On the banks of the River Pra, Ama, a mother of three, points to the murky water flowing past her village. “We used to drink from this river. We used to fish here,” she says. “Now, even our crops die when we use it to water them.” Ama’s children rarely eat fish anymore, and vegetables from her once-fertile farm are scarce. Their daily meals now consist mostly of cassava and a little palm oil which is filling, but far from nutritious.

Ama’s story is not unique. Across Ghana’s mining communities, illegal small-scale mining, or galamsey, is robbing families of the very resources they need to eat well and stay healthy. The focus of public debate has often been on the destroyed forests, poisoned rivers, and billions lost in gold revenue. But beneath the surface lies a quieter tragedy: a nutrition crisis with lasting consequences for Ghana’s children.

With rivers poisoned by mercury and cyanide, farming and fishing have collapsed in many galamsey zones. Families that once relied on fish as a key source of protein now go without. Crops watered with polluted streams fail to thrive, while fertile cocoa and vegetable farms have been dug up and abandoned. With food production disrupted, prices climb, and poor households are forced to rely on cheap, starchy meals with little nutritional value.

The impact is already showing. Health workers in mining areas report higher cases of child stunting, anaemia among women, and underweight children compared to farming districts. Pregnant women face greater risks during childbirth, while children raised on nutrient-poor diets struggle with growth, learning, and long-term productivity.

The problem stretches far beyond the mining pits. When rivers like the Pra, Ankobra, and Offin are polluted, irrigation systems and fisheries downstream are also destroyed, threatening food supplies in entire regions. In the long run, galamsey doesn’t just damage land, it undermines Ghana’s fight against hunger, malnutrition, and poverty.

If Ghana is serious about protecting its people, tackling galamsey cannot be seen only as an environmental or economic battle. It must also be seen as a public health and nutrition emergency. Safeguarding rivers and farmland means safeguarding the right of every child to eat a balanced diet and grow to their full potential.

Ama’s children, and thousands like them, deserve more than poisoned water and barren fields. They deserve safe food, clean water, and a future free from malnutrition. Ending galamsey is not just about saving the land; it is about saving Ghana’s nutritional future and the next generation.

We call on government to deploy multi-sector response teams that include health and agriculture officials, establish mobile nutrition clinics in affected areas, and mandate nutrition impact assessments for all mining permits. We urge traditional authorities and assemblies to enforce local bylaws and support community-led river monitoring systems.

We challenge citizens to demand quarterly transparency reports on galamsey enforcement and nutrition indicators from their MPs and district assemblies and we encourage the media to continue investigating the financial networks behind illegal mining. Ghana has the laws and resources, what’s missing is the political courage to enforce them. Ama’s village, and countless others like it, cannot wait any longer.

Feature Article by Women, Media and Change under its Nourish Ghana: Advocating for Increased Leadership to Combat Malnutrition Project

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