Charter of the Economy of the GDP by 2024-25. The shares of different levels of education in public expenditure as proposed as follows: Primary Middle/Secondary College/University Teacher Training/ Technical and Vocational Education TOTAL 2019-20 –(%) 36.5 37.5 22.2 3.8 100 2024-25 –(%) 40 40 15 5 100 The share of current and development spending should be 85:15 as compared to 90:10, with development expenditure mostly at lower levels of education. Greater Priority to Technical and Vocational Education and Teacher Training: There is a need for expansion of the capacity of public technical and vocational education in the country in partnership wherever possible with the private sector to focus on skills for which there is market demand. Training of teachers must be given higher priority. This will include training not only at the time of entry but also in-service. Improved Governance of the Education Sector: The education sector faces serious problems today of teacher absenteeism, lack of adequate teaching materials and basic school infrastructure. The focus will need to be on monitoring the performance of teachers by digital technology if possible. The basic lesson learned from the faster growth in the HDI index of Pakistan in the Musharraf era is that local governments are the appropriate level of Government for managing the public school system. As such, following the establishment of local governments after elections the basic education function should be handed over to local governments. 26.4. Health The Health System The distribution of total health expenditure in Pakistan has been extracted from the latest publication of the National Health Accounts of 2017-18, prepared by the PBS. Figure 26.1 reveals that the largest share of 52 percent is of out-of-pocket expenses by households, aggregating to as much as Rs 627 billion. This highlights the very limited coverage of public health services and health insurance in the country. 272