West Africa’s Health Workers Sound Alarm, Unions Propose Solutions

West Africa’s Health Workers Sound Alarm, Unions Propose Solutions

A new survey of 700 health workers in six West African countries—Gambia, Ghana, Nigeria, Senegal, Sierra Leone and Togo—provides a window into health-sector shortcomings that are compounding the region’s ability to respond effectively to the COVID-19 crisis. The survey, conducted by the Organization of Trade Unions of West Africa (OTUWA) together with national trade union centers and healthcare unions, was released last week together with a raft of union recommendations for ensuring the protection of health worker rights and effective, accessible healthcare for all.

“The results of OTUWA’s health care worker survey are very important for the decision-makers in this region, especially in the midst of a pandemic,” said OTUWA President and National Union of Autonomous Trade Unions of Senegal (UNSAS) General Secretary Mademba Sock.

The survey found that most health workers are being subjected to increased workload without additional compensation and feel unsafe at work due to shortages of personal protective equipment and inadequate access to COVID-19 tests. Respondents indicated insufficient health facilities, shortage of medical personnel and unaffordable medical care as their most pressing issues.

OTUWA, which represents trade union national centers in the 15 West African countries comprising the Economic Community of West African States (ECOWAS), will promote the survey’s findings and policy recommendations within regional organizations such as ECOWAS and the West African Health Organization (WAHO). OTUWA will also support affiliates as they engage their own governments on issues that negatively affect healthcare workers and prevent universal access to good health care.

“The survey findings underscore the fact that workers and unions must be involved in all discussions and decisions about health care systems in our region, so they properly serve everyone’s needs,” said OTUWA Secretary General John Odah, who is urging governments in the region to prioritize and increase budgetary spending on health facilities and supplies.

The survey report was released during an OTUWA-led virtual presentation on October 8, during which Kwasi Adu-Amankwah, International Trade Union Confederation (ITUC)-Africa general secretary, and David Dorkenoo, International Labor Organization (ILO) Bureau for Workers Activities (ACTRAV) specialist for Ghana, Liberia and Sierra Leone, underlined the survey’s importance for policymakers. Other participating organizations in the event included the Organization of African Trade Union Unity (OATUU); Benin, Gambia, Ghana, Mali, Nigeria and Senegal national union centers; and several healthcare unions.

“We are brothers and sisters across these countries, and we have learned a lot from the pandemic,” said West Africa Health Sector Unions’ Network (WAHSUN) Chair Perpetual Ofori-Ampofo, during the event.

At Ofori-Ampofo’s suggestion, event participants agreed that union representatives discussing healthcare issues with their governments should emphasize the urgency of ratifying International Labor Organization (ILO) Convention 190. C190 is the world’s first treaty requiring governments to address gender-based violence and harassment in the world of work, which Ofori-Ampofo said is commonly reported by health workers in the region.

The survey is an activity of OTUWA’s new “Healthcare Is a Human Right” campaign. Launched in Abuja in March, the campaign unites OTUWA affiliates in a fight for equal and fair healthcare access for all who live within the ECOWAS region.

The survey report is also available in French.

‘Information Is the Key’: Empowering Kyrgyzstan’s Young Workers

‘Information Is the Key’: Empowering Kyrgyzstan’s Young Workers

To promote youth civic engagement and the fair employment of women, workers with disabilities and those migrating outside the country to earn a living, the Solidarity Center’s second annual School of Young Leaders in Bishkek educated dozens of young people in mid-September about their protections under the country’s labor code, with a special focus on disability rights. Event attendees—selected from around the country based on a writing competition—included youth and mentors with disabilities.

“This is my first experience in the framework of an inclusive society—where no one divides into some groups, everyone supports each other, accepts each other equally and shares their experiences,” said Sezim Tolomusheva, organizing and socioeconomic protection lead specialist for the Union of Textile Workers of Kyrgyzstan.

During a session covering how to engage traditional and social media, local disability-rights activist and blogger Askar Turdugulov encouraged attendees to pursue their goals despite limitations, such as the spinal injury that impaired his ability to walk from age 18.

“This [event] is a bright example in the promotion of the principle of ‘equal opportunities for all’ that gives equal labor rights for all people, regardless of their origin, gender or health status,” said Turdugulov.

Participating NGOs, trade unions and government agencies also provided young attendees—many of whom work directly to aid migrant workers and some of whom may one day migrate for work—with information about common challenges for migrant workers, the protective role of the Kyrgyz Migrant Workers’ Trade Union, the importance of pre-departure trainings and information about labor laws in destination countries. Other highlights included discussion on the rights of women at work under national legislation and the International Labor Organization’s 2019 Convention: Eliminating Violence and Harassment in the World of Work (C190). NGOs contributing expertise to the event included the “Equal Opportunities” Social Center and the Public Association of Girls with Disabilities, Nazik-Kyz.

Youth un- and under-employment in Kyrgyzstan stands at 55 percent. Most young people feel forced to migrate in search of work, primarily to Russia and Kazakhstan, although also further to South Korea, Turkey or other countries. Kyrgyz migrant workers provide more than one-third of the Central Asian country’s GDP in money they send home. When workers migrate from Kyrgyzstan, they often face discrimination, exploitation and unsafe working conditions. Many are at risk of being trafficked and subjected to forced labor.

Kyrgyzstan ratified the UN Convention on the Rights of Persons with Disabilities (CRPD) on February 7, 2019. The primary work needed for CRPD implementation will be expanding access for people with disabilities to education, justice and employment opportunities, physical therapy and rehabilitation services, medical and social assistance, and ensuring their free movement through promotion of universal design.

Workers Band Together to Protect Kenya’s Market Vendors, Community

Workers Band Together to Protect Kenya’s Market Vendors, Community

In a joint effort to protect market vendors and workers and reduce community spread of COVID-19, Kenya’s labor federation, Central Organization of Trade Unions (COTU-K), last week provided three of its affiliates with infection control supplies for distribution through the informal worker organizations that they represent. Under the August 13 “COTU CARES” campaign, six organizations that represent almost 6,000 informal workers are distributing to their Nairobi-based members, with Solidarity Center support, 4,000 KN95 face masks, 2,000 pairs of disposable surgical hand gloves, 100 pairs of industrial hand gloves, 140 gallons of liquid handwashing soap, 100 soap containers, 46 gallons of hand sanitizer, 36 handwashing stands and nine thermal body temperature scanners.

“Many people think that trade unions only represent formal workers, but now you know that informal workers are equally important and that’s why we are here,” said Rose Omamo, general secretary of the Amalgamated Union of Kenya Metal Workers (AUKMW), which helps represent automobile mechanics.

Recipients of the distribution include informal worker organizations Grogon-Ngara Food Vendors Association, metal worker associations Ambira Jua Kali and Migingo Mechanics Self Help Group, Muthurwa Cleaners Association, Muthurwa Food Court Vendors Association and street vendor association Nairobi Informal Sector Confederation (NISCOF). COTU-K affiliate participants include AUKMW, the Kenya Long Distance Truck Drivers Union (KLDTDU), the Kenya Union of Commercial, Food and Allied Workers (KUCFAW) and the Kenya Union of Domestic, Hotels, Educational Institutions, Hospitals and Allied Workers (KUDHEIHA).

Given the prominence of market shopping in Kenyan citizen’s daily lives—96 percent of the country’s retail is informal—together with relatively high infection rates of market vendors, infection control at markets is essential for containment of the pandemic. Scientists surveying about 10,000 people in Mozambique last month found that market vendors had the highest rate of antibodies to SARS-CoV-2—the virus that causes COVID-19—followed by healthcare workers.

COTU-K and its affiliates are addressing the pandemic on several fronts, including advocating with the Kenyan government to ensure informal worker access to government-provided COVID-19 relief measures such as food support and cash transfers. Solidarity Center partners AUKMW, KUCFAW and KUDHEIHA together with the Kenya Long Distance Truck Drivers Union (KLDTDU) are advocating for measures to protect cashiers and other workers exposed to the public. COTU-K and its affiliates are conducting several pandemic relief drives, including food and PPE distribution to flower workers in Isinya, Kajiado County, with the Kenya Plantation and Agricultural Workers Union (KPAWU) on August 17.

The pandemic has thrown systematic inequality in the Kenyan workforce into stark relief.  As compared to the fewer than 3 million people who work in the formal sector, Kenya’s nearly 15 million informal sector workers—the majority of whom are women—historically have few legal protections. Most informal-sector workers, which include domestic workers and cleaners, market and street vendors, mechanics and security guards, are not covered by national safety and other employment regulations and have no access to government social programs such as social security, healthcare and unemployment benefits. Last year COTU-K affiliate trade unions representing Kenya’s formal-sector workers in food, health, education and metals signed memoranda of understanding (MOUs) with informal worker associations in their respective sectors in order to bring 5,600 newly organized informal-sector workers under the country’s legal framework that protects formal workers.

Report: Climate Change in Bangladesh Drives Worker Vulnerability, Poverty

Report: Climate Change in Bangladesh Drives Worker Vulnerability, Poverty

Underscoring the immediate risk of severe climate-induced weather events in South Asia, Cyclone Amphan last month slammed into the coast of eastern India and southern Bangladesh, destroying thousands of homes and killing at least 88 people. A new Solidarity Center report points to other, longer-term risks for workers in the region as a result of climate change, including forced job changes and migration, and increased economic vulnerability.

As many as one in every seven–or at least 16 million—people in Bangladesh could be on the move by 2050, potentially causing the largest forced migration caused by climate change in human history. Bangladesh is one of the 10 countries most vulnerable to climate change, at risk from climate disasters such as floods and cyclones. Situated on a floodplain, with a low-lying coastline and a host of rivers, the country and its people are threatened by rising sea levels, flooding, riverbank erosion, cyclones, storm surges and ever-hotter summers. These phenomena are exacerbated by climate change and contribute to loss of livelihoods, migration and poverty.

Against this backdrop, the Solidarity Center conducted a study investigating the intersection of climate change, economic activity and migration in Khulna and Jashore, Bangladesh. The study used primary and secondary sources of data, including surveys and first-person interviews with 50 Khulna- and Jashore-based workers who were employed in shrimp and fish processing and hatcheries, transport and domestic work sectors, and returnee migrant workers.

The report finds that increased salinity and flooding has driven people of both areas into new economic activities—primarily away from previously profitable farming into poverty-wage, non-farm economic activities that study participants describe as a hand-to-mouth existence. Cross-border migration of people from Khulna and Jashore to India for better economic prospects was found to be common and recurring, with international migration growing. Workers forced to transition into new jobs were found to lack information, training and financial resources to adapt to employment changes, and were mostly relying on friends and family for information and other types of resources to find new jobs. There was a low level of understanding about climate change and how it impacts their own livelihoods and the local economy.

“Climate change is forcing already-vulnerable people into often exploitative, precarious and poorly paid work, including migrating abroad for unsafe jobs where their rights are often unprotected,” says Solidarity Center Senior Program Officer Sonia Mistry.

The report offers recommendations to mitigate the impact of climate change on workers in the region, including raising awareness among residents about the impact of climate change; devising strategies to recover bodies of water and develop equitable and sustainable  land-use solutions; providing skills training for workers; and reducing wage discrimination between women and men.

Domestic Workers Left out in the Cold

Domestic Workers Left out in the Cold

Domestic workers—at great risk during the pandemic crisis—are mobilizing to secure rapid relief and protection says the International Domestic Workers Federation (IDWF). This International Domestic Workers Day, more than 60 million of the world’s estimated 67 million domestic workers, most of whom are women of color working in the informal economy, are facing the pandemic without the social supports and labor law protections afforded to workers in formal employment. And, during a period of heightened infection risk, tens of thousands of migrant domestic workers are being forced to live in their employers’ homes, housed in crowded detention camps or have been sent home where there are no jobs to sustain them or their families.

The health and economic risks to domestic workers during the pandemic and compulsory national lockdowns are high. At the margins of society in many countries, most domestic workers are excluded from national labor law protections that require employers to provide paid sick leave and mitigate workplace infection risks through provision of adequate personal protective equipment (PPE) and appropriate social-distancing measures. And, if they get sick, many domestic workers cannot access national health insurance schemes.

“Domestic workers are among those most exposed to the risks of contracting COVID-19. They use public transport, are in regular contact with others… and don’t have the option of working from home, especially daily maids,” says Brazil’s national union of domestic workers, FENETRAD.

Without adequate personal savings due to poverty wages, many domestic workers and their families are suffering food insecurity because of income interruption or job loss.

“We can’t have many domestic workers left out in the cold,” says Myrtle Witbooi, founding member and first president of IDWF, and general secretary of the South African Domestic Service and Allied Workers Union (SADSAWU).

“Let us shout out to the world: We are workers!” she says.

Domestic workers have long shared their experiences with the Solidarity Center,  detailing their long working hours, poverty wages and violence and sexual abuse. During the pandemic, additional sources of economic peril and health risks are being reported, including:

  • In Mexico, where 2.2 million women are domestic workers, most of them are being dismissed without compensation. In a recent survey of domestic workers, the national domestic workers union SINACTRAHO found that 43 percent of those surveyed suffered a chronic condition like diabetes or hypertension, increasing their vulnerability to COVID-19.
  • The United Domestic Workers of South Africa says their members report that some employers refused to pay wages during the country’s compulsory lockdown unless staff agreed to shelter in place with their employer, and that domestic workers who could not report to work were not paid.
  • In Asia, women performing care work were excluded when countries launched COVID-19 responses and stimulus packages, says Oxfam.
  • In the Latin American region, where millions of people who labor in informal jobs rely on each day’s income to meet that day’s needs, the pandemic lockdown is causing an economic and social crisis.
  • Globally, unemployment has become as threatening as the virus itself for the world’s domestic workers, reported the ILO in May.

Meanwhile, migrant domestic workers—who often leave behind their own children to care for others to support their own families back home—are in peril. Some are being sent home without pay, some are subject to wage theft. Others are being quarantined by the thousands in dangerously crowded conditions or in lockdown in countries where they do not speak the language and have little access to health care, local pandemic relief or justice. For example:

  • Thousands of Ethiopian domestic workers are stranded in Lebanon by the coronavirus crisis.
  • At least one-third of the 75,000 migrant domestic in Jordan had lost their incomes and, in some cases, their jobs only one month into the pandemic.
  • For millions of Asian and African migrant domestic workers in the Middle East, governments restrictions on movement to counter the spread of COVID-19 increased the risk of abuse, reports Human Rights Watch.
  • Several Gulf states are demanding that India and other South Asian countries take back hundreds of thousands of their citizens. Some 22,900 people were repatriated from the UAE by late April, many without receiving wages for work already performed.

On June 16, International Domestic Workers Day, we honor the majority women who perform vital care work for others. Every day, and especially during the pandemic, the Solidarity Center is committed to supporting the organizations that are helping domestic workers attain safe and healthy workplaces, family-supporting wages, dignity on the job and greater equity at work and in their community.

“International Domestic Workers Day is a great opportunity to talk about power and resistance, and how we survive now and build tomorrow,” says Solidarity Center Executive Director, Shawna Bader-Blau, who applauds actions by all organizations dedicated to supporting and protecting domestic workers during the pandemic. These include:

  • Domestic workers who are leaning into organizing and advocacy efforts during the pandemic, including in Peru, where they won the right to a minimum wage and written contracts by challenging the constitutionality of failing to implement the ILO domestic workers convention after ratification; in the Dominican Republic, where they mobilized to register 20,000 domestic workers into the social security system and lobbied for their inclusion in government aid, gaining new members in the process; in Brazil, where they successfully fought to remove domestic workers from the list of “essential workers” to limit their exposure to COVID-19 because of their limited safety net.
  • In Bangladesh, BOMSA, a migrant rights nongovernmental organization (NGO), is creating and distributing COVID-19 awareness-raising leaflets specifically for migrant domestic workers returning to Bangladesh from abroad. Members are distributing soap, disinfectant and other cleaning supplies, and encouraging workers to maintain social distance. Another migrant rights NGO, WARBE-DF, is distributing COVID-19 awareness-raising leaflets to returned migrant workers and their communities. And as thousands of migrant workers return, the organization is engaging in local government coronavirus response committees to ensure inclusion of migrant-specific responses. Both are longtime Solidarity Center partners.
  • Also in Bangladesh, in Konbari area—where garment workers who are internal migrants are not eligible for relief aid as it relies on voting lists for relief distribution—the local Solidarity Center-supported worker community center is connecting with local government officials and has provided nearly 200 names for relief, and is fielding more calls from internal migrant workers seeking assistance.
  • In Brazil, which has more domestic workers than any other country—over 7 million—the National Federation of Domestic Workers (FENETRAD) and Themis (Gender, Justice and Human Rights) started a campaign calling for domestic workers to be suspended with pay while the risk of infection continues, or to be given the tools to protect against risk, including masks and hand-sanitizing gel.
  • Also in Brazil, FENATRAD is providing legal and other advice by phone to domestic workers and delivering relief packages of food, medicines and protective gear, including masks, clothing, soap and hand sanitizer, to union members and their families.
  • In the Dominican Republic, three organizations representing domestic workers successfully advocated with the Ministry of Labor for domestic workers’ to be included in the country’s COVID-19 relief program.
  • In Mexico, to raise awareness and make the sector more visible, SINACTRAHO collected WhatsApp domestic worker audio messages about their experiences during the crisis for sharing on a podcast.
  • The Alliance Against Violence & Harassment in Jordan, a Solidarity Center partner, is urging the government to grant assistance to migrant workers, who have little or no pay but cannot return to their country. The Domestic Workers’ Solidarity Network in Jordan shares information on COVID-19 and its impact on workers in multiple languages on its Facebook page
  • The Kuwait Trade Union Federation urged the government to address the basic needs of Sri Lankan migrant workers, many of whom were domestic workers trapped in Kuwait after Sri Lanka closed its borders on  March 19. Workers were eventually housed in 12 shelters while travel arrangements home were made.
  • In Qatar, Solidarity Center partners Migrant-Rights.org and IDWF in April helped launch an SMS messaging service in 12 languages to provide tips to migrant domestic workers on COVID-19 and how to protect their rights.
  • In South Africa—where many domestic workers suffer deaths and crippling injuries without compensation because they are excluded from the country’s occupational injuries and diseases act (“COIDA”), according to a recent Solidarity Center report—trade unions are demanding that employers provide their domestic workers with adequate PPE.

The Solidarity Center has joined its partners, the Women in Migration Network (WIMN) and a coalition led by the Migrant Forum in Asia, in urging governments and employers to uphold the rights of migrant workers, including migrant domestic workers.

Without urgent action to provide relief to workers in informal employment, including those providing domestic work, quarantine threatens to increase relative poverty levels in low-income countries by as much as 56 percentage points according to a new brief from the UN’s International Labor Organization (ILO).

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