region Europe & Central Asia
BelgiumBosnia and Herzegovina
How to improve healthcare with little money
On the basis of an information request, the opposition asked the hospitals for data on how long cancer patients had to wait for diagnosis and treatment. They found that the number of patients waiting longer than the recommended 62 days had doubled since 2010. In 2018, there is no access to monitor such data. Since…
Too much politisation, too little transparency
The Health Care Supervisory Office receives more than 2,000 appeals per year. In 2016, The Office assessed half of the 20141 complaints as unfounded. Most complaints related to patients' dissatisfaction with the provided medical care. The public is neither informed about the reasoning behind these decisions, nor about how the subject of complaint was prosecuted…
Medical Procurement in ProZorro: Express Examination 2.0
The report "Medical Procurement in ProZorro: Express Examination 2.0" is the second report dedicated to public procurement in healthcare. It highlights trends in the expenditure of public funds on healthcare since 2017.
Transparency and accountability in public administration and service
Research using data from ProZorro showed that there is considerable monopolization on procurement in Ukraine's health sector. ProZorro is an online public procurement platform and a collaboration environment that ensures open access to public procurement (tenders) in Ukraine.
Open Data to Fight Corruption: Health Sector
This case study published by TI Slovakia aims to provide guidance to policy-makers and activists in a diverse range of countries on how specific data sets can used to prevent, detect and investigate corruption. An investigation of procurement data by TI Slovakia revealed that many criteria of open data are not being met or are…
Transparency and Professionalism of Drug Reimbursement Policy
Slovakia spent a total of €1.1 billion of public funds 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…
Report On Public Procurement Monitoring At The Ministry Of Health Supply Of Consumables For Haemodialysis
The health sector in Kosovo is subject to rumours of mismanagement and monopolisation in the supply of medicines and consumables. This was especially evident in the haemodialysis sector where the consumables were all provided by the same company at an unusually high price, with the contracts being awarded in non-disclosed and non-transparent procedures. In April…
Promoting Integrity and Reducing Vulnerabilities to Corruption in the Romanian Health System
Some of the priorities of 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 of…
Private Healthcare: Governance Challenges and Way Out
The main objective of this research is to identify the challenges of governance in private healthcare programs and to recommend ways to overcome them. 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 in private healthcare…
Management Of Conflicts Of Interest in Healthcare and Pharmaceutical Industry Cooperation
The research explored the potential conflicts of interest that doctors face when working with the pharmaceutical industry and at the same time being involved in the categorisation of medicines - deciding which medicines to pay for with public health insurance resources (risks of biased drug decisions).
Corruption Risk Assessment of State-Guaranteed Free and Privileged Health Care Services
The purpose of the study was to identify and evaluate corruptions risks within state-funded medical care and, based on the results, to develop a set of recommendations.
Corruption in Republic of Moldova: Perceptions vs. Personal Experiences of Households and Business People
With the support of the U.S. State Department and in collaboration with the Center for Sociological Studies, Transparency International Moldova carried out a study with the objective of analysing the perceptions and the experiences households and business people in the Republic of Moldova have made with corruption. The results of the study were used to…
Promoting transparency in the health sector
The main aim is to create a better understanding between doctors and patients in order to enhance the quality of service delivery in healthcare clinics.
Investigation of fraud in healthcare procurement
From 2014 to 2016, Transparency International Slovakia analysed open data in procurement to investigate fraud in health care.
Transparency ranking for hospitals
Together with INEKO, Transparency International Slovakia ranked all Slovak hospitals according to their level of transparency, from 2016 to 2019. The transparency indicators were based on annual reports, spending, contracts, procurement data, and staff information, among others.
For more information, visit http://nemocnice.ineko.sk/
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 with the government to enhance Bosnia and Herzegovina’s COVID-19 response in line with the broader objective of improving the country’s social accountability mechanisms.
Lithuanian medical organisations such as the 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, www.bukpokytis.lt , is available for the members of medical community to sign their pledge and access information about transparency of the healthcare system.
TI Lithuania launched a social design experiment, "Vitamin Lab" , to see if changing a clinic's environment indirectly affected the behaviour and attitudes of patients, increased transparency and reduced bribery.
The Best Thank You to the Doctor Is Your Smile
The aim of this project was to raise awareness amongst patients that bribery is not a key to good treatment in hospitals, and that the best way of expressing gratitude towards a doctor is to simply say “thank you”.
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 in the international context, particularly concerning public health legislation for sugar and alcohol tax. An additional purpose was to challenge the negative connotations attached to lobbying: Decision-makers need information, and interest groups want to share it with them. However, those with power and resources are more likely to be able to get their message across, especially if lobbying is not made transparent. Influence on legislation that is exerted behind closed doors can endanger democracy.
Curing the Unhealthy Health System in Bosnia and Herzegovina
The central objective of the project is to contribute to reducing corruption in the health sector of Bosnia and Herzegovina through the engagement of Civil Society Organisation (CSOs) in policy formulation, decision-making and support of public healthcare institutions in providing a more efficient and better quality health services. Main activities will focus on improving the transparency, accountability and integrity of 15 healthcare institutions in Bosnia and Herzegovina by providing systemic solutions to key areas at risk of corruption including public procurement, human resources management and financial management and patients’ waiting lists. Further, the project aims to increase the relevance of CSOs and media in the fight against corruption in the health sector in Bosnia and Herzegovina.
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.
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 goal being the improvement of service delivery quality.
Global Partners:EBRD Eurasia Foundation Omidyar Network Transparency and Accountability in Public Administration and Services (TAPAS) program British Embassy in Pristina U.S. State Department European Commission Novartis Crown Agents
Center for Sociological Studies
Lithuanian Young Doctors Association
The Cancer Patients Support Association (POLA)
Healthcare Clinics in Lithuania
Junior Doctors Association
Lithuanian Cancer Patient Coalition
Medical Student's Association
Ministry of Health
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"