Promoting occupational health services for workers in the informal economy through primary care units

Thailand has been spending greater efforts to improve safety, health and working conditions of informal economy workers such as home workers, street vendors, workers in small construction sites, or self-sustained farmers, often in remote villages. These informal workers account for a significant proportion of workers in Thailand and make an enormous contribution to the country’s economy. However, they often work in substandard conditions, exposed to various hazards in the workplace without appropriate safety and health training and information. In order to reduce these risks, the Bureau of Occupational and Environmental Health, the Ministry of Public Health in Thailand has been conducting a pilot project to provide occupational health services at primary care units (PCU) for workers in the informal economy. This working paper reviews and analyses the substantial efforts of the PCUs in different districts under the guidance of the Bureau for Occupational and Environmental Diseases of the Ministry of Public Health. The paper highlights the impact of their efforts and recommends the next important steps at both national policy and provincial levels. It reinforces the message that Decent Work must be safe work, in the informal economy and elsewhere.