Search

The paper reviews a range of global aquaculture health and safety literature to inform and contribute to the development of a socio-economic profile of Indian shrimp farm workers including the occupational hazards and injuries they face. In addition, 60 shrimp farm workers were interviewed from each of the states of Andhra Pradesh, Maharashtra, Gujarat and Tamil Nadu. The study revealed that all shrimp farm workers were male, 58% were migrants, and ages ranged from 23 to 53 years with work experience of 5 to 24 years. Few workers (14%) had no formal schooling and many had secondary-level education. Reported physical hazards were high (93%) followed by biological (82%), chemical (77%), ergonomic (71%) and psycho-social (71%) hazards. The majority of physical injuries reported related to slips, falls and cuts (51%), electric shocks (44%), sunburn (41%), dehydration/ headaches (40%) and fractures (27%). Approximately 30%-39% had some chemical injury with skin infections/breathing problems. Indian shrimp farm workers face similar occupational hazards and injuries to shrimp farm workers in other countries. The occupational health and safety of shrimp farm workers should be integrated into the concept of 'One Health' to ensure aquaculture sustainability and safe, meaningful and good quality employment to workers. [ABSTRACT FROM AUTHOR]

Background: The Indian National Program for Cardiovascular Disease, Diabetes, Cancer and Stroke (NPCDCS) was introduced to provide non-communicable disease (NCD) care through primary healthcare teams including Accredited Social Health Activists (ASHAs). Since ASHAs are being deployed to provide NCD care on top of their regular work for the first time, there is a need to understand the current capacity and challenges faced by them.Methods: A desktop review of NPCDCS and ASHA policy documents was conducted. This was followed by group discussions with ASHAs, in-depth interviews with their supervisors and medical officers and group discussions with community members in Guntur, Andhra Pradesh, India. The multi-stakeholder data were analysed for themes related to needs, capacity, and challenges of ASHAs in providing NCD services.Results: This study identified three key themes-first, ASHAs are unrecognised as part of the formal NPCDCS service delivery team. Second, they are overburdened, since they deliver several NPCDCS activities without receiving training or remuneration. Third, they aspire to be formally recognised as employees of the health system. However, ASHAs are enthusiastic about the services they provide and remain an essential link between the health system and the community.Conclusion: ASHAs play a key role in providing comprehensive and culturally appropriate care to communities; however, they are unrecognised and overburdened and aspire to be part of the health system. ASHAs have the potential to deliver a broad range of services, if supported by the health system appropriately.Trial Registration: The study was registered with "Clinical Trials Registry - India" (identifier CTRI/2018/03/012425 ). [ABSTRACT FROM AUTHOR]

The article offers information on the Occupational Health Day by the Andhra Pradesh branch of the Indian Association of Occupational Health at Hotel Ramada Manohar in India.