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, www.bukpokytis.lt, is available for practitioners to make their a pledge and access information about transparency and effectiveness of the healthcare system.
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.
Transparency Tools for the Private Sector: Promoting Tools to Improve Transparency Standards in the Pharmaceutical Sector – Multi-Sectorial Transparency Agreement
To promote transparency in the pharmaceutical sector.
i) to provide a space for knowledge sharing and networking, with a view of setting up an agenda for multi-stakeholder collaboration and increase transparency in the pharmaceutical sector;
ii) to establish a guide outlining principles to strengthen transparency in the sector, which would support the signing of multi-stakeholder transparency agreements (MTA);
iii) to promote synergies among all relevant actors within the pharmaceutical sector
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 the 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 interventions are expected to reduce corruption and promote transparency, integrity and accountability within the pharmaceutical and healthcare sectors.
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.
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, 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 patient awareness of healthcare rights and providing an independent mechanism to report instances of corruption.
A new digital reporting platform was developed and piloted by TI-Cameroon in partnership with Afro-Leadership and a group of hospitals.
An initial survey provided insight into the most effective ways for raising awareness amongst patients and encouraging whistleblowing. For example, patients highlighted their preference for using SMS and a digital platform/website to receive information and to submit complaints. For poor communities, where access to the internet is difficult, the preference is for a manual, paper-based reporting mechanism, with outreach support for villages.
The launch strategy involved media engagement, which led to widespread radio and TV articles about the initiative. This served to further sensitise members of the general public about healthcare rights.
An evaluation at the end of the pilot involved an experience-sharing workshop with healthcare workers, patients and representatives from the Ministry of Health.
Improve Transparency and Accountability in Health Sector under Building Integrity Blocks for Effective Change (BIBEC) Project
Transparency International Bangladesh's work on health issues mainly includes research and advocacy at local and national levels. The main objective of these activities is to bring about positive changes in policies and practices of concerned authorities in regard to ensuring good governance and integrity in health services.
Fight against Illicit Trade of Pharmaceutical Products.
Raising public awareness of the impact of counterfeit drugs and medicines on their health.
Advocating for law enforcement operations to increase the seizure of counterfeit medical products.
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.
Enhancing Community Awareness on the Linkage between Corruption and Human Rights
Based on The Coalition for Accountability and Integrity (AMAN) continuous search and analysis, the link between corruption and enjoyment of human rights is not yet recognized by different actors of the Palestinian society including official and non-official organizations, mainly those who are working in the field of anti-corruption and human rights.
Thus, AMAN worked throughout this project on sharing the global knowledge on this linkage by compiling a practical assessment for Palestine with focus on the fundamental right to health, and providing community awareness on this linkage and empowering CSOs working on the health right to integrate integrity, transparency, accountability and anti- corruption in their strategies to play an active role in holding officials accountable for corruption and violation of human rights.
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.
Community and Health Provider-driven Social Accountability Intervention (CaPSAI)
The Community and Provider-driven Social Accountability Intervention (CaPSAI) study is an intervention initiated in partnership with the UNDP, UNFPA, UNICEF, WHO and the World Bank Special Training in Human Reproduction (HRP Research), which is the main instrument and leading research agency within the United Nations system concerned with sexual and reproductive health and rights.
It is being implemented by Ghana Integrity Initiative (GII) and Population Council, with the aim of assessing how social accountability mechanisms can influence contraceptive uptake and use in family planning programmes/uptake.
The project is implemented in three district and in eight health sites (communities) in the Central region of Ghana.
The methodology adopted to implement this social accountability, is the use of community scorecard and eight steps has been designed to follow:
• Introduction of the intervention to the community.
• Mobilization of participants for the intervention.
• Health, rights and civic education with community participants.
• Prioritization meeting with community.
• Prioritization meeting with duty bearers.
• Interface meeting and joint action planning.
• First follow-up meeting with community and duty bearers at three months.
• Second follow-up meeting with community duty bearers at six months.
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.