CHALLENGING THE NORMS: TOTAL OSH …...Dato [ XD}Zuu Azman APS 2015 CHALLENGING THE NORMS: TOTAL OSH PROTECTION FOR MALAYSIAN WORKERS Dato [ XD}Zuu Azman bin Dato [Ì]Ì MohammedDato

APS 2015 Dato’ Dr. Moha ed Azman

CHALLENGING THE NORMS: TOTAL

OSH PROTECTION FOR MALAYSIAN

WORKERS Dato’ Dr. Moha ed Azman bin Dato’ Aziz

Mohammed

Chief Executive Officer

Social Security Organization

Malaysia

APS2015 Dato’ Dr. Moha ed Azman


• Currently insuring 15.5 million workers &

976,039 employers

• Manage over 111,926 new Claims/per year

Over 63,331 accidents

Over 18,490 permanently disabled

Over 18,072 lai i g for i alidity (≈7 ertified invalid)

O er , lai i g for sur i or’s pe sio .


Changing trends

• Demography


8% increase for period

2010-2030

The ageing workers


Changing trend in Malaysia

72

9

47 62

Percentage (%)

* Source: SOCSO Health Screening Program


Premature death – probability of dying due to non-

communicable diseases between the age of 35 to 70

years old

MALAYSIA – 19.6%

SINGAPORE – 10.5% INDONESIA – 23.1%

THAILAND – 16.2%

AUSTRALIA – 9.4%

JAPAN – 9.3% U.K –12.0% U.S – 14.3%

APS2015 Dato’ Dr. Moha ed Azman 7

Compensation: Employment Injury

63 62 71 68 72 85 94 104 109 120 136 150

167 147 154 172 170 188

215 275

306 326

364 393

103 107 115 122 133

142 152

160

205 193

216 220

0

100

200

300

400

500

600

700

800

900

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

RM

Mil

lio

ns

Temporary Disablement Benefit Permanent Disablement Benefit Dependant Benefit

APS2015 Dato’ Dr. Moha ed Azman 8

Co pe satio : I validity a d Survivor’s Pe sio

198 223 255 278 316 357 399 449 582 584

704 762

147 158 173 189

207 224

243 267

346 341

413 454

0

200

400

600

800

1,000

1,200

1,400

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

RM

Mil

lio

ns

Survivors' Pension Invalidity/ Grant Invalidity


Meeting the challenge



• CORPORATE GOAL - To provide comprehensive

social security protection for Malaysian

workers.

• CORPORATE OBJECTIVE - To ensure and

guarantee the timely and adequate provision

of benefits in a socially just manner and to

promote occupational safety and health.


Occupational Safety and Health

Prevention: A Social Security Perspective

• Prevention represents an intrinsic part of social security

– Protect the population group from safety and health risk at work

– The other intrinsic parts of social security are compensation and rehabilitation

• Social accident insurance systems had been established in many countries

– Many have not yet developed prevention capacities and programs.

-International Social Security Organisation 2013


Occupational Injury Prevention: A

Social Security Perspective

WORKPLACE

ACCIDENTS

REHABILITATION

INVALIDITY

COMPENSATION

Prevention is better than

rehabilitation

Rehabilitation is better

than compensation

RECOVERY


3 Dimensional Approach in Prevention

RISK

PREVENTION

HEALTH

PROMOTION

RETURN TO

WORK

THE INTERNATIONAL SOCIAL SECURITY ASSOCIATION


Risk Prevention

RISK PREVENTION

APPROACHES

National Policy and

Planning

Networking and

Interagency Collaboration

Research and Development Awareness and Education

Audit and Guidelines


Injury Prevention

15.59

12.71

11.12

8.99

7.45 7.09 6.19 6.11 6.14

5.51 5.39 5.02 4.97

4.52 3.98 4.01

3.54 3.25 3.24 3.36 3.7 3.8 3.9 4.01 3.87 3.95

20.11

16.69

15.13

12.53

10.7 10.33 9.55 9.81 9.94 9.41

9.4 8.89 8.92

0

5

10

15

20

25

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

INDUSTRIAL ACCD/1000 COMMUTING ACCD/1000 TOTAL ACCD/1000

Industrial and Commuting Accident Rate (per 1,000 employees)


Health promotion

• Traditionally; health promotion is treated

separately from Occupational Safety and

Health at the workplace.

– Occupational safety and health within the

domains of the OSH practitioners and/or the

Human Resource Dept.

– Health promotion within the scope of public

health measures and/or the HR Dept.


Health Promotion

• Health Screening via the workplace

– Approaching health promotion from a different

angle i.e through workplaces

– Adjunct to current public health measures

– May be

• Company initiated effort

– E.g Health screening facility for employees

• National Health Screening Program

– The SOCSO Health Screening Program


The SOCSO Health Screening Programme

• Introduced in 2013 for 1.9 million

workers above the age of 40.

• Over 3,000 panels clinics,

pathological labs and

mammogram centers involved.

• Health screening for:

Cardiovascular Diseases

Diabetes

Hypercholesterolemia

Cancer


The SOCSO Health Screening Programme

(Jul 2015)

431 227 Employees

underwent the health

screening

145 626 Women used the

mammogram

voucher

3357 Registered clinics

116 Mammogram

centers

248 Laboratories


11629

86%

634

5%

170

1%

330

3% 719

5%

RTW

ON REHAB

JOB SEEKING

ACUTE

DEFAULTED

RETURN TO WORK


5446

50%

1561

14%

800

7%

376

4%

194

2%

1646

15%

899

8%

SAME JOB SAME EMPLOYER

SIMILAR JOB SAME EMPLOYER

DIFFERENT JOB SAME EMPLOYER

SAME JOB DIFFERENT EMPLOYER

SIMILAR JOB DIFFERENT EMPLOYER

DIFFERENT JOB DIFFERENT EMPLOYER

SELF-EMPLOYED

RETURN TO WORK


A new norm: Total Worker Health


Total worker health?

• A trademarked strategy of integrating

occupational safety and health protection

with health promotion

– to prevent worker injury and illness

– to advance worker health and well-being.


Total Worker Health

• Developing a system for OSH protection at the workplace; with integration between OSH and health promotion

• Hu a centred

• Key elements include

– Organizational Culture

– Program Design

– Program implementation

– Program Evaluation


Total worker health - challenges in

Malaysia

• Should the government, employers,

employees have a similar approach to total

worker health in Malaysia?

– Workplace injury

– Lifestyle Diseases

– … Disa ility


Injury Prevention

15.59

12.71

11.12

8.99

7.45 7.09 6.19 6.11 6.14

5.51 5.39 5.02 4.97

4.52 3.98 4.01

3.54 3.25 3.24 3.36 3.7 3.8 3.9 4.01 3.87 3.95

20.11

16.69

15.13

12.53

10.7 10.33 9.55 9.81 9.94 9.41

9.4 8.89 8.92

0

5

10

15

20

25

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

INDUSTRIAL ACCD/1000 COMMUTING ACCD/1000 TOTAL ACCD/1000

Industrial and Commuting Accident Rate (per 1,000 employees)

CAN THIS BE BROUGHT

DOWN FURTHER?

No Prevention

Accident

Injury/Fatality

No Prevention

Disability

Poor Safety Poor Health

No Focus at Work

Accident Happens Despite

Prevention

Injury and Health

INVALIDITY PENSION BENEFIT REPORTED FOR NCD CASES

YEAR 2000 - 2014

TOTAL

Invalidity Pension

• Between 35-49% of

claims for Invalidity

Pension benefit

reported were due

to non-

communicable

diseases.

0

500

1,000

1,500

2,000

2,500

3,000

3,500

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Cardiovascular Diabetes Cancer Mental disorders Respiratory

TOTAL

SURVIVORS PENSION BENEFIT REPORTED FOR

NCD CASES: YEAR 2000 - 2014

Survivors Pension

• Almost 45% -50% of

claims for Survivors

Pension

• benefit reported

were due to non-

communicable

diseases.

0

500

1,000

1,500

2,000

2,500

3,000

3,500

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Cardiovascular Diabetes Cancer Mental disorders Respiratory

40 Every Day

• Insured persons were deemed invalid; or died during

active working age due to Non Communicable Diseases


Acc

ide

nt Poor Case Management

No Rehabilitation Strategies

No Mo itori g of I sured Perso ’s Progress

Outcome?

RTW

Possibilities? ???

= Contribution Based

(Social Solidarity)

Injured Workers

Sustainability of the

Social System?


Acc

ide

nt Poor Case Management

No Rehabilitation Strategies

No Mo itori g of I sured Perso ’s Progress

Outcome?

RTW

Possibilities? ???

= Maintaining Balance

To the Social System

PR

EV

EN

TIO

N

Disability Case Management

Medical Rehabilitation

Vocational Rehabilitation

Systematic RTW Strategies

RETURN

TO

WORK

Retaining Workers at Work or Return to Work

Injured Workers

Sustainability of the

Social System?


Total Protection at Work


Total Protection of the Worker

• Workers now face a multi-faceted risks from their work, lifestyle and the environment of which they live.

• The country is ill-afford to lose workers due to these various challenges

• Protection is required

– from the hazards and risks due to their work;

– from morbidity and mortality from lifestyle diseases

– disconnection from work due to inability to work following disability.


Requirements for a successful injury

prevention program at work

Supporting infrastructure from the stake

holders

Commitment from the

employers

Employee cooperation


Requirements for a successful health

promotion program at work


holders

Commitment from the

employers



Requirements for a successful return

to work program at work


holders

Commitment from the

employers



TOTAL PROTECTION

AT WORK

SAFETY MANAGEMENT

SYSTEM

HEALTH PRMOTION PROGRAM

DISABILITY MANAGEMENT


CONCLUSION

• The ou try’s orkfor e is headi g i to a e challenge as the country grew older, and the

economy evolves

• Evolving challenges to the sustainability of

employees and their employment

• The approach to manage these challenges

should also evolve


CONCLUSION

• Prevention of occupational injury, health promotion and disability management should no longer be compartmentalized.

• We need to start to find ways on managing these as an integrated system

– Efficient

– Effective

• A total prevention mechanism is required at the work places.


• THANK YOU

• [email protected]

Documents

CHALLENGING THE NORMS: TOTAL OSH …...Dato [ XD}Zuu Azman APS 2015 CHALLENGING THE NORMS: TOTAL OSH PROTECTION FOR MALAYSIAN WORKERS Dato [ XD}Zuu Azman bin Dato [Ì]Ì MohammedDato