http://www.keepeek.com/Digital-Asset-Management/oecd/development/education-and-health-expenditure-and-poverty-reduction-in-east-africa_9789264177499-en#page1

The articles draws attention to the absolute need for coherence and co-ordination so that schools are not built without teachers and dispensaries without drugs. Moreover, national macroeconomic policies have to be realistic if the health and education sectors are not to be deprived of resources. Finally, the quality of governance is shown to have a direct effect on the efficiency of social spending.