Public Health and Education Spending in Ghana in 1992-98 : Issues of Equity and Efficiency

Using primary data from the health and education ministries, and household survey data from the Ghana Statistical Service, the authors analyze equity, and efficiency issues in public spending on health, and education in Ghana in the 1990s. Public e...

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Main Authors: Canagarajah, Sudharshan, Ye, Xiao
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
GER
UPE
Online Access:http://documents.worldbank.org/curated/en/2001/04/1089551/public-health-education-spending-ghana-1992-98-issues-equity-efficiency
http://hdl.handle.net/10986/19663
id okr-10986-19663
recordtype oai_dc
spelling okr-10986-196632021-04-23T14:03:43Z Public Health and Education Spending in Ghana in 1992-98 : Issues of Equity and Efficiency Canagarajah, Sudharshan Ye, Xiao ACADEMIC YEAR ADDITION ATTENDING SCHOOL BASIC EDUCATION BASIC SERVICES CHILDREN WITH DISABILITIES CLASSROOMS CURRICULUM DECENTRALIZATION DRAWING ECONOMIC DEVELOPMENT EDUCATION BUDGET EDUCATION ENROLLMENTS EDUCATION EXPENDITURES EDUCATION INDICATORS EDUCATION LEVEL EDUCATION LEVELS EDUCATION MATERIALS EDUCATION POLICIES EDUCATION QUALITY EDUCATION SECTOR EDUCATION SERVICES EDUCATION STATISTICS EDUCATION SYSTEM EDUCATIONAL NEEDS ENROLLMENT ENROLLMENT RATIO ENVIRONMENTAL STUDIES FAMILIES FIRST GRADE GENDER GAP GENERAL LITERACY GER GIRLS GROSS ENROLLMENT GROSS ENROLLMENT RATES GROSS ENROLLMENT RATIO GROSS ENROLLMENT RATIOS HEALTH CARE HEALTH INDICATORS HEALTH OUTCOMES HEALTH SERVICES HIGH ENROLLMENT IMMUNIZATION IMPROVING ACCESS INCOME LEVELS LEVEL OF EDUCATION LEVELS OF EDUCATION LIFE SKILLS LITERACY LITERACY RATE LOW ENROLLMENT MATHEMATICS NATIONAL EDUCATION OUTCOMES OF EDUCATION PAPERS PARENTS PHYSICAL EDUCATION POPULATION GROWTH POVERTY REDUCTION PREGNANCY PRIMARY EDUCATION PRIMARY ENROLLMENT PRIMARY SCHOOL PRIMARY SCHOOL ENROLLMENT PRIMARY SCHOOL STUDENTS PRIMARY SCHOOL TEACHERS PRIMARY SCHOOLS PRIMARY STUDENTS PRIVATE EDUCATION PRIVATE SECTOR PUBLIC EDUCATION SYSTEM PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC PRIMARY PUBLIC SCHOOLS PUPILS QUALIFIED TEACHERS RURAL AREAS RURAL SCHOOLS SCHOOL FACILITIES SCHOOLING SECONDARY EDUCATION SECONDARY ENROLLMENT SECONDARY LEVEL SECONDARY SCHOOLS SOCIAL SERVICES SOCIAL STUDIES SPECIAL EDUCATION TEACHER TEACHER TRAINING TEACHER TRAINING COLLEGES TEACHERS TEACHING TEACHING ENVIRONMENT TEACHING MATERIALS TEACHING QUALITY TERTIARY EDUCATION TEXTBOOKS UNIVERSAL PRIMARY EDUCATION UPE UPPER PRIMARY VOCATIONAL EDUCATION VOCATIONAL TRAINING VOUCHERS Using primary data from the health and education ministries, and household survey data from the Ghana Statistical Service, the authors analyze equity, and efficiency issues in public spending on health, and education in Ghana in the 1990s. Public expenditures in the education sector, declined in the second half of the 1990s. Basic education enrollment has been stagnant, or declining in public schools, but increasing in private schools, resulting in a moderate increase in total enrollment. Regional disparities are significant, with lower public resource allocations, and lower enrollment ratios in the three poorest regions. The quality of basic education in public schools remains poor, while it has steadily improved in private schools. Enrollments in higher levels are lagging behind those in basic education. Ghana ranks high among West African countries in health indicators, although its health expenditures tend to favor the non-poor. While more of the rural population have gained access to health services in recent years, many still have limited access, or none. Moreover, there is no link between the pattern of public expenditures - especially the pattern of immunization across Ghana - and health outcomes. To ensure that social services are efficiently, and equitably delivered in a fiscally constrained economy, the authors argue, public expenditures need to be linked to outcomes. 2014-08-26T14:55:59Z 2014-08-26T14:55:59Z 2001-04 http://documents.worldbank.org/curated/en/2001/04/1089551/public-health-education-spending-ghana-1992-98-issues-equity-efficiency http://hdl.handle.net/10986/19663 English en_US Policy Research Working Paper;No. 2579 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Africa Ghana
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ACADEMIC YEAR
ADDITION
ATTENDING SCHOOL
BASIC EDUCATION
BASIC SERVICES
CHILDREN WITH DISABILITIES
CLASSROOMS
CURRICULUM
DECENTRALIZATION
DRAWING
ECONOMIC DEVELOPMENT
EDUCATION BUDGET
EDUCATION ENROLLMENTS
EDUCATION EXPENDITURES
EDUCATION INDICATORS
EDUCATION LEVEL
EDUCATION LEVELS
EDUCATION MATERIALS
EDUCATION POLICIES
EDUCATION QUALITY
EDUCATION SECTOR
EDUCATION SERVICES
EDUCATION STATISTICS
EDUCATION SYSTEM
EDUCATIONAL NEEDS
ENROLLMENT
ENROLLMENT RATIO
ENVIRONMENTAL STUDIES
FAMILIES
FIRST GRADE
GENDER GAP
GENERAL LITERACY
GER
GIRLS
GROSS ENROLLMENT
GROSS ENROLLMENT RATES
GROSS ENROLLMENT RATIO
GROSS ENROLLMENT RATIOS
HEALTH CARE
HEALTH INDICATORS
HEALTH OUTCOMES
HEALTH SERVICES
HIGH ENROLLMENT
IMMUNIZATION
IMPROVING ACCESS
INCOME LEVELS
LEVEL OF EDUCATION
LEVELS OF EDUCATION
LIFE SKILLS
LITERACY
LITERACY RATE
LOW ENROLLMENT
MATHEMATICS
NATIONAL EDUCATION
OUTCOMES OF EDUCATION
PAPERS
PARENTS
PHYSICAL EDUCATION
POPULATION GROWTH
POVERTY REDUCTION
PREGNANCY
PRIMARY EDUCATION
PRIMARY ENROLLMENT
PRIMARY SCHOOL
PRIMARY SCHOOL ENROLLMENT
PRIMARY SCHOOL STUDENTS
PRIMARY SCHOOL TEACHERS
PRIMARY SCHOOLS
PRIMARY STUDENTS
PRIVATE EDUCATION
PRIVATE SECTOR
PUBLIC EDUCATION SYSTEM
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC PRIMARY
PUBLIC SCHOOLS
PUPILS
QUALIFIED TEACHERS
RURAL AREAS
RURAL SCHOOLS
SCHOOL FACILITIES
SCHOOLING
SECONDARY EDUCATION
SECONDARY ENROLLMENT
SECONDARY LEVEL
SECONDARY SCHOOLS
SOCIAL SERVICES
SOCIAL STUDIES
SPECIAL EDUCATION
TEACHER
TEACHER TRAINING
TEACHER TRAINING COLLEGES
TEACHERS
TEACHING
TEACHING ENVIRONMENT
TEACHING MATERIALS
TEACHING QUALITY
TERTIARY EDUCATION
TEXTBOOKS
UNIVERSAL PRIMARY EDUCATION
UPE
UPPER PRIMARY
VOCATIONAL EDUCATION
VOCATIONAL TRAINING
VOUCHERS
spellingShingle ACADEMIC YEAR
ADDITION
ATTENDING SCHOOL
BASIC EDUCATION
BASIC SERVICES
CHILDREN WITH DISABILITIES
CLASSROOMS
CURRICULUM
DECENTRALIZATION
DRAWING
ECONOMIC DEVELOPMENT
EDUCATION BUDGET
EDUCATION ENROLLMENTS
EDUCATION EXPENDITURES
EDUCATION INDICATORS
EDUCATION LEVEL
EDUCATION LEVELS
EDUCATION MATERIALS
EDUCATION POLICIES
EDUCATION QUALITY
EDUCATION SECTOR
EDUCATION SERVICES
EDUCATION STATISTICS
EDUCATION SYSTEM
EDUCATIONAL NEEDS
ENROLLMENT
ENROLLMENT RATIO
ENVIRONMENTAL STUDIES
FAMILIES
FIRST GRADE
GENDER GAP
GENERAL LITERACY
GER
GIRLS
GROSS ENROLLMENT
GROSS ENROLLMENT RATES
GROSS ENROLLMENT RATIO
GROSS ENROLLMENT RATIOS
HEALTH CARE
HEALTH INDICATORS
HEALTH OUTCOMES
HEALTH SERVICES
HIGH ENROLLMENT
IMMUNIZATION
IMPROVING ACCESS
INCOME LEVELS
LEVEL OF EDUCATION
LEVELS OF EDUCATION
LIFE SKILLS
LITERACY
LITERACY RATE
LOW ENROLLMENT
MATHEMATICS
NATIONAL EDUCATION
OUTCOMES OF EDUCATION
PAPERS
PARENTS
PHYSICAL EDUCATION
POPULATION GROWTH
POVERTY REDUCTION
PREGNANCY
PRIMARY EDUCATION
PRIMARY ENROLLMENT
PRIMARY SCHOOL
PRIMARY SCHOOL ENROLLMENT
PRIMARY SCHOOL STUDENTS
PRIMARY SCHOOL TEACHERS
PRIMARY SCHOOLS
PRIMARY STUDENTS
PRIVATE EDUCATION
PRIVATE SECTOR
PUBLIC EDUCATION SYSTEM
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC PRIMARY
PUBLIC SCHOOLS
PUPILS
QUALIFIED TEACHERS
RURAL AREAS
RURAL SCHOOLS
SCHOOL FACILITIES
SCHOOLING
SECONDARY EDUCATION
SECONDARY ENROLLMENT
SECONDARY LEVEL
SECONDARY SCHOOLS
SOCIAL SERVICES
SOCIAL STUDIES
SPECIAL EDUCATION
TEACHER
TEACHER TRAINING
TEACHER TRAINING COLLEGES
TEACHERS
TEACHING
TEACHING ENVIRONMENT
TEACHING MATERIALS
TEACHING QUALITY
TERTIARY EDUCATION
TEXTBOOKS
UNIVERSAL PRIMARY EDUCATION
UPE
UPPER PRIMARY
VOCATIONAL EDUCATION
VOCATIONAL TRAINING
VOUCHERS
Canagarajah, Sudharshan
Ye, Xiao
Public Health and Education Spending in Ghana in 1992-98 : Issues of Equity and Efficiency
geographic_facet Africa
Ghana
relation Policy Research Working Paper;No. 2579
description Using primary data from the health and education ministries, and household survey data from the Ghana Statistical Service, the authors analyze equity, and efficiency issues in public spending on health, and education in Ghana in the 1990s. Public expenditures in the education sector, declined in the second half of the 1990s. Basic education enrollment has been stagnant, or declining in public schools, but increasing in private schools, resulting in a moderate increase in total enrollment. Regional disparities are significant, with lower public resource allocations, and lower enrollment ratios in the three poorest regions. The quality of basic education in public schools remains poor, while it has steadily improved in private schools. Enrollments in higher levels are lagging behind those in basic education. Ghana ranks high among West African countries in health indicators, although its health expenditures tend to favor the non-poor. While more of the rural population have gained access to health services in recent years, many still have limited access, or none. Moreover, there is no link between the pattern of public expenditures - especially the pattern of immunization across Ghana - and health outcomes. To ensure that social services are efficiently, and equitably delivered in a fiscally constrained economy, the authors argue, public expenditures need to be linked to outcomes.
format Publications & Research :: Policy Research Working Paper
author Canagarajah, Sudharshan
Ye, Xiao
author_facet Canagarajah, Sudharshan
Ye, Xiao
author_sort Canagarajah, Sudharshan
title Public Health and Education Spending in Ghana in 1992-98 : Issues of Equity and Efficiency
title_short Public Health and Education Spending in Ghana in 1992-98 : Issues of Equity and Efficiency
title_full Public Health and Education Spending in Ghana in 1992-98 : Issues of Equity and Efficiency
title_fullStr Public Health and Education Spending in Ghana in 1992-98 : Issues of Equity and Efficiency
title_full_unstemmed Public Health and Education Spending in Ghana in 1992-98 : Issues of Equity and Efficiency
title_sort public health and education spending in ghana in 1992-98 : issues of equity and efficiency
publisher World Bank, Washington, DC
publishDate 2014
url http://documents.worldbank.org/curated/en/2001/04/1089551/public-health-education-spending-ghana-1992-98-issues-equity-efficiency
http://hdl.handle.net/10986/19663
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