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EMployMEnt, Work, And hEAlth InEqUAlItIES - a global perspective<br />

The primacy of fair employment and decent work<br />

The concept of fair employment needs to be distinguished from that<br />

of decent work, with fair employment reflecting the need to redress<br />

unequal power relations embedded in employment relations.<br />

The achievement of fair employment requires that serious action<br />

be taken on the fol<strong>low</strong>ing dimensions: (1) freedom from coercion,<br />

which excludes all forms of forced labour such as bonded labour,<br />

slave labour or child labour; (2) job security, in terms of contracts<br />

and safe employment conditions; (3) fair income, that is, enough to<br />

guarantee an adequate livelihood relative to the needs of society; (4)<br />

job protection and the availability of social benefits, including<br />

provisions that al<strong>low</strong> for harmony between working life and family<br />

life, and retirement income; (5) respect and dignity at work, so that<br />

workers are not discriminated against because of their gender,<br />

ethnicity, race or social class; (6) workplace participation, which<br />

al<strong>low</strong>s workers to have their own representatives and negotiate<br />

their employment and working conditions collectively within a<br />

regulated framework; and (7) enrichment and lack of alienation,<br />

where work is not only a means of sustenance but, to the extent<br />

possible, an integral part of human existence that does not stifle the<br />

productive and creative capacities of human beings.<br />

international political and public health institutions should<br />

recognise fair employment and decent working conditions as<br />

universal human rights. unless guaranteeing fair employment is<br />

recognised as a priority by public health agencies and<br />

international regulatory institutions, health inequalities in the<br />

workplace are unlikely to be reduced. Action is needed to work<br />

towards the development of global social protection that<br />

guarantees fair employment and decent work for all citizens, all<br />

over the world.<br />

The links between employment conditions and health<br />

inequalities<br />

health inequalities derived from employment are closely linked to<br />

other kinds of social inequalities, including inequalities in wealth,<br />

political participation and education. through the regulation of<br />

employment relations, main political actors can not only<br />

redistribute resources affecting social stratification, but also have<br />

an impact on the life experiences of different social groups,<br />

including opportunities for well-being, exposure to hazards leading<br />

to disease and access to health care.<br />

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