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“There Needs to Be Locally-based Women’s Health Centers”

[Gender and Health] Interview with Yonsei University Graduate School of Public Health Research Professor Kim In-a (Part 2)


By Park Eun-ji
Published: Nov. 8, 2012
Translated by Marilyn Hook

Editor’s note: For the sake of women’s right to be healthy and to work in a safe environment, a feminist perspective on health is necessary. Ilda meets and interviews activists, researchers, and medical practitioners who are pioneering the field of “gender and health,” in order to hear about their lives and stories. Article author Park Eun-ji is a researcher at the Institute for Society and Health.

Kim In-a fights for workers who were injured while working

When she went to medical school though she “didn’t have an aptitude for it and went on the spur of the moment,” Dr. Kim In-a (research professor at Yonsei University Graduate School of Public Health) thought it was not the path for her and was more absorbed in other studies. In her third year there, when she was very involved in socio-political activism, however, she had a life-changing experience involving the death of a laborer.

Yonsei U. Graduate School of Public Health research professor Kim In-a © Park Eun-ji

On June 22, 1999, a man named Lee Sang-gwan, who had received worker’s compensation for four months after badly injuring his back while working, committed suicide by poisoning himself. Though he was too weak to walk, the Korean Worker’s Compensation and Welfare Service notified him that they would only cover outpatient treatment, and he was so disheartened that he took his own life. The “Late Lee Sang-gwan Joint Policy Committee” was created to argue that the 27-year-old’s suicide made his family eligible for worker’s compensation, and to demand reforms in the KWCWS. Professor Kim In-a participated.

“At that time, the people in Changwon all came up to Seoul. Together, we held a sit-in demonstration in front of the KWCWS from the end of July until December. I thought, ‘Since I’m already in medical school, I should study industrial medicine.’ Also, among the people I was demonstrating with, I met some who were studying industrial medicine.”

The field of industrial medicine studies diseases related to jobs and work environments. Its name was recently changed to “occupational and environment medicine.” When people hear “specialist in occupational and environmental medicine,” many think that it means treating victims of industrial accidents, but treatment is not the goal; preventing health problems caused by an occupation or [working] environment is the goal.

Professor Kim said she decided to listen to and document the stories of laborers. “No one tells the stories of laborers who have been injured while working, are in pain, and are having difficulties. We’re not used to listening to the stories of the people involved. And we think they ask for too much. We think of them as uneducated people, and doubt them because they’re laborers. I’ve somehow gotten highly educated, and so I started to think that I should play the role of reporting accurately the stories they tell and documenting that these kinds of incidents happened.”

“When I wrote the paper about the health of Samsung Semiconductor workers, too, it was with the thought that this problem should be recorded in an official document or in something recognized by academia so that at some point people could find it and could prevent it from happening again. Academics also make policy, so it is necessary to make and keep documentation that they can look at.”

Activities to protect health of female laborers in small businesses

Professor Kim counsels a patient
at the Incheon Workers’ Health Center.
© Incheon Workers’ Health Center
Professor Kim currently operates the Incheon Workers’ Health Center. The center is similar to a free clinic, but its main aim is to provide health care for those who work at small-scale businesses whose employees number 50 people or fewer.

“As I’ve been operating the center, I’ve noticed that women come in more than men. I looked into why, and because male laborers are regular employees, it’s hard for them to take time off, while women, of course, mostly do work that lacks stability. There are many that work as care laborers, service workers, and part-timers, and so it’s actually easier for them to come here. Of course, out of all users, there are many men, but what I’m saying is that considering men’s absolute majority in the KWCWS, many female laborers who’ve been doing what the KWCWS calls ‘ancillary’ work come to the center.”

“Because of this [female laborers having time to come to the center], I started to think that we could play an important role in looking after the health of these female laborers who go back and forth between unemployment and semi-unemployment.”

Professor Kim also helps develop women’s health indexes in Gangdong-gu as part of the Seoul Women’s Health Pilot Project.

“There’s a team that takes statistical data and develops indexes that can describe women’s health well. For example, there is making indexes that can compare the standard of women’s health in Seoul and Busan, or in Seoul and the US. For Canada, there are [state-run] women health centers, so this kind of information is well-organized. We need that kind of community-based, gender-sensitive system. Because first of all, women need to be among other women to feel comfortable, it’s important to make social systems that they can access easily.”

When I pointed out that suggesting creating this kind of system might—not for the first time—cause talk of “reverse discrimination,” Professor Kim said, “Maybe it will,” and continued.

“There might be a lot of talk of reverse discrimination, but can’t we just say, ‘Yes, it is reverse discrimination! So what?’” She laughed. “It’s not taking anything away from men. There are so few female doctors at large hospitals. Truthfully, women like having female doctors.”

As I’ve been seeing them, female laborers talk quite a lot. They start with their health problem but then it goes on to their children, husband, and even mother-in-law… in this way, a person’s health isn’t just about a broken bone or a heart problem. There is whether they themselves feel healthy, or environmental factors that allow them to think, ‘I am living well.’”

Both labor and health should be approached differently according to gender

Professor Kim counted the fact that workplace duties differ between the genders as another reason why women’s health centers are necessary. This is an important fact that not enough people keep in mind.

“People think that if you work at the same place, you do the same work, but usually the work is totally different. For example, I’ve been to a tofu factory. The process of making tofu is quite simple. If you put the soy beans and bittern into the automated machine, the tofu is packaged and comes out automatically. At first glance, that doesn’t seem like much work. But men at this place carry 20-kilogram bags of beans and pour them into the machines. They also pour in the bittern. This looks like really hard, heavy work.”

“Meanwhile, women are at the end of the line inspecting the tofu and putting it into containers.  Of course, tofu doesn’t weigh that much. This work doesn’t look very hard. But all the injuries happen to women.”

“At first I didn’t know why this was, but after thinking about it I figured it out. Say that men carry a 20-kilo bag 10 times a day—if you add that up, it’s 200 kilos. But women turn over 300-grams of tofu plus the weight of bittern several hundred times a day. By itself, the tofu weighs about 300 grams, but if you put together the weight of all that they handle in a day, it’s huge! That’s why these people are in more pain.”

“If you didn’t know this, you’d just be like, ‘You just package tofu, what pain are you complaining about? The guys who carry 20 kilos are fine.’” Not many people readily accept that work differs according to gender, and that’s a pity. That’s why it’s really important to look after women’s health at an institution that has gathered people who are well aware of these things.”

Women’s health care isn’t solely maternal health care

Professor Kim said that she wished that more people knew that there was such thing as a “female laborer.”

“I feel like people have a certain narrow concept of what a woman is. They don’t know that someone called a ‘female laborer’ exists. Women also work and earn a living. That work can be full-time, it can be part time, or it could be as a housewife, but women aren’t just things that sit around doing nothing, they are people who contribute to economic production, whether directly or indirectly.”

“But there’s too little interest in what kind of work they are doing, how they earn money, and how they make a living. That’s why ‘women’s health’ is nothing but maternal care related to pregnancy and childbirth. Of course, that field also has problems that still have not been solved, but what I’m saying is that giving birth is not women’s only role.”

“I hope that interest in working women grows. The most important thing is society paying a little more attention to neglected workers and the kind of problems they can have. I want to let people know that women’s health isn’t only maternal health, it encompasses women’s mental and physical health and quality of life.”


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