Healthcare seeking behaviour among female garment workers in Koggala Free Trade Zone, Sri Lanka

<p><strong>Background:</strong> In a 2011 study, the prevalence of musculoskeletal disease among a female garment worker group in Koggala Free Trade Zone (Sri Lanka) was estimated to be 15.5%. Nearly all affected women in this group felt their problems disrupted their leisure activ...

Full description

Bibliographic Details
Main Authors: Sanjeeva Rajapakse, Frances Morin, Truls Ostbye, Vijitha De Silva
Format: Article
Language:English
Published: College of Community Physicians of Sri Lanka 2018-12-01
Series:Journal of the College of Community Physicians
Subjects:
Online Access:https://jccpsl.sljol.info/articles/8159
_version_ 1818274748888514560
author Sanjeeva Rajapakse
Frances Morin
Truls Ostbye
Vijitha De Silva
author_facet Sanjeeva Rajapakse
Frances Morin
Truls Ostbye
Vijitha De Silva
author_sort Sanjeeva Rajapakse
collection DOAJ
description <p><strong>Background:</strong> In a 2011 study, the prevalence of musculoskeletal disease among a female garment worker group in Koggala Free Trade Zone (Sri Lanka) was estimated to be 15.5%. Nearly all affected women in this group felt their problems disrupted their leisure activities and household work, while only a few reported missing work as direct consequences of their discomfort. The reason why they did not seek treatment or take leave, however, was not clear.</p><p><strong>Objective:</strong> To explore the healthcare seeking behaviour and barriers that prevent female workers at Koggala Free Trade Zone from seeking care</p><p><strong>Methods:</strong> This is an exploratory mixed methods quantitative-qualitative study utilizing pre-interview questionnaires and focus group discussions. Four focus group discussions were held, each consisting of 6 female garment workers (n=24). Discussions were transcribed and processed through three levels of analysis and qualitative coding. Major themes on healthcare seeking and barriers to healthcare were identified using the resulting codebook.</p><p><strong>Results:</strong> The quantitative data showed that more than 90% of focus group participants (n=22) reported musculoskeletal pain in the month prior to the study and less than 30% sought care. Major barriers to healthcare seeking were identified: workers’ perception on Western medical treatment and pain, the difficulty in accessing healthcare outside the factory, pressure from management to reach production goals, and financial and personal factors from taking time off work.</p><p><strong>Conclusions:</strong> Multiple factors play a role in healthcare seeking among Sri Lankan female garment workers. Targeted occupational health interventions should focus on alleviating these pain points for garment workers and on educating workers and factory management on the benefits of proactive healthcare seeking behaviour for Sri Lankan female garment workers.</p>
first_indexed 2024-12-12T22:18:48Z
format Article
id doaj.art-1f98bcc8830245f9a1ac4d29f6388d86
institution Directory Open Access Journal
issn 1391-3174
2579-1451
language English
last_indexed 2024-12-12T22:18:48Z
publishDate 2018-12-01
publisher College of Community Physicians of Sri Lanka
record_format Article
series Journal of the College of Community Physicians
spelling doaj.art-1f98bcc8830245f9a1ac4d29f6388d862022-12-22T00:09:58ZengCollege of Community Physicians of Sri LankaJournal of the College of Community Physicians1391-31742579-14512018-12-0124414915510.4038/jccpsl.v24i4.81595780Healthcare seeking behaviour among female garment workers in Koggala Free Trade Zone, Sri LankaSanjeeva Rajapakse0Frances Morin1Truls Ostbye2Vijitha De Silva3University of British ColumbiaUniversity of British ColumbiaDuke UniversityUniversity of Ruhuna<p><strong>Background:</strong> In a 2011 study, the prevalence of musculoskeletal disease among a female garment worker group in Koggala Free Trade Zone (Sri Lanka) was estimated to be 15.5%. Nearly all affected women in this group felt their problems disrupted their leisure activities and household work, while only a few reported missing work as direct consequences of their discomfort. The reason why they did not seek treatment or take leave, however, was not clear.</p><p><strong>Objective:</strong> To explore the healthcare seeking behaviour and barriers that prevent female workers at Koggala Free Trade Zone from seeking care</p><p><strong>Methods:</strong> This is an exploratory mixed methods quantitative-qualitative study utilizing pre-interview questionnaires and focus group discussions. Four focus group discussions were held, each consisting of 6 female garment workers (n=24). Discussions were transcribed and processed through three levels of analysis and qualitative coding. Major themes on healthcare seeking and barriers to healthcare were identified using the resulting codebook.</p><p><strong>Results:</strong> The quantitative data showed that more than 90% of focus group participants (n=22) reported musculoskeletal pain in the month prior to the study and less than 30% sought care. Major barriers to healthcare seeking were identified: workers’ perception on Western medical treatment and pain, the difficulty in accessing healthcare outside the factory, pressure from management to reach production goals, and financial and personal factors from taking time off work.</p><p><strong>Conclusions:</strong> Multiple factors play a role in healthcare seeking among Sri Lankan female garment workers. Targeted occupational health interventions should focus on alleviating these pain points for garment workers and on educating workers and factory management on the benefits of proactive healthcare seeking behaviour for Sri Lankan female garment workers.</p>https://jccpsl.sljol.info/articles/8159occupational health, musculoskeletal disease, female garment workers, healthcare seeking behaviour, barriers to healthcare
spellingShingle Sanjeeva Rajapakse
Frances Morin
Truls Ostbye
Vijitha De Silva
Healthcare seeking behaviour among female garment workers in Koggala Free Trade Zone, Sri Lanka
Journal of the College of Community Physicians
occupational health, musculoskeletal disease, female garment workers, healthcare seeking behaviour, barriers to healthcare
title Healthcare seeking behaviour among female garment workers in Koggala Free Trade Zone, Sri Lanka
title_full Healthcare seeking behaviour among female garment workers in Koggala Free Trade Zone, Sri Lanka
title_fullStr Healthcare seeking behaviour among female garment workers in Koggala Free Trade Zone, Sri Lanka
title_full_unstemmed Healthcare seeking behaviour among female garment workers in Koggala Free Trade Zone, Sri Lanka
title_short Healthcare seeking behaviour among female garment workers in Koggala Free Trade Zone, Sri Lanka
title_sort healthcare seeking behaviour among female garment workers in koggala free trade zone sri lanka
topic occupational health, musculoskeletal disease, female garment workers, healthcare seeking behaviour, barriers to healthcare
url https://jccpsl.sljol.info/articles/8159
work_keys_str_mv AT sanjeevarajapakse healthcareseekingbehaviouramongfemalegarmentworkersinkoggalafreetradezonesrilanka
AT francesmorin healthcareseekingbehaviouramongfemalegarmentworkersinkoggalafreetradezonesrilanka
AT trulsostbye healthcareseekingbehaviouramongfemalegarmentworkersinkoggalafreetradezonesrilanka
AT vijithadesilva healthcareseekingbehaviouramongfemalegarmentworkersinkoggalafreetradezonesrilanka