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

The health sector in Kosovo has been subject to rumours for many misuses and monopolies in supplies with medicines and consumables. This was greatly evident in the haemodialysis sector where the supply of consumables was made by the same supplier at an unusually high price and using closed procedures and therefore poor transparency. In April…

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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 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 increasing the workforce in field offices, investing in capacity building, and enhancing the central drug laboratory. Moreover, the Government Drug Administration has taken measures…

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November 2019

Corruption Risk Assessment of State-Guaranteed Free and Privileged Health Care Services

Chapter: Armenia

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

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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

July 2020

ALAC’s approach to COVID-19 in Bosnia and Herzegovina

Provide legal assistance to citizens, as well as work with other civil society organisations and government to enhance Bosnia and Herzegovina’s COVID-19 response. This is with a view to improve the country’s social accountability mechanisms.

November 2019

#BūkPokytis (#BeChange)

Lithuanian medical organisations such as Lithuanian Junior Doctors Association, with the support of TI Lithuania and others ran a professionalism campaign called #BeChange.

The goal of the initiative was to encourage medical practitioners to sign a declaration and commit to fostering transparency of the healthcare system. It is also aimed at politicians and healthcare executives to encourage them in strengthening the integrity and accountability of the healthcare sector overall.

An online platform, is available for the members of medical community to sign their pledge and access information about transparency 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, increases transparency and reduces bribery.

November 2019

The Best Thank You to the Doctor Is Your Smile

The aim of this project was to raise awareness amongst the patients that bribery is not a key to a good treatment in the hospitals, and the best gratitude to a doctor is a simple “thank you”.

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 the publication was 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 reduce corruption in the health sector in Bosnia and Herzegovina through Civil Society Organisation (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 aim to increase awareness of corruption in the healthcare sector, to train the staff of healthcare and hospital companies and to implement and test innovative tools and specific organisational models.

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 would then be 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 European Commission Novartis Crown Agents
Regional Partners:

Governmental Institution

Hospital Health Management Committees

Ministry of Health

NGO or Civil Society Organisation

Center for Sociological Studies

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"