[Organization and implementation of occupational health and safety in child day care centers].

Background and research question: Physical and mental stress as well as infection hazards of employees in child day care centers require compliance with governmental occupational health and safety (OHS) regulations. How well OHS is organized and how measures are actually implemented are not yet empirically known. This gap was closed with an epidemiological study on the status quo.

Material and methods: In the second half of 2020 a total of 120 managers of day care centers in Germany, mostly church-run, which are member companies of the German Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), were randomly selected and interviewed. This was done by members of the BGW prevention services using a standardized survey instrument. The surveyed aspects (mostly concerning the OHS organization) were summarized in a standardized sum index between 0 and 1 (worst to best occupational health and safety) and analyzed descriptively.

Results: The requirements for the organization of OHS were fulfilled in many cases. There is still some potential left for improvement in the actual implementation of organized OHS requirements. The standardized sum index is 0.82 (standard deviation 0.16). Of the respondents two thirds rated OHS in their day care center as good/very good in a global item. In free texts, the desire for more information on OHS and better communication between the day care center and the respective provider was frequently expressed.

Discussion and outlook: The results confirmed a higher formal quality of OHS as found in other cross-sectional studies. To continuously improve the actual implementation of organized measures, OHS management systems, which are still rarely used in day care centers, could have a supporting effect. Corresponding instruments are available and their use should be more strongly promoted in the future. Limitations of the study include possible bias due to responses to representatives of an institution that is also responsible for OHS inspections.