When you think about very low- and middle-income countries you might assume that the poor in deep rural pockets in these countries have the highest chance for maternal and infant mortality. That isn’t the case according to Save the Children’s latest State of the World’s Mothers report released today.
The report says that it is the urban poor in countries like Haiti, Somalia, Niger and Mali, for example, who are suffering the most and have less access to health care, nutrition services, sanitation and clean water. Even as child mortality has decreased by 49 percent since 1990, the numbers do not fully tell the entire story. While resources have successfully helped the rural populations, the urban poor continue to suffer from a lack of overall services that will allow them to live and thrive.
“Our new report reveals a devastating child survival divide between the haves and have-nots, telling a tale of two cities among urban communities around the world, including the United States,” said Carolyn Miles, president and CEO of Save the Children in a statemtn. “For babies born in the big city, it’s survival of the richest.”
New data says there are 54 percent of the world’s population lives in urban areas. 860 million people live in urban slums in big cities like Delhi, Nairobi, Rio, and Johannesburg where the disparity between the rich and poor is incredibly stark. In fact, poor children in urban areas are two times more likely to die than their richer peers. In some countries, poor children are up to five times more likely to die before the age of five than their peers in a much higher income bracket.
Urban slums continue to grow because poor migrants from rural areas seek jobs in cities. This causes squatter communities and slum-dwelling as well as a perpetual cycle of poverty. These migrants often believe that it is better to live in crowded slums in the city than in their rural home towns because they can at least find work. The tradeoff, however, comes in the form of poor living conditions.