Research Paper


National Household Survey 2017

Chapter: Bangladesh | Year: 2017

Chapter details

About the chapter:

Transparency International Bangladesh (TI-B) is an independent, non-government, non-partisan and non-profit organization with a vision of Bangladesh in which government, politics, business, civil society and the daily lives of the people shall be free from corruption.

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Theory of Change

Behaviour Change
Anti-Corruption Activism
Change Type:

Awareness

Abstract

This 2017 survey is the eighth in the series. It is observed that 66.5% of households in Bangladesh experienced corruption when receiving services from public and private sectors or institutions. For the health sector, 42.5% of household experienced corruption.

Methodology

A three-stage stratified cluster sampling method was followed for selecting sampled households across the country.

The Integrated Multi-purpose Sampling Frame (IMPS) developed by the Bangladesh Bureau of Statistics (BBS) was used as the sampling frame.

At first stage, villages or mohallas for each of 16 strata were selected randomly from IMPS. Number of strata was determined through dividing 8 divisions into rural and urban divide. Number of villages or mohallas for each of the stratum was determined proportional to respective population weight after Square Root transformation.

At second stage, each selected village or mohalla was divided into some segments or clusters of 100 households as required by the number of households in the village or mohalla. After that, a segment of 100 households was selected randomly.

At third stage, 12 households were selected following systematic random sample technique from selected segment or cluster. Sample size for the survey was determined following 2015 survey parameters at 5% margin of error.

Findings

  1. 86.0% of the surveyed households received health services, among those 50.0% received services from government healthcare institutions, 77.3% from private institutions and 2.5% from NGOs.
  2. Among the households that received health services from government institutions, 42.5% were the victims of corruption.
  3. Among the service recipient households, 19.8% had to pay bribe or extra money, 8.4% were advised unduly to go to private clinics or diagnostic centers and 7.5% found no doctors/nurse/CHCP when required.
  4. The highest portion of households that received health services from government institutions experienced various types of corrupt practices (45.0%) in Medical College Hospitals, which is 42.6% in District General Hospitals and 42.0% in Community Clinics.

Recommendations

  1. Steps should be taken for providing both positive and negative incentives to prevent corruption. At the same time, reward and punishment must be ensured on the basis of performance.
  2. To ensure transparency and accountability of service providing agencies, activities like public hearing should be increased for ensuring people’s participation in service delivery processes. Local people have to be engaged with service providing agencies, interaction between service providers and recipients needs to be increased and people’s participation in ensuring quality services has to be ensured.
  3. Institutions must adopt its own Code of Conduct. Accountability and transparency must be ensured on the basis of this.
  4. To increase people’s awareness and participation against corruption, social movement against corruption needs to be strengthened.