| Titre : | Community-based health for hard-to-reach young domestic workers in Mali |
| Auteurs : | Oluwatomiloba Gisanrin ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2025 |
| Description : | 47p. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Santé communautaire ; Aide ménagère domicile ; Travailleur immigré ; Vulnérabilité ; Condition travail ; Violence domestique ; Protection sociale |
| Résumé : |
This study evaluates the effectiveness of a community-based initiative implemented by L'Association de Défense des Droits des Aides Ménagères et Domestiques (ADDAD) in Bamako, Mali, in collaboration with ARCAD Santé PLUS in increasing their reach to new profiles of domestic workers.
Methodology: In 2023, in Bamako, Mali, intervention beneficiaries were invited to take part in the survey. Data on their socio-demographic characteristics, working conditions, and vulnerabilities were collected using a cross-sectional questionnaire. The characteristics of workers formerly and newly affiliated with ADDAD were compared in bivariate analyses. Vulnerability profiles were estimated using latent class analysis. A logistic regression model estimated whether newly affiliated people had higher probabilities of being vulnerable according to different themes. Results: Of the 644 domestic workers, 469 (73%) were newly affiliated and 175 (27%) were previously affiliated to ADDAD. Most newly affiliated workers were less likely to have a formal employment contract (OR = 0.02(0.01-0.05); p<0.001) despite the law. Compared with previously affiliated workers, new affiliates were less likely to have day off (ORadj=0.32(0.19-0.55); p<0.001), to have short-term migration motivations (ORadj=0.57(0.35,0.91); p=0.019); and tended to be victims of domestic violence (ORadj=3.11(1.05-13.4); p=0.071). Conclusion: The study concludes that the project effectively extended to reach of ADDAD, teaching new profiles of vulnerable domestic workers. It underlines the value of community-based approaches for improving access to essential services and strengthening the social protection of domestic workers in Mali. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2025/mph/oluwatomiloba_gisanrin.pdf |
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