Sarker Abdur Razzaque, Sultana Marufa, Mahumud Rashidul Alam, Ahmed Sayem, Ahmed Mohammad Wahid, Hoque Mohammad Enamul, Islam Ziaul, Gazi Rukhsana, Khan Jahangir A M
Health Economics & Financing Research Group, International Centre for Diarrhoeal Disease Research.
J Occup Health. 2016 May 25;58(2):209-15. doi: 10.1539/joh.15-0219-FS. Epub 2016 Mar 24.
The informal sector is the dominant area of employment and the economy for any developing country including Bangladesh. The cost of productivity loss due to absence from work or presenteeism with illness has rarely been examined in the Bangladesh context. This current study, therefore, attempted to examine the impact of ill health of informal sector workers on labor productivity, future earning, and healthcare-related expenditure.
A cross-sectional survey was conducted among three occupational groups of informal workers (rickshaw pullers, shopkeepers and restaurant workers) that were generally found in all urban areas in Bangladesh. A total of 557 informal workers were surveyed for this study.
Most of the respondents (57%) reported that they had been affected by some type of illness for the last six months. The overall average healthcare expenditure of informal workers was US$48.34, while restaurant workers expended more (US$53.61). Self reported sickness absenteeism was highest (50.37days) in the case of shop keepers, followed by rickshaw pullers (49.31 days), in the last six months. Considering the income loss due to illness in the past six months, the rickshaw pullers were exposed to the highest income loss (US$197.15), followed by the shop keepers (US$151.39).
Although the informal sector contributes the most to the economy of Bangladesh, the workers in this sector have hardly any financial protection. This study provides critical clues to providing financial and social protection to informal sector workers in Bangladesh.
非正规部门是包括孟加拉国在内的任何发展中国家就业和经济的主导领域。在孟加拉国的背景下,因缺勤或带病出勤导致的生产力损失成本很少被研究。因此,本研究试图考察非正规部门工人健康不佳对劳动生产率、未来收入和医疗相关支出的影响。
对孟加拉国所有城市地区普遍存在的三类非正规工人(人力车夫、店主和餐馆工人)进行了横断面调查。本研究共调查了557名非正规工人。
大多数受访者(57%)报告称,在过去六个月里他们受到了某种疾病的影响。非正规工人的总体平均医疗支出为48.34美元,而餐馆工人的支出更高(53.61美元)。在过去六个月里,店主的自我报告病假缺勤天数最高(50.37天),其次是人力车夫(49.31天)。考虑到过去六个月因疾病造成的收入损失,人力车夫遭受的收入损失最高(197.15美元),其次是店主(151.3美元)。
尽管非正规部门对孟加拉国的经济贡献最大,但该部门的工人几乎没有任何经济保障。本研究为向孟加拉国非正规部门工人提供经济和社会保护提供了关键线索。