Sewing shirts with injured fingers and tears: exploring the experience of female garment workers health problems in Bangladesh
Tóm tắt
The ready-made garment industry in Bangladesh not only contributes to the nation’s economic development, but has created income opportunities for women, benefiting their whole family. However, these benefits come at considerable cost to the women. This research examines how the work environment and gendered family role in this conservative society affect the health of the female industrial workers. A qualitative study employed in-depth interviews (n-20) and focus group discussions with female garment workers (n-4) in two cities of Dhaka district. Further, key informant interviews (n = 4) with factory doctors, along with eight workplace observations were conducted to explore the lived experience of female workers’ health issues. Interview transcripts were coded in Atlas-ti, 5.2. The data were analysed using thematic analysis approach. The themes are illustrated with case narratives. The female workers reported that their work has led to back and joint pain, continuous headache, eye pain and difficulty in breathing associated with inhaling fabric dust. Inadequate lighting, constantly sitting in one position without back rest and continuous noise from hundreds of machines makes them feel permanently tired. Further, the female workers reported that working in the factory and meeting the expectations of the families at home has doubled their workload. The doctors indicated that the physical work environment, their low job status and the nature of the job affect the health of female workers. This study found that female workers in the ready-made garment industry face a high risk of health problems. Both government and non-government organizations need to be better involved in designing interventions targeting these women, to protect them from such health risks. In addition, recognition by the whole society of the important role the women play in the economy is needed, so that support by both family and society can be improved.
Tài liệu tham khảo
Qureshi Z. Globalization: new opportunities, tough challenges. Finance & Development. 1996;33(1):30–3.
Rai, S.M. and G. Waylen, New frontiers in feminist political economy. Vol. 12. 2013: Routledge.
Mehra R, Gammage S. Trends, countertrends, and gaps in women's employment. World Dev. 1999;27(3):533–50.
Attanapola CT. Multiple voices, multiple realities: female industrial workers' health in Sri Lanka. Norsk Geografisk Tidsskrift-Norwegian J Geogr. 2003;57(3):154–63.
Hunter EC, et al. Newborn care practices in rural Bangladesh: implications for the adaptation of kangaroo mother care for community-based interventions. Soc Sci Med. 2014;122:21–30.
Mirdha, R.U., Bangladesh remains second largest garments exporter against all odds, in The Daily Star. 2016: Bangladesh.
Bhattacharya D, Moazzem G, Rahman M. Bangladesh’s apparel sector in post-MFA period: a benchmarking study on the ongoing restructuring process (Dhaka, Centre for Policy Dialogue); 2008.
Berg A, Hedrich S, Tochtermann T. Bangladesh: the next hot spot in apparel sourcing? March: McKinsey&Company; 2012.
Elson D, Pearson R. ‘Nimble fingers make cheap workers’: an analysis of women's employment in third world export manufacturing. Fem Rev. 1981;7:87–107.
Bajaj, V., Bangladesh, with low pay, moves in on China. The New York Times, 2010. 16.
Musante, K. and B.R. DeWalt, Participant observation: A guide for fieldworkers. 2010: Rowman Altamira.
Greenhouse S. Major Retailers Join Bangladesh Safety Plan, in The New York Times; 2013.
Miller D. Negotiating international framework agreements in the global textile, garment and footwear sector. Global social policy. 2004;4(2):215–39.
Akhter S, Rutherford S, Chu C. What makes pregnant workers sick: why, when, where and how? An exploratory study in the ready-made garment industry in Bangladesh. Reprod Health. 2017;14(1):142.
Yang L. Empowered or disempowered? Women's participation in a development project in rural China. Asian J Women's Stud. 2012;18(3):38–67.
Kabeer, N., S. Mahmud, and S. Tasneem, Does paid work provide a pathway to women's empowerment? Empirical findings from Bangladesh. 2011.
Schuler SR, et al. Perceived decline in intimate partner violence against women in Bangladesh: qualitative evidence. Stud Fam Plan. 2013;44(3):243–57.
Nazneen S, Hossain N, Sultan M. National discourses on women's empowerment in Bangladesh: continuities and change. IDS Working Papers. 2011;2011(368):1–41.
Heath, R. and M. Mobarak, Supply and demand constraints on educational investment: Evidence from garment sector jobs and the female stipend program in Bangladesh. New Haven, CT. Working paper, Yale School of Management, 2012. 2(4).
Hossain, N., Exports, equity, and empowerment: the effects of readymade garments manufacturing employment on gender equality in Bangladesh. Background paper for the WDR, 2012.
Karim KR, et al. Gender and women development initiatives in Bangladesh: a study of rural mother center. Soc Work Public Health. 2016;31(5):369–86.
Ashraf Ali H. Microcredit and power: examining how and why women encounter domination in Bangladesh. Dev Pract. 2014;24(3):327–38.
Enloe C. Closing reflection: militiamen get paid; women borrowers get beaten. Polit Gend. 2015;11(2):435.
Lacey RJ, Lewis M, Sim J. Piecework, musculoskeletal pain and the impact of workplace psychosocial factors. Occup Med. 2007;57(6):430–7.
Toupin D, et al. Measuring the productivity and physical workload of brushcutters within the context of a production-based pay system. Forest Policy Econ. 2007;9(8):1046–55.
McCurdy SA, et al. Agricultural injury in California migrant Hispanic farm workers. Am J Ind Med. 2003;44(3):225–35.
Wang P, et al. Work organization and work-related musculoskeletal disorders for sewing machine operators in garment industry. Ann Epidemiol. 2005;15(8):655.
Tissot F, Messing K, Stock S. Studying the relationship between low back pain and working postures among those who stand and those who sit most of the working day. Ergonomics. 2009;52(11):1402–18.
Wang P-C, et al. Self-reported pain and physical signs for musculoskeletal disorders in the upper body region among Los Angeles garment workers. Work. 2009;34(1):79–87.
Wang PC, et al. Follow-up of neck and shoulder pain among sewing machine operators: the Los Angeles garment study. Am J Ind Med. 2010;53(4):352–60.
Padmini, D. and A. Venmathi, Unsafe work environment in garment industries, Tirupur, India. Journal of Environmental Research And Development Vol, 2012. 7(1A).
Parimalam P, Kamalamma N, Ganguli A. Ergonomic interventions to improve work environment in garment manufacturing units. Indian J Occup Environ Med. 2006;10(2):74.
Thorborg M. Environmental and occupational hazards in export processing zones in east and South Asia: with special reference to Taiwan, China, and Sri Lanka. Toxicol Ind Health. 1991;7(5–6):549–61.
Makurat J, et al. Nutritional and micronutrient status of female workers in a garment factory in Cambodia. Nutrients. 2016;8(11):694.
Attanapola, C.T., Changing Gender Roles.
Absar SS. Women garment workers in Bangladesh. Econ Polit Wkly. 2002:3012–6.
Zohir, S.C. and P. Paul, Garment workers in Bangladesh: economic, social and health condition. 1996: Bangladesh Unnayan Gobeshona Protishthan.
Paul-Majumder P, Begum A. The gender imbalances in the export oriented garment industry in Bangladesh. The World Bank. Washington, DC: Development Research Group/Poverty Reduction and Economic Management Network; 2000.
SARDER MB, Imrhan SN, Mandahawi N. Ergonomic workplace evaluation of an Asian garment-factory. J Hum Ergol. 2006;35(1–2):45–51.
Absar, S.S., 2.7 Problems surrounding wages: the ready made garment sector in Bangladesh. Labour and Management in Development, 2009. 2.
Ahamed, F., Can Trade Unions play an effective role in defending workers' rights in the Bangladesh Ready-made Garment industry? Middle East Journal of Business, 2012. 7(1).
Hossan CG, Sarker MAR, Afroze R. Recent unrest in the RMG sector of Bangladesh: is this an outcome of poor labour practices? Int J Bus Manage. 2012;7(3):p206.
Jamaly R, Wickramanayake E. Women workers in the garment industry in Dhaka, Bangladesh. Dev Pract. 1996:156–61.
International Labour Organization. Work place Stress: A Collective Challenge. 2016; Available from: https://www.ilo.org/safework/info/publications/WCMS_466547/lang--en/index.htm. [cited 20 Apr 2018]
Hyde, M. and H. Singh Chungkham, Work and health in India. 2017: Policy Press.
Steinisch M, et al. Work stress: its components and its association with self-reported health outcomes in a garment factory in Bangladesh—findings from a cross-sectional study. Health & place. 2013;24:123–30.
Holmström, M., South Indian factory workers: their life and their world. Vol. 20. 2007: Cambridge University Press.
Jones K, Moon G. Medical geography: taking space seriously. Prog Hum Geogr. 1993;17(4):515–24.
Macintyre S, Ellaway A, Cummins S. Place effects on health: how can we conceptualise, operationalise and measure them? Soc Sci Med. 2002;55(1):125–39.
Paolisso M, Leslie J. Meeting the changing health needs of women in developing countries. Soc Sci Med. 1995;40(1):55–65.
Doyal L. What makes women sick? Gender and the political economy of health. BMJ. 1995;311:577.
Dyck, I., N.D. Lewis, and S. McLafferty, Why geographies of women’s health? Geographies of women's health: Place, diversity and difference, 2001: p. 1.
Marmot M, Bell R. Fair society, healthy lives. Public Health. 2012;126:S4–S10.
Creswell, J.W., Qualitative inquiry and research design: Choosing among five approaches. 2012: Sage.
Patton, M.Q., Qualitative research. 2005: Wiley Online Library.
Mohajan H. Child rights in Bangladesh; 2014.
Creswell, J.W. and J.D. Creswell, Research design: Qualitative, quantitative, and mixed methods approaches. 2017: Sage publications.
Curtis S, et al. Approaches to sampling and case selection in qualitative research: examples in the geography of health. Soc Sci Med. 2000;50(7):1001–14.
Miles, M.B. and A.M. Huberman, Qualitative data analysis: An expanded sourcebook. 1994: Sage.
Pelto, P.J. and G.H. Pelto, Anthropological research: The structure of inquiry. 1978: Cambridge University Press.
Bradshaw M, Stratford E. Qualitative research design and rigour; 2010.
Kvale S. Dominance through interviews and dialogues. Qual Inq. 2006;12(3):480–500.
World Bank. WB Update Says 10 Countries Move Up in Income Bracket 2015 August, 2016]; Available from: http://www.worldbank.org/en/news/press-release/2015/07/01/new-world-bank-update-shows-bangladesh-kenya-myanmar-and-tajikistan-as-middle-income-while-south-sudan-falls-back-to-low-income.
Zohir, S.C., Gender implications of industrial reforms and adjustment in the manufacturing sector of Bangladesh. 1998: University of Manchester.
Absar SS. Health hazards and labour Laws in Bangladesh: a narrative-based study on women garment workers. Asian J Soc Sci. 2003;31(3):452–77.
Ashraf, H., Beyond Building Safety: an ethnographic account of Health and well-Being on the Bangladesh Garment Shop floor. Unmaking the Global Sweatshop: Health and Safety of the World's Garment Workers, 2017: p. 250.
Strümpell, C. and H. Ashraf, Stress and modern work: ethnographic perspectives from industries in Bangladesh viennese ethnomedicine newsletter, 2011. 13(2–3): p. 24–33.
Attanapola CT. Women's empowerment for promoting health: stories of migrant women workers in Katunayake export-processing zone, Sri Lanka. Norsk Geografisk Tidsskrift - Norwegian J Geogr. 2008;62(1):1–8.
Kabeer N. Gender production and well-being: rethinking the household economy; 1991.
Kabeer N, Mahmud S. Globalization, gender and poverty: Bangladeshi women workers in export and local markets. J Int Dev. 2004;16(1):93–109.
Feldman S, McCarthy FE. Rural women and development in Bangladesh; 1984.
Madhani FI, et al. Participation in micro-finance programmes and women’s mental health in South Asia: a modified systematic review. J Dev Stud. 2015;51(9):1255–70.
World Bank. Bangladesh CountrySnapshot. [cited 2017 5th Saptember]; Available from: http://documents.worldbank.org/curated/en/190391468190764030/pdf/100113-WP-PUBLIC-Box393225B-Bangladesh-Country-Snapshot.pdf.