The negative consequences of growing up in a poor family are well known. Poor children are less likely to have timely immunizations, have lower academic achievement, are generally less engaged in school activities, and face higher delinquency rates in adolescent years. Each of these has adverse impacts on their health, earnings, and family status in adulthood. Less understood is how the experience of poverty can differ depending on the community context. Being poor in a relatively well-off community with good infrastructure and schools is different from being poor in a place where poverty rates have been high for generations, where economic investment in schools and infrastructure is negligible, and where pathways to success are few. The hurdles are even higher in rural areas, where low population density, physical isolation, and the broad spatial distribution of the poor make service delivery and exposure to innovative programs more challenging.