1332 Issues & challenges for operationalizing bohs in an un-organised labour market, mumbai, india

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IntroductionThe total work force in India is 537.4 Million and 496.4 million (92.38%) work in informal or un-organised sector of economy. There are 22 main listed occupations like agriculture, Building and Construction, Animal Husbandry, Beedi making etc. but there are many unlisted occupations in India where access to Basic occupational health Service is nonexistent. A project initiated by Indian association of Occupational Health to provide BOHS in a labour market in Mumbai in March-April 2017 through an NGO partner. Issues and Challenges in operationalizing BOHS are shared in this presentation.MethodsAn NGO partner was identified as operating agency and IAOH as a Technical and resource partner, a walk-through survey was undertaken in a Mumbai un-organised Labour market and observations recorded. A meeting was held with representatives from cross section of un-organised labours to assess the needs of the labour market and create a BOHS action plan with partner NGO.ResultsThe labour group expressed need for a) First-aid kit and training, b) preventive Tetanus vaccination c) Pragmatic safety solutions. The concept of Minimal Occupational Health Services was thus arrived at that can be upgraded to BOHS later.ConclusionA project ‘Hamara Gala, Suraksha Gala’ was envisaged and first-aid training was organised on 2 April 2017. The employer sensitisation was done by NGO partner, IAOH provided financial resources, faculty, training material and first-aid kits to 33 participating labour from different Industrial shops (Galas) that included 4 labour employers. Attendance certificate were issued to all the participants. The major issues were access to BOHS, Employer concerns, Socio-political challenges and disability management. To sustain the program, the NGO partner shall do quarterly inspections and report to IAOH. The vaccination and pragmatic safety are being planned in a phased manner.

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