Evidence map›Paper›PMID 29716578›Full record

ArticleBMC women's health2018

Selected indicators and determinants of women's health in the vicinity of a copper mine development in northwestern Zambia.

Astrid M Knoblauch, Mark J Divall, Milka Owuor, Gertrude Musunka, Anna Pascall, Kennedy Nduna, Harrison Ng'uni, Jürg Utzinger, Mirko S Winkler

Abstract read
In one paragraph

Article in BMC women's health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. International journal of environmental research and public health · 2021
    Article
  4. Article
  5. Mining is bad for health: a voyage of discovery.Environmental geochemistry and health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Astrid M KnoblauchSwiss Tropical and Public Health Institute, Basel, Switzerland.
Mark J DivallSHAPE Consulting Ltd, St Peter Port, Guernsey, Channel Islands, Guernsey.
Milka OwuorSHAPE Consulting Ltd, St Peter Port, Guernsey, Channel Islands, Guernsey.
Gertrude MusunkaFirst Quantum Minerals Limited, Lusaka, Zambia.
Anna PascallFirst Quantum Minerals Limited, Lusaka, Zambia.
Kennedy NdunaSolwezi District Health Management Team, Solwezi, Zambia.
Harrison Ng'uniSolwezi District Health Management Team, Solwezi, Zambia.
Jürg UtzingerSwiss Tropical and Public Health Institute, Basel, Switzerland.
Mirko S WinklerSwiss Tropical and Public Health Institute, Basel, Switzerland. mirko.winkler@swisstph.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLarge projects in the extractive industry sector can affect people's health and wellbeing. In low- and middle-income countries (LMICs), women's health is of particular concern in such contexts due to potential educational and economic disadvantages, vulnerability to transactional sex and unsafe sex practices. At the same time, community health interventions and development initiatives present opportunities for women's and maternal health.

methodsWithin the frame of the health impact assessment (HIA) of the Trident copper mining project in Zambia, two health surveys were conducted (baseline in 2011 and follow-up in 2015) in order to monitor health and health-related indicators. Emphasis was placed on women residing in the mining area and, for comparison, in settings not impacted by the project.

resultsAll measured indicators improved over time, regardless of whether communities were affected by the project or not. Additionally, the percentage of mothers giving birth in a health facility, the percentage of women who acknowledge that HIV cannot be transmitted by witchcraft or other supernatural means and the percentage of women having ever tested for HIV showed a significant increase in the impacted sites but not in the comparison communities. In 2015, better health, behavioural and knowledge outcomes in women were associated with employment by the project (or a sub-contractor thereof), migration background, increased wealth and higher educational attainment.

conclusionsOur study reveals that natural resource development projects can positively impact women's health, particularly if health risks are adequately anticipated and managed. Hence, the conduct of a comprehensive HIA should be a requirement at the feasibility stage of any large infrastructure project, particularly in LMICs. Continued monitoring of health outcomes and wider determinants of health after the initial assessment is crucial to judge the project's influence on health and for reducing inequalities over time.

Indexed as

Developing CountriesHealth Impact AssessmentHealth Knowledge, Attitudes, PracticeHealth Status IndicatorsWomen's HealthAdolescentAdultBirth SettingCopperCross-Sectional StudiesEducational StatusEmigration and ImmigrationEmploymentFemaleHealth FacilitiesHealth SurveysCopperHealth impact assessmentHIV/AIDSKnowledge, attitudes and practices (KAP)Maternal healthMigrationMiningResettlementResource extractionWomen’s healthZambia

Identifiers

PMID29716578
PMCPMC5930803

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.