Awasthi Shally, Agarwal Siddharth
Department of Pediatrics and Institute of Clinical Epidemiology, King George's Medical University, Lucknow-UP, India.
Indian Pediatr. 2003 Dec;40(12):1145-61.
The large and continuous increase in India's urban population and the concomitant growth of the population residing in slums has resulted in overstraining of infrastructure and deterioration in public health. The link between urbanization, a degraded environment, inaccessibility to healthcare and a deteriorating quality of life is significant and particularly evident in the sharp inequities in IMR if one looks at urban specific studies. It is hence, germane to address the appalling inequalities in the distribution and access to basic amenities and health services with a focus on enhanced service coverage, improved sanitation and water supplies and mobilization of community action for effectively mitigating the childhood death and disease burden in urban slums.
印度城市人口的持续大幅增长以及贫民窟居民数量的相应增加，导致了基础设施不堪重负和公共卫生状况恶化。城市化、环境退化、难以获得医疗保健以及生活质量下降之间的联系十分显著，特别是从城市特定研究中婴儿死亡率的巨大不平等来看，这种联系尤为明显。因此，解决基本便利设施和卫生服务分配与获取方面令人震惊的不平等问题至关重要，重点是扩大服务覆盖范围、改善卫生和供水条件，并动员社区行动，以有效减轻城市贫民窟儿童的死亡和疾病负担。
