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E-book
Author Khan, Qaiser M., author.

Title Improving basic services for the bottom forty percent : lessons from Ethiopia / Qaiser M. Khan, Jean-Paul Faguet, Christopher Gaukler, and Wendmsyamregne Mekasha
Published Washington, District of Columbia : World Bank Group, 2014
©2014

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Description 1 online resource (136 pages) : illustrations, tables
Series World Bank study
World Bank studies.
Contents Front Cover; Contents; Foreword; Acknowledgments; About the Authors; Executive Summary; Abbreviations; Introduction and Background; Context and Structure of This Book; The Promoting Basic Services Program; Figures; Figure I.1 The Triangle of Accountability in Service Delivery; Boxes; Box I.1 The Indirect Route of Accountability Through Policy Makers to Service Providers; Tables; Table I.1 Federal Block Grants and PBS Program Disbursements; Table I.2 Total Woreda Recurrent Expenditures by Region; Notes; Chapter 1 Conceptual Framework and Methodology
Figure 1.1 Conceptual Model of the Results Chain of PBS Spending Box 1.1 Some Caveats on Interpreting the Results of This Study; Figure 1.2 Woreda-Level Expenditure in the Five PBS Sectors, 2011; Notes; Chapter 2 Citizen Direct Voice and Accountability; Box 2.1 The Direct Route of Accountability-Citizen Direct Voice and Accountability Models in Ethiopia; Decentralization and the Quality and Appropriateness of Local Services; Financial Transparency and Accountability; Social Accountability; Grievance Redress Mechanisms; Notes
Chapter 3 Effectiveness of Woreda Block Grant Spending on Education, Health, and Agriculture A Positive Association between Woreda Block Spending and Results in Education; A Positive Association between Woreda Block Grant Spending and Results in Health; Box 3.1 Ethiopia's Health Extension Program and Health Extension Workers; Table 3.1 Association of Log of Per Capita Education Expenditure with Log of Education Outcomes; Table 3.2 Association of Log of Per Capita Health Expenditure with Health Outcomes; A Positive Association between Woreda Block Grant Spending and Results in Agriculture
Figure 3.1 Growth in Extension Services and Woredas' Expenditure on Agriculture, 2008-11 Table 3.3 Effect on Farmers' Use of Extension Services of ETB 1 Per Capita Spending on Agricultural Extension Workers; Figure 3.2 Production by Crop, 2011; Notes; Table 3.4 Association of Log of Per Capita Spending on Agricultural Extension Workers with Log of Yield; Chapter 4 How Equitable Is Decentralized Spending at the Woreda Level?; Woreda Block Grant Spending on Health Improves Outcomes, Especially for the Rural Poor
Figure 4.1 Percent Improvement in Selected Health Indicators Among Rural People Between 2005 and 2011, by Wealth Quintile Table 4.1 Predicted Probabilities for "Successful" Health Outcomes by Place of Residence and Wealth Quintile if an HEW Visited the Household in the Past Year; Incidence Analysis of Woreda Block Grant Spending on Health and Education; Table 4.2 Incidence of Woreda-Level Spending by Wealth Quintile; Catalytic Effect of Spending on Extension Services by Plot Size; Gender Equity Analysis for Woreda Block Grant Spending
Summary Ethiopia's model for delivering basic services appears to be succeeding and to confirm that services improve when service providers are more accountable to citizens. As discussed in the World Development Report 2004, accountability for delivering basic services can take an indirect, long route, in which citizens influence service providers through government, or a more direct, short route between service providers and citizens. When the long, indirect route of accountability is ineffective, service delivery can suffer, especially among poor or marginalized citizens who find it challenging to express their views to policymakers. In Ethiopia, the indirect route of accountability works well precisely because of decentralization. Service providers are strictly accountable to local governments for producing results, but in turn, the local authorities are held accountable by the regional and federal governments. A degree of local competition for power and influence helps to induce local authorities and service provides to remain open to feedback from citizens and take responsibility for results. The direct route of accountability has been reinforced by measures to strengthen financial transparency and accountability (educating citizens on local budgets and publicly providing information on budgets and service delivery goals), social accountability (improving citizens' opportunities to provide feedback directly to local administrators and service providers), and impartial procedures to redress grievances. Woreda-level (district) spending has been a very effective strategy for Ethiopia to attain its Millennium Development Goals (MDGs). Woreda health and education goes to pay for health extension workers (HEWs) and teachers. This study finds evidence that woreda-level spending in health and education is effective. Owing to the intervention of HEWs, the use of health services has increased, especially among the poorest quintiles. Finally, the effect of woreda-level spending on agricultural extension workers is associated with higher yields for major crops. Spending on agricultural extension workers increases the probability that farmers, regardless of the size of their plots, will use improved farming techniques. Education, health, and agriculture account for 97 percent of woreda spending. This is complemented by support for capacity building and citizen voice. Clearly, spending efficiency is improved through better capacity, more transparency, and greater accountability to citizens
Bibliography Includes bibliographical references
Notes English
Online resource; title from PDF title page (ebrary, viewed September 17, 2014)
Subject Poor -- Services for -- Ethiopia
Basic needs -- Ethiopia
Economic assistance, Domestic -- Ethiopia
Macroeconomics -- Mathematical models.
BUSINESS & ECONOMICS -- Economics -- Macroeconomics.
POLITICAL SCIENCE -- Economic Conditions.
Basic needs
Economic assistance, Domestic
Macroeconomics -- Mathematical models
Poor -- Services for
Ethiopia
Form Electronic book
Author Faguet, Jean-Paul, author.
Gaukler, Christopher, author.
Mekasha, Wendmsyamregne, author.
ISBN 9781464803338
1464803331
1464803315
9781464803314