Poverty and Illiteracy

  Due to low income, purchasing power for healthy diet and lifestyle choices are reduced. So, unhealthy behaviours are commonly found among these people, and also access to health care is expensive one for them.

  Inadequate education, weak social network, social exclusion and long lasting stress are directly proportional to poverty.

  Cardiovascular diseases (CVDs) are more common in lower socioeconomic groups.

  In the region, NCDs are more prevalent in the lower socioeconomic group. For example, in Indonesia, high blood pressure was as common (33%) in the top income group where as (31%) in the low-income group.

  Poor people are mostly chain smokers; so poverty and tobacco use will form a vicious circle.

  Family’s food, education and health care expenditures are reduced by tobacco use, in which most of the income is spent by poor people. In Sri Lanka, two lowest income group people (monthly income less than US$ 76) spent more than 40% of their income on concurrent alcohol and tobacco, a study revealed.

  To overcome this problem, by understanding the links between poverty and NCDs, appropriate policies should be developed. Due to poverty, material deprivation (having insufficient physical resources) occurs.

  In poor countries, ability to pay for health care influences outcome of all diseases especially NCDs.

  Total expenditure on health in SEAR Member countries is low, with a maximum of 14% GDP in Timor-Leste in 2008 and just 2.3% in Indonesia and Myanmar. In India, total health expenditure as percentage of GDP (4.2%) is about one third that of USA.

Health expenditure in Member countries of SEAR, 2000 and 2008 comparison