School of Health, University of New England, Armidale, NSW 2351, Australia.
Department of Sociology, University of Dhaka, Dhaka-1000, Bangladesh.
Int J Environ Res Public Health. 2019 Jul 2;16(13):2342. doi: 10.3390/ijerph16132342.
This study aims to identify the ongoing physical and psychological health vulnerabilities of the readymade garment (RMG) factory workers involved in the Rana Plaza building collapse in 2013, along with their experiences within the current socioeconomic and political contexts of Bangladesh. Seventeen Rana Plaza survivors participated in unstructured, face-to-face, in-depth interviews. Interviews were thematically analyzed using Haddon's matrix to examine pre-event, event, and post-event injury experiences. The collapse of the Rana Plaza building resulted in significant physical and emotional trauma for those who survived the event. The majority of the participants were forced to attend work on the day of the collapse. Participants reported physical health complaints related to bone injuries/fractures and amputation, severe headache, kidney problems, and functional difficulties. In addition to the reported physical health issues, the participants revealed psychological health issues including trauma, depression and suicidal ideation, sleep disorders, anxiety, and sudden anger. Participants described barriers to their potential for re-employment in the RMG sector and outlined their limited access to free healthcare for follow-up treatment. Those who survived the collapse of the Rana Plaza building continue to experience significant adverse physical and emotional outcomes related to the disaster. Yet, they have little recourse to ensure the availability of adequate health care and rehabilitation. Given the international reliance on the Bangladeshi RMG industry, continued pressure to ensure care is provided for these survivors, and to reduce the risk of future disasters, is necessary.
本研究旨在确定 2013 年拉纳广场大楼倒塌事件中参与救援的成衣（RMG）工厂工人当前的身体和心理健康脆弱性，以及他们在孟加拉国当前社会经济和政治背景下的经历。17 名拉纳广场幸存者参与了非结构化、面对面、深入的访谈。使用 Haddon 矩阵对访谈进行主题分析，以检查事件前、事件中和事件后的受伤经历。拉纳广场大楼的倒塌给那些在事件中幸存下来的人带来了巨大的身体和情感创伤。大多数参与者在倒塌当天被迫上班。参与者报告了与骨损伤/骨折和截肢、严重头痛、肾脏问题和功能障碍有关的身体健康问题。除了报告的身体健康问题外，参与者还透露了心理健康问题，包括创伤、抑郁和自杀意念、睡眠障碍、焦虑和突然愤怒。参与者描述了他们在 RMG 部门重新就业的障碍，并概述了他们获得免费医疗保健进行后续治疗的机会有限。那些在拉纳广场大楼倒塌中幸存下来的人继续经历与灾难相关的重大不良身体和情绪后果。然而，他们几乎没有办法确保获得足够的医疗保健和康复。鉴于国际上对孟加拉国 RMG 行业的依赖，需要继续施加压力，确保为这些幸存者提供照顾，并降低未来灾难的风险。
