% (10) 66.7% (6) 69.6% (16) Organizations of occupational health professionals 66.1% (37) 45.5% (5) 61.5% (8) 77.8% (7) 73.9% (17) Organizations of employers/industrialists 62.5% (35) 54.5% (6) 61.5% (8) 55.6% (5) 69.6% (16) Organizations of academics/institutes 60.7% (34) 54.5% (6) 69.2% (9) 55.6% (5) 60.9% (14) Organizations of social security/workers’ compensation 51.8% (29) 54.5% (6) 69.2% (9) 33.3% (3) 47.8% (11) Ministry responsible for the environment 48.2% (27) 63.6% (7) 61.5% (8) 33.3% (3) 39.1% (9) Ministry responsible for economic sectors (industry, trade, mining) 42.9% (24) 45.5% (5) 46.2% (6) 33.3% (3) 43.5% (10) Ministry responsible for finance 26.8% (15) 36.4% (4) 30.8% (4) 0% (0) 30.4% (7) Other 12.5% (7) 9.1% (1) 7.7% (1) 0% (0) 21.7% (5) Table 27 Status of the national plan of action on workers' health, by WHO region Q3.4. What is the status of the national plan of action on workers' health? (% of those having a national plan of action) World AFR AMR EMR EUR SEAR WPR N=55 N=9 N=2 N=6 N=24 N=5 N=9 Formally endorsed by the government 69.1% (38) 44.4% (4) 100% (2) 66.7% (4) 70.8% (17) 80.0% (4) 77.8% (7) Draft 29.1% (16) 44.4% (4) 0% (0) 33.3% (2) 29.2% (7) 20.0% (1) 22.2% (2) Don't know 1.8% (1) 11.1% (1) 0% (0) 0% (0) 0% (0) 0% (0) 0% (0) 51 Table 28 Status of the national plan of action on workers' health, by World Bank classification Q3.4. What is the status of the national plan of action on workers' health? (% of those having a national plan of action) World Low income Lower middle income Upper middle income High income N=55 N=11 N=13 N=9 N=22 Formally endorsed by the government 69.1% (38) 72.7% (8) 61.5% (8) 44.4% (4) 81.8% (18) Draft 29.1% (16) 27.3% (3) 30.8% (4) 55.6% (5) 18.2% (4) Don't know 1.8% (1) 0% (0) 7.7% (1) 0% (0) 0% (0) Table 29 Governmental institutions that endorsed the national plan of action on workers' health, by WHO region Q3.4.1. Which governmental institution(s) endorsed the document? (% of those where it has been formally endorsed) World AFR AMR EMR EUR SEAR WPR N=38 N=4 N=2 N=4 N=17 N=4 N=7 Ministry of labour (employment)* 73.7% (28) 100% (4) 0% (0) 100% (4) 64.7% (11) 50.0% (2) 100% (7) Ministry of health 63.2% (24) 50.0% (2) 100% (2) 100% (4) 58.8% (10) 100% (4) 28.6% (2) Ministry responsible for economic sectors (industry, trade, mining) 28.9% (11) 50.0% (2) 0% (0) 25.0% (1) 35.3% (6) 0% (0) 28.6% (2) Ministry responsible for the environment 26.3% (10) 50.0% (2) 0% (0) 50.0% (2) 29.4% (5) 0% (0) 14.3% (1) Ministry responsible for finance 23.7% (9) 50.0% (2) 0% (0) 25.0% (1) 23.5% (4) 0% (0) 28.6% (2) Other governmental department 23.7% (9) 25.0% (1) 50.0% (1) 25.0% (1) 29.4% (5) 0% (0) 14.3% (1) 52 Table 30 Governmental institutions that endorsed the national plan of action on workers' health, by World Bank classification Q3.4.1. Which governmental institution(s) endorsed the document? (% of those where it has been formally endorsed) World Low income Lower middle income Upper middle income High income N=38 N=8 N=8 N=4 N=18 Ministry of labour (employment) 73.7% (28) 75.0% (6) 87.5% (7) 75.0% (3) 66.7% (12) Ministry of health* 63.2% (24) 75.0% (6) 87.5% (7) 100% (4) 38.9% (7) Ministry responsible for economic sectors (industry, trade, mining) 28.9% (11) 25.0% (2) 25.0% (2) 50.0% (2) 27.8% (5) Ministry responsible for the environment 26.3% (10) 12.5% (1) 37.5% (3) 50.0% (2) 22.2% (4) Ministry responsible for finance 23.7% (9) 25.0% (2) 25.0% (2) 25.0% (1) 22.2% (4) Other governmental department 23.7% (9) 0% (0) 25.0% (2) 50.0% (2) 27.8% (5) Table 31 Year of endorsement of the national plan of action on workers' health, by WHO region Q3.4.2. When was this document endorsed? (% of those where it has been formally endorsed) World AFR AMR EMR EUR SEAR WPR N=35 N=4 N=2 N=2 N=16 N=4 N=7 1980-1989 2.9% (1) 25.0% (1) 0% (0) 0% (0) 0% (0) 0% (0) 0% (0) 1990-1999 2.9% (1) 0% (0) 0% (0) 50.0% (1) 0% (0) 0% (0) 0% (0) 2000-2009 94.3% (33) 75% (3) 100% (2) 50.0% (1) 100% (16) 100% (4) 100% (7) 53 Table 32 Year of endorsement of the national plan of action on workers' health, by World Bank classification Q3.4.2. When was this document endorsed? (% of those where it has been formally endorsed) World Low income Lower middle income Upper middle income High income N=35 N=8 N=6 N=4 N=17 1980-1989 2.9% (1) 0% (0) 16.7% (1) 0% (0) 0% (0) 1990-1999 2.9% (1) 0% (0) 16.7% (1) 0% (0) 0% (0) 2000-2008 94.3% (33) 100% (8) 66.7% (4) 100% (4) 100% (17) Table 33 Allocation of funds to the implementation of the national plan of action on workers' health, by WHO region Q3.5. Are there any funds allocated to the implementation of the national plan of action on workers' health? (% of those having a national plan of action) World AFR AMR EMR EUR SEAR WPR N=55 N=9 N=2 N=6 N=25 N=4 N=9 Yes 67.3% (37) 44.4% (4) 100% (2) 50.0% (3) 68.0% (17) 75.0% (3) 88.9% (8) No 21.8% (12) 44.4% (4) 0% (0) 16.7% (1) 24.0% (6) 0% (0) 11.1% (1) Don't know 10.9% (6) 11.1% (1) 0% (0) 33.3% (2) 8.0% (2) 25.0% (1) 0% (0) 54 Table 34 Allocation of funds to the implementation of the national plan of action on workers' health, by World Bank classification Q3.5. Are there any funds allocated to the implementation of the national plan of action on workers' health? (% of those having a national plan of action) World Low income Lower middle income Upper middle income High income N=55 N=11 N=12 N=9 N=23 Yes 67.3% (37) 72.7% (8) 58.3% (7) 77.8% (7) 65.2% (15) No 21.8% (12) 27.3% (3) 16.7% (2) 22.2% (2) 21.7% (5) Don't know 10.9% (6) 0% (0) 25.0% (3) 0% (0) 13.0% (3) 55 Table 35 Source of funds allocated to the implementation of the national plan of action on workers' health, by WHO region Q3.5.1. Where do these funds come from? (% of those with existing funds) World AFR AMR EMR EUR SEAR WPR N=37 N=4 N=2 N=3 N=17 N=3 N=8 Ministry of labour (employment) 73.0% (27) 100% (4) 0% (0) 100% (3) 70.6% (12) 66.7% (2) 75.0% (6) Ministry of health 64.9% (24) 50.0% (2) 100% (2) 66.7% (2) 64.7% (11) 100% (3) 50.0% (4) Ministry responsible for finance 40.5% (15) 25.0% (1) 0% (0) 33.3% (1) 41.2% (7) 33.3% (1) 62.5% (5) Organizations of social security/workers’ compensation 24.3% (9) 0% (0) 0% (0) 33.3% (1) 23.5% (4) 33.3% (1) 37.5% (3) Ministry responsible for economic sectors (industry, trade, mining) 21.6% (8) 25.0% (1) 0% (0) 33.3% (1) 23.5% (4) 0% (0) 25.0% (2) Organizations of employers/industrialists 21.6% (8) 50.0% (2) 0% (0) 33.3% (1) 11.8% (2) 33.3% (1) 25.0% (2) Other 21.6% (8) 0% (0) 50.0% (1) 33.3% (1) 17.6% (3) 0% (0) 37.5% (3) Organizations of workers/trade unions 18.9% (7) 25.0% (1) 0% (0) 33.3% (1) 17.6% (3) 0% (0) 25.0% (2) Organizations of occupational health professionals 16.2% (6) 0% (0) 0% (0) 33.3% (1) 17.6% (3) 0% (0) 25.0% (2) World Health Organization* 16.2% (6) 0% (0) 0% (0) 33.3% (1) 0% (0) 66.7% (2) 37.5% (3) External donors 13.5% (5) 0% (0) 0% (0) 0% (0) 5.9% (1) 33.3% (1) 37.5% (3) Organizations of academics/institutes 13.5% (5) 25.0% (1) 0% (0) 33.3% (1) 5.9% (1) 0% (0) 25.0% (2) Other international organizations 10.8% (4) 25.0% (1) 0% (0) 0% (0) 5.9% (1) 33.3% (1) 12.5% (1) 56 Table 36 Source of funds allocated to implement national plan of action on workers' health, by World Bank classification Q3.5.1. Where do these funds come from? (% of those with existing funds) World Low income Lower middle income Upper middle income High income N=37 N=8 N=7 N=7 N=15 Ministry of labour (employment) 73.0% (27) 50.0% (4) 100% (7) 57.1% (4) 80.0% (12) Ministry of health 64.9% (24) 50.0% (4) 71.4% (5) 57.1% (4) 73.3% (11) Ministry responsible for finance 40.5% (15) 25.0% (2) 42.9% (3) 28.6% (2) 53.3% (8) Organizations of social security/workers compensation 24.3% (9) 0% (0) 57.1% (4) 14.3% (1) 26.7% (4) Ministry responsible for economic sectors (industry, trade, mining) 21.6% (8) 0% (0) 42.9% (3) 14.3% (1) 26.7% (4) Organizations of employers/industrialists* 21.6% (8) 25.0% (2) 42.9% (3) 42.9% (3) 0% (0) Other 21.6% (8) 25.0% (2) 14.3% (1) 0% (0) 33.3% (5) Organizations of workers/trade unions* 18.9% (7) 12.5% (1) 42.9% (3) 42.9% (3) 0% (0) Organizations of occupational health professionals 16.2% (6) 0% (0) 42.9% (3) 14.3% (1) 13.3% (2) World Health Organization* 16.2% (6) 50.0% (4) 28.6% (2) 0% (0) 0% (0) External donors 13.5% (5) 25.0% (2) 28.6% (2) 14.3% (1) 0% (0) Organizations of academics/institutes 13.5% (5) 12.5% (1) 42.9% (3) 14.3% (1) 0% (0) Other international organizations 10.8% (4) 25.0% (2) 14.3% (1) 14.3% (1) 0% (0) 57 Table 37 Capacities of the Ministry of Health to provide leadership in workers' health, by WHO region Q4. What are the capacities of the Ministry of Health, including its specialized agencies, in your country to provide leadership in the area of workers' health? World AFR AMR EMR EUR SEAR WPR N=115 N=22 N=9 N=15 N=46 N=9 N=14 Policy formulation Sufficient 50.4% (58) 59.1% (13) 44.4% (4) 33.3% (5) 54.3% (25) 22.2% (2) 64.3% (9) Insufficient 38.3% (44) 31.8% (7) 55.6% (5) 53.3% (8) 30.4% (14) 66.7% (6) 28.6% (4) No capacities at all 5.2% (6) 0% (0) 0% (0) 6.7% (1) 6.5% (3) 11.1% (1) 7.1% (1) Don't know 6.1% (7) 9.1% (2) 0% (0) 6.7% (1) 8.7% (4) 0% (0) 0% (0) Development of legislation Sufficient 46.1% (53) 50.0% (11) 33.3% (3) 33.3% (5) 60.9% (28) 11.1% (1) 35.7% (5) Insufficient 42.6% (49) 45.5% (10) 66.7% (6) 53.3% (8) 23.9% (11) 77.8% (7) 50.0% (7) No capacities at all 5.2% (6) 0% (0) 0% (0) 6.7% (1) 4.3% (2) 11.1% (1) 14.3% (2) Don't know 6.1% (7) 4.5% (1) 0% (0) 6.7% (1) 10.9% (5) 0% (0) 0% (0) Planning, monitoring and evaluation of actions on workers' health Sufficient 39.8% (45) 50.0% (11) 44.4% (4) 20.0% (3) 36.4% (16) 33.3% (3) 57.1% (8) Insufficient 45.1% (51) 36.4% (8) 55.6% (5) 53.3% (8) 45.5% (20) 55.6% (5) 35.7% (5) No capacities at all 10.6% (12) 4.5% (1) 0% (0) 20.0% (3) 13.6% (6) 11.1% (1) 7.1% (1) Don't know 4.4% (5) 9.1% (2) 0% (0) 6.7% (1) 4.5% (2) 0% (0) 0% (0) Workplace health inspection Sufficient 30.4% (35) 31.8% (7) 33.3% (3) 20.0% (3) 30.4% (14) 0% (0) 57.1% (8) Insufficient 45.2% (52) 50.0% (11) 66.7% (6) 53.3% (8) 37.0% (17) 55.6% (5) 35.7% (5) No capacities at all 16.5% (19) 13.6% (3) 0% (0) 20.0% (3) 17.4% (8) 44.4% (4) 7.1% (1) Don't know 7.8% (9) 4.5% (1) 0% (0) 6.7% (1) 15.2% (7) 0% (0) 0% (0) Development of standards and requirements for workplace health protection Sufficient 37.4% (43) 31.8% (7) 22.2% (2) 13.3% (2) 45.7% (21) 33.3% (3) 57.1% (8) Insufficient 46.1% (53) 59.1% (13) 77.8% (7) 66.7% (10) 30.4% (14) 44.4% (4) 35.7% (5) No capacities at all 10.4% (12) 4.5% (1) 0% (0) 13.3% (2) 13.3% (6) 22.2% (2) 7.1% (1) Don't know 6.1% (7) 4.5% (1) 0% (0) 6.7% (1) 10.9% (5) 0% (0) 0% (0) Developing tools and initiatives for workplace health promotion Sufficient 40.9% (47) 36.4% (8) 33.3% (3) 26.7% (4) 43.5% (20) 22.2% (2) 71.4% (10) Insufficient 47.8% (55) 50.0% (11) 66.7% (6) 60.0% (9) 43.5% (20) 66.7% (6) 21.4% (3) No capacities at all 7.0% (8) 4.5% (1) 0% (0) 6.7% (1) 8.7% (4) 11.1% (1) 7.1% (1) Don't know 4.3% (5) 9.1% (2) 0% (0) 6.7% (1) 4.3% (2) 0% (0) 0% (0) 58 Q4. What are the capacities of the Ministry of Health, including its specialized agencies, in your country to provide leadership in the area of workers' health? World AFR AMR EMR EUR SEAR WPR N=115 N=22 N=9 N=15 N=46 N=9 N=14 Establishment of standards for occupational health services Sufficient 44.3% (51) 45.5% (10) 22.2% (2) 40.0% (6) 47.8% (22) 22.2% (2) 64.3% (9) Insufficient 36.5% (42) 27.3% (6) 77.8% (7) 46.7% (7) 32.6% (15) 33.3% (3) 28.6% (4) No capacities at all 13.0% (15) 13.6% (3) 0% (0) 6.7% (1) 13.0% (6) 44.4% (4) 7.1% (1) Don't know 6.1% (7) 13.6% (3) 0% (0) 6.7% (1) 6.5% (3) 0% (0) 0% (0) Monitoring trends in workers' health Sufficient 32.2% (37) 18.2% (4) 44.4% (4) 26.7% (4) 30.4% (14) 22.2% (2) 64.3% (9) Insufficient 45.2% (52) 54.5% (12) 55.6% (5) 40.0% (6) 43.5% (20) 55.6% (5) 28.6% (4) No capacities at all 17.4% (20) 18.2% (4) 0% (0) 26.7% (4) 19.6% (9) 22.2% (2) 7.1% (1) Don't know 5.2% (6) 9.1% (2) 0% (0) 6.7% (1) 6.5% (3) 0% (0) 0% (0) Coordination of the different national health programmes related to workers' health Sufficient 36.5% (42) 27.3% (6) 44.4% (4) 26.7% (4) 43.5% (20) 11.1% (1) 50.0% (7) Insufficient 47.0% (54) 54.5% (12) 44.4% (4) 46.7% (7) 41.3% (19) 77.8% (7) 35.7% (5) No capacities at all 11.3% (13) 13.6% (3) 11.1% (1) 20.0% (3) 8.7% (4) 11.1% (1) 7.1% (1) Don't know 5.2% (6) 4.5% (1) 0% (0) 6.7% (1) 6.5% (3) 0% (0) 7.1% (1) Collaboration with other ministries Sufficient 50.4% (58) 40.9% (9) 44.4% (4) 26.7% (4) 54.3% (25) 55.6% (5) 78.6% (11) Insufficient 38.3% (44) 50.0% (11) 55.6% (5) 53.3% (8) 32.6% (15) 33.3% (3) 14.3% (2) No capacities at all 6.1% (7) 4.5% (1) 0% (0) 13.3% (2) 4.3% (2) 11.1% (1) 7.1% (1) Don't know 5.2% (6) 4.5% (1) 0% (0) 6.7% (1) 8.7% (4) 0% (0) 0% (0) Establishing and sustaining partnerships with employers, trade unions, private sector and civil society Sufficient 39.5% (45) 31.8% (7) 44.4% (4) 33.3% (5) 41.3% (19) 11.1% (1) 64.3% (9) Insufficient 39.1% (45) 50.0% (11) 44.4% (4) 33.3% (5) 32.6% (15) 66.7% (6) 28.6% (4) No capacities at all 15.7% (18) 9.1% (2) 11.1% (1) 26.7% (4) 17.4% (8) 22.2% (2) 7.1% (1) Don't know 6.1% (7) 9.1% (2) 0% (0) 6.7% (1) 8.7% (4) 0% (0) 0% (0) 59 Table 38 Capacities of the Ministry of Health to provide leadership in workers' health, by World Bank classification Q4. What are the capacities of the Ministry of Health, including its specialized agencies, in your country to provide leadership in the area of workers' health? World Low income Lower middle income Upper middle income High income N=115 N=23 N=32 N=24 N=36 Policy formulation Sufficient 50.4% (58) 43.5% (10) 40.6% (13) 62.5% (15) 55.6% (20) Insufficient 38.3% (44) 47.8% (11) 46.9% (15) 29.2% (7) 30.6% (11) No capacities at all 5.2% (6) 0% (0) 6.3% (2) 8.3% (2) 5.6% (2) Don't know 6.1% (7) 8.7% (2) 6.3% (2) 0% (0) 8.3% (3) Development of legislation Sufficient 46.1% (53) 47.8% (11) 31.3% (10) 45.8% (11) 58.3% (21) Insufficient 42.6% (49) 47.8% (11) 53.1% (17) 45.8% (11) 27.8% (10) No capacities at all 5.2% (6) 0% (0) 6.3% (2) 8.3% (2) 5.6% (2) Don't know 6.1% (7) 4.3% (1) 9.4% (3) 0% (0) 8.3% (3) Planning, monitoring and evaluation of actions on workers' health Sufficient 39.1% (45) 47.8% (11) 31.3% (10) 33.3% (8) 44.4% (16) Insufficient 44.3% (51) 39.1% (9) 56.3% (18) 54.2% (13) 30.6% (11) No capacities at all 10.4% (12) 4.3% (1) 6.3% (2) 12.5% (3) 16.7% (6) Don't know 6.1% (7) 8.7% (2) 6.3% (2) 0% (0) 8.3% (3) Workplace health inspection Sufficient 30.4% (35) 26.1% (6) 28.1% (9) 37.5% (9) 30.6% (11) Insufficient 45.2% (52) 56.5% (13) 50.0% (16) 41.7% (10) 36.1% (13) No capacities at all 16.5% (19) 13.0% (3) 15.6% (5) 12.5% (3) 22.2% (8) Don't know 7.8% (9) 4.3% (1) 6.3% (2) 8.3% (2) 11.1% (4) Development of standards and requirements for workplace health protection Sufficient 37.4% (43) 30.4% (7) 31.3% (10) 37.5% (9) 47.2% (17) Insufficient 46.1% (53) 52.2% (12) 56.3% (18) 50.0% (12) 30.6% (11) No capacities at all 10.4% (12) 13.0% (3) 6.3% (2) 8.3% (2) 13.9% (5) Don't know 6.1% (7) 4.3% (1) 6.3% (2) 4.2% (1) 8.3% (3) Developing tools and initiatives for workplace health promotion Sufficient 40.9% (47) 30.4% (7) 34.4% (11) 37.5% (9) 55.6% (20) Insufficient 47.8% (55) 52.2% (12) 53.1% (17) 54.2% (13) 36.1% (13) No capacities at all 7.0% (8) 8.7% (2) 6.3% (2) 8.3% (2) 5.6% (2) 60 Q4. What are the capacities of the Ministry of Health, including its specialized agencies, in your country to provide leadership in the area of workers' health? World Low income Lower middle income Upper middle income High income Don't know 4.3% (5) 8.7% (2) 6.3% (2) 0% (0) 2.8% (1) Establishment of standards for occupational health services Sufficient 44.3% (51) 34.8% (8) 37.5% (12) 54.2% (13) 50.0% (18) Insufficient 36.5% (42) 26.1% (6) 46.9% (15) 33.3% (8) 36.1% (13) No capacities at all 13.0% (15) 26.1% (6) 9.4% (3) 12.5% (3) 8.3% (3) Don't know 6.1% (7) 13.0% (3) 6.3% (2) 0% (0) 5.6% (2) Monitoring trends in workers' health Sufficient 32.2% (37) 21.7% (5) 31.3% (10) 29.2% (7) 41.7% (15) Insufficient 45.2% (52) 47.8% (11) 40.6% (13) 54.2% (13) 41.7% (15) No capacities at all 17.4% (20) 21.7% (5) 21.9% (7) 16.7% (4) 11.1% (4) Don't know 5.2% (6) 8.7% (2) 6.3% (2) 0% (0) 5.6% (2) Coordination of the different national health programmes related to workers' health Sufficient 36.5% (42) 34.8% (8) 31.3% (10) 45.8% (11) 36.1% (13) Insufficient 47.0% (54) 47.8% (11) 46.9% (15) 41.7% (10) 50.0% (18) No capacities at all 11.3% (13) 13.0% (3) 12.5% (4) 12.5% (3) 8.3% (3) Don't know 5.2% (6) 4.3% (1) 9.4% (3) 0% (0) 5.6% (2) Collaboration with other ministries Sufficient 50.4% (58) 47.8% (11) 43.8% (14) 54.2% (13) 55.6% (20) Insufficient 38.3% (44) 43.5% (10) 37.5% (12) 41.7% (10) 33.3% (12) No capacities at all 6.1% (7) 4.3% (1) 9.4% (3) 4.2% (1) 5.6% (2) Don't know 5.2% (6) 4.3% (1) 9.4% (3) 0% (0) 5.6% (2) Establishing and sustaining partnerships with employers, trade unions, private sector and civil society Sufficient 39.1% (45) 26.1% (6) 31.3% (10) 45.8% (11) 50.0% (18) Insufficient 39.1% (45) 52.2% (12) 50.0% (16) 25.0% (6) 30.6% (11) No capacities at all 15.7% (18) 13.0% (3) 12.5% (4) 25.0% (6) 13.9% (5) Don't know 6.1% (7) 8.7% (2) 6.3% (2) 4.2% (1) 5.6% (2) 61 Table 39 Special departments/units with dedicated staff for workers' health within ministries of health, by WHO region Q5. Is there a special department/unit with dedicated staff for workers' health within the ministry of health? World AFR AMR EMR EUR SEAR WPR N=119 N=22 N=9 N=15 N=47 N=10 N=16 Yes, full time 47.9% (57) 54.5% (12) 44.4% (4) 86.7% (13) 34.0% (16) 50.0% (5) 43.8% (7) Yes, part time 20.2% (24) 22.7% (5) 33.3% (3) 0% (0) 21.3% (10) 30.0% (3) 18.8% (3) Not at all 28.6% (34) 18.2% (4) 22.2% (2) 13.3% (2) 38.3% (18) 20.0% (2) 37.5% (6) Don't know 3.4% (4) 4.5% (1) 0% (0) 0% (0) 6.4(3) 0% (0) 0% (0) Table 40 Special departments/units with dedicated staff for workers' health within ministries of health, by World Bank classification Q5. Is there a special department/unit with dedicated staff for workers' health within the ministry of health? World Low income Lower middle income Upper middle income High income N=119 N=24 N=34 N=23 N=38 Yes, full time 47.9% (57) 54.2% (13) 50.0% (17) 26.1% (6) 55.3% (21) Yes, part time 20.2% (24) 25.0% (6) 14.7% (5) 34.8% (7) 13.2% (5) Not at all 28.6% (34) 20.8% (5) 32.4% (11) 39.1% (9) 23.7% (9) Don't know 3.4% (4) 0% (0) 2.9% (1) 0% (0) 7.9% (3) 62 Table 41 Top-priority occupational diseases, by WHO region Q6. Which are the three top-priority occupational diseases in your country according to governmental sources? World AFR AMR EMR EUR SEAR WPR N=117 N=22 N=9 N=15 N=46 N=9 N=16 Occupational respiratory diseases 59.8% (70) 54.5% (12) 55.6% (5) 80.0% (12) 56.5% (26) 77.8% (7) 50.0% (8) Occupational musculoskeletal diseases 56.4% (66) 45.5% (10) 88.9% (8) 53.3% (8) 65.2% (30) 22.2% (2) 50.0% (8) Noise-induced hearing loss 40.2% (47) 36.4% (8) 33.3% (3) 33.3% (5) 50.0% (23) 22.2% (2) 37.5% (6) Occupational poisonings 29.9% (35) 22.7% (5) 44.4% (4) 33.3% (3) 21.7% (10) 55.6% (5) 37.5% (6) Occupational skin diseases 29.1% (34) 36.4% (8) 11.1% (1) 53.3% (8) 26.1% (12) 11.1% (1) 25.0% (4) Other 18.8% (22) 13.6% (3) 33.3% (3) 26.7% (4) 17.4% (8) 11.1% (1) 18.8% (3) Occupational infections 15.4% (18) 13.6% (3) 0% (0) 6.7% (1) 17.4% (8) 22.2% (2) 25.0% (4) Asbestos-related diseases 12.8% (15) 9.1% (2) 11.1% (1) 26.7% (4) 10.9% (5) 22.2% (2) 6.3% (1) Silicosis 12.8% (15) 13.6% (3) 11.1% (1) 20.0% (3) 13.0% (6) 11.1% (1) 6.3% (1) Occupational cancer 8.5% (10) 0% (0) 0% (0) 13.3% (2) 6.5% (3) 11.1% (1) 25.0% (4) Don't know 8.5% (10) 22.7% (5) 0% (0) 0% (0) 8.7% (4) 11.1% (1) 0% (0) 63 Table 42 Top-priority occupational diseases, by World Bank classification Q6. Which are the three top-priority occupational diseases in your country according to governmental sources? World Low income Lower middle income Upper middle income High income N=117 N=24 N=33 N=23 N=37 Occupational respiratory diseases* 59.8% (70) 70.8% (17) 75.8% (25) 60.9% (14) 37.8% (14) Occupational musculoskeletal diseases* 56.4% (66) 45.8% (11) 45.5% (15) 52.2% (12) 75.7% (28) Noise induced hearing loss 40.2% (47) 37.5% (9) 33.3% (11) 39.1% (9) 48.6% (18) Occupational poisonings* 29.9% (35) 37.5% (9) 42.4% (14) 33.8% (8) 10.8% (4) Occupational skin diseases 29.1% (34) 29.2% (7) 27.3% (9) 13.0% (3) 40.5% (15) Other 18.8% (22) 12.5% (3) 18.2% (6) 21.7% (5) 21.6% (8) Occupational infections 15.4% (18) 25.0% (6) 15.2% (5) 21.7% (5) 5.4% (2) Asbestos-related diseases 12.8% (15) 4.2% (1) 15.2% (5) 13.0% (3) 16.2% (6) Silicosis 12.8% (15) 8.3% (2) 21.2% (7) 21.7% (5) 2.7% (1) Occupational cancer 8.5% (10) 4.2% (1) 9.1% (3) 0% (0) 16.2% (6) Don't know 8.5% (10) 16.7% (4) 6.1% (2) 4.3% (1) 8.1% (3) Table 43 Special programme for prevention of top-priority occupational diseases, by WHO region Q7. Does your country have a special programme for prevention of top-priority occupational diseases? World AFR AMR EMR EUR SEAR WPR N=118 N=22 N=10 N=15 N=46 N=10 N=15 Yes 33.9% (40) 13.6% (3) 40.0% (4) 26.7% (4) 37.0% (17) 30.0% (3) 60.0% (9) No 61.0% (72) 81.8% (18) 50.0% (5) 73.3% (11) 54.3% (25) 70.0% (7) 40.0% (6) Don't know 5.1% (6) 4.5% (1) 10.0% (1) 0% (0) 8.7% (4) 0% (0) 0% (0) 64 Table 44 Special programme for prevention of top-priority occupational diseases, by World Bank classification Q7. Does your country have a special programme for prevention of top-priority occupational diseases?* World Low income Lower middle income Upper middle income High income N=118 N=24 N=34 N=23 N=37 Yes 33.9% (40) 16.7% (4) 32.4% (11) 56.5% (13) 32.4% (12) No 61.0% (72) 83.3% (20) 64.7% (22) 39.1% (9) 56.8% (21) Don't know 5.1% (6) 0% (0) 2.9% (1) 4.3% (1) 10.8% (4) Table 45 Initiative to minimize gaps between different groups of workers in terms of levels of risks and health status, by WHO region Q8. Does your country have any initiative to minimize gaps between different groups of workers in terms of levels of risks and health status? World AFR AMR EMR EUR SEAR WPR N=116 N=22 N=10 N=15 N=45 N=9 N=15 Yes 45.7% (53) 36.4% (8) 70.0% (7) 26.7% (4) 51.1% (23) 33.3% (3) 53.3% (8) No 47.4% (55) 50.0% (11) 30.0% (3) 66.7% (10) 42.2% (19) 55.6% (5) 46.7% (7) Don't know 6.9% (8) 13.6% (3) 0% (0) 6.7% (1) 6.7% (3) 11.1% (1) 0% (0) 65 Table 46 Initiative to minimize gaps between different groups of workers in terms of levels of risks and health status, by World Bank classification Q8. Does your country have any initiative to minimize gaps between different groups of workers in terms of levels of risks and health status? World Low income Lower middle income Upper middle income High income N=116 N=22 N=33 N=24 N=37 Yes 45.7% (53) 36.4% (8) 39.4% (13) 58.3% (14) 48.6% (18) No 47.4% (55) 59.1% (13) 45.5% (15) 41.7% (10) 45.9% (17) Don't know 6.9% (8) 4.5% (1) 15.2% (5) 0% (0) 5.4% (2) Table 47 Programme for occupational health and safety of health care workers, by WHO region Q9. Does your country have a programme for occupational health and safety of health care workers? World AFR AMR EMR EUR SEAR WPR N=118 N=22 N=9 N=15 N=48 N=9 N=15 Yes 51.7% (61) 40.9% (9) 55.6% (5) 53.3% (8) 47.9% (23) 66.7% (6) 66.7% (10) No 45.8% (54) 59.1% (13) 33.3% (3) 46.7% (7) 50.0% (24) 22.2% (2) 33.3% (5) Don't know 2.5% (3) 0% (0) 11.1% (1) 0% (0) 2.1% (1) 11.1% (1) 0% (0) Table 48 Programme for occupational health and safety of health care workers, by World Bank classification Q9. Does your country have a programme for occupational health and safety of health care workers?* World Low income Lower middle income Upper middle income High income N=118 N=23 N=34 N=24 N=37 Yes 51.7% (61) 34.8% (8) 50.0% (17) 41.7% (10) 70.3% (26) No 45.8% (54) 65.2% (15) 47.1% (16) 50.0% (12) 29.7% (11) Don't know 2.5% (3) 0% (0) 2.9% (1) 8.3% (2) 0% (0) 66 Table 49 Legal limits on chrysotile asbestos use, by WHO region Q10. Is the use of chrysotile asbestos legally permitted in your country? World AFR AMR EMR EUR SEAR WPR N=120 N=22 N=10 N=15 N=48 N=9 N=16 Yes, without restrictions 10.8% (13) 13.6% (3) 20.0% (2) 0% (0) 12.5% (6) 11.1% (1) 6.3% (1) Yes, with restrictions 25.0% (30) 13.6% (3) 40.0% (4) 33.3% (5) 16.7% (8) 55.6% (5) 31.3% (5) Use is prohibited 50.8% (61) 50.0% (11) 30.0% (3) 53.3% (8) 66.7% (32) 22.2% (2) 31.3% (5) Don't know 13.3% (16) 22.7% (5) 10.0% (1) 13.3% (2) 4.2% (2) 11.1% (1) 31.3% (5) Table 50 Legal limits on chrysotile asbestos use, by World Bank classification Q10. Is the use of chrysotile asbestos legally permitted in your country?* World Low income Lower middle income Upper middle income High income N=120 N=23 N=34 N=24 N=39 Yes, without restrictions 10.8% (13) 21.7% (5) 5.9% (2) 25.0% (6) 0% (0) Yes, with restrictions 25.0% (30) 21.7% (5) 41.2% (14) 20.8% (5) 15.4% (6) Use is prohibited 50.8% (61) 26.1% (6) 41.2% (14) 41.7% (10) 79.5% (31) Don't know 13.3% (16) 30.4% (7) 11.8% (4) 12.5% (3) 5.1% (2) 67 Table 51 Regulatory requirement for immunization of health care workers against hepatitis B, by WHO region Q11. Is there a regulatory requirement in your country that health care workers should be immunized against hepatitis B? World AFR AMR EMR EUR SEAR WPR N=118 N=22 N=9 N=15 N=47 N=9 N=16 Yes, fully 35.6% (42) 18.2% (4) 44.4% (4) 33.3% (5) 51.1% (24) 11.1% (1) 25.0% (4) Yes, partially 36.4% (43) 31.8% (7) 22.2% (2) 53.3% (8) 38.3% (18) 33.3% (3) 31.3% (5) Not at all 24.6% (29) 45.5% (10) 33.3% (3) 13.3% (2) 8.5% (4) 44.4% (4) 37.5% (6) Don't know 3.4% (4) 4.5% (1) 0% (0) 0% (0) 2.1% (1) 11.1% (1) 6.3% (1) Table 52 Regulatory requirement for immunization of health care workers against hepatitis B, by World Bank classification Q11. Is there a regulatory requirement in your country that health care workers should be immunized against hepatitis B?* World Low income Lower middle income Upper middle income High income N=118 N=23 N=34 N=24 N=37 Yes, fully 35.2% (42) 4.3% (1) 23.5% (8) 50.0% (12) 56.8% (21) Yes, partially 36.4% (43) 43.5% (10) 41.2% (14) 33.3% (8) 29.7% (11) Not at all 24.6% (29) 52.2% (12) 29.4% (10) 12.5% (3) 10.8% (4) Don't know 3.4% (4) 0% (0) 5.9% (2) 4.2% (1) 2.7% (1) 68 A II.2 Objective 2: To protect and promote health at the workplace Table 53 Specific requirements to manage chemicals at the workplace, by WHO region Q12. Does your country have specific requirements to manage chemicals at the workplace that deal with all phases of chemicals' life cycle, including production, use, and waste?* World AFR AMR EMR EUR SEAR WPR N=119 N=22 N=10 N=15 N=47 N=9 N=16 Yes, fully 41.2% (49) 13.6% (3) 30.0% (3) 20.0% (3) 63.8% (30) 22.2% (2) 50.0% (8) Yes, partially 41.2% (49) 59.1% (13) 60.0% (6) 60.0% (9) 23.4% (11) 55.6% (5) 31.3% (5) Not at all 14.3% (17) 22.7% (5) 10.0% (1) 13.3% (2) 8.5% (4) 22.2% (2) 18.8% (3) Don't know 3.4% (4) 4.5% (1) 0% (0) 6.7% (1) 4.3% (2) 0% (0) 0% (0) Table 54 Specific requirements to manage chemicals at the workplace, by World Bank classification Q12. Does your country have specific requirements to manage chemicals at the workplace that deal with all phases of chemicals' life cycle, including production, use, and waste?* World Low income Lower middle income Upper middle income High income N=119 N=23 N=34 N=24 N=38 Yes, fully 41.2% (49) 13.0% (3) 32.4% (11) 45.8% (11) 63.2% (24) Yes, partially 41.2% (49) 65.2% (15) 47.1% (16) 37.5% (9) 23.7% (9) Not at all 14.3% (17) 17.4% (4) 20.6% (7) 16.7% (4) 5.3% (2) Don't know 3.4% (4) 4.3% (1) 0% (0) 0% (0) 7.9% (3) 69 Table 55 Prohibition of tobacco smoking at indoor workplaces, by WHO region Q13. Is tobacco smoking prohibited in indoor workplaces in your country? World AFR AMR EMR EUR SEAR WPR N=117 N=22 N=9 N=15 N=47 N=9 N=15 Yes, fully 58.1% (68) 50.0% (11) 55.6% (5) 60.0% (9) 63.8% (30) 66.7% (6) 46.7% (7) Yes, partially 34.2% (40) 36.4% (8) 33.3% (3) 33.3% (5) 27.7% (13) 33.3% (3) 53.3% (8) Not at all 7.7% (9) 13.6% (3) 11.1% (1) 6.7% (1) 8.5% (4) 0% (0) 0% (0) Table 56 Prohibition of tobacco smoking at indoor workplaces, by World Bank classification Q13. Is tobacco smoking prohibited in indoor workplaces in your country? World Low income Lower middle income Upper middle income High income N=117 N=23 N=34 N=24 N=36 Yes, fully 58.1% (68) 43.5% (10) 58.8% (20) 66.7% (16) 61.1% (22) Yes, partially 34.2% (40) 34.8% (8) 32.4% (11) 29.2% (7) 38.9% (14) Not at all 7.7% (9) 21.7% (5) 8.8% (3) 4.2% (1) 0% (0) 70 Table 57 Capacity to carry out workplace health inspections, by WHO region Q14. What is the current capacity in your country to carry out workplace health inspection?* World AFR AMR EMR EUR SEAR WPR N=119 N=22 N=10 N=15 N=47 N=9 N=16 Sufficient 30.3% (36) 13.6% (3) 0% (0) 6.7% (1) 48.9% (23) 11.1% (1) 50.0% (8) Insufficient 62.2% (74) 86.4% (19) 90.0% (9) 86.7% (13) 38.3% (18) 88.9% (8) 43.8% (7) No capacity at all 3.4% (4) 0% (0) 10.0% (1) 6.7% (1) 4.3% (2) 0% (0) 0% (0) Don't know 4.2% (5) 0% (0) 0% (0) 0% (0) 8.5% (4) 0% (0) 6.3% (1) Table 58 Capacity to carry out workplace health inspections, by World Bank classification Q14. What is the current capacity in your country to carry out workplace health inspection?* World Low income Lower middle income Upper middle income High income N=119 N=23 N=34 N=24 N=38 Sufficient 30.3% (36) 8.7% (2) 23.5% (8) 33.3% (8) 47.4% (18) Insufficient 62.2% (74) 87.0% (20) 67.6% (23) 66.7% (16) 39.5% (15) No capacity at all 3.4% (4) 4.3% (1) 8.8% (3) 0% (0) 0% (0) Don't know 4.2% (5) 0% (0) 0% (0) 0% (0) 13.2% (5) 71 Table 59 Initiative to develop programmes for healthy workplaces, by WHO region Q15. Does your country have any initiative to stimulate the development of programmes for healthy workplaces? World AFR AMR EMR EUR SEAR WPR N=119 N=22 N=10 N=15 N=47 N=9 N=16 Yes 73.1% (87) 72.7% (16) 60.0% (6) 66.7% (10) 76.6% (36) 55.6% (5) 87.5% (14) No 19.3% (23) 22.7% (5) 40.0% (4) 20.0% (3) 14.9% (7) 22.2% (2) 12.5% (2) Don't know 7.6% (9) 4.5% (1) 0% (0) 13.3% (2) 8.5% (4) 22.2% (2) 0% (0) Table 60 Initiative to develop programmes for healthy workplaces, by World Bank classification Q15. Does your country have any initiative to stimulate the development of programmes for healthy workplaces? World Low income Lower middle income Upper middle income High income N=119 N=23 N=34 N=24 N=38 Yes 73.1% (87) 69.6% (16) 64.7% (22) 66.7% (16) 86.8% (33) No 19.3% (23) 26.1% (6) 20.6% (7) 29.2% (7) 7.9% (3) Don't know 7.6% (9) 4.3% (1) 14.7% (5) 4.2% (1) 5.3% (2) 72 Table 61 Health programmes that include workplace components, by WHO region Q16. Which of the following health programmes in your country include workplace components? World AFR AMR EMR EUR SEAR WPR N=116 N=22 N=9 N=15 N=46 N=9 N=15 Health promotion 76.7% (89) 77.3% (17) 88.9% (8) 60.0% (9) 76.1% (35) 88.9% (8) 80.0% (12) Injury prevention 62.9% (73) 59.1% (13) 77.8% (7) 46.7% (7) 58.7% (27) 88.9% (8) 73.3% (11) HIV/AIDS* 58.6% (68) 90.9% (20) 66.7% (6) 40.0% (6) 47.8% (22) 77.8% (7) 46.7% (7) Prevention and control of noncommunicable (chronic) diseases 50.0% (58) 54.5% (12) 44.4% (4) 33.3% (5) 41.3% (19) 77.8% (7) 73.3% (11) Mental health 42.2% (49) 36.4% (8) 44.4% (4) 20.0% (3) 43.5% (20) 55.6% (5) 60.0% (9) Tuberculosis 41.4% (48) 40.9% (9) 33.3% (3) 26.7% (4) 41.3% (19) 44.4% (4) 60.0% (9) Diet and physical activity 40.5% (47) 27.3% (6) 55.6% (5) 26.7% (4) 41.3% (19) 44.4% (4) 60.0% (9) Road safety 38.8% (45) 54.5% (12) 33.3% (3) 40.0% (6) 23.9% (11) 55.6% (5) 53.3% (8) Avian influenza 37.1% (43) 22.7% (5) 55.6% (5) 26.7% (4) 39.1% (18) 33.3% (3) 53.3% (8) Cancer control 28.4% (33) 9.1% (2) 33.3% (3) 20.0% (3) 32.6% (15) 22.2% (2) 53.3% (8) Malaria 22.4% (26) 31.8% (7) 22.2% (2) 26.7% (4) 13.0% (6) 33.3% (3) 26.7% (4) Family health 19.8% (23) 9.1% (2) 11.1% (1) 33.3% (5) 15.2% (7) 33.3% (3) 33.3% (5) Other 10.3% (12) 9.1% (2) 11.1% (1) 13.3% (2) 10.9% (5) 22.2% (2) 0% (0) Don't know 6.0% (7) 0% (0) 0% (0) 20.0% (3) 6.5% (3) 0% (0) 6.7% (1) 73 Table 62 Health programmes that include workplace components, by World Bank classification Q16. Which of the following health programmes in your country include workplace components? World Low income Lower middle income Upper middle income High income N=116 N=23 N=34 N=23 N=36 Health promotion 76.7% (89) 78.3% (18) 67.6% (23) 73.9% (17) 86.1% (31) Injury prevention 62.9% (73) 60.9% (14) 58.8% (20) 60.9% (14) 69.4% (25) HIV/AIDS* 58.6% (68) 91.3% (21) 55.9% (19) 65.2% (15) 36.1% (13) Prevention and control of noncommunicable (chronic) diseases 50.0% (58) 56.5% (13) 41.2% (14) 47.8% (11) 55.6% (20) Mental health* 42.2% (49) 26.1% (6) 41.2% (14) 30.4% (7) 61.1% (22) Tuberculosis 41.4% (48) 47.8% (11) 41.2% (14) 43.5% (10) 36.1% (13) Diet and physical activity* 40.5% (47) 21.7% (5) 26.5% (9) 52.2% (12) 58.3% (21) Road safety 38.8% (45) 56.5% (13) 38.2% (13) 26.1% (6) 36.1% (13) Avian influenza 37.1% (43) 34.8% (8) 23.5% (8) 34.8% (8) 52.8% (19) Cancer control* 28.4% (33) 17.4% (4) 17.6% (6) 26.1% (6) 47.2% (17) Malaria* 22.4% (26) 43.5% (10) 23.5% (8) 17.4% (4) 11.1% (4) Family health 19.8% (23) 17.4% (4) 20.6% (7) 21.7% (5) 19.4% (7) Other 10.3% (12) 8.7% (2) 17.6% (6) 8.7% (2) 5.6% (2) Don't know 6.0% (7) 0% (0) 14.7% (5) 0% (0) 5.6% (2) 74 A II.3 Objective 3: to improve the performance of and access to occupational health services Table 63 Coverage of workers with occupational health services, by WHO region Q17. What is the current level of coverage of workers in your country with occupational health services according to governmental estimates? World AFR AMR EMR EUR SEAR WPR N=117 N=22 N=10 N=15 N=45 N=9 N=16 Below 5% 14.5% (17) 22.7% (5) 30.0% (3) 33.3% (5) 6.7% (3) 11.1% (1) 0% (0) 5-10% 8.5% (10) 13.6% (3) 0% (0) 6.7% (1) 4.4% (2) 22.2% (2) 12.5% (2) 10-15% 6.0% (7) 4.5% (1) 0% (0) 6.7% (1) 4.4% (2) 22.2% (2) 6.3% (1) 15-20% 5.1% (6) 0% (0) 10.0% (1) 0% (0) 4.4% (2) 11.1% (1) 12.5% (2) 20-25% 1.7% (2) 0% (0) 0% (0) 0% (0) 4.4% (2) 0% (0) 0% (0) 25-30% 3.4% (4) 0% (0) 0% (0) 6.7% (1) 2.2% (1) 0% (0) 12.5% (2) More than 30% 37.6% (44) 18.2% (4) 50.0% (5) 33.3% (5) 53.3% (24) 0% (0) 37.5% (6) Don't know 23.1% (27) 40.9% (9) 10.0% (1) 13.3% (2) 20.0% (9) 33.3% (3) 18.3% (3) Table 64 Coverage of workers with occupational health services, by World Bank classification Q17. What is the current level of coverage of workers in your country with occupational health services according to governmental estimates? World Low income Lower middle income Upper middle income High income N=117 N=22 N=33 N=24 N=38 Below 5% 14.5% (17) 22.7% (5) 18.2% (6) 16.7% (4) 5.3% (2) 5-10% 8.5% (10) 9.1% (2) 9.1% (3) 8.3% (2) 7.9% (3) 10-15% 6.0% (7) 9.1% (2) 12.1% (4) 0% (0) 2.6% (1) 15-20% 5.1% (6) 4.5% (1) 6.1% (2) 4.2% (1) 5.3% (2) 20-25% 1.7% (2) 0% (0) 3.0% (1) 0% (0) 2.6% (1) 25-30% 3.4% (4) 0% (0) 9.1% (3) 4.2% (1) 0% (0) More than 30% 37.6% (44) 18.2% (4) 24.2% (8) 41.7% (10) 57.9% (22) Don't know 23.1% (27) 36.4% (8) 18.2% (6) 25.0% (6) 18.4% (7) 75 Table 65 Incorporation of development of occupational health services into national health strategies, by WHO region Q18. Is the development of occupational health services in your country incorporated into the national health strategies? World AFR AMR EMR EUR SEAR WPR N=121 N=22 N=10 N=15 N=48 N=10 N=16 Yes, fully 23.1% (28) 18.2% (4) 10.0% (1) 20.0% (3) 29.2% (14) 40.0% (4) 12.5% (2) Yes, partially 57.9% (70) 45.5% (10) 60.0% (6) 53.3% (8) 62.5% (30) 50.0% (5) 68.8% (11) Not at all 14.9% (18) 22.7% (5) 20.0% (2) 26.7% (4) 8.3% (4) 10.0% (1) 12.5% (2) Don't know 4.1% (5) 13.6% (3) 10.0% (1) 0% (0) 0% (0) 0% (0) 6.3% (1) Table 66 Incorporation of development of occupational health services into national health strategies, by World Bank classification Q18. Is the development of occupational health services in your country incorporated into the national health strategies? World Low income Lower middle income Upper middle income High income N=121 N=24 N=34 N=24 N=39 Yes, fully 23.1% (28) 16.7% (4) 17.6% (6) 25.0% (6) 30.8% (12) Yes, partially 57.9% (70) 45.8% (11) 64.7% (22) 62.5% (15) 56.4% (22) Not at all 14.9% (18) 29.2% (7) 11.8% (4) 12.5% (3) 10.3% (4) Don't know 4.1% (5) 8.3% (2) 5.9% (2) 0% (0) 2.6% (1) 76 Table 67 Standards for organization and coverage of occupational health services, by WHO region Q19. Does your country have standards for organization and coverage of occupational health services? World AFR AMR EMR EUR SEAR WPR N=120 N=21 N=10 N=15 N=48 N=10 N=16 Yes, fully 30.8% (37) 28.6% (6) 30.0% (3) 26.7% (4) 39.6% (19) 10.0% (1) 25.0% (4) Yes, partially 50.0% (60) 52.4% (11) 40.0% (4) 53.3% (8) 47.9% (23) 60.0% (6) 50.0% (8) Not at all 15.8% (19) 14.3% (3) 30.0% (3) 20.0% (3) 10.4% (5) 30.0% (3) 12.5% (2) Don't know 3.3% (4) 4.8% (1) 0% (0) 0% (0) 2.1% (1) 0% (0) 12.5% (2) Table 68 Standards for organization and coverage of occupational health services, by World Bank classification Q19. Does your country have standards for organization and coverage of occupational health services? World Low income Lower middle income Upper middle income High income N=120 N=24 N=33 N=24 N=39 Yes, fully 30.8% (37) 16.7% (4) 24.2% (8) 41.7% (10) 38.5% (15) Yes, partially 50.0% (60) 58.3% (14) 48.5% (16) 50.0% (12) 46.2% (18) Not at all 15.8% (19) 20.8% (5) 24.2% (8) 8.3% (2) 10.3% (4) Don't know 3.3% (4) 4.2% (1) 3.0% (1) 0% (0) 5.1% (2) 77 Table 69 Targets for increasing coverage of working population with occupational health services, by WHO region Q20. Has your country set targets for increasing the coverage of the working population with occupational health services? World AFR AMR EMR EUR SEAR WPR N=121 N=22 N=10 N=15 N=48 N=10 N=16 Yes, fully 24.0% (29) 18.2% (4) 10.0% (1) 13.3% (2) 35.4% (17) 20.0% (2) 18.8% (3) Yes, partially 44.6% (54) 36.4% (8) 30.0% (3) 66.7% (10) 41.7% (20) 30.0% (3) 62.5% (10) Not at all 25.6% (31) 40.9% (9) 50.0% (5) 20.0% (3) 18.8% (9) 30.0% (3) 12.5% (2) Don't know 5.8% (7) 4.5% (1) 10.0% (1) 0% (0) 4.2% (2) 20.0% (2) 6.3% (1) Table 70 Targets for increasing coverage of working population with occupational health services, by World Bank classification Q20. Has your country set targets for increasing the coverage of the working population with occupational health services? World Low income Lower middle income Upper middle income High income N=121 N=24 N=34 N=24 N=39 Yes, fully 24.0% (29) 8.3% (2) 17.6% (6) 29.2% (7) 35.9% (14) Yes, partially 44.6% (54) 37.5% (9) 55.9% (19) 33.3% (8) 46.2% (18) Not at all 25.6% (31) 45.8% (11) 20.6% (7) 33.3% (8) 12.8% (5) Don't know 5.8% (7) 8.3% (2) 5.9% (2) 4.2% (1) 5.1% (2) 78 Table 71 Mechanisms for pooling and financing the delivery of occupational health services, by WHO region Q21. Does your country have mechanisms for pooling and financing the delivery of occupational health services? World AFR AMR EMR EUR SEAR WPR N=120 N=21 N=10 N=15 N=48 N=10 N=16 Yes, fully 14.2% (17) 0% (0) 10.0% (1) 13.3% (2) 25.0% (12) 0% (0) 12.5% (2) Yes, partially 41.7% (50) 47.6% (10) 40.0% (4) 46.7% (7) 35.4% (17) 40.0% (4) 50.0% (8) Not at all 35.0% (42) 47.6% (10) 40.0% (4) 33.3% (5) 31.3% (15) 40.0% (4) 25.0% (4) Don't know 9.2% (11) 4.8% (1) 10.0% (1) 6.7% (1) 8.3% (4) 20.0% (2) 12.5% (2) Table 72 Mechanisms for pooling and financing the delivery of occupational health services, by World Bank classification Q21. Does your country have mechanisms for pooling and financing the delivery of occupational health services? World Low income Lower middle income Upper middle income High income N=120 N=23 N=34 N=24 N=39 Yes, fully 14.2% (17) 4.3% (1) 5.9% (2) 16.7% (4) 25.6% (10) Yes, partially 41.7% (50) 39.1% (9) 52.9% (18) 33.3% (8) 38.5% (15) Not at all 35.0% (42) 43.5% (10) 32.4% (11) 45.8% (11) 25.6% (10) Don't know 9.2% (11) 13.0% (3) 8.8% (3) 4.2% (1) 10.3% (4) 79 Table 73 Sufficient and competent human resources for occupational health services, by WHO region Q22. Are there sufficient and competent human resources for occupational health services in your country? World AFR AMR EMR EUR SEAR WPR N=119 N=22 N=10 N=15 N=48 N=9 N=15 Yes, fully 10.9% (13) 4.5% (1) 0% (0) 6.7% (1) 20.8% (10) 0% (0) 6.7% (1) Yes, partially 69.7% (83) 68.2% (15) 60.0% (6) 66.7% (10) 62.5% (30) 88.9% (8) 93.3% (14) Not at all 17.6% (21) 27.3% (6) 40.0% (4) 26.7% (4) 12.5% (6) 11.1% (1) 0% (0) Don't know 1.7% (2) 0% (0) 0% (0) 0% (0) 4.2% (2) 0% (0) 0% (0) Table 74 Sufficient and competent human resources for occupational health services, by World Bank classification Q22. Are there sufficient and competent human resources for occupational health services in your country? World Low income Lower middle income Upper middle income High income N=119 N=23 N=34 N=24 N=38 Yes, fully 10.9% (13) 4.3% (1) 8.8% (3) 8.3% (2) 18.4% (7) Yes, partially 69.7% (83) 69.6% (16) 70.6% (24) 75.0% (18) 65.8% (25) Not at all 17.6% (21) 26.1% (6) 20.6% (7) 16.7% (4) 10.5% (4) Don't know 1.7% (2) 0% (0) 0% (0) 0% (0) 5.3% (2) 80 Table 75 Quality assurance of occupational health services, by WHO region Q23. Is there a system for quality assurance of occupational health services in your country?* World AFR AMR EMR EUR SEAR WPR N=119 N=21 N=10 N=15 N=48 N=9 N=16 Yes, fully 12.6% (15) 0% (0) 0% (0) 6.7% (1) 25.0% (12) 11.1% (1) 6.3% (1) Yes, partially 43.7% (52) 42.9% (9) 20.0% (2) 26.7% (4) 54.2% (26) 33.3% (3) 50.0% (8) Not at all 41.2% (49) 52.4% (11) 70.0% (7) 66.7% (10) 20.8% (10) 55.6% (5) 37.5% (6) Don't know 2.5% (3) 4.8% (1) 10.0% (1) 0% (0) 0% (0/48 0% (0) 6.3% (1) Table 76 Quality assurance of occupational health services, by World Bank classification Q23. Is there a system for quality assurance of occupational health services in your country? World Low income Lower middle income Upper middle income High income N=119 N=23 N=33 N=24 N=39 Yes, fully 12.6% (15) 0% (0) 12.1% (4) 8.3% (2) 23.1% (9) Yes, partially 43.7% (52) 47.8% (11) 33.3% (11) 50.0% (12) 46.2% (18) Not at all 41.2% (49) 52.2% (12) 54.5% (18) 37.5% (9) 25.6% (10) Don't know 2.5% (3) 0% (0) 0% (0) 4.2% (1) 5.1% (2) 81 Table 77 National institute responsible for occupational health, by WHO region Q24. Does your country have a national institute responsible for occupational health?* World AFR AMR EMR EUR SEAR WPR N=120 N=22 N=10 N=15 N=48 N=9 N=16 Yes, as separate institute 31.7% (38) 18.2% (4) 20.0% (2) 20.0% (3) 35.4% (17) 44.4% (4) 50.0% (8) Yes, as part of another institute 26.7% (32) 13.6% (3) 30.0% (3) 6.7% (1) 41.7% (20) 33.3% (3) 12.5% (2) Not at all 41.7% (50) 68.2% (15) 50.0% (5) 73.3% (11) 22.9% (11) 22.2% (2) 37.5% (6) Table 78 National institute responsible for occupational health, by World Bank classification Q24. Does your country have a national institute responsible for occupational health? World Low income Lower middle income Upper middle income High income N=120 N=23 N=34 N=24 N=39 Yes, as separate institute 31.7% (38) 13.0% (3) 32.4% (11) 45.8% (11) 33.3% (13) Yes, as part of another institute 26.7% (32) 30.4% (7) 26.5% (9) 25.0% (6) 25.6% (10) Not at all 41.7% (50) 56.5% (13) 41.2% (14) 29.2% (7) 41.0% (16) 82 Table 79 Tasks of the national institute responsible for occupational health, by WHO region Q24.1. What are the tasks of the national institute responsible for occupational health? (% of those who have one) World AFR AMR EMR EUR SEAR WPR N=68 N=7 N=5 N=3 N=36 N=7 N=10 Research 80.9% (55) 71.4% (5) 80% (4) 33.3% (1) 88.9% (32) 85.7% (6) 70.0% (7) Providing support to occupational health services 75.0% (51) 85.7% (4) 80.0% (4) 33.3% (1) 72.2% (26) 100% (7) 70.0% (7) Training of occupational health professionals 72.1% (49) 42.9% (3) 80.0% (4) 33.3% (1) 77.8% (28) 85.7% (6) 70.0% (7) Developing standards 67.6% (46) 28.6% (2) 80.0% (4) 33.3% (1) 80.6% (29) 57.1% (4) 60.0% (6) Maintaining data/information 66.2% (45) 28.6% (2) 80% (4) 33.3% (1) 75.0% (27) 57.1% (4) 70.0% (7) Surveillance of occupational diseases 66.2% (45) 85.7% (6) 60.0% (3) 0% (0) 66.7% (24) 57.1% (4) 80.0% (8) Drafting legislation* 61.8% (42) 28.6% (2) 60.0% (3) 33.3% (1) 77.8% (28) 28.6% (2) 60.0% (6) Developing policy 60.3% (41) 42.9% (3) 60.0% (3) 33.3% (1) 66.7% (24) 57.1% (4) 60.0% (6) Training of social partners (workers and employers' organizations) 60.3% (41) 57.1% (4) 80% (4) 33.3% (1) 61.1% (22) 57.1% (4) 60.0% (6) Other 17.6% (12) 0% (0) 20.0% (1) 33.3% (1) 19.4% (7) 28.6% (2) 10.0% (1) Don't know* 2.9% (2) 0% (0) 0% (0) 33.3% (1) 0% (0) 14.3% (1) 0% (0) 83 Table 80 Tasks of the national institute responsible for occupational health, by World Bank classification Q24.1. What are the tasks of the national institute responsible for occupational health? (% of those who have one) World Low income Lower middle income Upper middle income High income N=68 N=9 N=19 N=17 N=23 Research 80.9% (55) 77.8% (7) 78.9% (15) 76.5% (13) 87.0% (20) Providing support to occupational health services 75.0% (51) 77.8% (7) 73.7% (14) 88.2% (15) 65.2% (15) Training of occupational health professionals 72.1% (49) 66.7% (6) 73.7% (14) 88.2% (15) 60.9% (14) Developing standards 67.6% (46) 44.4% 4) 68.4% (13) 64.7% (11) 78.3% (18) Maintaining data/information* 66.2% (45) 22.2% (2) 68.4% (13) 70.6% (12) 78.3% (18) Surveillance of occupational diseases 66.2% (45) 66.7% (6) 63.2% (12) 64.7% (11) 69.6% (16) Drafting legislation 61.8% (42) 55.6% (5) 52.6% (10) 64.7% (11) 69.6% (16) Developing policy 60.3% (41) 33.3% (3) 63.2% (12) 58.8% (10) 69.6% (16) Training of social partners (workers and employers' organizations) 60.3% (41) 55.6% (5) 57.9% (11) 64.7% (11) 60.9% (14) Other* 17.6% (12) 11.1% (1) 15.8% (3) 0% (0) 34.8% (8) Don't know 2.9% (2) 11.1% (1) 5.3% (1) 0% (0) 0% (0) 84 Table 81 Inclusion of occupational health in undergraduate training, by WHO region Q25. In your view, to what extent is occupational health included in undergraduate training in the following areas? World AFR AMR EMR EUR SEAR WPR N=118 N=22 N=10 N=14 N=48 N=10 N=14 Medicine Sufficient 31.4% (37) 22.7% (5) 10.0% (1) 35.7% (5) 37.5% (18) 10.0% (1) 50.0% (7) Insufficient 49.2% (58) 50.0% (11) 80.0% (8) 35.7% (5) 43.8% (21) 80.0% (8) 35.7% (5) Not at all 10.2% (12) 9.1% (2) 10.0% (1) 21.4% (3) 8.3% (4) 0% (0) 14.3% (2) Don't know 9.3% (11) 18.2% (4) 0% (0) 7.1% (1) 10.4% (5) 10.0% (1) 0% (0) Nursing* Sufficient 16.9% (20) 4.5% (1) 10.0% (1) 0% (0) 25.0% (12) 0% (0) 42.9% (6) Insufficient 55.9% (66) 59.1% (13) 90.0% (9) 57.1% (8) 47.9% (23) 80.0% (8) 35.7% (5) Not at all 16.1% (19) 13.6% (3) 0% (0) 28.6% (4) 20.8% (10) 10.0% (1) 7.1% (1) Don't know 11.0% (13) 22.7% (5) 0% (0) 14.3% (2) 6.3% (3) 10.0% (1) 14.3% (2) Public health Sufficient 29.7% (35) 31.8% (7) 0/10 35.7% (5) 31.3% (15) 40.0% (4) 28.6% (4) Insufficient 49.2% (58) 50.0% (11) 80.0% (8) 42.9% (6) 45.8% (22) 50.0% (5) 42.9% (6) Not at all 10.2% (12) 0% (0) 10.0% (1) 14.3% (2) 12.5% (6) 10.0% (1) 14.3% (2) Don't know 11.0% (13) 18.2% (4) 10.0% (1) 7.1% (1) 10.4% (5) 0% (0) 14.3% (2) Engineering* Sufficient 6.8% (8) 9.1% (2) 10.0% (1) 0% (0) 2.1% (1) 0% (0) 28.6% (4) Insufficient 45.8% (54) 18.2% (4) 60.0% (6) 71.4% (10) 47.9% (23) 50.0% (5) 42.9% (6) Not at all 18.6% (22) 22.7% (5) 20.0% (2) 14.3% (2) 20.8% (10) 20.0% (2) 7.1% (1) Don't know 28.8% (34) 50.0% (11) 10.0% (1) 14.3% (2) 29.2% (14) 30.0% (3) 21.4% (3) Physical sciences* Sufficient 5.1% (6) 0% (0) 0% (0) 0% (0) 4.2% (2) 0% (0) 28.6% (4) Insufficient 29.7% (35) 13.6% (3) 40.0% (4) 28.6% (4) 33.3% (16) 50.0% (5) 21.4% (3) Not at all 31.4% (37) 27.3% (6) 40.0% (4) 57.1% (8) 33.3% (16) 10.0% (1) 14.3% (2) Don't know 33.9% (40) 59.1% (13) 20.0% (2) 14.3% (2) 29.2% (14) 40.0% (4) 35.7% (5) Social sciences Sufficient 5.9% (7) 4.5% (1) 0% (0) 0% (0) 8.3% (4) 0% (0) 14.3% (2) Insufficient 34.7% (41) 18.2% (4) 50.0% (5) 42.9% (6) 35.4% (17) 40.0% (4) 35.7% (5) Not at all 22.9% (27) 13.6% (3) 30.0% (3) 42.9% (6) 22.9% (11) 20.0% (2) 14.3% (2) Don't know 36.4% (43) 63.6% (14) 20.0% (2) 14.3% (2) 33.3% (16) 40.0% (4) 35.7% (5) Other Sufficient 1.7% (2) 0% (0) 0% (0) 0% (0) 4.2% (2) 0% (0) 0% (0) 85 Q25. In your view, to what extent is occupational health included in undergraduate training in the following areas? World AFR AMR EMR EUR SEAR WPR N=118 N=22 N=10 N=14 N=48 N=10 N=14 Insufficient 3.4% (4) 4.5% (1) 0% (0) 21.4% (3) 0% (0) 0% (0) 0% (0) Not at all 3.4% (4) 0% (0) 0% (0) 7.1% (1) 2.1% (1) 10.0% (1) 7.1% (1) Don't know 91.5% (108) 95.5% (21) 100% (10) 71.4% (10) 93.8% (45) 90.0% (9) 92.9% (13) Table 82 Inclusion of occupational health in undergraduate training, by World Bank classification Q25. In your view, to what extent is occupational health included in undergraduate training in the following areas? World Low income Lower middle income Upper middle income High income N=118 N=24 N=32 N=24 N=38 Medicine Sufficient 31.4% (37) 25.0% (6) 37.5% (12) 41.7% (10) 23.7% (9) Insufficient 49.2% (58) 58.3% (14) 40.6% (13) 54.2% (13) 47.4% (18) Not at all 10.2% (12) 12.5% (3) 9.4% (3) 0% (0) 15.8% (6) Don't know 9.3% (11) 4.2% (1) 12.5% (4) 4.2% (1) 13.2% (5) Nursing Sufficient 16.9% (20) 4.2% (1) 15.6% (5) 20.8% (5) 23.7% (9) Insufficient 55.9% (66) 58.3% (14) 56.3% (18) 62.5% (15) 50.0% (19) Not at all 16.1% (19) 16.7% (4) 18.8% (6) 8.3% (2) 18.4% (7) Don't know 11.0% (13) 20.8% (5) 9.4% (3) 8.3% (2) 7.9% (3) Public health Sufficient 29.7% (35) 37.5% (9) 34.4% (11) 29.2% (7) 21.1% (8) Insufficient 49.2% (58) 50.0% (12) 40.6% (13) 54.2% (13) 52.6% (20) Not at all 10.2% (12) 4.2% (1) 12.5% (4) 12.5% (3) 10.5% (4) Don't know 11.0% (13) 8.3% (2) 12.5% (4) 4.2% (1) 15.8% (6) Engineering Sufficient 6.8% (8) 8.3% (2) 3.1% (1) 16.7% (4) 2.6% (1) Insufficient 45.8% (54) 25.0% (6) 56.3% (18) 41.7% (10) 52.6% (20) Not at all 18.6% (22) 25.0% (6) 12.5% (4) 25.0% (6) 15.8% (6) Don't know 28.8% (34) 41.7% (10) 28.1% (9) 16.7% (4) 28.9% (11) Physical sciences 86 Q25. In your view, to what extent is occupational health included in undergraduate training in the following areas? World Low income Lower middle income Upper middle income High income N=118 N=24 N=32 N=24 N=38 Sufficient 5.1% (6) 4.2% (1) 6.3% (2) 8.3% (2) 2.6% (1) Insufficient 29.7% (35) 20.8% (5) 31.3% (10) 33.3% (8) 31.6% (12) Not at all 31.4% (37) 25.0% (6) 34.4% (11) 29.2% (7) 34.2% (13) Don't know 33.9% (40) 50.0% (12) 28.1% (9) 29.2% (7) 31.6% (12) Social sciences Sufficient 5.9% (7) 4.2% (1) 0% (0) 12.5% (3) 7.9% (3) Insufficient 34.7% (41) 20.8% (5) 46.9% (15) 33.3% (8) 34.2% (13) Not at all 22.9% (27) 20.8% (5) 25.0% (8) 20.8% (5) 23.7% (9) Don't know 36.4% (43) 54.2% (13) 28.1% (9) 33.3% (8) 34.2% (13) Other Sufficient 1.7% (2) 0% (0) 3.1% (1) 0% (0) 2.6% (1) Insufficient 3.4% (4) 0% (0) 3.1% (1) 4.2% (1) 5.3% (2) Not at all 3.4% (4) 4.2% (1) 3.1% (1) 4.2% (1) 2.6% (1) Don't know 91.5% (108) 95.8% (23) 90.6% (29) 91.7% (22) 89.5% (34) 87 Table 83 Post-graduate training on occupational health for professionals, by WHO region Q26. Does your country have a degree programme for post-graduate training on occupational health for professionals in the following areas? World AFR AMR EMR EUR SEAR WPR N=116 N=21 N=10 N=15 N=45 N=10 N=15 Medicine* Yes 56.9% (66) 14.3% (3) 70.0% (7) 53.3% (8) 84.4% (38) 20.0% (2) 53.3% (8) No 42.2% (49) 81.0% (17) 30.0% (3) 46.7% (7) 15.6% (7) 80.0% (8) 46.7% (7) Don't know 0.9% (1) 4.8% (1) 0% (0) 0% (0) 0% (0) 0% (0) 0% (0) Nursing* Yes 31.9% (37) 14.3% (3) 60.0% (6) 0% (0) 46.7% (21) 20.0% (2) 33.3% (5) No 59.5% (69) 85.7% (18) 40.0% (4) 80.0% (12) 40.0% (18) 80.0% (8) 60.0%(9) Don't know 8.6% (10) 0% (0) 0% (0) 20.0% (3) 13.3% (6) 0% (0) 6.7% (1) Public health Yes 40.5% (47) 19.0% (4) 40.0% (4) 26.7% (4) 48.9% (22) 40.0% (4) 60.0% (9) No 52.6% (61) 76.2% (16) 50.0% (5) 73.3% (11) 37.8% (17) 60.0% (6) 40.0% (6) Don't know 6.9% (8) 4.8% (1) 10.0% (1) 0% (0) 13.3% (6) 0% (0) 0% (0) Engineering* Yes 28.4% (33) 0% (0) 50.0% (5) 6.7% (1) 42.2% (19) 30.0% (3) 33.3% (5) No 56.0% (65) 85.7% (18) 40.0% (4) 73.3% (11) 37.8% (17) 60.0% (6) 60.0% (9) Don't know 15.5% (18) 14.3% (3) 10.0% (1) 20.0% (3) 20.0% (9) 10.0% (1) 6.7% (1) Physical sciences* Yes 20.7% (24) 0% (0) 50.0% (5) 0% (0) 26.7% (12) 20.0% (2) 33.3% (5) No 56.9% (66) 81.0% (17) 30.0% (3) 73.3% (11) 46.7% (21) 60.0% (6) 53.3% (8) Don't know 22.4% (26) 19.0% (4) 20.0% (2) 26.7% (4) 26.7% (12) 20.0% (2) 13.3% (2) Social sciences Yes 25.9% (30) 4.8% (1) 60.0% (6) 6.7% (1) 31.1% (14) 20.0% (2) 40.0% (6) No 56.9% (66) 81.0% (17) 30.0% (3) 73.3% (11) 48.9% (22) 60.0% (6) 46.7% (7) Don't know 17.2% (20) 14.3% (3) 10.0% (1) 20.0% (3) 20.0% (9) 20.0% (2) 13.3% (2) Other* Yes 2.6% (3) 0% (0) 20.0% (2) 0% (0) 0% (0) 0% (0) 6.7% (1) No 15.7% (18) 23.8% (5) 20.0% (2) 26.7% (4) 2.2% (1) 11.1% (1) 33.3% (5) Don't know 81.7% (94) 76.2% (16) 60% (6) 73.3% (11) 97.8% (44) 88.9% (8) 60.0% (9) 88 Table 84 Post-graduate training on occupational health for professionals, by World Bank classification Q26. Does your country have a degree programme for post-graduate training on occupational health for professionals in the following areas? World Low income Lower middle income Upper middle income High income N=116 N=24 N=33 N=22 N=37 Medicine* Yes 56.9% (66) 20.8% (5) 51.5% (17) 63.6% (14) 81.1% (30) No 42.2% (49) 75.0% (18) 48.5% (16) 36.4% (8) 18.9% (7) Don't know 0.9% (1) 4.2% (1) 0% (0) 0% (0) 0% (0) Nursing Yes 31.9% (37) 16.7% (4) 24.2% (8) 45.5% (10) 40.5% (15) No 59.5% (69) 75.0% (18) 66.7% (22) 54.5% (12) 45.9% (17) Don't know 8.6% (10) 8.3% (2) 9.1% (3) 0% (0) 13.5% (5) Public health Yes 40.5% (47) 41.7% (10) 39.4% (13) 31.8% (7) 45.9% (17) No 52.6% (61) 54.2% (13) 54.5% (18) 63.6% (14) 43.2% (16) Don't know 6.9% (8) 4.2% (1) 6.1% (2) 4.5% (1) 10.8% (4) Engineering Yes 28.4% (33) 8.3% (2) 27.3% (9) 27.3% (6) 43.2% (16) No 56.0% (65) 66.7% (16) 60.6% (20) 63.6% (14) 40.5% (15) Don't know 15.5% (18) 25.0% (6) 12.1% (4) 9.1% (2) 16.2% (6) Physical sciences Yes 20.7% (24) 8.3% (2) 21.2% (7) 27.3% (6) 24.3% (9) No 56.9% (66) 62.5% (15) 63.6% (21) 54.5% (12) 48.6% (18) Don't know 22.4% (26) 29.2% (7) 15.2% (5) 18.2% (4) 27.0% (10) Social sciences Yes 25.9% (30) 12.5% (3) 21.2% (7) 31.8% (7) 35.1% (13) No 56.9% (66) 62.5% (15) 66.7% (22) 54.5% (12) 45.9% (17) Don't know 17.2% (20) 25.0% (6) 12.1% (4) 13.6% (3) 18.9% (7) Other Yes 2.6% (3) 4.2% (1) 0% (0) 4.5% (1) 2.7% (1) No 15.7% (18) 16.7% (4) 21.9% (7) 18.2% (4) 8.1% (3) Don't know 81.7% (94) 79.2% (19) 78.1% (25) 77.3% (17) 89.2% (33) 89 A II.4 Objective 4: To provide and communicate evidence for action and practice Table 85 National information system for workers’ health, by WHO region Q27. Does your country have a national information system for workers’ health?* World AFR AMR EMR EUR SEAR WPR N=116 N=22 N=10 N=15 N=44 N=9 N=16 Yes 42.2% (49) 13.6% (3) 30.0% (3) 40.0% (6) 59.1% (26) 44.4% (4) 43.8% (7) No 57.8% (67) 86.4% (19) 70.0% (7) 60.0% (9) 40.9% (18) 55.6% (5) 56.3% (9) Table 86 National information system for workers’ health, by World Bank classification Q27. Does your country have a national information system for workers’ health?* World Low income Lower middle income Upper middle income High income N=116 N=23 N=33 N=24 N=36 Yes 42.2% (49) 30.4% (7) 39.4% (13) 25.0% (6) 63.9% (23) No 57.8% (67) 69.6% (16) 60.6% (20) 75.0% (18) 36.1% (13) Table 87 National registry of occupational diseases and work accidents, by WHO region Q28. Does your country have a national registry of occupational diseases and work accidents?* World AFR AMR EMR EUR SEAR WPR N=120 N=22 N=10 N=15 N=48 N=9 N=16 Yes 68.3% (82) 59.1% (13) 70.0% (7) 73.3% (11) 83.3% (40) 33.3% (3) 50.0% (8) No 29.2% (35) 40.9% (9) 30.0% (3) 26.7% (4) 16.7% (8) 44.4% (4) 43.8% (7) Don't know 2.5% (3) 0% (0) 0% (0) 0% (0) 0% (0) 22.2% (2) 6.3% (1) 90 Table 88 National registry of occupational diseases and work accidents, by World Bank classification Q28. Does your country have a national registry of occupational diseases and work accidents? World Low income Lower middle income Upper middle income High income N=120 N=23 N=34 N=24 N=39 Yes 68.3% (82) 60.9% (14) 58.8% (20) 58.3% (14) 87.2% (34) No 29.2% (35) 39.1% (9) 35.3% (12) 37.5% (9) 12.8% (5) Don't know 2.5% (3) 0% (0) 5.9% (2) 4.2% (1) 0% (0) Table 89 Registration of occupational diseases and accidents, by WHO region Q28.1. If yes, what is the level of registration of occupational diseases and accidents according to governmental sources? (% of those who have a national registry) World AFR AMR EMR EUR SEAR WPR N=82 N=13 N=7 N=11 N=40 N=3 N=8 High 23.2% (19) 0% (0) 28.6% (2) 9.1% (1) 32.5% (13) 0% (0) 37.5% (3) Medium 36.6% (30) 53.8% (7) 28.6% (2) 36.4% (4) 32.5% (13) 33.3% (1) 37.5% (3) Low 36.6% (30) 46.2% (6) 42.9% (3) 45.5% (5) 30.0% (12) 66.7% (2) 25.0% (2) Don't know 3.7% (3) 0% (0) 0% (0) 9.1% (1) 5.0% (2) 0% (0) 0% (0) Table 90 Registration of occupational diseases and accidents, by World Bank classification Q28.1. If yes, what is the level of registration of occupational diseases and accidents according to governmental sources? (% of those who have a national registry) World Low income Lower middle income Upper middle income High income N=82 N=14 N=20 N=14 N=34 High 23.2% (19) 0% (0) 10.0% (2) 35.7% (5) 35.3% (12) Medium 36.6% (30) 42.9% (6) 35.0% (7) 35.7% (5) 35.3% (12) Low 36.6% (30) 57.1% (8) 50.0% (10) 28.6% (4) 23.5% (8) Don't know 3.7% (3) 0% (0) 5.0% (1) 0% (0) 5.9% (2) 91 Table 91 Research on workers' health, by WHO region Q29. Does your country have a programme for research on workers’ health?* World AFR AMR EMR EUR SEAR WPR N=119 N=22 N=10 N=14 N=48 N=9 N=16 Yes, as a special program 24.4% (29) 4.5% (1) 20.0% (2) 14.3% (2) 35.4% (17) 33.3% (3) 25.0% (4) Yes, as part of the general research program 31.9% (38) 22.7% (5) 20.0% (2) 21.4% (3) 43.8% (21) 22.2% (2) 31.3% (5) No 42.9% (51) 72.7% (16) 60.0% (6) 57.1% (8) 20.8% (10) 44.4% (4) 43.8% (7) Don't know 0.8% (1) 0% (0) 0% (0) 7.1% (1) 0% (0) 0% (0) 0% (0) Table 92 Research on workers' health, by World Bank classification Q29. Does your country have a programme for research on workers’ health? World Low income Lower middle income Upper middle income High income N=119 N=22 N=34 N=24 N=39 Yes, as a special program 24.4% (29) 4.5% (1) 17.6% (6) 25.0% (6) 41.0% (16) Yes, as part of the general research program 31.9% (38) 36.4% (8) 35.3% (12) 33.3% (8) 25.6% (10) No 42.9% (51) 59.1% (13) 44.1% (15) 41.7% (10) 33.3% (13) Don't know 0.8% (1) 0% (0) 2.9% (1) 0% (0) 0% (0) 92 Table 93 Awareness of workers' health problems among major stakeholders, by WHO region Q30. What is the general level of awareness of workers' health problems among major stakeholders? World AFR AMR EMR EUR SEAR WPR N=120 N=22 N=10 N=15 N=48 N=10 N=15 Employers A lot 15.0% (18) 18.2% (4) 10.0% (1) 0% (0) 22.9% (11) 0% (0) 13.3% (2) To a certain extent 76.7% (92) 77.3% (17) 90.0% (9) 86.7% (13) 66.7% (32) 100% (10) 73.3% (11) Not at all 3.3% (4) 0% (0) 0% (0) 0% (0) 4.2% (2) 0% (0) 13.3% (2) Don't know 5.0% (6) 4.5% (1) 0% (0) 13.3% (2) 6.3% (3) 0% (0) 0% (0) Workers A lot 16.7% (20) 13.6% (3) 0% (0) 13.3% (2) 25.0% (12) 10.0% (1) 13.3% (2) To a certain extent 76.7% (92) 81.8% (18) 100% (10) 80.0% (12) 66.7% (32) 90.0% (9) 73.3% (11) Not at all 3.3% (4) 0% (0) 0% (0) 0% (0) 4.2% (2) 0% (0) 13.3% (2) Don't know 3.3% (4) 4.5% (1)) 0% (0) 6.7% (1) 4.2% (2) 0% (0) 0% (0) Policy-makers A lot 21.7% (26) 13.6% (3) 10.0% (1) 40.0% (6) 27.1% (13) 10.0% (1) 13.3% (2) To a certain extent 65.0% (78) 59.1% (13) 90.0% (9) 46.7% (7) 62.5% (30) 80.0% (8) 73.3% (11) Not at all 4.2% (5) 13.6% (3) 0% (0) 0% (0) 2.1%(1) 0% (0) 6.7% (1) Don't know 9.2% (11) 13.6% (3) 0% (0) 13.3% (2) 8.3% (4) 10.0% (1) 6.7% (1) Media A lot 5.0% (6) 18.2% (4) 0% (0) 0% (0) 2.1% (1) 0% (0) 6.7% (1) To a certain extent 73.3% (88) 59.1% (13) 70.0% (7) 73.3% (11) 77.1% (37) 80.0% (8) 80.0% (12) Not at all 12.5% (15) 13.6% (3) 20.0% (2) 20.0% (3) 8.3% (4) 10.0% (1) 13.3% (2) Don't know 9.2% (11) 9.1% (2) 10.0% (1) 6.7% (1) 12.5% (6) 10.0% (1) 0% (0) General public A lot 5.0% (6) 18.2% (4) 0% (0) 0% (0) 2.1% (1) 0% (0) 6.7% (1) To a certain extent 58.3% (70) 40.9% (9) 80.0% (8) 53.3% (8) 62.5% (30) 60.0% (6) 60.0% (9) Not at all 24.2% (29) 22.7% (5) 10.0% (1) 40.0% (6) 22.9% (11) 20.0% (2) 26.7% (4) Don't know 12.5% (15) 18.2% (4) 10.0% (1) 6.7% (1) 12.5% (6) 20.0% (2) 6.7% (1) 93 Q30. What is the general level of awareness of workers' health problems among major stakeholders? World AFR AMR EMR EUR SEAR WPR N=120 N=22 N=10 N=15 N=48 N=10 N=15 Health practitioners A lot 14.2% (17) 13.6% (3) 0% (0) 26.7% (4) 18.8% (9) 0% (0) 6.7% (1) To a certain extent 76.7% (92) 77.3% (17) 90.0% (9) 73.3% (11) 68.8% (33) 90.0% (9) 86.7% (13) Not at all 5.8% (7) 9.1% (2) 10.0% (1) 0% (0) 6.3% (3) 0% (0) 6.7% (1) Don't know 3.3% (4) 0% (0) 0% (0) 0% (0) 6.3% (3) 10.0% (1) 0% (0) Table 94 Awareness of workers' health problems among major stakeholders, by World Bank classification Q30. What is the general level of awareness of workers' health problems among major stakeholders? World Low income Lower middle income Upper middle income High income N=120 N=24 N=34 N=24 N=38 Employers* A lot 15.0% (18) 8.3% (2) 2.9% (1) 16.7% (4) 28.9% (11) To a certain extent 76.7% (92) 87.5% (21) 85.3% (29) 70.8% (17) 65.8% (25) Not at all 3.3% (4) 0% (0) 2.9% (1) 12.5% (3) 0% (0) Don't know 5.0% (6) 4.2% (1) 8.8% (3) 0% (0) 5.3% (2) Workers A lot 16.7% (20) 16.7% (4) 8.8% (3) 12.5% (3) 26.3% (10) To a certain extent 76.7% (92) 79.2% (19) 82.4% (28) 79.2% (19) 68.4% (26) Not at all 3.3% (4) 4.2% (1) 2.9% (1) 8.3% (2) 0% (0) Don't know 3.3% (4) 0% (0) 5.9% (2) 0% (0) 5.3% (2) Policy-makers A lot 21.7% (26) 12.5% (3) 17.6% (6) 16.7% (4) 34.2% (13) To a certain extent 65.0% (78) 62.5% (15) 70.6% (24) 70.8% (17) 57.9% (22) Not at all 4.2% (5) 12.5% (3) 0% (0) 4.2% (1) 2.6% (1) Don't know 9.2% (11) 12.5% (3) 11.8% (4) 8.3% (2) 5.3% (2) Media A lot 5.0% (6) 8.3% (2) 0% (0) 8.3% (2) 5.3% (2) To a certain extent 73.3% (88) 66.7% (16) 76.5% (26) 62.5% (15) 81.6% (31) 94 Q30. What is the general level of awareness of workers' health problems among major stakeholders? World Low income Lower middle income Upper middle income High income N=120 N=24 N=34 N=24 N=38 Not at all 12.5% (15) 12.5% (3) 11.8% (4) 25.0% (6) 5.3% (2) Don't know 9.2% (11) 12.5% (3) 11.8% (4) 4.2% (1) 7.9% (3) General public A lot 5.0% (6) 8.3% (2) 0% (0) 8.3% (2) 5.3% (2) To a certain extent 58.3% (70) 37.5% (9) 64.7% (22) 50.0% (12) 71.1% (27) Not at all 24.2% (29) 33.3% (8) 20.6% (7) 29.2% (7) 18.4% (7) Don't know 12.5% (15) 20.8% (5) 14.7% (5) 12.5% (3) 5.3% (2) Health practitioners A lot 14.2% (17) 8.3% (2) 14.7% (5) 12.5% (3) 18.4% (7) To a certain extent 76.7% (92) 83.3% (20) 79.4% (27) 70.8% (17) 73.7% (28) Not at all 5.8% (7) 8.3% (2) 2.9% (1) 16.7% (4) 0% (0) Don't know 3.3% (4) 0% (0) 2.9% (1) 0% (0) 7.9% (3) 95 A II.5 Objective 5: to incorporate workers' health into other policies Table 95 Non-health policies, including measures on protecting and promoting workers' health, by WHO region Q31. Which of the following non-health policies in your country include measures on protecting and promoting workers' health? World AFR AMR EMR EUR SEAR WPR N=119 N=22 N=10 N=15 N=48 N=9 N=15 Chemicals management* 66.4% (79) 40.9% (9) 70.0% (7) 86.7% (13) 79.2% (38) 44.4% (4) 53.3% (8) Emergency preparedness and response 54.6% (65) 50.0% (11) 80.0% (8) 46.7% (7) 54.2% (26) 55.6% (5) 53.3% (8) Employment strategies 50.4% (60) 31.8% (7) 40.0% (4) 53.3% (8) 62.5% (30) 66.7% (6) 33.3% (5) Environmental management systems 47.9% (57) 59.1% (13) 40.0% (4) 73.3% (11) 35.4% (17) 66.7% (6) 40.0% (6) Sustainable development 34.5% (41) 27.3% (6) 40.0% (4) 40.0% (6) 25.0% (12) 44.4% (4) 60.0% (9) Poverty reduction strategies 30.0% (36) 40.9% (9) 40.0% (4) 13.3% (2) 25.0% (12) 55.6% (5) 26.7% (4) Economic development 27.7% (33) 27.3% (6) 0% (0) 40.0% (6) 22.9% (11) 44.4% (4) 40.0% (6) Trade 18.5% (22) 18.2% (4) 10.0% (1) 26.7% (4) 16.7% (8) 22.2% (2) 20.0% (3) Climate change 14.3% (17) 18.2% (4) 10.0% (1) 13.3% (2) 12.5% (6) 22.2% (2) 13.3% (2) Don't know 11.8% (14) 9.1% (2) 20.0% (2) 6.7% (1) 12.5% (6) 0% (0) 20.0% (3) Other 3.4% (4) 9.1% (2) 0% (0) 6.7% (1) 0% (0) 11.1% (1) 0% (0) 96 Table 96 Non-health policies, including measures on protecting and promoting workers' health, by World Bank classification Q31. Which of the following non-health policies in your country include measures on protecting and promoting workers' health? World Low income Lower middle income Upper middle income High income N=119 N=23 N=34 N=24 N=38 Chemicals management* 66.4% (79) 43.5% (10) 61.8% (21) 58.3% (14) 89.5% (34) Emergency preparedness and response 54.6% (65) 56.5% (13) 52.9% (18) 45.8% (11) 60.5% (23) Employment strategies 50.4% (60) 30.4% (7) 50.0% (17) 54.2% (13) 60.5% (23) Environmental management systems 47.9% (57) 60.9% (14) 58.8% (20) 29.2% (7) 42.1% (16) Sustainable development 34.5% (41) 39.1% (9) 41.2% (14) 37.5% (9) 23.7% (9) Poverty reduction strategies* 30.3% (36) 65.2% (15) 29.4% (10) 29.2% (7) 10.5% (4) Economic development 27.7% (33) 26.1% (6) 41.2% (14) 20.8% (5) 21.1% (8) Trade 18.5% (22) 13.0% (3) 23.5% (8) 16.7% (4) 18.4% (7) Climate change 14.3% (17) 21.7% (5) 17.6% (6) 16.7% (4) 5.3% (2) Don't know 11.8% (14) 13.0% (3) 5.9% (2) 20.8% (5) 10.5% (4) Other 3.4% (4) 8.7% (2) 5.9% (2) 0% (0) 0% (0) 97 Table 97 Sector-specific policies that deal with workers' health, by WHO region Q32. Are there any sector-specific policies in your country that deal with workers' health? World AFR AMR EMR EUR SEAR WPR N=120 N=22 N=10 N=15 N=48 N=9 N=16 Yes 50.8% (61) 45.5% (10) 70.0% (7) 73.3% (11) 45.8% (22) 44.4% (4) 43.8% (7) No 29.2% (35) 36.4% (8) 20.0% (2) 13.3% (2) 29.2% (14) 22.2% (2) 43.8% (7) Don't know 20.0% (24) 18.2% (4) 10.0% (1) 13.3% (2) 25.0% (12) 33.3% (3) 12.5% (2) Table 98 a Sector-specific policies that deal with workers' health, by World Bank classification Q32. Are there any sector-specific policies in your country that deal with workers' health? World Low income Lower middle income Upper middle income High income N=120 N=23 N=34 N=24 N=39 Yes 50.8% (61) 43.5% (10) 44.1% (15) 45.8% (11) 64.1% (25) No 29.2% (35) 34.8% (8) 29.4% (10) 41.7% (10) 17.9% (7) Don't know 20.0% (24) 21.7% (5) 26.5% (9) 12.5% (3) 17.9% (7) 98 Table 99 Extent to which workers' health is taken into account in education, by WHO region Q33. To what extent is workers' health taken into account in education? World AFR AMR EMR EUR SEAR WPR N=121 N=22 N=10 N=15 N=48 N=10 N=16 Primary education* A lot 3.3% (4) 0% (0) 0% (0) 6.7% (1) 4.2% (2) 0% (0) 6.3% (1) To a certain extent 22.3% (27) 4.5% (1) 60.0% (6) 20.0% (3) 27.1% (3) 0% (0) 25.0% (4) Not at all 62.0% (75) 72.7% (16) 30.0% (3) 73.3% (11) 64.6% (31) 90.0% (9) 31.3% (5) Don't know 12.4% (15) 22.7% (5) 10.0% (1) 0% (0) 4.2% (2) 10.0% (1) 37.5% (3) Secondary education* A lot 3.3% (4) 0% (0) 0% (0) 6.7% (1) 4.2% (2) 0% (0) 6.3% (1) To a certain extent 42.1% (51) 18.2% (4) 60.0% (6) 60.0% (9) 52.1% (25) 0% (0) 43.8% (7) Not at all 42.1% (51) 63.6% (14) 30.0% (3) 33.3% (5) 41.7% (20) 80.0% (8) 6.3% (1) Don't know 12.4% (15) 18.2% (3) 10.0% (1) 0% (0) 2.1% (1) 20.0% (2) 43.8% (7) Higher level education* A lot 6.6% (8) 4.5% (1) 0% (0) 6.7% (1) 10.4% (5) 0% (0) 6.3% (1) To a certain extent 62.8% (76) 50.0% (11) 60.0% (6) 73.3% (11) 77.1% (37) 30.0% (3) 50.0% (8) Not at all 19.0% (23) 27.3% (6) 30.0% (3) 20.0% (3) 8.3% (4) 60.0% (6) 6.3% (1) Don't know 11.6% (14) 18.2% (4) 10.0% (1) 0% (0) 4.2% (2) 10.0% (1) 37.5% (6) Vocational training A lot 19.0% (23) 9.1% (2) 10.0% (1) 0% (0) 33.3% (16) 20.0% (2) 12.5% (2) To a certain extent 59.5% (72) 59.1% (13) 70.0% (7) 66.7% (10) 54.2% (26) 60.0% (6) 62.5% (10) Not at all 9.1% (11) 9.1% (2) 10.0% (1) 26.7% (4) 6.3% (3) 10.0% (1) 0% (0) Don't know 12.4% (15) 22.7% (5) 10.0% (1) 6.7% (1) 6.3% (3) 10.0% (1) 25.0% (4) 99 Table 100 Extent to which workers' health is taken into account in education, by World Bank classification Q33. To what extent is workers' health taken into account in education? World Low income Lower middle income Upper middle income High income N=121 N=24 N=34 N=24 N=39 Primary education A lot 3.3% (4) 4.2% (1) 5.9% (2) 4.2% (1) 0% (0) To a certain extent 22.3% (27) 16.7% (4) 17.6% (6) 25.0% (6) 28.2% (11) Not at all 62.0% (75) 70.8% (17) 64.7% (22) 50.0% (12) 61.5% (24) Don't know 12.4% (15) 8.3% (2) 11.8% (4) 20.8% (5) 10.3% (4) Secondary education A lot 3.3% (4) 4.2% (1) 5.9% (2) 0% (0) 2.6% (1) To a certain extent 42.1% (51) 20.8% (5) 35.3% (12) 54.2% (13) 53.8% (21) Not at all 42.1% (51) 66.7% (16) 44.1% (15) 25.0% (6) 35.9% (14) Don't know 12.4% (15) 8.3% (2) 14.7% (5) 20.8% (5) 7.7% (3) Higher level education A lot 6.6% (8) 8.3% (2) 5.9% (2) 8.3% (2) 5.1% (2) To a certain extent 62.8% (76) 54.2% (13) 55.9% (19) 58.3% (14) 76.9% (30) Not at all 19.0% (23) 33.3% (8) 23.5% (8) 12.5% (3) 10.3% (4) Don't know 11.6% (14) 4.2% (1) 14.7% (5) 20.8% (5) 7.7% (3) Vocational training A lot 19.0% (23) 12.5% (3) 14.7% (5) 25.0% (6) 23.1% (9) To a certain extent 59.5% (72) 70.8% (17) 52.9% (18) 50.0% (12) 64.1% (25) Not at all 9.1% (11) 4.2% (1) 17.6% (6) 8.3% (2) 5.1% (2) Don't know 12.4% (15) 12.5% (3) 14.7% (5) 16.7% (4) 7.7% (3)