Occupational health and safety status of waste and sanitation workers: A qualitative exploration during the COVID-19 pandemic across Bangladesh

Abstract

In Bangladesh, cities produce huge volumes of solid waste, sewage, and greywater with limited resources to manage it. Waste and sanitation workers, key players in managing waste, are continuously exposed to different health hazards in their work due to lack of occupational safety and basic protections. This vulnerability has been exacerbated by the COVID-19 Pandemic. Focusing on workers’ experiences and everyday working realities, this study sought to assess the organizational capacity, gaps, and challenges of local waste management authorities during COVID-19. It also sought to deepen understanding of job arrangements, occupational safety, hygiene knowledge, and practices of these waste workers at their workplace. A qualitative study was conducted consisting of 61 key informant interviews with seven categories of local officials and 50 in-depth interviews with five categories of waste and sanitation workers in 10 cities of Bangladesh. An inductive content analysis approach was adopted. The results showed that COVID-19 had aggravated the existing waste management challenges and imposed severe health risks on waste workers. Respective conservancy departments lagged behind due to lack of safe cleaning methods and equipment, and limited funds for waste worker training, which ultimately led to poor occupational safety for workers. This vulnerable worker group lacked basic job facilities, received poor payment and insufficient protective equipment, and rarely had any health support from their employers. Also, they were not provided with an adequate understanding of occupational safety and health hygiene; and no appropriate handwashing facilities at their workplace to tackle infectious diseases like COVID-19. The study investigated this countercomplaint and discussed the current arrangements from the prespective of both city authorities and waste workers. The study recommended more automated waste collectors and compositors for the conservancy departments, increased active monitoring, work benefits, safety equipment for waste workers, and tailored training to eradicate work-related health hazards and injuries.

Evaluation of occupational health and safety intervention for the waste and sanitation workers in Bangladesh during COVID-19

“…Like many low-and-middle-income countries (LMICs), waste and sanitation workers in Bangladesh handle waste without using any personal protective equipment (PPEs), increasing their susceptibility to injuries and diseases ( Black et al, 2019 , World Bank et al, 2019 , WaterAid Bangladesh, 2020 ). The workers lack formal training on occupational health and safety, have insufficient knowledge about their health risks, and rarely take adequate safety measures at the workplace ( Asibey et al, 2019 , Degavi et al, 2021 , Sharior et al, 2023 , World Bank et al, 2019 ).…”

“…While the high risk of infection and diseases among waste and sanitation workers and the recommendations for interventions have been identified through several studies in different LMIC settings ( Alam et al, 2022 , Oza et al, 2022 , Ramitha, 2023 , Sharior et al, 2023 , Ye et al, 2022 ), very few studies looked at evaluating the specific interventions to see whether the interventions work and in which areas they work and where they do not. Few studies that evaluated interventions were specifically focused on medical waste handlers in hospital settings ( Elnour et al, 2015 , Hosny et al, 2018 , Tabash et al, 2016 ) and largely missed other types of waste and sanitation workers.…”

Impact of Abusive Supervision on Somatic Complaints and Workplace Cognitive Failure Among Sanitary Workers: Moderating Role of Resilience

“…Furthermore, these individuals are often required to lift heavy objects, work in awkward positions, and perform repetitive tasks, which can lead to musculoskeletal disorders and injuries (Fatmi et al, 2022;Pushparani et al, 2018). The absence of ergonomic equipment and training further exacerbates these risks, making them more vulnerable to long-term health issues (Sharior et al, 2023).…”