This paper analyzes efficiency and equity issues in public expenditures on education and health in Ghana during the 1990s. Data were drawn from reports of the ministries of education and health and from household surveys conducted 1988-98. In the late 1990s, Ghana's public expenditures on education decreased. Basic education enrollment was stagnant or declined in the public sector while increasing in private schools. Regional disparities were significant, with lower allocations of public resources and lower enrollment rates in the three poorest regions. These regions also had critical shortages of teachers and classrooms at both primary and junior secondary levels. The quality of public basic education remained very poor, and post-basic education enrollment rates lagged behind those of basic education. Ghana's public health expenditures benefited primarily the nonpoor. While health services reached more rural areas in recent years, many rural areas still had limited or no access to health services. Analyses highlight a lack of relationship between public health expenditures and health outcomes, particularly for child immunizations. Data tables present details on enrollment rates, expenditures by education level and region, pupil-teacher ratios, results of criterion-referenced tests, rural-urban differences in male and female enrollments and education expenditures, health expenditures, distribution of health facilities and personnel, child immunizations by region and for rural and urban areas, hospital admissions, reported illnesses, and treatments in rural and urban areas. (Contains 22 references.) (Author/SV)