The number of Africans trapped in poverty has surged by around 100 million over the past quarter century, the World Bank said, despite years of economic growth and multi-million dollar aid programmes.
The report's figures, described as "staggering" by the bank's Africa head Makhtar Diop, showed widespread malnutrition, and rising violence against civilians, particularly in central regions and the Horn of Africa.
"It is projected that the world's extreme poor will be increasingly concentrated in Africa," Diop added in a foreword.
A surge in population meant the proportion of Africans in poverty had actually fallen since 1990, but the actual numbers were up.
In a major study of households taking stock of African economies and societies after two decades of relatively strong growth, the Bank said 388 million - 43 percent of the sub-Saharan region's 900 million people - lived on less than $1.90 a day.
In 1990, at the start of the study period, the ratio was 56 percent, or 284 million.
The findings present a mixed bag for countries that, on average, enjoyed economic growth of 4.5 percent over the last two decades, dubbed the era of "Africa Rising" in contrast to the post-independence stagnation, war and decay that typified the 1970s and 1980s.
A child born in Africa now is likely to live more than six years longer than one born in 1995, the study found, while adult literacy rates over the same period have risen 4 percentage points.
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