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The Urban<br />

Disadvantage<br />

Save the Children’s 16th annual State of the World’s<br />

Mothers <strong>report</strong> focuses on our rapidly urbanizing<br />

world and the poo<strong>res</strong>t mothers and children who<br />

must struggle to survive despite overall urban<br />

prog<strong>res</strong>s.<br />

Every day, 17,000 children die before reaching their<br />

fifth birthday. Increasingly, these preventable deaths<br />

are occurring in city slums, where overcrowding<br />

and poor sanitation exist alongside skyscrapers and<br />

shopping malls. Lifesaving health care may be only<br />

a stone’s throw away, but the poo<strong>res</strong>t mothers and<br />

children often cannot get the care they need.<br />

This <strong>report</strong> p<strong>res</strong>ents the latest and most extensive<br />

analysis to date of health disparities between rich<br />

and poor in cities. It finds that in most developing<br />

countries, the poo<strong>res</strong>t urban children are at least<br />

twice as likely to die as the richest urban children.<br />

In some countries, they are 3 to 5 – or even more –<br />

times as likely to die.<br />

The annual Mothers’ Index uses the latest data<br />

on women’s health, children’s health, educational<br />

attainment, economic well-being and female political<br />

participation to rank 179 countries and show where<br />

mothers and children fare best and where they face<br />

the greatest hardships.<br />

Manila, Philippines

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