Physical and mental morbidity pattern among female cashew workers in Kollam district, Kerala


  • Mary Dello Rebello Department of Community Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India
  • Betsy A. Jose Department of Community Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India
  • Felix Johns Department of Community Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India



Cashew nut processing, Morbidity pattern, Cashew worker


Background: The cashew processing is a labour-intensive work with a significant number of female workers. Majority belong to low socioeconomic status and so they join this sector to meet up their daily living. Long hours of work, greater work load and increased family burden lead to increase in morbidity status among workers. As comorbidities gets unnoticed and ignored, there is occurrence of early morbidity as well as mortality in these working groups and this is one of the major concerns.

Methods: Cross-sectional study was conducted among female cashew workers in Kollam district, Kerala. Data was collected using interviewer administered questionnaire using stratified multistage cluster sampling method. Seven workers each were selected from shelling, peeling and grading processing units from eight private and two government factories. Data entered in micrososft excel, coded and analyzed using SPSS software version 25. Descriptive statistics for qualitative data were expressed as frequency and percentages and quantitative data  as mean and standard deviation

Results: Out of 210 participants, 95.4% workers were suffering from one or the other morbidities. Arthralgia was the major concern followed by allergy, hypertension and thyroid. Prehypertensive state was found to be present among all participants. Anxiety noticed in majority of participants.

Conclusions: Frequent medical check-ups, recreational activities and health education sessions needs to be implemented in all cashew factories to lessen the morbidity and to up bring the health status of workers.



Yousafzai I, Sonnad J, Yeledhalli R, Nadeerpoor M, Kakar N. Pattern of foreign trade and export competitiveness of Indian Cashew. 2022;4:29-33.

Tomar NS. India is World’s 2nd Largest Producer of Raw Cashew Nuts. India is World’s 2nd Largest Producer of Raw Cashew Nuts- Narendra Singh Tomar. Available at: agriculture-world/india-is-worlds-2nd-largest-producer-of-raw-cashew-nuts-narendra-singh-tomar/. Accessed on 12 January, 2023.

Sajeena M, Beevi Rafeeka M, Aiswarya PV, Arun BR. Health status of women cashew workers in Kerala. Kerala Institute Labour Employment. 2021.

Giri VV. Employment and Social Protection of Cashew Workers in India with special reference to Kerala. Autonomous Institution of the Ministry of Labour and Employment. 2014. Available at: Accessed on 12 January, 2023.

Eapen M, Jeyaranjan J, Harilal KN, Swaminathan P, Kanji N. A case study of the cashew processing sector. Int Institute Environment Development. 2003;38-53.

Eapen M, Jeyaranjan J, Harilal KN, Swaminathan P, Kanji N. Liberalisation, Gender and Livelihoods: the cashew nut case Working Paper 3. Int Institute Environment Development. 2003;1-64.

Borah S. Ergonomic Assessment of Drudgery of Women Worker Involved in Cashew nut Processing Factory in Meghalaya, India. Procedia Manufacturing. 2015;3:4665-72.

Rakesh P, Nelson V, Simon S. Work related health problems of female workers engaged in Cashew processing Industries- a cross-sectional study from Kollam district, Kerala, southern India. Indian J Community Health. 2016;28.

Prasad S, Khani M. Comparative assessment of occupational health and safety issues prevailed among cashew workers. Conference: IDEAS-16. ResearchGate. 2016.

Harilal KN, Kanji N, Jeyaranjan J, Eapen M, Swaminathan P. Power in Global Value Chains: Implications for Employment and Livelihoods in the Cashew Nut Industry in India. 2006.

Lovibond, Lovibond. Depression, anxiety and stress scale 21. Manual for the Depression Anxiety Stress Scales (2nd Ed.) Sydney: Psychology Foundation. 1995.

State of Kerala. The Kerala Cashew Factory (Acquisation) Act,1974. PRS legislative research. 1974.

Kumar G, Dash P, Patnaik J, Pany G. Socioeconomic status scale -Modified Kuppuswamy scale for the year 2022. Int J Community Dentistry. 2022;10:1-6.

Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients-PMC. Available at: https://www.ncbi.nlm. Accessed on 2 April, 2023.

Sivanesan R. A study on socioeconomic conditions of women workers in cashew industries of kanyakumari district. IJMRBS. 2013;2(4):97-113.

JayaKumar D, Devaraj K. Socio-Economic Conditions of Women Workers in Cashew Industry of Kollam. Turk Online J Qualitative Inquiry. 2021;12(6):629-35.

Jayakumar D, Devaraj K. Impact of Workplace Factors on the Physical Health of Cashew Workers. Turk Online J Qualitative Inquiry. 2021;12(3):3556-65.

Kinslin D, Jayakumar D. Occupational Hazards of Cashew Workers in Kerala. Int J Recent Technol Engineering. 2019;1.

Waikar G, man S, gh S. Health Status of Women Workers Involved in Cashew Processing Units in Konkan Region of Maharashtra, India. Int J Curr Microbiol App Sci. 201;7(08):1745-51.

Swapnali B, Baurah M. Physical fitness of women worker involved in cashew nut factory in Meghalaya. Int J Phys Educ Sports Health. 2016;3(1):13-6.

Satheeshkumar M, Krishnakumar K. Work-related musculoskeletal disorders among cashew industry workers in Kerala, India. Int J Adv Res Engineering Technol. 2018;9(4):162-73.

Girish N. Prevalence of Musculoskeletal Disorders Among Cashew Factory Workers. Routledge Informa Ltd Registered in England and Wales. 2015.

Priya J, Ayyasamy L, Mahendiran SMP, Selvarathinam A. Occupational safety and health hazards among cashew processing workers of Cuddalore district: A cross-sectional study. Indian J Heal Sci Biomed Res. 2021;14(2):254.

Andonaba JB, Lompo SS, Ouédraogo V, Ouédraogo F, Ouédraogo MS, Konaté I et al. Skin Damage and Aesthetic Disadvantage Observed in Women in the Hand Craft Shelling Chain of Cashew Nuts in a Factory to Bobo-Dioulasso, Burkina Faso. J Cosmetics Dermatological Sci Applicat. 2017;7(3):211-20.

Krishnan A, Sabeena S, Bhat PV, Kamath V, Hindol M, Zadeh VR et al. Detection of genital chlamydial and gonococcal infection using urine samples: A community-based study from India. J Infect Publ Heal. 2018;11(1):75-9.

Madhura K, Raghavendra B, Ramakrishna BM. An Empirical Study on Issues and Challenges in Working Conditions of Feminine Labours Engaged in Cashew Industries. Shanlax Int J Economics. 2020;8(3):56-66.




How to Cite

Rebello, M. D., Jose, B. A., & Johns, F. (2023). Physical and mental morbidity pattern among female cashew workers in Kollam district, Kerala. International Journal Of Community Medicine And Public Health, 10(6), 2074–2081.



Original Research Articles