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EmploymEnt, Work, And hEAlth InEquAlItIEs - a global perspective<br />

selected scientific findings<br />

The health impact of occupational risks in the Zimbabwe’s informal sector<br />

information about occupational health in the informal sector is lacking, despite its growing contribution to employment.<br />

the author describes a survey of occupational health in urban and rural informal sector workers in Zimbabwe. common<br />

hazards included poor work organisation, poor hygiene, ergonomic hazards, hazardous hand tools and chemical exposures,<br />

particularly to pesticides and solvents. an annual occupational mortality rate of 12.49/100,000 was half the formal sector<br />

rate. reported rates of 131 injuries/1,000 workers and 116 illnesses/1,000 workers exceeded formal sector rates tenfold and<br />

a hundredfold, respectively (although the distribution of injuries by economic sector correlated significantly with formal<br />

sector rates). the survey found high levels of musculoskeletal and respiratory illness, which had been thought to be underdetected<br />

in formal systems. a fifth of the injuries had resulted in permanent disability with little consequent job loss, but<br />

with no compensation granted. the author recommends improvements to occupational health in the informal sector, and<br />

suggests a broader survey of occupational morbidity in all sectors of employment.<br />

Source<br />

loewenson, r. (1998). health impact of occupational risks in the informal sector in Zimbabwe. International Journal of<br />

Occupational and Environmental Health, 4(4), 264-274.<br />

Does women’s work improve their nutrition Evidence from the urban Philippines<br />

women's market work in developing countries is thought to improve their well-being directly through increased income<br />

for health-related purchases and indirectly through elevating women's status within the household. while a number of<br />

studies have looked at the effects of women's work and the cost of women's time on child nutrition and welfare, the direct<br />

effects of women's work on their own welfare have been largely untested. using data on 1963 urban Filipino women from<br />

the cebu longitudinal health and nutrition survey, we examined the relationship between women's work and their dietary<br />

intakes of energy, protein, fat, calcium and iron from home- and commercially-prepared foods. determinants equations for<br />

home and commercial intakes were estimated simultaneously to adjust for non-independence. appropriate methods were<br />

used to deal with selectivity, endogeneity and unobserved heterogeneity. nearly half (48%) of the women worked for pay, and<br />

commercially-prepared foods made up an important part of working women's diets. not only did women's work improve the<br />

quality of their diets, but there were strong distributional implications; <strong>low</strong>er-income women gained more than higherincome<br />

women. the employment sector also influenced women's dietary patterns. informal non-wage work was associated<br />

with increased intakes, whereas formal sector work was associated with decreased intakes. the positive effects of work in<br />

the informal sector were greater for women from <strong>low</strong>-income households.<br />

Source<br />

bisgrove, e. Z., & popkin, b. M. (1996). does women’s work improve their nutrition evidence from the urban philippines.<br />

Social Science and Medicine, 43(10), 1475-1488.<br />

Fatal occupational injuries among self-employed workers in North Carolina<br />

Background: research suggests that rates of occupational injury and death may be higher among self-employed workers than<br />

among the wage and salaried population. this analysis was conducted in order to describe the demographic and occupational<br />

characteristics, as well as injuries, activities, and occupations of self-employed workers who were fatally injured on the job.<br />

methods: characteristics of workers by type of employment were compared using data from the north carolina office<br />

of the chief Medical examiner, 1978-1994. age-, activity-, and industry-specific fatality rates in self-employed workers<br />

(n=395) were contrasted with those for privately employed people (n=1,654).<br />

results: the highest fatal injury rates among the self-employed occurred in agriculture, retail and transportation<br />

industries. homicide deaths occurred more frequently among self-employed workers; and deaths resulting from<br />

unintentional injuries occurred more frequently among non-self-employed workers.<br />

Conclusions: elevated occupational fatality death rates among self-employed workers, especially in retail and transportation<br />

industries, provide justification for addressing the work-related conditions of self-employed workers in north carolina.<br />

Source<br />

Mirabelli, M. c., loomis, d., & richardson, d. b. (2003). Fatal occupational injuries among self-employed workers in north<br />

carolina. American Journal of Industrial Medicine, 44(2), 182-190.<br />

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