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Applied Ergonomics 31 (2000) 631}640

Ergonomics in industrially developing countries: does its application


di!er from that in industrially advanced countries?
D.H. O'Neill*
International Development Group, Silsoe Research Institute, Wrest Park, Silsoe MK45 4HS, UK
Received 16 July 1999; received in revised form 6 June 2000; accepted 3 July 2000

Abstract

Demographic characteristics of industrially developing countries (IDCs) and some comparisons with industrially advanced
countries (IACs), particularly those aspects relevant to ergonomics, are presented. The majority of IDC populations are engaged in
subsistence agriculture (the `informala sector) and consideration is given to the scope for ergonomics interventions, aimed primarily at
raising productivity to alleviate the poverty su!ered by rural families. Ergonomics issues prevalent in the `formala sector are also
discussed and the importance of "nding simple, low-cost solutions through participatory approaches emphasised. The possible
contributions of ergonomics to alleviating problems common to both sectors, such as transport, are also indicated and attention is
drawn to the di$culties of applying formal standards. The improvement of living and working conditions from incorporating an
ergonomics approach into the sustainable livelihoods model, by enhancing human capital, is described in the context of the other
livelihood assets. This demonstrates the importance of the cultural dimension for the successful delivery of ergonomics bene"ts. The
application of ergonomics di!ers between IDCs and IACs particularly through the limited infrastructure in IDCs to support
ergonomics activity and interventions. This broaches the di!erent contributions that can be made by ergonomics and occupational
health practitioners and implies the need for closer collaboration between these professions.  2000 Elsevier Science Ltd. All rights
reserved.

Keywords: Developing countries; Agriculture; Technology transfer; Occupational health and safety; Cultural factors; Livelihoods

1. Introduction as to obtain maximum satisfaction for the worker which,


at the same time, enhances productivitya. De"ning ergo-
The terms `ergonomicsa and `industrially developing nomics has remained the subject of considerable
countriesa both represent enormous diversity in view attention and, recently, the International Ergonomics
point. My favourite de"nition of ergonomics * `the Association (IEA) has published, for comment, this draft
scienti"c study of human worka * as given by Pheasant de"nition (Anon, 2000). `Ergonomics is the discipline
(1991) almost de"es the imposition of boundaries because concerned with the fundamental understanding of inter-
the concept of work is so broad. This embraces all aspects actions among human and other elements of a systema. It
of human endeavour from #ying jumbo-jets, to enhanc- continues `Ergonomists contribute to the design of tasks,
ing the performance of professional athletes, to surviving jobs, products and environments in order to make them
on subsistence agriculture. A more rigorous, yet easily compatible with the needs, abilities and limitations of
assimilable, de"nition of ergonomics remains elusive. peoplea. However, the de"nition on the home-page of the
Around ten years ago Ong and Kogi (1992) quoted the IEA website * `Ergonomics is the scienti"c discipline
ILO de"nition of ergonomics as `the application of hu- concerned with interactions among humans and other
man biological sciences in conjunction with engineering elements of a system in carrying out a purposeful
sciences to the worker and his working environment, so activitya * is crisper and probably the better suited for
IDCs.

* Corresponding author. Tel.: #1-44-1525-860-000; fax: #1-44-


1525-860-156.
E-mail address: dave.oneill@bbsrc.ac.uk (D.H. O' Neill).  http://ergonomics-iea.org/iea/main.html.

0003-6870/00/$ - see front matter  2000 Elsevier Science Ltd. All rights reserved.
PII: S 0 0 0 3 - 6 8 7 0 ( 0 0 ) 0 0 0 3 3 - 8
632 D.H. O+Neill / Applied Ergonomics 31 (2000) 631}640

The term `industrially developing countriesa (IDCs) Table 1


may imply a simple concept but, in practice, refers to World population characteristics (from Spedding, 1996)
highly heterogeneous arrays of cultures, availability of
Population Growth rate (% per year)
resources and levels of infrastructure. On the one hand, (millions)
there exist well-developed social structures, usually based
on a bountiful supply of natural resources (e.g. as in parts 1988 1950}75 1975}88
of south-east Asia), which may, in itself, parry the need Developed nations 1235 1.13 0.73
for industrialisation. On the other hand, there exist more Developing nations 3880 2.33 2.09
Total 5115 1.96 1.74
austere societies where the culture is focussed more on
survival in habitats of limited natural resources, such as
the arid zones of the Sahel. A widely acknowledged
characteristic of most IDCs is a high population growth Table 2
rate (see Table 1) which, in most cases, overburdens the Population engaged in agriculture and income, according to economic
category (from Spedding, 1996)
inadequate infrastructure (e.g. health, education services)
and exacerbates unemployment problems. Economic category Percent of labour force GNP per
The majority of the world's population resides in IDCs in agriculture head ($)
and still gain their livelihoods from rural pursuits, despite
the increasing trend of urban migration. Statistics quoted Lower income 71 270
Lower-middle income 59 750
by Spedding (1996) indicate that of the world population Middle-upper income 29 1890
of 5.1 billion people, 2.3 billion are economically active Industrial market economies 7 12960
and 1.1 billion (48%) of these are economically active in
agriculture. These data can be expressed according to
economic category, as shown in Table 2 (also taken from Table 3
Spedding, 1996). Di!erences between IDCs and IACs (from Spedding, 1996)
Considering broader perspectives, some contrasting IDCs IACs
attributes of IDCs and industrially advanced countries
(IACs) are shown in Table 3 (from Spedding, 1996) and Underproduction Overproduction
in Table 4 (from North, 1987), with a focus on the Low yields High yields
ergonomics aspects. Starvation Overeating
Low body weight Obesity
In undertaking this review, in which it is possible to do Poverty A%uence
no more than describe super"cially some selected prob- Crop product consumption Meat consumption
lems of IDCs, the question is posed `Is the application of Muscle powered (animal Oil powered
ergonomics in the context of IDCs conceptually or prac- and human)
tically di!erent from that in IACs?a In the subsequent High percentage of young people High percentage of old people
79% of population rural 22% of population rural
sections, attention is drawn to the ergonomics problems Poor hygiene Good hygiene
in the various sectors of IDCs, and how they may be Contaminated water Clean water
resolved, in order to answer this question. The motiva- Poor control (over conditions) Good control (over conditions)
tion is the hope that through this, ergonomics, inter alia, Food processed at home Most food industrially processed
will play its distinct role in reducing world poverty and Poor infrastructure Good infrastructure
improving the quality of life of the most disadvantaged
people on the planet.
The de"nition of absolute poverty is widely accepted Table 4
as having to survive on less than 1 $(US) a day (e.g. see Ergonomics di!erences between IDCs and IACs (from North, 1987)
Winkelmann, 1998): reference to Table 2 shows that this
IDCs IACs
embraces at least 71% of the IDC population, most of
whom rely on subsistence agriculture for their liveli- Prevalence of agriculture and Prevalence of manufacturing indus-
hoods. Increased agricultural productivity has been re- primary industry try and service sector
cognised as a major (but not the only) means of De"nition of work task by the Clearly de"ned work tasks, ration-
combatting poverty, as one dollar extra income in agri- individual alised work
Close contact between consumer Mass production: little contact be-
culture gives rise to 50 cents of extra income in the rest of and manufacturer tween consumer and manufacturer
Wide range of technology, Homogeneous level of technology,
productivity and working productivity and working condi-
conditions tions
 Wisner (e.g. see Wisner, 1985) coined the term IDC in cognisance of Lack of contact with technology Workers familiar with technology
the fact that many of these countries have a developed civilisation, since childhood
although not based on commerce and the mass production of capital Work for subsistence Work for social identi"cation
goods.
D.H. O+Neill / Applied Ergonomics 31 (2000) 631}640 633

the economy (Winkelmann, 1998, quoting Haggblade


et al., 1991).

2. Agriculture

Three types of agriculture co-exist in most IDCs


* plantations, conventional commercial agriculture and
smallholder crop (and often livestock) farming. The stat-
istics presented above suggest that the smallholder sec-
tor, where enterprises are run on a family basis, should
receive priority attention, as this is the main occupation
in IDCs. Furthermore, the quality of life found in IACs
has generally evolved through the establishment of in-
dustrially based economies which have grown out of
a robust small-scale agricultural sector.
A strong smallholder sector relies on successful com-
pletion of the cycle of production tasks by means of
a process that is sustainable. For smallholders, the grow-
ing of crops*staples, vegetables or cash-crops*is more
demanding than the management of livestock, which is
often undertaken as a means of holding wealth, where the
products (or outputs) provide spin-o! bene"ts. Crop pro-
duction involves a sequence of distinct operations, be-
tween which there may be interactions, comprising land
preparation, planting, crop care (i.e. control of pests, such Fig. 1. Land preparation in subsistence agriculture.
as weeds and insects) and harvesting. The main interac-
tions arise from the e!ects of land preparation on weed-
ing, where, in general, better land preparation reduces the and manually powered equipment, so the main means of
weeding demand. For most smallholder farming families, protection is by clothing, rather than by vehicle cabs as in
post-harvest processing and storage are also essential IACs. In the hot environments of IDCs, adequate protec-
operations. tive clothing adds to the heat stress of the operators,
The greatest constraints on crop production are land which is compounded by the metabolic heat load of using
preparation and weeding (e.g. see Fig. 1). The former the equipment. The challenge is to identify suitable cloth-
constraints are due to the energy requirement, and hence ing which provides a good compromise between protec-
power demand as time is usually a limiting factor, and the tion and thermal acceptability and, most importantly,
latter because of the labourious, time-consuming nature which is a!ordable. Added to this is the need to explain
of the work (Rogan and O'Neill, 1993). The fact that why protection is needed and to motivate farmers to
there is such a strong interaction between the two brings protect themselves. The safe storage and disposal of used
ergonomics considerations to the fore. Shahnavaz (1983) chemicals are also issues, with which ergonomics should
commented that working and non-working conditions in be involved through the presentation of comprehensible
IDCs are so inter-related that they may be considered as and assimilable information.
an undivided totality. More research and development is Accidents and injuries are a serious concern in all types
needed to optimise crop productivity in terms of the of agriculture and their prevention should be a signi"cant
"nancial, labour and energy (whether human, animal ergonomics issue. There are also economic implications
or engine powered * or some combination) inputs for as discussed by McNeill and O'Neill (1998), who costed
di!erent farming systems within the whole livelihood the loss of earnings of agricultural workers in Ghana
perspective. according to the nature of their injuries. The commonest
Other aspects of agricultural production which war- injury was a cutlass wound, resulting in an average of just
rant ergonomics attention include crop care: the applica- under 10 working days lost (equivalent to about 6 US$);
tion of chemicals * as fertilisers or pesticides * so as to the most severe, although relatively uncommon, was in-
protect the health of both the operator and the environ- jury due to gunshot wounds, causing an average of 60
ment (Rainbird and O'Neill, 1995). This applies to IACs days lost work (at a cost of around 33$).
also but the nature of the problem in IDCs di!ers mainly In IACs some control of health and safety risks is
in the type of personal protection required. In IDCs, exerted through legislation but in IDCs legislation, where
chemicals are generally applied by hand or hand-held it exists, is ine!ective. Appropriate ergonomics in the
634 D.H. O+Neill / Applied Ergonomics 31 (2000) 631}640

IDCs the supply of able-bodied people is diminishing


because of the AIDS pandemic.
There is now an increasing number of examples of
ergonomics interventions in other agricultural or domes-
tic operations where performance or health and safety
have been improved. Such examples include hoe design
(Manuaba and Nala, 1969), pesticide application
(Ghugare et al., 1991), handling of animal-drawn equip-
ment (O'Neill, 1997), cooking equipment (Igbeka, 1993),
charcoal production (Jafry and O'Neill, 1997) and har-
vesting grass fodder (O'Neill, 1997).
The levels of energy expenditure in agriculture are
high, as it is a labour-intensive occupation. This is also
true of agriculture in IACs, but in IDCs fewer operations
are mechanised as there is less opportunity for engines
(powered by fossil fuels) to replace manual equipment.
Another di!erence between IDCs and IACs is that most
of the agricultural operations (with the possible excep-
Fig. 2. The economic cycle of diseases. tion of land preparation) are carried out by women which
means that the physical stress of doing the work is
proportionately greater. An indication of this problem is
design of equipment and the development of work practi- evident in Table 5 taken from Nag and Chatterjee's
ces can help overcome this. Economic development is (1981) study of 8 female agricultural workers in eastern
constrained by a combination of circumstances that may India.
be succinctly described by the `economic cycle of dis- This situation is exacerbated by women having
easesa as shown in Fig. 2 (after FAO, 1992). to carry out their domestic duties in addition to their
This is particularly relevant to smallholder farming agricultural tasks.
families in IDCs because the poverty, i.e. `low salariesa, is
so overwhelming. This cycle can be broken only by
strong interventions at the arrows. Clearly, government 3. Factories and mines
hand-outs to improve education or health are options
and are being pursued, but the scale of need on a national These di!er from the agricultural sector in that formal
basis in most IDCs renders such interventions relatively employment is far more common, but heavy manual
ine!ective. There would seem to be scope for ergonomics work still predominates and, furthermore, the labour
to intervene between `low working capacitya and `low force may often be regarded as expendable. The main
productiona to convert the `low productiona into `mod- areas of industrial enterprise in IDCs are textiles, chem-
erate productiona. If this then results in slightly higher icals (including petrochemicals), steel, food, building/con-
incomes, nutrition and the associated factors might also struction and ports/docks. The principal ergonomics
improve. Such an intervention would be based on en- concerns, at present, are oriented towards the fairly
abling the low capacity worker to better apply his/her strongly interrelated issues of physical workload, phys-
strength, skills and abilities, through improved equip- ical environment, equipment design and health and
ment and working methods, thereby increasing produc- safety. Teniswood (1987) cited a number of examples in
tivity and output. A prime example, considering the
above discussion, would be higher crop production Table 5
Energy costs of various agricultural activities (from Nag and Chatter-
through improved land preparation and weeding jee, 1981)
methods and equipment. Examples where these are being
achieved in practice include improved hoes designed spe- Activity Energy HR (/min) %V O
 
ci"cally for tillage or for weeding, adoption of draught (kJ/min)
animal power to reduce work intensity and drudgery,
Standing 4.1 87 13.8
and di!erent crop establishment techniques to make the Walking 11.5 115 28.8
tillage and weeding demands more equitable. The use of Digging (dry soil) 19.5 144 48.9
engine-powered equipment to displace labour has been Transplanting paddy 12.3 126 31.1
questioned in societies or communities where there may Weeding/sickle/sitting 11.5 112 29.5
appear to be an abundance of manual labour, but such Weeding/sickle/bending 14.5 124 33.3
Harvesting paddy (sitting) 12.2 115 30.6
a solution would be advocated only to avoid bottle-necks Harvesting paddy (bending) 12.8 119 32.4
during periods of peak demand. Furthermore, in many
D.H. O+Neill / Applied Ergonomics 31 (2000) 631}640 635

these areas where ergonomics has been applied success- appropriateness of the relevant International Standards
fully to improve working conditions and productivity. to certain IDC situations is now being questioned (e.g.
He concluded that the practice of ergonomics was essen- see Yoopat et al., 1998; McNeill and Parsons, 1999).
tially the same as in IACs but relevant anthropometric Again, this seems to be a matter of accounting for the
data were often lacking and that only `simplea solutions characteristics of the population, rather than a rejection
were likely to be adopted. Kogi, in his many publications of the basic ergonomics principles.
(e.g. see Kogi, 1985, 1997; Kogi and Sen, 1987; Kogi et al., The transfer of technologies, equipment and even pro-
1998) makes the point repeatedly that solutions must, duction lines raises many ergonomics issues which, un-
above all, be simple and reached through a participatory fortunately, are often overlooked. These technological
process. Low cost is also important but the cost may be `packagesa must be checked not only for their physical
negotiable with factory managers if economic returns are suitability (anthropometrics, biomechanics) but also for
obvious and quick. Designing work stations to accom- their conceptual and cognitive attributes, particularly
modate working postures that may be regarded as un- regarding population stereotypes. These include the in-
conventional in IACs, such as the squatting so popular in formation implied by switch or lever position (e.g. up for
south east Asia, is an application of ergonomics speci"c o!) or conveyed by colour (e.g. red for danger). Many of
to IDCs. The solutions are unlikely to be found in IAC these are evident from knowledge of the culture and do
texts (e.g. see Gurr et al., 1998) but would still employ the not necessarily need experimentation. Care must be
same principles of designing within appropriate reach taken to accommodate other cultural or religious factors
and force envelopes. Although Sen (1984), for example, which may be of no signi"cance in IACs, or the country
argues for work stations designed to facilitate squatting, from which the technology originates. The training needs
there is evidence to discourage this practice, especially in associated with the transfer of technology are often over-
engineering factories where the cleanliness of machined looked: this would not occur if ergonomics were part of
parts is essential for the proper functioning of the result- the transfer package. Furthermore, any training (or re-
ing assemblies (e.g. axles, gearboxes, etc.). Despite the training) programme should incorporate ergonomics
lack of appropriate anthropometric data cited above and principles.
frequently mentioned elsewhere, many, if not the major-
ity, of ergonomics publications emanating from IDCs
have been devoted to this topic. 4. Cross-cutting issues
One exception is the study by Ahasan et al. (1999) of
metal-workers in Bangladesh. Stresses caused by thermal There are several issues with signi"cant ergonomics
factors (heat and humidity), poor air quality (inorganic implications in IDCs which cut across all aspects of
dusts, welding fumes), awkward body postures and noise working and living. The most prominent of these are
were found. They were identi"ed through a comprehens- manual handling, transport, occupational safety and
ive ergonomics approach encompassing classi"cation of health and, as a consequence, (international) standards.
jobs and integrating cultural and socio-economic factors. Transport a!ects people whether they are passengers
Although simple, low-cost, practical solutions were ad- (Manuaba, 1979) or transporters but the situation de-
vocated as the best way of overcoming these problems, manding the greatest ergonomics attention is where
the constraints that they listed would be daunting for any people are transporters. This implicates the other issues
ergonomists who wish to put in place low-cost interven- of manual handling and health and safety. One of the
tions to improve working conditions. These constraints, biggest contrasts between IDCs and IACs is the amount
many of which are interrelated, included (i) negative of material that is shifted by human e!ort, whether in
attitudes and the acceptance of unsafe practices, (ii) poor factories, construction or in the rural (`informala) sector.
access to information and training, (iii) the poverty cycle Manual handling in response to the transport need is the
(low wages, poor nutrition, etc. * see Fig. 2), (iv) weak cause of many injuries and much long-term su!ering.
trades unions and corruption and (v) lack of support There is greater potential for control in the `formala
from the international community. Similar "ndings have sector, and some progress is being made through the
been reported by Mbakaya et al. (1999) in Kenya. Ac- application of standards, but the informal sector remains
cording to Asogwa (1987), based on his experiences in almost impervious to such considerations. Apart from
Nigeria, the seriousness of workplace injuries is growing the obvious practical di$culties of disseminating the
at a greater rate in IDCs than in IACs. He advocates principles of `good practicea and of enforcing legislation,
three approaches to counter this (i) a positive attitude to the demands are overwhelming and families existing at
health and safety towards hazard elimination, (ii) nation- the subsistence level just do not have the luxury of
al e!orts to improve legislation and enforcement and (iii) adopting alternative practices. Crops must be trans-
greater international cooperation. ported from the "elds after harvest and then the fraction
Thermal stress is likely to be an even greater problem that is to be sold (to provide desperately needed cash) has
in factories and mines than it is in agriculture. The to be taken to market. The prevalent mode of transport is
636 D.H. O+Neill / Applied Ergonomics 31 (2000) 631}640

headloading and, generally, this is done by women. Typi-


cally, carrying crops to market would involve carrying up
to 25 kg on the head for distances of up to 15 km two or
three times a week. This would give an annual transport
burden (assuming 3 times a week, or, roughly, every other
day) of 58.5 ton-km. This is roughly similar to the "nd-
ings of Barwell and Malmberg-Calvo (1988) that the
annual transport requirements for agricultural produc-
tion and marketing of a "ve-person household in Makete
District, Tanzania, was 87 ton-km. Added to this are the
demands of fetching water and fuelwood which could
bring the average requirement of a typical household to
220 ton-km, taking approximately 4800 h, annually
(Bryceson and Howe, 1993). In many cases, headloading
is the only practicable method because of the nature of Fig. 3. Mobile shop in Kenya.
the paths and the terrain. There is huge scope for improv-
ing the transport infrastructure in rural communities,
with very signi"cant contributions from ergonomics and
logistics to ensure a thorough systems analysis to deliver should be rati"ed. This is only one example, however,
comprehensive and user-friendly solutions. In particular and more research is required.
the scope for intermediate means of transport (IMT) A comprehensive review of occupational health prob-
interventions (Sieber, 1999; Gebresenbet et al., 1997) in- lems in IDCs has been compiled by Jeyeratnam (1992).
corporating an ergonomics perspective should be pur- He asserted that the di!erences between IDCs and IACs
sued. An example of an imaginative IMT development is lie in the emphases and priorities for each. He argues the
given in Fig. 3, illustrating a mobile shop in Kenya. need to provide occupational health services through
In the formal sector, appropriate manual handling primary health care in IDCs whereas, in many IACs, this
limits must be de"ned, according to local populations, may be seen as the control of occupational disease. In
and applied. The applicability of IAC data in IDC other words, in IDCs, the emphasis must be on preven-
circumstances may need validating. tion and should be a national developmental priority,
Some other occupational health and safety needs, with transcending the health sphere. This, however, opens
respect to personal protection equipment, have already a potential con#ict as to whether the prime responsibility
been mentioned. Protecting the worker against airborne should lie with the `Ministry of Laboura or `Ministry of
and respiratory hazards is no less important in factories Healtha. There is also the question of the responsibility of
than it is in agriculture, but exercising control may be the employer, although this is of little or no relevance in
more feasible in factories (Veturi et al., 1987). Neverthe- the rural `informala sector. Clearly, there is a need for
less, employers will take action only if the enforcement intersectoral collaboration and for including the `Minis-
authorities are strong enough or the economic advant- try of Agriculturea, often the only means of reaching
ages are immediately and unambiguously obvious. the rural labour force. According to Sekimpi (1992), the
Protecting people at work from the dangers of heat agricultural worker requires increased protection from
stress will always be a problem in tropical countries, occupational health threats because of the physically
which most IDCs are. In the rural industries, where strenuous work, greater likelihood of under-nutrition
people have a degree of independence, periods of work and fatigue, and greater exposure to biological threats
will be chosen to avoid the hottest times of the day. (e.g. zoonoses, parasitic diseases, organic dusts, etc.), plus
However, during `bottlenecksa, survival depends on per- their additive e!ects. Sekimpi (1992) also stated that
severance; guidelines or standards become irrelevant. primary health care must be the favoured model for
The solution here is to avoid bottlenecks (see section on improving occupational health in IDCs (quoting the
agriculture). In the formal sector, the applicability of Alma-Ata Declaration * WHO, 1978) and that agricul-
standards to deal with heat stress, especially those de- tural health should have special consideration.
veloped in IACs, may also be questionable. Yoopat et al.
(1998), for example, studied conditions in a Thai steel-
mill and concluded that applicability of ISO 7243 (1982) 5. Discussion

Thirty years ago, Singleton and Whit"eld (1968) were


 Barrows, bicycles, tricycles, pack animals, animal-drawn carts, asked to justify the promotion of ergonomics in a par-
scooters, etc. (i.e. anything between headloading and small `pick-upa ticular IDC where so many millions of people were
trucks) a%icted with, or dying of, diseases such as TB and
D.H. O+Neill / Applied Ergonomics 31 (2000) 631}640 637

Table 6
Major elements making up the `Livelihood Assetsa

Human Natural Physical Social Financial

Skills Land Buildings Networks Savings


Knowledge Water Machinery Relationships Credit
Strength/Health Biodiversity Infrastructure A$liations Remittances

leprosy. Their response was basically concerned with the interactions, could result in a net loss. For example, the
proper use of manpower. In this respect, ergonomics introduction of inappropriate machinery to raise the
must be an essential component of any nation's develop- physical capital could reduce labour productivity and
ment strategy. Thirty years on, with the AIDS pandemic, have a negative impact on health. This is a conventional
this response would seem even more poignant. More ergonomics scenario, but the multi-disciplinary approach
recently, Kogi and Sen (1987), in their review of `Third that ergonomics o!ers renders it eminently suitable to
Worlda ergonomics, commented that the major focus provide a framework for this sustainable livelihoods
was the analysis of workplace problems. The work that model.
they reviewed must surely have been directed at improv- The idea of human capital is not especially new; it
ing people's health and livelihoods but was this the aim underpins the concept of human resources which is now
perceived in the communities at large, or did the projects the focus of many management activities. However, the
not deliver their intended outputs? Is there a bigger gap idea carries greater meaning when considered in the
between ergonomics and occupational health in IDCs context of the other capitals shown in Table 6. In IDCs,
than in IACs? Is the potential contribution of ergonomics human capital has commonly been used as a synonym
interventions fully appreciated by occupational health for labour but, with the development of the `investing in
practitioners? peoplea approach, the other issues shown in the left hand
Apart from interventions by multi-national com- column of Table 6 are brought into perspective. Oyowe
panies, commented on by Meshkati (1989) and Wisner (1996) pointed out that a child in an IAC is born wealthy
(1985) amongst others, international aid agencies have because of its share of capital accumulated by earlier
exerted a signi"cant in#uence on re-structuring IDCs generations. In his terminology these include roads,
through both governments and NGOs (non-government schools, hospitals, telecommunications (i.e. physical in
organisations). Many mistakes have been made along the Table 6) and the less tangible such as democracy, trades
way and no agency would deny that. It is worth consider- unions, a free Press, etc. (i.e. the social in Table 6).
ing the current philosophy of the British aid agency According to Oyowe, a typical consequence is that, for
DFID (the Department for International Development, example, a nurse in Germany earns 30 times more than
formerly the ODA } Overseas Development Administra- one in Bangladesh although their duties, training and
tion) which has been formulated, taking account of past skills are much the same. The di!erence simply re#ects
shortcomings, to avoid the pitfalls inevitable if a holistic the higher dividend bestowed on them through di!er-
approach is not adopted. Disregarding, as far as possible, ences in their heritages.
political motivation, current thinking is based on families One element of human capital which seems to have
or households achieving economic security, which, for been somewhat underestimated in importance, at the
the vast majority in IDCs, depends on establishing food micro level if not at the macro level, is nutrition. Gross
security (see Table 2). The approach is based on the energy balances of sectors of IDC populations have been
concept that every family and community is endowed considered and compiled in documents such as the
with various `capitalsa to some degree. These capitals, FAO/WHO/UNU recommendations (WHO, 1985
also described as the `livelihood assetsa, are the human, * see also Durnin, 1987) but these tend to overlook the
the natural, the physical, the social and the xnancial, circumstances of individuals (i.e. the micro level). Lon-
comprising the elements shown in Table 6. ghurst (1997, 1984) took a closer look at individual cir-
Thus, in total, these capitals represent a large, multi- cumstances, considering particularly the quality,
variate array of livelihood assets, which individuals, fami- intensity and time allocations of speci"c daily tasks, and
lies or communities can draw upon to increase their formulated the idea of an `energy trapa. This demon-
economic security (i.e. reduce their poverty) and improve strates that the poorest members of communities are
their quality of life. To be e!ective and sustainable, any unable to transform enough of their energy into income
intervention to reduce poverty must, somehow, increase
the sum total of these assets. An inappropriate interven-
tion acting on just one of these capitals without due  For more on micro- and macro-ergonomics, see Hendrick (1995) or
regard for the other elements, or consideration of their McNeill et al. (1999).
638 D.H. O+Neill / Applied Ergonomics 31 (2000) 631}640

to create a surplus over subsistence. The richer people, on drawn to them within the scope of ergonomics by
the other hand, are better able to employ others to Chapanis (1975) and later by Wisner (1991). He suggests
undertake the energy-expensive tasks. Such a scenario is that, in today's global workplace, `"tting the job to the
highly appropriate for an ergonomics intervention, parti- culturea may be more important than &"tting the job to
cularly one by which a poorer person, or family, could, the man', quoting a personal communication with
through improved equipment, transform more energy Maurino (1993) * `technology is not a good traveller
into income. Referring to Table 6, and identifying the unless it is culturally calibrateda. Ultimately, we must be
roles of the various capitals, such an intervention would able to answer questions such as how does culture a!ect
be regarded as part of the physical capital, would be (i) the relationship between human performance and its
designed for the human capital to act on the natural controlling variables, (ii) sensory functions and (iii) cogni-
capital and, to succeed, must be compatible with the tive processes and mental models (e.g. for training). Gurr
xnancial and social capitals. The constraints of the "nan- et al. (1998), pursuing this line of thought, warn of
cial capital are self-evident * what cash or credit can the possibility that ergonomists, making cross-cultural
a poor person access? The relevance of the social capital recommendations, may even provide detrimental advice.
to ergonomics interventions warrants a little more dis- They refer, in particular, to the case of sitting or squatting
cussion. Whereas networks and relationships are usually and are concerned that, with ergonomics being a con-
taken to have supportive or positive implications, a$li- struction of Western culture, the conclusions and recom-
ations may present constraints. For example, Acheson mendations from research into postural and musculo-
(1972) reported that older men in some Mexican villages skeletal issues have a cultural bias.
were reluctant to learn new skills, particularly relating to Moray (1995) stated that the need to help countries
crafts and industrial enterprises, as this represented caught in the trap of rising population and falling natural
a threat to their traditional prestige. Another example of and economic resources is surely a challenge that should
the social capital tending to inhibit development of the attract ergonomists, rather than the development of tech-
human capital comes from India (Daftuar, 1975). Village nical solutions suitable for a capital-intensive society.
life in rural India is deeply traditional and comprises What ergonomics has to contribute is a technology
close-knit societies operating under the main in#uences for changing behaviour to o!set problems. The task of
of family and caste. Work is shared and is regarded as ergonomics is to design a lifestyle support system that
a family responsibility, with the son of a carpenter ex- elicits the behaviour required to reduce the severity of
pected to be a carpenter and so on. According to Daftuar global problems, taking into account cultural and
(1975), a blacksmith will be assisted by his son who will, environmental di!erences. This is a mammoth challenge,
in e!ect, be his apprentice, learning and practising the stretching ergonomics to the limit and, above all,
same techniques. Attempts to bring in anyone from out- demanding a holistic approach, with ergonomists play-
side are likely to be resented. In a broader perspective, ing their part in a multi-disciplinary team. At present,
but not so evident in the rural (or informal) sector, certain unfortunately, the necessary resources are not available
tribal or ethnic groups have become associated with and, maybe, the international will to assemble the neces-
trades unions (see Cheater, 1989). From her examples, sary resources is not yet strong enough.
drawn mainly from the decolonisation period in eastern
and southern Africa, it is not clear whether there was
a net gain or loss to the communities at large. Although 6. Conclusions
such organisations are often resistant to change, it would
be wrong to brand them as Luddites. The application of ergonomics principles in IDCs is
Jeyeratnam (1992) identi"ed a di!erence in approach not at odds with their application in IACs but the imple-
(rather than in principle) by reference to occupational mentation would seem to require an extra challenge and,
health. In IDCs this should be incorporated into primary maybe, a di!erent starting point. Extra e!ort and skills
health care schemes to deliver bene"ts whereas, in IACs are required (i) to compensate for the lack of infrastruc-
there would appear to be su$cient infrastructure to rely ture in providing a framework within which ergonomists
on secondary schemes. This is not to say that there would can operate and ergonomics recommendations can be
not be bene"ts in IACs if ergonomics were incorporated disseminated and realised, (ii) to deal with the hazy dis-
into primary schemes. In IACs there are more mecha- tinction between work and household security or family
nisms for ergonomics interventions and there are more survival, (iii) to observe and respond to the cultural
opportunities to introduce the behavioural changes sug- dimension(s) and (iv) to devise a!ordable improvements
gested by Moray (1995), and mentioned below, which for people with very few, if any, cash assets.
would lead to increases in the sum total of livelihood Ergonomics provides an approach which must be in-
assets. tegrated into all national development plans aimed at
Kaplan (1995) commented that cultural factors are combatting poverty, but ergonomics will be regarded as
worthy of renewed interest after attention was initially a useful input only if its potential and promises are
D.H. O+Neill / Applied Ergonomics 31 (2000) 631}640 639

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