Di Ruggiero Erica, Cohen Joanna E, Cole Donald C
Dalla Lana School of Public Health, University of Toronto, Health Sciences Building, 155 College St,, Toronto, Ontario M5T3M7, Canada.
Global Health. 2014 Jul 1;10:56. doi: 10.1186/1744-8603-10-56.
Global labour markets continue to undergo significant transformations resulting from socio-political instability combined with rises in structural inequality, employment insecurity, and poor working conditions. Confronted by these challenges, global institutions are providing policy guidance to protect and promote the health and well-being of workers. This article provides an account of how the International Labour Organization's Decent Work Agenda contributes to the work policy agendas of the World Health Organization and the World Bank.
This qualitative study involved semi-structured interviews with representatives from three global institutions--the International Labour Organization (ILO), the World Health Organization and the World Bank. Of the 25 key informants invited to participate, 16 took part in the study. Analysis for key themes was followed by interpretation using selected agenda setting theories.
Interviews indicated that through the Decent Work Agenda, the International Labour Organization is shaping the global policy narrative about work among UN agencies, and that the pursuit of decent work and the Agenda were perceived as important goals with the potential to promote just policies. The Agenda was closely linked to the World Health Organization's conception of health as a human right. However, decent work was consistently identified by World Bank informants as ILO terminology in contrast to terms such as job creation and job access. The limited evidence base and its conceptual nature were offered as partial explanations for why the Agenda has yet to fully influence other global institutions. Catalytic events such as the economic crisis were identified as creating the enabling conditions to influence global work policy agendas.
Our evidence aids our understanding of how an issue like decent work enters and stays on the policy agendas of global institutions, using the Decent Work Agenda as an illustrative example. Catalytic events and policy precedents were found to contribute positively to agenda setting. Questions remain, however, across key informants about the robustness of the underlying evidence base for this Agenda and what meaningful impacts have been realized on the ground as a result.
由于社会政治不稳定，再加上结构性不平等加剧、就业不安全和工作条件恶劣，全球劳动力市场持续经历重大变革。面对这些挑战，全球机构正在提供政策指导，以保护和促进工人的健康与福祉。本文阐述了国际劳工组织的体面工作议程如何推动世界卫生组织和世界银行的工作政策议程。
这项定性研究包括对三个全球机构（国际劳工组织、世界卫生组织和世界银行）的代表进行半结构化访谈。在受邀参与的25名关键信息提供者中，16人参与了该研究。在分析关键主题之后，运用选定的议程设置理论进行解读。
访谈表明，通过体面工作议程，国际劳工组织正在塑造联合国各机构之间关于工作的全球政策叙述，并且追求体面工作和该议程被视为有可能促进公正政策的重要目标。该议程与世界卫生组织将健康视为人权的理念紧密相连。然而，世界银行的信息提供者一直将体面工作视为国际劳工组织的术语，与创造就业和获得就业等术语形成对比。有限的证据基础及其概念性质被部分地解释为该议程尚未充分影响其他全球机构的原因。诸如经济危机等催化性事件被认为创造了影响全球工作政策议程的有利条件。
我们的证据有助于我们理解像体面工作这样的问题如何进入并持续留在全球机构的政策议程上，以体面工作议程作为一个说明性例子。研究发现催化性事件和政策先例对议程设置有积极贡献。然而，但关键信息提供者之间仍存在疑问，即该议程的基础证据是否可靠，以及由此在实地产生了哪些有意义的影响。
