Layered Cake Clientelism: Impact on Occupational Safety in Organizational Management

Abstract

Background: The purpose of this study was to gather and consider the views of different employer and employees involved in medical waste handling and management in Dhaka, Bangladesh where the social stratifications and behavioural attitudes are likely to be compounded to influence their subservient behaviour and clientalism attitudes impacted onto organisational behaviour. The aim of this article is to provide a discussion of the most important discoveries in our understanding of this population on their organizational behaviour and their network. Methods: Quantitative survey for waste measurement, structured questionnaire survey and a wide range of qualitative technique was adopted to identify in-depth knowledge on occupational safety through required different sampling strategies. Collected data were analyzed and pooled together for easy of interpretation and presented in table, graphical distribution and qualitative mode of approach. Results: Qualitative study of the perceptions and motivations that contributed to these practices revealed misunderstanding of the occupational safety in the organizational management, pooled with a culture of senior officials and subordinate relationship, and lack of responsibility and accountability leading to negative impact on organisational policy implementation while PRISM Bangladesh Foundation an NGO has developed a model on medical waste management to reduce occupational safety. Conclusion: The present study revealed that there may be a layered arrangement of networks that inform the actions of actors involved in organizational management. Different networks may operate at each level from national governance to unofficial workers. Interaction between the networks does not appear to be constructive, with evidence of corruption, subservience and clientalism whereas PRISM activities seem to be a model, to ensure occupational safety, reduce disease transmission and finally human right.