Table 1

Compact domains and areas

Compact domainCompact areaKey provisions
Preventing harmDangers in health and care work environments
  1. Implement occupational health and safety legislation and measures.

  2. Remove professional hazards, guaranteeing adequate personal protective equipment.

  3. Ensure safe staffing and working hours.

Health services for health and care worker
  1. Ensure quality, accessible, affordable, confidential care for physical and mental needs.

  2. Offer diagnostic examinations, vaccination and other preventive care for occupational diseases and other health conditions.

Violence and harassment
  1. Develop or strengthen laws, policies and strategies to prevent workplace violence and harassment.

  2. Enact requirements for employers to establish plans and actions to prevent violence and harassment.

  3. Ensure effective inspection, investigation, monitoring and enforcement mechanisms.

Attacks, particularly in fragile, conflict and violence situations
  1. Ensure that laws are consistent with Geneva Conventions, including by reinforcing punishment for attacks on healthcare.

  2. Reinforce data collection, reporting and accountability.

InclusivityEqual treatment and non-discrimination
  1. Enact or strengthen antidiscrimination legislation.

  2. Ensure equal treatment and non-discrimination of health and care workers based on all UN treaty-recognised statuses, including as interpretted by treaty bodies.

  3. Ensure equal labour and human rights.

Providing support to heath and care workersFair and equitable compensation
  1. Review compensation and benefit structures to ensure fairness, equity and non-discrimination, present findings publicly, adjust government salary scales.

  2. Provide guidance and conduct audits to protect against unfair pay disparities and act to end discriminatory pay practices.

  3. Ensure that social protection policies extend to unpaid caregivers.

Social protection and non-financial support
  1. Provide all health and care workers social security (health benefits for selves and families, disability and survivor benefits, paid maternity and parental leave, unemployment and old age benefits, and social security benefits when not working due to disability or child care).

  2. Establish national social protection floors.

Enabling work environments
  1. Strengthen health systems to provide required equipment, supplies, medicines and other technologies.

  2. Establish/strengthen policy frameworks to facilitate enabling environments for all health and care workers.

  3. Review/update human resources for health strategies and policies and align budgets to assure sufficient resources for enabling environments.

Empowering health and care workers to safeguard their rightsRight to freedom of association and collective bargaining
  1. Legislate right to join and form associations without threat of retaliation.

  2. Enact penalties for interfering with right to associate.

  3. Enforce collective bargaining laws.

Whistle-blower protections and freedom from retaliation
  1. Ensure protection for providing information on employer breach of statutory, legal regulatory or policy requirements.

  2. Review, develop and strengthen legal frameworks that safeguard whistleblowing rights.

  3. Educate health and care workers, employers and law enforcement on whistleblowing and non-retaliation rights.

  • HCW, healthcare worker; UN, United Nations.