Institute for Entrepreneurship and Development Studies (IFEDS), Obafemi Awolowo University, P.M.B. 13 Ile-Ife, Nigeria; Amsterdam Institute for Advanced Labour Studies and Hugo Sinzheimer Institute (AIAS-HSI), University of Amsterdam, Nieuwe Achtergracht 166, 1018 WV Amsterdam, Postbus 15966, 1001, NL, Amsterdam, Netherlands; Amsterdam Institute for Social Sciences Research (AISSR), University of Amsterdam. Amsterdam Roeterseilandcampus, Nieuwe Achtergracht 166, 1018 WV Amsterdam, Postbus 15718, 1001, NE, Amsterdam, Netherlands.
Amsterdam Institute for Advanced Labour Studies and Hugo Sinzheimer Institute (AIAS-HSI), University of Amsterdam, Nieuwe Achtergracht 166, 1018 WV Amsterdam, Postbus 15966, 1001, NL, Amsterdam, Netherlands; Amsterdam Institute for Social Sciences Research (AISSR), University of Amsterdam. Amsterdam Roeterseilandcampus, Nieuwe Achtergracht 166, 1018 WV Amsterdam, Postbus 15718, 1001, NE, Amsterdam, Netherlands.
Soc Sci Med. 2020 Nov;265:113510. doi: 10.1016/j.socscimed.2020.113510. Epub 2020 Nov 11.
Even though informal workers in developing countries have the most hazardous jobs, there is a sheer neglect for the treatment of their occupational health problems (OHP) in practice and by policies. This qualitative study explored how informal automobile artisans from Nigeria sought care for their OHP. It focused on their choice between orthodox and traditional medicine, between self-care and professional care, and between private and public health-care providers. 43 informal automobile artisans were purposively interviewed. The treatment sought depended on the type, the severity, and the perceived cause of the OHP. The distinction between rational and non-rational explanations of the causes of OHP usually determined the treatment endpoint. The financial means of the artisans and the cost of different treatments were also important factors. The study concluded that in order to develop safer working conditions in the sector, policy makers and artisanal associations should be aware of the considerations that informed the artisans' choices on how to treat OHP .
尽管发展中国家的非正规工人从事的工作最具危险性，但在实践中和政策上，他们的职业健康问题（OHP）的治疗却完全被忽视了。这项定性研究探讨了尼日利亚的非正规汽车工匠如何寻求治疗他们的 OHP。它侧重于他们在正统医学和传统医学、自我护理和专业护理以及私人和公共医疗保健提供者之间的选择。43 名非正规汽车工匠被有目的地采访。所寻求的治疗取决于 OHP 的类型、严重程度和感知原因。对 OHP 原因的理性和非理性解释之间的区别通常决定了治疗终点。工匠的经济手段和不同治疗方法的成本也是重要因素。该研究得出的结论是，为了在该行业发展更安全的工作条件，政策制定者和工匠协会应该意识到影响工匠如何治疗 OHP 的考虑因素。
