
The poorest of the poor, around the world, have the worst health. Those at the bottom of the distribution of global and national wealth, those marginalized and excluded within countries, and countries themselves disadvantaged by historical exploitation and persistent inequity in global institutions of power and policy-making present an urgent moral and practical focus for action. But focusing on those with the least, on the ‘gap’ between the poorest and the rest, is only a partial response.
… In rich countries, low socioeconomic position means poor education, lack of amenities, unemployment and job insecurity, poor working conditions, and unsafe neighbourhoods, with their consequent impact on family life. These all apply to the socially disadvantaged in low-income countries in addition to the considerable burden of material deprivation and vulnerability to natural disasters. So these dimensions of social disadvantage – that the health of the worst off in high-income countries is, in a few dramatic cases, worse than average health in some lower-income countries … – are important for health.
Poverty is hunger. Poverty is lack of shelter. Poverty is being sick and not being able to see a doctor. Poverty is not having access to school and not knowing how to read. Poverty is not having a job, is fear for the future, living one day at a time. Poverty is losing a child to illness brought about by unclean water. Poverty is powerlessness, lack of representation and freedom.
Poverty has many faces, changing from place to place and across time, and has been described in many ways (for a collection of readings, see Poems and Personal Accounts of Poverty). Most often, poverty is a situation people want to escape. So poverty is a call to action -- for the poor and the wealthy alike -- a call to change the world so that many more may have enough to eat, adequate shelter, access to education and health, protection from violence, and a voice in what happens in their communities.
To know what helps to reduce poverty, what works and what does not, what changes over time, poverty has to be defined, measured, and studied -- and even experienced. As poverty has many dimensions, it has to be looked at through a variety of indicators -- levels of income and consumption, social indicators, and indicators of vulnerability to risks and of socio/political access.
Much work has been done using consumption or income-based measures of poverty, but also on non-income dimensions of poverty, most notably in the Human Development Report prepared annually by the United Nations Development Programme. See New Directions in Poverty Measurement below.

hi,
ReplyDeleteI have read your whole article, You have enlighten a very serious topic, I think we should encourage more people to think about it, and ofcorse finally we have to do something practically on this issue,
keep it up.
Regards