ArticleInternational journal of environmental research and public health2014
Changing patterns of health in communities impacted by a bioenergy project in northern Sierra Leone.
Article in International journal of environmental research and public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Characteristics and Determinants for Home Births in Rural Sierra Leone: A Cross-Sectional Study.Maternal and child health journal · 2026Article
- How Can 'Health in All Policies' Help Maximise the Potential of Microbial Biotechnologies for Health, Equity and Sustainability?Microbial biotechnology · 2025Review
- Health impacts of industrial mining on surrounding communities: Local perspectives from three sub-Saharan African countries.PloS one · 2021Article
- The Role of the Private Sector in Supporting Malaria Control in Resource Development Settings.The Journal of infectious diseases · 2020Review
- Framework for Participatory Quantitative Health Impact Assessment in Low- and Middle-Income Countries.International journal of environmental research and public health · 2020Article
- Inclusion of Health in Impact Assessment: A Review of Current Practice in Sub-Saharan Africa.International journal of environmental research and public health · 2020Review
- Investigating Health Impacts of Natural Resource Extraction Projects in Burkina Faso, Ghana, Mozambique, and Tanzania: Protocol for a Mixed Methods Study.JMIR research protocols · 2020Article
- Selected indicators and determinants of women's health in the vicinity of a copper mine development in northwestern Zambia.BMC women's health · 2018Article
- Experience and lessons from health impact assessment guiding prevention and control of HIV/AIDS in a copper mine project, northwestern Zambia.Infectious diseases of poverty · 2017Article
- Monitoring of Selected Health Indicators in Children Living in a Copper Mine Development Area in Northwestern Zambia.International journal of environmental research and public health · 2017Article
- Health impact assessment: improving its effectiveness in the enhancement of health and well-being.International journal of environmental research and public health · 2015Article
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Authors and funding
12 authors.
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Abstract
Large private sector investments in low- and middle-income countries are often critically evaluated with regards to their environmental, social, human rights, and health impacts. A health impact assessment, including a baseline health survey, was commissioned by the Addax Bioenergy Sierra Leone project in 2010. As part of the monitoring, a follow-up survey was conducted three years later. A set of health indicators was assessed at six impacted and two control sites. Most of these indices improved, particularly at the impacted sites. The prevalences of stunting, wasting, and Plasmodium falciparum in children under five years of age decreased significantly at impacted sites (all p < 0.05) and non-significantly at control sites. Anemia in children and in women of reproductive age (15-49 years) decreased significantly at impacted and control sites (p < 0.05 and p < 0.001, respectively). Health facility-based deliveries increased significantly at the impacted sites (p < 0.05). The prevalences of helminth infections in children aged 10-15 years remained approximately at the same levels, although focal increases at the impacted sites were noted. Access to improved sanitation decreased significantly (p < 0.05) at control and non-significantly at impacted sites. Water quality remained poor without significant changes. The epidemiologic monitoring of a bioenergy project provides a useful contribution for evidence-based decision-making.
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