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“It Is Like We Are Living in a Different World”: Health Inequity in Communities Surrounding Industrial Mining Sites in Burkina Faso, Mozambique, and Tanzania

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Swiss Tropical and Public Health Institute, P.O. Box, CH-4002 Basel, Switzerland
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University of Basel, P.O. Box, CH-4003 Basel, Switzerland
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Manhiça Health Research Centre, Maputo C.P. 1929, Mozambique
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Research Institute of Health Sciences, Ouagadougou B.P. 7192, Burkina Faso
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Ifakara Health Institute, P.O. Box, Dar es Salaam 78 373, Tanzania
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Faculty of Medicine, Eduardo Mondlane University, Maputo C.P. 257, Mozambique
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Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(21), 11015; https://doi.org/10.3390/ijerph182111015
Received: 14 June 2021 / Revised: 29 September 2021 / Accepted: 12 October 2021 / Published: 20 October 2021
(This article belongs to the Special Issue Environmental Health Disparities in Vulnerable Populations)
Background: Health equity features prominently in the 2030 Agenda for Sustainable Development, yet there are wide disparities in health between and within countries. In settings of natural resource extraction (e.g., industrial mines), the health of surrounding communities is affected through myriad changes in the physical, social, and economic environment. How changes triggered by such projects translate into health inequities is poorly understood. Methods: This qualitative study explores potential layers of inequities by systematically coding perceived inequities of affected communities. Drawing on the framework method, we thematically analyzed data from 83 focus group discussions, which enrolled 791 participants from 10 study sites in Burkina Faso, Mozambique, and Tanzania. Results: Participants perceived inequities related to their individual characteristics, intermediate factors acting on the community level, and structural conditions. Due to environmental pollution and land loss, participants were concerned about unsecured livelihoods. Positive impacts, such as job opportunities at the mine, remained scarce for local communities and were claimed not to be equally distributed among community members. Conclusion: Extractive industries bear considerable risks to widen existing health gaps. In order to create equal opportunities among affected populations, the wider determinants of health must be considered more explicitly in the licensing process of resource extraction projects. View Full-Text
Keywords: community-based research; equity; extractive industries; focus group discussion; health impact assessment; social determinants of health; sub-Saharan Africa; Sustainable Development Goals community-based research; equity; extractive industries; focus group discussion; health impact assessment; social determinants of health; sub-Saharan Africa; Sustainable Development Goals
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MDPI and ACS Style

Leuenberger, A.; Cambaco, O.; Zabré, H.R.; Lyatuu, I.; Utzinger, J.; Munguambe, K.; Merten, S.; Winkler, M.S. “It Is Like We Are Living in a Different World”: Health Inequity in Communities Surrounding Industrial Mining Sites in Burkina Faso, Mozambique, and Tanzania. Int. J. Environ. Res. Public Health 2021, 18, 11015. https://doi.org/10.3390/ijerph182111015

AMA Style

Leuenberger A, Cambaco O, Zabré HR, Lyatuu I, Utzinger J, Munguambe K, Merten S, Winkler MS. “It Is Like We Are Living in a Different World”: Health Inequity in Communities Surrounding Industrial Mining Sites in Burkina Faso, Mozambique, and Tanzania. International Journal of Environmental Research and Public Health. 2021; 18(21):11015. https://doi.org/10.3390/ijerph182111015

Chicago/Turabian Style

Leuenberger, Andrea, Olga Cambaco, Hyacinthe R. Zabré, Isaac Lyatuu, Jürg Utzinger, Khátia Munguambe, Sonja Merten, and Mirko S. Winkler. 2021. "“It Is Like We Are Living in a Different World”: Health Inequity in Communities Surrounding Industrial Mining Sites in Burkina Faso, Mozambique, and Tanzania" International Journal of Environmental Research and Public Health 18, no. 21: 11015. https://doi.org/10.3390/ijerph182111015

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