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

mother and child at female workers’<br />

rally. El paso, Texas (united states).<br />

source: © ilo/r. lord (2009)<br />

interventions may also occur at the employer/organisational level<br />

and the job/task levels.<br />

even so, while interventions related to employment conditions<br />

may occur at the organisational and job/task level, employment<br />

conditions can be restructured (perhaps more so than working<br />

conditions) at the societal/regulatory level. voluntary measures by<br />

employers or corporations have a role to play, but are too<br />

fragmented to reshape employment conditions and lift standards<br />

generally. The same applies to union and community activities,<br />

although unions can generalise collectively negotiated protections<br />

(nationally and internationally) and, as evidence from poor countries<br />

attests, community actions can act as an important adjunct or<br />

impetus to government measures. historically, government action,<br />

often in response to community pressure, has set minimum social<br />

standards.<br />

Mandating standards or enacting regulation has little effect<br />

without adequate, supportive infrastructure and rigorous<br />

enforcement. evidence of the failure of existing regulations to<br />

protect vulnerable workers, even in wealthy countries (lipscomb,<br />

Mcdonald, dement, schoenfisch, & epling, 2007), generally reflects<br />

a failure of enforcement rather than an argument against the<br />

regulatory option. likewise, the failure to enforce labour standards<br />

in poor countries results from political and social decisions, not<br />

economic necessity (Brown & o’rourke, 2003). on the other side of<br />

the coin, however, the combination of pressure from unions and<br />

social communities plays a vital role in ensuring government action,<br />

something well-illustrated by the prolonged struggle to ban<br />

asbestos and recent actions to address children kidnapped and<br />

forced to work in brick-making in the shanxi and henan provinces in<br />

china (sydney Morning herald, 2008). as was true in the past<br />

(Macdonagh, 1977), evidence attesting to the effectiveness of new<br />

policy and regulatory measures addressing the ohs threats of<br />

employment conditions will only accumulate s<strong>low</strong>ly, and will further<br />

involve a process of trial, error and refinement in the context of<br />

ongoing community pressure.<br />

fundamental questions also need to be asked about how<br />

employment conditions best serve the long-term health and wellbeing<br />

of the global community. leaving the health consequences of<br />

employment conditions as an afterthought or "downstream"<br />

consideration in trade, commercial transactions, business practices<br />

and industrial relations will simply perpetuate the problems<br />

identified in this book. enforceable standards (with effective<br />

sanctions) are essential at the national and international levels,<br />

348

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