The Health and Well-being of Female Labour Migrants from Nepal: A Qualitative Study of Stakeholders

Keywords: Labour migration, gender, health, exploitation, rights, qualitative research

Abstract

Female labour migration from the global south to the Middle East has increased in recent times. The rights and health of these women are often severely affected during and post migration. The aim of this study was to provide a clearer understanding of the process and context of female labour migration from Nepal. This included reasons for female labour migration, the risks, benefits, health impacts and measures to better support and protect women before, during and post migration.
Data in this paper is based on semi-structured interviews conducted with ten key stakeholders (staff working with support organisations, policy-makers and researchers in the field) all with a professional interest in female labour migration from Nepal.
It was found that government restrictions on female labour migrants working in the domestic sector increased undocumented migration through India, increasing the risk of trafficking and exploitation. Despite these risks, migration is attractive to many Nepalese women as it offers an opportunity to improve livelihood for them and their family. In addition, it can provide a ‘window to empowerment’.
The study concludes that restricted migration, implemented in the name of protection, has undermined the rights, security and health of many Nepalese women.

References

Sapkota N. Labour out-migration in Nepal: A gendered and gendering Process. Nepali J Contemp Stud. 2017;XV11 (1).

Baruah N, Arjal N. Nepalese labour migration: A status report. 2018, The Asia Foundation. Available at: https://asiafoundation.org/2018/06/06/nepalese-labor-migration-a-status-report/ (Accessed 4 January 2021).

Pyakurel UP. Restrictive labour migration policy on Nepalese women and consequences. Sociol Anthropol. 2018;6 (8):650-656. https://doi.org/10.13189/sa.2018.060803.

Simkhada PP, Regmi PR, van Teijlingen E, Aryal N. Identifying the gaps in Nepalese migrant workers’ health and well-being: a review of the literature. J Travel Med. 2017;24 (4):1-9. https://doi.org/10.1093/jtm/tax021.

Aryal N, Regmi PR, van Teijlingen E, Trenoweth S, Adhikary P, Simkhada PP. The impact of spousal migration on the mental health of Nepali women: A cross-sectional study. Int J Environ Res Public Health. 2020;17(4):1292. https://doi.org/10.3390/ijerph17041292.

Busza J, Teferra S, Omer S, Zimmerman C. Learning from returnee Ethiopian migrant domestic workers: A qualitative assessment to reduce the risk of human trafficking. Globalization Health. 2017;13 (71): https://doi.org/10.1186/s12992-017-0293-x.

Simkhada PP, van Teijlingen E, Gurung M, Wasti SP. A survey of health problems of Nepalese female migrant workers in the Middle East and Malaysia. BMC Int Health Human Rights. 2018;18(4):1-7. https://doi.org/10.1186/s12914-018-0145-7.

Beza NL, Ossewaarde R, Need A. The exploitation narratives and coping strategies of Ethiopian women return migrants from the Arabian Gulf. Gender, Place Cult. 2020;27 (4): 568-586. https://doi.org/10.1080/0966369X.2019.1611545.

ILO. No easy exit: Migration bans affecting women from Nepal. Report, 2015; Geneva, International Labour Organisation. Available at: https://www.ilo.org/global/ topics/forced-labour/publications/WCMS_428686/lang--en/index.htm (Accessed 4 January 2021).

Butler C. Returning home: Challenges and opportunities for women migrant workers in the Nepali labour market, 2019, Kathmandu: UN Women Nepal Country Office. Available at: https://asiapacific.unwomen.org/-/media/field%20office%20eseasia /docs/ publications/2019/03/np-rwmw_report_web-compressed.pdf?la=en&vs=3525 (Accessed 4 January 2021).

Mak J, Kiss L, Zimmerman C. Pathways to prevent labour exploitation in Nepal: Do pre-migration interventions work? SWiFT Research Report. 2019; London, London School of Hygiene & Tropical Medicine. Available at: https://www.lshtm.ac.uk/research/ centres-projects-groups/swift (Accessed 20 January 2020).

ILO. Policy brief No.2: Reform of the Kafala (Sponsorship) System. No Date; Migrant Forum in Asia, International Labour Organisation. Available at: https://www.ilo.org/ dyn/migpractice/docs/132/PB2.pdf (Accessed 20 January 2020).

Malit FT Jr, Naufal G. Asymmetric information under the Kafala Sponsorship System: Impacts on foreign domestic workers’ income and employment status in the GCC countries. Int Migr. 2016;54(5): 76-90. https://doi.org/10.1111/imig.12269.

Wickramage K, Vearey J, Zwi AB, Robinson C, Knipper M. Migration and health: a global public health research priority. BMC Public Health. 2018;18(987):1-9. https://doi.org/10.1186/s12889-018-5932-5.

Regmi PR, Aryal N, van Teijlingen E, Simkhada PP, Adhikary P. Nepali migrant workers and the need for pre-departure training on mental health: A qualitative study. J Immigrant Minority Health. 2020; 22:973–981. https://doi.org/10.1007/s10903-019-00960-z.

Forrest Keenan K, van Teijlingen E, Pitchforth E. The analysis of qualitative research data in family planning and reproductive health care. J Fam Plann Reprod Health Care. 2005;31(1):40-3. https://doi.org/10.1783/0000000052972825.

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3 (2):77-101. https://doi.org/10.1191/1478088706qp063oa.

Sijapati B, Limbu A. Governing labour Migration in Nepal: An analysis of existing policies and institutional mechanisms. Centre for the Study of Labour & Mobility (CESLAM) Report. 2017; Available at: https://www.ceslam.org/external-publication/551561115967 (Accessed 10 January 2020).

Shakya M, Yang Y. Migration as a window to empowerment: Nepalese women’s experiences in South Korea. Gender Dev. 2019;27(1):105-122.

https://doi.org/10.1080/13552074.2019.1570732.

Hennebry JL. The global compact for migration: From gender-rhetoric to gender-responsive? Global Social Pol. 2018;18(3): 332-338. https://doi.org/10.1177/1468018118799009.

Gottardo C, Cyment P. The global compact for migration: What could it mean for women and gender relations? Gender Dev. 2019;27(1):67–83. https://doi.org/10.1080/13552074.2019.1570725.

Dahal PS, Joshi SK, Swahnberg K. We are looked down upon and rejected socially: A qualitative study on the experiences of trafficking survivors in Nepal. Global Health Action. 2015;8(1): 29267. https://doi.org/10.3402/gha.v8.29267.

Bastia T, Piper N. Women migrants in the global economy: A global overview (and regional perspectives). Gender Dev. 2019; 27(1): 15-30. https://doi.org/10.1080/13552074.2019.1570734.

Yousaf FN. Forced migration, human trafficking and human security. Curr Sociol Monograph. 2017;66(2): 209-225. https://doi.org/10.1177/0011392117736309.

UNODC. Human Trafficking Report. No Date; The United Nations Office on Drugs and Crime. Available at: https://www.unodc.org/unodc/en/human-trafficking/what-is-human-trafficking.html (accessed 10 January 2020).

Thapa P. Human trafficking in Nepal: Changing dimensions. Asian J Womens Stud. 2015;21(4): 450-459. https://doi.org/10.1080/12259276.2015.1106859.

Wickramage K, De Silva M, Peiris S. Patterns of abuse amongst Sri Lankan women returning home after working as domestic maids in the Middle East: An exploratory study of medico-legal referrals. J Forensic Legal Med. 2017;45: 1-6. https://doi.org/10.1016/j.jflm.2016.11.001.

Norredam M, Agyemang C. Tackling the health challenges of international migrant workers. Lancet Global Health. 2019; 7(7): e813-814. https://doi.org/10.1016/S2214-109X(19)30224-4.

IOM. Regional consultative process on overseas employment and contractual labour for countries of origin in Asia (Colombo Process) Report. No Date; International Office for Migration .Available at: https://www.iom.int/regional-consultative-process-overseas-employement-and-contractual-labour-countries-origin-asia (Accessed 20 January 2020).

Sweileh WM. Global output of research on the health of international migrant workers from 2000 to 2017. Globalization Health. 2018; 14 (105): 1-12. https://doi.org/10.1186/s12992-018-0419-9

Malla B, Rosenbaum MS. Understanding Nepalese labour migration to Gulf countries. J Poverty. 2017; 21 (5): 411-433. https://doi.org/10.1080/10875549.2016.1217578.

Zimmerman C, Kiss L. Human trafficking and exploitation: A global health concern. PLOS Med. 2017; 14(11): e1002437. https://doi.org/10.1371/journal.pmed.1002437.

IOM. Migration in Nepal: A country profile Report. 2019; Nepal, International Organization for Migration. International Office for Migration. Available at: https://publications.iom.int/books/migration-nepal-country-profile-2019 (Accessed 13 March 2020).

UN. The Sustainable Development Goals. United Nations. Available at: https://www.un.org/sustainabledevelopment/sustainable-development-goals/ (Accessed 10 January 2020).

ILO. Operational manual for labour sections of Sri Lankan diplomatic missions in destination countries: Ensuring the protection and welfare of migrant workers Report. 2013; Sri Lanka, International Labour Organisation. Available at: https://www.ilo.org/dyn/migpractice/docs/270/Manual.pdf(Accessed 13 March 2020).

Grossman-Thompson BH. Diposability and gendered control in labour migration: Limiting women’s mobility through cultural and institutional norms. Organization. 2019;26(3):337–354 . https://doi.org/10.1177/1350508418812584.

Pourakhi. An organization of returnee women migrants. Available at: https://pourakhi.org.np (Accessed 1 November 2019).

Abramsky T, Mak J, Zimmerman C, Kiss L, Sijapati J. Migration planning among female prospective labour migrants from Nepal: A comparison of first-time and repeat-migrants. Int Migr. 2018; 56 (4): 197- 216. https://doi.org/10.1111/imig.12449.

Published
2021-12-25
How to Cite
1.
Khatri R, van Teijlingen E, Simkhada P. The Health and Well-being of Female Labour Migrants from Nepal: A Qualitative Study of Stakeholders. Europasian J Med Sci. [Internet]. 2021Dec.25 [cited 2024May13];3(2):83-9. Available from: https://www.europasianjournals.org/ejms/index.php/ejms/article/view/384

Most read articles by the same author(s)