O-207 a Multidisciplinary Approach to Monitoring Employees With Non-Communicable Diseases (Ncds) at a Zambian Mine Site - Enhancing Worker Health and Well-Being

Introduction Non-Communicable Diseases(NCDs) present a significant health challenge among the working population in Zambia, contributing to elevated morbidity and mortality. The COVID-19 pandemic brought to light the heightened vulnerability of employees with NCDs, prompting an intensified focus on proactive monitoring and effective management. Inadequately addressed NCDs extend to increased employee absenteeism, impacting individual well-being and workplace productivity. Objective This presentation illustrates the implementation of a multidisciplinary approach to identify and manage employees with NCDs, aiming to enhance control and reduce absenteeism. The team comprises of Occupational Health, Primary Health Care (including a dedicated NCD clinic with expedited patient care), First Aid Stations, Public Health, and Wellness Teams (Exercise Specialists, dedicated exercise groups, a Nutritionist, and Counselling Services.) Methods and Results This presentation provides insights into the roles of each member of the team, the challenges encountered during establishment, and highlights positive outcomes within the first year. Additionally, we analyse hospital and emergency room admissions data for clients with uncontrolled NCDs and absenteeism data from Occupational Health related to NCDs. We also discuss the positive impact of monthly NCD-stakeholder meetings in identifying high-risk cases and ensuring ongoing fitness for duty. Discussion and Conclusion Short-term results indicate reduced hospital admissions, and decreased absenteeism among previously identified cases. Positive feedback from clients underscores the effectiveness of this multidisciplinary approach to managing NCDs among mine site employees. Further research is needed to assess the long-term impact and sustainability. The approach holds promise not only for Zambia but also for similar contexts, wherein the intersection of health, work, and well-being is of paramount significance.