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Governance Challenges in Health Sector and the way out
Despite some successes, hindrances to good governance prevail in health sector. According to TI-Bangladesh's National Household Survey (2012), 40.2% of the recipients of health services from public institutions became victims of irregularities and corruption while receiving services. According to this survey, the estimated amount of bribes at the national level in this sector amounted to…
Transparency and Accountability in Kenya’s Health Financing Models
Transparency and accountability on processes in the health sector in Kenya has been waning. In 2017, for instance, the health sector witnessed major challenges ranging from internal turmoil caused by health practitioners over corruption to poor service delivery leading to wastage of public funds. The U.S. Embassy in Kenya announced the suspension of approximately $21…
Monitoring Report of Ministry of Health’s 2016 Improvement Plan
In January 2014, the Honduran government and TI/ASJ signed the “Collaboration and Good Faith Agreement for Promoting Transparency, Combatting Corruption and Strengthening Systems”. Since then, TI/ASJ has conducted independent monitoring and evaluation of the Ministry of Health’s performance in three areas: purchasing and contracts, human resources management, and data collection and evaluation. Based on TI/ASJ’s…
Improving the Quality of Health Care in the Public Sector
The research aimed to demonstrate how transparency in the health sector can improve the efficiency of budget allocations and result in improved overall care. TI Jordan conducted a survey in eight government hospitals in central Jordan (three in the north and two in the south) to assess the efficiency and effectiveness of secondary health care…
Governance of the Directorate of Drug Administration: Challenges and Way forward
The study assessed the effectiveness of the Government Drug Administration in tackling 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…
Corruption and its Socio-Economic Impacts on the Healthcare Sector (Tsaboy Ny Gasy Project)
The Tsaboy ny Gasy Project advocates for citizens' social and economic rights mainly by fighting corruption in the health sector in Madagascar. To inform the project, TI-Madagascar conducted an assessment to identify how different types of corruption impacted different types of health services. This involved a study of the legislative environment; a literature review on…
Enhancing Equitable Access of COVID-19 Vaccines
The delivery of COVID-19 vaccines is conducted in an equitable and transparent manner, ensuring that the right people are vaccinated, and there is no corruption in the delivery of the vaccine.
Supporting the implementation of drug control policies
The main objective of this project is to promote public health through the prevention and fight against illegal drugs, alcohol abuse and tobacco consumption in communities. It aims to create community-based anti-drugs coalitions to inform, educate and sensitize adolescents and young people about disorders related to the use of psychoactive substances. To date, we count 7 coalitions in Lomé .
Supporting the implementation of the WHO Convention on Tobacco Control (FCTC)
The project aims to improve public health through strengthening the Togolese Tobacco Control Law. The main objective is to achieve the integration of a 100% smoke-free policy and graphic pictorial health warning in the law in line with the WHO Framework Convention on Tobacco Control (FCTC).
ALAC’s approach to COVID-19
The main objective of this project is to provide legal assistance to citizens as well as work with other civil society organisations and the government to enhance Tunisia’s COVID-19 response in order to improve the country’s social accountability mechanisms.
Health Accountability Project-HAP
The accountability initiatives were aimed at promoting effective and substantive civic engagement and civilian oversight to ensure adequate access to essential drugs and medicines within the public health facilities in Elgeyo Marakwet county.
Mobile Drug Tracking System (MDTS)
The main objective of the Mobile Drug Tracking System (MDTS) was to increase citizens' participation in anti-corruption efforts by assisting them in tracking pharmaceutical commodities in their local health facilities. It specifically allows citizens, community health workers and hospital management committees to scan and monitor stocks. Additionally, it empowers citizens to hold the governing institutions accountable with the information and knowledge gained through the tool.
This project involved the creation of the Forum for Transparency and Accountability in Pharmaceutical Procurement which brings together various stakeholders in the health sector including the Ministry of Health, CSOs, the Public Procurement Authority and others, with the objective of monitoring pharmaceutical procurement and supply chain management and improving transparency and accountability in the health sector. It also involved the development of a Mobile Drug Tracking System and the Drug Price Index to support pharmaceutical procurement monitoring.
Increasing Participation, Accountability, Responsiveness and Transparency (PART): focus on the National Health Insurance Scheme (NHIS) and other MDG-related interventions in the health sector in Ghana’
The central aim is to enhance transparency and accountability in the flow and utilisation of NHIS financial resources which is aimed to lead to improved health service delivery in selected marginalised districts by December 2014. The original project was focused on three regions and was financially supported by STAR-Ghana, a multi-donor agency.
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.
Open Contracting for Health (OC4H)
TI-Nepal is implementing the Open Contracting for Health (OC4H) project in Nepal in partnership with the Transparency International Health Initiative (TI-HI), the initiator of the multi-country project.
The project's goal is to improve transparency in public procurement processes and data dissemination related to the health sector. It aims to achieve this by promoting open contracting standards, electronic public procurement systems and proactive disclosure of data. The project output is expected to reduce corruption and promote transparency, integrity and accountability within the pharmaceutical and healthcare sectors.
Influencing Increased Transparency in Clinical Trials
The work focused on engaging with regulators for a general review of the legislation governing medications. The goal was to influence stronger compliance around clinical trial registers, lodging and reporting. Working with partners (TranspaiMED and Mesh Down Under), the work sought to encourage the New Zealand Government to subscribe to the World Health Organisation joint statement on public disclosure of results from clinical trials.
Improving Basic Healthcare Service Delivery in Cameroon by Promoting Innovative Whistle-blowing Techniques
The project aimed to reinforce transparency, accountability, participation and integrity in public hospitals in Cameroon by raising awareness of healthcare rights amongst the patients and providing an independent mechanism to report instances of corruption.
Improve Transparency and Accountability in Health Sector under Building Integrity Blocks for Effective Change (BIBEC) Project
The overall objective of BIBEC is to concentrate on building and strengthening a series of mutually supportive and reinforcing integrity blocks to effectively reduce corruption. “Blocks” hereby mean the key institutions, i.e., policy/law, education, training, ethics and values, and above all, the citizens of the country.
Fight against Illicit Trade of Pharmaceutical Products.
The aim was to raise public awareness for the impact of sub-standard and falsified medicines (SFM) on patients' health and to advocate for law enforcement operations to promote the seizure of SFM.
Enhancing Community Awareness on the Linkage between Corruption and Human Rights
The Coalition for Accountability and Integrity (AMAN) worked throughout this project on sharing knowledge on the linkage between corruption and human rights by compiling a practical assessment for Palestine with focus on the fundamental right to health, increasing community awareness on this linkage, and empowering CSOs working on health to include integrity, transparency, accountability and anti-corruption perspectives in their work in order to hold officials accountable for corruption and violation of human rights.
Community and Health Provider-driven Social Accountability Intervention (CaPSAI)
The aim of the CaPSAI project is two-fold:
- Describe and examine how social accountability processes are implemented and operationalized with a focus on understanding behaviours, decision-making processes, and the barriers and enablers of change, with a view to generalizability;
- Develop more responsive quantitative measures for social accountability and show the relationship between social accountability and uptake of contraceptives and use of other family planning measures.
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:European Union GlaxoSmithKline Plc. World Health Organisation (WHO) Novartis UNDP European Commission BMJ (formerly British Medical Journal Transparimed Department for International Development UK (DIFD) Swedish International Development Cooperation Agency (SIDA) Crown Agents
Ministry of Health and Family Planning
NGO or Civil Society Organisation
Ministry of Health
Hospital Health Management Committees
District health officers
District level task forces
District local government
Individuals or general public
Village Health Teams
Healthcare Clinics in Lithuania
Junior Doctors Association
Lithuanian Cancer Patient Coalition
Medical Student's Association
Mesh Down Under
Regional Delegation of Public Health
Kyiv School of Economics
Ministry of Economic Development and Trade
Open Contracting Partnership
State-owned enterprise (SOE) "ProZorro"