Child labour and health - policy implications for health planning
Adapted from a workshop on Child Labour
MRC/NIEHS Meeting: BUILDING RESEARCH CAPACITY FOR CHILDREN, ENVIRONMENT & HEALTH IN SOUTH AFRICA
May 2001
Leslie London, University of Cape Town

Why focus on child labour now?
New democracy, new approaches
Developments in International Arena:
ILO coordinating IPEC (SAMAT)
Child Labour Inter-sectoral Group (CLIG)
SA Child Labour Action Programme
Survey of Activities of Young People (SAYP) - StatsSA & Dept. of Labour

What constitutes child labour?
Traditional notion of bonded labour or sweatshop workers
But, what of:
- informal sector (e.g. taxi tout)?
- pocket money work?
- household chores?
- household task that frees an adult to work?
- work at school, or after school?
When does work become labour?

Child labour: UN Definition
“All forms of economic exploitation and any work that is likely to be hazardous or interfere with the child’s physical, mental, spiritual, moral or social development”

Child labour: ILO Definition
“Child labour is remunerated or unremunerated work by a young person under a certain age, the work of which impairs the young person’s personal development, health, safety, well-being physically, mentally and psychologically, impairment of which is in violation of national or international law”
Worst forms of CL: bonded labour, prostitution, drug trafficking, pornography, armed conflict, etc.

Child labour versus child work
Not all child work necessarily bad
Housework (limited) and chores plays role in socialising child
Errands for reward part of self-identity / esteem
® distinction between child labour and child work

What makes child labour bad for children’s health and well-being?
Health and safety threatened
Educational deprivation
Childhood development impaired
Denial of a future
Human rights abuse

Child Labour: Harm versus Benefit

ILO Child Labour Conventions
1973 Minimum Age Convention
National policy
Linked to schooling minimum: 15 (14) yrs
Dangerous work: 18 (16) yrs
“Light work” 13-15 yrs (12-14)
Local flexibilty
1996 Worst forms of Child Labour
Obligation on states
Focus on free basic education
Identify risk children
Special focus girls
“effective and time-bound measures…”

Child labour and health in SA  What evidence? I. Agriculture
DOPSTOP survey Stellenbosch, 1998:
1% self-admitted; 11% elsewhere on farm
W Cape pestic. pois. Notifications 87-91:
7 cases children < 16yrs = occupational
= 3% of total, 10% child poisonings
PM review W Cape for occupational deaths ® high number of dam drownings

Child labour and health in SA  What evidence? II. Other
Lead in child newspaper vendors
Lead poisoning due to family car battery recycling in Soweto backyard
Anecdotal: service sector, street children, dump scavenging,
Outsourcing ® increasing labour in families at home

SAYP data - methodology
2-stage survey in 1999:
- 26 081 households interviewed to establish prevalence
- 4494 in-depth interviews to characterise child labour
Probability sample, rural and urban
focus on children 5 - 17 years
Statistical adjustments, weightings

SAYP data (I)
Economic child labour (ECL) categories:
1. Work for pay, profit or family economic gain
2. Unpaid domestic work (not in family)
   3. Fetching wood and water in child’s household
Non-economic child labour (NECL):
   4. Household chores > 7hrs/week
5. School labour > 5 hrs/week
CHILD LABOUR:
Broad definition = ECL > 1 hr/wk / any NECL
Narrow definition = ECL > 3 hr/wk / any NECL

SAYP data (II): Prevalence of child labour

SAYP data (III)
Majority of child labour takes place in non-paid form - esp. fetching wood and water
Paid work by children - only 1.8%
(but this represents +/- 250 000 children!)
Higher amongst Coloured children (4.5%)
Sectors - mainly agriculture (59%) and trade (33%)

SAYP data (IV)
Hazardous conditions reported BY working children doing economic work:
heat (36%), tiring work (27%), cold (26%), dust (19%), long work hours (18%), work outside daylight hours (12%)
(subjective assessment)
Slightly higher for males
Slightly higher for older children (15-17yrs)

SAYP data (V): Specific hazards
Hazardous exposures (e.g. chemicals) - only 2.4%
Most likely in rural other and commercial farms
Self-reported illness or injury - 2%
LOW RATES = UNDER-REPORTING
65% households rely on paraffin, wood, coal

SAYP findings:
Child labour mainly non-remunerated (but economic) work
In economic work - mainly issues of climate, hours of work, dust
Underestimation of occupational hazards, illness, injury

Child labour in SA: Some gaps and research questions
What impacts of fetching wood and water?
Known risk sectors for child labour: agriculture, manufacturing, informal sector
Impacts of agricultural policies; trade?
Impacts of deregulation and outsourcing?

Child labour in SA:
Policy questions
How will HIV epidemic impact on child labour in SA?
How will measures to control child labour avoid job losses and accelerated poverty?
How can measure isolate the worst forms of child labour for eradication?