Publications by authors named "Mohamed Lamine Fofana"

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Between the City and the Farm: Food Environments in Artisanal Mining Communities in Upper Guinea.

Public Health Nutr 2021 May 12:1-34. Epub 2021 May 12.

Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD, USA.

Objective: Artisanal and small-scale mining (ASM) is a widespread livelihood in low- and middle-income countries, however many in ASM communities face high levels of poverty and malnutrition. The food environments in ASM communities have non-agricultural rural characteristics that differ from those in urban and subsistence rural areas examined in much existing food environment literature.

Design: We examine these complex external and personal food environments in ASM communities via a study using qualitative and quantitative methods. Market surveys and a cross-sectional household survey, plus qualitative mining site non-participant observations and in-depth structured interviews, were conducted in three waves.

Setting: Eighteen study sites in ASM communities in northern Guinea.

Participants: Surveys covered mothers in mining households with young children (n=613); in-depth interviews engaged mothers of young children (n=45), food vendors (n=40), and young single miners (n=15); observations focused on mothers of young children (n=25).

Results: The external food environment in these ASM communities combines widespread availability of commercially-processed and staple-heavy foods with lower availability and higher prices for more nutritious, non-staple foods. Within the personal food environment, miners are constrained in their food choices by considerable variability in daily cash income and limited time for acquisition and preparation.

Conclusions: We demonstrate that ASM communities have characteristics of both urban and rural populations and argue for greater nuance and appreciation of complexity in food environment research and resultant policy and programming.
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May 2021