Plastic pollution constitutes a critical planetary health challenge, undermining the integrity of Earth systems while generating cascading harms to human health, livelihoods, and social equity particularly in low- and middle-income countries. Conventional top-down regulatory and technological responses have proven insufficient to address the complexity of plastic pollution, often excluding those most affected from decision-making and solution design. This paper examines how democratizing plastic governance through grassroots leadership can advance planetary health by simultaneously protecting ecosystems, improving human well-being, and strengthening socio-ecological resilience. Drawing on empirical evidence from the #RestorationX10000 initiative led by Community Action Against Plastic Waste (CAPws), this paper documents implementation processes and outcomes achieved between 2021 and 2025 across 71 impacted communities in 21 countries spanning Africa, Asia-Pacific, and Latin America. The initiative was designed to empower 10,000 youths and women as community leaders, practitioners, and advocates by equipping them with leadership, technical, and policy engagement skills to drive systemic change in plastic governance and circular economy practice. Using a transdisciplinary, community-based action research approach aligned with planetary health principles, the initiative integrates capacity building, citizen science, circular economy interventions (collection, sorting, repair, reuse, repurposing, and recycling), and policy advocacy. Quantitative and qualitative evidence demonstrates that grassroots-led interventions can simultaneously reduce plastic leakage, create decent green livelihoods, and strengthen environmental governance. We argue that inclusive, community-centered plastic governance is not only an environmental intervention but a planetary health strategy, offering policy-relevant insights for national plastic action plans, extended producer responsibility frameworks, and global negotiations toward a legally binding instrument on plastic pollution.
Tiamiyu et al. (Thu,) studied this question.