Bangladesh has made significant progress in reducing maternal mortality. Many factors have contributed to this; one is the socio-economic development of the country. The ready-made garment industry is at the forefront of this development creating employment for many women. However, the work environment has the potential to create health problems, particularly for vulnerable groups such as pregnant women. This paper explores perceptions of health problems during pregnancy of factory workers, in this important industry in Bangladesh.
This study was conducted in four factories using qualitative research methods to provide a view of pregnant workers’ health risks beyond a bio-medical approach. Data was collected through in-depth interviews of pregnant workers and observations of their homes and workplaces. Further, key informant interviews with factory health care providers, government officials and employers revealed different perspectives and experiences. Data was collected in the local language (Bengali), then transcribed and analysed using a framework analysis approach.
Female workers reported that participation in paid work created an opportunity for them to earn money but pregnancy and the nature of the job, including being pressured to meet the production quota, pressure to leave the job because of their pregnancy and withholding of maternity benefits, cause stress, anxiety and may contribute to hypertensive disorders of pregnancy. This was confirmed by factory doctors who suggested that developing hypertensive disorders during pregnancy was influenced by the nature of work and stress. The employers seemed focused on profit and meeting quotas and the health of pregnant workers appeared to be a lower priority. This study found that the government lacks the resources to understand the extent of the problem or the level of compliance with maternity related regulations.
These results indicate the vulnerability of female workers to physical and mental stress at work and associations with their health problems during pregnancy. It identifies the deficiencies of family, workplace and health service support for these pregnant workers, highlighting the urgent need for government and non-government organisations to work with this important export industry to improve health surveillance and monitoring and the enforcement of existing laws to protect the rights and conditions of pregnant women.
Maternal mortality. World Health Organization. 2016. http://www.who.int/mediacentre/factsheets/fs348/en/. Accessed 15 Aug 2017.
Black RE, Walker N, Laxminarayan R, Temmerman M. Reproductive, Maternal, Newborn, and Child Health: Key Messages of This Volume. 2016. https://www.ncbi.nlm.nih.gov/pubmed/27227235 . Accessed 15 Aug 2017.
Bangladesh Demographic and Health Survey 2014. National Institute of Population Research and Training, Mitra and Associates, ICF International 2016. https://dhsprogram.com/pubs/pdf/FR311/FR311.pdf. Accessed 20 Aug 2017.
Bangladesh Maternal Mortality and Health Care Survey 2010. National Institute of Population Research and Training, Measure Evaluation, icddr,b. 2012. https://www.measureevaluation.org/resources/publications/tr-12-87. Accessed 20 Aug 2017.
Bullock S. Women and work. London: Zed Books; 1994.
Doyal L. What makes women sick? Gender and the political economy of health. London: Macmillan; 1995.
Lorber J, Moore LJ. Gender and the social construction of illness. Rowman Altamira. 2002.
Bhattacharya D. Export processing zones in Bangladesh: Economic impact and social issues. International Labour Organization. 1998.
Rahman MH, Siddiqui SA. Female RMG worker: economic contribution in Bangladesh. Int J Sci Res Publ. 2015;5:9.
Kabeer N. Cultural dopes or rational fools? Women and labour supply in the Bangladesh garment industry. Eur J Dev Res. 1991;3:133–60. CrossRef
Improving working conditions in the ready made garment industry: Progress and achievements. International Labour Organization; 2016. http://www.ilo.org/dhaka/Whatwedo/Projects/WCMS_240343/lang--en/index.htm. Accessed 15 June 2016.
Hossain MK, Rana M, Ahmed F. Impact of recession on ready-made garments of Bangladesh: a critical analysis. Int J Appl Res. 2016;2:85–90.
Kabeer N, Mahmud S. Rags, riches and women workers: export-oriented garment manufacturing in Bangladesh. Chains Fortune: Linking women producers and workers with global markets. London: Commonwealth Secretariat; 2004. p. 133–162.
Kabeer N, Mahmud S. Globalization, gender and poverty: Bangladeshi women workers in export and local markets. J Int Dev. 2004;16:93–109. CrossRef
Kibria N. Culture, social class, and income control in the lives of women garment workers in Bangladesh. Gend Soc. 1995;9:289–309. CrossRef
Lewis ND, Dyck I, McLafferty S, editors. Geographies of Women’s Health: Place, Diversity and Difference. London: Routledge; 2001.
Gostin LO. Abortion politics: clinical freedom, trust in the judiciary, and the autonomy of women. JAMA. 2007;298:1562–4. PubMed
Cook C. Women's health theorizing: a call for epistemic action. Critical Public Health. 2009;19:143–54. CrossRef
Messing K, Ostlin P. Gender equality, work and health: a review of the evidence. World Health Organization; 2006. http://www.who.int/occupational_health/publications/genderwork/en/. Accessed 12 Apr 2016.
Special Safety & Security Urgent for the Garment Industrial Zones. Textile Today; 2010. http://www.textiletoday.com.bd/special-safety-security-urgent-for-the-garment-industrial-zones. Acessed 13 June 2017.
Bangladesh population and housing census 2011. Bangladesh Bureau of Statistics. http://bbs.portal.gov.bd/sites/default/files/files/bbs.portal.gov.bd/page/7b7b171a_731a_4854_8e0a_f8f7dede4a4a/PHC2011PreliminaryReport. Accessed 15 Apr 2016.
Hoque MS, Debnath AK, Mahmud S. Impact of garment industries on road safety in metropolitan Dhaka. In: Proceedings of international conference on traffic safety in developing countries; 2006.
Delocalization need for the RMG industry of Bangladesh. Textile Today; 2016. http://textiletoday.com.bd/demo/2016/02/20/delocalization-need-for-the-rmg-industry-of-bangladesh-2. Accessed 15 June 2017.
Islam MA, McPhail K. Regulating for corporate human rights abuses: the emergence of corporate reporting on the ILO's human rights standards within the global garment manufacturing and retail industry. Crit Perspect Account. 2011;22:790–810. CrossRef
Akhter S, Rutherford S, Akhter Kumkum F, Bromwich D, Anwar I, Rahman A, Chu C. Work, gender roles, and health: neglected mental health issues among female workers in the ready-made garment industry in Bangladesh. Int J Women’s Health. 2017; doi: 10.2147/IJWH.S137250.
Britten N. Qualitative research: qualitative interviews in medical research. Br Med J. 1995;311:251–3. CrossRef
Lie M. Two generations: life stories and social change in Malaysia. J Gend Stud. 2000;9:27–43. CrossRef
Acharya J, Lund R. Gendered spaces-socio-spatial relations of self-employed women in craft production, Orissa, India. Nor Geogr Tidsskr. 2002;56:207–18. CrossRef
Patton MQ. Qualitative Research. Wiley Online Library. 2005.
Golafshani N. Understanding reliability and validity in qualitative research. Qual Rep. 2003;8:597–606.
Creswell JW, Hanson WE, Clark Plano VL, Morales A. Qualitative research designs: selection and implementation. Couns Psychol. 2007;35:236–64. CrossRef
Richards L. Handling qualitative data: A practical guide. Sage; 2014.
Boyatzis RE. Transforming qualitative information: Thematic analysis and code development. Sage. 1998.
Ritchie J, Spencer L. Qualitative data analysis for applied policy research. Qual Res Companion. 2002;573:305–29.
Haelterman E, Marcoux S, Croteau A, Dramaix M. Population-based study on occupational risk factors for preeclampsia and gestational hypertension. Scand J Work Environ Health. 2007:304–17.
Mozurkewich EL, Luke B, Avni M, Wolf FM. Working conditions and adverse pregnancy outcome: a meta-analysis. Obstet Gynecol. 2000;95:623–35. PubMed
Mother-baby package. Implementing safe motherhood in countries. A practical guide. World Health Organization; 1996. http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/WHO_FHE_MSM_94_11/en/. Accessed 16 Aug 2017.
Doctor HV, Olatunji A, Findley SE, Afenyadu GY, Abdulwahab A, Jumare A. Maternal mortality in northern Nigeria: findings of a health and demographic surveillance system in Zamfara state, Nigeria. Trop Dr. 2012;42:140–3.
- What makes pregnant workers sick: why, when, where and how? An exploratory study in the ready-made garment industry in Bangladesh
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