region Europe & Central Asia

chapter Chapters






Bosnia and Herzegovina


Czech Republic
















Lithuania Macedonia Moldova


















United Kingdom

research Research

November 2019

Open Data to Fight Corruption: Health Sector

Chapter: Slovakia

A case study published by TI Slovakia aims to provide guidance to policy-makers and activists in a diverse range of countries for how specific data sets can used to prevent, detect and investigate corruption. An investigation of procurement data by TI Slovakia reveal that many aspects of open data are not being met or are…

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November 2019

Transparency and Professionalism of Drug Reimbursement Policy

Chapter: Slovakia

Slovakia spent a total of €1.1 billion of public money in 2015 on medicines (reimbursed to health insurance companies). This is more than the annual budgets for the Ministries of Defence and Culture combined. The categorisation of medicines is a key part of the decision-making process on drug expenditure. The health care system decides whether…

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November 2019

Report On Public Procurement Monitoring At The Ministry Of Health Supply Of Consumables For Haemodialysis

Chapter: Kosovo

Kosova Democratic Institute (KDI) has signed a cooperation agreement with this institution in order to enable the exchange of information and good practices that would contribute to the advancement of the public procurement process. In this report, three Public Contracts, related to the supply of consumables for haemodialysis, were analysed, which were carried out during…

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November 2019

Promoting Integrity and Reducing Vulnerabilities to Corruption in the Romanian Health System

Chapter: Romania

One of the priorities assumed by Romania through the National Development Program 2007-2013 regarding health (priorities that overlap with those of the Government Program) are: "increasing the accessibility of the population to health services", "improving the quality and safety of the medical act" "," Decision-making transparency in order to increase the efficiency in the use…

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November 2019

Private Healthcare: Governance Challenges and Way Out

Chapter: Bangladesh

The main objective of this research is to identify the challenges of governance in the private healthcare programs and to recommend the ways to overcome such challenges. The specific objectives of this research are to: 1. Review the existing legal and institutional framework governing private healthcare institutions. 2. Identify the nature of irregularities and corruption…

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November 2019

Management Of Conflicts Of Interest In Healthcare And Pharmaceutical Industry Cooperation

Chapter: Slovakia

The research explored the potential conflicts of interest faced by doctors working with the pharmaceutical industry and at the same time involved in the categorisation of medicines - deciding which medicines to pay from public health insurance sources (risks of biased drug decisions).  

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November 2019

Governance of the Directorate of Drug Administration: Challenges and Way forward

Chapter: Bangladesh

The study by TI-Bangladesh has assessed the effectiveness of the Government Drug Administration to tackle corruption. The study follows recent measures by the Government to strengthen the capacities of the Drug Administration. These include an increase of work force in field offices and measures to construct central drug laboratory and its capacity building. Moreover, it…

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November 2019

Corruption Risk Assessment in State-guaranteed Medical Assistance Provided Free of charge and under Privileged Conditions

Chapter: Armenia

The purpose of the study was to identify and evaluate free and privileged corruptions risks within state-funded medical care to then develop a set of recommendations to eliminate corruption risks.

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November 2019

Corruption in Republic of Moldova: Perceptions vs. Personal Experiences of Households and Business People

Chapter: Moldova

Transparency International Moldova carried out this study with the support of the U.S. State Department and in collaboration with the Center for Sociological Studies. The objective of the study was to analyse the perceptions and the experiences with corruption of households and business people in the Republic of Moldova. The results of the study were…

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project Projects

November 2019

#BūkPokytis (#BeChange)

TI Lithuania runs a professionalism campaign, #BeChange, in partnership with healthcare partners.
The aim is to encourage medical practitioners to sign a declaration committed to improving the transparency and effectiveness of the healthcare system.

As part of the campaign, practitioners are invited to attend workshops and forums before signing the declaration.

A programme of national will culminate in a celebratory rally on the eve of Lithuanian Medical Workers' Day, where practice promise to uphold their pledge.

The idea of Campaign was born in 2018 to emphasize the importance of trust, which was found to be lacking amongst patients and patient groups.

The campaign also services to encourage politicians and health care executives to strengthen the integrity and accountability of healthcare institution.

An electronic platform,, is available for practitioners to make their a pledge and access information about transparency and effectiveness of the healthcare system.

Behaviour Change:

Anti-Corruption Activism

November 2019

Vitamin Lab

TI Lithuania launched a social design experiment "Vitamin Lab" to see if changing clinic’s environment indirectly affects the behaviour and attitudes of patients, increase transparency and reduce bribery.

Vitamin Lab featured an interactive installation that TI Lithuania created with the community of Lazdynai Outpatient Clinic.  Installed in the clinic’s waiting area, every patient was invited to evaluate his/her visit and indicate how smoothly the procedures went, how clear the doctor was when prescribing medication, what the overall impression of the visit was, would they be willing to say thank you to their doctor.

Patients expressed their feedback by distributing five yellow tokens into different categories of evaluation e.g. procedures were clear; communication was pleasant; I did not like it.

November 2019

The Best Thank You to the Doctor Is Your Smile

The aim of this project was to raise awareness amongst patients of bribery in hospitals, through engagement with medical students and professionals.

Policy & Insititutional Change:

Improved enforcement of policies

Better Institutional Processes

Behaviour Change:

Anti-Corruption Activism

November 2019

Lobbying, Power and Health – A European Vision

The purpose of this publication is to open up the debate on lobbying and to define it in both the Finish and international context, particularly around public health legislation around sugar and alcohol tax. An additional purpose is to challenge the negative connotations which surround lobbying. Decision makers need information, and interest groups want to share it with them. However, it is important to remember that those with power and resources will get their message across more easily, especially if lobbying is not open. Closed doors behind legislative influence can endanger democracy.

November 2019

Curing the Unhealthy Health System in Bosnia and Herzegovina

The overall objective of the project is to contribute to reducing corruption in the health sector in Bosnia and Herzegovina through Civil Society Organisational (CSOs) engagement in policy formulation, decision making and supporting public healthcare institutions in providing a more quality and efficient health services to citizens. Main activities will focus on improving transparency, accountability and integrity of 15 healthcare institutions in Bosnia and Herzegovina through provision of systemic solutions in key corruption risk areas of public procurement, conflict of interest, human resources management and financial management; patients’ waiting lists and increasing relevance of CSOs and media in the fight against corruption in the health sector in Bosnia and Herzegovina.

Policy & Insititutional Change:

Better Institutional Processes

Behaviour Change:

Community Action

November 2019

Curiamo la corruzione (We Treat Corruption)

The aim of the project was to enforce a Healthcare Integrity System, ensuring more efficiency and fair market rules through collective actions with institutions, hospitals, Local Health Authorities (LHA), civil society and private companies.

Policy & Insititutional Change:

Policy Adoption & Amendment

November 2019

Civic Monitoring of Public Procurement in Ukraine

The project aimed to establish an automated monitoring system to track public procurement, including the spending of funds within the healthcare sector. This information is then accessible to every patient in order to increase transparency of healthcare procurement with the long-term aim being the improvement of service delivery quality.

Policy & Insititutional Change:

Better Institutional Processes

partner Partners

Global Partners:
U.S. State Department Novartis Crown Agents
Regional Partners:

Governmental Institution

Hospital Health Management Committees

Ministry of Health

NGO or Civil Society Organisation

Center for Sociological Studies

European Commission

Healthcare Clinics in Lithuania

Junior Doctors Association

Lithuanian Cancer Patient Coalition

Medical Student's Association

Lithuanian Medical Students' Association

The Cancer Patients Support Association

Physicians for Social Responsibility

Centre for Civic Initiatives


Healthcare association or trade body



University, academia or research institution

Kyiv School of Economics

Ministry of Economic Development and Trade

Open Contracting Partnership

State-owned enterprise (SOE) "ProZorro"