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. This study finds evidence that district-level spending in health and education is effective. The use of health services has increased, especially among the poorest quintiles; and the effect of district-level spending on agricultural extension workers is associated with higher yields for major crops.
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. This study finds evidence that district-level spending in health and education is effective. The use of health services has increased, especially among the poorest quintiles; and the effect of district-level spending on agricultural extension workers is associated with higher yields for major crops.