Infant Health and Care: An Urban Perspective

N. Choudhary
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Abstract

Nearly 90 percent of the projected urban population increase is concentrated in Africa and Asia [1]regions that harbour majority of world’ malnourished children today. Approximately one in three undernourished children now live in urban settings and in 13 countries urban stunting rates are above 30% [2]. Broad evidences exemplify that malnutrition in urban areas is a growing reality [3], though there is a dearth of studies in this regard. In terms of infant nutrition, we have far little evidences. In a relatively early work using Demographic and Health Survey (DHS) data for 43 countries [4-6] showed that in Latin American and Caribbean countries young children in big cities have stunted growth while in Asian countries children in large cities did not reflect a remarkable advantage over those in small cities or rural areas. However, in a recent study on 26 countries’ data, [7] found that the large urban areas of developing countries have lower infant mortality and malnutrition levels. While this could be average picture for urban areas, infant health and nutrition among the urban poor is likely as big a challenge as among the rural counterparts. This can be explained in terms of growing inequality and disparity in urban areas[8-10], due to which a considerable population segment perpetuates on the periphery amidst overall prosperous urban landscape.
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婴儿健康和护理:城市视角
在预计的城市人口增长中,近90%集中在非洲和亚洲[1]地区,这些地区目前拥有世界上大多数营养不良儿童。现在,大约三分之一的营养不良儿童生活在城市环境中,13个国家的城市发育迟缓率超过30%[2]。广泛的证据表明,城市地区的营养不良是一个日益严重的现实[3],尽管这方面的研究还很缺乏。在婴儿营养方面,我们几乎没有证据。在一项相对较早的工作中,使用了43个国家的人口与健康调查(DHS)数据[4-6],结果表明,在拉丁美洲和加勒比国家,大城市的幼儿发育迟缓,而在亚洲国家,大城市的儿童与小城市或农村地区的儿童相比,并没有表现出显著的优势。然而,最近一项针对26个国家数据的研究[7]发现,发展中国家的大城市地区婴儿死亡率和营养不良水平较低。虽然这可能是城市地区的平均情况,但城市贫困人口的婴儿保健和营养问题可能与农村贫困人口一样严峻。这可以用城市地区日益增长的不平等和差距来解释[8-10],因此,在整体繁荣的城市景观中,相当一部分人口长期居住在边缘地区。
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