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Prospects for Sub-Saharan Africa

Paul M. Pronyk, FRCPC, PhD; James R. Hargreaves, PhD; Jonathan Morduch, PhD

JAMA. 2007;298:1925-1927.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Although social gradients in morbidity and mortality from scrofula, rickets, and scarlet fever were noticed in England as early as 1845,¹ current understanding of the relationship between poverty and ill health is still evolving. A detailed examination of the social determinants of health is the current focus of a World Health Organization Commission,² and a global agenda that addresses the overlapping vulnerabilities of poverty, social exclusion, and health recently has been articulated in the United Nations Millennium Development Goals (MDG) framework.³

Sub-Saharan Africa remains the area of the world at greatest risk of failing to meet any MDG targets.⁴ Some experts suggest that conditions of extreme deprivation characterizing much of the region create "poverty traps" that limit access to proven interventions and constrain potential gains in employment, income, food, shelter, and education, carrying dire immediate and longer-term health . . . [Full Text of this Article]

Eradicating Poverty and Hunger

Author Affiliations: Rural AIDS & Development Action Research Programme, School of Public Health, University of the Witwatersrand, South Africa (Drs Pronyk and Hargreaves); London School of Hygiene and Tropical Medicine, London, England (Drs Pronyk and Hargreaves); and Robert F. Wagner Graduate School of Public Service, New York University, New York (Dr Morduch).