RESUMO
Background: It is estimated that about 13 million artisanal and small-scale miners carry out their activities under harsh, precarious, unfriendly, and risky conditions. Yet, our understanding of the extent to which these workers use personal protective equipment (PPE) and navigate through the various risks and hazards they face is still limited. This article has two main objectives. First, it explores the extent of usage of PPE among artisanal and small-scale miners for the prevention of hazards and risks. Second, it examines the coping strategies used by these miners as a response to experiences of occupational injuries and risks. Methods: A cross-sectional survey of small-scale miners was conducted in six communities across three districts in Ghana, West Africa. The mixed methods approach was adopted. A total of 148 small-scale miners participated in the study. Six focus group discussions (FGDs) were held across the six communities. The data were analysed using descriptive statistics. Chi-square tests were used to analyse the relationship between some socio-demographic characteristics (sex, age, and educational background) and the usage of PPE. Open-ended questions and responses from FGDs were analysed based on the content and verbatim quotations from miners. Results: Findings suggest that 78% of the miners interviewed do not use the appropriate PPE citing reasons such as cost, and their personal discomfort associated with use of PPE. There was no significant relationship between socio-demographic characteristics (i.e., sex, age, education and major mining activity) and the usage of PPE. The study further revealed four main coping strategies used by miners to handle the risks. These are rest, taking unprescribed medication and hard drugs, registration with health insurance scheme and savings and investments. Conclusion: This study shows that very few artisanal miners use PPE despite the significant hazards and risks to which they are exposed. The study recommends to the government to put in place measures to ensure that miners adhere to health and safety regulations before undertaking mining activities. This means that health and safety plans and use of PPE should be linked to the license acquisition process for miners.
RESUMO
Artisanal small-scale mining is associated with disease, injury, environmental and social risks. These risks negatively impact human health and the environment. This study assesses miners' awareness and perceptions of the risks associated with their activity in three main districts in Ghana. Using the convenience sampling approach, 148 miners participated in the study in addition to key informant interviews and focus group discussions. The study revealed that the miners were generally not aware of the risks associated with their work. There were no statistically significant differences between the miners' socio-economic characteristics and disease, environmental and social risks. However, the study showed significant differences between the miners' level of education and awareness of injury risk. A common perception among 41% of the miners was that death in artisanal small-scale mining was normal. It is recommended that relevant state institutions empower miners through training and education to enhance their knowledge of risks.
