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Ethiopia has made major strides in improving its human development indicators in the past 15 years, achieving significant increases in the coverage of basic education and health services in a short period of time. Imrovements took place during a period of massive decentralization of fiscal resources, to the regions in 1994 and to woredas in 2002-03. The devolutionof power and resources from the federal and regional governments to woredas appears to have improved the delivery of basic services. Surveys of beneficiaries reveal that they perceive that service coverage and quality have improved. B

Decentralization in government --- Public administration --- Administration, Public --- Delivery of government services --- Government services, Delivery of --- Public management --- Public sector management --- Centralization in government --- Devolution in government --- Government centralization --- Government decentralization --- Government devolution --- Political science --- Administrative law --- Local government --- Public officers --- Central-local government relations --- Federal government

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Education, Primary --- Government spending policy --- Public health --- Finance. --- Developing countries --- Appropriations and expenditures.

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Despite recent progress, malnutrition remains a severe problem in Ethiopia, especially among young children. Many of them suffer lifelong consequences in terms of higher risk of mortality and future illness, impaired cognitive ability (including lower IQ) and educational attainment, and overall productivity loss. This report provides the findings from an in-depth data-based analysis of malnutrition in Ethiopia and its causes. It assesses various aspects of current nutrition programming in the country, noting the importance of Ethiopia's first National Nutrition Strategy and National Nutrition

Malnutrition --- Malnutrition in children --- Cost effectiveness --- Benefit cost analysis --- Capital output ratios --- Cost benefit analysis --- Costs, Industrial --- Engineering economy --- Value analysis (Cost control) --- Children --- Nutrition disorders in children --- Nutrition disorders --- Nutrition --- Starvation

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"Mobarak, Rajkumar, and Cropper examine the impact of local politics and government structure on the allocation of publicly subsidized (SUS) health services across municipios (counties) in Brazil, and on the probability that uninsured individuals who require medical attention actually receive access to those health services. Using data from the 1998 PNAD survey they demonstrate that higher per capita levels of SUS doctors, nurses, and clinic rooms increase the probability that an uninsured individual gains access to health services when he or she seeks it. The authors find that an increase in income inequality, an increase in the percentage of the population that votes, and an increase in the percentage of votes going to left-leaning candidates are each associated with higher levels of public health services. The per capita provision of doctors, nurses, and clinics is also greater in counties with a popular local leader and in counties where the county mayor and state governor are politically aligned. Administrative decentralization of health services to the county decreases provision levels and reduces access to services by the uninsured unless it is accompanied by good local governance. This paper is a product of the Infrastructure and Environment Team, Development Research Group"--World Bank web site.

Public health