Workers’ Health Rights During the Pandemic: National and International Commitments



Authored by Suraya Ferdous

Image Courtesy: Dhaka Tribune


The outbreak of COVID-19 has exposed the fragilities, insufficient preparedness, and vulnerabilities of globalization, all of them led us to the realization that the battle with the pandemic is far from over. While the outbreak triggered life-threatening situations for all, it brought tremendous suffering to the RMG workers of Bangladesh who belong to the most susceptible and disadvantageous group in our society.[1] Although they have to put their lives on the line by working during the pandemic, their need for physical and mental wellbeing is actively being overlooked. This article mainly contemplates national and international pledges ranging from protecting workers’ health rights to violations and contradictions of such pledges. Upon the basis of the all-encompassing nature of health rights, its connection with the right to life and the status of the state’s responsibility, shall be illustrated through case law principles. And lastly, the article intends to detect ambiguities within the leading legislation which is considered to be the safeguard of workers, i.e. The Bangladesh Labour Act, 2006.

Right to Health Explored Under Domestic and International Commitments

The right to health is a basic human right that is instrumental in realizing all other human rights.[2] Article 15, 16, and 18 of the Constitution of The People’s Republic of Bangladesh have recognized the need to safeguard such rights. Health entitlements have made their place in Part II of the Constitution as Fundamental Principles of State Policy which are, however, not judicially enforceable. Despite that, such principles are indispensable for the good governance and fulfillment of other rights contained in Part III of the constitution.[3] Some international instruments also concentrate on implementing health rights introducing a much wider perspective. For instance, health rights, as identified in Article 12 of The International Covenant on Economic, Social and Cultural Rights (ICESCR), are not restricted to health care services, rather embraces a wide range of socio-economic factors essential for physical and mental wellbeing. [4] The Committee on ICESCR has particularized this notion in General Comment No 14 emphasizing on principal determinants of the right to health. Adequate food and nutrition, hygienic housing arrangement, sanitized restrooms, access to safe and potable water, sound working conditions are acknowledged by the Committee as contributory factors of the highest attainable standard of physical and mental health.[5] The International Convention on the Elimination of Racial Discrimination (CERD) also imposes a duty upon States to ensure equal medical care, social security, and services for all.[6] It is worth noting that Bangladesh has signed and ratified both the ICESCR and CERD.[7] To what extent a State can be held liable for going beyond international commitments will be discussed in another section of this paper.

Determining State’s Responsibility: Nexus between ‘Health and Life’

As it has already been stated, the right to health is not mere health care facilities but an all-encompassing right including other socio-economic determinants. However, rights in the Constitution are compartmentalized where health rights have secured their place as judicially unenforceable principles. If a remedial and counteractive framework for health rights violations is absent from the Constitution, should the state assume responsibility under international instruments for not implementing such principles in favor of the RMG workers? The role of international law within the municipal legal system has always introduced complications with unanticipated situations.[8] In the context of the judicial history of Bangladesh, international treaty principles were ingeniously used for the very first time in Kazi Mukhlesur Rahman v Bangladesh[9]. The Supreme Court of Bangladesh has always been able to maintain a well-defined position on the question of priority to domestic laws over international treaty laws. Justice B B Roy Chowdhury, in his separate opinion in Hussain Muhammad Ershad v  Bangladesh And Others[10], cautiously observed, “...where the domestic laws are clear and inconsistent with the international obligations of the state concerned, the national courts will be obliged to respect the national laws, but shall draw the attention of the lawmakers to such inconsistencies.” Being a dualist country based on a common law system, the Supreme Court has always adopted a restrictive approach towards the application of international treaty principles. The judges and lawyers still feel reluctant to refer international principles on a given dispute unless they are incorporated within domestic laws.[11]

Despite the restrictive approach, a tendency is actively growing among the judges to rely on treaty principles and use them as an instrument in interpreting constitutional human rights. Where the Constitution remains silent on enforcing a particular right, our Apex Court has managed to maintain an activist stance by pointing out State’s obligation under international law. The Supreme Court announced in Bangladesh National Women Lawyers Association (BNWLA) v Government of Bangladesh and others [12], “It has now been settled by several decisions of this subcontinent that when there is a gap in the municipal law in addressing any issue, the courts may take recourse to international conventions and protocols on that issue to formulate effective directives and guidelines to be followed by all concerned until the national legislature enacts laws in this regard” (paragraph 20).  The observation of B B Roy Chowdhury J in “Hussain Muhammad Ershad v Bangladesh And Others”[13] also depicts the judiciary’s growing reliance on international principles -“The universal norms of freedom of leaving the country and returning have been recognized in Article 36 of the Constitution, and there was full application of Article 13 of the UDHR to the fact of this case” (paragraph 3).

The rising dependence on treaty principles has also stimulated the enforcement of Fundamental Principles of State Policy through its nexus with the right to life. The interconnection between health and life has been pinpointed in Bangladesh And Others v Professor Nurul Islam & Another[14] where the court recognized “WHO Framework Convention on Tobacco Control, 2005” as one of the most widely embraced treaties in the history of the United Nations and relied on it in order to substantiate its observations. In this case, the Supreme Court, in an attempt to expand the right to life approvingly quoted Bandhua Mukti Morcha v Union of India[15] and found that the right to life symbolizes protection of health and strength of citizens preserving different status. Likewise in Dr. Mohiuddin Farooque v Bangladesh and others (Flood Action Plan Case)[16] the court took resort to The Rio Declaration on Environment and Development to determine the ground of standing and effectively identified the bond between the right to life and the right to a safe environment.

 “Dr. Mohiuddin Farooque v Bangladesh, represented by the Secretary, Ministry of Commerce, Government of the People’s Republic of Bangladesh, Bangladesh Secretariat and others”[17] is a classic example of the enforcement of health rights through right to life where  the Supreme Court observed- “ right to life is not only limited to the protection of life and limbs but extends to the protection of health and strength of workers, their means of livelihood, enjoyment of pollution-free water and air, bare necessities of life, facilities for education, development of children, maternity benefit, free movement, maintenance and improvement of public health by creating and sustaining conditions congenial to good health and ensuring the quality of life consistent with human dignity.” This observation soundly embraces all the principal determinants of health rights and affirms its undeniable connection with the right to life. The court recognized its limitation in enforcing health rights under Article 18 (1) of the Constitution but at the same time it acknowledged “state’s obligation to protect the health and longevity of the people living in the country as the right to life guaranteed under Articles 31 and 32 of the Constitution includes protection of the health and normal longevity of a man free from threats of man-made hazards unless that threat is justified by law.”[18] For this very reason, despite the status of health rights in our Constitution, the state is bound to realize it in favor of the RMG workers as it’s a fragment of their right to life. Not only that but the court is also entitled to rely on treaty principles, context-wise, in order to enforce such health rights as long as they are not in conflict with the domestic laws.

It should be mentioned here that Bangladesh, as a state, itself would be in error in the eye of the international community if health care services are not made available, accessible, affordable, and acceptable to the RMG workers.[19] For instance, the European Court of Human Rights (ECHR) found Turkey liable in Asiye Genc v. Turkey as the Turkish government failed to take “sufficient care” to strengthen its health care system. The Inter-American Court of Human Rights (IACHR) also found in Poblete Vilches and Others v. Chile that the right to health is a right found within the economic, social, cultural, and environmental rights guaranteed by Article 26 of the American Convention on Human Rights, and it condemned the Chilean government for inadequate health care in its public hospitals that resulted in a tragic death. [20] Along with the positive obligation under ICESCR, there is a strong anticipation that Bangladesh, as a state, cannot take any detrimental action to the right to health and should refrain from interfering with the enjoyment of this right. International courts have referred to this negative duty of States to not infringe on the ability to access health care.[21]

Workers’ Entitlements under the “Bangladesh Labour Act, 2006” and Reality Check

Based on the aforesaid findings, Bangladesh as a state should assume the responsibility to protect the workers from the further health crisis. However, the full realization of health rights remains a distant goal considering other socio-economic factors.[22] Organizing health care facilities for millions of workers cannot be accomplished overnight. What we need right now is a genuine and benevolent approach on the part of the government in strengthening existing health-related legal frameworks. At the same time, identifying the shortcomings within the existing laws is a crucial task.

The Bangladesh Labour Act, 2006 is the leading legislation protecting workers’ rights in our country. The Covid-19 pandemic has unveiled some weak spots within this law of which the employers took advantage and contributed to the gross abuse of labor laws. For instance, owing to the emergencies pointed out in section 12, if the stoppage of work exceeds three working days, the employers can lay off the concerned workers under section 16.[23] The workers so laid-off are entitled to compensation under 16 equal to half of the total amount of the basic wages and dearness allowance and ad-hoc or interim wages if any, and equal to the full amount of housing allowance.[24] However, the concerned workers can avail the compensation only if they have completed a minimum of one year of service in the establishment.[25] This legal bar has prevented 20% of laid-off workers from getting any kind of compensation.[26] A study led by the Centre for Policy Dialogue (CPD)[27]  has disclosed that more than 3,50,000 workers in the RMG sector have become jobless amid this pandemic while a majority of them got laid off without proper compensation.[28] The study also reveals that only 3.6% of establishments complied properly with the compensation principles.[29]

If the lay-off period gets extended after the first 45 days, the employer can retrench workers from service on the ground of “redundancy”.[30] The employer will rely on this ground when he considers his workers’ services unnecessary. Hence, this consideration mainly evolves within the subjective assessment of the employers leading to the unjustified termination of employment.[31] Section 21 of the Act gives preference to retrenched workers in case of reemployments. However, the CPD study has found that most establishments did not bother to comply with such legal requirements while some even appointed retrenched workers at a lower wage temporarily.[32]    

The wordings of sections 16 and 20 of the Act create room for discrimination, unjustified work termination, undignified treatment, and the workers, in most cases, do not have a say even though such treatment concerns them the most. Being unable to attain rightful benefits under this Act, the workers have failed to avail and ensure minimum health privileges amid Covid-19. The policymakers must pay attention to these lacunas and address their potential danger. These provisions should be amended with more clarity leaving no room for prejudice and unfairness. Last but not least, strong monitoring mechanisms must be ensured before more workers end up suffering from undignified treatment.

Concluding Remarks

“Life is something more than mere animal existence. The inhibition against its deprivation extends to all those limbs and faculties by which life is enjoyed”[33]- these passionate wordings from Justice Field make us realize that right to life is the embodiment of all other human rights where health prerogatives function as the essence of this epitome. Consistent records on RMG workers during this pandemic have established the constant presence of an unwarranted threat to healthy wellbeing leading to their eventual deprivation of the right to life. Our national and international commitments regarding health rights will serve no purpose if we fail to acknowledge the plight of RMG workers concerning their safe and sound living. The preamble of our Constitution affirms the notion of keeping pace with progressive aspirations of mankind while Article 2 of ICESCR insists on progressive realizations of such aspirations. It is true that the socio-economic scenario of Bangladesh bars the absolute realization of health rights and makes it look like an unattainable determination. However, an endeavor to overcome the shortcomings of resources, to plan more functional health schemes, and to assess the loopholes within concerned legislations may pave the way to the aspired ‘progressive realization of health rights in the future when we will be able to tackle situations identical to pandemic with more potency and dynamism.

 


References:

[1] Absence of education, ineffective bargaining capacity and underprivileged background identify them as the most defenseless ones. See Humayun Kabir and others, ‘The Impact of COVID-19 on Bangladeshi Readymade Garment (RMG) Workers’, (2021) Journal of Public Health, Vol 43, pg 1
 
[2] CESCR General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12)
 
[3] Adiba Tahsin Raha, ‘Towards a Rights-Based Approach to Healthcare’, (The Daily Star, April 24, 2021)
<https://www.thedailystar.net/bot-law-our-rights/news/towards-rights-based-approach-healthcare-2083077> accessed 20 May, 2021
 
[4] Icelandic Human Rights Centre, ‘What Is the Right to Health?’< https://www.humanrights.is/en/human-rights-education-project/comparative-analysis-of-selected-case-law-achpr-iachr-echr-hrc/the-right-to-health/what-is-the-right-to-health> accessed 12 May, 2021
 
[5] Office of The High Commissioner for Human Rights, ‘CESCR General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12)’ <https://www.refworld.org/pdfid/4538838d0.pdf> accessed 12 May, 2021
 
[6] International Convention On the Elimination of Racial Discrimination art. 5(e), Mar. 7, 1966, 660 U.N.T.S. 195
 
[7] Bangladesh ratified CERD on 11 June, 1979 and ICESCR on 5 October, 1998. See United Nations Human Rights Treaty Bodies, ‘UN Treaty Body Database’,
< https://tbinternet.ohchr.org/_layouts/15/TreatyBodyExternal/Treaty.aspx?CountryID=14&Lang=EN> accessed 25 May, 2021
 
[8] Christine Richardson, Md Mostafa Hossain, ‘Application of International Law In Bangladesh: An Analysis of the Supreme Court Judgments’, (2015) (Jagannath University Journal of law)
 
[9] (1974) 26 DLR (AD) 44
 
[10] (2005) II ADC 371 [3]
 
[11]  Md. Mostafa Hosain, ‘Application of UDHR by Supreme Court of Bangladesh: Analysis of Judgments’, Chancery Law Chronicles, <https://www.clcbd.org/journal/13.html > accessed 12 July, 2021
 
[12]  (2001) 40 CLC (HCD)
 
[13] (2001) 21 BLD (AD) 69
 
[14] Bangladesh And Others Vs. Professor Nurul Islam & Another (2016) 2018(2) LNJ (AD)
 
[15] Bandhua Mukti Morcha vs Union of India & Others (1984) 3 SCC 161: AIR 1984 SC 802
 
[16] (1997) 17 BLD (AD) 33
 
[17]  (1996) 48 DLR 438
 
[18] Ibid
 
[19] Office of The High Commissioner for Human Rights, ‘CESCR General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12)’ <https://www.refworld.org/pdfid/4538838d0.pdf> accessed 12 May, 2021
 
[20] Oona A. Hathaway and others, ‘The COVID-19 Pandemic and International Law’, (2021) 54(2) Forthcoming in Cornell International Law journal,  33
 
[21] ICJ determined in the Israeli Wall advisory opinion that Israel’s erection of a separation barrier between the West Bank and Israel restricts access to health services, and thus violates the ICESCR’s right to health. See ibid
 
[22] Office of The High Commissioner for Human Rights, ‘CESCR General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12)’ <https://www.refworld.org/pdfid/4538838d0.pdf> accessed 12 May, 2021
 
[23] The Bangladesh Labour Act 2006, s 16
 
[24] The Bangladesh Labour Act 2006, s 16 (2)
 
[25] The Bangladesh Labour Act 2006, s 16 (1)
 
[26] Zisan bin Liaquat, ‘Report: RMG Workers Lost $500m in Wages during the Pandemic’, ( Dhaka Tribune, 29 April, 2021) < https://www.dhakatribune.com/business/2021/04/29/report-rmg-workers-had-35-pay-cut-deprived-of-502m-in-wages-during-the-pandemic> accessed 23 May, 2021
 
[27] Centre for Policy Dialogue (CPD) is a leading institution established in 1993 for in-depth research and dialogue to promote inclusive policymaking in Bangladesh,  strengthen regional and global economic integration and to create an inclusive society based on equity, justice, fairness and good governance.
 
[28]   Mohammad Golam Sarwar, ‘Mainstreaming Human Rights in Business to Protect Workers’ Rights’, ( The Daily Star, May 1, 2021) < https://www.thedailystar.net/law-our-rights/news/mainstreaming-human-rights-business-protect-workers-rights-2086893> accessed 10 July, 2021
 
[29] Ibid
 
[30] The Bangladesh Labour Act 2006, s 20
[31] Mohammad Golam Sarwar, ‘Mainstreaming Human Rights in Business to Protect Workers’ Rights’, (The Daily Star, May 1, 2021) < https://www.thedailystar.net/law-our-rights/news/mainstreaming-human-rights-business-protect-workers-rights-2086893> accessed 10 July, 2021
 
[32] Ibid
 
[33] Munn Vs. Illinois (1877) 94 US 113 (Lord Justice Field) (emphasis added) 


Author Description:

Suraya Ferdous is a Final-Year Law Student at the University of Dhaka

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