Vitamin Lab

Chapter: Lithuania | Project range: Local | Year: 2016

Chapter details

About the chapter:
Transparency International Lithuania, established on 6th June of 2000, is a division of the international organisation Transparency International. TI Lithuania was founded by the Open Society Fund Lithuania. TI Lithuania is a non-political organisation that co-operates and coordinates its activities with governmental and non-governmental institutions in both Lithuania and abroad.

CPI Score: 59

CPI Rank: 38

View chapter Profile


Access to medicines, vaccines and other products

Research and development



National Partners:
Healthcare Clinics in Lithuania

Theory of Change

Change Type:



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.


Lithuanian residents believe that healthcare institutions and hospitals are the most corrupt institutions in Lithuania. Over the past five years, every second resident gave a bribe in a hospital and every fourth in a polyclinic . Although the issue of corruption in the healthcare has been attracting more and more attention in recent years, the general trends remain significantly unchanged.


  1. Two representative surveys of patients were conducted before and after the initiative.
    Research & analysis
  2. For two months we a clinic’s waiting area was converted into an interactive feedback giving space, where all patients were actively invited to evaluate their visit.
    Trial & implement new approach
  3. A practical guidebook for healthcare institutions on how to achieve small victories was prepared and disseminated.
    AdvocacyAwareness raising


  1. Patients of Lazdynai Outpatient Clinic became more open to provide feedback about the procedure at the clinic, which led to more positive evaluation of doctors' work.
  2. Doctors were more open to discuss their values when working with patients and were more welcome to receive feedback.

Lessons Learnt

  1. Corruption is a sensitive topic for both patients and doctors, therefore it is very important to ensure that surveys carried out throughout the initiative are anonymous and confidential. Ensuring the higher level of anonymity might increase the level of participation and also show to the public a more realistic picture of the service evaluation.
  2. In order to obtain accurate results and identify the real trends, it is necessary to ensure that the surveys are representative.
  3. Based on qualitative data, the feedback system should be simple and easily comprehensible; should be interactive; should maintain anonymity; should be lasting; should contain broad and simple categories but evaluate specific areas (or each doctor); and should be widespread among all the polyclinic (in order to be able to compare different medical institutions).
  4. Vitamin Lab evaluation categories should be adapted to the context of a particular healthcare institution and best reflect the patients’ daily experiences.

Read more