During the past three decades Ethiopia has been noted for political turmoil, drought, and famine. The country’s 63 million people, the second largest population in Africa, have a per capita income of $110, one-fourth the average for the continent. At all levels, it has the lowest school attendance rate in the world: 30 percent at primary, 13 percent at secondary, and less than 1 percent at the tertiary level. The country’s health sector, too, is in no better condition: health expenditure between 1990 and 1995 was 1.7 percent of GDP. Life expectancy at birth is 49 years. The country also has one of the highest HIV-AIDS infection rates in the world (9.3 per 100 adults).