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        Mental health at the intersections of marginalization: A conceptual model to explore the mental health concerns of women sanitation workers in India

        Monteiro Tanya S.,Nalini R. 한국사회복지학회 2021 Asian Social Work and Policy Review Vol.15 No.2

        In India, sanitation work is predominantly undertaken by persons from oppressed castes whose customary roles relegate them to stigmatized occupations. Women sanitation workers, comprising nearly half of the urban workforce, grapple with multiply marginalized identities and social positions. Marginalized at the intersections of caste, gender, and occupation, they contend with violence and socio-economic discrimination. The literature on the occupational and psychosocial risks of sanitation workers indicates that the mental health concerns of women sanitation workers remain largely unaddressed in research and public policy. This paper draws on an analytical review of research on women sanitation workers’ occupational and psychosocial risks with the objective of conceptualizing the relationship between marginalization and mental health. Utilizing intersectionality and social systems theories to present women sanitation workers as a critical case, their experiences of marginalization at the intersections of caste, gender, and occupation are analyzed. Consequently, a conceptual model of mental health outcomes at the intersections of multiply marginalized identities and social positions is developed to analyze the implications of marginalization for mental health. Guidelines for action to inform public policy and social work practice are suggested, emphasizing the need for intersectional interventions and a social justice framework in mental health care for marginalized groups.

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        Intersections of caste, class, and gender in healthcare sanitation work in India: Social work imperatives for restructuring marginalized women's care work

        Monteiro Tanya S. 한국사회복지학회 2022 Asian Social Work and Policy Review Vol.16 No.3

        Housekeeping and sanitary workers are crucial for the functional efficiency and hygiene of healthcare facilities. In India, women from oppressed castes and backward classes are predominantly recruited in these occupations. The work, regarded as “polluting,” is stigmatized, devalued, and lies at the historical and sociocultural intersections of caste, class, and gender. In the context of the COVID-19 pandemic, this paper utilizes the concepts of “feminization of labor” and “care ethics” to read caste into an intersectional theoretical analysis of the organization of marginalized women's labor in such essential, yet invisibilized healthcare work. An exploratory narrative review of literature focusing exclusively on marginalized healthcare housekeepers and sanitation workers in India is undertaken and supplemented with a critical analysis of labor laws and policies to trace the sustained reproduction of the caste-based sexual division of labor in these occupations. I propose that their exploitative terms and conditions are sustained by what I refer to as the “feminine caste contract” –a complex sociopolitical and legal arrangement of precarious, casteist, and gendered work conditions. Recognizing the exploitation inherent in this contract, recommendations are made for social work education and practice to play a key role in restructuring marginalized women's labor in essential care work.

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