Effects of early-life poverty on health and human capital in children and adolescents: analyses of national surveys and birth cohort studies in LMICs

  • Cesar G. Victora
  • , Fernando P. Hartwig
  • , Luis P. Vidaletti
  • , Reynaldo Martorell
  • , Clive Osmond
  • , Linda M. Richter
  • , Aryeh D. Stein
  • , Aluisio J.D. Barros
  • , Linda S. Adair
  • , Fernando C. Barros
  • , Santosh K. Bhargava
  • , Bernardo L. Horta
  • , Maria F. Kroker-Lobos
  • , Nanette R. Lee
  • , Ana Maria B. Menezes
  • , Joseph Murray
  • , Shane A. Norris
  • , Harshpal S. Sachdev
  • , Alan Stein
  • , Jithin S. Varghese
  • Zulfiqar A. Bhutta, Robert E. Black

Research output: Contribution to journalReview articlepeer-review

75 Citations (Scopus)

Abstract

The survival and nutrition of children and, to a lesser extent, adolescents have improved substantially in the past two decades. Improvements have been linked to the delivery of effective biomedical, behavioural, and environmental interventions; however, large disparities exist between and within countries. Using data from 95 national surveys in low-income and middle-income countries (LMICs), we analyse how strongly the health, nutrition, and cognitive development of children and adolescents are related to early-life poverty. Additionally, using data from six large, long-running birth cohorts in LMICs, we show how early-life poverty can have a lasting effect on health and human capital throughout the life course. We emphasise the importance of implementing multisectoral anti-poverty policies and programmes to complement specific health and nutrition interventions delivered at an individual level, particularly at a time when COVID-19 continues to disrupt economic, health, and educational gains achieved in the recent past.

Original languageEnglish (US)
Pages (from-to)1741-1752
Number of pages12
JournalThe Lancet
Volume399
Issue number10336
DOIs
Publication statusPublished - 30 Apr 2022

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