Institutional corruption, health-sector reforms, and health status in Nigeria

Aregbeshola, Bolaji Samson

doi:10.1016/s0140-6736(16)31365-4

Cited by 8 publications

(11 citation statements)

References 2 publications

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“…In-kind payments are more common in rural areas, where poverty persists and patients or their relatives may do menial jobs for health workers (Onah and Govender, 2014). In addition, the exclusion of many people from insurance schemes increases the frequency of out-of-pocket payments, which can easily be linked to demands for extra informal contributions (Aregbesola, 2016).…”

Section: Methodsmentioning

confidence: 99%

“…Many are involved in dual practice, seen as contributing to widespread absenteeism (Kamorudeen and Bidemi, 2012; Chimezie, 2015). Physicians often rationalize dual practice as a means to improve their low earnings and public hospitals may tolerate this practice because it avoids pressure to increase salaries (Vian, 2008; Aregbesola, 2016). Even when health workers employed in the public sector are banned from engaging in private practice during work hours, some continue to do so (Aregbesola, 2016).…”

Section: Methodsmentioning

confidence: 99%

“…Physicians often rationalize dual practice as a means to improve their low earnings and public hospitals may tolerate this practice because it avoids pressure to increase salaries (Vian, 2008; Aregbesola, 2016). Even when health workers employed in the public sector are banned from engaging in private practice during work hours, some continue to do so (Aregbesola, 2016). Kamorudeen and Bidemi (2012) identified a widespread view among patients that a relationship with health workers secured through bribery was necessary, in these circumstances, to obtain quick, acceptable quality healthcare.…”

Section: Methodsmentioning

confidence: 99%

“…This lack of protection leaves health service users at the mercy of healthcare providers. Third, many people are uninsured and payment systems are not automated (Aregbesola, 2016), so transactions involve cash that can more easily be diverted than if electronic systems were used.…”

Section: Methodsmentioning

confidence: 99%

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Corruption in Anglophone West Africa health systems: a systematic review of its different variants and the factors that sustain them

Onwujekwe

Agwu

Orjiakor

et al. 2019

Health Policy and Planning

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West African countries are ranked especially low in global corruption perception indexes. The health sector is often singled out for particular concern given the role of corruption in hampering access to, and utilization of health services, representing a major barrier to progress to universal health coverage and to achieving the health-related Sustainable Development Goals. The first step in tackling corruption systematically is to understand its scale and nature. We present a systematic review of literature that explores corruption involving front-line healthcare providers, their managers and other stakeholders in health sectors in the five Anglophone West African (AWA) countries: Gambia, Ghana, Liberia, Nigeria and Sierra Leone, identifying motivators and drivers of corrupt practices and interventions that have been adopted or proposed. Boolean operators were adopted to optimize search outputs and identify relevant studies. Both grey and published literature were identified from Research Gate, Yahoo, Google Scholar, Google and PubMed, and reviewed and synthesized around key domains, with 61 publications meeting our inclusion criteria. The top five most prevalent/frequently reported corrupt practices were (1) absenteeism; (2) diversion of patients to private facilities; (3) inappropriate procurement; (4) informal payments; and (5) theft of drugs and supplies. Incentives for corrupt practices and other manifestations of corruption in the AWA health sector were also highlighted, while poor working conditions and low wages fuel malpractice. Primary research on anti-corruption strategies in health sectors in AWA remains scarce, with recommendations to curb corrupt practices often drawn from personal views and experience rather that of rigorous studies. We argue that a nuanced understanding of all types of corruption and their impacts is an important precondition to designing viable contextually appropriate anti-corruption strategies. It is a particular challenge to identify and tackle corruption in settings where formal rules are fluid or insufficiently enforced.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Corruption in Anglophone West Africa health systems: a systematic review of its different variants and the factors that sustain them

Onwujekwe

Agwu

Orjiakor

et al. 2019

Health Policy and Planning

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show abstract

“…The effects are also economically significant: an increase in standard deviation in a company's corruption culture is associated with an increase in the probability of bad business conduct by about 2-7% [10]. According to the Global Corruption Report, the sector where corruption is most present in the health sector [11]. Corruption is responsible for the lack of improvement in the health of different populations [12].…”

Section: Introductionmentioning

confidence: 99%

Corruption and ISO 37001: A new instrument to prevent it in international entrepreneurship

Brescia¹

2017

WJAFE

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Corporate social responsibility and technological perspectives in healthcare: An exploratory analysis of the evolution of the anti‐corruption system through multiple case studies

Campra

Esposito

Brescia

2023

Corp Soc Responsibility Env

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Corruption is one of the main variables to be considered in corporate social responsibility (CSR) to guarantee the well‐being of society in the long term. Information technology (IT) is able to reduce this phenomenon of corruption. However, no practical studies highlight the real effect on health organisations. This study ascertains the impact of a pilot project to prevent corruption and the introduction of new dedicated technologies in the healthcare organisation. It uses the association of institutional theory, information and communications technology (ICT), and new technologies to cover the gap and highlight the effect of an anti‐corruption pilot project of International Transparency Italia in the healthcare sector. A longitudinal approach‐based interventionist approach, coding of semi‐structured open interviews and corporate anti‐corruption plans using AltasIT from the 13 Health Organisations that joined the pilot project over a long term reveals that a positive effect spreads by mimetic approach within organisations. The study has detected open‐access databases, changes in personnel and procurement management approach, information dissemination, citizen involvement and whistleblowing support change through technologies. More specifically, it examines the evolution of the anti‐corruption system and the stakeholders' perceptions in healthcare organisations as a new form of social responsibility. To the best of our knowledge, this study is the only one that applies this perspective to the analysis of the anti‐corruption process through CSR currently underway in healthcare institutions worldwide.

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Institutional corruption, health-sector reforms, and health status in Nigeria

Cited by 8 publications

References 2 publications

Corruption in Anglophone West Africa health systems: a systematic review of its different variants and the factors that sustain them

Corruption in Anglophone West Africa health systems: a systematic review of its different variants and the factors that sustain them

Corruption and ISO 37001: A new instrument to prevent it in international entrepreneurship

Corporate social responsibility and technological perspectives in healthcare: An exploratory analysis of the evolution of the anti‐corruption system through multiple case studies

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