Description: Improving Basic Services for the Bottom Forty Percent : Lessons from Ethiopia

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Improving Basic Services for the Bottom Forty Percent : Lessons from Ethiopia

Ethiopia, like most developing countries, has opted to deliver services such as basic education, primary health care, agricultural extension advice, water, and rural roads through a highly decentralized system (Manor 1999; Treisman 2007). That...

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Bibliographic Details
Main Authors:	Khan, Qaiser M., Faguet, Jean-Paul, Gaukler, Christopher, Mekasha, Wendmsyamregne
Language:	English en_US
Published:	Washington, DC: World Bank 2014
Subjects:	ABSENCE FROM SCHOOL ACCESS TO INFORMATION ACCOUNTABILITY ADOLESCENT REPRODUCTIVE HEALTH AGRICULTURAL ECONOMICS AGRICULTURAL EXTENSION AGRICULTURAL EXTENSION SERVICES AGRICULTURAL EXTENSION WORKERS AGRICULTURE ANTENATAL CARE BASIC EDUCATION BASIC SERVICE BASIC SERVICES BIRTH ATTENDANT BIRTH ATTENDANTS CAPACITY BUILDING CHILD HEALTH CHILD MORTALITY CITIZEN CITIZENS CIVIL SOCIETY CIVIL SOCIETY ORGANIZATIONS CLASSROOM CONTRACEPTION CONTRACEPTIVE ACCEPTANCE CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE CROPS DEATH RATES DECENTRALIZATION DECENTRALIZATION OF EDUCATION DECISION MAKING DEMOCRACY DEVELOPING COUNTRIES DEVELOPMENT OBJECTIVES DEVELOPMENT OF POLICIES DEVELOPMENT PLANNING DISASTERS DISCRETION DRUGS ECONOMIC GROWTH ECONOMICS EDUCATION EXPENDITURE EDUCATION EXPENDITURES EDUCATION OUTCOMES EDUCATIONAL ATTAINMENT ENROLLMENT RATES ETHNIC COMPOSITION ETHNIC GROUPS EXTENSION AGENTS EXTENSION SERVICES EXTENSION WORKERS FAMILIES FAMILY HEALTH FAMILY PLANNING FAMILY PLANNING INFORMATION FARMERS FEDERAL GOVERNMENT FEDERAL GOVERNMENTS FINANCIAL MANAGEMENT FIRST AID GENDER GENDER BIAS GENDER DIFFERENCES GENDER EQUALITY GENDER EQUITY GENDER INEQUALITIES GENDER ISSUES GROSS DOMESTIC PRODUCT HEALTH CENTERS HEALTH EDUCATION HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICES HEALTH WORKERS HIV HOSPITALS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUNGER HYGIENE IMMUNIZATION IMMUNIZATIONS IMMUNODEFICIENCY INFANT INFANT MORTALITY INFORMATION SYSTEMS INITIATIVE INTEGRITY INTERVENTION LEADERSHIP LEARNING LEARNING MATERIALS LEGAL FRAMEWORK LEGAL STATUS LEVEL OF DEVELOPMENT LIFE EXPECTANCY LITERACY LITERACY TRAINING LOCAL AUTHORITIES LOCAL CAPACITY LOCAL DEVELOPMENT LOCAL GOVERNMENTS LOW-INCOME COUNTRIES LOW-INCOME COUNTRY MALARIA MANDATES MATERNAL HEALTH MATERNAL MORTALITY MEDICINES MIDWIFE MIDWIVES MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRY OF EDUCATION MINISTRY OF HEALTH MORTALITY NATIONAL LEVEL NATURAL DISASTER NATURAL DISASTERS NET ENROLLMENT NET ENROLLMENT RATE NET ENROLLMENT RATIO NET INTAKE NET INTAKE RATE NUMBER OF CHILDREN NUMBER OF PEOPLE NUMBER OF TEACHERS NURSES NUTRITION OFFICEHOLDERS PATIENTS PERSONAL HYGIENE PHYSICIANS PLACE OF RESIDENCE POLICY DIALOGUE POLICY MAKERS POLITICAL LEADERS POLITICIANS POOR PEOPLE POPULATION DISTRIBUTION PREGNANCIES PREGNANT WOMEN PREVENTION STRATEGIES PRIMARY EDUCATION PRIMARY ENROLLMENT PRIMARY HEALTH CARE PRIMARY LEVEL PRIMARY SCHOOL PRIMARY SCHOOL STUDENTS PRIMARY SCHOOL TEACHERS PROCUREMENT PROGRESS PROVISION OF SERVICES PUBLIC AWARENESS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC SERVICE PUBLIC SERVICES PUPIL-TEACHER RATIO QUALITY OF LIFE QUALITY OF SERVICES QUALITY SERVICES RADIO REDUCING MATERNAL MORTALITY REGIONAL POPULATION REPORT CARDS REPRODUCTIVE HEALTH RESOURCE FLOWS RESOURCE USE RESPECT SAFETY MEASURES SANITATION SCHOOL BUILDINGS SCHOOLS SERVICE DELIVERY SERVICE PROVIDERS SERVICE PROVISION SEXUALLY TRANSMITTED INFECTIONS SKILLED ATTENDANT SKILLED ATTENDANTS SKILLED BIRTH ATTENDANTS SOCIAL IMPACT SOCIAL WELFARE STUDENT ACHIEVEMENT SUSTAINABLE DEVELOPMENT TEACHER TEACHER ABSENTEEISM TEACHER COSTS TEACHERS TEACHING TELEVISION TRANSPARENCY TRIAL TUBERCULOSIS UNIVERSAL PRIMARY EDUCATION UNIVERSAL PRIMARY SCHOOL EDUCATION URBAN CENTERS USE OF CONTRACEPTION VACCINATION VACCINES VITAL STATISTICS WASTE WASTE DISPOSAL WATER MANAGEMENT WORKERS
Online Access:	http://documents.worldbank.org/curated/en/2014/09/20184149/improving-basic-services-bottom-forty-percent-lessons-ethiopia http://hdl.handle.net/10986/20001

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Summary:	Ethiopia, like most developing countries, has opted to deliver services such as basic education, primary health care, agricultural extension advice, water, and rural roads through a highly decentralized system (Manor 1999; Treisman 2007). That choice is based on several decades of theoretical analysis examining how a decentralized government might respond better to diverse local needs and provide public goods more efficiently than a highly centralized government. Ethiopia primarily manages the delivery of basic services at the woreda (district) level. Those services are financed predominantly through intergovernmental fiscal transfers (IGFTs) from the federal to the regional and then the woreda administrations, although some woredas raise a small amount of revenue to support local services. Since 2006, development partners and the government have cofinanced block grants for decentralized services through the Promoting Basic Services (PBS) Program. Aside from funding the delivery of services, the program supports measures to improve the quality of services and local governments capacity to deliver them by strengthening accountability and citizen voice.