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<front>
<journal-meta>
<journal-id>1727-3781</journal-id>
<journal-title><![CDATA[PER: Potchefstroomse Elektroniese Regsblad]]></journal-title>
<abbrev-journal-title><![CDATA[PER]]></abbrev-journal-title>
<issn>1727-3781</issn>
<publisher>
<publisher-name><![CDATA[Publication of North-West University (Potchefstroom Campus)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-37812012000200006</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The implications of federalism and decentralisation on socio-economic conditions in Ethiopia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zimmermann-Steinhart]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bekele]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<xref ref-type="aff" rid="A02"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Erlangen-Nürnberg  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="A02">
<institution><![CDATA[,Addis Ababa University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2012</year>
</pub-date>
<volume>15</volume>
<numero>2</numero>
<fpage>01</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.za/scielo.php?script=sci_arttext&amp;pid=S1727-37812012000200006&amp;lng=en&amp;nrm=iso&amp;tlng=en"></self-uri><self-uri xlink:href="http://www.scielo.org.za/scielo.php?script=sci_abstract&amp;pid=S1727-37812012000200006&amp;lng=en&amp;nrm=iso&amp;tlng=en"></self-uri><self-uri xlink:href="http://www.scielo.org.za/scielo.php?script=sci_pdf&amp;pid=S1727-37812012000200006&amp;lng=en&amp;nrm=iso&amp;tlng=en"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[This paper analyses impacts of the federal system and the decentralisation of functions to the district level on Ethiopia's socio-economic development. Firstly we will highlight the principles of the Ethiopian federal system as well as those of the 2001/2002 decentralisation process. Secondly we will show how the decentralisation has impacted on two of the decentralised sectors, health and education, by comparing pre-federal, pre- and post-decentralisation data. In both cases an overall increase in allocated budgets and an increase in the scale of the services offered since decentralisation started in 2001 has been found. Studies also show that the increase in services is not homogenous across regional states. Within the four larger regions, strongly disadvantaged woredas at the outset of the decentralisation process have profited most, which shows that the constitutional imperative of equal access to services is being implemented. Some of the regions where decentralisation was started later have still not caught up with the other regions, a phenomenon which is mostly due to capacity deficits. The article concludes that decentralisation in combination with consistent development policies has led to an overall improvement in service delivery, while some challenges regarding quality and equity still need to be addressed.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Ethiopia]]></kwd>
<kwd lng="en"><![CDATA[federalism]]></kwd>
<kwd lng="en"><![CDATA[decentralisation]]></kwd>
<kwd lng="en"><![CDATA[woredas]]></kwd>
<kwd lng="en"><![CDATA[development policy]]></kwd>
<kwd lng="en"><![CDATA[equity]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p align="right"><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b>CONFERENCE    PAPERS</b></font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="4"><b>The implications    of federalism and decentralisation on socio-economic conditions in Ethiopia</b></font></p>     <p>&nbsp;</p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>P Zimmermann-Steinhart<sup>I</sup>;    Y Bekele<sup>II</sup></b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <sup>I</sup>Dr.phil    (Erlangen-N&uuml;rnberg), <a href="mailto:petra@zimmermann-steinhart.de">petra@zimmermann-steinhart.de</a>    <br>   <sup>II</sup>BA MA (Addis Ababa University), <a href="mailto:yacobmanutd@yahoo.com">yacobmanutd@yahoo.com</a>    . While the authors are advisors to/experts in the House of Federation of the    Federal Democratic Republic of Ethiopia, this article expresses their private    opinions</font></p>     <p>&nbsp;</p>     <p>&nbsp;</p> <hr size="1" noshade>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b>SUMMARY</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">This paper analyses    impacts of the federal system and the decentralisation of functions to the district    level on Ethiopia's socio-economic development. Firstly we will highlight the    principles of the Ethiopian federal system as well as those of the 2001/2002    decentralisation process. Secondly we will show how the decentralisation has    impacted on two of the decentralised sectors, health and education, by comparing    pre-federal, pre- and post-decentralisation data.    <br>   In both cases an overall increase in allocated budgets and an increase in the    scale of the services offered since decentralisation started in 2001 has been    found. Studies also show that the increase in services is not homogenous across    regional states. Within the four larger regions, strongly disadvantaged woredas    at the outset of the decentralisation process have profited most, which shows    that the constitutional imperative of equal access to services is being implemented.    Some of the regions where decentralisation was started later have still not    caught up with the other regions, a phenomenon which is mostly due to capacity    deficits.    <br>   The article concludes that decentralisation in combination with consistent development    policies has led to an overall improvement in service delivery, while some challenges    regarding quality and equity still need to be addressed.</font></p> <p/>      <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b>Keywords</b>:    Ethiopia, federalism, decentralisation, woredas, development policy, equity</font></p> <hr size="1" noshade>     <p>&nbsp;</p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>1 Introduction</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Ethiopia underwent    a dramatic system-change after the defeat of the military regime that had ruled    the country between 1974 and 1991. While Ethiopia is characterised by significant    diversity in terms of ethnicity, language, culture and religion, its previous    emperors, Menelik II and Haile Selassie, had subjected the country to the principle    of "one language, one culture, one religion, one nation". Assimilation and suppression    rather than integration were the governing principles. While the military regime,    the so called Derg-regime, addressed some of the ethnic issues at the end of    its rule, giving the populace democratic choices was not contemplated.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">After the military    defeat of the Derg-regime, which was achieved through a coalition of ethnically-based    armed groups, the principle of ethnic self-determination and a democratic order    became preconditions for the maintenance of a polity within Ethiopia's boundaries,    thus making space for diversity. Between 1991 and 1995 the country was governed    on the basis of the "Transitional Charter", which held up to the self-determination    principle and provided for decentralised organisation. Federalism was chosen    as the glue to hold the country together, while the principle of self-determination    was preserved within this system. The state-organisation has also had to respond    to the need for development. For this reason a range of services have been decentralised    from regional state level to district level, starting in 2001.</font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">This paper analyses    impacts of the federal system and the decentralisation of functions to the district    level on Ethiopia's socio-economic development. Firstly we will highlight the    principles of the Ethiopian federal system as well as those of the 2001/2002    decentralisation process. Secondly we will show how the decentralisation has    impacted on two of the decentralised sectors, health and education, by comparing    pre-federal, pre- and post-decentralisation data.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>2 The principles    of Ethiopian federalism and decentralisation</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Ethiopia's approximately    74 million citizens belong to more than 75 different ethnic groups<a name="top1"></a><a href="#back1"><sup>1</sup></a>which    are - because of their historical independence and their distinct systems of    governance - referred to as "Nations, Nationalities and Peoples". During previous    regimes, this distinctiveness was widely seen as a threat and was suppressed    under the slogan: "One nation, one language, one culture".</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">After the defeat    of the Derg military regime a complete shift in paradigm was undertaken. Instead    of seeking unity through assimilation, unity was going to be achieved through    the accommodation of diversities of all kinds, granting equal rights and status    to all of the groups in the country. The most important principles in this process    have been the right to self-determination and equality.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The <i>Constitution    of the Federal Democratic Republic of Ethiopia</i>builds on four central principles:    the right to self-determination, the sovereignty of the Nations, Nationalities    and Peoples (NNP), equality, and equity. Figure provides an overview of the    principles and their interdependent relationship.</font></p>     <p>&nbsp;</p>     <p align="center"><img src="/img/revistas/pelj/v15n2/06f01.jpg"></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">These four principles    are the determining factors for Ethiopian federalism and the decentralisation    of functions to district level. Based on these principles, the Ethiopian polity    consists of nine regional states and two city administrations. The regional    states basically follow ethnic settlement patterns. While some of the regional    states consist of a majority ethnic group, none of the regional states is completely    homogenous regarding their ethnicity.</font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The Constitution    assigns mandates to the regional states (Article 52) as well as the federal    government (Article 51), leaving the residual powers with the regional states    (Article 52 (1)). Among other powers, the regional states enjoy cultural and    linguistic autonomy. The mandates of the regional states are: ensuring self-government    and the continuance of the democratic order based on the rule of law; exercising    responsibility for socio-economic development policies; policing and public    security on the state level; levying and collecting the regional taxes; and    managing the regional civil service.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">In order to finance    their mandates, the regional states levy taxes such as income taxes, land use    fees, and profit, sales and excise taxes of state-owned companies (Artcile 97).    However, the income generated by the regional states is not sufficient to cover    their costs, which creates a vertical imbalance which is addressed through a    formula-based fiscal equalisation system. This system was designed and decided    upon by the Upper House of Parliament, the House of Federation, which represents    Ethiopia's nations, nationalities and peoples.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The powers of the    regional states enable them to find adequate local solutions, but in practice    the variation across regional policies, ranging from their constitutions to    their policies, is relatively small. The limited variation has been seen as    an effect of party discipline by some authors,<a name="top2"></a><a href="#back2"><sup>2</sup></a>and    may otherwise also be interpreted as a function of development goals and unequally    distributed capacities.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>3 Decentralisation:    principles, process and mechanisms</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">A decentralised    governance system is not unfamiliar to Ethiopia. In its pre-modern era the country    had enjoyed a traditional system of governance that resembled some kind of federal    or confederal arrangement. Throughout this period warlords and nobilities at    provincial and local levels had almost complete autonomy over the territories    they controlled. The most that was expected from them was to acknowledge the    imperial throne as the central authority and to pay a certain tribute.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The second half    of the 19<sup>th</sup>century marked the start of the centralisation process.    The process began with an attempt by Emperor Tewodros II (1855-1868) to create    a centralised and unified modern Ethiopia. The attempt was then further pursued    by emperor Menelik II, who consolidated the different parts of what was now    Ethiopia through the process of forced inclusion and assimilation of the diverse    peoples of the country<a name="top3"></a><a href="#back3"><sup>3</sup></a>.    It was during the reign of Emperor Haile Selassie (1930-1974) that the process    of centralisation reached its peak.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Even after the    fall of the Emperor, the governance system continued to be centralised. The    Derg in fact introduced a new system of regional administration in which some    regions were labeled as 'autonomous'. In practice, however, these so-called    autonomous regions had no political or fiscal powers.<a name="top4"></a><a href="#back4"><sup>4</sup></a>In    1987, following the adoption of the third Constitution, the Derg also tried    to introduce a decentralised political system in which twenty-five administrative    provinces and five autonomous regions were formed, taking ethnicity partly into    account.<a name="top5"></a><a href="#back5"><sup>5</sup></a>The proclamation    that declared the attempt at decentralisation, however, was not put into practice.<a name="top6"></a><a href="#back6"><sup>6</sup></a></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">As one commentator    puts it, the current Ethiopian decentralisation is "a relapse into the customary    and traditional mode of governance of bygone days."<a name="top7"></a><a href="#back7"><sup>7</sup></a>The    relapse began with the establishment of a federal system, first via Proclamation    No 7/1992 of the Transitional Government and then codified in the 1995 <i>Federal    Constitution</i>. The principal aim of the new federal arrangement is to provide    the various ethno-national groups - 'Nations, Nationalities and Peoples' - of    Ethiopia with the power to govern themselves while at the same time maintain    the unity of the country through a mechanism of shared rule. Through the <i>Federal    Constitution</i>, the diverse cultural and linguistic groups of Ethiopia have    been accorded the right to almost all aspects of self-determination.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">This was the beginning    of the first phase of decentralisation, which resulted in the creation of regional    governments mainly on the basis of 'ethnicity' and settlement patterns, with    most of the regions named after the dominant nationality in the state. The Ethiopian    federation consists of the federal government, nine ethnic regional states and    two city administrations. The regional states are Afar, Amhara, Benishangul    Gumuz, Gambella, Harari, Oromia, Somali, Southern Nations, Nationalities and    Peoples (SNNP), and Tigray (Article 47/1). Addis Ababa and Dire Dawa are established    as autonomous cities through the constitution (Article 49) and a federal proclamation    respectively.</font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Ethiopia adopted    a dual federal system in which most of the executive powers of each level of    government are coexistent with its legislative powers. Article 50(2) of the    Constitution proclaims that each level of government must have legislative,    executive and judicial powers. The division of powers suggests that the legislative    and executive powers of each level are parallel, except in areas of land and    natural resources. Articles 51 and 52 of the Constitution define the powers    and functions of the federal and regional governments respectively. In Article    51, more extensive powers are exclusively assigned to the federal government.    These include foreign affairs, national defense, financial and monetary policy,    air, rail and water transport, inter-state commerce, patent and copy rights    and nationality-related issues. Areas such as economic and social policies,    education, public health, land and natural resources, civil law and peace and    security fall under concurrent jurisdiction. Regional governments also have    robust powers. Apart from certain exclusive powers such as ensuring the continuance    of self-government and democratic order, they are entrusted with residual powers.    As per Article 52(1), "all powers not given expressly to the Federal Government    alone or concurrently to the Federal Government and the States are reserved    to the States."</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The Constitution    says almost nothing concerning the place and status of local governments, for    local government is to be regulated in the states' constitutions. However, it    requires states to transfer adequate power to lower levels of government (Article    50/4). In addition, it grants each ethno-national group "the right to a full    measure of self-government, which includes the right to establish institutions    of government in the territory that it inhabits and to equitable representation    in State and Federal governments" (Article 39/3).Despite this, the first wave    of decentralisation has registered only modest achievements in bringing genuine    self-rule at local level. Woredas<a name="top8"></a><a href="#back8"><sup>8</sup></a>hardly    had the authority and resources to effectively engage in democratic self-rule.    They were only administrative organs over which regional authorities had a strong    controlling power.<a name="top9"></a><a href="#back9"><sup>9</sup></a></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">It was this situation    that forced the government of Ethiopia to embark on the second phase of decentralisation    in 2001/02, which further devolved powers and responsibilities to local levels.    This has been achieved through the District Level Decentralisation Programme    (the DLDP). The DLDP aims at deepening the devolution of power to the local    level to enhance local participation, promote good governance, and improve decentralised    service delivery.<a name="top10"></a><a href="#back10"><sup>10</sup></a></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Programme implementation    started asymmetrically: first in the four largest regions (Amhara, Oromia, SNNP    and Tigray), and then in the remaining states in subsequent years. The implementation    required the amendment of regional constitutions with the aim of providing a    legal framework for the devolution of political and fiscal powers and institutional    restructuring. The new framework devolves substantial powers and resources to    local governments. The status and power of zonal administrations have been reduced    and more powers have been accorded to woredas. After this reform, woredas became    responsible for preparing and implementing their developmental plans without    seeking authorisation from higher levels. Resources are also made available    to woredas from regions through the woreda block grant transfers. To create    an enabling environment for effective and efficient service delivery, public    employees have been redeployed from regions and zones to woredas.<a name="top11"></a><a href="#back11"><sup>11</sup></a></font></p>     <p>&nbsp;</p>     <p align="center"><img src="/img/revistas/pelj/v15n2/06f02.jpg"></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The Ethiopian decentralised    governance system now has five levels of government, i.e., federal, regional,    zonal, woreda and kebele governments. All levels of government except zones    have a tripartite structure: an elected council, an executive organ and an independent    judiciary. With the exception of the SNNP region and certain regions with more    than one nationality, where they have elected cabinets, zones do not have a    legislative organ. In regions with a strong majority nationality zones are deconcentrated    arms of the regional government, being responsible for coordinating and monitoring    the activities of woredas (see the regional constitutions for further details).</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>4 Development    in three decentralised sectors: education, health, water</b></font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b><i>4.1 Development    in the education sector</i></b></font></p> <p/>      <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">4.1.1 Overview</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Ethiopia has been    among Africa's worst performing countries regarding the development of the education    sector for a long time, with respect to accessibility, performance and relevance.<a name="top12"></a><a href="#back12"><sup>12</sup></a>The    first major attempt to broaden education was made during the Derg regime, resulting    in a 100% increase of children attending primary school between 1974/75 and    1985/86. In 1991 33% of the younger children were enrolled in primary education    and 5.3% of their seniors in secondary education. Education was available in    agglomerations of significant size, resulting in the need for children to travel    long distances to attend school. In 2011, however, 96.4% of the younger children    were enrolled in primary education, 38.1% of their seniors in secondary education,    primary schools being available in every kebele.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Since the decentralisation    process mainly concerned primary education, this section of this article focuses    on this aspect of the education sector, while other areas are barely touched    upon.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">4.1.2 Mandates<a name="top13"></a><a href="#back13"><sup>13</sup></a></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The Constitution    contains a number of provisions relevant for the education sector. First of    all it guarantees each of the nations, nationalities and peoples of Ethiopia    the right of cultural identity, including to right to speak, write and develop    their language (Article 39 (2)). Additionally, Article 90(2) stipulates that    education has to be free from any religious influence, political partisanship    and cultural prejudices, and finally Article 41 requires the provision of equal    access to social services and obliges the government to allocate ever increasing    resources to provide health, education and other social services.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">With regard to    education, the federal level of government sets standards and policy criteria    for all areas of education. It monitors the performance of the regional states.    Further, it is responsible for the establishment and the administration of institutions    of tertiary education (Article 51(2,3). The federal government provides technical    and professional support to the other levels of government, for example in curricula    development.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The regional states    are responsible for the implementation and adaptation of these curricula to    regional needs. One of these aspects is primary education in languages other    than Amharic in order to implement the constitutional imperative of self-determination,    of which cultural self-determination is one important factor (Article 39). The    regions develop the curricula for primary education and ensure that national    standards are met. Zones and regions are further responsible for the establishment    and administration of the second cycle of secondary education (grades 11 and    12), special schools, technical and vocational schools, teacher training institutions    and medium-level colleges. The regions print and distribute textbooks for these    institutions of education.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Since the start    of the woreda decentralisation, woredas have been given great responsibilities    with regard to the provision and administration of basic education services    including primary education (grades 1-8), secondary education (grades 9 and    10), and adult education. Within these areas woredas are responsible both for    planning and implementing educational plans. They have to ensure the provision    of equitable access to education, which includes the planning of new schools,    and the hiring and deploying of teachers. In doing so they have to ensure that    they meet the standards set at regional and federal level. Woredas supervise    schools, print and distribute textbooks. Additionally, woredas are responsible    for establishing and administering boarding schools for primary education. Woredas    supervise both government and non-government schools.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">There are many    challenging constraints regarding the overlapping mandates of regional states,    zones and woredas, and issues arising from their unequal capacity.</font></p> <p/>      ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">4.1.3 Policy and    plans</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The education sector    policy is articulated in the "Education and Training Policy", which for example    provides for free primary education.<a name="top14"></a><a href="#back14"><sup>14</sup></a>In    order to improve access and quality, the government has set up the Education    Sector Development Plan (ESDP), which is currently in its fourth phase. This    plan guides the implementation of the mandate to set standards and to establish    policy criteria. The plan sets criteria regarding all levels of education from    kindergarten to university education. The first ESDP started in 1997 and ran    for five years, while the second programme ran only from 2002/03 to 2004/05,    in order to align the programme phases with the government's general development    plans. While the focus of ESDP I through ESDP III was mainly on equal access    to education, including secondary and higher education for boys and girls, ESDP    IV addresses the challenges that occurred during the previous programmes. The    focus of ESDP IV therefore lies on quality education: the improvement of student    achievement (the reduction of the drop-out ratio and an increase in the teacher-student    ratio as well as an improvement in the quality of teacher education), bringing    so far unreachable children into school, the reduction of illiteracy rates through    increased and renewed adult education, an increase of TVET and higher education    and, last but not least, an improvement in the standard of educational administration.<a name="top15"></a><a href="#back15"><sup>15</sup></a></font></p> <p/>      <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">4.1.4 Decentralisation    and its impact on service delivery in primary education</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Decentralisation    plays an important role in the ESDP. As stated above, decentralisation has been    organised in stages. In 2000 the responsibility to manage schools and to issue    regulations in this regard was transferred to regional governments and the governments    of the two city administrations, Addis Ababa and Dire Dawa.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Since the woreda    decentralisation first started in the four bigger regions, mandates have been    transferred as described above. The decentralisation and the development of    the Education Sector Development Plans were expected to improve the efficiency    of the provision of services in this sector. A World Bank Working Paper<a name="top16"></a><a href="#back16"><sup>16</sup></a>analysing    the effect of decentralisation in two of the pioneering regional states, Oromia    and SNNPR, shows that the decentralisation had the expected effects. First of    all the spending on education has been significantly increased, especially in    the formerly least developed woredas. The increased spending then positively    impacted on service delivery, as we can see from the enrolment rates shown in    Erro: Origem da refer&ecirc;ncia n&atilde;o encontrada.&nbsp;</font></p>     <p>&nbsp;</p>     <p align="center"><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><a href="/img/revistas/pelj/v15n2/06t01.jpg">Table    1</a></font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Table 1 provides    some quantitative and some qualitative indicators regarding the development    of the education sector since 1995. The first figure shows the growth of students    in primary education in absolute figures. This accounts for both population    growth and the intake capacity of schools. The second category is the gross    enrolment for primary education, which also significantly increased after 1995    from 41.8% of the school-aged population to 96.4% in 2010, showing the highest    increment in growth between 2000 and 2005, which was the period of decentralisation.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The ratio between    education in rural and urban areas, which is also given in Table , also indicates    the positive impact of decentralisation on the provision of primary education.    About 80% of the Ethiopian population live in rural areas. The fact that the    gross enrolment in the rural area accounted for 79.9% of the enrolled children    in 2010 demonstrates that the previously existing gaps between the rural and    urban areas has been closed.</font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Another indicator    regarding the development of education is its share in the public budget. Table    shows a constant increase of education's share of the overall budget, the biggest    increase taking place between 2005 and 2010, from 17.9% to 27.0%. The increase    is not only due to decentralisation but also to the enhanced effort to reach    the Millennium Development Goals.</font></p>     <p>&nbsp;</p>     <p align="center"><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><a href="/img/revistas/pelj/v15n2/06t02.jpg">Table    2</a> </font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The number of primary    schools has tripled within 15 years from almost 9 670 to 28 349 schools in 2010,    of which almost 10 000 were built between 2005 and 2010. While this increase    is not due to the decentralisation policy, it should also be noted that similar    efforts were undertaken in the area of secondary and tertiary education as well    as in the technical and vocational training sector.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">One of the achievements    of the decentralisation process is the use of the mother tongue as the medium    of instruction in primary education. While every child has the constitutional    right to mother tongue education, this has been difficult to implement especially    in areas where no clear majority language prevails or where there is one majority    language and a large number of other languages in insignificant numbers. Research    undertaken by MA graduates on Federal Studies at Addis Ababa University has    shown mixed reactions to mother-tongue education. Some parents fear that their    children will not learn sufficient Amharic or English if they are taught in    their mother tongues, while others complain that their children are forced to    learn in a language other than their mother tongue because their particular    medium of instruction is not available at the specific place. In many cases,    however, the provision of mother tongue primary education has helped to increase    the acceptance of formal education and has contributed towards the increase    in enrolment.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">While access to    education has been widely and significantly increased, concerns remain regarding    the quality of education. High drop-out rates, especially in grade 1 of 13%    (in 2008 the drop-out rate rose to 18.6%) are one indicator concerning quality.    The following statement by the Ministry of Education summarises the quality    problem, which also includes weak performance by the pupils:<a name="top17"></a><a href="#back17"><sup>17</sup></a></font></p>     <blockquote>        <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">It is necessary      therefore to shift attention to quality concerns in general and to those inputs      and processes which translate more directly into improved student learning      and which help change the school into a genuine learning environment (such      as: quality-focused school supervision, internal school leadership, increased      student participation, school-community partnerships).</font></p> </blockquote>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">From the available    data and the research undertaken by different organisations such as the World    Bank, we can also see that decentralisation has benefitted the most disadvantaged    districts most.<a name="top18"></a><a href="#back18"><sup>18</sup></a>In SNNPR,    the decentralisation policy in the education sector provided an opportunity    to reallocate teachers from the urban to the rural area, thus contributing to    the increase in the rural enrolment rates. In Oromia, however, the results especially    regarding quality indicators are more mixed.</font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Despite these constraints    we may safely conclude that the situation in the education sector has been improved    significantly. Some of the issues that remain to be addressed may not be resolved    on the decentralised level, as teacher training, for instance, is not dealt    with on the local level. Here a better coordination and cooperation between    the different levels of government is needed in order to bridge the gap.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b><i>4.2 Development    in the health sector</i></b></font></p> <p/>      <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">4.2.1 Overview</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The health status    of the Ethiopian population during the immediate post-federal period was extremely    poor, due mainly to the political upheaval the country had experienced under    the previous regimes. This was reflected in the conventional health parameters    such as life expectancy, the infant mortality rate and the maternal mortality    rate. In 1997, for instance, the average life expectancy was 51 (males 49, females    52). While infant mortality ranged from 110 to 128 per 1,000 live births, the    under-5 mortality rate was 161 deaths per 1,000, and maternal mortality was    500-700 per 100,000 live births (see Table ).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The potential health    services coverage and infrastructure in Ethiopia were also inadequate and inequitable.    In 1996/97, only about 52% of the population had access to health facilities.    There were only 46 public hospitals, 241 health centers and 76 health posts.    This resulted in the following ratios of hospitals per population: 1:1,186,061;    health care per population: 1:241,149 and health post per population: 1:764,697.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Today the situation    has improved to such an extent that reaching the Millennium Development Goals    by 2015 seems possible. According to the 2011 Ethiopian Demographic and Household    Survey<a name="top19"></a><a href="#back19"><sup>19</sup></a>, infant mortality    declined to 59 deaths per 1,000 live births, compared with 77 deaths per 1,000    live births in 2005. Under-five mortality levels also decreased from 123 deaths    per 1,000 live births in 2005 to the current level of 88 deaths per 1,000 live    births. At 676 deaths per 100,000 live births, the maternal mortality ratio    is the other area that shows great improvement.&nbsp;</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">4.2.2 Mandates</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Ethiopia has a    decentralised health system. Health sector decentralisation started during the    post-Derg transitional period. The health policy of the Transitional Government    (1991-1995) considereddecentralisation the most appropriate system of government    for the full exercise of the rights and powers of Ethiopia's diverse peoples.<a name="top20"></a><a href="#back20"><sup>20</sup></a>The    policy stated that decentralisation would be realised through the transfer of    major health-care responsibilities to the sub-national governments with a clear    definition of the roles they were to play.<a name="top21"></a><a href="#back21"><sup>21</sup></a></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The 1995 <i>Constitution    of the Federal Democratic Republic of Ethiopia</i>also regards jurisdiction    over public health care as a power shared between the federal and regional governments.    As per Article 51(2) of the 1995 <i>Federal Constitution</i>, the formulation    and implementation of the country's policies, strategies and plans in respect    of overall economic, social and development matters is in the federal domain.    This implies that the federal government is empowered to devise and execute    national health care policy, strategies and plans. Sub-article 3 of the same    article provides the Federal Government with the power to "establish and implement    national standards and basic policy criteria for public health." Besides monitoring    the implementation of these standards and policy criteria across regions, the    federal government is also responsible for establishing and administering specialised    and referral hospitals.<a name="top22"></a><a href="#back22"><sup>22</sup></a></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">In contrast, regional    governments have the power to formulate and execute their health policies, strategies    and plans (Article 52(2b) of the <i>Federal Constitution</i>). In addition,    health-related powers which are not given to the Federal Government are also    reserved to the states as per Article 52(1). These include the formulation and    execution of regional health policy; the coordination of health extension activities;    the establishment and administration of training institutions and junior colleges    for junior health professionals; the training of health professionals; the provision    of technical support to zones and woredas; the establishment and administration    of health examination centers; the construction and maintenance of referral    hospitals; the coordination of the control of communicable diseases; the purchase    and distribution of medical equipment and medicines; and the prevention and    control of HIV/AIDS.<a name="top23"></a><a href="#back23"><sup>23</sup></a></font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">In the four larger    regions, the zones have responsibilities such as providing technical support    to woredas; establishing and administering zonal and district hospitals; constructing    and administering pharmacies; and preventing and controlling HIV/AIDS. The coordination    of primary preventive and curative health care is the major responsibility of    woredas. Woredas are also responsible for implementing health extension; constructing    and administering health stations and health posts; the hiring of health staff    assigned to health stations, health posts, and clinics; and preventing and controlling    HIV/AIDS and malaria.<a name="top24"></a><a href="#back24"><sup>24</sup></a></font></p>     <p>&nbsp;</p>     <p align="center"><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><a href="/img/revistas/pelj/v15n2/06t03.jpg">Table    3</a> </font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><i>4.2.3 Policy    and plans</i></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The government    of Ethiopia issued its health policy in 1993, which aims primarily at providing    access to a basic package of quality primary health care services through a    decentralised system of governance.<a name="top25"></a><a href="#back25"><sup>25</sup></a>The    health policy primarily focuses on prevention, but also includes promotive and    curative components. In order to achieve the goals of the health policy, a twenty-year    health sector development strategy has been formulated, which is being implemented    through a series of five-year plans. This is known as the Health Sector Development    Programme (the HSDP).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The HSDP aims to    develop a health system that provides comprehensive and integrated primary care    services based primarily at community health level facilities. The first HSDP    was launched in 1997, followed by the second and the third in 2002 and 2006    respectively. And now the fourth HSDP is being implemented. The main thrust    of the implementation is based on a sector-wide approach, encompassing the following    eight components: service delivery and the quality of care, health facility    rehabilitation and expansion, human resource development, pharmaceutical services,    information, education and communication, health sector management and management    of information systems, monitoring and evaluation, and health care financing.<a name="top26"></a><a href="#back26"><sup>26</sup></a></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The design and    implementation of the HSDP was significantly influenced by the policy of decentralisation.    This programme is an intergovernmental programme wherein each level of government    has its own responsibilities in its design and/or implementation. In line with    the division of powers set out in the Constitution and other proclamations,    the Federal Government and regions are made to be responsible for policy matters    and technical support, while woredas are made to play the pivotal roles of implementation.<a name="top27"></a><a href="#back27"><sup>27</sup></a></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Large amounts of    funds are channeled into the health sector through the HSDPs. Over time the    expenditure in the health sector increased in terms both of the absolute amount    and on a <i>per capita</i> basis. In 1990/91, for instance, the total and <i>per    capita</i> expenditure in the health sector were 160,482,165 and 3.3 Ethiopian    Birr (ETB) respectively. With the start of the decentralisation process government    expenditure on health began to increase. At the end of the first phase of decentralisation    (2000/01), total health expenditure rose to ETB 749,730,000 and the <i>per capita</i>expenditure    became ETB 11.5. In 2009/10, the <i>per capita</i> expenditure reached ETB 34,    showing an average annual increase of 13.1% for 19 years, while the total expenditure    reached ETB 2,749,630,000, registering a 16.1% average annual increase. By the    same year the share of the health budget as a proportion of the total government    budget was 10%, making the sector the fourth most important sector in terms    of budget share.</font></p>     <p>&nbsp;</p>     ]]></body>
<body><![CDATA[<p align="center"><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><a href="/img/revistas/pelj/v15n2/06t04.jpg">Table    4</a> </font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Following the increase    in government expenditure, the overall performance of the public health system    of Ethiopia has improved. There has been a substantial increase in the potential    health service coverage (Table ). In 1997/98, only 52% of the Ethiopian population    had potential health service coverage. The coverage rose to 70.7% in 2001/02    and 90% in 2007/08, showing a 5.1% average annual increase. Similarly, the construction    of health facilities increased steadily. Between 1996/97 and 2009/10 the number    of hospitals increased from 46 to 126, health centers from 241 to 2,142, and    health posts from 72 to 14,242. This has increased the health facility to population    ratio significantly.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">4.2.4 Decentralisation    and its impact on service delivery in the health sector</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Impact indicators    of the health sector such as life expectancy, infant mortality, under 5 and    child mortality rates also show positive trends. Life expectancy at birth increased    from 52 in 1996/97 to 55.4 in 2009/10. Within the same time period, infant mortality    declined from 117 to 69 while under 5 and child mortality rates went down from    161 and 600 to 104 and 478 correspondingly.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The regional distribution    of potential health service coverage in Ethiopia is provided in&nbsp;. Except    for Benshangul Gumuz, all regions have shown great improvements. Tigray, Afar,    Benishangul Gumuz, SNNP and Gambella have full potential health services coverage,    while in other regions more than 70% of the populations of Amhara, Oromia, Harri    and Diredawa have potential health service coverage. Somale Regional State is    the worst performing region with only 50% of the population having access to    health services. This is mainly due to the fact that the region is relatively    politically unstable and conflict prone, and is also facing capacity-related    constraints.</font></p>     <p>&nbsp;</p>     <p align="center"><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><a href="/img/revistas/pelj/v15n2/06t05.jpg">Table    5</a> </font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The public health    care system of Ethiopia has seen significant achievements since decentralisation    started. This holds true for both quality and quantity. As in the education    sector, studies see an increase in public satisfaction with the services provided    since decentralisation started.<a name="top28"></a><a href="#back28"><sup>28</sup></a>The    health system has improved both in terms of coverage and equal access. The decentralisation    policy adopted by the country has played a pivotal role in the realisation of    this success. Decentralisation has enabled sub-national governments to play    a role in the provision of health services. It has also allowed regional and    woreda-level governments to raise and spend a significant amount of fiscal resources,    so that they have taken part in improving the health service. In this way they    have improved the health status of their population while at the same time contributing    to the overall development of the country's health sector. But it would be a    mistake to conclude that decentralisation was the only factor responsible for    the change, since there are quite a number of other government policies and    programmes that definitely have had positive impacts on the performance of the    sector.</font></p>     ]]></body>
<body><![CDATA[<p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>5 Conclusion</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Ethiopia is a case    where a system change from a military dictatorship was possible after the military    defeat of the dictatorship. The country then underwent a transition from a unitary    state through a decentralised state into a federation which was established    through the Constitution of 1994 and came into being in January 1995. In order    to improve the efficiency of service delivery, a process decentralising various    powers from the regional states to districts (woredas) started in 2001/02 in    four regional states: Amhara, Oromia, Tigray and SNNP, followed by the other    regional states in subsequent years.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">This article has    looked at the effects of the decentralisation in two major sectors: education    and health services. In both cases we have found an overall increase in allocated    budgets and an increase in the scale of the services offered since decentralisation    started in 2001. Studies also show that the increase in services is not homogenous    across regional states. Within the four larger regions, strongly disadvantaged    woredas at the outset of the decentralisation process have profited most, which    shows that the constitutional imperative of equal access to services is being    implemented. Some of the regions where decentralisation was started later have    still not caught up with the other regions, a phenomenon which is mostly due    to capacity deficits.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">In conclusion we    can safely state that decentralisation in combination with consistent development    policies has led to an overall improvement in service delivery, while some challenges    regarding quality and equity still need to be addressed.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>Bibliography</b></font></p>     <!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Aalen L "Ethnic    Federalism and Self-Determination for Nationalities in a Semi-Authoritarian    State: The Case of Ethiopia" 2006<i>International Journal on Minority and Group    Rights</i>243-261&nbsp;</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a 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2011)</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372800&pid=S1727-3781201200020000600013&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Federal Democratic    Republic of Ethiopia Ministry of Health<i>Health Sector Development Program    II 2002/03-2007/08</i>(The Ministry Addis Ababa 2002)</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372801&pid=S1727-3781201200020000600014&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Federal Democratic    Republic of Ethiopia Ministry of Health <i>Health Sector Development Program    III 2005/6-2009/10</i>(The Ministry Addis Ababa 2005)</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372802&pid=S1727-3781201200020000600015&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">FisehaA<i>Federalism    and the Accommodation of Diversity in Ethiopia : AComparative Study</i>(Wolf    Legal Nijmegen 2007)&nbsp;</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372803&pid=S1727-3781201200020000600016&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Garcia MandRajkumar    AS <i>Achieving Better Service Delivery Through Decentralisation in Ethiopia</i>(World    Bank Washington2008)</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372804&pid=S1727-3781201200020000600017&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">HabtuA "Ethnic    Pluralism as an Organizing Principle of the Ethiopian Federation"2004 <i>Dialectical    Anthropology</i>91-123</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372805&pid=S1727-3781201200020000600018&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Negussie S <i>Fiscal    Federalism in the Ethiopian Ethnic-based Federal System</i>(Wolf Legal Nijmegen    2008)</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372806&pid=S1727-3781201200020000600019&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">TeshomeA "A Review    of Education Policy, Strategies and Programs"in AssefaT (ed) <i>Digest of Ethiopia's    National Policies, Strategies and Programs</i>(Forum for Social Studies Addis    Ababa2008)47-92</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372807&pid=S1727-3781201200020000600020&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Transitional Government    of Ethiopia<i>Health Policy of the Transitional Government of Ethiopia</i>.    (The Government Addis Ababa1993)&nbsp;</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372808&pid=S1727-3781201200020000600021&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">World Bank<i>Project    Appraisal Document to the Federal Democratic Republic of Ethiopia for Public    Sector Capacity Building Program (PSACP)</i>(World Bank Washington DC 2004)</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372809&pid=S1727-3781201200020000600022&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">ZewdeB <i>A History    of Modern Ethiopia 1855-1974</i>(Addis Ababa University Press Addis Ababa2002)</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372810&pid=S1727-3781201200020000600023&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Zimmermann-Steinhart    P <i>The Federal System of Ethiopia</i> (House of Federation of the FDRE Addis    Ababa2012)&nbsp;</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=372811&pid=S1727-3781201200020000600024&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><i><b>Register    of government publications and legislation</b></i></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><i>Constitution    of the Federal Democratic Republic of Ethiopia</i>of 1994</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Proclamation No    14/1974</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Proclamation No    4/1995</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b>List of abbreviations</b></font></p>     <p>&nbsp;</p>     <p align="center"><img src="/img/revistas/pelj/v15n2/06img01.jpg"></p>     <p>&nbsp;</p>     <p>&nbsp;</p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><a name="back1"></a><a href="#top1">1</a>    Based on the 2007 Housing Census, the exact figure was 73,750,932 in 2007 (FDRE    CSA <i>Summary Report of the 2007 Housing Census</i>).    <br>   <a name="back2"></a><a href="#top2">2</a> Aalen 2006 <i>International Journal    on Minority and Group Rights</i> 243-261; Habtu 2004 <i>Dialectical Anthropology</i>    91-123; Fiseha <i>Federalism and the Accommodation of Diversity</i>.    <br>   <a name="back3"></a><a href="#top3">3</a> Zewde <i>History of Modern Ethiopia</i>.    <br>   <a name="back4"></a><a href="#top4">4</a> Zewde <i>History of Modern Ethiopia</i>.    <br>   <a name="back5"></a><a href="#top5">5</a> Proclamation No 14/1974.    <br>   <a name="back6"></a><a href="#top6">6</a> Chole "Key-Note Address" 166; Negussie    <i>Fiscal Federalism</i>.    <br>   <a name="back7"></a><a href="#top7">7</a> Degefe 1994 <i>Ethiopian Journal of    Economics</i>.    <br>   <a name="back8"></a><a href="#top8">8</a> Woredas correspond to districts, and    zones coordinate several woredas. The smallest unit is called kebele, which    is equivalent to municipalities. Larger municipalities or cities consist of    more than one kebele.    <br>   <a name="back9"></a><a href="#top9">9</a> World Bank <i>Project Appraisal Document</i>.    <br>   <a name="back10"></a><a href="#top10">10</a> World Bank <i>Project Appraisal    Document</i>.bid.    ]]></body>
<body><![CDATA[<br>   <a name="back11"></a><a href="#top11">11</a> Garcia and Rajkumar <i>Achieving    Better Service Delivery.    <br>   </i> <a name="back12"></a><a href="#top12">12</a> Teshome "Review of Education    Policy" 47-92.    <br>   <a name="back13"></a><a href="#top13">13</a> Garcia and Rajkumar <i>Achieving    Better Service Delivery.    <br>   </i> <a name="back14"></a><a href="#top14">14</a> FDRE Government <i>Education    and Training Policy</i>.    <br>   <a name="back15"></a><a href="#top15">15</a> FDRE Ministry of Education <i>Education    Sector Development Program IV</i>.    <br>   <a name="back16"></a><a href="#top16">16</a> Garcia and Rajkumar <i>Achieving    Better Service Delivery.    <br>   </i> <a name="back17"></a><a href="#top17">17</a> FDRE Ministry of Education    <i>Education Sector Development Program IV</i>.    <br>   <a name="back18"></a><a href="#top18">18</a> Garcia and Rajkumar <i>Achieving    Better Service Delivery.    <br>   </i> <a name="back19"></a><a href="#top19">19</a> FDRE CSA and ICF International    <i>2011 Ethiopia Demographic and Health Survey</i>.    <br>   <a name="back20"></a><a href="#top20">20</a> Transitional Government of Ethiopia    <i>Health Policy</i>.    ]]></body>
<body><![CDATA[<br>   <a name="back21"></a><a href="#top21">21</a> Transitional Government of Ethiopia    <i>Health Policy</i>.    <br>   <a name="back22"></a><a href="#top22">22</a> Proclamation No 4/1995.    <br>   <a name="back23"></a><a href="#top23">23</a> Garcia and Rajkumar <i>Achieving    Better Service Delivery.    <br>   </i> <a name="back24"></a><a href="#top24">24</a> Garcia and Rajkumar <i>Achieving    Better Service Delivery.    <br>   </i> <a name="back25"></a><a href="#top25">25</a> Transitional Government of    Ethiopia <i>Health Policy</i>.    <br>   <a name="back26"></a><a href="#top26">26</a> FDRE Ministry of Health <i>Health    Sector Development Program II</i>.    <br>   <a name="back27"></a><a href="#top27">27</a> FDRE Ministry of Health <i>Health    Sector Development Program III</i>.    <br>   <a name="back28"></a><a href="#top28">28</a> Garcia and Rajkumar <i>Achieving    Better Service Delivery.</i></font></p>      ]]></body>
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<year>2012</year>
<publisher-name><![CDATA[House of Federation of the FDRE Addis Ababa]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
