Achieving Better Service Delivery Through Decentralization in Ethiopia

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Format: Paperback
Pub. Date: 2008-02-15
Publisher(s): World Bank Publications
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Summary

Achieving Better Service Delivery Through Decentralization in Ethiopia is part of the World Bank Working Paper series. These papers are published to communicate the results of the Bank's ongoing research and to stimulate public discussion.

Table of Contents

Forewordp. ix
Acknowledgmentsp. xi
Acronyms and Abbreviationsp. xiii
Executive Summaryp. xv
Improvements in Health and Education Servicesp. 1
Changes in Outcomes over the Past 15 Yearsp. 2
Was Decentralization Responsible?p. 2
Decentralization and the Delivery of Basic Servicesp. 7
Phasing in Decentralizationp. 7
A Framework for Understanding Service Delivery Outcomesp. 9
The Scope of Decentralization and Intergovernmental Fiscal Transfersp. 13
Subnational Structuresp. 13
Decentralization of Functions and Responsibilitiesp. 15
Financing Social Services through Intergovernmental Transfersp. 18
How Did Decentralization to Woreda Level Affect the Delivery of Social Services?p. 37
Increases in Woreda-Level Spending Following Decentralizationp. 38
Decentralization Appears to Have Improved the Distribution of Expenditures Across Woredas with Worse-off Woredas Benefiting the Mostp. 40
After Woreda-Level Decentralization Began, Some Evidence of Lagging Woredas Partly Catching Up in Social Service Deliveryp. 44
Teacher Redeployment Across Woredas and Within Woredasp. 46
Regression Analysis: Linking Expenditures with Outcomesp. 51
Decentralization's High Potential to Improve Service Deliveryp. 53
Making Decentralization Work: Overcoming Constraints in Decentralized Service Deliveryp. 57
Critical Constraintsp. 57
Regional Innovations for Recruiting and Retaining Workersp. 74
Empowering Citizens and Communities to Improve Services and Outcomesp. 75
Improving Accountability Mechanismsp. 85
Appendixes
Calculating Block Grants Allocations From Federal Government to Regions and Regions to Woredas Using the Three-Parameter Formulap. 91
The "Fiscal Equalization" and "Unit Cost" Approaches for Block Grant Allocationsp. 95
Regression Results on Education Outcomes Before and After Decentralizationp. 101
Estimating the Effects of Decentralization on the Delivery of Human Development Services in Ethiopiap. 103
Methodology and Technical Details for Data Analysis in Chapter 4p. 107
Referencesp. 109
List of Tables
Index of Real Government Expenditures and Spending as Percentage of GDP, 1999-2005p. 4
User Satisfaction with Government Health Services, 2005p. 6
User Satisfaction with School Services, 2005p. 6
Trends in Service Delivery, 1995/96-2004/05p. 8
Assignment of Expenditure and Revenue Responsibilities for Education, Health, and Water and Sanitation, by Tier of Government, circa 2005p. 16
A Wide Variation in Per Capita Block Grant Transfers to Regionsp. 20
Two Different Approaches for Allocating Federal Resources to Regionsp. 22
Regional Budgets and Share of Budgets Transferred to Woredas in Four Regions, 2005/06p. 28
Block Grant Allocations in Oromiya, 2002/03-2004/05p. 30
Block Grant Allocations in SNNPR, 2002/03-2004/05p. 30
Trends in Regional Expenditure, 1993/4-2005/06p. 31
Aggregate Fiscal Performancep. 35
Woreda-Level Spending on Education and Health in SNNPR, by Category of Spending, 2001 and 2004p. 42
Woreda-Level Per Capita Spending on Education and Health in Oromiya, by Category of Spending, 2001 and 2004p. 43
Woreda-Level Spending on Education and Health in SNNPR, by Type of Woreda, 2001 and 2004p. 43
Recurrent Expenditure Per Primary Student in SNNPR, 2001 and 2004p. 44
Recurrent Expenditure Per Secondary Student in SNNPR, 2001 and 2004p. 44
Education Outcomes in SNNPR, 2001 and 2004p. 45
Primary Education Outcomes in Oromiya, 2001 and 2004p. 45
Block Grant Transfers as a Proportion of Federal Revenues, 1996/97-2005/06p. 60
Number of Regional and Woreda-Level Personnel in Oromiya Before and After Decentralizationp. 69
Staffing in Sector Offices in Delanta Dawnt Woreda, Amhara Region, 2003/04p. 70
Staff Vacancies in Selected Woredasp. 71
Community Contributions to Education in Boset Woreda, Oromiya Region, 2004/05p. 78
Community Contributions to Education in Boritcha Woreda, SNNPR, 2004/05p. 79
Per Capita Block Grant Transfers and Populationp. 94
School-Level Regressions Explaining Educational Outcomes Before and After Decentralizationp. 101
Woreda-Level Regressions Explaining Educational Outcomes Before and After Decentralizationp. 102
Effects of Changes in Expenditures on Educational Outcomes in the Primary Education Subsector: Results of Woreda-Level Regressions for SNNPRp. 105
List of Figures
Primary Enrollment Increased Rapidly Beginning in the Mid-1990sp. 3
Increases in Primary School Enrollment Since 1995 Occurred Despite Only Modest Increases in Spending on Education as a Percentage of GDPp. 5
Decentralization has Devolved Responsibility to Subnational Levels of Governmentp. 9
Accountability for Providing Services Can Follow a Long Route or a Short Routep. 10
Federal Transfers to Regions Using Block Grants have been Rising but Not as Fast as Federal Discretionary Spendingp. 19
A Very Close Inverse Relationship Between a Region's Population and its Per Capita Transfer from the Federal Government in 2005/06p. 21
Following Decentralization, Transfers from Regional Governments to Woredas and Zones Increased, Except in SNNPR, Where They Were Already Highp. 23
Regional Budgets With and Without Special Purpose Grantsp. 32
Regional Revenue as a Share of General Government Revenue, 2002/03-2004/05p. 32
Real Per Capita Government Spending on Education Rose After 2000, but Much of the Increase went to Tertiary Educationp. 33
Overall Real Per Capita Spending on Health Increased Between 2000/01 and 2004/05, but Real Per Capita Subnational Government Spending Declinedp. 34
Woredas' Share of Regional Recurrent Budgets for Amhara, Oromiya, SNNPR, and Tigray (the Four Main Decentralizing Regions) Togetherp. 36
Expenditures of Woredas Increased After Decentralizationp. 39
Recurrent Woreda-Level Spending Rose in All Sectors in SNNPR Following Decentralizationp. 40
The Share of Total Recurrent Spending for Primary and Secondary Education in SNNPR Rose Following Decentralizationp. 41
Gross Enrollment Rates have Improved in All Categories of Woredas in SNNPR Since Decentralizationp. 46
Grade 8 Pass Rates in SNNPR Have Increased Since Decentralization, with Improvement in Pastoral Areas Greater than in Urban Areasp. 47
Repetition Rates have Fallen Sharply in Urban Areas and Pastoral Areas in SNNPR Since Decentralizationp. 47
Teachers have been Redeployed from Urban to Non-Urban Woredas Since Decentralizationp. 48
Teacher-Section Ratios Tended to Equalize Since Decentralization Began in SNNPRp. 49
The Gap in Pupil-Teacher Ratios Across Woredas has Narrowed Since Decentralizationp. 49
No Reallocation of Teachers or Narrowing of Gaps in Pupil-Teacher Ratios Appears to Have Taken Place in Oromiya Since Decentralizationp. 51
Differences in Pupil-Teacher Ratios Across Schools Within Woredas in SNNPR have Narrowed Since Decentralizationp. 52
Per Capita Block Grants to the Regions Averaged just Birr 82 Per Capita in 2004/05p. 58
Inadequate Financing Represents an Even Greater Constraint at the Woreda Levelp. 59
Capital Spending by Subnational Governments as a Share of Total Spending has been Declining, Especially in the Social Sectorsp. 64
Since Decentralization to the Woredas, There has been an Acceleration in the Production of Physical Capital Stock Related to Education and Health Service Deliveryp. 65
Nursing and Medical Students in Ethiopia Perceive that the Assignment of Posts is Subject to Manipulationp. 74
Community Contributions Represent a Much Larger Source of School Financing Than Incentive Awardsp. 81
Enrollment by Girls Rose in BESO Schoolsp. 81
School Attendance is Higher in Woredas in which Primary Education Continues to Grade 8p. 87
List of Boxes
The "Unit Cost" Approach to Block Grant Allocationp. 25
Performance Agreements in SNNPRp. 26
Devolution of Power in Theory and in Practicep. 27
Improving the Legal Framework for Decentralization in Tigrayp. 62
Improving Financial Management Reporting at the Woreda Levelp. 69
Community Participation in Service Delivery at Work: Ethiopia's Basic Education Strategic Objective (BESO)p. 80
Boosting Girls' Participation in Primary Education Through Girls' Advisory Committeesp. 82
Community Participation in Water Supply, Sanitation, and Health Education Schemes in Oromiyap. 83
Using Citizen Report Cards in Ethiopiap. 86
Table of Contents provided by Ingram. All Rights Reserved.

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