Exploring Challenges to Primary Occupational Health Care Service for Informal Sector Workers

Nilvarangkul, Kessarawan; Phajan, Teerasak; Inmuong, Uraiwan

doi:10.4172/2167-1079.1000245

Cited by 5 publications

(4 citation statements)

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“…The few existing studies show that sugarcane work is characterized by extreme repetition, forceful movements, continuous body contortions, awkward postures, high workloads, and psychosocial pressures. 7,8 However, little research has been carried out to investigate the risk factors associated with WMSDs in North-Eastern Thailand. Moreover, there is a gap in such knowledge because few basic statistics are available on the prevalence of WMSDs among the general working population.…”

Section: Introductionmentioning

confidence: 99%

Work-Related Musculoskeletal Disorders Among Sugarcane Farmers in North-Eastern Thailand

Phajan

Nilvarangkul

Settheetham

et al. 2014

Asia Pac J Public Health

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This cross-sectional analytical study aimed to identify prevalence and factors associated with work-related musculoskeletal disorders (WMSDs) among sugarcane farmers. Cluster random sampling was used to select 540 sugarcane farmers from 3 provinces in North-Eastern Thailand. Three related questionnaires, plus assessments by 2 expert physiotherapists, were used to check for factors associated with WMSDs and prevalence of WMSDs. Data were analyzed using descriptive statistics and multiple logistic regressions. The results indicated the prevalence of WMSDs among sugarcane farmers in the 7 days before the interview and looking back over the previous 12 months were 82.96% and 88.70%, respectively. Factors significantly associated with reporting WMSDs (P value < .05) during past 12 months were (a) repetitive motions (adjusted odds ratio [OR] = 1.90; 95% confidence interval [CI] = 1.05-3.43), (b) working in awkward postures (adjusted OR = 1.95; 95% CI = 1.01-3.77), (c) forceful exertions (adjusted OR = 2.78; 95% CI = 1.54-5.02), and (d) stress about future income (adjusted OR = 1.80; 95% CI = 1.02-3.16). Recommendations are made for risk prevention strategies.

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Section: Introductionmentioning

confidence: 99%

Work-Related Musculoskeletal Disorders Among Sugarcane Farmers in North-Eastern Thailand

Phajan

Nilvarangkul

Settheetham

et al. 2014

Asia Pac J Public Health

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“…Though primary health care services are generally understood as a mandate of government to ensure universal health access mostly for the poor, this understanding needs to change [ 5 , 9 ]. OHS are often funded by industries but regulated by the government [ 12 ]. The understanding of both primary and occupational health services suggests that workers are not part of the general public nor are general public members’ part of the working population.…”

Section: Introductionmentioning

confidence: 99%

Accessing Occupational Health Services in the Southern African Development Community Region

Masekameni

Moyo

Khoza

et al. 2020

IJERPH

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Only 15% of the global population has access to occupational safety and health services. In Africa, only 5% of employees working from major establishments have access to occupational health services (OHS). Access to primary health care (PHC) services is addressed in many settings and inclusion of OHS in these facilities might increase efficiency in preventing occupational diseases. A cross-sectional study was conducted in four Southern African Development Community (SADC) countries aiming at assessing the availability of OHS at PHC facilities and the organization of OHS. We conducted a literature review to assess the provision and organization of OHS services. In addition to the review, a total of 23 doctors from Zambia were interviewed using questionnaires in order to determine the availability of OHS and training. Consultations with heads of ministries were done in four SADC countries. Results showed that in the SADC region, OHS are fragmented and lack a comprehensive approach. In addition, out of 23 PHC facilities, only two (13%) provided occupational health and PHC. However, OHS provided at PHC facilities were limited to TB screening and audiometric testing. Our study showed a huge inadequacy of trained occupational health practitioners. This study supports the World Health Organization’s advocacy to integrate OHS at the PHC level.

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“…Eighty percent of Thai working-age people are estimated to have musculoskeletal disorders 3 ) , with the highest Thai LBP prevalence in informal sector workers who work at home. For example, 46% of sugarcane farmers had LBP 4 ) . The major cause of LBP among Thai sugarcane farmers is physical labor used in preparing and planting land, the cutting, lifting and carrying sugarcane at harvest rather than using machinery.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a work-related low back pain risk-assessment tool for sugarcane farmers

et al. 2018

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This cross sectional study developed and validated a LBP risk-factor screening scale for use with sugarcane farmers. The scale was developed from a synthesis of LBP risk factors, pretested with 30 sugarcane farmers and administered to five hundred and forty sugarcane farmers to test its psychometric properties. Results indicated construct validity for three factors; physical factors (19 items) with factor loadings of 0.406 to 0.881 and communalities between 0.471 and 0.991; psychological factors (7 items) with factor loadings of 0.635 to 0.821 and communalities between 0.444 and 0.714, and third, working environment factors (2 items), with factor loadings between 0.345 and 0.347 and communalities between 0.946 and 0.953. The content validity index was 0.90 with reliability index of 0.87. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 82.02%, 30.49%, 62.65% and 54.40% respectively. The area under the receiver operating characteristic was 0.56. The scale’s high specificity and sensitivity and comprehensive three risk-factor dimensions should make it a very useful screening tool in primary health care for early detection of LBP and for LBP risk-reduction and prevention advice. Future studies could focus on confirming content and predictive validity in other settings to assess generality of its usage.

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Exploring Challenges to Primary Occupational Health Care Service for Informal Sector Workers

Cited by 5 publications

References 0 publications

Work-Related Musculoskeletal Disorders Among Sugarcane Farmers in North-Eastern Thailand

Work-Related Musculoskeletal Disorders Among Sugarcane Farmers in North-Eastern Thailand

Accessing Occupational Health Services in the Southern African Development Community Region

Development and validation of a work-related low back pain risk-assessment tool for sugarcane farmers

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