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Journal Article

Citation

Iqbal M, Fatmi Z, Khan K, Nafees A. East Mediterr. Health J. 2021; 27(5): 501-508.

Copyright

(Copyright © 2021, World Health Organization)

DOI

10.26719/2021.27.5.501

PMID

unavailable

Abstract

BACKGROUND: Child labourers are exposed to an insecure environment and higher risk of violence. Violence among child labourers is an under-studied phenomenon which requires contextual assessment. AIMS: We applied Bronfenbrenner's ecological model (micro-, exo- and macro-system) to understand the interplay of individual, community, societal and policy context fuelling violence.

METHODS: Focus group discussions and family ethnographies of child-labourers working in common occupational sectors of suburban areas of Sindh were carried out to gain in-depth understanding of their immediate environment and abuse (micro-system). Frequency of emotional, physical and sexual violence (5-14 years; n = 634) was also determined. Indepth interviews with employers (exo-system, n = 4) and key-informant-interviews of prominent stakeholders in Pakistan (macro-system, n = 4) working against labour/violence were carried out Thematic-content analysis was performed using MAXQDA, version 8.0.

RESULTS: We estimated that 21%, 19% and 9% of children suffered from emotional, physical and sexual violence respectively. Child labourers' interviews indicated the existence of all forms of abuse at home and in the workplace; sexual violence by grandfathers was highlighted (micro-system). Children reported frequent scolding and insults in the workplace along with physical violence that could be fatal (exo-system). The legal environment of violence in Pakistan was considered deficient as it did not address the hidden forms (touching, kissing, etc.; macro-system).

CONCLUSION: We documented that all forms of violence were rampant among the child labourers, and improved efforts and comprehensive legislation is direly needed to alleviate the situation.


Language: en

Keywords

Pakistan; violence; child labour; physical maltreatment; sexual child abuse

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