Guideline 5. Committing to promoting workplace health

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The social security institution commits formally to the role of workplace health promoter by emphasizing its capacity to motivate and engage the insured population for added value.

The insured population includes both those in workplaces and other actors in the social health insurance system.

Formal commitment requires the institution to make a strategic choice in favour of health promotion in a setting approach, recognizing the broader social, economic and environmental contexts which influence health status.

A.2. The Role of the Social Security Institution

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Investing in workers’ health is critical to the future sustainability of social security. Such investment is at the core of a social security institution’s mission. The institution must thus assume the role of health promoter and work proactively to motivate and engage the insured population (i.e. within workplaces). Prevention and promotion approaches must be integrated into the institution’s vision and strategy, supporting the concept of Dynamic Social Security.

A.1. The Legal Framework for Social Security Institutions

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The social security institution must have a legal and financial mandate for its role as a workplace health promoter. The mandate defines the institution’s scope of action and allows individualized services as well as community-based workplace health promotion activities. The mandate establishes a statutory right to health promotion services for insured persons. It may also state that a specified amount of the social health insurance budget may be used for (workplace) health promotion.

Structure of the ISSA Guidelines on Workplace Health Promotion

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The guidance that follows is organized in three parts:

Part A, Basic Conditions for Workplace Health Promotion, deals with the structural issues to be addressed so that social security institutions can encourage and enable their clients – public and private sector enterprises and organizations – to develop comprehensive approaches to workplace health promotion.