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EmploymEnT, woRk, and hEalTh inEqualiTiEs - a global perspective<br />

However, the economy continued to be under constant threat of<br />

political instability, war and recurrent drought, factors which have<br />

significantly retarded development (WB, 2009).<br />

The economic reform policy increased pressure on public sector<br />

employment (which was 73% of wage employment), ending<br />

guaranteed jobs for university graduates and other restrictions on<br />

hiring in the sector (serneels, 2004). public expenditure generally<br />

increased during the subsequent economic reforms. Enrolment<br />

rates, especially in primary education, have grown significantly.<br />

However, the quality of schooling has gone down due to<br />

overcrowding, insufficient school supplies, crumbling school<br />

buildings and facilities, and poorly trained, demoralised and<br />

unmotivated teachers.<br />

The other effect of the reform is seen in the health service sector.<br />

Health services are severely limited. although health coverage has<br />

increased in the past few years, and the proportion of the population<br />

within 1 km of health facilities rose from 52 per cent to 61 per cent,<br />

the utilisation rate remained very <strong>low</strong>, and patients often bypass<br />

<strong>low</strong>er-tier health facilities because they lack the necessary staff or<br />

drugs (african forum and network on Debt and Development<br />

[afroDaD], 2006).<br />

according to the 2005 national labour force survey report (Central<br />

statistical agency of Ethiopia, 2005), the active economic population<br />

(age 10 or older) is estimated to be 78.4 per cent (86.1% males and<br />

71.2% females). The rates vary by place of residence (82.6% rural and<br />

57.7% urban) and gender (86.1% males and 71.2% females).<br />

unemployment, accompanied by underemployment, is a serious<br />

problem in Ethiopia's urban areas. although the lack of reliable<br />

records and the existence of various informal types of work make<br />

reliable data hard to come by, some reports suggest that nearly 59<br />

per cent of the urban work force is unemployed (51.1% of men and<br />

67.3% of women). among the urban employed, 45.6 per cent are<br />

permanent employees, 8.1 per cent are contract workers, and 46.3<br />

per cent are casual workers.<br />

rural unemployment, however, is virtually nonexistent.<br />

according to a ministry of labour survey (2006), only 0.1% of the<br />

rural workforce was found unemployed during a twelve-month<br />

period. The rate of child involvement in economic activity in Ethiopia<br />

is also among the highest in the world. In 1999, it was estimated that<br />

53.7 per cent of children between the ages of 10 and 14 were<br />

working (Ilo, 2005). Children's school enrolment, on the other hand,<br />

remains very <strong>low</strong> (guarcello, lyon, & rosati, 2006). for instance, the<br />

labour participation rate of children aged 5-14 is 49.4% (32.9% only<br />

112

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