Making the Connection between Reproductive Ill Health and Poverty in Latin America and the Caribbean

نویسنده

  • Willie Heinz
چکیده

• The connections between poverty and reproductive ill health, as expressed through high fertility and perinatal mortality, are multidimensional. Conceptually, poverty is both a determinant and a consequence of reproductive ill health, either directly or through a series of proximate determinants. The links between poverty, low educational attainment, high fertility, and poor child and maternal health are well documented. Fertility decreases monotonically as education increases. Across Latin America and the Caribbean, women who live in urban areas and women who work for cash have fewer children than do other women. A mother’s death during childbirth means not only the loss of her productivity to both the national economy and the household, but also has an inter-generational effect through her child’s reduced chances of survival and health. Studies show that surviving children are three times more likely to die within two years than children who live with both parents; and many motherless children, particularly girls, get less health care and education as they grow up. Thus a mother’s sickness and death affects her household’s socioeconomic status, and this status in turn affects the proximate determinants of health.

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تاریخ انتشار 2001