Thursday, 7 March 2013

THE MIXED EFFECTIVENESS OF FOREIGN AID IN ACHIEVING THE MILLENNIUM DEVELOPMENT GOALS IN ETHIOPIA



Melesse Zenebework

Ethiopia is a predominantly rural and young society. The average age is 59, and 84% of the population lives mainly in densely populated highland settlements. It is also one of the poorest countries in the world, with 38.7% of the population being below the poverty line in the year 2004. In the year 2011-2012, Ethiopia accounted $31.7 billion of GDP. The recently achieved annual growth rate is 11.4%, which, if achieved would allow the nation to achieve its poverty reduction millennium development goal by 2015. Ethiopia is rich in natural resources, but they are underexploited. According to government’s recent survey in 2000, the country has natural resources like copper, platinum, gold, potash, salt, natural gas. However, the few and small industrial firms working on these resources are not capable currently of competing globally and exploiting those resources in a way sufficient to help the country.
Agriculture accounts for almost half of GDP and more than 90 percent of export earnings. However, the share of agriculture is declining steadily whereas the share of the service sector in GDP is rising. On the other hand, the share of the manufacturing sector has been relatively static at between only 13 and 14 percent. Despite the fact that the history of the growth performance was poor in the past, the country has experienced strong economic growth in the current period (especially, since 2003/04). According to Ncube, Lufumpa and Ndikumana (2010) real GDP growth averaged 11.2 % per annum during the 2003/04 and 2008/09 period, placing Ethiopia among the top performing economies in sub Saharan Africa. This growth performance well exceeded the population growth rate and the 7 percent rate required for attaining the Millennium Development Goals of halving poverty by 2015.
This study tries to project the degree of effectiveness of foreign aid on Ethiopia in the struggle to accomplish the Millennium development Goals. In addition to government’s commitment and dedication in combating the challenges, what is the contribution and extent of foreign aid is the focus of this research paper. Similarly, it tries to show the amount of foreign aids implemented so far in order to realize the strategies and achieve the goals so far. Therefore,  the paper mentions only some of the Millennium Development Goals and the amount of money spent for each goals to effectively implement and the failures if found will be projected.




How did Ethiopia get into this Global Program?
In September 2000, 189 member states of the United Nations came together and adopted the Millennium Declaration, including commitments to poverty eradication, development, and protecting the environment. A year later the UN Secretary General’s Road Map for implementing the Millennium Declaration formally unveiled eight goals, supported by 18 quantified and time-bound targets and 48 indicators, which became known as the Millennium Development Goals (MDGs). The MDGs focus the efforts of the world community on achieving significant, measurable improvements in people's lives by the year 2015. They establish targets and yardsticks for measuring results—not just for developing countries but for the rich countries that help fund development programs and for the multilateral institutions that help countries implement them.
The eight MDGs listed below guide the efforts of virtually all organizations working in development and have been commonly accepted as a framework for measuring development progress:
  1. Eradicate extreme poverty and hunger
  2. Achieve universal primary education
  3. Promote gender equality and empower women
  4. Reduce child mortality
  5. Improve maternal health
  6. Combat HIV/AIDS, malaria, and other diseases
  7. Ensure environmental sustainability
  8. Develop a Global Partnership for Development
After the application of various programs by the government of Ethiopia in order to reduce poverty, Preparation for the realization of the MDGs took place for a year starting in September 2009 based on inputs from various government entities and a high level Macro Economic Team in particular. Since September 2010, country-wide consultations led by senior officials were held at the regional and local levels, and those at the federal level were chaired by the prime minister. Consultative meetings also took place with private sector participants, higher education institutions, civil society organization, and development partners. The Growth and Transformation Plan (GTP) was finalized in November 2010, shortly after it had been first discussed with the Development Assistance Group on September 29, 2010. The GTP was officially circulated to donors in the spring of 2011, and submitted to the International Development Association (IDA) and the International Monetary Fund (IMF, 2011).

By spending more than 60 percent of its total expenditure on poverty oriented sectors, such as agriculture, education, health, water and road development during the last seven years, the Ethiopian government has maximized its efforts and shown the highest level of dedication to bring about pro-poor economic growth. Despite the impressive growth record in recent years, low levels of income and savings and productivity in the agricultural sector, limited implementation capacity, unemployment and a narrow modern industrial sector base are the major challenges faced during this period. Besides the aforementioned challenges, the growth efforts have also been threatened by the twin challenges of inflation and the pressure on the balance of payments (BOP). Development finance had also been a critical constraint on the implementation of programs articulated in the country’s development plan.

How has Foreign Aid helped Ethiopia to achieve some of the Millennium Development Goals?

Ethiopia is one of the top massive aid recipient countries in the world. The country has received a huge amount of money from the international community in order to tackle poverty through the Millennium development program. This ranks Ethiopia as the third ODA recipient country in the world with the mount of US $1,065million in 2007 and US $3,327 million by the year 2008 (UN, 2010, MDG Gap Task Forced Report).
For the last five years, the country has achieved better improvement in reducing child mortality, improving maternal health, achieving universal primary education and eradication of poverty and hunger. Starting from a very disadvantaged position in the early 1990s, the country has made considerable progress in terms of growth, MDGs, and other social indicators in the context of moderate aid increases. The government now faces the question of how to maintain and further accelerate progress (H. Lofgren and C. Diaz-Bonilla, pp.267).
The government of Ethiopia realized that achieving the success over the educational problem is the key for the rest of development aspect of the country. Therefore, the government has made achieving universal primary education the major public policy and has increased the public spending on the sector.
Concerning the educational sector, the government’s emphasis on pro-poor expenditure is paying off in improved education. Primary school net enrollment rose from 77 percent in 2004/05 to 82 percent in 2009/10. The primary school (grade 8) completion rate increased from 42 percent to 48 percent during this period and secondary enrollment also improved from 33 percent to 39 percent for grades 9 to 10, and from 4 percent to 7 percent for grades 11 to 12 (IMF Country Report, 2011. pp.  2).
Mentioning the gender participation and proportion, during 2009/10 the Gross Enrolment Rate for pri­mary school (grades 1-8) reached 95.9 per cent (93.per cent for female and 98.7 per cent for male). During the same year, the Net Enrolment Rate (NER) stood at 89.3 per cent which is 87.9 for male and 86.5 percent for female (Millennium Development Report, 2010 pp. 14).

The overall success in access to primary education is mainly related to the increase in the number of primary schools, from 16,000 in 2005, to more than 25,000 in 2009 (MoE, 2009). This is complemented by construct­ing more than 80% of the schools in rural areas. Moreover, the government has also progressively increased the share of education in the national budget from 19.8% in 2005 to close to 22.8% in 2010 (Ministry of Education, 2009).
With the help of the foreign aid, the government programmed a huge amount of money in order to solve the problem of child mortality. The proportion of fully immunized children rose from 20 percent in 2006 to 66 percent in 2010; the percentage of births attended by healthcare workers increased from 16 percent to 29 percent during this period.

Similarly, the under-five mortality rate has decreased to 123/1,000 in 2005/06 from 167/1,000 in 2001/02 and the infant mortality rate has declined to 77 per 1,000 live births in 2004/05 from 97 per 1,000 live births in 2001/02. In 2009/10 the under-five mortality rates and infant mortality rates decreased to 101/1000 and to 45/1000 live births, respectively. Malaria (20%), Pneumonia (28%), Diarrheal Diseases (20%) and Newborn conditions (25%) each account for the major caus­es of child deaths in Ethiopia. The improvement of children’s health is an essential compo­nent of the Health Sector Development Program (HSDP) III that focuses on poverty related health conditions. HSDP III which ends in the middle of 2010 envisaged a reduction of the mortality rates of children under-five from 123/1,000 to 85/1,000 and the infant mortality rate from 77 to 45 per 1000 live births. This prognosis is based on an increased coverage of maternal, newborn and child health, nutrition and WASH related interventions (Millennium Development Report, 2010 pp. 23)

In accordance with the millennium development goal program, alleviating extreme poverty is the other major target of the Ethiopian government. Therefore, focusing on the area with all government commitment and strength, success has been achieved in the past five years.  During the Plan for Accelerated and Sustained Development to End Poverty (PASDEP), which is a plane to support the MDGs plan, Ethiopia enjoyed strong growth, reflecting government-led development investment, global commodity demand, and incentives for specific export sectors (e.g., floriculture). GDP grew on average 11 percent per annum during 2004–2010, according to official estimates.*  Initially having been led by agriculture growth has become more broad-based, with a rising contribution from mining, services and manufacturing sectors (IMF, 2011 pp. 10).

Ethiopia started the fight against poverty from very high levels with close to 49.5% of the total population under the poverty line in 1994. Following the implementation of the comprehensive poverty re­duction strategy, poverty levels have declined steadily reaching 38.7 percent in 2005, and are estimated to further decline to 29.2 percent in 2010. The five year Growth and Transformation Plan indicates that Ethiopia would achieve halving poverty by 2015 and projects that both in­come and food poverty reach 22.2% and 21.22% in 2014/15 from 29.2% and 28.2% in 2009/10, respectively (Millennium Development Report, 2010 pp.5).


The reason behind the decrease of maternal health and child mortality is the training and deployment of Health Extension Workers into the farthest villages in the rural areas. These HEWs are well trained and equipped with primary medical care service. They have basic skills in clean delivery, essential newborn care and recognition and referral of maternal and newborn complications. Currently, it has been observed that the implementa­tion of the Health Extension Program (HEP) has already started to bear fruits. Due to investments in health facilities all over the country, the proportion of the population living less than 10 km away from a health post has increased.

The total number of HEWs trained and deployed has reached 30,193 accounting for 98.07% of the total national requirement of 30,786 HEWs. Some of their major tasks include delivering basic sanitation, immunization and providing other health services in mainly rural villages in the country. Generally, the current on-going integrated and comprehensive interventions in the health sector and complementary interventions in other sectors could have a significantly positive impact in improving the maternal health and achieving the goal of reducing maternal mortality by three quarters by 2015 (MDGP, 2010 pp.29).
How has Foreign Aid failed to help Ethiopia in achieving the Millennium Development Goals?
Even if the improvements on the achievement of the first millennium development goal is a success for the government of Ethiopia, challenges on the same area have occurred. According to the national development report, the country has faced severe challenge for its development from the import and export trade. This is a highly vulnerable area in economy since the nation depends on the export price and the control of importing goods.
The Ethiopian economy and the poor in Ethiopia are extremely vulnerable to external shocks that may include climate change and the global price of exports and imports. These could be taken as challenges on the sustainability of growth. Sustaina­bility at a macro level could be attained by the structural transformation of the economy and greater participation of the private sector. This could be done in the medium-term by tackling the dependence on rain-fed agriculture through the expansion of small and large scale irrigation and strengthening public-pri­vate partnership. Structural transformation could also be addressed through raising the competitiveness of the industrial and export sectors, through the provision of physical infrastructure and human capital formation. Sustainability of growth is dependent on high growth in exports, on raising domestic resource mobilization and prudent macroeconomic management of the economy. Increasing foreign currency reserves and limiting high import growth and rising domestic savings are major issues that the government needs to address to achieve Goal 1. To this effect, the Government of

Ethio­pia is taking encouraging policy measures and responding to the situation (MDGS, 2010 pp.8).
Though Ethiopia has scored impressive success on the educational sector under the millennium development goals program, it still remains difficult to reach a 100% success especially in the areas where desert and pastoral life flourished. This is because the people in these areas often move seasonally from place to place and that is a challenge to keep them stay at a permanent area for education.
The other challenge is related to the nutritional status of children. Malnutri­tion has a negative impact on the children’s educational achievement. Hence the government has implemented a program to support those food insecure households with food security and productive safety net programs. This in turn helps those children in food insecure areas and vulnerable households secure access to education, where malnutrition no longer affects their perfor­mance, and to ensure the achievement of universal access to education. Cli­mate variability in Ethiopia has increasingly been the source of droughts and floods. Impacts of climate change could potentially limit progress, such as full education enrollment. The Humanitarian Requirement Document (2010), for instance, stresses that relief responses should be multifaceted and should also entail responses in the education sector, among others (MoE, 2009).
Attaining the highest success on the issue of gender equality takes much time, money and effort. This is one of the most difficult tasks the Ethiopian government faced to attain the targeted goal of the area since the issue is much complicated and too difficult to handle. The reason behind this is that, in most of the rural areas, specially, the long standing and rooted cultural belief and the people's mind set towards the issue of gender equality made most of the efforts unsuccessful.
 While much progress has been made, addressing gender equality and em­powering women remain the most challenging. This is because of the deep-rooted nature of the challenge, which depends not only on the actions of government, but also on changing attitudes and cultural values of the society. These types of changes take a significant amount of time to evolve and bring society’s consciousness to one level of understanding. Addressing these socio-culturally and psychologically embedded root causes requires a process of social change and transformation. Plan for Accelerated and Sustained Development to End Poverty (PASDEP) as well as some of the government’s flagship programs, including the imminent Gender Joint Program, mark steps in the right direction in which they are based on a root cause and gap analysis. Similarly, there is a growing understanding that there is a disconnect between the existence of legal prerogatives and entitle­ments in favor of women’s rights and the latter being enforced, implemented and claimed (CEDAW Report, 2009).
The struggle against child mortality has also found a strong challenge from the. Since the child mortality case is caused by different reasons, it is considered to be one of the most complex issues. Child mortality may be caused by sanitation, maternal education, maternal health, maternal under-nutrition, intervals between births, access to adequate water and basic curative health services too.
Understanding the current determinants of child mortality is essential to in­form policies and strategies to accelerate the reduction of child mortality. It is often associated with poverty (the lowest quintile is associated with 32% more child mortality than the highest), maternal education, maternal fertility characteristics [the under 5 mortality rate is significantly higher for moth­ers under the age of 20 (225 deaths per 1,000 compared to 179 for mothers in their twenties)], maternal under-nutrition, intervals between births, access to adequate safe water and basic curative health services (MoH Report, 2010).
With all the foreign aid and government expenditure with the special attention from all government authorities, achieving the complete overcome of maternal health seems difficult according to the past experiences. For the complete success of maternal needs more effort of the government with the provision of ample infrastructure, health center, electricity and more according to the Ministry of health report.
Improving maternal health requires a strong system which can only be built with concerted effort over time. Human resources and an enabling environ­ment such as basic infrastructure and the necessary supporting system should be at the center of the maternal health strategy. The availability of basic in­frastructures such as water, electricity, road connections, laboratories, blood banks, communication, and referral systems are crucial for improving mater­nal health.

Efforts to reduce maternal mortality should definitively address cultural fac­tors that influence their health and their access to health services. Alleviation of these social constraints would contribute towards the success of the goal. Increasing access to high quality antenatal and post-abortion care, strength­ening reproductive health care and family planning in rural areas, increasing access to skilled delivery care, and providing education about family plan­ning are also key areas where the scaling up of efforts should be go hand in hand with community mobilization (Ministry of Health Report, 2009).
Conclusion
Ethiopia has received billions of dollars for the accomplishments of the Millennium Development Goal program which was set to reduce extreme poverty by half by the year 2015. The Ethiopian government has implemented various national programs ahead of the MDG program in order to alleviate the national poverty. However, it was already on progress when the world gets into this international program which is a help to Ethiopia and it paved the way to win poverty for once for all.
By spending more than 60 percent of its total expenditure on poverty ori­ented sectors, such as agriculture, education, health, water and road develop­ment during the last seven years, the Ethiopian government has maximized its efforts and shown the highest level of dedication to bring about pro-poor economic growth. Despite the impressive growth record in recent years, low levels of income and savings and productivity in the agricultural sector, limited implementa­tion capacity, unemployment and a narrow modern industrial sector base are the major challenges faced during this period. Besides the aforementioned challenges, the growth efforts have also been threatened by the twin chal­lenges of inflation and the pressure on the balance of payments (BOP). De­velopment finance had also been a critical constraint on the implementation of programs articulated in the country’s development plan.
Even if Ethiopia has shown improving progress in achieving the millennium development goal with the help of the foreign aid in reduction of extreme poverty, infant and child mortality, maternal health and women empowerment, however, there are some challenges which caused for the failure in achieving the millennium development plan by the year 2015. These are the long standing and sometimes social problems which existed in the community for a long time now that people even don not understand their impact on their life. Cultural attitude towards women and children became some of the challenges which prevented Ethiopia from achieving the millennium development goals related with mothers, women and children.




Bibliography
Getnet Alemu (2009). A Case Study on Aid Effectiveness in Ethiopia: Analysis of the Health    Sector Aid Architecture. Addis Ababa, Addis Ababa University.
 Javier Pereira (2009). Ethiopia Aid Effectiveness in the Health Sector: Case Study.
International Monetary Fund Report (2011). The Federal Democratic Republic of Ethiopia: Joint Staff Advisory Note on the Growth and Transformation Plan 2010–15. Washington DC.
EFDRE and UN Country Team (2003). Millennium Development Goals Report: Challenges and Prospects for Ethiopia. Addis Ababa.
Save the Children (2011). Effective Aid: Delivering Results for the Poorest People. Addis Ababa, Save the Children.
Hans Lofgren and Carolina Diaz-Bonilla (2008). Foreign Aid, Taxes, and Government Productivity: Alternative Scenarios for Ethiopia’s Millennium Development Goal Strategy, pp. 267-300.
Steven Radelet (2004). Aid Effectiveness and the Millennium Development Goals. Center for Global Development.
Ministry of Finance and Economic Development of Ethiopia (2010). 2010 MDGs Report: Trends and Prospects for Meeting MDGs by 2015. Addis Ababa.
 Degol Hailu and Raquel Tsukada (2012).  Is the Distribution of Foreign Aid MDG-Sensitive? United Nations Department of Economic and Social Affairs.

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