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Programme Papers from the 9th IACC
past IACCs



The 9th International Anti-Corruption Conference

The Papers

Abstracts of presentations

Day 4, Workshop 7

Anderson, Neil :
Accountability in Health Services

The main results of 'social audits' carried out in 1998 by CIET in Bangladesh, Nicaragua, Pakistan, South Africa, and Uganda are presented. CIET social audits gather data from households, communities and local public service workers about how well the public services serve the public. They focus on system flaws and create locally identified solutions for regional and national reform.

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Gadzekpo, Audrey / Lamensdorf Ofori-Atta, Angela :
The Cost of Corruption in Health Institutions

The authors explore the effects of corruption on health provision in Ghana. Using their own indepth interviews, they show how in public hospitals corruption is rife in the award of contracts, the procurement of supplies and food, and the way in which these supplies are then mismanaged and pilfered. The effects of this are costly both in financial and human terms. The main reasons for continuing high levels of corruption are complacency among the patients; low salaries for health professionals; and weak regulatory institutions. Centralised planning, poor hospital management practices and internal separation of powers are also often problematic.

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Mwaffisi, M. J. :
Corruption in the Health Sector

The paper analyses the effects of corruption on the health sector of Tanzania. In the health sector, there is both petty and grand corruption, and the poor are worst affected by the resultant increase in costs and reduced quality of service. The main causes of corruption in the health sector include: chronic shortages; excessive red tape; poor salaries; poor management and supervision; lack of information for clients. The effects are wide-reaching and include public dissatisfaction and the loss of credibility for the health professions. The most important measures which need to be taken to combat further corruption include, among others, more information for clients, better internal and external regulation, a greater health sector budget, and more severe punishment for corruption offences.

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