Mining activities contribute significantly to economic development but may also create environmental and public health risks, particularly for women living in communities surrounding mining areas. This study aimed to analyze the impact of mining activities on women’s reproductive health in communities surrounding mining areas in South Konawe Regency. A mixed-methods design was employed by integrating quantitative and qualitative approaches. The quantitative component involved 80 women of reproductive age selected through purposive sampling, while the qualitative component involved 12 key informants. Quantitative data were collected using structured questionnaires and analyzed using descriptive and bivariate analysis with SPSS version 25. Qualitative data were obtained through in-depth interviews and Focus Group Discussions and analyzed using NVivo 15. The findings showed that 51.2% of respondents perceived mining activities as high, while 13.8% reported reproductive health problems, including irregular menstruation, chronic vaginal discharge, and reduced fertility. In addition, 92.5% of respondents experienced difficulties in accessing healthcare services. Qualitative findings revealed that environmental exposure, limited healthcare access, low risk perception, socioeconomic vulnerability, and limited government and corporate interventions contributed to reproductive health risks. The study implies that protecting women’s health in mining areas requires integrated and cross-sectoral interventions through strengthened primary healthcare services, environmental and reproductive health education, risk communication, and targeted corporate social responsibility programs.
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