West Africa: Union Health Care Campaign Expands Reach

West Africa: Union Health Care Campaign Expands Reach

Through expanded regional and global partnerships, the Organization of Trade Unions of West Africa (OTUWA) is growing its campaign for increased budgetary allocation to health care in the region, said OTUWA Executive Secretary John Odah from Abuja, in a solidarity message to the opening session of the 24th Plenary of the West African Health Sector Unions Network (WAHSUN). 

Now in its fourth year, OTUWA’s “Health Care Is a Human Right” advocacy campaign is allying with global union federation Public Services International (PSI), civil society organizations across the region and WAHSUN to better advocate for equal and fair health care access for all who live within the Economic Community of West African States (ECOWAS).

Nearly 83 percent of Africa’s workers are trapped in poorly paid and uncertain informal-sector jobs and lack access to state-provided health care or health insurance—an unfair financial burden on the continent’s most vulnerable individuals. And yet West Africa’s governments are not implementing the 15 percent minimum annual budgetary health allocation to which African heads of state agreed in the landmark 2001 Abuja Declaration. No country in the region achieves this percentage currently.

OTUWA’s campaign, launched in 2020 by national labor federations from five countries, has expanded its reach to health sector unions and national labor centers in eight countries—including the Gambia, Ghana, Ivory Coast, Liberia, Nigeria, Senegal, Sierra Leone and Togo—as well as to civil society organizations such as the International Federation of Women Lawyers (FIDA).  The Office of the United Nations High Commissioner for Human Rights with the World Health Organization defines the right to health as “a fundamental part of our human rights and of our understanding of a life in dignity.” The Solidarity Center supports OTUWA in this campaign and on other worker rights initiatives.

“Together we must get public health services out of their chronic state of neglect and underfunding,” Odah told the Solidarity Center, adding that OTUWA’s campaign is adding good governance to its health care demands. 

Thus far, the campaign has gathered and released important regional health care worker data and initiated advocacy meetings with national, regional and continent-wide African Union legislators and policymakers, including the Parliament of the Economic Community of West African States (ECOWAS). The campaign most recently saw success in Nigeria earlier this year, where the federal government announced a disbursement of almost $70 million to bolster the country’s health infrastructure.

“Only a transparent, democratic system can secure, fairly allocate and responsibly spend increased health care funds,” said Odah.

OTUWA represents national trade union centers in the 15 West African countries comprising ECOWAS. PSI encompasses more than 700 trade unions that represent 30 million workers in 154 countries.

Watch a video about the campaign.

NIGERIA: UNIONS ALLY WITH GOVERNMENT, CIVIL SOCIETY ON HEAT STRESS

NIGERIA: UNIONS ALLY WITH GOVERNMENT, CIVIL SOCIETY ON HEAT STRESS

Built on research commissioned by the Solidarity Center, the Nigeria Labor Congress (NLC) and Trade Union Congress (TUC) in May launched a heat stress campaign with other civil society groups and government in Abuja to address the impact of worsening heat on Nigeria’s working people—especially those who earn their living outdoors, such as on construction sites or in agricultural or oil fields.  

“The campaign is key to promoting environmental justice, occupational health and safety, and a safe working environment for Nigerian workers and Nigerians in general,” said NLC Senior Assistant General Secretary Eustace James.

A lethal heat wave that overwhelmed hospitals and mortuaries in some parts of West Africa last month is a warning of similar events to come with increasing frequency, predicts international climate scientist network World Weather Attribution (WWA). 

The “Stop the Heat Stress” climate justice campaign features data collection through sector-union surveys as well as street rallies and visits to state legislators and administrators to raise awareness of the impact of climate change on worker health and safety.

A key preliminary finding of the unions’ climate impact research is the worrying impact of heat stress on workers’ mental health. Prolonged exposure to high temperatures at work reduces productivity and increases the risk of injury, disease and death, reports the International Labor Organization (ILO), which is recommending employer and government mitigation measures. Indeed, an intense heatwave in April likely killed “hundreds or thousands of people” across West Africa. And the summer of 2023 recorded some of the highest temperatures on record for the entire planet, having significant consequences for human life, including in the world of work, warned the ILO.

To ensure that climate-related legislation and policies prioritize worker health and safety and their economic survival, the union campaign is partnering with Nigeria’s Environment and Labor Ministries, governmental bodies involved in environmental efforts, including Nigeria’s National Council on Climate Change (NCCC), and environmental civil society organizations.

The Nigeria Labor Congress (NLC), one of the country’s two labor federations, continues to call for the immediate inclusion of workers and their unions in the governing structures of the NCCC—in part to protect those working in the agricultural sector, where almost half of all job losses are expected to occur. New climate policies—whether designed to mitigate or respond to worsening impacts—will inevitably impact working people. To ensure that these policies protect and build resilience for workers and their communities, unions must be meaningfully included in their development.

“The grim reality that 81.4 percent of Nigerian workers lack insurance against potential job losses brings to the fore our demand for social protection to protect vulnerable workers,” said the NLC’s Uche Ekwe, representing NLC General Secretary Emma Ugboaja.

The NLC and TUC are umbrella unions that together represent millions of workers in Africa’s most populous nation. Nigeria’s poverty rate was estimated to have reached almost 40 percent in 2023, with an estimated 87 million Nigerians living below the poverty line, the world’s second-largest poor population after India.

“[There must be] intensity in ensuring safety and climate justice for all,” said James.

Ukraine: Domestic Workers Win As President Signs New Law

Ukraine: Domestic Workers Win As President Signs New Law

Soon after organizing to advocate for formal recognition as workers and protections at work, domestic workers in Ukraine won a significant victory when President Volodymyr Zelenskyy signed a new law on May 22 regulating domestic work and affording new protections to domestic workers.

Significantly, the law recognizes and defines domestic work and domestic workers, and affords them all labor rights and guarantees, including normal working hours, overtime compensation, daily and weekly rest periods, and paid annual leave. It guarantees domestic workers’ right to a safe and healthy work environment and makes employers responsible for ensuring safe working conditions. The law also establishes an employment contract as the primary means of formalizing the working relationship and sets a minimum age for domestic workers.

Last year, the first survey to evaluate the working conditions of Ukraine’s domestic workers found that lacking contracts and formal recognition left most respondents vulnerable to low pay, wage theft, confusion about employment status, exclusion from the country’s pension system and minimal capacity to exercise their right to freedom of association. Most reported working without formal terms and conditions of employment.

“This is an important development for Ukraine’s human rights protection and Euro-integration efforts,” said Tristan Masat, Solidarity Center Ukraine country program director. “Domestic and care workers are among the most isolated and vulnerable groups in the economy, and with so many Ukrainians working in-household jobs in the EU, it’s valuable to see the government take a strong and progressive position on the rights of these workers in Ukraine.” 

Tetiana Lauhina, founder of the Union of Home Staff

While the new law allows domestic workers and employers to codify the terms of employment in a contract and protects domestic workers under Ukraine’s labor laws, much work remains to enforce the law and secure better protections for domestic workers.

Tetiana Lauhina, founder of the Union of Home Staff, said the law has been a long time in coming. “We have been waiting for this law since 2015. It’s a strong step in the right direction.  Next, we’d like to see the International Labor Organization’s Convention 189 on domestic workers ratified by Ukraine. Its ratification and implementation is a major goal for the Union of Home Staff.”

West Africa Union Health Care Rights Campaign Celebrates Nigeria Health Care Funding Boost

West Africa Union Health Care Rights Campaign Celebrates Nigeria Health Care Funding Boost

A regional health care rights campaign led by the Organization of Trade Unions of West Africa (OTUWA) saw some success in Nigeria this month, where the federal government announced a disbursement of almost $70 million to bolster the country’s health infrastructure.

The funds will be delivered through the country’s Basic Health Care Provision Fund, which delivers essential but often out-of-reach health care service to Nigeria’s citizens—more than 90 percent of whom work uncertain, poorly paid informal jobs.

“We celebrate with our Nigerian partners and will continue to support unions that are demanding more investment by governments in the health of their citizens,” says Solidarity Center Africa Regional Program Director Christopher Johnson.

In Nigeria, where out-of-pocket health care payments were reportedly among the highest in the world in 2023, the campaign is supported by the International Federation of Women Lawyers (FIDA), the Medical and Health Workers Union of Nigeria (MHWUN), the National Association of Nigeria Nurses and Midwives (NANNM) and labor federations Nigeria Labor Congress (NLC) and Trade Union Congress of Nigeria (TUC).

In the region, OTUWA’s “Health Care Is a Human Right” campaign is supported by OTUWA’s affiliates together with many of their health-sector unions. A 2020 survey of 700 health workers living in Gambia, Ghana, Nigeria, Senegal, Sierra Leone and Togo provides a window into the region’s health-sector shortcomings and presents a raft of recommendations for ensuring the protection of health worker rights and effective, accessible health care for all.

OTUWA’s “Health Care Is a Human Right” campaign, launched in Abuja in March 2020, unites OTUWA affiliates in a fight for equal and fair health care access for all who live within the ECOWAS region. The campaign includes collection of health data and advocacy with national and continent-wide African Union legislators and policymakers.

The region’s signatory governments are required by ECOWAS Fundamental Principles to promote and protect human rights in accordance with the African Union (AU) Charter on Human and Peoples’ Rights—including provision of social protections such as health care.

Like many other African countries, Nigeria’s government is struggling to provide essential services to its citizens in the context of mounting national debt and illicit financial flows. Curbing multinational tax dodging, government corruption and other criminal activity is essential, say unions, because doing so could cut by almost half the $200 billion annual financing gap for achieving the UN Sustainable Development Goals, according to the UN Conference on Trade and Development (UNCTAD). The 2023 SDG report noted that 381 million people, or almost 5 percent of the world’s population, were pushed into extreme poverty in 2019 by out-of-pocket health expenditures.

OTUWA represents trade union national centers in the 15 West African countries comprising the Economic Community of West African States (ECOWAS).

NEW EARTH DAY VIDEO: BANGLADESH TANNERY WORKERS WANT SAFER, HEALTHIER, GREENER JOBS

NEW EARTH DAY VIDEO: BANGLADESH TANNERY WORKERS WANT SAFER, HEALTHIER, GREENER JOBS

Marking this year’s Earth Day, the Solidarity Center is launching a new video about Bangladesh tannery workers’ campaign for safer, healthier and greener jobs. Available in English and Bangla, the video provides a window into one of the country’s most dangerous jobs and demonstrates how the tannery sector sits at the intersection of the worker rights and environmental justice movements.

Bangladesh’s leather sector, which satisfies one-tenth of world demand and whose exports of leather and leather goods totaled $1.1 billion in 2022, profits from a model that relies on low wages, lax workplace safety and unchecked environmental degradation. Its processes involve a stew of dangerous chemicals and heavy metals. Left untreated or flushed into waterways or surrounding areas, as happened in Hazaribagh, Dhaka, for decades, these substances pollute the environment, sicken workers and the local population, contaminate the air and water sources, and make food production dangerous. In Savar Tannery Industrial Estate in Hemayetpur—to which the government in 2017 ordered approximately 25,000 tannery workers and their families to move amid increasing international pressure regarding Hazaribagh’s toxic environmental and working conditions—factory sludge and effluents are not being effectively treated and new environmental threats are being created.

Meanwhile Bangladesh is one of the most acutely climate-impacted countries, with cyclones, flooding and extreme heat increasingly common. Around the world and in Bangladesh, climate change hits the poorest and most marginalized communities hardest. Worsening climate change, combined with environmental degradation in the workplace and surrounding communities, have compounding impacts on workers and their families.

A recent Solidarity Center survey of tannery workers living in Hemayetpur illustrates how the impact of industrial pollution, harsh working conditions and low wages is leaving workers, their families and their communities increasingly vulnerable to serious health issues and more frequent climate-related shocks in the country.

Workers said they have suffered exposure to fire or electric shock, falling, cutting, broken bones, heavy objects falling on them, contact with acid or chemicals, and inhalation of chemical fumes or gas. Health issues diminish workers’ earnings—which workers said were insufficient for covering basic needs. At the same time, costs have skyrocketed, including for transportation, which is made more challenging when regular waterlogging and flooding make roads impassable.

Local communities have reported that they are afraid or unable to grow food or catch fish, and note that just breathing the polluted air is enough to ruin their appetite. Poor water quality, meanwhile, adds to the burden of women’s care work, and more women than men mentioned now having to spend more time collecting water and doing so from greater distances.

“We used to cook with the water of [the] river. I used to bathe in the river. But we cannot do anything with the river water now,” a woman community member affected by the Savar Tannery Industrial Estate told the Solidarity Center last year.

With Workers, Toward a Safer, Greener, More Fair Industry

Because workers best understand the hazards and solutions to improving their jobs—and how they and their families are most disproportionately impacted by the health consequences of environmental degradation—workers are demanding inclusion in industry decision-making and wage-setting processes.

The Solidarity Center partners in Bangladesh with the Tannery Workers Union (TWU) representing those who—like others in Bangladesh and around the world—are suffering geographic displacement and other climate change consequences, as well as environmental degradation at work and in their communities.

 

 

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