open access
The usefulness and practicality of the International Medical Guide for Ships
Affiliations- Centre for Maritime Health and Society, University of Southern Denmark, Esbjerg, Denmark
- The National Research Centre of the Working Environment, Copenhagen, Denmark
open access
Abstract
Background: The third edition of the International Medical Guide for Ships (IMGS) was published in 2007
and supported a main principle of the newly adopted International Maritime Labour Convention (MLC)
2006: to ensure that seafarers are given health protection and medical care as comparable as possible
to that which is available to workers ashore. In 2021, the revisions and drafting of the fourth edition of the
IMGS began. Taking the COVID-19 pandemic into consideration, it was decided that a stakeholder study
was necessary to ascertain the usefulness and practicality of the guide as well as provide input for which
new topics to include.
Materials and methods: The study applied data triangulation, with respondents from a geographically
broad sample of the International Maritime Organization‘s five regional areas of the world. The data was
analysed using thematic analysis.
Results: The results show that the IMGS is widely known and used among persons involved in medical care
on board ships, but the IMGS is not as practical as stakeholders would wish it to be. For the guide to be
useful, it must be ensured that telemedical advice information is included and if possible, ensure there is
one single and global medical guide. Also, there is a need for new medical information, and respondents
pointed to pandemic information, medicines list, medical chest, mental health issues, a women’s section,
updated cardiopulmonary resuscitation instructions, human immune defect virus information (human
immune defect-virus) and information on how seafarers may self-monitor and be monitored on board in
relation to chronic diseases.
Conclusions: Respondents understand a medicine chest on board is mandatory according to the MLC
2006, 98% are familiar with its content, and 86% use the IMGS.
Abstract
Background: The third edition of the International Medical Guide for Ships (IMGS) was published in 2007
and supported a main principle of the newly adopted International Maritime Labour Convention (MLC)
2006: to ensure that seafarers are given health protection and medical care as comparable as possible
to that which is available to workers ashore. In 2021, the revisions and drafting of the fourth edition of the
IMGS began. Taking the COVID-19 pandemic into consideration, it was decided that a stakeholder study
was necessary to ascertain the usefulness and practicality of the guide as well as provide input for which
new topics to include.
Materials and methods: The study applied data triangulation, with respondents from a geographically
broad sample of the International Maritime Organization‘s five regional areas of the world. The data was
analysed using thematic analysis.
Results: The results show that the IMGS is widely known and used among persons involved in medical care
on board ships, but the IMGS is not as practical as stakeholders would wish it to be. For the guide to be
useful, it must be ensured that telemedical advice information is included and if possible, ensure there is
one single and global medical guide. Also, there is a need for new medical information, and respondents
pointed to pandemic information, medicines list, medical chest, mental health issues, a women’s section,
updated cardiopulmonary resuscitation instructions, human immune defect virus information (human
immune defect-virus) and information on how seafarers may self-monitor and be monitored on board in
relation to chronic diseases.
Conclusions: Respondents understand a medicine chest on board is mandatory according to the MLC
2006, 98% are familiar with its content, and 86% use the IMGS.
Keywords
medical guide, International Maritime Labour Convention (MLC) 2006, maritime health, seafarers’ health, maritime medicine
About this articleTitle
The usefulness and practicality of the International Medical Guide for Ships
Journal
Issue
Article type
Original article
Pages
181-188
Published online
2022-12-28
Page views
3472
Article views/downloads
327
DOI
Pubmed
Bibliographic record
IMH 2022;73(4):181-188.
Keywords
medical guide
International Maritime Labour Convention (MLC) 2006
maritime health
seafarers’ health
maritime medicine
Authors
Lisa Loloma Froholdt
Sisse Grøn
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