Despite some progress in recent years, the health care system in Ethiopia remains inadequate to meet the needs of its people. Government health expenditure was just US$1.50 per capita in 2000, compared to the US$30-40 per capita that the World Health Organisation estimates is necessary to provide essential health services. In Ethiopia, on average only 49% of the population have any access to modern health services, and in some rural areas the coverage falls to 25%. The doctor to patient ratio in Ethiopia is 1:36,000. Government health expenditure has increased in recent years, but utilization rates for public services have not. Ethiopians visit a government health facility only once every four years, while they are sick nearly eight times per year (on average). This is due to a lack of health infrastructure, the poor quality of services where they exist, and the inability of many people to pay for treatment.
The impact on children is clear: one out of every six Ethiopian children dies before their fifth birthday. 14% of children born to mothers under 20 years of age die during childbirth. Diarrhea accounts for nearly half of the deaths. Only 60% of infants below one year are immunized against four major illnesses. Chronic malnutrition, both a cause and effect of poor health, is very high. 52% of Ethiopian children are stunted due to malnutrition.