Bolivia vs. Paraguay

Bolivia ranks at or near the bottom among Latin American countries in several areas of health and development, including poverty, education, fertility, malnutrition, mortality, and life expectancy. On the positive side, more children are being vaccinated and more pregnant women are getting prenatal care and having skilled health practitioners attend their births.

Bolivia's income inequality is the highest in Latin America and one of the highest in the world. Public education is of poor quality, and educational opportunities are among the most unevenly distributed in Latin America, with girls and indigenous and rural children less likely to be literate or to complete primary school. The lack of access to education and family planning services helps to sustain Bolivia's high fertility rate-approximately three children per woman. Bolivia's lack of clean water and basic sanitation, especially in rural areas, contributes to health problems.

Between 7% and 16% of Bolivia's population lives abroad (estimates vary in part because of illegal migration). Emigrants primarily seek jobs and better wages in Argentina (the principal destination), the US, and Spain. In recent years, more restrictive immigration policies in Europe and the US have increased the flow of Bolivian emigrants to neighboring countries. Fewer Bolivians migrated to Brazil in 2015 and 2016 because of its recession; increasing numbers have been going to Chile, mainly to work as miners.

Paraguay falls below the Latin American average in several socioeconomic categories, including immunization rates, potable water, sanitation, and secondary school enrollment, and has greater rates of income inequality and child and maternal mortality. Paraguay's poverty rate has declined in recent years but remains high, especially in rural areas, with more than a third of the population below the poverty line. However, the well-being of the poor in many regions has improved in terms of housing quality and access to clean water, telephone service, and electricity. The fertility rate continues to drop, declining sharply from an average 4.3 births per woman in the late 1990s to about 2 in 2013, as a result of the greater educational attainment of women, increased use of contraception, and a desire for smaller families among young women.

Paraguay is a country of emigration; it has not attracted large numbers of immigrants because of political instability, civil wars, years of dictatorship, and the greater appeal of neighboring countries. Paraguay first tried to encourage immigration in 1870 in order to rebound from the heavy death toll it suffered during the War of the Triple Alliance, but it received few European and Middle Eastern immigrants. In the 20th century, limited numbers of immigrants arrived from Lebanon, Japan, South Korea, and China, as well as Mennonites from Canada, Russia, and Mexico. Large flows of Brazilian immigrants have been arriving since the 1960s, mainly to work in agriculture. Paraguayans continue to emigrate to Argentina, Brazil, Uruguay, the United States, Italy, Spain, and France.