Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
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Aug 2018

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Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
On May 11,2011

Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
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Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
On April 2011

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.

Dr. Anuradha
On Jan 2020

Important Notice

Original article / research
Year : 2022 | Month : June | Volume : 16 | Issue : 6 | Page : LC01 - LC07 Full Version

Special Protection and Provision of Rest during Work and Occupational Health Hazards: A Survey among Steel and Power Industry Workers in Odisha, India

Published: June 1, 2022 | DOI:
Parthsarathi Dehury, K Anil Kumar

1. Research Scholar, Department of School of Health System Studies, Tata Institute of Social Sciences, Mumbai, Maharashtra, India. 2. Professor, Department of School of Health System Studies, Tata Institute of Social Sciences, Mumbai, Maharashtra, India.

Correspondence Address :
Mr. Parthsarathi Dehury,
Research Scholar, Department of School of Health System Studies, Tata Institute of Social Sciences, Mumbai, Maharashtra, India.


Introduction: In India, there are many labour laws implemented for the legal provision of working hours, services, and employment conditions of workers. Special protection and rest provision plays a pivotal role in occupational injuries and illness.

Aim: To determine the special protection and various provision of rest at the workplace.

Materials and Methods: A survey was conducted among steel and power industry workers in Odisha, India. The study was conducted with 425 male respondents by adopting the population proportion sampling technique. The primary data was taken from a Steel and Power limited industry situated in Angul district of Odisha from February 2019 to October 2019. Statistical Package for Social Sciences software (SPSS version 25.0) was used in the analysis process by using the univariate and bivariate models to assess the objectives.

Results: The study showed 92.5% of respondents were provided rest, and 59.1% of respondents were in the employment contract. More than 43.3% of respondents reported they received compensation during occupational injury and diseases, whereas 45.6% didn’t get any compensation in the event of occupational diseases. Out of the 393 workers got rest, a vast majority (95.4%) of respondents reported that they were allowed night rest, and 84.5% were allowed for meal breaks during work. More than 59% of respondents receive short breaks during work, and 52.9% were entitled to weekly breaks/rest. Religion, caste, education, technical education, occupation, type of work, and the number of working hours were strongly associated with the respondent's characteristics.

Conclusion: Special protection provisions are critical factors for the treatment of occupational health hazards. It has been confirmed that night rest and meal break rest were provided to the workers. Except for the shift work rest and extended workload rest, the provision of rest was sufficiently provided at the workplace. Special protections are expected to strengthen the occupational health of workers and stay away from medical expenses.


Employment contract, Industrial accidents, Workmen compensation, Workplace hazards

Special protection and legal provision for workers make them accessible for occupational health services. Legal provisions for occupational health and safety are implemented in very fragmented ways with limited objectives to cover occupational health issues of workers (1). Factories act provided periodic medical examinations, monitored hazardous industries' work environments, and provided employment to the working population. The Mines Act also follows the provisions given by Factories Act. The Factory Act covered only 13 million workers, which is applicable in those factories employing 10 or more employees. These Acts are not fully functional and do not provide adequate provision to workers during their occupational hazards (2).

The study considered employment contracts and the provision of rest as special protection for workers' occupational health. Employment contract and compensation claims are very complex and bureaucratic in developing and underdeveloped countries. The long administrative process demotivates the workers to get adequate compensation. Various labour laws such as the Workmen Compensation Act in India, Uganda compensation Act, Work injury benefit Act of Zimbabwe, Kenya, and many Southeast Asian countries' labour laws found the negligence of occupational health compensation (3),(4),(5),(6). As per the observation of the International Labour Organisation (ILO) and World Health Organisation (WHO), 2018 occupational health and safety services are yet to be included in the national labour laws of various countries (7). The labour legislation needs to be strengthened, and outdated and irrelevant provisions must be eliminated. It should address the needs for best occupational health and safety practices (8).

Provision of rest at the workplace is significantly associated with the workers' occupational health and hazards (9). Exhausting work condition leads to fatigue and increases the risk of harmful health hazards. Continuation of work at a long time results in sleep disturbance, increasing the risk of gastrointestinal diseases, mental disorders, accidents, fatal and non fatal injuries, cardiovascular diseases, and musculoskeletal disorders (10),(11). Provisions of rest breaks permit the workers to refresh themselves and spend time with family and personal work. Evidence have found that workplace stress and fatigue can be reduced by rest. Sufficient amounts of breaks can reduce occupational health risks and encourage productive work (12). The provision of rest breaks is workers' right. A study by Park S et al., has mentioned about 15 minutes breaks per four hours of work and 30 minutes breaks in every eight hours of work provided at the workplace (13). The provision of rest is an important factor in enhancing work performance, increasing workers' mental health, and minimising risk related to cardiovascular and musculoskeletal diseases (14),(15). A report obtained a significant relationship between the long working hour and work-related diseases resulting from insufficient rest. It has found fewer work-related diseases among workers who were given more rest during work than those given fewer rest breaks (16).

In the Indian constitution, the Directive Principles of State Policy (DPSP) protected the health and safety of the working population. Legal provisions provide justice and humane conditions of work at the workplace. The National Policy on Safety, Health, and Workplace Environment's primary function was to eliminate risk from workplace injuries, diseases, and fatalities (17),(18). All occupational health provisions aim to change the occupational health status of the working population. It also co-ordinates with national efforts for clear national objectives to reduce occupational health hazards among the workforce (2). All the evidence argues that apart from the various occupational health-related provisions and labour legislation, the special protection and rest need to be priorities.

This paper aims to determine the provision of rest and special protection of steel and power industry workers. The paper also addresses special protection such as employment contracts, compensation of injuries, and prevention of workers during occupational hazards.

Material and Methods

This study was carried out at steel manufacturing and power plant industrial pockets in Odisha, India. The survey was conducted at a Steel and Power Limited in Angul district of Odisha. The approval for ethical clearance was taken from the Institutional Ethics Committee (IEC) (Sl. No. 2018-19/19). The study recruited the workers from various worksites such as power plant, bar mill, process broiler, Coal Gasification Plant (CGP), Direct Reduced Iron (DRI), switch word, rolling mills, and plate mills. The study population was working under contractors, sub-contractors, manpower supply units in various worksites. The data had been collected from the contractual and informal labourers, rigger, fitter, welder, helper, mechanic, supervisors, and technical staff. The study included male industrial workers for data collection. Work in steel and power plants is a male centric occupation. Males are performing risk and dangerous work in the steel and power industries. Regularly, they are in contact with various toxic substances and hazardous agents. So they are frequently exposed to different occupational health hazards (19). The current study excluded the female workers to justify the objectives. Only steel and power plants workers were considered for data collection. The logistic and hospitality manpower were not included in the study. The primary data collection started from February 2019 to October 2019. The study report was submitted at December 2021 to Tata Institute of Social Sciences, Mumbai, Maharashtra, India.

Respondents were clearly explained the purpose of the study before conducting the interview. Informed consent was taken from all respondents after explaining the nature and purpose of the study. Each participant had the right to withdraw or refuse to give information at any time or for any question during an interview. The confidentiality and anonymity of information were rigorously maintained.

Sample size: The study population was calculated by considering 60% work-related morbidity of steel and power industries in central India (20). In this sampling frame, 425 samples were included. The Probability Proportion to Size (PPS) technique was adopted for the sample respondents. The manpower supply agencies and site contractors were identified to track the industrial workers. The study had given greater probabilities to the large clusters (where above 100 households are residing) and selected less number of respondents from the small clusters (less than 100 households) through this method, a predetermined number of individuals were interviewed in each selected unit.

A survey was conducted to assess the special protection and provision of rest among steel and power industry workers. A semi-structured interview schedule was employed for the industrial workers' status about the protection of occupational health. The interview schedule was divided into two sections: socio-demographic of the respondents and special protection for occupational health hazards [Annexure-1]. As per the ILO guideline for steel and power workers occupational health provisions (1), the researcher constructed the variables.

Statistical Analysis

A referring coding key was prepaid for quantification and verification of the collected data. The coded data were computed in SPSS 25.0 software for data processing and analysis. Frequency and percentage of respondents demographic variable, provision of rest and special benefits was drawn by Univariate data analysis. Bivariate data analysis was justified by cross-tabulation and Chi-square values. Respondents’ individual characters and their household characteristics were analysed with the outcome variables. Chi-square analysis had shown the association of outcome variables with calculated the p-value. The significance level was considered as p<0.01, p<0.05.


The study's demographic profile shows that the mean age of respondents was 34.72 years. The age of respondents was distributed in four categories, where a majority 119 (28%) of respondents were in the age group of 30-34 years. Majority 269 (63.3%) of respondents were Hindu, similarly a majority 149 (35.1%) of respondents were Other Backward Classes (OBC), and 99 (23.3%) were of general category. As per the educational qualification of respondents, 6 (1.4%) did not receive any formal education. A majority 190 (44.7%) did not get any technical education. Based on the monthly household income, a majority 258 (60.7%) of the respondents earned between 7000-14000 INR. The demographic characteristics of the respondents are given in (Table/Fig 1).

Special protection for occupational health hazards: The variables such as employment contracts and provision of rest were considered as the special protection of occupational health. (Table/Fig 2) gives details of special protection covered for occupational health hazards as per the respondent's characteristics. A total of 393 (92.5%) of respondents got to rest during their occupational health hazards while only 251 (59.1%) of respondents were under an employment contract.

A huge majority 143 (96%) of respondents from the general and OBC category were covered by an employment contract and rest. All respondents from the graduation and above educational background had been covered by special protection. Technical education of respondents showed those who had engineering, diploma, ITI, and other certificates courses got rest during occupational hazards. Skilled workers reportedly had more special protection as compared to semi-skill and unskilled workers. Religion, caste, education, technical education, occupation, type of work, and the number of the working hour were strongly associated (p<0.01) with the special provisions provided for occupational health hazards.

(Table/Fig 3) explains the special protection covered for the occupational hazards as per the respondent's household characteristics. Respondents from the high-income group were given more special protection as compared to the respondents from the low-income group. One-fourth of the respondents residing within 5 km from the health institution were covered under an employment contract, and nearly 97.8% got adequate rest at the workplace. Infrastructure and household income were highly associated (p<0.01) with the special protection of the respondents.

(Table/Fig 4) illustrates the special benefits for occupational injury and disease. More than 184 (43.3%) of respondents got compensation during occupational injury and diseases, and 194 (45.6%) didn’t get any compensation in the event of occupational diseases. Only 47 (11.1%) of respondents didn't know about the compensation during occupational injury and diseases. A total of 135 (31.8%) of respondents reported that they got special provisions for prevention and rehabilitation for occupational health hazards. More than 51% of respondents did not get any special provision for the prevention and rehabilitation and 73 (17.2%) didn’t know about the special provision.

(Table/Fig 5) shows the % distribution of various provision rest/break respondents got at the workplace. A vast majority 375 (95.4%) of respondents reported they got night rest, and 332 (84.5%) got meals to break during work. More than 234 (59.5%) of respondents got short breaks during work, and 208 (52.9%) got weekly breaks/rest. Only 63 (16%) respondents got the rest/break during shift work, and 126 (32.1%) got the break when the workload was extended for extra time.

(Table/Fig 6) distributed the percentage of various provisions provided by employment contract as per the national labour laws. Out of 251, a vast majority 247 (98.4%) of respondents were covered by Employee State Insurance Schemes (ESIS). More than 205 (81.7%) of respondents were getting Workmen Compensation (WC) from the respected industries. Nearly 143 (57%) of respondents were getting any other provisions as per the labour laws come under an employment contract.


Special protection and provision of rest at the workplace are potential factors to access occupational health services. Special protection during workplace hazards is a global concern in the current scenario. ILO convention and WHO, 2018 focuses on protecting workers' health at the workplace (21). Many developing countries have not achieved a decent workplace environment covered with special protection during occupational health hazards in the industrial premises (22). A study by Mrema EJ et al., found that up to 50% of the working population has access to adequate occupational health services, including special protection and rest in developed countries (23) while only 5-10% achieved this in developing countries including India (24).

A study by Park S et al., found provision of rest as the special protection for the working population to increase productivity. Workplace rest and short breaks are reported to reduce fatigue and occupational stress (9). The current study found that only 63 (16%) respondents got rest during their shift work and 126 (32.1%) got rest during extended workload. The work nature, such as the long duration of work and non standard irregular shift leads to occupational health hazards (25). It has been found lack of rest in work shift results in loss of concentration during work (26). A huge majority 375 (95.4%) of respondents reported about the night rest for adequate sleep. A large number of studies provided evidence that inadequate sleep influences poor health (27), loss the cognitive performance (28), loss of emotions (29), loss of physical performance (30),(31),(32) at the workplace.

Legal provisions and employment contracts safeguard workers' health from occupational health hazards (33). This study found that many (98.4%) respondents were covered under ESIS, and 81.7% got workmen's compensation for occupational hazards. In the USA, studies estimated that around 90% of workers come under the worker's compensation system (34),(35). The worker's compensation provision provides special protection such as workplace injuries, work-related medical expenses, disabilities allowances, and re-employment benefits to the working population (6),(36).


The study focused only on special protection and provision of rest to enhance the workers' occupational health. The other provisions mentioned in labour legislation for occupational health hazards can be considered in more detail. The study was limited to an industry in Angul district. The data can be collected from various industries in Odisha for comparative analysis.


The study considered the special protection and provision of rest as key factors in reducing occupational health hazards at the workplace. This is confirmed by the provision of employment contracts, WC, and ESI scheme facilities provided to the workers. Compensation during injuries and occupational diseases was found insufficient. Prevention and rehabilitation from occupational diseases is a major challenge for industry workers. The study confirms that night rest and meal break rest were sufficiently provided to most workers. The provision of rest concludes that shift work rest and extended workload rest were not provided adequately. Provisions of special protection are expected to strengthen occupational health and protect workers from medical expenses. Provision of rest can encourage the employee for more productive with maintaining good health and wellbeing.


International Labour Organization, Geneva. Code of practices on Safety and Health in the Iron and Steel Industry. 2007. Available at: [Accessed May 2018].
Government of India. Report of working group on occupational safety and health for the twelfth five year plan (2012 to 2017), Ministry of Labour and Employment. 129-137 [Accessed 23 December 2021].
Government of Zimbabwe. Accident prevention and worker's compensation scheme. Harare (Zimbabwe): Government Printers; 1971. Pp. 50. Statutory Instrument No.: 68. [Accessed 23 December 2020].
Republic of Kenya. The Work Injury Benefits Act. Nairobi (Kenya): Government Printers. 2007. Pp. 128. [Accessed 23 December 2020].
Government of Uganda. Workers ompensation Act. Kampala (Uganda): Government Printers. 2000. Pp.35, Act No.: 8. [Accessed 23 December 2021].
Government of India. The Employee Compensation Act, 1923. Available from: [Accessed 23 December 2019].
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DOI and Others

DOI: 10.7860/JCDR/2022/52315.16432

Date of Submission: Sep 08, 2021
Date of Peer Review: Dec 16, 2021
Date of Acceptance: Mar 05, 2022
Date of Publishing: Jun 01, 2022

• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. NA

• Plagiarism X-checker: Sep 09, 2021
• Manual Googling: Mar 02, 2022
• iThenticate Software: Mar 31, 2022 (5%)

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