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India, one of the fastest growing economies in the world with about 8% GDP growth, still strives for infrastructure boom. Together with
this there is a wide gap between urban and rural settings. One of the reasons for higher women workforce in hilly areas is that most of the
able bodied men migrate in the plains for livelihood and leave not only task of running the household squarely on the shoulders of women
but also most of the heavy agricultural tasks. The economy of hills is largely dependent on natural resources, and ever shrinking forest
and water resources have hit women really hard. They spend longer hours gathering fuel, wood, fodder and to fetch water. Then losses of
forest cover have made agricultural activities more cumbersome. They often work for 14 hours a day and during peak season (September-
October) when women�s work day extend up to 15-16 hours a day. Most of the time, women living in hilly areas carry water, fuel, wood and
fodder materials from long distances which involve carrying loads on head, back, shoulders, on lap of hands etc. These involve walking long
distances in hilly regions with poor infrastructural facilities, poorly constructed roads with a lot of stones and pebbles, narrow pathways,
full of twists and turns with slanting and steep slopes. All of these contribute to increase the physiological costs and physical loads to a great
extent. Other debilitating factor involves scattered land holdings which again cause women to cover long distances in difficult environmental
and geographical conditions, due to which the women suffer from various kinds of ailments such as backache, pain in shoulder and neck,
and fall or slips causing serious injuries. Musculoskeletal disorders are more common among women rather than men, especially in neck
and shoulder disorders. Considering the above facts the main objective of this study was to find out the risk and status of injuries, accidents
and MSDs in hill regions. The physiological data and perceived exertion ratings also showed higher cost to the workers while carrying loads
on the shoulder and least cost while carrying loads on the back and RPE was also found to be in between weak to moderate exertion with
15 and 20 kg of weights. It is advisable for those women to carry 15-20 kg of weight on back in order to minimize the risk of MSDs and
injuries. L-shaped external frame backpack was developed which brought down the level of physiological cost and perceived exertion, and
did not cause any pain and pressure points while carrying different amount and types of loads. The subjects felt more comfortable with the
developed backpack while carrying grasses and wood. To conclude we can say that infrastructural facilities creates situations and conditions
which have catastrophic implications on the people and often we work towards finding solutions to the problems related to the occupational
and industrial settings and forget about the safety of the common people especially women in hilly region.