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The continent that has more countries with urban populations over 68 percent and a high or very high HDI rank is South America.

The majority of countries within the continent of South America are classified in the high or very high categories of the Human Development Index (HDI) with urban populations exceeding 68 percent. The Human Development Index refers to a statistically compound index based on education, life expectancy, and per capita income indicators. It is utilized to rank countries according to their average achievement in human development. Most of the countries were Spanish colonies that had independence since the early 1800s. According to Spain's Laws of the Indies, a grid-style city design was required with a central plaza. Hence, urbanization continued in the former colonial cities as they expanded with time due to increasing populations and economic development.

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