Good morning, everybody. We will start on time. Maybe people will be coming later, but just to have enough time to go through the session and to leave for questions and answers. So this is a session, Global Ergonomics, Successful and Sustainable Strategies for Post-Pandemic World. It will be presented by the team from the World Bank Group, Health and Safety Directorate. This is going to be a hybrid session, so we have three presenters here and there will be five recorded presentations in the middle. So I will be a moderator of the session. My name is Jasminka Goldoni-Lestadius. I'm Senior Occupational Health Specialist in the World Bank. We will start with introductory notes, which will be given by Dr. Brian Davey, who is Director of Health and Safety Directorate. And Marie Bolton, Lead Ergonomist, will introduce the Global Ergonomics team. This will be already recorded session. After her, Catherine Wambua, who is in Nairobi, Kenya, will talk about the role of ergonomics in Africa regional hub in Kenya. And then she will continue with one of specialized webinars that we developed during the pandemic, and this is Ergonomics for Professional Drivers. We have about 800 drivers in the bank and they never got any ergonomics education, which in few cases even ended up in medical evacuation for back pain. So we developed this for them to be aware in which posture they can drive. They sometimes drive for 10 hours in missions, so we think it's very important. In the same turn, Stephanie Coleman will talk about ergonomics for students and caregivers. In this home-based work, it was the first time that we got a chance to enter into our staff's homes and to actually educate their family members, especially kids who were schooled from home, how to set up their workstation as well. We will have then some sort of exercise snack that will be led by Leo Malka. She will show us very brief exercises, stretches actually, which we can do while working at home or even in the offices. Not everybody in this busy world has time to go to gym, to change clothes, take shower. So what we can do in our regular clothes during our regular work to stretch our bodies and prevent pain. After that, Sofia Valdemichel, who is here, will talk about our matrix about monitoring and evaluation program that we have to measure our outreach to our country offices and also impact on staff's health. Finally, we will finish with introduction of online ergonomics software, which we are actually launching this week, which is introduced again with the goal to educate our population on ergonomics because everybody needs a good ergonomic setup of any workstation they work in. So to complete this educational part and then those who still would need help, they could order personal ergonomic assessment. So this is our plan for today and now Dr. Brian Davey will continue with introduction. Thank you, Jasminka, and good morning and greetings also to those who have joined online. So just before diving into the substantive part of this morning session, I just wanted to give you a little bit of background on the World Bank Group. The World Bank Group is a specialized agency of the United Nations and is in fact the premier development organization of the globe. It has projects all over the globe. Those red dots in fact are offices where our staff are present and we are in fact a conglomerate, a group of institutions serving different elements of the development needs. We in the Health and Safety Directorate organize ourselves around three core domains and that is the domains of occupational health and safety in which our ergonomics function sits. We also have the personal health and wellness group that focuses more on individual health and access to care, etc., and then the very important mental health and well-being unit covering counseling, psychosocial support, and a very active domestic abuse prevention program. We don't consider these as silos in any way and in everything we do, we strive to bring the three domains together and to leverage the specific skills and expertise of each of the domains to be mutually supportive to the end objectives of health and safety support for our staff, who really are everywhere and a very diverse population. We have many age groups, generations, 176 nationalities amongst our staff, 140 locations. So in terms of a multi-varied risk group, every type of occupational health and safety risk and demographic is represented. So our mission, and this is I see cryptically titled Jasminka with is it even possible, is to protect and promote the health and safety of staff wherever they may be, taking account of their individual health status, that's the personal side of it, the working environment, the occupational health and job demands, which often is the mental health side, but making sure that the challenges that the individuals face because of their job, because of their environment, because of their health profile are anticipated, risks are assessed, and risk mitigation structures are put into place, which in terms of our office distribution and our office posture, and what this is just representing is the process we've taken to calibrate safety measures to the state of the pandemic in any particular part of the world, meaning that at any moment in time, we have clusters of staff who are either working full-time in the office or splitting their time between home and the office or working full-time at home, which introduces a whole lot of very specific ergonomic challenges, office setup challenges, and this has certainly been reflected in the surveys and health results and issues that staff are reporting to us. So this session this morning will be addressing various aspects of that, and we'll start off with our lead ergonomist Anne-Marie Bolton, who will be presenting on the subject of global ergonomics and the strategies that we are projecting and aiming for in a post-pandemic world. So if our technical colleagues could play the recording, please. Thank you. Hello, everyone. I'm Anne-Marie Bolton, and I'm happy to be here with you today to talk about the global ergonomics team at the World Bank Group. Building and leading our team presented challenges during the pandemic, but our team found opportunities to grow and improve our services. I would like to share with you information about the team during the next 10 minutes that I hope will inspire your own work. In this talk, I will explain our team strategies, activities, and partners, and I'll share with you the qualities I look for in the members of the team that I believe are essential to its success. Later in the presentation, you'll have a chance to meet each team member and experience each person's unique contributions. During the pandemic, our ergonomics program moved from a reactive approach to a more proactive approach in our work with staff, and we intend to continue this strategy. A reactive approach to ergonomics involves responding to inquiries and correcting individual workstations at the request of individual staff. A proactive approach involves anticipating the need for information and providing that information in many formats. Of course, we do and will continue to work with individual staff. However, providing educational opportunities and thoughtfully sharing informational resources allows the World Bank Group to utilize the expertise of the team more appropriately and much more widely. This is because with education, staff are better able to address problems with their workstations immediately and ask for individualized help if their own efforts don't eliminate the problems. So here are some examples of ways that we use to educate staff. We have several interpersonal strategies. As I mentioned, individual assessments remain important, as do individual email exchanges. We also accept invitations to speak from business units, facilities teams, human resources, and many other entities. We offer collaboration on webinars presented by others such as the Mental Health and Wellbeing Unit and Headquarters Fitness Center on topics that address the mind-body connection. Based on information gathered through interactions with staff, the team developed over 15 different webinars on various topics ranging from basic office ergonomics to eye health while working at the computer to ergonomics for sleeping. We also developed an anatomy-based webinar series because staff are often interested in knowing more about how the body functions and what can go wrong. You will experience three of our webinars later in the talk. Dr. Stephanie Coleman will present part of her ergonomics for students webinar and Dr. Catherine Wambua will introduce her webinar on ergonomics for drivers. Ms. Leomalka will be leading you through an example of her webinar that encourages staff to move throughout the day and she demonstrates how breathing is both a movement and relaxation strategy. I think you'll enjoy that part of the talk as you'll be asked to get up and move with her. The team got involved in the World Bank social media. In our case this is called Yammer. We use Yammer to announce our webinars and also as a platform to discuss ergonomic topics. We anticipate returning to missions which are our work-related travel and our opportunities to bring ergonomic services to offices outside of the United States as special circumstances indicate. We've also developed an ergonomics library. This is a library of resources for staff that is on our web page that does not require personal interaction. This is an alternative way for staff to learn and explore options on their own time and at their own pace. Our webinars are recorded and stored on our web page and we developed one-page tip sheets that summarize each webinar topic. Also stored on this page is a link to an online stretch break software which is a timer that staff can use on their computer to monitor their progress. It reminds them to take periodic breaks and within this software are stretching videos for stretches that are appropriate for the area around the desk. We also have helpful links on this page to our collaborators such as our facilities team and our IT team. The ergonomic chair guidance is popular and has been especially helpful to staff when they were purchasing chairs for their home offices. And finally, the team developed an online ergonomics course that is housed on the World Bank internal learning site. You will hear more about this shortly from Dr. Naomi Abrams who led this intensive project. You know it takes cooperation between many teams to make this program work. I think about these teams as internal and external collaborators who share our mission of creating a safe and healthy workspace for all staff. So some examples are the global corporate services which is our facilities team. We advise them on furniture purchases, office build outs and retrofits with the idea of promoting good ergonomic principles from the very start of office configuration. They fulfill individual furniture requests such as switching chair styles for staff at our recommendations after an ergonomic assessment. The headquarters fitness center took their classes and personal training online during the pandemic and have been a good resource for staff who need ideas about how to get more movement into their day. This is an effort shared by the ergonomics team as we know that static postures need to be avoided. Information technology services develop tech for you which provides individual consultations on technology accommodation such as speech to text applications that are available on our devices. This knowledge and service is essential to the online environment that we all find ourselves working in more intensely than ever and we refer to tech for you often. The online learning campus as I mentioned is the learning platform where our new online ergonomic software is located. So internally we have several important partners as well. The health promotion team promotes ergonomic offerings in their global regions helping us to reach all staff and they help us with our webinars and speaking engagements. The communications team is responsible for our web page and promotes our services to the world bank group as a whole. Our directorate may be a bit unique and that includes that it includes the operation of an on-site medical clinic. The clinicians there can recommend our services to their patients who present with relevant musculoskeletal diagnoses. This gives us an opportunity to help staff before problems become too severe. The analytics team reviews our data and informs us whether our efforts are successful and where more work is needed. The mental health and well-being unit led by Dr. Stuart Fisher collaborates with us on referrals and webinars and shares an approach to stress reduction that the ergonomic team embraces. The disability accommodation fund is a central fund in the world bank group that provides accommodation that may be unique to one staff member. The ergonomics team provides input into the use of these funds. I'd like to highlight disability and ergonomics at the world bank group because this is sometimes not a usual partnership. The world bank group like organizations everywhere is paying attention to how it can better provide resources that promote inclusion. The ergonomics team is involved in this effort given our unique training in physical and occupational therapy as well as kinesiology and psychology. We use as our guidance the Americans with Disabilities Act or ADA and specialized training that is provided for ADA coordinators. So I've talked about what our team does and our collaborators. So who is part of this team? The members of the team each have unique skills. They have the ability to communicate with each other. Each member demonstrates 10 qualities that I feel are essential for team success. Appropriate health and safety training and work experience are first and foremost. With this, a person should be able to work autonomously because we are a small team and we're taking care of a lot of people all over the world. It's critical to demonstrate interpersonal strengths and cultural sensitivity because our business is really about people and not equipment. A collaborative mindset that appreciates and respects different skill sets allows us as a team to all feel safe to contribute fully to the work of the team. Creativity, a desire to learn and curiosity is essential because our situation is changing all the time and I believe that the pandemic is a reminder of this. Our team works with a global workforce located in seven regions. Our directorate currently has three hubs outside of the Washington DC headquarters. One is in Nairobi, Kenya, another in Chennai, India and another in Sofia, Bulgaria. We're expanding our ergonomics team into these hubs. We have successfully hired a consultant in the Nairobi hub who has the unique experience of never having met anyone on our team in person. Dr. Catherine Wambua who was hired just as the pandemic sent us all home is our next speaker. She has developed a hub-based ergonomic program and will be elaborating on her work. Thank you and I hope I've given you something useful to think about as you develop and expand ergonomic practices in your own organization. So the next recording will be Dr. Catherine Wambua. She's situated in Nairobi, Kenya so it is also pre-recorded presentation about the role of ergonomics in the Nairobi hub which covers actually the whole Africa continent and she will also talk about ergonomics for professional drivers. So please the second recording. Thank you, Dr. Bolton and thank you for the opportunity to present. My name is Catherine Wambua. I'm a physical therapist and an ergonomist for World Bank. I'm coming to you from the Nairobi hub which is located in Kenya, Africa and today I'm going to describe how the World Bank ergonomic regional hubs operate. I'm going to talk about ergonomics in the Nairobi hub as they provide ergonomic support around the world in alignment to the overall health and safety directorate mission and if I may, I would like to share my PowerPoint with you as I describe how we operate. Thank you. Now let me describe how the hub model works. The hub has three domains, namely personal health and wellness, occupational health and safety and this is where the ergonomic services are seated and also mental health. Now the hub covers four regions and each region has a physician and a nurse. As you can see here, we have Central Africa, West Africa, East Africa and South Africa region. Now the ergonomist is based in the hub and they work in collaboration with the regions. The region identifies the needs of the staff, ergonomic needs of staff and they relay the same information to the hub that now provides the support needed and this happens on an ongoing basis. So what we find is the regions, as I said, have a physician and a nurse but the ergonomist is, you know, support is provided from the hub. What you can see here is the reach of the hub in terms of the countries. We have four different zones, I mean regions as I said, and then we have different countries within each region and we cover six different time zones and we are sure that the services we provide are within the country of A's working hours. What we have noted is that within the hybrid model, there's an increase in number of functional offices, because this both includes the official office and also the home offices. And each requires assessment and adaptation, and this is something that the hub has been able to provide in a very timely basis. And why we are able to succeed is because there is a very functional team that is located out of headquarters. This team provides the standardized assessment tools, education content, standardized documentation, data inputs. Also headquarters is the central location for worldwide requests. And also, you know, it's the coordination for the disability assessments. The hub also now provides administration for scheduling, for communication, for collaboration with other health and safety directorate domains. And so also you find when it comes to the hub support, as I said, the economic team leadership is located in Washington. But there's a team of economists that literally provides economic support across the whole world. And this team works as a team in developing tools, developing content, delivering education to staff. This team, we know we also receive inputs from analytics and other experts actually as needed. If I describe the Nairobi team, it's a multidisciplinary team consisting of doctors, nurses, psychologists, counselors, wellness specialists, occupational health specialists, and economists. And we pretty much implement the mission of the health and safety directorate. Now, this Nairobi hub team, we have a physician who is actually our team lead. We have two registered nurses. We have an occupational health and safety analyst and also an economist. We have a counseling psychologist and a senior program assistant who helps in the coordination of all the domains. And this person also provides support even outside Africa, especially because the economists provide support in Asia and East Pacific. All right. Some of the key tasks that we perform for economics includes providing timely, individualized economic risk assessment. And as we said, we are doing this both in the home setups and even in the official offices. We also provide education across multiple webinar topics as identified through staff surveys where we find where those needs are. And that way we are able to increase awareness. We are able to provide what is best practice when it comes to bioeconomics. We also provide assessment for official work environments, as I'll demonstrate in a minute. This here is a demonstration of how we do scheduling. So we identify the needs, as I said, where there needs to be education. We schedule with the regions. So we give them the time zones that are conducive to them. We provide the dates. And of course, we host and we implement this education. So different topics, different regions. And this is ongoing as we find the needs of the staff. As I said, also, we collaborate with global corporate services, especially during construction of offices, during renovation. And what we have found is this is very crucial so that we can be able to eliminate need for future retrofits for accommodation. Also, we are able to allow for accessibility, especially for people with disabilities. We are able to eliminate economic risk during construction of offices and during fittings, during procurement of equipment. So this collaboration has been very important. Now, one of the key things we have found, some opportunities, some challenges, is as people retreated to homes as home offices, there were a lot of variability. When we do assessment, we find multiple generation homes, small spaces, lack of internet, lack of power sometimes, poor, bad wind, outages of power, language barriers. We found when it comes to equipment, people working from floors, from beds, from dining tables, from makeshift tables. And all these setups require good assessment and good adaptations because work is still going on. And so we collaborate also with IT so that they can provide, whether it's accessories or education. And the main goal is to make sure that we are reducing discomfort, economic risk, that we are providing that awareness where the staff is able to identify what the risk could be. And in a timely manner, even on their own, be able to provide adaptations. Now, going forward, some of the things that we would want to monitor is from this global effort, we will look at metrics and see whether they demonstrate improved health outcomes, whether there's reduced costs associated with mass discomfort, impact indicators, both quantitatively and qualitatively. And so far, we know that, you know, because the economic unit was able to make adaptation, you know, we were able to provide services during COVID and the business of World Bank continued, despite people working from different setups. As I said, we recognize the need for the drivers webinar. And this was very important, especially being able to teach drivers on, you know, posture, adjustments of their vehicles, being able to look at what is best practice in terms of prevention of economic risk for driving. And coming behind me is going to be Dr. Coleman, who is going to also demonstrate to you the webinar on family, which has been very impactful. And thank you very much for this opportunity to present the strategy. Thank you. Thank you. And now, Stephanie Coleman talking about ergonomics for students and caregivers. Welcome, and thank you for joining me today. My name is Stephanie Coleman. I'm a physical therapist and ergonomist with the World Bank. And I am based in Washington, DC at our headquarters. I'm really excited to be joining you today as part of our program on global ergonomics. In particular, I'm going to be talking about our outreach to families during the pandemic. Hopefully now you can all see my slides that I'm going to be sharing with you today. So quickly at the beginning of the pandemic, we conducted a little bit of a needs assessment, realizing we needed to think a little differently about things because we had this unprecedented blending of home and work lives. So this was the first time in the history of our ergonomics team that we really did any outreach to families. So we really were thinking a little more holistically about how can we support our staff, not just with their work, but thinking about the larger picture of what was going on for them as our lives shifted to everything being in our homes. So some considerations we had were schedule changes that people were experiencing. So now that caregivers had to not only manage their own work, but the educational needs of their children, as well as housework, we realized there might be longer hours or more time spent sitting or in front of computers as we did our own work and manage the education of the children. So for many children, there might be limited or no synchronous learning opportunities provided, especially in the beginning. And this was a big issue as people were trying to help their students with this. There was a big shift in the amount of movement we were getting. So for students, there was just a complete cessation of probably outdoor play, trips to the playground, recess at school, as well as extracurricular activities like sports that provided a lot of an outlet for physical activity. And for caregivers, the same thing was happening. No one was commuting anymore. So some of that natural walking we have back and forth wasn't happening. Recreational exercise wasn't happening. Gyms were closed. And even just the normal walking around that we do when we're going to meetings or going out to get lunch, etc., had all stopped because we were now in a much smaller space. There was a sharing of space that was a big consideration. And this was an issue across multiple cultures, whether people were living in rural areas or urban areas. Suddenly, there might be multiple generations all under one roof trying to all live, clean, prep meals, work, exercise, etc., all in one space at the same time. And another consideration was really just the big lack of equipment. So we certainly, I think, weren't prepared to be home for as long as we were when we all initially went home when the pandemic began. And we might not have had spaces for dedicated, for office work for the adults. And then for students, they might not have been set up to do work with desks and chairs, etc. And another consideration was just the equipment, the furniture in our homes is not really designed for children, especially smaller ones. It's really designed for adults. So our children were now having to sit at the dining room table maybe or sit on a sofa that was too big for them and try to manage that and things didn't quite fit. So as a response to this, we created a webinar with the idea of educating both caregivers and students about how they could apply some of their ergonomic principles to help themselves as they worked through this new situation. So one of our first goals was really to educate students and caregivers on the why. So when people understand why they're doing something, I think they're always more apt to apply it and use the techniques that you're teaching them. So that was goal number one. And we on the ergonomics team really try to have a very consistent message of what constitutes healthy posture, okay? So these sort of basic building blocks that we can apply that can help us so that we don't have discomfort while we work or go to school. So and really we try to keep this basic and not punitive. So I think a lot of us have this idea in our head of like stand up straight and you can see from the subtitle of our webinar that it was sort of a joke because we all have these ideas of people maybe yelling at us or scolding us for not sitting up straight, but we know that it really is important for keeping our bodies healthy and ultimately keeping us from feeling badly while we're sitting and doing what we need to do throughout the day. And then lastly, we really wanted to keep the information developmentally appropriate for the students that were attending the webinar and then interactive so that it would stay a little more fun. So in order to teach these building block principles, we kind of use these are slides that we use for our webinar. So this one over here just talking a little about why posture is so important, what our spinal curves look like, what a neutral spine looks like, or what healthy spines look like so that people can understand that. And here we use a little interactive breathing technique where we have the students take a breath when they were sort of in that slumped over posture and then repeat that when they're sitting up a little taller and feel the difference. And I encourage you to try it right now if you want to because you will hopefully feel a big difference when you're sitting up a little taller and have yourself in a neutral spine. A little bit about anatomy and sort of explaining what the human head, the weight of the human head and what it feels like when you're holding it out in front of you in that forward head posture versus having your ear nicely aligned over your shoulder. So we would have the students and caregivers pick something up that might weigh similar to a human head, which for an adult is about 10 to 12 pounds or four and a half to five and a half kilos and have them feel what that feels like when they're holding it with an extended arm versus keeping it close to their body. And then here just showing those building blocks we were talking about. So what does that look like? We like to start always on the bottom and work our way up when we're educating our clients about this. So feet supported, keeping those neutral spinal curves like we talked about, shoulders relaxed down and back, ears just nicely aligned over your shoulders. And I encourage you if you're not already doing that right now to think about that and how you're sitting right now and whether you need to make some changes to your own posture too because we all get tired and forget about these things. So our second learning objective was really how do we apply this in everyday life in a practical way that's going to feel realistic for people. So some considerations here is what time and space is available for people. Obviously most people don't unfortunately have a lot of time to take a whole break and do a yoga class or something in the middle of the day. So thinking about what can we do that's realistic for people. So short breaks are okay. We talk a lot about micro breaks and the use of that as a means to get a little more movement in throughout the day. What will the students actually do? So thinking about what's realistic. So I know my own students, my own children won't participate in something if it feels too difficult or if they have to put on special clothes or go into a different part of the house or if it feels too challenging. So how do we keep it easy and how do we keep it fun? So people will really want to do it. And then thinking a lot about this, aiming for better rather than perfect. This is another consistent message we try to send from our team. So this doesn't have to be an all or nothing situation. Applying even some of the principles or changing things so it's a little better even if it's not 100% is always a good step in the right direction. And then just giving people some ideas of what can they use around their home. That this doesn't have to be something that you have to spend a lot of money on. For many people that wasn't even an option. Things were not available to them, whether because stores were closed or online deliveries were not available depending on where they were. So what do you have around the house? So we showed just some ideas and you'll see some photos of that in a minute of how do we use these household items, blankets, pillows, books that can help us so that we again get to better even if it's not perfect. And also really just encouraging people to think about this, not just when we're working, but maybe in other situations. Like if you're playing video games for our students, which many of them might spend a lot of time doing or if we're watching television. But thinking about sort of taking care of your body in other situations and using these same building blocks there. So some real examples here. I had three very willing participants in my house to help out. So in this example, you can see this is a great one because the furniture doesn't fit her very well here. And that's the case for many students. So if she didn't have her brother helpfully serving as her foot rest here, her feet would be unsupported. So we just subbed that out with some books so that she could be sitting up a little taller and getting a little more support from the bottom up. And here, this is a nice example of aiming for better and not perfect. So this fixed picture here, it's not perfect. Maybe the monitor should be a little higher. Maybe we'd like an external keyboard, but we were working with what we had and it's a lot better than where we started. And then this one showing reading, which of course, many of our students would be, we find them in this position a lot. And we're happy they're reading, I'm sure. But it is nice to hear we just elevated the book a little bit and use a piece of furniture to support her back so she could sit up a little taller and be in less of that curved flexed posture that we see her in, in the picture on the left. And then lastly, an example with a tablet. So here, because he's holding the tablet, he's using a lot of, you know, gripping in his hands, he's looking down at it. So we just elevated the tablet a little bit and then stabilized it with the cutting board so it doesn't wobble and then conveniently move the dog over so that he could be a little closer. And then our last learning objective was just talking a lot about moving more. So how do we get more movement in throughout the day, stressing that all movement is good movement and making it fun. So whatever your family likes to do, there's nothing wrong if you like to do yoga, if you like to have a dance party, play Simon Says, there's a lot of great options out there. And getting the whole family involved because the parents and the caregivers need it as well as we all know. So with that being said, I'm going to turn the floor over to my colleague, Leo Malka, and she's actually going to organize a movement break for us. And I'm going to let you take it away, Leo. Thank you for joining me today. So this is a moment now where you will have a chance to experience some sort of stretches and exercises that you could implement during your work at home or in the office. You are free to participate with us. I think it is very nice to get the feeling how much better you look, you feel after you stretch a little bit. We are also sitting here in meeting after meeting and when we try to get up, we cannot straighten our legs. So it is always good to stretch a bit. Our ergonomist, Leo Malka, in the next recording will lead a few exercises. Actually, these are movements and stretches, not exercises. We call them also exercise snacks. Just a little bit of movement and enough to feel better. So the next recording, please. Thank you, Stephanie, and welcome, everybody, and thank you for joining me today. My name is Leo Malka, and I am one of the ergonomists for the World Bank in headquarters in Washington, D.C. I was a staff member for many years and now I'm working as a consultant. I am also a personal trainer and a yoga teacher. I speak a couple of languages, which has been very useful with helping people work from home in different country offices that we have around the world. I am going to speak today about the importance of taking breaks and breathing properly so that we can incorporate those stretch breaks and those breathing techniques during your work hours in the morning, maybe a couple of times, and in the afternoon. So today I'm going to ask you to join me, and I know we all have kind of conference chairs, but I want you to think that it's possible to also work, you know, from a conference chair without having to, you know, like when you go and exercise in the gym, it's not the same, but you can take those mini breaks, and that's what we try to portray to everybody, that it's so important to stretch and not just sit for two, three hours without moving the body and breathing so that it helps you also with your stress level. So when we're ready, we will stand and we will start seated, but now I just want to share with you a couple of slides that I have prepared so that you can, and with this, my topic again is body stretching breaks while you are at home and while you are at the office. So now that some of us are returning also to work at the office, this is still very important to perform on a daily basis, okay? And then we have here what we are going to be experiencing together. So as you see, there's an example what that I am doing with just a regular chair, a conference chair, and then on the other side, on the right side of your screen, you can see what we are doing with an office chair in an office setup so that you can do those in the office and also on this chair that we are going to be sharing, right? And then here, as you can see seated, you can do your same type of stretching or standing, but the one that is on the side ribs, we are going to be performing it with a modification so that you can also see that you can modify the movements. And also on the other one is to, for your back, right? So you're going to be in a flexion position, flex position or halfway on the chair and completely relaxing your back. So we're going to work on those with, again, with modifications that you can feel comfortable. So now I'm going to stop sharing and I would love for you to join me here. I'm just gonna make it possible so that you can see me. And I want you to come and sit, probably you are seated already, but just stay all the way to the back, whatever you have on your hands, just let them go for a little bit. And while you are seated there, relax your back on the chair and think that you are by yourself here. Nobody's watching you. And then just roll your shoulders up and down. Think about inhaling and exhaling as you roll your shoulders. Again, inhale and exhale. And one more time, inhale and exhale. Good. Bring your shoulders up and relax them. And let's do this with a breath. Inhale. Take your time. And exhale. Relax the shoulders. One more time. Inhale. And you can do this while you're doing a meeting, when you're in a Zoom meeting. And sometimes you can turn, you know, the screen off for a little bit and just do your stretches, right? Right behind your desk. And release. Very good. Okay. So now we're going to come forward on the chair just a little bit. And let's work on your upper back. So I'm going to show you sideways how does it look. So imagine that the back of my chair is here. So with your hands right here, I just want you to think that you are going to your upper back. Bring your hands in front of you. And you're just going to let your spine curl a little bit towards the back of the chair. And you're going to be looking at your thighs. And then you're going to come back up. Let's do it with breath. Inhale. Standing. Exhale. Releasing. Inhale. Staggering again your spine. Tall. And exhale. Inhale again. And exhale. All the way deep. You're thinking about bringing that belly button towards the back of your chair. And then release. Good. And again, tap on your feet. It's always good to wake up all those muscles as if you were taking, getting out, water out of your hands. Shake your hands to also take breaks. And now we're going to do hamstrings. So you're going to come forward a little bit forward on your chair. I'm going to turn around to demonstrate. So I am here extending my leg. And I'm going to, from your hip, from your hips, you're going to go forward. But again, remember, you're not leading with your head, you're leading with your chest. Coming forward. Staying right there. Inhale. Exhale. And you're going to feel that hamstring being lengthened. And again, you don't have to come so forward at the beginning. Just as long as you feel something happening on the back of your hamstring, then you're fine. Try to lift your toe up and then exhale and slowly come back. And then we're going to do the other leg. So you're going to extend the leg. From your hips, you're going to go forward. So keeping your hips square, you're going to come forward, feeling that your toes are reaching towards your tibia. And you're going to just breathe. Some of you are going to be able to go a little bit further, it's okay. And always hold it for at least 20 seconds, which is 20 to 30 seconds is the average. But you're doing it slowly. So you're going to pick one or two stretches to do every two, three hours. That will help a lot. And again, exhale. But because of time constraints that I want to show you all these things, we are going to do one and one on this. But now you're going to kind of get the feel. Right? Now what we're going to do is a side bend to help with your rib cage. So I'm going to show you a modification. So lifting your right arm just like you see I am. But if some of you cannot do that, just bring your hand behind your head. And because of time of space, right? So you don't want to bump into your neighbor. And just slightly just do a side bend, keeping your shoulder down. So remember, this is the targeted area, rib cage. And then slowly you exhale, and you bring that down. Let's do the other side with a modification. So you bring your hand behind your head. And then from here, the elbow is just pointing to the side, you're gonna just go sideways. And you're still looking at me and giving me a smile. And you breathe and then you exhale as you come back slowly and return your hand. Let's do it again with a modification so that you don't bump into your neighbors. Hold it there, slowly turning. Good. And then exhale slowly coming back, releasing. And again, you can lift your arm or just keep it there. And then slowly bending. So we need two on each side. The left one is the last one and then slowly release. Shake your hands. Good. Very good. Now we're gonna do arms. So for your arm exercise, let me back up a little bit so that I can turn to the side and demonstrate. So we are doing your arm is extended shoulder height, and you're going to bring your fingers back and slowly push on your finger, your four fingers back. Gently. You breathe again, inhale and exhale. And one more time, inhale and exhale. And then slowly release and bring the palm of your hand towards your face towards your chest. So then again, the other hand is holding and just pressing. And you're just stretching. And of course you have the back support of your chair. Because I'm demonstrating I don't have the back, but you can do it with your back. And I'm going to do the other arm release, circle your wrist. I'm going to do the other one seated or relaxing with my back relaxed. So this time you're going to extend the other hand, you're going to bring again, the hand up, first the hand, the fingers being pressed back as you inhale and exhale. And again, and then slowly bringing down that hand. So now you're looking at the palm of your hand. Continue to breathe, shoulder height. And slowly release. Shake both hands. Good. Very good. Very good. Now we're going to do that forward so that you saw in that picture. So you're going to come up to the front of your chair. I'm going to turn it here. So you are in the front of your chair. A little bit forward with your hands on your legs. And you're going to just inhale. And as you exhale, you're going to come forward, leading with your chest, right? So you're just going to come down and slowly let go of your hands. See how far you can go. And then slowly bring your hands back to the legs and coming up to an upright position. Okay. Join me. Inhale, exhale. And you can go that far, just stay right there. One breath. And then as you exhale, pushing against and using your core muscles, you come back up. So lead with your head one more time. And forward, coming with your chest, the head goes along. Engage your core. And as you exhale, coming up slowly and releasing. Good? All right. So that was for your back. Again, it's possible to go all the way down. Yes, it depends on the flexibility, but maybe because we don't have space, we are going to be limited on that move. Okay? So from there, I would like for you to stand up. And now standing. Good. We're going to do something for your back. So everything we do is forward. I want you to think that this you can do as many times even if you're flying, on an airplane, in a hotel. So you're going to bring your hands to your back pockets. And then you're going to breathe, inhale, and you're going to, when you go back, I want you to activate your glutes, right? Your buttocks. So you're going to go back, and then you're going to exhale coming back. So make sure that you're planted firmly. Even if you have a little bit of height or heels, it's okay. So just go, and again, back. Feel that activation in the buttocks. And then as you exhale, and then you come back, and you feel how the buttocks relax. Last time. Inhale, exhale, come back. Inhale, exhale, as you come back. And shake your hands. Good. Shake a little bit your leg. Don't forget about shaking the legs. And standing, you can also do, remember how we did that stretch with the extended arm, or your hand behind the head. That's another option that you have while you are standing, doing your stretches for your side ribs. Okay? I hope you enjoyed that, and I hope you do them when you are back. And now next is going to be Sophia. Thank you, and I hope you continue to enjoy the conference. Bye-bye. Thank you all who participated. Oh, good. So you do feel better, and it really makes a difference. So now we will have our presenter here, Sophia Woldemichel. Hello, everyone. Thank you. So I would like to just talk about some of the results from our health and safety risk assessment survey that we did in 2021, and specific questions that were asked about ergonomics, body pain, and such. Oh, okay. Sorry. Okay. Yes. Yes. What the results of our health and safety risk assessment showed, and what a lot of the respondents, or actually the majority of respondents responded, they had some sort of difficulty either setting up their workstation and doing home-based work, getting the right type of equipment, and even having the knowledge of how to set it up right. And if they were having body pains, space issues, having to work in dining rooms or kitchen tables and not knowing how to do that, and that resulting in body pain and also just the lack of movement, which Leo wonderfully showed how we can actually combat that. But all of that had to come together so that we can create a program, as Anne-Marie and all the ergonomists explained, that would pivot from a reactive approach to a proactive approach. And ergonomics, the respondents also actually indicated that this difficulty really affected their work-life balance, their work satisfaction, and just their home life in general. And so we quickly needed to pivot to something that was available to all staff around the world, around 140 countries, and how we do that. And it's webinars on various topics, individual assessments in person. It could be email, it could be webinar, it could be Zoom. So we needed to really, along with the ergonomics program, also to think about how do we want to collect our data? Because we do need to have a record, not only a record, but also a way of showing impact and also learning from our team, for ourselves, what is it that we need to do next. Our approach was to really think this through, and together with the team, to sit down and say, what is our objective? What is it that we want to achieve? What is it that you want to see in the data? And based on that, we developed a database. I know that now we're moving to having more of an electronic way of capturing all of this, but we didn't have that at that time. So we created one ourselves, and this is based on the input of all the ergonomics team and what their objectives were going forward. And what they said was they wanted to understand how well they're reaching all staff around the countries, what subjects and what topics were seen as valuable to the staff. This is really by capturing how many countries actually participate in the different webinars and teachings, as well as actually how many people sign up to participate. So based on all of that, we created a database, as I said, and all the team of the ergonomics team were able to go directly into the database and input their data. So based on that, what we were able to do is create an interactive dashboard where each member could go in and filter by whatever indicator they wanted, and really to have an idea of how many webinars or how many sessions were done, what types of sessions were done, which countries participated and which did not. And over time, we saw that the countries that were not participating were able to be captured because we had a good way of actually understanding where they were coming from. So this is the broad representation of one of our dashboards where we can see how many of the group sessions we had during different periods, how many individual sessions there were, as well as the number of sessions by each country and which sessions were attended. And another one is specifically for the group sessions here. We're able to see actually how many staff attended each session, the types of sessions. For example, they had home-based work webinar, webinar for kids and teaching for kids. They had specific ones on iHealth. So they're able to really determine by looking at this what they were able to accomplish. Yeah. So I think that is it, just to really emphasize that data is really important for capturing and for understanding and for having a way forward on how to achieve the goals and objectives we set at the beginning. Thank you. Thank you, Sophia. And now, please, the last recording, which will be about software that will be used globally. And it started this week, just the characteristics of software and its purpose. Thank you very much. The last recording, please. This is the last slide. Hi. I'm Naomi Abrams. I'm one of the ergonomists and an occupational therapist working with the World Bank, specifically on the online ergonomic program. And we're excited to share that with you today, especially since it recently launched. And we are really looking forward to what it will bring. So the online program really went through the regular RFP process. I don't think I need to detail this. But it was a very detailed review of not just what they offered, but what we really wanted. It came down to two purposes. One was to help staff globally. And we knew we couldn't add more ergonomists. What we wanted to do was provide education. And that education really needed to come with some sort of assessment or self-assessment that would record what they were currently doing prior to getting that education so that we could identify areas of improvement and measure any change the person was able to make after the education. So we could actually measure what our education was providing. What that entailed was creating a very detailed question and answer survey that used simple questions, photographs, select what best fits your way of working, and being able to record that information. And then most importantly, provide education specific to that information. It was not just their physical setup, but also their habits that we were interested in. And again, we were challenged to find photographs that would allow people with limited English to actually go ahead and be able to figure out what that meant, what we were asking. While we do have plans in the future to translate, we really wanted it simple, whatever language it was going to end up being in. What this also mean was the education had to be direct. The difference between our program and some others is that we got rid of a lot of the why and wherefore. We didn't want to take our staff's time for that. We knew we had a limited window to get their attention. So this education really was set up to be direct. Assess this for yourself. Here's the resolution for it. Try this, then try that. Very, very direct. And many times throughout this presentation, throughout the online program, it actually tells the person specifically, stop what you're doing, and make this change if applicable. And the biggest change that happened working after COVID was that in the beginning, we thought we would have multiple modules. One for working in the office, one for working at home, one for working while you're traveling. The biggest change that happened when COVID hit and afterwards in planning our program into the future was being sure that the online program treated everybody as a hybrid worker. It's our feeling that as we progress through various stages and difference in changing how people work and also thinking globally, we have different countries doing different things, everybody does some sort of computer work at home. They're on their tablets, they're on their smartphones, they're on their laptops. And we wanted to address that even if it wasn't specifically a work-related task that they were doing, it was affecting the work-related tasks they would be doing. So we included how to work from a couch, how to work from a kitchen table, how to work from your kitchen counter, and kept things, again, very specific. In that, we actually broke things down into very specific manageable chunks. So after each one of these chunks, they were directed to stop and consider what they needed to change. Then once again in the program, at the end, they were actually given an action list that said based on your answers to our survey, this is what we need you to go ahead and do. If, for example, in this example, your keyboard or your mouse is too far away, stop and sit correctly. Now pull it closer to you so we don't have that reaching. The additional part of this program that we realized we could take advantage of is then record their answers. So to say in this situation, this person was reaching for the mouse or the keyboard. We told them to move it closer. Were they able to move it closer? We asked them, were you able to do this? They marked it resolved. Yay, we can actually say that our online education had a change to that person. It made a direct change. That was a big part of our second purpose, which really came down to standardization, came down to automizing, excuse me, making things automatic, and our reporting to our stakeholders. So the record keeping for us, the way this online program really expanded it, is it not only takes into account that they did the program, but it takes into account what they had problems with so that the consultant can then go ahead and mark if that was dealt with during a consultation. During the consultation, the consultant can mark whether there was any improvement made during the consultation, and then the consultant can mark whether that changed their opinion of that person's risk. So we were able to see throughout the entire process, were able to take into account what was accomplished during each one of these steps, and no matter who opened this case later on, they would be able to follow along in the process. And what you have to understand with this program is this is an upgrade from paper and pencil. We then moved to a tablet recording program that was just a small piece of our prior online program, and this really makes it a robust recording system. The other thing that happened, as I mentioned, we wanted to systematize things. We wanted to make sure that we have a robust recording system. The other thing that happened as I mentioned we wanted to systematize things we wanted to make things automatic. And the e-mails that went out the amount of back and forth that happened because we're trying to set up appointments because we had to have them do certain things that we didn't want to do. And so this system allows us to save time on the consultant side where sending out the same e-mail over and over again. It records that so that we can keep track of how many times have we contacted this person. When was the last time we asked this person to do something. And a lot of people in the prior program were sort of falling through the cracks. We had a very long waiting list of people that we wanted to keep track of. We wanted to keep track of how many times they did a monumental task. So this actually allowed us to say we've told them to do something. Remind us so we can check in on it or they have a responsibility to check in with us. Did they do that? This then actually allowed us to improve our reporting to our stakeholders. So your ergonomics program, our ergonomics program does a lot in the background. That's a lot of work. But it also allows us to have that robust reporting available to our stakeholders. And it includes how did that risk change through each step of this process. Where is the person specifically in our process? Is there anything that's just waiting for them to do? So not only is there a wait list for what we need to do, but is there a wait list for what it is they need to accomplish before we can And even more gives us a global searchable template to be able to go ahead and say, okay, how is this region doing? How is that region doing? Who do we need to go ahead and really focus on and try to get involved in the program? So we're really excited. This launched recently. So it's still on its build-up phase. But it's very exciting. And thank you for listening. And hopefully next time we'll be able to give you a little bit more information about how things are going using the online program. Thank you very much. And slides back, please, for the final conclusion. No, it is regular slide deck, please. Give us back the slide. Yes, exactly that one. Yes, the take-home messages. So this is the end of our session. Just would like to comment on a few take-home messages that went through all this presentation. First of all, that ergonomics is knowledge. There is this misperception that ergonomics is some sort of luxury and that only if you have a lot of money to buy expensive furniture and fancy IT that you can engage in that. Otherwise, it is not affordable. So that's definitely not right. Knowledge is the main thing in ergonomics. Anything you can use can be improved if you know how to establish correct posture or at least maybe not perfect, but always can be better. So that is our main message here. Also, it is not only important to educate each other, but to educate our staff. We can assess their workstation in one place, but especially in our workforce, they work from everywhere. They work from home, from Starbucks, from airplanes, when they travel, from hotel rooms, meeting rooms. They have to bring basic knowledge about ergonomics with themselves. They cannot call from every place when they sit with computers to ask ergonomists for help. So education is very important. In our case here, we will use this software as a basic education in ergonomics, but also any ergonomic intervention should include this educational component. So if you set up a station for your staff to explain what you are doing, what are the right proportions, how to sit, how to adjust this, not only chair, that's another misperception that ergonomics is all about chair. You buy chair and that's fine. No, it's about chair, it's about desk, about height of desk, it's about where is your keyboard, what kind of keyboard, what kind of mouse, what kind of monitor, how far away, where is the video. So all this element, this is very actually complex, but once you understand the principle, then you can turn around wherever you are and adjust your equipment properly. So that's one thing I think very important to say. Another is that musculoskeletal disorders are very prevalent in any industry and in any company. You look at medical claim, you look at disability claim, typically among top three are musculoskeletal. It's psychiatric disorder, mental health, it is cancers and it is musculoskeletal in different orders when it comes to prevalence, when it comes to cost, they're always on the top. So there is absolutely a need for ergonomics not as a healing solution, but as a process that can reduce pain and discomfort and actually increase productivity. We don't want only to act on this level when musculoskeletal disorders become prevalent, we actually want to prevent them. And in terms of ergonomics, it works on all levels of prevention, primary, secondary and tertiary. We saw at primary level of prevention, we had an all staff survey where 77% of people told us that they work in pain in the last six months. How can you be productive? How can you have good physical or mental health if your people are hurting? When we went home, we thought it was maybe three months, people were sitting on anything they could find in the house and worked for ten hours a day, and then it turned into two years. You cannot ignore pain, you cannot ignore discomfort. So even if you don't have chance to look at your medical claims to prove yourself that your people are already hurt, you have to prevent people to come even to that. Of course in any population you have also disabled people where you cannot really heal them back, but you can accommodate workstation again based on ergonomic principle for them to be able to be productive and to work better. So this component of disability accommodation is also a part of our ergonomic program and should be always a part of ergonomic program. Other message, measure your results any way you can to understand your impact and the last one, communicate with your staff. You are not just there to preach and to give them speeches, you have to hear back from them because you can't know what you don't ask and what they don't tell you. You cannot possibly also, our organization is very big, there are let's say about 30,000 people, you cannot interview each one of them, so there are these surveys that you can collect, harvest all the data and then act on them. They will tell you a lot, they will tell you what is even possible in their location, what is relevant for their work group, age group. For example from the survey we saw that younger people suffer more from pain than older one, which could be for many reasons, but it's not expected and if you don't ask, you don't know. For young people, if I mean this is maybe not part of this conference, but today, considering the usage of, wide usage of computers and everything, education and ergonomics should start already in elementary school and prevent really because, I don't know whether you had a chance to ever enter college dorm and see how students are working on floor and in bed and whatever, they already have pathology of 60 years old people. So you just want to prevent and widespread ergonomics knowledge. So that would be all from our end, so please we are here for your questions and we will we have also online our lead ergonomist, can you connect us with her just to be here. Anne-Marie Bolton. Hi everyone, I am here online so if there are any questions I'm happy to answer. Perfect, okay, so now we are ready for you. I hope you will have something to ask us because we are looking to respond. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

Global Ergonomics

Successful Strategies

Sustainable Strategies

Post-Pandemic World

World Bank Group

Health and Safety Directorate

Dr. Brian Davey

Anne-Marie Bolton

Catherine Wambua

Stephanie Coleman

Leo Malka

Sophia Valdemichel

Ergonomics Software