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Extra resources for Ethiopia: Social Sector Report (World Bank Country Study)
Curative services constituted almost 80 percent of total government health expenditures in 1994. As a result, coverage rates for most disease prevention and control programs have been low. In 1995, less than 20 percent of pregnant women received antenatal care (compared with over 60 percent in Sub-Saharan Africa). Only 25 to 30 percent of children were immunized. Through much of the 1980s, the share of personnel costs in health costs increased, reaching 65 percent in 1990. This increase came at the expense of spending on drugs and facility maintenance.
The review mission included Marito Garcia (mission leader), David Dunlop, Young Hoy Kimaro, Christine Pena, Kaori Miyamoto, Yang-ro Yoon, Anil Deolalikar and Jacob van Lutsenburg Maas (AFTH1); Gebreselassie Okubaghzi (AFMET); Adam Lagerstedt, Helen Craig, Carlos Gargiulo and Dayl Donaldson (consultants). Additional analyses and subsequent revisions (based on comments from the Government of Ethiopia and other reviewers) were done after the mission by Christine Pena (AFTH4), Frank Riely (consultant), K.
There is also an overriding need to keep unit costs low. The following recommendations are made. Most of these are now being considered by the Government and are being incorporated in its education sector development program. Build smaller schools closer to the communities. This will put schools within reach of younger children and reduce travel time. Reduce the opportunity cost of schooling by adjusting the school calendar, making it more compatible with the peak agricultural season. Establish double shifts as the norm, so that instead of having to spend the whole day in school, children can choose to come to school either in the morning or in the afternoon.