2.6 What links poverty and poor health?

Malaria plasmodium vivax under the microscope
Malaria plasmodium vivax under the microscope, © Shutterstock

In the previous section we noted a pattern between the income of a country and the causes of death. Poverty and poor health worldwide are closely linked to each other. The causes of poor health for millions of people around the world are rooted in political, social and economic injustices. Poverty is both a cause and a consequence of poor health. Poverty increases the chances of poor health and can also trap communities in poverty.  For example, the “burden” of infectious and neglected tropical diseases kills and weakens millions of the poorest and most vulnerable people each year effecting their economic productivity. 

Health Poverty Action is a group which seeks to influence policy and practice directly through interventions and indirectly through campaigning and advocacy. Health Poverty Action argues that cycles of poverty and health are intimately linked, suggesting:

  • The economic and political structures, which sustain poverty and discrimination, need to be transformed in order for poverty and poor health to be tackled.
  • Marginalised groups and vulnerable individuals are often worst affected, deprived of the information, money or access to health services that would help them prevent and treat disease.
  • Very poor and vulnerable people may have to make harsh choices – knowingly putting their health at risk because they cannot see their children go hungry, for example.
  • The cultural and social barriers faced by marginalised groups – including indigenous communities – can mean they use health services less, with serious consequences for their health. This perpetuates their disproportionate levels of poverty.
  • The cost of doctors’ fees, a course of drugs and transport to reach a health centre can be devastating, both for an individual and their relatives who need to care for them or help them reach and pay for treatment. In the worst cases, the burden of illness may mean that families sell their property, take children out of school to earn a living or even start begging.
  • The burden of caring is often taken on by a female relative, who may have to give up her education as a result, or take on waged work to help meet the household’s costs. Missing out on education has long-term implications for a woman’s opportunities later in life and for her own health.
  • Overcrowded and poor living conditions can contribute to the spread of airborne diseases such as tuberculosis and respiratory infections such as pneumonia. Reliance on open fires or traditional stoves can lead to deadly indoor air pollution. A lack of food, clean water and sanitation can also be fatal.

Source: Health, Poverty, Action [Tip: hold Ctrl and click a link to open it in a new tab. (Hide tip)]   

2.5 Variations in death by geography and income

2.7 The rise of Non-Communicable Diseases