Understanding the interplay of occupational, public health, and climate-related risks for informal workers : A new framework with findings from Zimbabwe and India

Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved..

Globally, there are 2 billion 'informal' workers, who lack access to social protection while facing profound health risks and socioeconomic exclusions. The informal economy has generated most jobs in Low and Middle-Income Countries (LMICs), but few studies have explored informal workers' complex health vulnerabilities, including in the face of climate change. This paper will discuss recent action-research in Indore (India), Harare, and Masvingo (Zimbabwe) with informal workers like vendors, waste-pickers, and urban farmers. We conducted qualitative interviews (N = 110 in India), focus group discussions (N = 207 in Zimbabwe), and a quantitative survey (N = 418 in Zimbabwe). Many informal workers live in informal settlements ('slums'), and we highlight the interrelated health risks at their homes and workplaces. We explore how climate-related threats-including heatwaves, drought, and floods-negatively affect informal workers' health and livelihoods. These challenges often have gender-inequitable impacts. We also analyse workers' individual and collective responses. We propose a comprehensive framework to reveal the drivers of health in the informal economy, and we complement this holistic approach with a new research agenda. Our framework highlights the socioeconomic, environmental, and political determinants of informal workers' health. We argue that informal workers may face difficult trade-offs, due to competing priorities in the face of climate change and other risks. Future interventions will need to recognise informal workers' array of risks and co-develop multifaceted solutions, thereby helping to avoid such impossible choices. We recommend holistic initiatives to foster health and climate resilience, as well as participatory action-research partnerships and qualitative, intersectional data-collection with informal workers.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:348

Enthalten in:

Social science & medicine (1982) - 348(2024) vom: 20. März, Seite 116750

Sprache:

Englisch

Beteiligte Personen:

Sverdlik, Alice [VerfasserIn]
Kothiwal, Kanupriya [VerfasserIn]
Kadungure, Artwell [VerfasserIn]
Agarwal, Siddharth [VerfasserIn]
Machemedze, Rangarirai [VerfasserIn]
Verma, Shabnam [VerfasserIn]
Loewenson, Rene [VerfasserIn]

Links:

Volltext

Themen:

Climate change
Gender
Informal economy
Informal settlements
Journal Article
Occupational health
Social determinants of health
Urban health

Anmerkungen:

Date Revised 26.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.socscimed.2024.116750

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370207696