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eMployMent relations and health inequalities: pathways and MechanisMs<br />

great assistance in improving global statistics. hence, these types<br />

of figures would help to monitor the situation of child labourers<br />

better, and to elabourate policies and programs for the eradication<br />

of child labour.<br />

slavery and bonded labour<br />

• Knowledge on forced labour and its health dimensions is still<br />

very limited due to its secrecy, inadequate understanding and lack<br />

of proactive roles of concerned authorities.<br />

• studies on slavery and bonded labour have mainly given a<br />

qualitative picture of disease patterns and the role of social<br />

determinants. There is little understanding, however, of the<br />

demand pattern for forced labour in different sectors. hence, it is<br />

necessary to construct detailed spatial and temporal analyses of<br />

existing and emerging regions of economic growth centres and the<br />

movement of the child labour force.<br />

• as long as the victims can deliver physical work and service,<br />

they have a chance at survival. But once they become old and are<br />

physically disabled, their plight is destitute. Therefore, there is a<br />

need for further study exploring its geriatric health dimension.<br />

• studies show that law enforcement, social service providers and<br />

lawyers have a better understanding of trafficking and forced labour,<br />

but there is a need for more institutionalised research and outreach<br />

activities concerning case detection and management which should<br />

involve medical professionals, social workers and cooperating<br />

employer organisations as well. There is a need to pay more attention<br />

to the economic and political dimensions that promote and sustain<br />

bonded and slave labour, as well as its health consequences. new<br />

legal and enforcement action is urgently needed.<br />

• future research should identify the precise health and medical<br />

consequences of forced labour including the nature of the maladies<br />

and their durations, the best practices for identifying and<br />

administering services to survivors, and the level of recovery to be<br />

expected fol<strong>low</strong>ing treatment. This information should be used to<br />

develop screening protocols to help health care professionals<br />

identify pre-existing or potential health problems. research should<br />

be conducted to determine what kinds of fol<strong>low</strong>-up health care<br />

would be needed for survivors who choose to return to their<br />

countries of origin as well as how to solicit survivor’s active<br />

participation so that future programs will meet the needs of<br />

survivors from diverse cultural backgrounds.<br />

• There is need for research on new forms of displaced persons, also<br />

known as “environmental refugees” (along with political refugees and<br />

Altana and her daughter are free people<br />

thanks to the efforts of a local nGo. though<br />

they live in another region of the country now,<br />

they still feel like slaves and live in fear of<br />

their former master (niger).<br />

source: © ilo/M. crozet (2003)<br />

261

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