ArticleDialogues in health2026
Supporting the economic and health resilience of last mile adolescent girls and young Women in mining communities: A global and national level comparative policy analysis.
Article in Dialogues in health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: The Sustainable Development Goals (SDGs) recognize the complex intersections of health, economic development, and mining activities. This is exemplified among adolescent girls and young women (AGYW) who work in artisanal mining (ASM), in Ghana and Uganda, who experience general and poor sexual and reproductive health (SRH) outcomes, partly due to risky behaviors, poverty and poor access to quality healthcare. Achieving the SDGs necessitates translating global goals into actionable national policies, considering local contexts. To date, the literature assessing the degree to which policies address intersecting health and economic needs of AGYW in ASM communities is limited. This paper examines the extent to which global and national (Ghana and Uganda) policies focus on the economic and health needs of last-mile AGYW in ASM communities in Ghana and Uganda. Methods: Using Daglish's (2020) Ready your materials, Extract data, Analyze data and Distil (READ) policy analysis approach, a comparative analysis was conducted on 14 global (2010-2023) and 27 national (2010-2023) Uganda and Ghana policy documents on mining, SRH, socio-economic well-being, gender and adolescents. Results & conclusion: The global and national policies showed alignment in their commitment to addressing adolescent SRH, attaining Universal Health coverage, youth employability, and child labor. Although the national policies focused on SRH, equitable healthcare access, education, and vocational skills training, they did not specifically address the unique challenges of last-mile adolescents in ASM communities. It is important that ASM-AGYW are identified as vulnerable last mile populations and ensure their SRH needs and intersecting challenges are addressed and prioritized in policies.
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