Tuberculosis and HIV Care for Temporary Workers at Cement and Mining Industries, Rajasthan: An Assessment of Policies and Practices

Shruti Singh, Srinath Satyanarayana, Pradeep Chaudhary, Neeraj Jaiminy, Sharath Burugina Nagaraja

Abstract


The policy documents at workplace of any organization or an industry, provides a framework and specific guidelines to protect the health and safety of the human resources associated in it either through fixed term period or on temporary basis. These documents help to reduce the risk of the workplace accidents or diseases (preventive measures). In our current paper, we have emphasized on documents related to the Tuberculosis and HIV/AIDS with a special focus on policy measures available and enforced for the temporary workers at industries. The objective of the review was to analyze the health policy formulation with respect to national legislation and to assess the implementation status at workplace. We conducted this study at large and medium scale cement and mining industry in the state of Rajasthan. Our study findings reveal that nearly 75% of the industries have a defined safety and health workplace policy. However, only 20% of sample industries have set their HIV/AIDS policy for the prevention and care supports to these workers. The gravity of the situation extrapolates due to the sensitivity of HIV/ AIDS and TB disease amongst the society. The temporary workers knowledge and understanding about these policies are poor in nature and there exists a striking imbalance between the response of management staff and the temporary workers. The gap of policy implementation vis-a-vis policy set up is well demarcated. The increased scopes of the work by these industries towards implementation of health, safety and environment policies to improvised are required in true spirit especially for the workforce engaged in temporary basis. The support and strict monitoring systems by the Government as well as the Industrial players will definitely help to bridge the gap to curtail the TB and HIV/AIDS disease amongst the temporary workers.

Key words: Temporary worker, workplace policy, safety and health policy, human immunodeficiency virus (hiv), hiv policy, tuberculosis (tb), organization, industry, cement, mining


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