Health hazards and adoption of personal protective equipment during cotton harvesting in Pakistan.

The use of personal protective equipment (PPE) during cotton harvesting is critical for securing better health for female cotton pickers in the developing countries where health facilities are not sufficiently available to the masses in the rural areas. Despite increasing the efforts in increasing awareness about the benefits of PPE among the farm workers, a vast majority of the farm workers including pickers don't use the PPE. The present study examines health impacts of cotton harvesting in Pakistani Punjab along with the factors affecting the use of PPE among the cotton pickers. Cross-sectional data collected from Vehari district is used. The study estimates health cost and the use of PPE among the young and elder cotton pickers. Headache, sleeplessness, cough, flue/fever, skin and eyes problems are reported by the young and elder cotton pickers. Personal protective equipment is rarely used during picking. However, the young pickers relatively adopt more PPE compared to the elder cotton pickers. Health cost of cotton picking is US$2.96 and 3.06 per season during the year for the young and elder cotton pickers, respectively. Results of logit model show that health cost, age, education below 8th grade, perception of temporary impact and health problems are important determinants of adopting PPE among the cotton pickers. The findings of the study conclude that the use of PPE can be realized through proper training and education of cotton pickers and farm workers.