[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
March 1, 2010

Rethinking Hard-to-Reach Communities in the Realm of Global PediatricsThe Urban Poor and Community Health Workers

Arch Pediatr Adolesc Med. 2010;164(3):294-296. doi:10.1001/archpediatrics.2009.294

Our global pediatric world is changing. While thoughts of global health often invoke images of exotic diseases and hard-to-reach rural clinics, the reality is more nuanced. Progress has been made in mortality in children younger than 5 years—from 19 million annually in the 1960s to less than 9 million currently.1 As in the past, these children more often die of unexotic diseases like pneumonia and diarrhea as well as vaccine-preventable diseases like measles.2 These deaths are increasingly concentrated in fewer countries (eg, the Democratic Republic of Congo, India, and Nigeria). Still, challenges remain.

First Page Preview View Large
First page PDF preview
First page PDF preview