Anti-Corruption

Dual Job Holding by Public Sector Health Professionals in Highly Resource-Constrained Settings: Problem or Solution?

This paper examines the policy options for the regulation of dual job holding by medical professionals in highly resource-constrained settings. It draws on the limited evidence available on this topic to assess a number of regulatory options in relation to the objectives of quality of care and access to services, as well as some of the policy constraints that can undermine implementation in resource-poor settings. [from abstract]

  • 690 reads

Global Corruption Report 2006

The GCR 2006 focuses on corruption and health. The book includes expert reports on: the risks of corruption in different health care systems; the scale of the problem: from high–level corruption in Costa Rica to counterfeit medicines in Nigeria to health care fraud in the United States; the costs of corruption in hospital administration and the problem of informal payments for health care; the impact of corruption at various points of the pharmaceutical chain; and anti-corruption challenges posed by the fight against HIV/AIDS [publisher’s description]

  • 555 reads

How Health Workers Earn a Living in China

During the period of the command economy government health workers were paid the same salary throughout China. Over the past twenty years the government has managed a gradual liberalization of the labour market, as part of the transition to a ‘socialist market economy’. This paper explores this process in the health sector. Government has found it impossible to maintain uniform pay levels, particularly in the face of a radical devolution of its own financial management. Health workers have increasingly resorted to informal methods of earning an income. Doctors quite commonly accept cash gifts from patients.

  • 534 reads

Inter-country Comparison of Unofficial Payments: Results of a Health Sector Social Audit in the Baltic States

This article presents the results of a 2002 social audit of the health sector of three Baltic States. Comparisons were made of perceptions, attitudes and experience regarding unofficial payments in the health services of Estonia, Latvia and Lithuania. The findings can serve as a baseline for interventions and to compare each country’s approach to health service reform in relation to unofficial payments. [adapted from abstract]

  • 241 reads