Current topic
Reducing global inequalities in child health
A Costelloa, H Whiteba Centre for
International Child Health, Institute of Child Health, University
College London, 30 Guilford St, London WC1N 1EH UK, b Institute for Development Studies,
Sussex, UK
Correspondence to: Dr Costello a.costello@ich.ucl.ac.uk
Accepted 9 October
2000
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Introduction |
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Since 1950, global poverty and child mortality rates have declined more rapidly than during any other period in history. Progress has been uneven, however, so that inequalities have widened; since the 1970s, an increasing number of countries have experienced periods of prolonged economic decline. Eighty countries now have per capita incomes lower than in 1990. Partly in consequence, indicators of maternal and child health and nutrition have remained static or deteriorated.1
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Poverty and health trends |
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Poverty is multidimensional. While poverty has traditionally been
seen as a lack of income, and poor health and education as correlates
of low income, it is now recognised that illiteracy, child death, and
lack of human rights indicate poverty in their own right. These
different dimensions of poverty are correlated with one another,
although imperfectly so. These correlations are not merely statistical;
the various dimensions reinforce one another to create poverty traps.
For example, a person or family on low income
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