Research Archive
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September 2020
Report on the medicines’ purchase process through the 2014 Fiduciary Agreement
View Research Paper OverviewThis report analyses the performance of all actors involved in the purchase process of medical products and equipment, in the context of the 2014 Fiduciary Agreement
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September 2020
Report on the acquisition, storage and distribution of medicines—Let’s Transform Honduras
View Research Paper OverviewAssociation for a more Just Society (ASJ) is part of Let's Transform Honduras (TH), a network of civil society organisations aiming to generate positive changes in various sectors, including health. In this context, TH decided to conduct a research study on the acquisition, storage and distribution of medicines by the Ministry of Health. The purpose…
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August 2020
How to improve healthcare with little money
View Research Paper OverviewOn 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…
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August 2020
Too much politisation, too little transparency
View Research Paper OverviewThe 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…
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July 2020
Medical Procurement in ProZorro: Express Examination 2.0
View Research Paper OverviewThe 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.
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July 2020
Transparency and accountability in public administration and service
View Research Paper OverviewResearch 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.
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May 2020
Governance Challenges in Health Sector and the way out
View Research Paper OverviewDespite 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…
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November 2019
Open Data to Fight Corruption: Health Sector
View Research Paper OverviewThis 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…
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November 2019
Transparency and Professionalism of Drug Reimbursement Policy
View Research Paper OverviewSlovakia 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…
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November 2019
Report On Public Procurement Monitoring At The Ministry Of Health Supply Of Consumables For Haemodialysis
View Research Paper OverviewThe 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…
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November 2019
Transparency and Accountability in Kenya’s Health Financing Models
View Research Paper OverviewTransparency 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…
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November 2019
Sectoral Risk Assessment in Sri Lanka
View Research Paper OverviewDespite an initial energetic start by the Sri Lankan Government with the creation of a number of bodies dealing with the SDGs, such as the Ministry of Sustainable Development and wildlife and the Sustainable Development Council to name a few, there has been little progress on their implementation, or of streamlining action across relevant ministries…
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November 2019
Monitoring Report of Ministry of Health’s 2016 Improvement Plan
View Research Paper OverviewIn 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…
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November 2019
Public Perception Survey on Transparency and Accountability in Public Healthcare
View Research Paper OverviewA nationally representative survey on transparency and accountability in public healthcare in Cambodia. The survey seeks to quantify citizens’ perceptions, awareness and attitudes regarding the transparency and accountability of healthcare in Cambodia, and understand citizens’ experience in accessing healthcare in the country.
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November 2019
Promoting Integrity and Reducing Vulnerabilities to Corruption in the Romanian Health System
View Research Paper OverviewSome 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…
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November 2019
Private Healthcare: Governance Challenges and Way Out
View Research Paper OverviewThe 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…
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November 2019
National Household Survey 2017
View Research Paper OverviewThis 2017 survey is the 8th of this series. It is observed that 66.5% of households in Bangladesh experienced corruption when receiving services from public and private organisations. In the health sector, 42.5% of household experienced corruption.
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November 2019
Management Of Conflicts Of Interest in Healthcare and Pharmaceutical Industry Cooperation
View Research Paper OverviewThe 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).
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November 2019
Improving the Quality of Health Care in the Public Sector
View Research Paper OverviewThe 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…
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November 2019
Governance of the Directorate of Drug Administration: Challenges and Way forward
View Research Paper OverviewThe 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…
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November 2019
Corruption Risk Assessment of State-Guaranteed Free and Privileged Health Care Services
View Research Paper OverviewThe 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.
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November 2019
Corruption in Republic of Moldova: Perceptions vs. Personal Experiences of Households and Business People
View Research Paper OverviewWith 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…
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November 2019
Corruption and its Socio-Economic Impacts on the Healthcare Sector (Tsaboy Ny Gasy Project)
View Research Paper OverviewThe 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…
