School of Public Health, University of the Western Cape (UWC), Cape Town, South Africa.
Health Systems Research Unit, South African Medical Research Council (SAMRC), Cape Town, South Africa.
BMC Pregnancy Childbirth. 2022 Aug 22;22(1):657. doi: 10.1186/s12884-022-04944-0.
Many women work in positions of non-standard employment, with limited legal and social protection. Access to comprehensive maternity protection for all working women could ensure that all women and children can access health and social protection. This study aimed to describe the maternity protection benefits available to women in positions of non-standard employment in South Africa, using domestic workers as a case study.
A qualitative descriptive study design was used. National policy documents containing provisions on maternity protection were identified and analysed. Interviews were conducted with purposively selected key informants. Data extracted from published policy documents and information obtained from interviews were triangulated. A thematic analysis approach was used for evaluation of policy content and analysis of the interviews.
Twenty-nine policy and legislative documents were identified that contain provisions on maternity protection relevant to non-standard workers. These documents together with three key informant interviews and two media releases are used to describe availability and accessibility of maternity protection benefits for non-standard workers in South Africa, using domestic workers as a case study. Maternity protection is available in South Africa for some non-standard workers. However, the components of maternity protection are dispersed through many policy documents and there is weak alignment within government on maternity protection. Implementation, monitoring, and enforcement of existing maternity protection policy is inadequate. It is difficult for non-standard workers to access maternity protection benefits, particularly cash payments. Some non-standard workers have unique challenges in accessing maternity protection, for example domestic workers whose place of work is a private household and therefore difficult to monitor.
The heterogeneity of non-standard employment makes it challenging for many women to access maternity protection. There are policy amendments that could be made and improvements to policy implementation that would enhance non-standard workers' access to maternity protection. Potential long-term benefits to women and children's health and development could come from making comprehensive maternity protection available and accessible to all women.
许多女性从事非标准就业岗位,法律和社会保护有限。为所有职业女性提供全面的孕产保护,可确保所有妇女和儿童都能获得健康和社会保护。本研究旨在以南非家政工人为例,描述非标准就业女性可获得的孕产保护福利。
采用定性描述性研究设计。确定并分析了包含孕产保护规定的国家政策文件。对有目的地选取的主要知情者进行了访谈。从已发表的政策文件中提取数据并从访谈中获取信息,对两者进行三角分析。采用主题分析方法评估政策内容,并对访谈进行分析。
确定了 29 份政策和立法文件,这些文件包含了与非标准工人有关的孕产保护规定。这些文件以及 3 次主要知情者访谈和 2 次媒体发布,用于描述南非非标准工人孕产保护福利的可及性,以南非家政工人为例。南非为一些非标准工人提供了孕产保护。然而,孕产保护的组成部分分散在许多政策文件中,政府内部在孕产保护方面的协调也很薄弱。对现有孕产保护政策的执行、监测和执法力度不足。非标准工人难以获得孕产保护福利,特别是现金支付。一些非标准工人在获得孕产保护方面面临独特的挑战,例如家政工人的工作场所是私人家庭,因此难以监测。
非标准就业的异质性使得许多女性难以获得孕产保护。可以进行政策修订,并改善政策执行,以增强非标准工人获得孕产保护的机会。为所有妇女提供全面的孕产保护并使她们能够获得保护,可能会给妇女和儿童的健康和发展带来长期的好处。