Abstract
BackgroundThere is a paucity of literature that addresses the health vulnerabilities of readymade garment (RMG) workers in South and Southeast Asian regions. Therefore, the aim of this systematic review is to identify the distinctive types of health vulnerabilities along with the causes and consequences of these vulnerabilities of the RMG workers in South and Southeast Asian regions.MethodsSystematic review search methods were applied utilising the PRISMA protocol. Literature published between July 2007 to June 2017 on health vulnerabilities of the RMG workers of South and Southeast Asian countries were identified through electronic databases and manual searches.ResultsA total number of 19 studies (16 quantitative studies, 3 mixed-method studies) were included from the primary 17,001 papers identified. The quality of these studies was assessed by using the EPHPP (effective public health practice project) and the CASP (critical appraisal skills programme) tools. From the identified studies, 14 were considered ‘strong,’ with the remainder assessed as ‘moderate’ quality. The findings reported in these studies suggest that RMG workers of South and Southeast Asian countries are prone to several health vulnerabilities which include physical and psychological issues. Further, many of these health vulnerabilities arise from the nature of the RMG workplace, and include unhygienic and unsafe working environments, hazardous conditions of the factories, and lack of safety equipment.ConclusionsThis systematic review suggests that RMG workers’ health vulnerabilities are an emerging area of inquiry that needs to be better understood and solutions identified. Little is currently known about the distinctive types of health vulnerabilities of the RMG workers of these countries, other than Bangladesh and India, due to the lack of robust studies in other South and Southeast Asian countries. Although the health vulnerabilities of the Bangladeshi and Indian RMG workers have been previously highlighted, the health vulnerabilities arising from sudden disasters in the sector remain a neglected issue.
Highlights
There is a paucity of literature that addresses the health vulnerabilities of readymade garment (RMG) workers in South and Southeast Asian regions
Articles that were included focused on RMG workers in Bangladesh (n = 10), India (n = 4), Cambodia (n = 1), Sri Lanka (n = 2), China (n = 1), and Thailand (n = 1)
In a synthesis, we demonstrate that RMG workers of South and Southeast Asia are vulnerable to different types of physical and psychological issues, which are mainly related to hazardous workplace conditions and lack of safety equipment, and occupational health and safety regulations [27]
Summary
There is a paucity of literature that addresses the health vulnerabilities of readymade garment (RMG) workers in South and Southeast Asian regions. The aim of this systematic review is to identify the distinctive types of health vulnerabilities along with the causes and consequences of these vulnerabilities of the RMG workers in South and Southeast Asian regions. South and Southeast Asian focus on readymade garment (RMG) workers’ health vulnerabilities Garment workers globally experience distinctive vulnerabilities in the workplace [1, 2]. These occupational vulnerabilities are related to dangerous and unhealthy working conditions, and employment in sub-standard. This systematic review will provide an overview of the available evidence related to the physical and psychological health vulnerabilities of RMG workers in South and Southeast Asian countries
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