ILC110/III/(B) – Securing decent work for nursing personnel and domestic workers, key actors in the care economy
Introduction
18. Eleven countries have ratified both Conventions: Ecuador, Finland, Guyana, Italy, Jamaica,
Malta, Norway, Philippines, Portugal, Sweden and Uruguay.
19. The Committee encourages Member States to consider the possibility of ratifying one
or both of these crucial instruments to provide effective protections for these essential
workers. In this regard, the Committee recalls that countries may avail themselves of
technical assistance from the Office should they wish to do so.
20. A list of the Member States that are currently bound by the provisions of these instruments is contained in Appendix I.
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V. Objectives and structure
21. In accordance with the focus of the General Survey, as indicated by the Governing Body in
its discussions, Chapter 1 begins by providing a general overview of the care economy, what
it is and who care workers are. It examines the characteristics of the care economy workforce, including the highly feminized nature of care work, the large number of care workers
in informal employment and the large migration flows among care workers.
22. Chapters 2 to 6 then examine the provisions of Convention No. 149 and Recommendation
No. 157, as well as current issues relating to nursing personnel. Chapters 7 to 10 examine
the provisions of Convention No. 189 and Recommendation No. 201, addressing the specific
challenges faced by domestic workers, particularly migrant women domestic workers.
23. Chapters 11 and 12 examine issues of particular relevance to either nursing personnel
or domestic workers, or both. Chapter 11 focuses on issues related to the migration cycle
of nurses and domestic workers, while Chapter 12 addresses freedom of association and
collective bargaining rights.
24. Chapter 13 looks at the potential of the instruments, examining prospects for the ratification of Conventions Nos 149 and 189, as well as the challenges and obstacles to ratification
and implementation reported by Member States. It also focuses on good practices and lessons
learned in the implementation of the instruments.
25. In light of the diverse matters addressed by the four instruments examined, the Committee has examined only certain issues in depth. Other topics have been examined in less
detail and to the extent that they are relevant to the underlying subject of decent work for
care economy workers in a changing economy.
26. The Committee hopes that this General Survey will contribute to the development
and effective implementation of measures by ILO Member States, in consultation with the
social partners, to improve the situation of nursing personnel, domestic workers and other
care economy workers, promote respect for their labour rights and ensure their access to
decent work.
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