Uganda: Social Sectors
Assesses Uganda's urgent social problems ş lack of education, poor health, and high population growth ş and means for alleviating them. This study concludes that if Uganda's social conditions - among the world's worst - are to improve, social spending must be both increased and better allocated. Three areas are considered critical. * Education: Although the great majority of children enter primary school, by secondary school enrollment drops to only 13 percent overall and to 7 percent for girls. This dropout rate is largely attributed to high fees and poor learning conditions. The study recommends expanding access to primary education by restructuring government expenditure and private spending. * Health: Uganda's infant mortality is 70 percent higher than the average among low- income countries and its death rate is double the average. Because the leading causes of illness and death are preventable ş albeit sometimes with great difficulty ş the study recommends that health policy be reoriented toward public health and prevention. * Family planning Given that up to 70 percent of women have a favorable attitude toward family planning, the study recommends that the urgent problem of high fertility be immediately addressed by making family planning services widely available. The report stresses that government policies should take into account the interrelationships among social problems ş for example, the correlation of low female education to high fertility, infant mortality, and child malnutrition.
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Part One Background
Demographic Prospects and Consequences of High Fertility
Chapter H Demographic Prospects and Consequences of Population Growth
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Actual Budget agricultural AIDS allocated areas Arua average Bushenyi Category Central Government expenditure clinics community health condoms constant fertility Construction contraceptive countries Curative current expend curriculum declining fertility demographic dependency ratio Development diseases distribution District education sector enrollment ratio EPRC Equipment and vehicles estimated facilities family planning services fees female teachers fertility scenario FPAU girls Government's health sector household increase infection interventions Kampala Kasese Kenya Kotido lack Locally-controlled Makerere University malaria Mbale Ministry of Education Ministry of Health mortality Mulago Hospital NGO hospitals nurses OOOOOOOOOO percent population growth primary education primary school private expenditure Recurrent Expenditure regions salaries Local salaries salaries t allow Secondary education secondary school social sector spending Soroti staff Statistical Appendix Table Survey Teacher Training tertiary Tororo district UDHS Uganda Ugandan women UNFPA vehicles Foreign salaries World Bank Zimbabwe