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PEDIATRICS Vol. 112 No. 3 September 2003, pp. 739-741

Inequity in Child Health as a Global Issue

Tony Waterston, MD, FRCPCH, DCH, DRCOG

From the Department of Community Paediatrics, Newcastle General Hospital, Newcastle Upon Tyne, United Kingdom

The Issue. Poverty, violence, lack of education, abuse and exploitation, and refugee status are among the primary determinants of the health of children worldwide. There are 1.3 billion people living on less than US $1 per day. Half the world’s population, 3 billion people, live on less than US $1.30 per day. Of the 4.4 billion people who live in developing countries, 60% lack access to sanitation, 33% lack clean water, 20% have no health care, and 20% do not have enough dietary energy and protein.1 The world’s 225 richest people have a combined wealth equivalent to the annual income of the poorest 2.5 billion people, nearly half of the world’s population.1 This article describes a number of the social, political, and environmental factors impacting children in the developing (southern hemisphere) world and how these are affected by actions taken in the developed (northern hemisphere) world.

Key Words: global child health • poverty • child health in developing countries • malnutrition • world debt • war and child health

Received for publication Mar 14, 2003; Accepted Mar 14, 2003.


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