Poor children are three times more likely to die before the age of 6 – 4/27/2022

Childhood poverty has a negative impact on the development of children, with the risk of infant mortality, chronic malnutrition, low school attendance and adolescent pregnancy and, in the future, reduced intellectual development.

It shows a survey by UFPEL (Federal University of Pelutas), published in a series of articles in The Lancet, which analyzes the relationship between poverty and health and human capital outcomes based on data from 95 countries.

The series will be launched at a webinar in London this Thursday (26), with the participation of WHO Director-General Tedros Adhanam Ghebreissas. Researchers include Brazilian epidemiologist Cesar Victora, a research leader at UFPEL.

The launch comes at a time when there are global concerns about the effects of the Kovid-19 epidemic on children. Experts argue that it is important to create public policy against poverty.

In the UFPel survey, the authors analyzed data on the six largest birthmarks of developing countries (Brazil, two of them, Guatemala, the Philippines, South Africa and India). In all, 15,000 children between the ages of 22 and 40 were observed.

According to Victor, the most striking difference in intelligence (IQ) was found between the two pelotus birth cohorts that began in 1982 and 1993. Adults faced extreme poverty because children had an IQ score of about 20 points lower. The richest quintile.

These disparities have also been observed in children under the age of five, indicating that factors associated with poverty, such as malnutrition and childhood diseases, have a decisive effect on the inequality in the health and intellectual development of these people.

“The concern is that it perpetuates social inequality throughout life. It is very difficult to surround it, unless we are already in childhood,” said Victora.

The first thousand days of life, including pregnancy and the first two years, are important for determining health and human capital throughout life.

The study evaluated data from ten national income departments (or deciles), including 10% of children from national surveys in 95 countries.

The results show that children in the poorest DCs are two to three times more likely to die by the age of five, are younger and have delays in cognitive development and do not complete primary school – and among girls, before the age of 20 due to childbearing, Compared to peers.

The analyzes further indicate that the higher the socio-economic inequality in a country, the worse the health, nutrition and cognitive development of the poorest children.

“The effects last until adulthood. It’s very serious because it compromises both the quality of life and the productive capacity of future generations of children, adolescents and adults,” says Victora.

For epidemiologists, it is imperative that public policy managers recognize the importance of the risks associated with poverty and work towards creating multisectoral programs that guarantee social, nutritional and support assistance to children, adolescents and young people from the beginning of pregnancy.

According to Victor, global poverty has been declining over the past decade, but the Kovid-19 epidemic has made matters worse.

“Governments, international organizations, and large donors must renew their efforts to reach these children from poor families and offset, at least in part, the devastating effects of this epidemic on the weakest.”

The long-term effects of the epidemic on children and families are not yet fully understood. But the evidence suggests that, perhaps, barriers to children’s access to preventive health and education services will result in additional mortality and morbidity in this population, reducing the gains made in recent years.

In a commentary published in The Lancet, WHO’s Tedros Ghebreissus and UNICEF’s Catherine Russell said: “Now is the time for solidarity in Trump’s politics, for the benefit of our children and future generations. And before 2030, 43 million children under the age of five will die. “

According to Richard Horton, editor-in-chief of The Lancet, “The most remarkable success story in recent global health history is the rapid decline in under-five mortality, despite the fact that millions of children still die preventable.

“Those who survive are unable to reach their full potential. [Precisamos] Of political commitment. We need multilateral organizations, governments and civil society leaders to meet the challenges of this series [de artigos] Presentations and opportunities describe it, “he concluded.

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