"We die, we suffer, nobody takes care of us," Shefali said earlier this month as she toured the site of the collapse, now a barren, fenced-off expanse. She hasn't started working again and stays at home with her parents.
"I had dreams of getting married, having my own family," she said. "But now everything looks impossible."
There have been some significant developments. The owner of the illegally constructed Rana Plaza building is behind bars, pending an investigation, but there has been no word on when he will be put on trial. The owners of the five factories operating inside the building also have been detained.
Authorities have appointed more factory inspectors, plan to appoint more, and say they aim to ensure that no new factories are built without following proper safety regulations.
But problems remain. According to Human Rights Watch, the international companies that sourced garments from five factories operating in the Rana Plaza building are not contributing enough to the trust fund set up to support survivors and the families of those who died.
"One year after Rana Plaza collapsed, far too many victims and their families are at serious risk of destitution," said Phil Robertson, deputy Asia director at the organization. "International garment brands should be helping the injured and the dependents of dead workers who manufactured their clothes."
The target for the fund, chaired by the International Labor Organization, is $40 million, but only $15 million has been raised so far, HRW said. Retailers Bonmarche, El Corte Ingles, Loblaw and Primark have all pledged money.
Mojtaba Kazazi, a former U.N. official who heads a committee to execute the fund, said they have started disbursing 50,000 takas ($640) as initial payments to the victims' families.
The very structure of Bangladesh's garment industry is also viewed as problematic.
According to a recent study by New York University's Stern School of Business, an "essential feature" of the sector involves factories subcontracting work to other workshops that have even worse conditions.
"In the absence of regulation by the government of Bangladesh, the prevalence of indirect sourcing has resulted in a supply chain driven by the pursuit of lowest nominal costs," said Sarah Labowitz, co-director of the NYU Stern Center for Business and Human Rights and co-author of the report. "That means that factories receiving subcontracts are operating on razor-thin margins that leave concerns about safety and workers' rights perpetually unaddressed."
Many garment workers are skeptical that there will be any lasting change.
When the collapse occurred on April 24, 2013, thousands of Bangladeshis were toiling inside the Rana Plaza in Savar, the center of the country's $20 billion garment industry.
A violent jolt shook the floors around 9 a.m. Then the eight-story building gave a deafening groan, the pillars gave way and the entire structure went down in a heap with terrifying speed.
Investigators say a host of factors contributed to its collapse: It was overloaded with machines and generators, constructed on swampy land, and the owner added floors in violation of the original building plan.