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EmploymEnT, woRk, and hEalTh inEqualiTiEs - a global perspective<br />

Father and son collecting boxes in the city<br />

dump in Guatemala.<br />

source: antonio rosa (2002)<br />

informal employment<br />

The informal sector is a step be<strong>low</strong> precarious employment in terms of<br />

vulnerability. although an informal economy exists within wealthy<br />

countries (and may be growing), informal employment is predominantly<br />

a feature of <strong>low</strong>- and middle-income countries such as china, where it<br />

has grown rapidly to account for over 25 per cent of the workforce, and is<br />

especially predominant among women (cooke, 2006) (see case studies<br />

88 and 89). in some african countries, such as Ghana, the majority of<br />

workers are engaged in the informal economy. The danger of the<br />

informal sector in the production of health inequalities is the fact that<br />

both workers and dominant practices remain very difficult to monitor.<br />

The economic pressure, deprivation, and lawlessness surrounding<br />

much informal economic work exposes workers to an array of<br />

heightened risks including poor mental health, physical over-exertion,<br />

and exposure to sexual harassment and violence (prevalent amongst<br />

domestic workers and street vendors) (nunes & Theodoro, 2006). The<br />

problem is that informal labourers and the informal labour market as<br />

a whole remain largely invisible to ohs statistics. Moreover, the<br />

existence of such a substantial informal sector corrodes the regulatory<br />

protection of the formal sector because there is no universality to<br />

minimum labour standards. More important still, the informal sector<br />

can be used as an alternative source of supply (through outsourcing) by<br />

local or foreign firms seeking to evade regulatory standards (dwyer,<br />

2006; Baumecker & de faria 2006; Beltrao, 2006).<br />

To combat this usurpation, informal workers have occasionally sought<br />

to organise in order to protect themselves. despite their efforts, social<br />

marginalisation and workplace isolation make organisation problematic<br />

and these bodies have, on occasion, been shunned by unions more<br />

concerned about restricting membership than acknowledging the<br />

informal economy. nonetheless, groups of informal workers mobilise in<br />

the social, industrial and political spheres to demand dignity and rights<br />

from employers and push to create broad alliances in order to pressure<br />

governments to adopt food production and redistributive policies and<br />

alleviate poverty, rather than prioritising export crops.<br />

as we mentioned before regarding the informal economy, child and<br />

bonded labour governments must assume the policy space to ensure<br />

that resources are directed to achieve equitable access to health care,<br />

that poverty reduction is a priority and that health is treated as a human<br />

right and not as a WTo/iMf-approved outcome of the marketplace<br />

(labonte & schrecker, 2007). as Tokman (2007) has argued with regard<br />

to latin america, the informal economy can be incorporated into the<br />

modern sector to address social exclusion and achieve near-universal<br />

social protection.<br />

340

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