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policies and interventions<br />

9.6. assessinG policy inTervenTions<br />

While evidence indicates that the employment conditions identified<br />

in this book exert profound effects on health, we cannot meet these<br />

challenges through simple policy solutions. rather the complex and<br />

dynamic nature of employment conditions, and the range of specific<br />

country contexts, call for an array of policy interventions operating<br />

at different levels (see case studies 94 to 99). nonetheless, they<br />

must all take note of the trends uncovered in this book, such as<br />

avoiding the harmful side-effects of neo-liberal policies on work<br />

arrangements in both poor and wealthy countries. drawing on an<br />

array of sources, this chapter has identified a series of policy<br />

interventions that can address these challenges, many of which<br />

have already been implemented (albeit often on a minor scale).<br />

our ability to evaluate interventions is limited by the<br />

comparatively recent nature of some changes to employment “The order is that no one goes hungry” - msT<br />

conditions, the even more recent nature of some remedies (such (landless workers movement) demonstration<br />

as supply chain regulation) and the more general paucity of in Brazil.<br />

research on the effectiveness of interventions (Bambra, egan, source: antonio rosa (1999)<br />

Thomas, petticrew, & Whitehead, 2008; egan et al., 2007; egan,<br />

Bambra, petticrew, & Whitehead, 2009). nonetheless, many of the<br />

policies identified make intuitive sense because they are directed at<br />

those characteristics (economic deprivation, disorganisation,<br />

disempowerment and regulatory failure) that, as evidence suggests,<br />

cause the problems (for a parallel analysis see labonte &<br />

schrecker, 2007). policy interventions also need to be informed by<br />

an understanding of gender effects, since some employment<br />

conditions disproportionately marginalise women (artazcoz, Borrell,<br />

cortès, escriba-aguir, & cascant, 2007). as noted elsewhere in this<br />

book, evidence on the effectiveness of some current,<br />

internationally-promoted interventions, such as corporate social<br />

responsibility and micro-credit, is ambiguous (B<strong>low</strong>field, 2007). on<br />

the other hand, available evidence indicates that less-publicised<br />

measures, such as food or income support for the poor, has<br />

alleviated the incidence of child labour in countries like Brazil.<br />

The aforementioned tables and discussions place considerable<br />

emphasis on infrastructure (poverty alleviation, universal education<br />

and public health facilities, government inspectorates) and<br />

regulation (international standards and agreements, laws and<br />

enforcement). This is because governments and their agencies are<br />

in a position to provide comprehensive standards and laws, as well<br />

as enforce them. These policies also set a framework for community<br />

expectations, thus influencing other actions and giving them a<br />

dramatically more far-reaching scale than more targeted policies.<br />

347

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